Nutritional Management of Breast Cancer Flashcards
True or False: DCIS is an invasive cancer
False; DCIS is noninvasive, but it can progress to invasive cancer
Describe a radical mastectomy.
Procedure where the entire breast, lymph nodes, and underlying chest muscle are removed
Who usually receives endocrine therapy?
Patients dx w/ hormone receptor positive breast cancer
What energy (kcal/kg) and protein (g/kg) need estimates are most accurate for a women with breast cancer?
25 kcal/kg; 1.2-1.5 g/kg
What is the mechanism and duration of treatment for HER-2 targeted agents?
- Targets ERBB2 (HER2) receptors to prevent further cancer growth
- 1 year following surgery
What is the mechanism and duration of treatment for aromatase inhibitors (anastrozole, letrozole, exemestane)?
- Blocks the enzyme that converts androgens to estrogen
- 5 years in post-menopausal women
What is the mechanism and duration of treatment for osteoclast inhibitors?
- Prevents bone fractures, bone pain, and skeletal-related events
- May continue for 3-10 years
What is the mechanism and duration of treatment for selective estrogen receptor modulators?
- Blocks estrogen in breast tissue
- 5-10 years
What is the most commonly reported side effect of breast cancer treatment?
Fatigue
What are five factors that increase the risk for breast cancer-related lymphedema?
- LN dissection
- Adjuvant radiation to regional lymph nodes
- BMI > 26 kg/m2
- Some cardiovascular conditions
- Age
What is a common side effect of aromatase inhibitors related to bone health?
Musculoskeletal symptoms (pain in hands, knees, hips, back, shoulders, feet, “every bone in the body hurts”)
True or False: About 60% of breast cancer patients report gaining weight within the first year after diagnosis.
True
