Cover image for Dr. Susan Love's breast book
Dr. Susan Love's breast book
Love, Susan M.
Personal Author:
Uniform Title:
Breast book
Third edition, fully revised.
Publication Information:
Cambridge, Mass. : Perseus Publishing, [2000]

Physical Description:
xx, 700 pages : illustrations ; 24 cm
General Note:
"A Merloyd Lawrence book."
Added Author:
Format :


Call Number
Material Type
Home Location
Item Holds
RG491 .L68 2000 Adult Non-Fiction Non-Fiction Area
RG491 .L68 2000 Adult Non-Fiction Non-Fiction Area

On Order



The landscape of breast cancer has changed. New, non-invasive diagnostic techniques, new knowledge about prevention, new genetics, new treatments, new alternative and complementary resources are beginning to turn breast cancer into a chronic and perhaps preventable disease. Dr. Susan Love, whose earlier work has won the trust of women all over this country and abroad, has entirely revised her indispensable guide to reflect the very latest information. Readers of Dr. Susan Love's Breast Book will learn of the recent breakthroughs in genetic research, of Dr. Love's own work in developing a less invasive and highly accurate diagnostic technique, of the latest studies into preventive measures such as tamoxifen and dietary strategies, and of promising outcomes from new treatments for metastatic cancer. In the same warm, supportive, and often delightfully candid tone that has brought confidence to millions of women, Dr. Love helps each reader plan her own path through diagnosis, treatment options, and the changing world of HMO's and insurance. She also offers sound advice about combining alternative self-care with topnotch medical help.

Author Notes

Dr. Susan M. Love, is an author, teacher, surgeon, researcher and activist. She was born on February 9, 1948, and graduated from SUNY Downstate Medical School cum laude in 1974. She did her surgical residency at Boston's Beth Israel Hospital and was Chief Resident in 1979. She went into private practice in general surgery, in 1980, and was the first woman surgeon on the staff of Boston's Beth Israel Hospital.

Dr. Love joined the staff of the Dana Farber Breast Evaluation Clinic in 1982 and in 1988, she founded the Faulkner Breast Center in Boston, which was the first facility in the country to include a multidisciplinary all female staff. In 1992, she was recruited by UCLA to create a program that addresses all aspects of breast care and, in 1994; Revlon gave a gift that led to the establishment of the Revlon/UCLA Breast Center. Dr. Love left clinical practice, in 1996, to devote more time to basic research and her position as Adjunct Professor of Surgery at UCLA.

Love has authored many journal articles and co-authored an Atlas of Surgical Techniques in Breast Surgery (1995). She has also written "Dr. Susan Love's Breast Book," which has been called one of the most important books in women's health in the past decade, and "Dr. Susan Love's Hormone Book" (1997), which was on The New York Times bestseller list.

Dr. Love founded the National Breast Cancer Coalition, which is a coalition of breast cancer advocacy groups created to involve breast cancer patients and their supporters as advocates for action, advances and change. In 1993, she help deliver 2 million signatures to President Clinton demanding a National Action Plan for Breast Cancer and now she is one of the co-chairs of the plan that brings together women, scientists, politicians and business people to stop the disease.

(Bowker Author Biography)

Reviews 4

Booklist Review

These two books offer comprehensive information on breast health and care, with advice on self-examination, anatomy, cancer, cosmetic surgery, benign tissue changes, and breast feeding. Stoppard's book has outstanding illustrations, while Love's offers deeper coverage of breast diseases and treatments.

Publisher's Weekly Review

More than an up-to-date advisory for the reportedly one-in-eleven women stricken with breast cancer, this is a candid, comprehensive, splendidly well-written guide to a part of the body about which most women know surprisingly little. Originally a general surgeon and now a specialist in breast problems, Love teaches at Harvard Medical School and is affiliated with Boston's Beth Israel Hospital and the Dana Farber Cancer Institute. With writer Lindsey ( Friends ), she devotes two-thirds of the text to breast cancer, thoroughly covering all aspects of the disease from relative risks to diagnosis (and its emotional impact) and the gamut of treatment options. The authors survey breast development and physiology, appearance (their discussion of plastic surgery is straightforward and nonjudgmental), breast-feeding and common noncancerous conditions, telling all in a tone at once wise and warm. Quotes from Love's patients lend additional scope, as do appendices ranging from recommended reading to lists of support groups and treatment centers. BOMC selection; first serial to Good Housekeeping (June) (c) Copyright PWxyz, LLC. All rights reserved

Library Journal Review

The woman who almost singlehandedly brought public attention to the mammillary part of our bodies keeps the updates coming. With studies and research advancing at warp speed, this latest tome addresses genetics, how the cell environment influences treatment, new imaging protocols, breast density considerations, and "personalized medicine," approaching each woman's cancer individually. The review of the fourth edition (LJ 9/1/05) said that no library should be without it. Ditto that. (c) Copyright 2010. Library Journals LLC, a wholly owned subsidiary of Media Source, Inc. No redistribution permitted.

Choice Review

Long considered the go-to book for information on breast care (1st ed., 1990) and now available in a fully revised fifth edition, this volume by Love (UCLA; founder, National Breast Cancer Coalition) is a candid, authoritative, and splendidly well-written guide for women facing a diagnosis, decisions about treatment, and concerns about prevention of breast cancer. The author shares new optimism based on recent insights from basic science and other promising changes in treating the one-in-eight American women stricken yearly with breast cancer. A third of the book covers breast physiology and development, breast-feeding, other noncancerous conditions, and, briefly, breast cancer in men. Love discusses current treatments including surgery/oncoplastic surgery and radiation, systemic, and complementary therapies. Good statistics on ten-year survival rates are not available because current treatment protocols have not been in use that long; currently available survival and mortality statistics tend to be outdated and thus don't provide an accurate picture of today's treatment outcomes. A surprising omission is a separate section for newly diagnosed survivors: what they should do next and how to detect any recurrences. Appendixes include a list of commonly used drugs, Web resources, and a glossary. Summing Up; Highly recommended. Lower-level undergraduates and above; general readers. P. Wermager University of Hawaii at Manoa

Table of Contents

Acknowledgmentsp. xv
Introduction to the Third Editionp. xvii
Part 1 The Healthy Breast
1 The Breast and Its Developmentp. 3
The Ductal Anatomyp. 8
How the Breast Developsp. 11
Biology of Menopause: The Misunderstood Ovaryp. 19
Brasp. 21
Breast Sensitivityp. 23
Lumpinessp. 24
2 Getting Acquainted with Your Breastsp. 25
3 Breast Feedingp. 33
Breast Feeding and Lumps in the Breastp. 43
Sex and Breast Feedingp. 45
Breast Feeding When You Haven't Given Birthp. 46
Breast Feeding vs. Bottle Feedingp. 47
4 Variations in Developmentp. 51
Variations Apparent at Birthp. 51
Variations Appearing at Pubertyp. 54
5 Plastic Surgeryp. 58
Silicone Implant Controversyp. 60
The Procedurep. 67
Breast Augmentationp. 68
Surgery for Asymmetryp. 70
Breast Reductionp. 71
The Breast Liftp. 74
Inverted Nipplesp. 76
Thinking About Plastic Surgeryp. 77
Part 2 Common Problems of the Breast
6 "Fibrocystic Disease" and Breast Painp. 83
Cyclical Painp. 86
Noncyclical Painp. 90
Non-Breast-Origin Painp. 91
Cancer Concernsp. 92
7 Breast Infections and Nipple Problemsp. 94
Breast Infections: Intrinsicp. 94
Breast Infections: Extrinsicp. 100
Infection and Cancerp. 101
Nipple Problemsp. 101
8 Lumps and Lumpinessp. 107
Cystsp. 108
Fibroadenomasp. 113
Pseudolumpsp. 117
Cancerp. 118
What to Do If You Think You Have a Lumpp. 119
Part 3 Diagnosis of Breast Problems
9 Mammographyp. 123
Radiation Risksp. 125
What Mammograms Showp. 125
Types of Mammogramsp. 129
Calcificationsp. 130
Mammographic Workupp. 131
Quality of Mammogramsp. 133
Procedurep. 133
10 Other Imaging Techniquesp. 136
Ultrasoundp. 136
MRIp. 139
PET Scanningp. 140
MIBI Scanp. 141
CT Scanningp. 141
Thermographyp. 142
Transillumination and Diaphanographyp. 142
The Futurep. 143
11 Biopsyp. 144
Fine-Needle Biopsyp. 145
Core Biopsyp. 146
Surgical Biopsyp. 151
How to Read Your Biopsy Reportp. 161
Part 4 Prediction and Prevention of Cancer
12 Understanding Studies and Clinical Trialsp. 167
Kinds of Studiesp. 168
Evaluating Studiesp. 172
Study Biasesp. 174
Becoming Part of a Studyp. 176
13 The Molecular Biology of Breast Cancerp. 183
DNA, RNA, and Proteinsp. 183
Genes and Breast Cancerp. 190
Invasionp. 202
Angiogenesisp. 205
Metastatic Diseasep. 208
Hormone Receptorsp. 211
Translational Researchp. 214
14 Risk Factors: Genetic and Hormonalp. 215
Riskp. 215
Genetic Risk Factorsp. 224
Hormonal Risk Factorsp. 233
15 Risk Factors: Externalp. 237
Dietp. 237
Alcohol Consumptionp. 241
Radiationp. 242
Hormone Medicationsp. 245
Fertility Drugsp. 254
Pesticides and Other Environmental Hazardsp. 254
Occupational Exposuresp. 256
Electromagnetic Field (EMF) Exposurep. 257
16 Precancerous Conditionsp. 260
Lobular Carcinoma In Situp. 263
Ductal Carcinoma In Situp. 267
17 The Intraductal Approach: A Breast Pap Smear?p. 280
18 Preventionp. 291
Lifestyle Changesp. 291
Hormonesp. 294
Tamoxifen and Other SERMSp. 296
Retinoidsp. 305
Preventive Mastectomyp. 305
BRCA1p. 308
BRCA2p. 309
The Futurep. 310
Part 5 Diagnosis of Breast Cancer
19 Screeningp. 313
Evaluating screening Testsp. 313
Breast Self-Examp. 316
Breast Physical Examp. 317
Mammographyp. 319
Screening Recommendationsp. 322
20 Diagnosis and Types of Cancerp. 324
Types of Biopsyp. 325
How to Interpret a Biopsy Reportp. 326
Biomarkersp. 332
21 Staging: How We Guess If Your Cancer Has Spreadp. 336
22 Fears, Feelings, and Ways to Copep. 347
Coping: What to Tell Your Childrenp. 355
Coping: Fears of Our Loved Onesp. 358
Searching For Informationp. 359
What to Look For in a Doctor and Medical Teamp. 359
Second Opinionsp. 362
Part 6 Treating Breast Cancer
23 Treatment Options: An Overviewp. 367
Local Treatments: Surgery and Radiationp. 368
Systemic Treatments: Chemotherapyp. 380
Systemic Treatments: Hormonal Therapyp. 389
Combinations of Chemotherapy and Hormonal Therapyp. 394
Complementary Treatmentsp. 395
The Futurep. 395
24 Special Casesp. 397
Locally Advanced Breast Cancerp. 397
Inflammatory Breast Cancerp. 400
The Unknown Primaryp. 401
Paget's Disease of the Breastp. 403
Cystosarcoma Phylloidesp. 404
Cancer of Both Breastsp. 405
Cancer in the Other Breastp. 406
Breast Cancer in Very Young Womenp. 406
Breast Cancer in Elderly Womenp. 409
Cancer in Pregnancyp. 411
Women with Implantsp. 413
Breast Cancer in Menp. 414
Other Cancersp. 415
25 Surgeryp. 417
Anesthesiap. 418
Preliminary Proceduresp. 422
Partial Mastectomy and Axillary Dissectionp. 424
Risks and Complications of Partial Mastectomyp. 431
Total Mastectomyp. 435
26 Prosthesis and Reconstructionp. 444
Prosthesesp. 446
Reconstructionp. 447
27 Radiation Therapyp. 464
Initial Consultationp. 466
The Planning Sessionp. 468
The Treatmentsp. 470
The Boostp. 472
Side Effectsp. 474
The Futurep. 477
28 Systemic Treatmentsp. 478
Adjuvant Chemotherapyp. 482
Adjuvant Hormonal Therapyp. 491
29 Complementary and Alternative Treatmentsp. 496
Complementary Therapiesp. 498
Alternative Treatmentsp. 509
Part 7 Living With Breast Cancer
30 Life After Breast Cancerp. 517
The Follow-Upp. 517
Lifestyle Changesp. 520
Healing the Mindp. 521
Sexp. 523
Physical Adjustmentsp. 526
Long-Term Side Effects of Chemotherapyp. 534
Pregnancyp. 537
Insurance and Getting a Jobp. 539
31 Dealing with Menopausal Symptomsp. 541
Hormone Replacement Therapyp. 543
Soy Protein: A Natural SERM?p. 544
Natural Progesterone Creamp. 546
Prevention: Osteoporosisp. 548
Prevention: Heart Diseasep. 550
Treatment for Perimenopausal Symptomsp. 551
32 When Cancer Comes Backp. 555
Local and Regional Recurrencep. 556
Distant Recurrence (Metastatic Disease)p. 561
Taking Care of Yourself Emotionallyp. 570
When to Stop Treatmentp. 571
33 Metastatic Disease: Treatmentsp. 575
Hormonal (Endocrine) Treatmentsp. 577
Chemotherapyp. 580
Immunotherapyp. 583
Bisphosphonatesp. 584
Other Treatmentsp. 585
Pain Controlp. 585
Experimental Treatmentsp. 586
34 The Politics of Breast Cancerp. 588
A Drugs Used for Systemic Treatment of Breast Cancerp. 599
B Resources, References, and Additional Readingp. 602
C Comprehensive Cancer Centersp. 639
D The Wellness Community Physician/Patient Statementp. 646
Notesp. 648
Glossaryp. 675
Indexp. 684
About the Authorsp. 700