Its incidence is in rise in the developing countries, may be due to the life style changes. Breast Cancer Ribbon TattoosThis cancer, the most accessible cancer; has generated much interest in the recent past in understanding its process of development, the genetics and developing more effective treatment modalities. The surgery has evolved from maximum dissection to minimal and more conservative approach. Newer chemotherapeutic drugs are coming up as well as more precision radiotherapy. Approach to breast cancer has become essentially multidisciplinary in the last decade or two. Here we will search literature to add more knowledge to our existing views on this cancer. The views expressed in it may not be conclusive, may be in a trial phase and does not anyway supersede the opinion of treating doctor of a patient.

Notch pathway in cell division and its inhibitors: The primitive cells during development of baby and also later in life are capable of differentiating to one or other cell types. This recruitment of daughter cells and their multiplication is largely controlled by what is called a Notch pathway. These primitive cells are called the stem cells; can form e.g. bone cell, muscle cell and heart cell etc. This notch pathway is also responsible for regulated tissue growth i.e. no excess or no less; through communication between the cells. It can be likened to cells having sensors on their outer membrane, represented by notch a protein. The communication may be something like this: one cell will say to its neighbor cell; “Hi, I am dividing to muscle cell; you need not go in that line”, “Oh yeah, you carry on; I am going in the line of breast cells”, would be the reply. Again to have controlled growth close contact between the cells is required. The Notch would be keeping close contact between cells, may be in a way something like this;”Hello my dear neighbor come closer and closer, do not go away.”

Any derangement in this notch may give rise to uncontrolled growth of cells. In cancer, there are stem cells which divide continuously to give rise to a visible tumor. These stem cells are resistant to conventional chemotherapy and could be the cause of recurrence of cancer, at least in some 1% of breast cancers; which also makes a large number. So the Notch inhibitors can be instrumental in controlling some cases of breast cancer recurrence, when used in addition to chemotherapy. “The Notch pathway regulates self-renewal of stem cells and research indicates that it also regulates cancer stem cell self-renewal, the impact of using a Notch inhibitor was to sensitize a significant proportion of otherwise treatment-resistant cancer stem cells. This supports the notion that a select sub-population of cells in breast cancer is largely responsible for disease recurrence and cancer spread.” I quote from a study’s lead author, Jenny Chang, M.D., professor of medicine at Baylor College of Medicine. She and her team implanted mice with human breast cancer biopsy material that included breast cancer stem cells, and then gave them a Notch inhibitor (MRK-003) or a placebo. MRK-003 significantly reduced formation of clusters of tumor cells called mammospheres, when compared with placebo.

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Can you trust your culture’s leading authorities? Inflammatory Breast Cancer Rash Can you trust your culture’s government? Can you trust your culture’s private industry?”

We asked those questions in 1995, at the end of our book, Dressed To Kill: The Link Between Breast Cancer and Bras. Before writing our book, we sent details of our research to the National Cancer Institute, American Cancer Society, President’s Cancer Panel, American Women’s Medical Association, National Organization for Women, National Women’s Health Network, and National Women’s Health Resource Center. There was no response. Not one. Given the lack of interest, we decided to publish our findings in a book, getting the information directly to the women who needed to hear it.

But are women getting the message?

It has been 12 years since our book was first published. Over that time, more than 500,000 women in the US alone have died from breast cancer, with another 2,000,000 having been diagnosed with this terrible disease — a disease that is in most cases preventable by simply loosening up or eliminating the bra. And yet, this lifesaving information has been actively suppressed and censored by the medical and lingerie industries.

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