TO YOUR GOOD HEALTH By Keith Roach, M.D.
Late Relapse Possible in Breast Cancer Patients ---
DEAR DR. ROACH: I just read another sad story about a woman who had breast cancer, fought it and seemed to win, but after five years, it came back and took her life. The same sequence of events happened to my wife two years ago. She fought the second round of cancer for a year and a half, but it was just about everywhere. What is this connection between the initial breast cancer occurrence and it coming back five or six years later even more widespread throughout the body? Is screening stepped up during that period? -- Anon. ANSWER: I am very sorry to hear about your wife. With most cancers, no evidence of disease five years out from diagnosis usually means a cure, that the person will not have a recurrence of that particular cancer, although people who’ve had one cancer are at a higher risk of developing a second, unrelated cancer. Breast cancer is one of the exceptions. Late recurrences (after five years) are possible, even very late recurrences. I have seen 20 years afterward, and there are reports of even longer. Although the reasons why breast cancer seems to hide for many years are not known precisely, we do know some risk factors for recurrence: Larger tumors are more likely to recur. Those with positive lymph nodes are at high risk, and women with estrogen receptor positive, progesterone receptor positive and HER2 negative tumors are more likely to experience recurrence. Screening is absolutely appropriate in women who have had breast cancer. There is not a consensus about the type and frequency of screening, but many experts choose yearly mammography. Breast MRI has been considered, but it has not been proven to be better in women with a history of breast cancer. A healthy lifestyle, including regular exercise, a diet with plenty of fresh fruits and vegetables, abstinence from smoking and minimal alcohol intake, has been shown to reduce cancer risk in women with a history of breast cancer. ***
Dr. Roach regrets that he is unable to answer individual questions, but will incorporate them in the column whenever possible. Readers may email questions to ToYourGoodHealth@med.cornell.edu. © 2021 North America Synd., Inc., All Rights Reserved GENESEE VALLEY PENNY SAVER
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We Care About
Your Smiles by Dr. Steve Sokolovskiy
TALKING OF TONGUES A pink, healthy tongue is a vital part of oral health. Neglect or lack of proper care of this essential organ can lead to the harboring of destructive bacteria that adversely affects overall dental health. Regular dental examinations include evaluations to appraise the tongue’s color and texture since these factors are vital to oral health. Discoloration of the tongue, any color other than pink, or changes in the normal, smooth texture, could indicate a number of oral or other underlying health issues that need to be addressed. The human tongue is actually a muscle, essential to numerous bodily functions like speaking, breathing, and eating. It is susceptible to a multitude of diseases including tongue cancer.
so we can establish a baseline against which we can measure your future oral profile and progress. And whether we’re dealing with tongues or teeth, regular professional checkups make it possible to watch for developing concerns and address them while they are still small, before they can turn into something more serious. For an appointment for advanced, gentle dental care, please call us at 585.343.4246, 6 Batavia City Centre. P. S. The tongue is a complicated part of the human body, requiring over 8,000 various motor signals to help it move.
Your total health is always our concern at BATAVIA FAMILY DENTAL. That’s why all new patient exams are so thorough,
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FRIDAY, MARCH 11, 2022
