Dr. Elizabeth Comen
👤 PersonAppearances Over Time
Podcast Appearances
Wenn also eine Frau sagt, mit Stage-0 oder Stage-1 Brustkrankheit möchte ich niemals von dem sterben, dass ich eine Bilaterale Mastektomie bekomme, gibt es da keine Logik. It's about what we're doing to find or decrease the risk of what we call metastatic disease. What local control does if you get a bilateral mastectomy is decrease your risk of a new breast cancer. I see.
Wenn also eine Frau sagt, mit Stage-0 oder Stage-1 Brustkrankheit möchte ich niemals von dem sterben, dass ich eine Bilaterale Mastektomie bekomme, gibt es da keine Logik. It's about what we're doing to find or decrease the risk of what we call metastatic disease. What local control does if you get a bilateral mastectomy is decrease your risk of a new breast cancer. I see.
Or recurrence from the one that you had. So if you are diagnosed with an early stage breast cancer and you say I want a bilateral mastectomy. Maybe you're saying it because you don't want radiation. Maybe you're saying it because the stress of going for a mammogram is so damn high. I never want to go through this again. I don't want to worry about a new diagnosis of breast cancer.
Or recurrence from the one that you had. So if you are diagnosed with an early stage breast cancer and you say I want a bilateral mastectomy. Maybe you're saying it because you don't want radiation. Maybe you're saying it because the stress of going for a mammogram is so damn high. I never want to go through this again. I don't want to worry about a new diagnosis of breast cancer.
Or recurrence from the one that you had. So if you are diagnosed with an early stage breast cancer and you say I want a bilateral mastectomy. Maybe you're saying it because you don't want radiation. Maybe you're saying it because the stress of going for a mammogram is so damn high. I never want to go through this again. I don't want to worry about a new diagnosis of breast cancer.
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.
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.
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.
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.
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.
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.
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?
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?
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.
Das ist, wo wir wirklich die Angst investieren sollten, in umfangreiche Veränderungen.
Das ist, wo wir wirklich die Angst investieren sollten, in umfangreiche Veränderungen.