Preface  xi

Acknowledgments  xv

Introduction  1

1. Local and Distant Recurrence  5

2. Immediate Concerns and Best Care  51

3. Medical Treatments  83

4. Understanding Cancer Development, Treatment, and Emerging Therapies  115

5. Complementary, Alternative, and Integrative Care  153

6. Managing Pain and Understanding the Dying Process  185

7. Practical Matters  211

8. Emotional and Spiritual Well-Being  263

Reflections on Death  293

Appendix A: Absolute and Relative Risk  297

Appendix B: Diet and Breast Cancer  301

Appendix C: Complementary Cancer Centers  311

Glossary of Medical and Scientific Terms  317

References  331

Index  345

“This book is a wonderful resource for women diagnosed with a recurrence of breast cancer. It explains both the medical and the emotional implications of a second diagnosis of breast cancer and offers women practical information on treatment, as well as on matters such as finding funds to pay for treatment. It also gives excellent advice on wills, durable powers of attorney, advanced medical directives, and other issues people tend not to consider soon enough. The pros and cons of complementary and alternative approaches for this condition are clearly laid out.”—Terry and Joe Graedon, The People’s Pharmacy

“Breast Cancer Recurrence and Advanced Disease provides a lot of relevant information to women with the condition. It discusses tools and resources to deal with a scary diagnosis, is practical and easy to read, and is written in an objective manner about medicine, daily living, and dying. Women struggling with the condition will find strength and guidance in this book.”—Helena Chang, M.D., Ph.D., Director of the Revlon/UCLA Breast Center

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