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October 2007 Ductal carcinoma in situ (DCIS): This is the most common type of non-invasive breast cancer. DCIS means that the cancer is only in the ducts. It has not spread through the walls of the ducts into the tissue of the breast. Nearly all women with cancer at this stage can be cured. Often the best way to find DCIS early is with a mammogram Lobular carcinoma in situ (LCIS): This condition begins in the milk-making glands but does not go through the wall of the lobules. Although not a true cancer, having LCIS increases a woman's risk of getting cancer later. Invasive (infiltrating) ductal carcinoma (IDC): This is the most common breast cancer. It starts in duct, breaks through the wall of the duct, and invades the tissue of the breast. From there it can spread to other parts of the body. It accounts for about 8 out of 10 invasive breast cancers. Invasive (infiltrating) lobular carcinoma (ILC): This cancer starts in the milk glands or lobules. It can spread to other parts of the body. About 1 out of 10 invasive breast cancers are of this type. Inflammatory breast cancer (IBC): This uncommon type of invasive breast cancer accounts for about 1% to 3% of all breast cancers. Usually there is no single lump or tumor. Instead, inflammatory breast cancer (IBC) makes the skin of the breast look red and feel warm. It also gives the skin a thick, pitted appearance that looks a lot like an orange peel. Causes of Breast Cancer Causes of breast cancer have yet to be determined, but are linked to various risk factors. Risk Factors Gender Age: The chance of getting breast cancer goes up as a woman gets older Genetic Risk Factors: About 5% to 10% of breast cancers are thought to be linked to mutations in gene BRCA1 and BRCA2. Family History: Breast cancer risk is higher among women whose close blood relatives have this disease. Having a mother, sister, or daughter with breast cancer about doubles a woman’s risk. Race: White women are slightly more likely to get breast cancer than are AfricanAmerican women. But African American women are more likely to die of this cancer. Early Detection The earlier breast cancer is found, the better the chances that treatment will work. The goal is to find cancers before they start to cause symptoms. Mammogram: Women age 40 and older should have a mammogram every year and should continue to do so for as long as they are in good health. While mammograms can miss some cancers, they are still a very good way to find breast cancer.

It is the pleasure of the Healthy Lifestyles Team to welcome you to the new sorority year. Our goals are to provide sorors with information on diseases that affect African American women, to help sorors to establish a consistent workout program designed to reduce the risk of developing such diseases, and to assist sorors with acquiring healthier eating habits through Meatless Mondays.

National Breast Cancer Awareness Month
October is National Breast Cancer Awareness Month. Breast cancer is the most common cancer among women in the United States, other than skin cancer. It is the second leading cause of cancer death in women, after lung cancer. About 178,480 women in the United States will be found to have invasive breast cancer in 2007. About 40,460 women will die from the disease this year. Right now there are about two and a half million breast cancer survivors in the United States. The chance of a woman having invasive breast cancer some time during her life is about 1 in 8. The chance of dying from breast cancer is about 1 in 35. What is it Breast cancer is a malignant (cancerous) tumor that starts from cells of the breast. The disease occurs mostly in women, but men can get breast cancer too. Types of Breast Cancers There are many types of breast cancer, though some of them are very rare. Sometimes a breast tumor can be a combination of these types and to have a mixture of invasive and in situ cancer.

Clinical breast exam: Women in their 20s and 30s should have a clinical breast exam (CBE) as part of a regular exam by a health expert, preferably every 3 years. After age 40, women should have a breast exam by a health expert every year. It might be a good idea to have the CBE shortly before the mammogram. You can use the exam to learn what your own breasts feel like. Breast self-exam (BSE): BSE is an option for women starting in their 20s. Women should be told about the benefits and limitations of BSE. Women should report any changes in how their breasts look or feel to their health professional right away. General Types of Treatment Treatments can be put into broad groups, based on how they work and when they are used. Local vs. Systemic Treatment The purpose of local treatment is to treat a tumor without affecting the rest of the body. Surgery and radiation are examples of local treatment. Systemic treatment is given into the bloodstream or by mouth to go throughout the body and reach cancer cells that may have spread beyond the breast. Chemotherapy, hormone therapy, and immunotherapy are systemic treatments. Adjuvant and Neoadjuvant Therapy When people who seem to have no cancer left after surgery are given more treatment it is referred to as adjuvant therapy. Doctors now think that cancer cells can break away from the main tumor and begin to spread through the bloodstream in the early stages of the disease. It’s very hard to tell if this has happened. But if it has, the cancer cells can start new tumors in other organs or the bones. The goal of adjuvant therapy is to kill these hidden cells. But not every patient needs adjuvant therapy. Some people are given systemic treatment (most likely chemotherapy) before surgery to shrink a tumor. This is called neoadjuvant therapy Surgery for Breast Cancer Most women with breast cancer will have some type of surgery to treat the main breast tumor. The purpose of surgery is to remove as much of the cancer as possible. Surgery can also be done to find out whether the cancer has spread to the lymph nodes under the arm. Breast-conserving Surgery In these types of surgery, only a part of the breast is removed. Lumpectomy: This surgery involves removing only the breast lump and some normal tissue around it. Radiation treatment is usually given after this type of surgery. If chemotherapy is also going to be used, the radiation may be delayed until the chemo is finished.

Partial mastectomy: This surgery involves removing more of the breast tissue than in a lumpectomy. It is usually followed by radiation therapy. Again, this may be delayed if chemotherapy is also going to be given. Side effects of these operations can include pain, temporary swelling, tenderness, and hardness due to scar tissue that forms in the surgical site. Mastectomy Mastectomy involves removal of all of the breast tissue, sometimes along with other nearby tissues. Simple or total mastectomy: In this surgery the entire breast is removed but not the lymph nodes under the arm or the muscle tissue beneath the breast. Sometimes both breasts are removed, especially when mastectomy is done as a preventive measure. Most women, if they are hospitalized, can go home the next day. Modified radical mastectomy: This operation involves removing the entire breast and some of the lymph nodes under the arm. This is the most common surgery for women with breast cancer who are having the whole breast removed. Radical mastectomy: This is extensive removal of entire breast, lymph nodes, and the chest wall muscles under the breast. This surgery is rarely done now because modified radical mastectomy has proven to be just as effective with less disfigurement and fewer side effects. Possible side effects: Aside from pain after the surgery and the change in the shape of the breast(s), possible side effects of mastectomy and lumpectomy include wound infection, build-up of blood in the wound, and build-up of clear fluid in the wound. If axillary lymph nodes are also removed, other side effects are possible. Follow-up Care After your treatment is over, it is very important to keep all follow-up appointments. During these visits, your doctors will ask about symptoms and may do physical exams, and order lab tests or imaging tests. Follow-up is needed to check for cancer recurrence or spread, as well as possible side effects of certain treatments. This is the time for you to ask your health care team any questions you need answered and to discuss any concerns you might have.

Delta S.T.R.O.L.L
Our workout sessions will be held on Tuesday and Thursday evenings at 6:00 pm. Sessions to be held: Arthur Storey Park
7400 W. Sam Houston Pkwy S. Houston, TX 77072

Meatless Mondays Recipe for the Month
Meatless Jambalaya
Makes 4 servings This is a Louisiana-inspired stew, rich and thick. Add additional broth to thin if you prefer. Serve with cornbread or rolls. 1 can (28 ounces) Italian plum tomatoes 1 cup chopped onion 1 cup vegetable broth 1 cup quick cooking brown rice 1 tsp. minced garlic 2 bay leaves 1 tsp. dried basil leaves 1 tsp. dried thyme leaves 1 tsp. hot pepper sauce, or to taste 1 large green bell pepper, cut into 1-inch pieces 1 cup diced yellow squash 1 can (16 ounces) black eyed peas, drained Chopped parsley or chives, for garnish Combine tomatoes, onion, broth, rice, garlic, bay leaves, basil, thyme and hot pepper sauce in a large saucepan. Cover and bring to a boil over high heat. While rice is cooking, cut green pepper into 1-inch pieces and dice yellow squash. Stir into stew and reduce heat to medium. Stir in black eyed peas, cover and simmer for 10-12 minutes, stirring once. Remove and discard bay leaves. Sprinkle with parsley if desired.
Nutrition Information per Serving: 340 calories, 2g fat (0g saturated), 12g protein, 71g carbohydrate, 8g fiber, 980mg sodium, 0mg cholesterol

12 (6-inch) corn tortillas Heat the oil in a large skillet over medium heat, and sauté the chile, leek, and garlic until tender and lightly browned. Season with salt and pepper. Mix the vegetable broth and tomatoes into the skillet, and season with cumin. Bring to a boil. Reduce heat to low. Place the halibut into the mixture. Sprinkle with lime juice. Cook 15 to 20 minutes until the halibut is easily flaked with a fork. Wrap in warmed corn tortillas to serve. Nutrition Information per Serving: 150 calories, 3.5g total fat, 0g saturated, 20 mg cholesterol, 16g carbohydrate, 14g protein, 2g fiber, 160mg sodium

Grilled Basil Shrimp
Makes 8 servings Let this dish be the foundation of an easy al fresco dinner. Serve alongside a green salad topped with thinly sliced tomatoes sweet onions for an easy al fresco dinner on the patio! 4 tablespoons olive oil juice of 2 lemons (approximately 1/2 cup) 3 tablespoons coarse-grained mustard 4 ounces fresh basil, minced (about 1/2 cup) 3 cloves garlic, minced a pinch of white pepper a pinch of salt 3 pounds large or jumbo fresh shrimp, peeled and deveined In a shallow, non-porous dish or bowl, mix together the marinade: olive oil, lemon juice, mustard, basil and garlic, salt, white pepper. Add the shrimp and toss to coat. Cover and refrigerate while you make the salad and heat the grill. The shrimp can sit in the marinade anywhere from 20 minutes to an hour. Remove shrimp from marinade, thread onto skewers and grill on a lightly oiled rack over high heat. Cook for 4 minutes, turning once about halfway through. Nutritional Information Per Serving Calories 250, Total Fat 10g, Saturated Fat 1g; Cholesterol 259mg, Sodium 390mg, Carbohydrates 4g, Fiber 1g, Protein 35g

Anaheim Fish Tacos
Makes 6 servings (2 tacos per serving) Serve with fat-free sour cream, fresh cilantro, lettuce, and lime. 1 tsp. canola oil 1 Anaheim chile pepper, chopped 1 leek, cleaned and chopped 2 cloves garlic, crushed Salt and pepper, to taste 1 cup vegetable broth 2 large tomatoes, diced 1/2 tsp. ground cumin 1 1/2 pounds halibut fillets (red snapper, tilapia, scrod or any firm-fleshed fish) Juice of 1 lime

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