The page references in this index correspond to the printed edition from which this ebook was created. To find a specific word or phrase from the index, please use the search feature of your ebook reader.
acupuncture 187–8, 203
Adams, Lisa Bonchek 282
Adjuvant! Online 31, 276
Adoption UK 209, 276
adrenaline 39, 40
advanced directives (living wills) 264–5
African ancestry 81–2
After Breast Cancer Diagnosis 190, 261, 276
‘After the treatment finishes – then what?’ (Harvey) 271–2
age see older people
alcohol 41, 221–2, 248
Alendronate 181
allergic reactions 159
alkaline diets 227–8
alternative treatments see complementary therapies; ‘miracle’ cures
American Society of Clinical Oncology (ASCO) 64, 276
Amoena 109, 276
anaemia 160–1, 194, 224, 229
anaesthetics 123, 125–6 see also general anaesthetics; local anaesthetics
anastrazole (Arimidex) 172
animal studies 69
antibiotics 90, 97, 114, 128, 145, 146
Anticancer Research 223
antidepressants 203
antihistamines 95, 135, 194
antioxidant diets 226–7
anxiety 20, 38–41, 271
appetite loss 148–9, 179
armpit (‘axilla’) surgery 91–4
side effects and complications 94–9
aromatase 171
Aromatase Inhibitors (AIs) 161, 172, 173, 174–5, 179, 230
aromatherapy 188
Association of Breast Surgery 71, 276
association vs. causation 70, 222
axillary node clearance 22, 75, 76, 94
and radiotherapy 163
side effects and complications 94–9
beta-carotene 226
bevacizumab (Avastin) 161
Big C centres 184, 276
bisphosphonates 20, 181
bladder problems 204
bleeding, post-operative 90–1, 94, 121
blood tests
for neutrophils 133–4
for tumour markers 28, 258
body art 197–8
body changes, coping with 192–8
body image 195–8
bone health 179–82, 230
bone marrow 134, 141, 145, 161
bone metastases 162, 256, 257, 258, 259, 270
bone scans 28, 240
brain metastases 10, 162, 256, 257, 259, 270
BRCA gene mutation 3, 83, 135, 175
in men 244
tests for 3, 132
breast cancer
assessing spread 27–8
diagnosing 11–12
information gathering 3–4
joining the club 1–7
learning more 24–38
Liz’s story 6–7
overview 8–23
profiling tests 32–3
prognosis 28–31
risk factors 2–3, 244, 248, 252
suspecting 10–11
that doctors can’t find 15
treatment planning 16–21
treatment summary 21–3
Trish’s story 5–6
types 12–14
Breast Cancer Care 3, 31, 36, 47, 54, 55, 56, 73, 96, 104, 135, 143, 189, 191, 196, 198, 209, 215, 221, 232, 247, 250, 251, 262, 268, 271, 273, 274, 277–8
Breast Cancer Haven 183, 278
Breast Cancer Now 189, 190, 232, 274, 278
BreastCancer.org 189, 276
Breast Cancer Research and Treatment 249
Breast Cancer Survivor’s Fitness Plan 232
breast care nurses 96, 104, 123, 129, 247, 268
breast enlargement 107–8
breast examinations 11
breastfeeding
in the future 82
and Herceptin 158, 241
during treatment 241
Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIAALCL) 115
breast implants see implant reconstruction
breast lumps 2, 7, 10, 12, 245, 252, 253, 268
breast oncologists 18
breast pathologists 18
breast radiologists and radiographers 18
breast reconstruction 21, 75, 100, 101–21, 126, 130, 131
delayed 105
immediate 105
older people 253
planning 105–10
see also flap-based reconstruction; implant reconstruction; operations
breast reduction 78, 82, 83, 84, 90, 131
and breast reconstruction 107–8
and lumpectomy 85–6
breast surgeons and trainees 18, 122–3
asking for different 123
meeting 123, 127
private and NHS 16–17
breast surgery 85–9
side effects and complications 90–1
breasts 8
appearance after treatment ends 266
dense 2, 7, 11, 19, 267–8
effects of radiotherapy 168
future changes in operated 82
ptosis 80
relative importance to you 81, 101
surgery on healthy 83
suspicious changes 10
symmetry/asymmetry 80, 83, 90, 106
Breuss cure 228
British Adoption and Fostering Agency 209
British Association of Behavioural and Cognitive Psychotherapists 43, 278
British Cycling Breeze rides 235, 278
British Journal of Sports Medicine 231
Brown, G. R. 249
Budwig diet 228
calcium 180, 229
‘Cancer and the Snake Oil Industry’ (Saez) 66–7
Cancer Answers, MD 282
‘cancer buddies’ 36, 40, 45, 185
‘cancer card’ 37–8, 195
cancer charities 188–9
Cancer Claims CRAP Test 67–8
Cancer Research UK 73, 135, 260, 278
cannulas 136
caps 218–19
‘capsules’ 7, 114–15, 169
CaringBridge 48, 278
carpal tunnel syndrome 178
CDK4/6 inhibitors 161
cells 8
Chai Cancer Care 183, 278
‘chemo brain’ 151
‘chemo caddies’ 152
chemotherapy 6, 7, 15, 22, 29, 65, 76, 83, 131, 132–45
‘adjuvant’ (after surgery) 22, 132, 157
bodily reaction 140–1
and breastfeeding 241
and contraception 208, 218
coping with 152–4
cycles 133
deciding whether you need 31–3
and dental check-ups 20
and exercise 229, 238
and family life 55–6
and fasting 224
and female fertility 205
and food and taste 148–9, 221
and Herceptin 157
and male fertility 246
and the menopause 200
‘neoadjuvant’ (before surgery) 12, 22, 132, 134, 156, 157
older people 253–4
and pregnancy 242, 243
radiotherapy after 164
and secondary cancer 76, 133, 154
self-monitoring 153
side effects and complications 141–52, 192
and supplements 223
travelling to and from 130
treatment process 136–41
and weight gain 192
what to wear 139
and work 57, 58
chemotherapy drugs 135–6
chemotherapy nurses 139
chest pains 169
Childlessness Overcome Through Surrogacy (COTS) 278
children, sharing the news with 53–6
cholesterol levels 177–8
Clinical Trials Explained 74, 279
clonidine 203
Cochrane Collaboration 155
cognitive behavioural therapy (CBT) 20, 40, 43, 195, 198, 274
cohort studies 70
coils (intrauterine devices) 219
cold-capping 6, 142–3
‘collateral damage’ 141, 271
Compassion in Dying 265, 279
complementary therapies 186–7
completion axillary node clearance 99
compression gloves/sleeves 97
condoms 218
contraception 158, 172, 174, 208, 218–19
contraceptive pills, as risk factor 2–3
CORAM BAAF Adoption and Fostering Academy 279
cording (axillary web syndrome) 98–9
core biopsies 7, 12, 15, 24, 155, 171, 240
‘Couch to 5k’ 232, 234
counselling 185, 198, 213–14, 216
Cowden’s syndrome 3
CT scans 28, 166
curcumin 226
cycling 235–6
Cyclizine 150
Daisy Network, The 209, 279
dating 215
DCIS see non-invasive cancer
deconditioning 194
Deep Vein Thrombosis (DVT) 177
dementia 255
dense breasts 2, 7, 11, 19, 267–8
dentists 20, 181
depression 41–3, 194, 271
detection
age differences 253
male breast cancer 245
during pregnancy 240
DEXA scans 180
diabetes 90, 160
effects of chemotherapy 152
type 2 193, 223, 225
diagnosis 11–12
diaries and journals 37, 40, 43
diet see food and diet
Dietitian UK 221, 279
Difflam 149, 160
digestive problems 154, 179
dilators 217
dizziness 159, 179
drain bags 129
drains 114, 115, 128, 259
Dream Challenges Ride the Night 232, 279
driving 130, 140, 167, 179
drop-in cancer centres 37, 183–6, 213
Dying Matters 265, 279
e-cigarettes/vaping 84, 103–4
Eek! My Mummy Has Breast Cancer (Sutherland) 54, 279
egg freezing 208
Emend 150
emotional coping 34–43
emphysema 126
end-of-life planning 263–5
endometrial cancer 178
endorphins 37, 187
energy therapies 188
estradiol (oestradiol) 201
everolimus (Afinitor) 161
exemestane (Aromasin) 172
exercise 37, 229–39
and anxiety 40
and chemotherapy 141–2
and depression 43
and fatigue 195, 204
and osteoporosis 181
exercise bikes 235–6
exercise classes 43, 231–2
External Beam Radiotherapy 164
eye problems 149, 179
eyelashes and eyebrows, losing 144
Facebook 191, 262
facial problems 149
Faslodex (fulvestrant) 172
fasting/severe calorie restriction 224
fatigue 151, 193–5, 204, 271
fertility 205–10
coming to terms with infertility 209–10
and male breast cancer 246
options for preserving 207–8
‘fight-or-flight’ 39, 40
financial worries 58–9
‘Finding the words’ 57, 280
fitness
and body image 197
and breast reconstruction 103
and operations 123–4, 253
flap-based reconstruction 115–21
complications 121
free flaps 115
implant reconstruction compared 106–7
pedicled flaps 115
recovery time 104
types 116–20
Flat Friends 191
fluid build-up 178
follicle-stimulating hormone 201
follow-up care 266–8
food and diet 195, 205, 220–1
‘cancer diets’ 222–9
after chemotherapy 148–9
and infection 147–8
and osteoporosis 180
Fosamax 181
free radicals 226
Free Spirit 215, 279
funeral planning 265
‘fungating’ cancer 76
gabapentin 203
gay men 248 see also LGBT+ people
G-CSG 145
gel clips 12, 76
Gelclair 149
general anaesthetics 84, 103, 124, 125–6, 175, 242, 253, 259
genetic risk 3
Gerson’s regimen 228
giving something back 274–5
Gonzalez regimen 228
Gooren, Lois 249
GPs 20, 36, 40, 42, 54–5, 123, 130, 247
and follow-up care 267
group support 185, 273
hair, menopausal changes 205
hair loss
chemotherapy 142–5
hormone therapy 178
radiotherapy 169
regrowth 106, 144–5
‘hand-foot syndrome’ 150
headaches 149, 179
headscarves and hats 143–4
head shaving 143–4
Headspace 186, 279
heart disease 193, 229
heart failure 60, 126, 170, 194
heart problems
and general anaesthetic 84, 124, 126, 253
and HER 2 treatment 158, 159–60
and radiotherapy 166
heart scans (multiple-gated acquisition/MUGA) 160
HER 2 (Human Epidermal Growth Factor Receptor 2) status 26, 30
tests for 155
HER 2 negative (HER 2–ve) cancers 26, 30, 155
HER 2 positive (HER 2+ve) cancers 6, 7, 22, 26, 30, 31, 132, 155
HER 2 treatment 22, 156–8
and contraception 218
drugs 156–7
side effects and complications 159–61
when and how is it given 157–9
Herceptin (trastuzumab) 6, 22, 26, 31, 155, 156, 157
and breastfeeding 158, 241
and contraception 158, 208
and exercise 229, 238
and older people 254
and pregnancy 158, 243
and radiotherapy 164
side effects and complications 159–61
‘Here Comes the Sun’ 34–5, 282
high blood pressure 84, 103, 160, 193, 203, 253
following hormone therapy 177–8
hormone receptor status 26
hormone replacement therapy (HRT) 2, 200, 201
and hormone therapy 174
hormone therapy 15, 23, 76, 83, 171–4, 253
instead of surgery 173
and lobular cancer 32
men 246, 247
and menopause 177, 192, 200
and pregnancy 243
side effects 176–82
after surgery 173
hospital follow-ups 266–7
hot flushes and night sweats 202–3
How to Read a Paper (Greenhalgh) 71, 283
Huebner, Jutta 223
Human Epidermal Growth Factor Receptor 2 see HER 2
Human Fertilisation and Embryology Authority 209, 279
ibuprofen 130, 170
imaging 11
immune system 133, 156, 159, 224, 238
immunohistochemistry tests 155
implant reconstruction 6, 7, 111–15
complications 114–15
flap reconstruction compared 106–7
one-stage vs. two-stage 112
permanent 111
and radiotherapy 169
recovery time 104
temporary 111
using acellular dermal matrix (ADM) 112–14
using chest muscles 112
In Situ Hybridisation (FISH/CISH) 155
in vitro fertilisation (IVF) 207–8
infection
after armpit surgery 97
HER 2 treatment risks 159
see also neutropenic sepsis; wound infection
inflammatory breast cancer 14, 132
insomnia and sleep problems 39, 41, 151–2, 187, 271
Inspire 190, 280
Insurancewith 215, 280
Intensity-Modulated Radiotherapy (IMRT) 164
Intraoperative Radiotherapy (IORT) 166
invasive breast cancer 6, 9, 13–14, 75, 155, 257
grades 25
lowering oestrogen 171
surgery 21–2, 76
invasive ductal cancer (NOS/NST) 13, 257
invasive lobular cancer 7, 13–14, 19, 257
and chemotherapy 32
classic 13–14
pleomorphic 14
invasive mixed cancer 7, 14
I’ve Got Cancer, What’s Your Excuse? (Gildea) 215
‘Jars of Joy’ 38, 42–3, 282
Johnson, Skyler 67, 222–3
joint and muscle problems 151, 179
Jones, K. T. 249
Journal of Sexual Medicine 249
Kadcyla (trastuzumab emtansine) 156, 157
keloid scars 81–2
ketogenic diets 224
Ki67 test 32
Klinefelter syndrome 244
Lancet Oncology 194
Lasting Power of Attorney (LPA) 255, 264
leg cramps 178
Leman, Cathy 221, 278
lesbians 248, 249, 250 see also LGBT+ people
letrozole (Femara) 172, 207
LGBT Foundation 251
LGBT+ people 248–51
and the healthcare system 249–50
linear accelerators (LINAC) 164, 165
lipofilling 82, 99, 115, 121, 168, 245
Live Better With Cancer 138, 280
liver metastases 10, 256, 257, 259, 270
Living Beyond Breast Cancer 250
lobular cancer see invasive lobular cancer
local anaesthetics 12, 76, 108, 124, 126, 128, 136, 138, 253
local recurrence 9–10, 268–9
risk factors 163
risk reduction 22, 162, 163
surgery for 100
Look Good Feel Better 144, 184, 198
low-carbohydrate diets 223
lubricant 217
lumpectomy 21, 75, 76, 80, 85–8, 162, 253
with breast reduction (‘therapeutic mammoplasty’) 85–6
for cancers involving/close to the nipple 87–8
and future breastfeeding 82
with a mini-flap 86–7
radiotherapy after 22–3, 75, 162
lung cancer 70
lung metastases 256, 257, 259, 270
lung problems
and general anaesthetic 84, 124, 126, 253
after radiotherapy 170
lycopene 226
lymph nodes (glands) 8, 11, 15, 122
cancer in 7, 9, 19, 22, 23, 26, 27, 29, 30, 163, 240, 243, 253, 257, 261, 268, 270
status 27
transplants 98
see also axillary node clearance; sentinel node biopsy
lymph vessels 8, 9, 14, 26, 92, 96
lymphoedema 94, 96–8, 229
lymphovascular invasion 26
Macmillan Cancer Support 36, 47, 54, 57, 59, 61, 96, 104, 135, 143, 183, 188–9, 190, 215, 232, 250, 251, 255, 262, 264–5, 274, 280
Macmillan nurses 263
Macom 109, 280
macrobiotic diets 225
Maggie’s Centres 183, 280
Mammaprint 33
mammograms 5, 9, 10, 11, 13, 15, 18, 76, 252
and follow-up care 267
during pregnancy 240
manual lymphatic drainage (MLD) 98
margins 77
re-excision 99
status 25–6
massage 186–7, 203
mastectomy 6, 7, 15, 22, 75, 76, 79, 80, 88–9
and breastfeeding 82
and healthy breast removal 83
and local recurrence 100
and margin clearance 99
in men 245
in older people 253
and radiotherapy 23, 163
side effects and complications 90–1
using scars for armpit surgery 93, 94
see also breast reconstruction
mastectomy bras 109
mastectomy pillows 129
mastectomy swimsuits 234
masturbation 216–17
Medical Oncology 224
Medicine & Healthcare products Regulatory Agency (MRHA) 111
meditation 40, 185–6
men 190
breast cancer 3, 244–7
oestrogen production 171
menopause, treatment-induced 7, 152, 175, 192, 199–205
blood tests for 201
symptoms 177, 202–5
meta-analysis 63, 70
metastases (‘mets’) 256 see also specific metastases
Metastatic Madness (Miele) 262
METUP UK 258, 280
microscopic magnetic beads 76, 93
MIND 42, 280
mindfulness 40, 151, 185–6, 195, 197
Mindfulness: A Kindly Approach to Being with Cancer (Bartley) 186
mindfulness walks 233
‘miracle’ cures 66–71
mood changes 205
morphine, liquid (Oramorph) 130
mouth problems 149, 160
Moving Forward 273, 278
MRI scans 7, 15, 19, 134, 268
Mullin, Karen 194
‘multicentric’ cancers 25
multi-disciplinary care team (MDT) 17–18, 65, 78
coordinators 19–20
‘multifocal’ cancers 25
Mummy’s Lump (Forrest) 55
Mummy’s Star 240–1, 281
My Organiser app 153, 280
National Breast Cancer Foundation, US 262, 281
National Breast Screening Programme 10, 267
National Institute for Health and Care Excellence (NICE) guidelines 27–8, 64, 65, 221, 229, 266, 281
National LGBT Cancer Project 251
nausea 150, 179, 187, 263
neutropenic sepsis 145–7
neutrophils 133–4, 145
‘new normal’ 269–73
NHS (National Health Service) 16–17, 28, 32, 33, 83, 89, 98, 122–3, 143, 214, 246, 266, 267
cancer pathway targets 19
NHS Breast and Cosmetic Implant Registry 111
NHS Choices 20, 281
Nicola Jane 109, 281
nipples
losing/keeping 108–9
reconstruction 108, 109, 245
removal 87–8, 108
tattoos 108, 245
see also Paget’s disease of the nipple
non-invasive (ductal carcinoma in situ/DCIS) cancers 6, 9, 12–13, 14, 26, 27, 171
grades 25
and surgery 22, 75
Nordic walking 233–4
nose problems 149
Nottingham Prognostic Index (NPI) 30
numbness, post-operative 95
nurse practitioners 20
occult breast cancer 19, 76
oestrogen 2, 171, 175, 218
and bone health 179
and the menopause 199–200, 201, 202
see also hormone therapy; ovarian suppression
oestrogen receptor negative (‘ER-ve’) cancers 6, 26, 171
and HRT 201
oestrogen receptor positive (‘ER+ve’) cancers 7, 26, 30, 171, 253
and HRT 201
and IVF 207
in men 244, 246
pregnancy after 208
targeted treatment 161
see also hormone therapy; ovarian suppression
oestrogen tablets and creams 203–4, 218
Ohsawa, George 225
older people 252–5
breast cancer risk 2, 252
and breast reconstruction/shaping 78, 103, 253
unable to make decisions 255
oncology day units 138–9
oncology nurses 19, 153, 263
oncoplastic breast surgery 78–9, 80
Oncotype Dx 32–3
Ondansetron 150
online forums 37, 56, 104, 152, 154, 189–90, 247
online support groups 43, 189–90, 214
operating theatres 122
operations 122–31
day of 126–9
recovering from 130–1
what to pack 124–5
see also surgery
OSNA (One Step Nucleic Acid Amplification) 93–4
osteoporosis (bone thinning) 177, 179–82
treatment 180–2
ovarian suppression 23, 174–6, 207
drug treatment 175
inducing menopause 200
side effects 176–82
surgical treatment 175
ovaries 152, 171, 172, 179, 199, 205, 207, 257
Paget’s disease of the nipple 6, 14
pain
and fatigue 194
post-operative 91, 130
painkillers 91, 130, 149, 151, 152, 170, 194
palbociclib (Ibrance) 161
palliative care 263
panic attacks 40
paracetamol 130, 143, 149, 170
pathology reports 24–7
pelvic floor exercises 204, 217–18
Penny’s centres (Penny Brohn) 183–4, 281
peripheral neuropathy 141, 150
Perjeta (pertuzumab) 132, 156, 157
Peutz-Jegher syndrome 3
phyllodes tumour 14
physiotherapists 129
PICC lines (periphery inserted central catheters) 137–8, 139
P.ink 198, 281
plastic surgeons 18, 107
ports 137–8, 139
POSITIVE research trial 208
post-mastectomy pain syndrome (PMPS) 7, 91
post-menopausal women 2, 171, 172, 221, 223 see also older people
post-traumatic stress disorder 273–4
practice nurses 267
pre-assessment clinics 123–4
PREDICT 31–2, 176, 281
pregnancy
after breast cancer 208–9
breast cancer during 240–3
and Herceptin 158, 243
and tamoxifen 172
pre-menopausal women 23, 171, 172, 174, 177
primary breast cancer 9–10
and chemotherapy 132, 133
chemotherapy drugs 135
end-of-treatment treats 214
and HER 2
treatment 156, 157
and radiotherapy 162
and surgery 21, 132
and tamoxifen 172
primary healthcare team 20
private sector 6, 16–17, 17–18, 28, 89, 139
progesterone 26, 199, 201, 218, 219
progesterone receptor negative (‘PR-ve’) cancers 6, 26
progesterone receptor positive (‘PR+ve’) cancers 7, 26
prognosis 13, 28–31, 155
and abortion 241
and pregnancy 243
secondary breast cancer 257
prostheses 81, 83, 89, 105, 234
Pulmonary Embolism (PE) 177
punch biopsies 12
‘Race for Life’ 274
radiofrequency ablation 259
radio-isotopes 76
radiotherapy 7, 15, 22–3, 55, 65, 75, 76, 77, 80, 100, 162–70
armpit 99, 163
and breast appearance 82, 83, 168
and cording 98
and exercise 238
immediate side effects 167–70
and implant reconstruction 102, 115, 169
late side effects 169–70
and pregnancy 243
and secondary breast cancer 259
travelling to 167
radiotherapy specialists and radiotherapists 19, 166
randomised controlled trials (RCTs) 63, 71
raw food diet 225
Recoheart 109, 281
recurrence 268–9
distant see secondary breast cancer
local see local recurrence
risk factors 66, 108, 193, 201, 220, 221
risk reduction 132–3, 162, 173, 174, 182, 197, 229, 273
recurrence scores 33
reflexology 187, 203
relationships 211–15
and male breast cancer 247
research trials 64–6
and older people 254
and secondary breast cancer 73, 259–60
taking part in 71–4
resources 276–83
‘respiratory gating’ 166
rib tenderness and fractures 170
ribociclib (Kisqali) 161
Royal Marsden Cancer Cookbook, The (Shaw) 148, 221, 283
scars 81–2
screening
age differences 252
and follow-up care 267–8
and LGBT+ people 249
recall 10
second opinions 21
secondary (metastatic/advanced) breast cancer (‘distant recurrence’) 1, 10, 28, 256–65
and breast reconstruction 104–5
and chemotherapy 22, 133, 154
chemotherapy drugs 136
at diagnosis (de novo) 15, 76, 256
frequency 256–7
and HER 2 treatments 156, 157–8, 161
living with 261–5
prognosis 257
and radiotherapy 23, 162
and research trials 73, 259–60
symptoms 257, 269, 270
and tamoxifen 172
and travel insurance 215
treatment 76, 258–61
and trips away 214
self-employment 58–9
sentinel node biopsy 6, 7, 22, 75, 91–4
after-effects of the dye 94
radiotherapy after positive 163
side effects and complications 94–9
sentinel nodes 9, 75
seromas 90, 94–5, 121
sex 216–19
and chemotherapy 154
and male breast cancer 247
and menopausal symptoms 202
sex drive
and male breast cancer 247
and menopause 204
‘sexbags’ 217
shared decision-making 65–6
sharing the news 44–62
with adult children 53
breast cancer in loved ones 51–3
with employers 57
family life disruption 55–6
people’s reactions 48–50
with teenagers and older children 53–5
tips for telling 46–8
with work colleagues 58
with younger children 55
shoulder exercises 96, 98, 129, 130, 164, 168–9
shoulder stiffness 96, 168–9
skin
menopausal changes 205
radiotherapy reactions 168, 170
smoking 41, 168
and breast surgery/reconstruction 78, 69, 84, 90, 103–4
and lung cancer 70
social media 37, 154, 190–1, 262
‘Someone Like Me’ 56, 189, 209
sore throats 169
specialist nurses 19, 36
sperm-banking 246
sporty people 238–9
Stage 4 Breast Cancer 264, 281
staging 30–1
staging scans 27–8
stereotactic radiotherapy (Gammaknife/Cyberknife) 259
steroids 135, 151, 158
‘Stickit2stage4’ 262, 283
Stress No More 217, 281
support 37, 183–91
LGBT+ people 250–1
male breast cancer 247
for relationships 213–14
support groups 43, 104, 189–90, 214, 262
surgery 15, 21–2, 55, 65, 75–100
additional 99–100
armpit (‘axilla’) 91–9
breast 85–91
deciding which operation to have 78–84
on healthy breasts 83
and male breast cancer 245
older people 253
during pregnancy 242
removal of ovaries 175
secondary breast cancer 258
see also operations
Surrogacy UK 209
surrogate endpoints 71
survivorship 1, 266–75
swallowing problems 169
swimming 234–5
‘Talking to Kids about Cancer’ 53
tamoxifen 7, 171, 172, 173, 180, 200, 207, 208, 246
and contraception 218
side effects 178–9
targeted therapies 15, 22, 155–62
side effects and complications 159–61
taste and smell 148–9, 221
Taylor, Jo 261–2, 269
‘the small c’ 44, 49, 282
tissue expanders 6, 111, 112
‘TNM’ prognostic system 31
‘toilet’ mastectomy 76
TomoTherapy machines 164, 165
Touch Surgery 104, 282
TP53 gene 3
transsexuals 249 see also LGBT+ people
travel insurance 214–15
treatment 21–3
age differences 253–4
male breast cancer 245–7
planning 16–21
and pregnancy 242–3
science of 63–71
secondary breast cancer 258–61
staying healthy before and after 220–39
see also specific treatments
triple assessment 11, 91, 94
triple negative cancer 26, 30, 132, 135, 207
tumours
grade 25
markers 28
size 24–5
types 12–14, 25
turmeric diet 226
tweetchats 190–1
Twitter 4, 44, 190–1, 262
Tyverb (lapatinib) 156, 157
ultrasound scans (USS) 7, 11, 15, 18, 240
vaginal dryness 203–4, 218
vegan diets 225
Viagra 247
vibrators 217
vitamin A 226–7
vitamin C 227
vitamin D 180, 229
vitamin E 227
walking 141–2, 233–4
weight
and cancer treatment 192–3
and lymphoedema 96
and the menopause 204–5
reducing 197, 223
as risk factor for breast cancer 2, 244, 248
as risk factor for recurrence 193, 220, 221
wigs 143
Wordpress 47–8, 282
work 56–62
information and support 61–2
and radiotherapy 164
returning to 59–61
sharing the news 57–8
time off for operations 130
working through breast cancer 58–9
Working With Cancer 61, 282
World Cancer Research Fund: ‘Eating well during cancer’ 221, 282
World First 215, 282
World Health Organization 220
wound infections 90, 94, 114, 121
Yes: the Organic Intimacy Company 217, 282
yoga 40, 151, 195, 236–7
Yoga for Breast Cancer Survivors and Patients (Kwok) 237
Yoga for the Stiffer Body (Craddock) 237
Young Adult Cancer Survivorship (Pake) 273–4, 283
Younger Breast Cancer Network (YBCN) 191, 209–10
Younger Women Together 209
Zoladex (goserelin) 20, 175, 207