● Global health leaders warn about antimicrobial resistance.

“The world is running out of antibiotics, global health leaders warn.”

The Evening Standard Journal has recently published an article about the modern issue the world is facing regarding antibiotics resistance.

“Antimicrobial resistance is a global health emergency”, said World Health Organization director-general. Around 700,000 people around the world die annually due to drug-resistant infections.

In recent years, the global awareness of the threat posed to modern medicine by antimicrobial resistance was a major drive for countries as the UK. Indeed, “if antibiotics lose their effectiveness, then key medical procedures – including gut surgery, caesarean sections, joint replacements and chemotherapy – could become too dangerous to perform” according to the journal. In addition to this issue, “Dr Tedros Adhanom Ghebreyesus’s comments came after a new report found a serious lack of new drugs in development to combat the growing threat of antibiotic resistance.”

This is how non-invasive procedures could become of major interest as they avoid scars, and thus post-operation risks of infection. Echotherapy for instance is performed completely without surgery, cuts or scars, there are no wounds or other impairments. (Know more about echotherapy)

Read the entire article on the Evening Standard website

● Dr. David Brenin Interview on WINA radio

Dr. Brenin shared his experience of echotherapy at the University of Virginia over an interview on WINA radio. Dr. David Brenin is the principal investigator in the first clinical trial assessing the echotherapy’s potential to treat benign tumors of the breast known as fibroadenomas.

Here are some extracts of this interview:

“Fibroadenomas are benign tumors of the breast and are more common in Latinas[…]these tumors are not cancer and in most cases are only bothersome to the patients and do not put life at risk but they are bothersome enough that many patients seek treatment for.”

“Most of the time, a patient will come in and say that she has a lump in her breast. she will be examined by a physician, often will have a breast ultrasound. On the ultrasound we usually see a tumor that looks like a fibroadenoma, sometimes we recommend a core biopsy […] just to prove that it is a fibroadenoma. In most cases, the tumor does not need to be removed but they are bothersome often to the patient to the point that they cause anxiety and discomfort and many women will choose to treat the fibroadenoma. The most common way that we take care of fibroadenoma is through surgery […] The idea of this new treatment we are investigating now at the University of Virginia which is focused ultrasound ablation, is to try to treat these tumors without causing the patient to have a scar. There is no incision what so ever, there is no needle that goes into the breast. The treatment is entirely transcutaneous, the ultrasound waves pass through the skin and are focused in the tumor, heat the tumor and also disrupt the tumor making it go away…”

Listen to the entire interview online: Dr David Brenin – New Clinical Trial For Benign Breast Tumors

● Symptoms and causes of breast pain

There are two kinds of breast pain: cyclic breast pain and noncyclic breast pain. The cyclic breast pain is related to the menstrual cycle and intensifies during the two weeks before the start of the period to ease up just after. It is often accompanied with breast swelling and lumpiness and usually affects both breasts.

This cyclic breast is more likely to affect women between their 20s and 30s and women transitioning to menopause.

The noncyclic breast pain is constant and usually affects one single breast in a localized area. It is most likely to affect women after the menopause.

It also exists extramammary breast pain that starts in breast tissue but the source is somewhere else.

It is important to see a doctor if the pain continues for more than a couple of weeks and occurs in a specific area of the breast. And also, if pain increases during time and interferes with your daily activities.

There are different factors that can be responsible for the pain

     –  Reproductive hormones
     –  Breast structures
     –  Fatty acid imbalance
     –  Medication use
     –  Breast size
     –  Breast surgery

> Read the article on http://www.mayoclinic.org/diseases-conditions/breast-pain/symptoms-causes/dxc-20167381

● Mammograms : What to know before you go

A mammography is used by specialists to look for changes in breast tissue. The machine uses x-rays to detect any kind of lumps.

The mammography should be performed every year since the age of 50.

There are two types of mammograms : screening mammograms which is only a checking without any breast symptoms and diagnostic mammograms for women who have already breast issues.

The day you perform a mammogram it is important to get all the records to check the difference in the breast at different period of time.

The mammogram will take pictures that will be analyzed by the radiologist, usually two views for each breast are taken for a screening mammogram.

The mammogram can detect different kinds of breast changes. It can be calcifications, macro or microcalcifications, a mass as a cyst or a tumor. But the mammogram can also detect breast density, a higher density of the breast can be a symptom of breast cancer.

The result of the mammogram is categorized by a BI-RADS score for Breast Imaging Reporting and Data System. There are different categories of BI-RADS score from 0 to 6. According to the results, other exams can be required as a biopsy or an echography.

> More information on https://www.cancer.org/cancer/breast-cancer/screening-tests-and-early-detection/mammograms/mammograms-what-to-know-before-you-go.html

● Women with breast tumors sought for ultrasound study

A clinical trial to evaluate the use of ultrasound takes place in the US

The Roanoke Times paper published an article about the enrollment of women for echotherapy treatment in US.

A clinical trial to evaluate the use of ultrasound to treat benign breast tumors is enrolling women in the University of Virginia (USA). These benign breast tumors affect 10% of women during their life and are very common in Latin Americans.

In the US, about 400,000 surgeries are performed every year to remove fibroadenomas, this clinical trial would evaluate the advantages of ultrasound treatment instead of surgery.

Dr. David Brenin, chief of breast surgery and co-director of the UVA Breast Care program, in charge of the clinical trial, is currently enrolling women to perform echotherapy.

If you need more information about the results on echotherapy, an article from Pr. Roussanka Kovatcheva about the long-term efficacy of the ultrasound treatment of breast fibroadenoma is available in the article.

If you are interested in participating in the clinical trial, please contact the Surgical Therapeutic Advancement Center at 434-243-0315 and ask to speak to the research coordinator for the trial UVA IRB# 19437

> More information on http://www.roanoke.com/business/columns_and_blogs/blogs/med_beat/med-beat-women-with-benign-breast-tumors-sought-for-ultrasound/article_9fa82545-c1a0-57ce-acb1-ba5a70875a87.html

● Fibroadenoma Of The Breast

Fibroadenoma Of The Breast : A facebook page between women that live with fibroadenomas.

This facebook page is about women of different countries that live with fibroadenomas. They share information, give advice and explain their life with this benign lump.

> Read more

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