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	<title>Comments on: There is no cure</title>
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	<link>http://bioblog.biotunes.org/bioblog/2009/06/10/there-is-no-cure/</link>
	<description>Biology News Biology Blog</description>
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		<title>By: biotunes</title>
		<link>http://bioblog.biotunes.org/bioblog/2009/06/10/there-is-no-cure/#comment-326</link>
		<dc:creator>biotunes</dc:creator>
		<pubDate>Fri, 20 Nov 2009 19:10:11 +0000</pubDate>
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		<description>It means that your doc is truthful.  Your doctor knows simply that there was detectible cancer before, and there isn&#039;t now, but there is no current way to detect a few cancer cells that could be circulating around in your system, and could possibly end up stopping somewhere.  To put that in perspective, everyone has some cancer cells in their body, as I mentioned in the article.  

The difference between people who have not been diagnosed with cancer and those of us who have is that we have the knowledge that our risk is greater - not just for the cancer we already had, but for future cancer - i.e., since you have had progressive estrogen-positive breast cancer, you are also at greater risk than average for future ovarian cancer.   That is something you need to be sure to discuss with your doctor.

Also, surely you were put on hormone therapy (tamoxifen or an aromatase inhibitor) after chemo, which keeps hormones from stimulating cancer growth.  This is both because there&#039;s no way to be sure you are &quot;cured,&quot;  and because even if you are, you have proved to have a higher risk for a new hormone-positive cancer, and the drugs will help prevent either a new one or a recurrence of the old. (It is true, however, that some recurrences of breast cancer in women who have been on hormone therapy are now hormone-negative, which means those drugs won&#039;t help anymore.)

It&#039;s all very complex, and everybody is different, but we all need to better understand the limits of what is actually known and can be done, for treatment decisions to make sense.  That&#039;s why I think throwing the word &quot;cure&quot; around is misleading and unhelpful.

Best of luck to you ( I have almost the same pathology as you).</description>
		<content:encoded><![CDATA[<p>It means that your doc is truthful.  Your doctor knows simply that there was detectible cancer before, and there isn&#8217;t now, but there is no current way to detect a few cancer cells that could be circulating around in your system, and could possibly end up stopping somewhere.  To put that in perspective, everyone has some cancer cells in their body, as I mentioned in the article.  </p>
<p>The difference between people who have not been diagnosed with cancer and those of us who have is that we have the knowledge that our risk is greater &#8211; not just for the cancer we already had, but for future cancer &#8211; i.e., since you have had progressive estrogen-positive breast cancer, you are also at greater risk than average for future ovarian cancer.   That is something you need to be sure to discuss with your doctor.</p>
<p>Also, surely you were put on hormone therapy (tamoxifen or an aromatase inhibitor) after chemo, which keeps hormones from stimulating cancer growth.  This is both because there&#8217;s no way to be sure you are &#8220;cured,&#8221;  and because even if you are, you have proved to have a higher risk for a new hormone-positive cancer, and the drugs will help prevent either a new one or a recurrence of the old. (It is true, however, that some recurrences of breast cancer in women who have been on hormone therapy are now hormone-negative, which means those drugs won&#8217;t help anymore.)</p>
<p>It&#8217;s all very complex, and everybody is different, but we all need to better understand the limits of what is actually known and can be done, for treatment decisions to make sense.  That&#8217;s why I think throwing the word &#8220;cure&#8221; around is misleading and unhelpful.</p>
<p>Best of luck to you ( I have almost the same pathology as you).</p>
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		<title>By: gourmet</title>
		<link>http://bioblog.biotunes.org/bioblog/2009/06/10/there-is-no-cure/#comment-325</link>
		<dc:creator>gourmet</dc:creator>
		<pubDate>Fri, 20 Nov 2009 17:38:07 +0000</pubDate>
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		<description>I had stage IIA breast cancer (multi focal, ER+, Her2-, grade III).  My onc said that after surgery and chemo, I&#039;m probably cured.  What does that mean?</description>
		<content:encoded><![CDATA[<p>I had stage IIA breast cancer (multi focal, ER+, Her2-, grade III).  My onc said that after surgery and chemo, I&#8217;m probably cured.  What does that mean?</p>
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