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Lactation Information and Discussion

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From:
laurie wheeler <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Fri, 9 Mar 2012 11:48:06 -0600
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Hi Meema,
I did a little reading; it is very complicated re hormones and breast
cancer. Here is something from a medical site on the web:

" Most of the estrogen in women's bodies is made by the ovaries.
Estrogen makes hormone-receptor-positive breast cancers grow. So
reducing the amount of estrogen or blocking its action can reduce the
risk of early-stage hormone-receptor-positive breast cancers coming
back (recurring) after surgery. "

My understanding is lactation is a state usually of low estrogen
levels. Seems like that could be measured, and I think is only a
factor if this client's tumors are estrogen-related. Even a woman
lactating for a 1 yr old may have regular estrogen levels by then, or
low, I think depending on bf frequency, fertility, etc.

If I were the mother with breast cancer, I would try very hard to talk
to an expert on reading the scans, and find out how difficult it is to
read the scan. Often lactating women can bf or express immediately
before their scans. For chemo, she can find out what drugs will be
used, and check with Dr Hale @ Infant Risk Center re the risks to a 1
yr old.
For surgery, we all know that surgery can be done on a lactating
breast, however it could be more difficult for the surgeon, and then
the recovery and healing can be complicated by milk leaking, engorged
breast pulling on incision, possibly difficult to assess lymphatics
etc.

So those are the questions I think need really specific answers.
Laurie Wheeler RN MN IBCLC

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