Breast Cancer Treatments Lumpectomy vs. Mastectomy Essay

Breast Cancer Treatments Lumpectomy vs. Mastectomy - Essay Example Consequently, both are the main choices of patients and physicians in treating the disease. Both procedures are also found to have equal survival rates. However, with the increasing awareness of women afflicted with breast cancer on the impact of surgery on their psychological state related to loss of their breast, more and more women are resorting to a less invasive treatment which is lumpectomy and adjuvant therapies. Added to this is the notion that mastectomy is over used. Lumpectomy is a surgical removal of the breast lump including some normal tissues. Although, lumpectomy and adjuvant therapies are preferred methods of treatment for most women with breast cancer, their use is bombarded with several controversies. Body One distinct issue with lumpectomy includes the inadequate outcome data to the extent of its use and efficacy. Clinical trials included insufficient size to establish a convincing result of its application. Although, there had been multiple randomized trials of l umpectomy in patients with or without radiation, it was found out that the survival rates are based solely on unpublished analysis. In addition, participants in several studies were over treated producing a bias result. This was revealed in the study by Cumming (n.d) where he added that using a meta- analysis pose a risk on grounds that methods might be a concern. Cumming also found out that in the case of ductal carcinoma alone, data is limited to show importance of lumpectomy and other treatments following it. Consensus among pathologists on pathologic staging is also a question because there is no recommendation as to the exact stage lumpectomy is effective. It was further revealed that studies on radiation therapy after lumpectomy had no uniform techniques in using different radiotherapy agent such as iridium, electron beam, and cesium needle brachytherapy. Added to the above problem is controversy surrounding the falsified claim that lumpectomy with adjuvant therapy was as effe ctive as mastectomy. The lead investigators are found to commit misconduct with the result of their study of not providing the correct result of their study. Although, lumpectomy has been found to be effective with the early stages of cancer, its credibility was damaged because of the controversy which ruined the trust not only of patients but the public in general towards lumpectomy and adjuvant therapies. This shows that not only the lack of data on the efficacy of lumpectomy combined with adjuvant therapies is a problem but is accompanied with several other problems. Interestingly though, the study published in the Journal of National Cancer Institute ( 2004) reported that there is a significant decrease in the recurrence in the number of patients who went through lumpectomy with radiotherapy however not in lumpectomy alone. There is also no survival advantage even with the addition of radiotherapy. Similar with the study of Cumming, the JNCI reported that information from curren t and previous studies are found to be deficient in attesting that lumpectomy in combination with adjuvant therapy is more promising. Whether lumpectomy is a choice of the patient or the physician, cost is also an issue for the choice of therapy among women with breast cancer. Lumpectomy with radiation therapy is more costly than mastectomy. Munoz and company (1986) found out in their

The Complete Persepolis and The Sand Child Essay

The Complete Persepolis and The Sand Child - Essay Example In comparison to the first book of Tahar Ben Jelloun’s trilogy, The Sand Child, it talks about the story of a young girl, Zahra, who is raised as a man, Ahmed. As her father’s eagerness to have a son as his heir arises, it has been decided that the 8th kid will be a son. Zahra’s identity crisis emerges since her early years when the natural emotions of a girl come into surface. As she conceals her true identity in accordance to her father’s image, a tyrant figure, she becomes distorted as she realizes and enjoys the advantages of being a man but at the same time empathizes with the society’s cruelty to women – her true identity. This paper compares and contrasts the most important theme in the two novels – identity. In Search of Identity Marjane, being a daughter to liberal parents, grows up as someone who thinks outside the box. In the early part of the first book, The Story of a Childhood, she has conversations with an imaginary frie nd that looks like God and tells him that she would be the ‘last prophet.† She announces one day in school that she would be it but all laugh at her and her parents have been Last Name 3 summoned to discuss the incident. Her parents instantly defend her to her teachers. In this scene, it will be noticed that Marjane’s parents do not succumb to the Islamic doctrine, which gives a good background on Marjane’s character and defines their family as modern. ... As a result, she rebels on the deeply-rooted Islamic society and professes herself of being different. It is explained that she wears her veil sideways with her sneakers on, giving a punk image, which makes the Guardians of the Revolution question her. â€Å"The reason for my shame and for the Revolution is the same: the difference between social classes. (Persepolis, 33) In this quote, Marjane rebels on the idealism of her parent’s political stance and the reality of their social class. She realizes the class divisions at a very early age when she discovers that Mehri, her maid, cannot be with the man she in in love with due to their class difference. She feels a great deal of disagreement in herself from this fact, which affects makes her identity revolt from the class conflicts. Marjane’s life is a study of inconsistencies and contradictions. She is torn between her â€Å"avant garde† lifestyle and her family’s loyalty to their motherland and everythin g it entails. Her parents have been fighting for the poor for the longest time and yet they also have been holding on to their class distinction. She strongly defines herself as someone born in a religious heritage yet her family is secular. These contradictions during her coming of age make her feel a sense of disenfranchisement from the only land she knows. As the story progresses, Marjane finds her identity in the midst of all political chaos. As she continuously enjoys the privileges of her Last Name 4 family’s she finds herself in rebellion towards those fanatics of the current Shah regime. She hits her principal for trying to take her jewelry from her and proclaims the truth behind the lies her professor is professing to her