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Sep 24, 2020 09:41AM
Sep 24, 2020 09:42AM
According to the NCCN Treatment Guidelines, for triple negative and HER2+ cancers, chemo should be given prior to surgery if the cancer is T2 or larger (i.e. larger than 2cm) or if the cancer is node positive. So with what appears to be a 4cm tumor, that would likely lean your doctors to neoadjuvant chemo.
Diet.... yes, you may want to make some diet changes if you have had an unhealthy diet. But take your time to learn about it before you start making changes, because much of what you hear or read, unless it's from a reliable medical source, is wrong.
First, dairy. There are studies that show that high fat dairy does increase breast cancer risk. Low fat dairy does not. That's not a popular point of view around here - I have posted the dairy studies many times and they are met with silence, because they don't fit the story line so many people are pushing that dairy is bad. But some studies have actually shown that low fat dairy reduces risk (can't remember if it's recurrence risk or new breast cancer risk; I'll have to dig around to find that when I have more time). So low fat dairy - definitely okay. And there are great dairy substitutes. I am sitting here now drinking my coffee with heavy cream - but it's a flavored almond milk cream. And it's really good.
Next, wine. There are dozens of threads around here on that. Yes, heavy consumption of alcohol does increase breast cancer risk. But moderate consumption? A minor increase if anything. Take a look at this thread: Topic: Wine? You'll see that many of us continue to consume wine, with the approval of our MOs. Not 3 glasses every night - that's not good for anyone's health - but up to one glass a night, or a few glasses a week, seems to be just fine with almost every MO.
And sugar. Another myth, although the facts are not popular with some people here. Here are just a couple of links explaining the role of sugar. Too much is bad - for your overall health - but the right amount of sugar is necessary for your body. What's the link between sugar and cancer? The claim
Sugar feeds cancer – and it makes cancer grow faster. The truth
Your body's cells consume sugar as they grow and divide, but eating sugar does not make cancer cells grow faster.
All cells require sugar (glucose) for energy. Your body can also store sugar to use as energy later. Your body needs this sugar to function normally. Canadians consume thousands of dietary components every day, so it's hard to pinpoint precise links between diet and cancer. When sugar can increase your risk of cancer
Eating lots of foods that contain sugar means you're more likely to gain weight. Research shows that obesity increases your cancer risk. Obesity may cause changes in hormone levels which may also put you at a greater risk of developing cancer. A healthy body weight will be different for everyone, so talk to your doctor about yours.
Myth: People who have cancer shouldn't eat sugar, since it can cause cancer to grow faster.
Fact: More research is needed to understand the relationship between sugar in the diet and cancer. All kinds of cells, including cancer cells, depend on blood sugar (glucose) for energy. But giving more sugar to cancer cells doesn't make them grow faster. Likewise, depriving cancer cells of sugar doesn't make them grow more slowly.
This misconception may be based in part on a misunderstanding of positron emission tomography (PET) scans, which use a small amount of radioactive tracer — typically a form of glucose. All tissues in your body absorb some of this tracer, but tissues that are using more energy — including cancer cells — absorb greater amounts. For this reason, some people have concluded that cancer cells grow faster on sugar. But this isn't true.
There is some evidence that consuming large amounts of sugar is associated with an increased risk of certain cancers, including esophageal cancer. Eating too much sugar can also lead to weight gain and increase the risk of obesity and diabetes, which may increase the risk of cancer.
“No power so effectually robs the mind of all its powers of acting and reasoning as fear.” Edmund Burke