How to Treat Breast Cancer After Childhood Cancer: Management of Oncologic and Cardiovascular Concerns

When Breasts Become a Liability-Discussing Risk-Reducing Mastectomy With Individuals Following Chest Irradiation for Childhood Cancer

This essay describes a woman who had received chest irradiation for childhood cancer and the considerations for and against breast cancer risk–reducing mastectomy.

Cardio-oncology: Implications for Clinical Practice for Women

PURPOSE OF REVIEW

Clinical cardio-oncology considerations specific to women span across many areas and are particularly relevant for management of patients with sex-specific cancers, such as breast cancer.

RECENT FINDINGS

Major improvement in breast cancer survivorship over the last decade and the recognition of CV disease as the second leading cause of death among survivors point to the relevance of long-term cardiovascular (CV) safety. This review summarizes the CV effects associated with multimodality breast cancer treatments and contemporary approach to CV risk stratification, prevention, early detection, monitoring, and management at the time of cancer diagnosis, during and after completion of treatment. We highlight the growing role of a multidisciplinary, team-based approach for comprehensive CV and oncology care through the entire cancer treatment continuum, from diagnosis through survivorship.