Recommendation
At the beginning of the 4th edition

Breast cancer prevention and screening
What can I do to prevent breast cancer? 17
When and what tests are used for early breast cancer screening? 18

Healthy breasts and benign breast diseases
I had a breast exam and they said there was a lump.
Are all of these cases breast cancer? Which is more likely to be breast cancer: benign or malignant? 10
Who is at risk for breast cancer? 22

Causes of breast cancer
Are breast cancer and female hormones related? 23
I have large breasts.
Am I at higher risk for breast cancer? 24
Can men get breast cancer too? 24

Breast Cancer Symptoms and Self-Examination
I feel something hard on my breast.
Is this breast cancer? 26
My breasts and nipple area continue to hurt.
Should I suspect breast cancer? 27
In the nipples, discharge appears, itching and the skin peels.
Could this be breast cancer? 28

Breast cancer screening
My breasts feel tight and sore during mammograms. Do I really need to get them regularly? Can't I just get a breast ultrasound instead? 31
The mammogram results showed that I have dense breasts.
What does it mean? 32
A mammogram shows microcalcifications.
What does it mean, and what should I do? What is stereotactic biopsy? 33
I had a breast cancer screening, and my doctor suggested a biopsy. Why and how is this done? Will a biopsy cause the cancer to spread further? 36
Is it okay to get a breast exam during your period? 38
Do people who have had breast augmentation surgery experience any difficulties during the examination?
I had a cytology test at a private hospital. Why do I need to do a biopsy again? 39
I've been diagnosed with breast cancer. Why do I need a breast MRI? 39
What is a PET scan? 40
I had a total mastectomy.
Why should I have a breast exam (ultrasound, mammography, or MRI) on the side that had a total mastectomy? 41

Family history and hereditary breast cancer
Is breast cancer hereditary? What is hereditary breast cancer, and if someone in your family has breast cancer, does that mean everyone has hereditary breast cancer? 42
I have a family history of breast cancer.
When should I get tested and what tests? 43
Is a preventive mastectomy or oophorectomy necessary if you have a genetic abnormality? 45

Breast cancer during pregnancy
How should I get screened for breast cancer if I'm pregnant or breastfeeding? 47
I was diagnosed with breast cancer while I was pregnant.
Can I start treatment? I had surgery for breast cancer.
Can I have a baby? 48

Diagnosis of breast cancer
My breast cancer is called intraepithelial carcinoma.
Is carcinoma in situ different from typical breast cancer? 51
How should I answer when people ask what stage of breast cancer I have? 52
I heard that immunohistochemistry was added after a breast cancer biopsy. What is immunohistochemistry? 53
The results of the HER2 receptor immunostaining test are intermediate and require additional genetic testing.
Why do you do multiple tests instead of just one? 53
I had surgery and chemotherapy.
But I am worried that it may relapse or metastasize.
How can I know early if my breast cancer will recur or metastasize? 54

Surgical treatment of breast cancer
These days, there is something called mammotome surgery.
Can I use a mammotome for breast cancer surgery? 56
I was diagnosed with breast cancer.
Do I really need surgery? 57
Should all breast cancer patients undergo axillary surgery?
After the surgery, I came out wearing a drainage bag.
Why is it needed and when should it be removed? 62
What should I do if my surgical wound is bleeding or has fluid in it after discharge? How can I detect inflammation at the surgical site? 64
How long will the pain last after surgery? My breasts feel tingly and feel like they belong to someone else.
Is there something wrong? 64
When is a reoperation necessary after breast cancer surgery? 65
They say the entire breast needs to be surgically removed.
Can I have breast reconstruction in my case? When can I expect reconstruction? I'm considering reconstructive surgery because my breast surgery involves a wide range of procedures.
Is medical insurance applicable in these cases? 66
My mother is about to have surgery for breast cancer.
Do I need an epidural? 70

chemotherapy
I am receiving chemotherapy before surgery.
I heard from tests done during treatment that my armpit lymph nodes responded well to the chemotherapy injections.
Is armpit surgery necessary in these cases? 71
What do chemotherapy, targeted therapy, hormone therapy, and immunotherapy mean? 72
I heard that a test called Oncotype DX® can be used to determine the risk of recurrence, so I may not need to undergo chemotherapy. What does this mean?
73
I heard that in some cases, chemotherapy injections are administered before surgery.
In what cases should I receive chemotherapy injections before surgery? 74
I had surgery after receiving chemotherapy before surgery.
In my case, do I need to receive more chemotherapy injections after surgery? 75
I was diagnosed with breast cancer and was told that I need to undergo chemotherapy first and then surgery.
What is the reason? 76
Why do I need post-operative chemotherapy? How long does it last?
I heard chemotherapy has many side effects. What are they? Can patients with high blood pressure or stroke also receive chemotherapy? 78
What if I catch a cold during chemotherapy? Can I have dental work or eyebrow tattoos during treatment? What about my usual arthritis or disc treatments?
Can I eat meat, red ginseng, and ginseng while receiving treatment? What about raw foods like sashimi?
Will chemotherapy cause menopause? I saw an announcement for a clinical trial of a new drug at Hospital 81.
Is it okay for me to participate? 81

Hormone therapy and targeted therapy
I heard that I have hormone receptor positive breast cancer.
Is this more benign than other types of breast cancer? 83
There seem to be several types of anticancer hormone drugs, including tamoxifen, Femara, Arimidex, and Aromasin.
Which medication is right for me? 84
I am taking Femara.
I have joint pain. What should I do? 85
While taking Femara (or Arimidex, Aromasin), I also prescribed calcium and my resonance and incline are increasing every year.
I have constipation and indigestion. Do I really need to take calcium?
I have HER2 positive breast cancer and I'm worried because I've been told it's pretty aggressive.
What treatment should I get? 87
I heard there's a new, promising HER2-targeted treatment. Can I still get it?
When are the medications Ibrens, Kisqali, and Verzenio used? 89
Triple-negative breast cancer is problematic because there are few treatment options. Is that true? 90
What are immunotherapy and cell therapy? 91

radiation therapy
I've heard that radiation is invisible, doesn't feel hot, and doesn't hurt.
So, what is the mechanism by which radiation kills cancer cells?
Are radiation therapy, tomotherapy, and proton therapy different? Are tomotherapy or proton therapy also used for breast cancer? 93
In what cases is radiation therapy used for breast cancer? 93
They say intraepithelial carcinoma has a very good prognosis. Do I really need radiation therapy? 94
Please explain the process and duration of radiation therapy.
95
I heard that my arm needs to be elevated for radiation therapy. Why is that? 96
I heard that radiation weakens my skin. Please tell me how to take care of my skin.
97
What are the uncomfortable symptoms that may occur during radiation therapy? 99
What are the possible complications after radiation therapy and how should they be managed? 100
Can I hold my children during radiation therapy? 101
When can I get pregnant after radiation therapy? Can I breastfeed using the breasts treated with radiation? 102
Breasts that have received radiation therapy feel warm when exercising and do not sweat.
I wonder why.
102
When can we determine the effectiveness of radiation therapy? Can we determine whether the treatment is effective or not during radiation therapy? 103
Is radiation therapy helpful when there are metastases to the bones or head? 104
I heard that the last few rounds of radiation therapy are called local radiation therapy (boost therapy). What kind of treatment is this?

Metastasis and recurrence
I've heard that breast cancer often metastasizes or relapses. Is that true? 105
There was no lymph node metastasis at the time of surgery, and even after chemotherapy, it was said that metastasis occurred.
Why is that? 106
I would like to know when relapse occurs, where it occurs, what symptoms it causes, and what the treatment is.
106
I had breast cancer surgery, but even though time has passed, my breasts still hurt like they did before I was diagnosed.
Isn't this a relapse? 107
Is a complete cure possible if metastases recur? 108

Return to normal life
What is lymphedema and how can it be prevented? 109
Is lymphedema treatable? 111
There is a risk of Gilfbujung, who suggests that raftering is the best.
What should I keep in mind when exercising? 113
The arm that had surgery is not broken.
What should I do? 114
Please tell me how to do arm exercises after surgery.
114
Can I have sex during treatment? Are there any ways to help with vaginal dryness, pain during intercourse, etc.? 116
How should I manage my household chores and work while receiving treatment? 117
When is it best to start wearing breast implants after surgery? 117
What foods are good for breast cancer patients? How much can they eat? 119
I am a woman in my 40s and was diagnosed with stage 2 breast cancer.
It felt like the sky was falling.
But as time went by, I started to get angry and think, 'Why did I have to get this disease?'
Even the comfort from those around me only makes me feel annoyed.
What should I do? 119
I have completed surgery, chemotherapy, and radiation therapy for breast cancer.
Now that the treatment is over, I keep crying and feeling depressed.
My husband and children both understand and support me, but I have no motivation.
When I said I had trouble sleeping, my doctor told me to see a psychiatrist.
Do I absolutely have to take tranquilizers when I go there? I'm worried I'll become addicted once I start.
Aren't the treatments expensive? 121
I was diagnosed with breast cancer five years ago and underwent rigorous treatment, including surgery and chemotherapy.
The doctor who performed the surgery said that the treatment went well and there are no signs of recurrence.
But if it relapses, I'm worried about whether I'll have to undergo cancer treatment again or die without even receiving surgery.
When will I ever be free from this anxiety? 123
I had breast cancer surgery last year.
At the time, my doctor told me that I could choose breast-conserving surgery, but I didn't want to undergo radiation therapy, so I had a mastectomy.
I plan to have breast reconstruction surgery in a few years if there is no recurrence.
But after the surgery, I think I became more sensitive to other people's gaze.
I used to enjoy going to the sauna, but I don't have the confidence to do so after surgery.
Not only that, it's hard for me to see myself naked.
My husband says it's okay, but we can't enjoy our sex life like we used to.
How should I live from now on? 125
I had surgery and chemotherapy for breast cancer.
Lately, I've been feeling a bit out of sorts, and I've been blinking frequently, losing things and forgetting things. Even when watching TV dramas, I can't recall the storyline right before the last one.
Could the chemotherapy be causing my dementia? Or is general anesthesia causing my mental fog? My last head MA scan showed no abnormalities, but I'm also concerned that the cancer may have spread to my head.
126
I am a housewife who was diagnosed with stage 2 breast cancer.
I am currently undergoing chemotherapy and am scheduled to have surgery next month.
There is a middle school student seat for each year.
I haven't told my teenage children yet because I'm afraid they'll be shocked if they find out that their mother has cancer.
How should I bring it up? 128
Why do I gain weight after breast cancer treatment? 128
I'm also curious as to why my blood pressure and blood sugar levels increased after treatment.
129
How should I get a health checkup after cancer treatment? Is the current Kim Seo sufficient? 130
How is terminal cancer diagnosed? Explain the commonly discussed terms palliative care and hospice.
131

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