Breast Cancer: Survival Rates, Treatment, and Lifestyle Factors

Ductal Carcinoma In Situ (DCIS)

Hello, I apologize for the additional questions.
May I ask about the 10-year cure rate of 95%? What happens after those 10 years? If the patient is currently 50 years old, and the average life expectancy in our country is around 79 years, does this imply that the survival rate may decline significantly after 10 years? Is there a correlation between sleeping medications and the incidence of breast cancer? Additionally, what are some examples of antioxidant-rich fruits and vegetables? I read in a health magazine that cancer cells are less likely to recur in an alkaline body; is this correct? If so, how can one adjust their body’s pH? Also, if hormone therapy is leading to a trend of endometrial thickening, what does that mean? What are the implications of this thickening? A few days ago, I reviewed the report with my family, but I was hesitant to ask the attending physician too many questions.
Are there any dietary restrictions I should be aware of? Should I take dietary supplements? I apologize for the many questions, and thank you, doctor.

PAC, 20~29 year old female. Ask Date: 2013/12/19

Dr. Chen Sirong reply Oncology

PAC / 20 years old / Male
Hello,
1.
What about 10 years later? Does it mean that the survival rate will decrease significantly after 10 years?
A: No, in terms of this disease, the survival curve after ten years should be similar to that of the general population.
However, I also reminded you that there is a tendency for recurrence in the contralateral or other locations in the same breast, so long-term follow-up is necessary.
2.
Is there a relationship between sleeping medications and the incidence of breast cancer?
A: There is no direct causal relationship.
I recommend you refer to: "Is Insomnia Related to Cancer?" Issue 61 of Cancer New Discoveries, Director Fang Jun-Kai of the Psychiatry Department, Mackay Memorial Hospital.
3.
What are some antioxidant fruits and vegetables?
A: Please refer to: "New Discoveries Against Disease and Aging—Free Radicals and Antioxidants," Dietitian Zhao Qiang, Mackay Memorial Hospital, Gourmet World Issue 64, March 1997, P1164.
4.
Is it correct that cancer cells are less likely to recur in an alkaline body? If so, how can one adjust their body condition?
A: This is not my area of expertise; you can refer to online information.
Both lifestyle and diet should be monitored.
5.
Is there a trend of endometrial thickening with hormone therapy? What does this mean, and what are the implications of thickening?
A: This is a potential side effect, not something that will definitely occur.
Gynecologists will check for endometrial thickening using ultrasound annually and monitor for any worsening.
The risk of developing endometrial cancer due to hormone therapy may increase by 2-7 times, but since it significantly reduces the recurrence of breast cancer, the benefits outweigh the risks.
Therefore, I still recommend its use.
6.
Are there any dietary restrictions?
A: Western medicine may not specialize in this area; you may consider consulting traditional Chinese medicine for body conditioning.
7.
Should dietary supplements be taken?
A: It is recommended to supplement with vitamins; the rest depends on your personal choice.
Thank you for your letter, and I wish you a Happy New Year.
Dr.
Chen Si-Rong, Taoyuan Hospital

Reply Date: 2013/12/19

More Info

Understanding breast cancer, its treatment, and the associated lifestyle factors is crucial for patients and their families. Let's address your questions systematically.

1. Survival Rates Beyond 10 Years: A 10-year survival rate of 95% indicates that a significant majority of patients are alive a decade after diagnosis. However, survival rates can vary based on numerous factors, including cancer stage, type, and individual health conditions. After 10 years, the survival rate does not necessarily drop dramatically; in many cases, it stabilizes and aligns more closely with the general population's life expectancy. For a 50-year-old patient, this means they could potentially live well into their 70s or beyond, provided there are no recurrences or new health issues.

2. Impact of Sleep Medications: There is currently no established direct correlation between the use of sleep medications and an increased risk of breast cancer. However, sleep disturbances and chronic insomnia can lead to stress and other health issues, which may indirectly affect overall health and well-being. It’s essential to manage sleep health through lifestyle changes and, if necessary, discuss medication options with a healthcare provider.

3. Antioxidant-Rich Foods: Foods high in antioxidants include berries (like blueberries and strawberries), dark leafy greens (such as spinach and kale), nuts, seeds, and certain spices (like turmeric). These foods can help combat oxidative stress in the body, which is linked to cancer progression. Incorporating a variety of colorful fruits and vegetables into your diet is a good strategy for overall health.

4. Alkaline Diet and Cancer Recurrence: The idea that an alkaline diet can prevent cancer recurrence is a popular notion, but scientific evidence supporting this claim is limited. While maintaining a balanced pH in the body is important, the body naturally regulates its pH levels. A diet rich in fruits, vegetables, and whole grains is beneficial for overall health and can support the immune system, but it should not be viewed as a standalone treatment for cancer.

5. Hormone Therapy and Endometrial Thickening: Hormone therapy, particularly with estrogen, can lead to thickening of the endometrial lining. This condition, known as endometrial hyperplasia, can increase the risk of developing endometrial cancer. Regular monitoring through ultrasound is essential for patients on hormone therapy to assess the thickness of the endometrium and to determine if any intervention is necessary.

6. Dietary Considerations: While there are no strict dietary restrictions universally applicable to all breast cancer patients, a balanced diet low in saturated fats and high in fiber is generally recommended. Limiting processed foods, red meats, and sugars can also be beneficial. Consulting with a nutritionist who specializes in oncology can provide personalized dietary advice.

7. Supplements and Health Products: The use of dietary supplements should be approached cautiously. While some vitamins and minerals can be beneficial, others may interfere with cancer treatments. It’s advisable to discuss any supplements with your healthcare provider to ensure they are safe and appropriate for your specific situation.

In conclusion, understanding breast cancer involves a multifaceted approach that includes awareness of survival rates, treatment options, lifestyle modifications, and dietary choices. Open communication with healthcare providers is crucial for addressing concerns and making informed decisions about treatment and lifestyle adjustments. Always feel free to ask your doctor any questions you have; they are there to help you navigate this journey.

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