Hartford Courant (Sunday)

3 POTENTIAL SIDE EFFECTS OF BREAST CANCER TREATMENTS

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Cancer is a painful, potentiall­y life-threatenin­g disease. Though discomfort might be the first warning sign that compels people to visit their physicians, cancer treatments can produce a host of side effects, including pain, as well.

According to the Sidney Kimmel Cancer Center, breast cancer treatments can create both long-term side effects and late side effects. Long-term side effects are those that begin during treatment and continue after all treatments have stopped, while late side effects refers to symptoms that can appear weeks, months or even years after treatments have ended.

The list of potential side effects of breast cancer treatments is lengthy, but may include the following conditions or issues.

1. Fatigue

The nonprofit organizati­on Breastcanc­er.org notes that fatigue is the most common side effect of breast cancer treatments, with some estimates suggesting it affects as many as 90 percent of all patients. Some breast cancer patients may experience fatigue after treatment and find it’s worsening because they are eating less and not getting enough nutrients. In such instances, the initial fatigue may make people too tired to cook, ultimately contributi­ng to more fatigue when they are not eating or eating convenient yet potentiall­y unhealthy foods. Cooking healthy foods in bulk when fatigue is not overwhelmi­ng and accepting others’ offers to cook is a great way for cancer patients to ensure their diets are helping them combat fatigue and not making fatigue worse.

2. Lymphedema

Johns Hopkins School of Medicine notes that, following breast cancer treatment, some patients may suffer from lymphedema, a condition characteri­zed by the accumulati­on of lymphatic fluid in the tissues. Lymphedema most often occurs in the arms, but can contribute to swelling in other parts of the body as well. Why some people suffer from lymphedema after treatment and others don’t is a mystery, though surgeons at Johns Hopkins Breast Center have noticed a low occurrence of lymphedema in patients who have undergone sentinel node biopsies or axillary node dissection. Breast cancer patients are at risk of lymphedema for the rest of their lives after treatment, and while there’s no way to prevent it, patients should avoid getting needle sticks or blood pressure tests in arms where lymph nodes were removed. In addition, any injuries or cuts in arms where lymph nodes were removed should be treated with vigilance. 3. Infertilit­y

Many women will stop menstruati­ng while undergoing chemothera­py or after chemo treatments, and that cessation is often temporary. These irregulari­ties may be traced to hormonal therapies that make the ovaries stop producing eggs. However, in some instances, even premenopau­sal women may have trouble getting pregnant after hormonal therapy. Breastcanc­er.org notes that women whose periods do not return after treatment may still be fertile, but also notes that women who are close to menopause when beginning chemo may become permanentl­y infertile. Women who have been diagnosed with breast cancer who are concerned about post-treatment infertilit­y should speak with their physicians immediatel­y about their prospects of getting pregnant after treatment, including fertility treatments and the potential safety risks of getting pregnant after being diagnosed with breast cancer.

Breast cancer treatments save lives every day. When discussing treatments with their physicians, breast cancer patients should ask questions about potential short- and long-term side effects.

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