Breast Cancer History Lowers Accuracy of Mammogram
March 1st 2011Mammography screening for breast cancer may be less accurate among women with a personal history of breast cancer (PHBC), despite a higher underlying cancer rate, relative to women without PHBC, according to a study published in the Feb. 23 issue of the Journal of the American Medical Association.
False Positives Fall With Greater Volume of Mammograms
February 28th 2011Interpreting a high volume of mammograms ma not lead radiologists to find more cancers but my help them to better distinguish between malignant and non-malignant lesions, according to research published online Feb. 22 in Radiology.
Addison Disease Is a Risk Factor for Hip Fracture
February 26th 2011Clinically diagnosed and undiagnosed cases of Addison disease (AD) are associated with hip fractures in patients aged 30 years and older, with the highest risk in women aged 50 years or younger, according to a study published online Jan 19 in the Journal of Internal Medicince.
SMFM: Very Obese May Need to Gain Less Pregnancy Weight
February 26th 2011Women who are extremelly obese may not need to gain as much weight during the second and third trimesters of pregnancy as current guidelnes recommend, according to research presented at the Society for Maternal-Fetal Medicine's annual meeting, The Pregnancy Meeting, held from Feb. 7 to 12 in San Francisco.
Axillary Lymph Node Dissection Does Not Affect Survival
February 22nd 2011Patients who have limited sentinel lymphs node (SLN) metastatic breast cancer have similar survival rates when treated with sentinel lymph node dissection (SLND) or axillary lymph node dissection (ALND), according to a study published in the Feb. 9 issue of the Journal of the American Medical Association.
U.S. Task Force Mammogram Recommendations Questioned
February 22nd 2011Initiating mammography at a younger age and screening more frequently than the U.S. Preventive Services Task Force (USPSTF) recommends will likely result in more lives saved, according to a study published in the February issue of the American Journal of Roentgenology.
In breast discharge, mammogram unremarkable but ductography definitive
February 21st 2011A 54-year-old patient presented for evaluation of spontaneous left breast discharge. The patient is status post-right mastectomy with TRAM reconstruction in 1999. The patient states she has noted left breast discharge for quite some time
Can Maternal Relaxation Techniques Impact Fetus Well-Being?
February 21st 2011Modern medicine recognizes the potential impact of stress on physical well-being, but can stress pass through the mother to the fetus? Indeed, it has been hypothesized that maternal chronic stress can alter the uterine environment and may affect length of gestation, fetal growth, birth weight, and spontaneous preterm birth. Similarly, research on cortisol levels in fetuses and mothers has found that anxiety in mothers can affect the function of the placenta. With so much evidence pointing to the interaction between maternal psychological well-being and fetal wellness, there has become an increased need to find effective, nonpharmacological interventions for pregnant women.
Prenatal Exposure to High Glucose Levels Increases Lean as well as Fat Mass in Offspring
February 21st 2011Compared to nondiabetic women, women with diabetes and high glucose levels during pregnancy tend to have babies with high birth weights. Moreover, it is thought that these offspring are at greater risk for obesity than those children born to women without diabetes. But is the larger body size due to greater lean mass in addition to greater fat mass?
FDA Warns Against Certain Uses of Asthma Drug Terbutaline for Preterm Labor
February 18th 2011The U.S. Food and Drug Administration is warning that terbutaline administered by injection or through an infusion pump should not be used in pregnant women for prevention or prolonged (beyond 48-72 hours) treatment of preterm labor due to the potential for serious maternal heart problems and death.
Childhood Trauma Indirectly Tied to Obesity in Women
February 11th 2011Women who experience childhood trauma and go on to develop posttraumatic stress disorder (PTSD) and major depressive disorder (MDD) as adults, may be more likely to have weight problems, according to a study published in the December issue of Journal of Tramatic Stress.
Menopausal Symptoms Linked to Lower Risk of Breast Cancer
February 10th 2011Women who experience menopausal symptoms and have increased intensity of hot flushes have a reduced risk of postmenopausal breast cancer, according to a study published online Jan. 6 in Cancer Epidemiology, Biomarkers & Prevention.
Breast Implants May Be Associated With Rare Cancer
February 10th 2011Saline or silicone gel-filled breast implants my be associated with anaplastic large cell lymphoma (ALCL), the U.S. Food and Drug Administration announced today. The agency requested that health care professionals report any confirmed cases of the disease in women with implants.
Recombinant Human Prolactin Increases Milk Volume
February 9th 2011Treatment with recombinant human prolactin (r-hPRL) increases milk volume, induces changes in milk composition similar to those that take place in regular lactogenesis, and increases antimicrobially active oligosaccharide concentrations for women who have both prolactin and lactation insufficiency, according to a study published online Jan. 24 in Pediatrics.
Lowering BP in Women Reduces Heart Disease Risk
February 9th 2011High systolic blood pressure (BP) appears to be a substantial risk factor for cardiovascular events in women middle-aged and older, and many of these events are potentially preventable with lowered PB, according to research published online Jan 24 in Hypertension.
False-Positive Mammogram Results Affect Quality of Life
February 8th 2011Women who receive false-positive results from routine breast cancer screenings may experience a low quality of life and feelings of anxiety for at least one year, according to a study published online Dec. 20 in the British Journal of Surgery.
Q&A: Endometriosis and Breastfeeding
February 3rd 2011A 30 y/o woman, P1001, sought a second opinion from me regarding the following situation: She just had her first baby, and has a history of symptomatic endometriosis including some difficulty in achieving pregnancy (but did so without medical intervention). She was advised by another physician that she should use either depo or the progestin only pill for the next 6-12 months (while she is breastfeeding) to prevent the progression of endometriosis.
Maternal Grief May Predict Infant Attachment Security
February 2nd 2011Resolution of maternal grief following the experience of preterm birth, and the subsequent quality of maternal interactions, have important implications for attachment security development in premature infants, according to a study published online Jan. 17 in Pediatrics.
Radiotherapy Increases Risk of Death From Cardiac Disease
February 2nd 2011Radiotherapy may increase the long-term risk of death from cardiovascular disease, especially in women with left-sided breast cancer who are treated with contemporary tangential breast or chest-wall radiotherapy, according to a study in the Jan. 25 issue of the Journal of the American College of Cardiology.
Detecting Occult Lymph Node Metastases Has Little Benefit
February 2nd 2011Occult metastases are prognostic variables in patients with breast cancer who have negative sentinel lymph node biopsies, but the difference in five-year outcome is very small, according to a study published online Jan. 19 in the New England Journal of Medicine.
Basal-Like Breast CA Equally Aggressive for Different Races
February 2nd 2011Basal-like breast cancer is not more aggressive among African-American individuals than whites; however, in patients with luminal A cancer, African-American women experience worse outcomes, according to a study published in the Dec. 15 issue of Clinical Cancer Research.
Western Diet Linked to Aggressive Breast Cancer
February 2nd 2011A Western diet high in fat and cholesterol may be linked to larger, faster-growing tumors that metastasize more easily in mice predisposed to breast cancer, according to a study published in the January issue of the American Journal of Pathology.
Adjuvant Breast Cancer Therapies Offer Similar Survival
February 2nd 2011Adjuvant breast cancer therapy with an aromatase inhibitor (exemestane) alone, or used following tamoxifen, offers similar disease-free survival rates but different side-effect profiles, according to a study published online Jan. 18 in The Lancet.