Two drugs, adriamycin and cytoxan, commonly used to treat breast cancer patients.
The process of getting patients onto a clinical trial, or the number of patients planned for a given trial.
The ability of a tumor to resist chemotherapy treatment following an initial response.
A benign tumor made up of glandular tissue.
A cancer that develops in gland-forming tissue. Most breast cancers are adenocarcinomas.
Anti-cancer drugs used in combination with surgery and/or radiation to destroy residual cancer cells to prevent or delay recurrence.
Treatment that is given before there is any indication that the cancer has spread to prevent or delay the development of metastatic breast cancer administered after surgery and/or radiation.
Alpha fetoprotein, a tumor marker.
Hair loss or thinning.
Loss of menstrual periods.
Generic name for Arimidex, a hormone therapy for advanced breast cancer.
Condition in which a decreased number of red blood cells may cause symptoms including tiredness, shortness of breath, and weakness.
Abnormal amount of DNA in a cell, can correlate with a worse cancer.
The process of development of new blood vessels. In cancer, the development of blood vessels can feed tumors and allow them to grow, and drugs that block angiogenesis are being tested as cancer treatment.
The loss of appetite.
Substance formed by the body to help defend it against infection.
A drug that prevents or controls nausea and vomiting.
A substance that causes the body to produce natural antibodies.
A genetically mediated series of events by means of which cells actively trigger their own destruction.
The circular area around the nipple on the breast, typically darker than the rest of the breast.
Brand name for anastrazole, a hormone therapy for advanced breast cancer.
Any of the treatment groups in a randomized trial. Most randomized trials have two arms, but some have three or more.
A technique for removing fluid from a cyst or cells from a mass, using a needle and syringe.
Medical condition which is silent, has no symptoms.
Mild to moderately abnormal cell when viewed under the microscope, not malignant.
Cells that are both abnormal (atypical) and increased in number. Benign microscopic breast changes known as atypical hyperplasia may increase a woman's risk of developing breast cancer.
The reintroduction of cells, tissue or organ previously removed from an individual, back into the same individual with continued function after reintroduction.
Lymph nodes found in the armpit. Tumor in these nodes portends a high risk of recurrence.
A layer of cells that separate the epithelial cells and other tissue cells. Cancer invades this membrane and grows into adjacent tissue.
Involving both sides, such as both breasts.
Any of various biological or biochemical indicators that serve to detect exposures to carcinogenic processes or to predict carcinogenic disposition.
The removal of a sample of abnormal tissue that is microscopically examined for cancer cells.
A randomized trial is blind if the patient is not told which arm of the trial she is on.
Minute structures produced in the bone marrow that circulate in the veins and arteries; they consist of red blood cells, white blood cells and platelets.
The number of red blood cells, white blood cells and platelets in a sample of blood.
Scan which measures the mineral content of bone and is used to detect osteoporosis.
The soft, sponge-like material inside some bones. Blood cells are produced in the bone marrow.
A procedure in which physicians replace marrow destroyed by high doses of anti-cancer drugs or radiation. The replacement marrow may be taken from the patient before treatment or may be donated by another person. When the patient's own marrow is used the procedure is called autologous bone marrow transplant.
A picture of the bones using a radioactive dye that shows any injury, disease, or healing. This is a valuable test to determine if cancer has spread to the bone, if anticancer therapy has been successful, and if affected bony areas are healing.
The principal genes that, when abnormal, or mutated, indicate an inherited susceptibility to breast and ovarian cancers; accounting for 80-90% of all inherited cases of breast and the majority of inherited ovarian cancers.
A treatment for breast cancer in which the breast is preserved, it usually consists of segmental mastectomy, lumpectomy and radiation therapy.
Term describing the proportion of fat to fibrous tissue. Mammography is more effective when screening breasts of less density.
Special type of prosthesis filled with saline or silicone. It is surgically placed on the chest wall to form a breast mound after mastectomy.
Breast self-exam, manual self examination of the breast.
Calcium deposits in the breast which can be either benign or malignant.
General term for a large group of diseases in which abnormal cells divide without control.
Generic name for Xeloda, immunotherapy for advanced breast cancer.
Cancer that begins from cells that line glands and in the lining of internal organs.
Carcinoembryonic antigen, a blood tumor marker that, when elevated, can indicate the presence of cancer.
A general diagnostic term designating primary noninfammmatory disease of the heart.
Lymph nodes in the neck.
The use of drugs or vitamins to prevent cancer in people who have precancerous conditions or a high risk of cancer, or to prevent the recurrence of cancer in people who already have been treated for it.
A treatment for cancer that works by killing all rapidly reproducing cells, but also has side effects on normal cells.
Persisting over a long period of time.
A boundary of normal tissue surrounding the cancer in a surgically excised tissue.
Randomized and controlled research studies involving large groups of patients. Designed to answer questions regarding the optimal treatment of disease.
Three drugs, cyclophosphamide, methotrexate, and 5 fluorouracil, commonly used to treat breast cancer.
Type of DCIS where dead cells and debris fill the duct. This type of DCIS has a higher recurrence risk.
Treatment of health care problems with the use of acupuncture, homeopathy and herbal therapy. These treatments can include guided imagery, meditation, massage, therapeutic touch, etc., and are often combined with standard therapy.
All detectable cancer is gone after treatment. This is not the same as a cure, as there may still remain some cancer too small to detect.
Formation of a thick scar tissue; in the breast a contracture can form around an implant.
The arm of a randomized trial which gets the standard treatment or no treatment.
Removal of a sample of tissue, using a wide needle, to see if cancer cells are present.
"Computed tomography scan" in which X-rays are used to create cross-sectional pictures of the body.
Generic equivalent of cytoxan
A fluid-filled sac, usually benign.
A chemotherapy drug commonly used in breast and other cancers.
A large molecule that carries the genetic information that cells need to replicate and to produce proteins.
Clearly defined. Differentiated tumor cells are similar in appearance to normal cells, and usually carry a better prognosis.
Normal amount of DNA in a cell, can correlate with a better prognosis.
Time the patient survives without any detectable cancer after initial treatment.
Removal of specific tissue (breast lump), leaving surrounding tissues in place.
Reappearance of cancer at another site.
Generic equivalent of taxotere.
Side effects that are severe enough to prevent giving more of the treatment in a clinical trial.
A research design in which neither the investigator or the patient knows whether the patient is given a new drug or current standard of care until it is time to analyze the results.
Generic equivalent of Adriamycin, a chemotherapy drug commonly used for breast cancer.
Cancer cells that develop from the lining of the milk duct but are confined to the ducts of the breast. DCIS is considered to be a precursor to invasive cancer, and almost never spreads beyond the breast.
Minimally invasive prevention procedure whereby a hair-thin catheter is inserted into the milk duct in the nipple. Saline is infused to rinse the duct and collect cells. The resulting sample is analyzed to determine whether cells are normal, atypical or cancerous.
The Eastern Cooperative Oncology Group scale for measuring patient performance status on a scale from 0 (no symptoms) to 4 (completely bedridden).
The goal of a clinical trial, what it is trying to measure.
Cancer of the lining of the uterus (endometrium).
A protein molecule that accelerates chemical reactions in cells or organisms.
Redness of the skin.
A type of female sex hormone produced by ovaries, adrenal glands, placenta, and fat.
A test done on tumor tissue to determine if a tumor is sensitive to estrogen (ER positive), and thus whether hormone therapy may be effective.
A tumor or tumors which cannot be measured accurately but are definitely present on an x-ray or by examination.
Tumor or mass is removed from the breast, and cut into thin sections that are microscopically studied to see if cancer cells are present.
The arm of a randomized trial which gets the new or experimental treatment.
A benign tumor composed of fibrous tissue.
Term used to describe a benign breast condition.
A chemotherapy commonly used in breast cancer.
Attachment of tumors to deeper tissues. Associated with more advanced disease.
Generic equivalent of 5-FU.
Biopsy in which cells are removed from a lump by needle and syringe, and then tested to see if cancer cells are present.
A sliver of frozen biopsy tissue, used for immediate diagnosis at the time of surgery.
Segment of the DNA molecule and the fundamental biological unit of heredity. They contain chemical information to make proteins, control inherited traits, and influence the activity of other genes.
Landmarks for a target gene, either detectable traits that are inherited along with the gene or distinctive segments of DNA.
The entire genetic makeup of an organism.
One of the techniques for breast reconstruction which uses the patient's own tissues rather than an implant.
In the context of clinical trials, refers to a numeric scale rating the severity of toxicity from treatment. Also see histologic grade below.
Pertaining to the liver.
One of a biological class of drugs known as monoclonal antibodies. Treatment for women with advanced breast cancer who overexpress HER2/neu.
Human oncogene found to be in elevated amounts in some women with breast cancer.
Subjective microscopic assessment of degree of departure from normal tissue structure. High grade implies a more aggressive tumor.
Any one of a group of chemicals produced by the body's glandular tissues. They are transported by the blood stream. These substances interact with one another and are an essential part of the control of vital bodily functions.
Proteins on the cell surface which admit substances to that cell. These substances may be hormones, drugs, or toxins similar in structure to the receptor's target hormone.
A treatment for cancer that works by removing, blocking or adding hormones.
Condition in which there is an abnormal increase in the number of cells in a tissue.
Genetically re-engineered genes are used to boost the immune system.It is designed to act only on the cancer cells, so there is no adverse effect on normal cells, thus there are no adverse side effects.
A silicone bag filled with either saline or silicone gel used in reconstructive surgery to create a breast shape.
Removes only a portion of the tumor for pathology to examine, generally reserved for larger tumors.
Cancer that has grown beyond its site of origin into neighboring tissue. Does not imply that the cancer has spread outside the breast.
Uncommon type of cancer in which cancer cells block the lymph vessels of the breast. Blockage causes the breast to become red, swollen and warm with a dimpled (like an orange) appearance to the skin.
The process by which a person learns about and understands the purpose and aspects of a clinical trial before voluntarily deciding whether or not to participate.
Delivering fluids or medications into the bloodstream (usually by vein) over a period of time.
A term that refers to cancers that have not grown beyond their original site. This usually implies non-invasive tumor.
A committee of medical specialists, lawyers, ethicists, community representatives, and clergy approved by the federal government to review, modify, approve, or disapprove the research trial. All clinical trials must be approved by an IRB.
A small benign growth that projects into a breast duct and can cause bleeding from the nipple.
Tumor which grows into and destroys healthy tissue; same as infiltrating.
A performance status scale which rates the severity of symptoms and degree of disability from 100% (no symptoms) to 0% (dead).
Brand name for letrozole, a hormone therapy for advanced breast cancer.
Flap of skin and muscle taken from the back and used for reconstruction after mastectomy or partial mastectomy.
Any focal abnormal area in the body. Can be used to describe a benign or malignant growth.
Generic name for La Femara, a hormone therapy for advanced breast cancer.
A drop in the number of circulating white cells in the body, making the individual more susceptible to infection.
Genes are said to be linked when they reside close together on the same chromosome.
A benign fatty tumor which forms a lump.
Working units of the breast capable of producing milk.
Cancer cells that develop from the lining of the lobules in the breast. LCIS is not considered to be a precursor to cancer, but it is a marker of high risk.
The return of breast cancer in or near the primary site.
Radiation therapy or topical therapy (like 5FU), only the area of involvement is affected by the treatment.
Uses mammography or ultrasound to aid in the biopsy of abnormalities that can be seen on a mammogram or ultrasound, but cannot be felt by the surgeon.
The surgical removal of the breast lump and a margin of healthy breast tissue.
The tissues and organs (including the bone marrow, spleen, thymus and lymph nodes) that produce and store cells that fight infection and diseases. The channels that carry the lymph fluid are also part of this system.
Swelling of the arm or hand caused by buildup of lymph usually after an axillary lymph node dissection.
Glands found throughout the body along lymphatic channels which defend the body from bacteria or other foreign invaders. If cancer cells are found in the lymph nodes, they are an indication that the cancer may have spread beyond the breast.
A cancer of the lymphatic system. Lymphomas are differentiated by the type of cell that is involved in the makeup of the tumor.
A technique that uses a powerful magnet linked to a computer to create detailed pictures of areas inside the body.
A low dose x-ray of the breast.
The surgical removal of the breast. Simple mastectomy involves the removal of the entire breast; radical mastectomy involves the removal of the entire breast along with underlying muscle and lymph nodes of the armpit.
Infection of the breast, sometimes used loosely to refer to any inflammation in the breast.
Pain in the breast.
The highest dose of a drug or other treatment that most people can safely withstand.
Tumors whose size can be clearly measured in two dimensions. Some clinical trials require measurable disease.
The space in the chest between the pleural sacs of the lungs that contains all the viscera of the chest except the lungs and pleurae.
Physician who treats cancer with the use of drugs and hormones.
Brand name for megesterol acetate, a hormonal therapy for advanced breast cancer.
Generic name for the hormone therapy for advanced breast cancer, Megace.
A cancer of the pigment-forming cells of the skin or the retina of the eye.
Time when a woman's ovaries cease producing estrogen and progesterone. One of the many symptoms is the cessation of menstruation.
The monthly discharge, during a woman's reproductive years, of blood and tissue from the uterus.
The spread of cancer beyond the primary site of the cancer, and beyond the axillary nodes.
Small deposits of calcium in the breast, which can show up on a mammogram. Certain patterns of microcalcifications are sometimes a sign of breast cancer.
Microscopic and as yet undetectable but presumed spread of tumor cells to other organs.
Rate at which cell division occurs.
Surgery to remove the entire breast, nipple and axillary lymph nodes.
Symptoms of illness produced by disease or treatment.
Inflammation of the mucous membrane, especially that of the stomach.
A malignant tumor of the bone marrow associated with the production of abnormal proteins.
Skin, muscle and other tissue surgically moved from one part of the body to reconstruct the breast which has been removed due to cancer.
A chemotherapy drug commonly used in advanced breast cancer.
Chemotherapy given before surgery to shrink a cancer.
Disease or abnormality of the nervous system.
Self contained, not growing into or destroying healthy tissue.
Brand name for the hormonal drug tamoxifen.
Oncology certified nurse.
The study and treatment of cancer. Doctors who specialize in oncology are called oncologists.
A gene that promotes the growth of cancer.
Surgical removal of the ovaries.
Softening of the bones, or loss of mineral content, that occurs with age in some people.
Generic equivalent of taxol.
An alleviating treatment that can give relief from symptoms, but is not a cure for a disease.
A test to detect cancer of the cervix.
A decrease in the total cross sectional area of all measurable tumors of at least 50% but less that 100%.
Physician who identifies diseases by studying tissue or cells under a microscope.
A family history in diagram form showing the family members (males as squares, females as circles) and their relationships to individuals with a certain disease.
A disease or degenerative state of the peripheral nerves in which motor, sensory, or vasomotor nerve fibers may be affected and which is marked by muscle weakness and atrophy, pain, and numbness.
Clinical trials are carried out in these sequential steps. Phases I, II, and III are designed to find out different information. Patients may be eligible for studies in different phases depending on their condition, type and stage of cancer, and what therapy they have already had.
The observable physical or biochemical characteristics of an organism, determined by both genetic makeup and environmental influences.
Extreme sensitivity to the sun, leaving the patient prone to sunburns. This can be a side effect of some cancer drugs and radiation.
An inactive substance or treatment given to patients in a study which has been created to resemble the active treatment.
Degree of repetition of the basic number of chromosomes.
Gene testing to identify abnormalities that may cause a person to be vulnerable to certain diseases or disorders.
The original site of a cancer. Breast cancer that has spread to the bone is still called breast cancer.
One of the female hormones produced by the ovaries.
A test that determines if breast cancer is sensitive to hormonal therapy.
A prediction about the possible outcome of a disease.
Disease is getting worse as documented by tests showing that tumors are growing or that new tumors are appearing.
Research designed to answer a hypothesis; often involves testing a specific new treatment under controlled conditions.
Physician who uses radiation to treat cancer or its symptoms.
Physician who uses X-rays, ultrasound, MRI, etc. to aid in diagnosis.
Hormone treatment for osteoporosis which may protect against breast cancer in the same manner as tamoxifen in low risk postmenopausal women, but without the complication of uterine cancer. Currently in clinical trials.
Assignment to a clinical treatment arm by chance.
Return of cancer after its apparent complete disappearance.
Red blood count or number of red blood cells seen in a blood sample.
Reappearance of cancer near the original site.
Complete or partial disappearance of the signs and symptoms of disease (cancer).
Anything that increases a person's chances of developing cancer, for example, smoking and lung cancer.
Measure of number of cells dividing DNA at any one time. A higher number usually indicates a more aggressive tumor.
A malignant tumor of muscles or connective tissue such as bone and cartilage.
First node to which cancer cells migrate. Tumor cells on the node can be visualized by the use of dyes or radiographic techniques, and this experimental technique can eliminate the need for a complete axillary node dissection.
Symptoms or medical problems due to drugs used for disease treatment.
Refers to the extent of cancer and is determined by the tumor size and whether it has spread to lymph nodes or other distant sites around the body.
Surgeon who specializes in treating cancer.
Taken intravenously or orally, goes through the body to attack cancer cells, or to lower the risk of recurrence after surgery.
Classification based on T (tumor size), N (lymph node involvement), and M (presence or absence of metastatic spread). Various TNM combinations are collected onto staging groups based on similar clinical performance.
Anti-estrogenic agent used worldwide as an adjuvant hormonal therapy against breast cancer, and for advanced breast cancer.
A chemotherapy commonly used to treat breast cancer.
A chemotherapy used to treat advanced breast cancer.
Surgery to remove the entire breast including the nipple, but not the axillary lymph nodes.
Generic name for Herceptin.
An abnormal mass of tissue.
Normally, these genes restrict cell growth, but when missing or inactivated by mutation, they permit cells to grow without restraint.
The use of sound waves to confirm the presence or absence of a mass and to tell whether it is solid or fluid filled.
Generic equivalent of navelbine.
White blood count; the number of white blood cells seen in a blood sample. These are important in resistance to infections.
Brand name for capecitabine, hormone therapy for advanced breast cancer.
Low doses of this type of radiation that penetrates tissue, are used to diagnose disease, high doses are used to treat cancer.
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