Dr. Elizabeth Comen

speaker

796 appearances 2 recordings 2 series first heard Apr 2025 last heard 13 Jan

Dr. Elizabeth Comen’s voice in public audio — every appearance, attributed to the second.

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recordings per month · last 12 months

Recordings per month over the last 12 months — 1 in all, peaking in Jan 2026 with 1.

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The Tamsen Show · Mammograms, Dense Breasts and Hormones: What Every Woman Needs to Know · 16 Apr 2025 podcast

And that's what's driving the decision. But it does not change the curative outcome from breast cancer. What changes the curative outcome is whether any cancer cell escaped and is looking to build a tumor elsewhere. Most people don't know. Most doctors don't know.

It's very nuanced, though, because it makes sense. I got diagnosed with breast cancer. Cut them off. Get rid of it. What you really have to have is a nuanced conversation. What is my risk of metastatic disease? And what are we going to do to decrease my risk of metastatic disease? And those are things like pills that you take by mouth or chemotherapy that you do via an IV.

But when you say, if I were diagnosed, I'd want a drastic surgery, that's a reasonable decision if somebody says for aesthetic reasons or because they never want to go through screening again.

I mean, I think the idea is, can we improve the technology? Can we improve the science to make this easier? Können wir einen Tag, nicht jetzt, weil Thermographie nicht die Antwort ist, können wir bessere Blutproben entwickeln, um early breast cancer zu bekommen, damit wir einen Tag nicht mehr Mammogramme machen müssen?

Das ist, wo wir wirklich die Angst investieren sollten, in umfangreiche Veränderungen.

I don't think pain should ever be ignored. And it's never normal to be in pain. I think that's when you kind of have to track it a little bit. Is it fluctuating with your period? When is this pain happening? Does it come? Does it go? Is it persistent? Are there any lumps? What else is going on? And really bring that information to your doctor and say, I'm worried about this.

And making sure that you are doing appropriate screening. But pain is never something you should suffer from. Dense breasts. You mentioned it earlier. I have dense breasts. What does that mean for me? Zuerst einmal sind dichte Brüste sehr üblich. Ich habe das auch. Dichte Brüste sind also nicht etwas, was man sehen oder fühlen kann. Es ist etwas, was man von einem Mammogramm erfahren kann.

Ein Radiologen wird also Ihren Mammogramm anschauen, um zu beurteilen, ob Sie dichte Brüste haben. Wenn Sie dichte Brüste haben, bedeutet das, dass es schwerer sein wird, einen Brustkanzer auf einem Mammogramm zu entdecken. Es ist eine Reflexion der Anzahl von Fett gegenüber Brusttissue, die die Architektur des Brusts ermöglicht.

If you have a lot of that breast tissue and less fat, it makes it harder to see a cancer on a mammogram. Because the fat is black on a mammogram, it's just like an x-ray, the tissue is more white. But breast cancer can also look white. So it can be, I always say, like finding a snowflake in a snowstorm.

If you have dense breasts, you're looking at a lot of white breast tissue, but also trying to find a cancer that could look white as well. It means we start with a mammogram and you may need additional imaging, such as with an ultrasound or breast MRI. Was waren die Beratungsleitungen von September über dünne Brüste?

Also ab September 10, hat die FDA mandiert, weil es nicht uniform auf dem ganzen Land war, dass alle Frauen bemerkt werden, wenn sie dünne Brüste haben, in dem Bericht, das sie von ihrem Mammogramm bekommen. Warum ist das so? Weil viele Frauen diese Informationen nicht bekommen. Und das muss man wissen, weil das sehr wichtig sein könnte für secondary Screenings, z.B.

mit einem Ultrasound oder einem Breast MRI.

So the incidence of breast cancer and other types of cancer, such as colon cancer, is rising. And there's a lot of research that needs to be done in that area. In some... Instances were concerned about girls getting their period younger, longer lifetime exposure to estrogen. Why is that happening?

Also with the rise of obesity in this country, we know that disruption of fat and hormonal regulation is probably a risk factor for breast cancer and other cancers as well. But that is not the whole story. We need to be looking at environmental causes and other reasons why the rise of cancer among women. Young women and frankly young men is really catastrophic.

Yeah, the Surgeon General. Can you go into that a little bit about Yeah, so I'm not surprised by it. I'm really applauding that the Surgeon General has come out with this. We've really misled the public in terms of what we've said about the cardioprotective effects of alcohol, which the research is muddy at best.

And I think there are lots of better ways to improve your cardiac health than drinking alcohol. We know that alcohol is a carcinogen and we've really misled women in particular. And you see that a lot of times, particularly in this, oh, you're stressed about being a new mommy, like have a glass of wine or you've had a long day, like sex is painful with your husband, have a glass of wine and relax.

Like, why have we normalized all of this? Es ist nicht zu sagen, dass ich denke, dass Absinthe oder Sobriety die richtige Wahl für alle ist. Aber wenn man keinen Risiko von Alkohol braucht, dann trinkt man nicht in erster Linie. Und sogar ein Trinkjahr ist mit einem erhöhten Risiko von Brustkrankheiten verbunden.

Also für 270.000 neue Brustkrankheiten in den USA, sind etwa 16 Prozent davon zu Alkoholverbrauch.

Du musst kringen, wenn du jemanden hörst, der sagt, hab ein Glas Wein und entspann dich heute Abend.

Ja, ich meine, wenn du das einmal in der Zeit brauchst, aber jede Nacht, das ist nicht ideal. Ich weiß, ich bin ein bisschen wie Debbie Downer für Freunde.

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