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Food for thought Diet and breast cancer
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CONTENTS 2 4 6 8 10 14
Food for Thought: Diet and Breast Cancer Worried about Cancer Coming Back?
Fall 2019
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Dear Diary... J-TOP Interview with Dr. Osako and Dr. Miura Your Questions Answered Asian Comfort Food ~Vietnamese Cuisine~
From the Foundation
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(Follows English section) 1. Share your Story in PiNK! 2. RFTC® Japan History 4. Run for the Cure®/Walk for Life Special Interview 7. What I Can Do 8. RFTC® Japan Recommendations 9. RFTC® Japan Products 10. The Lemon Project Report 12. 12 Signs of Breast Cancer 14. Monthly Self-Examination
RFTC® Japan is a registered NPO with the Tokyo Metropolitan Government since 2004. Our mission is to eradicate breast cancer in Japan as a life-threatening disease through education, timely screening, and treatment. Through our activities, the Foundation funds education initiatives, clinical examinations and mammography machines; donates funds to organizations that promote activities specific to the mission of the Foundation; and develops and executes community outreach programs. We have donated six mammography machines to six clinics in areas where women are underserved, more than 14,000 women have benefited from mammograms, with over 3,600 funded screenings. The Foundation holds three annual events open to the general public to raise funds in support of our cause. PiNK is Japan's one and only magazine dedicated to breast cancer. Some 18,000 copies of this quarterly magazine are distributed free-of-charge nationwide through medical institutions, cooking studios, sports shops, libraries and sponsoring companies. Please contact inquiries@rftcjapan.org for subscriptions. For more information about how to donate, become a sponsor, and/or volunteer for RFTC® Japan, please visit rftcjapan.org
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Food for thought Diet and breast cancer What to eat after breast cancer treatment is a topic that causes a lot of worry. With the help of a dietitian, we ask why it can lead to such confusion.
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n a recent survey by Breast Cancer Care, 68% of women said they had experienced anxiety about diet as a result of their breast cancer diagnosis. The internet abounds with advice on what to eat if youâve had cancer. But how much of it should be taken with a pinch of salt?
A rabbit hole âThereâs so much conflicting information and people just donât know where
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to turn to for good evidence-based information,â says Ravneet Phalora, a senior specialist dietitian at the Royal Marsden. A Google search for âbreast cancer and dietâ does bring up some reliable information from organisations like Breast Cancer Care. But it also gives lots of other suggested questions, such as âWhich foods kill cancer cells?â and
âWhat foods should cancer patients avoid?â And clicking on these links brings up a confusing array of different suggestions. âThereâs so much unproven and inaccurate information out there about whether certain foods can impact the risk of breast cancer returning, we know finding clear-cut answers online can feel like going down a rabbit hole,â says Dr. Emma Pennery, Breast Cancer Careâs Clinical Director. So how should you know what to eat after a cancer diagnosis?
Cherry picking âTwo of the big things people ask me about are dairy and soya,â says Ravneet, âand whether they should be cutting those things out of their diet.â Ravneet points out that often findings from small studies get reported, and these can be conflicting and confusing. âOften headlines will cherry pick small studies,â she says, âand sometimes theyâre not even done in humans, they might be done in mice. âBut the biggest studies looking at dairy show that dairyâs probably neutral in the diet, itâs not associated with breast cancer risk. And the same with soya. The biggest studies show soya is not linked to an increased risk of breast cancer certainly at normal dietary levels.â In other words, there is no strong evidence that dairy or soya in the diet cause breast cancer, nor is there evidence to recommend people cut these out of their diet if theyâve been diagnosed. Despite this, itâs not unusual for women to worry that their diet might have contributed to their breast cancer. âAt the moment there is no evidence that a particular dietary habit has caused someoneâs cancer,â says Ravneet. âTrying not to blame yourself is really important.â
Weight gain Another major area of worry for women whoâve had breast cancer is weight gain during or after treatment, and how to lose weight afterwards. âOften it can be quite a surprise if you gain weight,â says Ravneet. But weight gain is common and can have a number of causes, from side effects of some drugs that can increase appetite to being less active during treatment. âThe main things to try and look at would be your portion control, and
68% 68% of women experienced anxiety about diet.
The best advice seems to be to eat a healthy balanced diet with plenty of fruits and vegetables; whole grain varieties of foods like pasta and bread; some lower-fat dairy foods or alternatives; and a small amount of unsaturated fat. If you have any worries about your diet, you can ask to see a dietitian. âAsk your breast care nurse or treatment team whether you can have access to a dietitian,â says Ravneet. âOr you can ask your GP to be referred.â
Is it OK to take supplements? keeping as physically active as you can,â recommends Ravneet. âAvoid things that are full of empty calories like sugary drinks and snacks. Try to fill up on foods such as fruits and vegetables, and foods that are high in fibre which will help you feel nice and full. âTry to limit things that are very high in calories â so thatâs foods that are high in saturated fat like full-fat dairy products. Alcohol is also very high in calories, so limit alcohol as much as possible while also considering your quality of life.â Ravneet stresses that people shouldnât worry about trying to lose weight while having treatment. âWe want people to manage their weight as best as they can during treatment,â she says. âBut thereâs good evidence you can lose weight after cancer treatment if needed.â
Many of us take dietary supplements for a number of different reasons. âOften people ask about soy supplements,â says Ravneet. Some people take these supplements to help with menopausal symptoms caused by breast cancer treatments. âAt the moment studies are conflicting or inconclusive. We also donât really know how some supplements interact with drugs like tamoxifen or whether some are safe to take when you have been diagnosed with breast cancer. So itâs important to discuss any supplements youâre taking with your treatment team. âIf you have access to a dietitian then you could discuss it with them.â Unless youâre having specific problems with your diet when recovering from treatment, dietary supplements are not recommended.
Strike a balance Is it possible to make any recommendations about diet after treatment? âWhile maintaining a healthy weight and being physically active can help reduce the risk of the cancer coming back,â says Dr. Emma Pennery, âitâs important to remember research on the impact of specific foods is simply not strong enough to make solid recommendations.â
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Worried about breast cancer coming back? Worries about cancer returning are normal, but knowing how to be breast and body aware after treatment, and the symptoms you should report, could help manage your feelings of uncertainty.
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early everyone who has been treated for cancer has worries about it coming back (recurrence). The treatment you have had is given to try to prevent this happening. But while most people have no further problems, sometimes breast cancer can return. This can be a local recurrence, regional recurrence (also called locally advanced) or secondary breast cancer.
Local recurrence This is when the breast cancer has come back in the chest/breast area, in the skin near the original site or in the scar, but has not spread to other parts of the body. You can also develop a new primary breast cancer in the same breast or other breast â this is not local recurrence.
âItâs important to stay breast and body aware after treatmentâ 4
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Regional recurrence (also called locally advanced) This is when the breast cancer has come back and has spread beyond the breast and lymph nodes under the arm into the tissues and lymph nodes around the chest, neck and under the breastbone.
Secondary breast cancer This is when breast cancer cells spread beyond the breast to other parts of the body. You may also hear this called metastatic or advanced breast cancer. The most common sites it spreads to are the bones, lung, liver and brain. Staying breast and body aware after treatment At the end of your treatment, your specialist team will continue to check how youâre recovering, both physically and emotionally (known as follow-up). This contact may be more frequent at first, becoming less so as time goes on. The way people are followed up after treatment varies but you should be told who to contact if you have any worries. Whatever treatment youâve had, and whatever follow-up youâre offered, itâs important to stay breast and body aware.
Coping with worries about recurrence Worries about your cancer coming back are normal, and the fear and anxiety usually lessens with time. At first, every ache or pain can frighten you. But as time passes, you may come to accept minor symptoms for what they are in most cases â warning signs of a cold or flu or the result of over-exerting yourself. We all cope with anxieties in our own way and there are no easy answers. But keeping quiet about them and not wanting to bother anyone is probably not the best approach.
You can ask your hospital team or GP to be referred for counselling, or you may find a local support group helpful.
âWorries about breast cancer returning are normalâ
BEING BREAST AWARE It can be difficult to know how your breast or scar area should feel after treatment. The area around the scar may feel lumpy, numb or sensitive. Youâll need to get to know how it looks and feels so you know whatâs normal for you. This will help you feel more confident about noticing changes. Itâs also important to be aware of any new changes in the other breast. Changes to look and feel for in the breast and chest area include: â¢â¢ Change in shape or size â¢â¢ Lump or thickening that feels different â¢â¢ Change in skin texture such as puckering or dimpling â¢â¢ Swelling in the upper arm â¢â¢ Swelling in your armpit or around your collarbone â¢â¢ Pain â¢â¢ Nipple discharge â¢â¢ Redness or a rash on the skin and/or around the nipple â¢â¢ Your nipple becomes inverted (pulled in) or changes its position or shape
BEING BODY AWARE Any symptoms that are new and persistent, and have no obvious cause, should be reported. In most cases these are likely to be due to other health problems or your past medical history. But sometimes they can be a sign that the breast cancer has spread (secondary breast cancer). Symptoms to report include: â¢â¢ Dull pain in the bones (such as your back, hips or ribs) that doesnât improve with pain relief â¢â¢ Constantly feeling sick â¢â¢ A dry cough or feeling out of breath â¢â¢ Severe headaches â¢â¢ Unexplained weight loss â¢â¢ Discomfort or swelling under the ribs or across the upper abdomen. You should be told who to contact if youâre worried about any of the above symptoms. This will vary according to where you were treated â it may be your breast care nurse, the outpatient department or your GP.
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Dear Diary⊠Rachel Rawson looks at why keeping a diary or journal could be beneficial when youâve had breast cancer.
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n the age of Facebook, Instagram and Twitter, it might sometimes seem that weâve all been programmed to share every thought or feeling. But have you ever thought about keeping a physical journal or diary? Something thatâs just for you, and not meant to be read by anyone else? The idea might seem a bit daunting, and you might not know where to start. But there are several reasons why keeping a diary may help you when youâve had breast cancer.
Setting goals
Keeping a record
Thoughts and feelings
There are many different ways you can use a journal or diary. One reason for keeping a diary might be to record symptoms such as fatigue or pain, along with what makes them better or worse. For example, if youâre experiencing fatigue you might record what it feels like, how much sleep youâve had, what activities youâve done and whether they made the fatigue better or worse. This can help you see what might improve things or whatâs not working for you. It can also help you talk to your treatment team at your next appointment.
For many women after a diagnosis of breast cancer, writing regularly can help them express their thoughts and feelings. Writing down the things that worry us can make them seem more manageable. This in turn can reduce stress and help you to see what you might need in terms of support. It can also help you clear your head and make important connections between thoughts and feelings. This type of writing is often referred to as expressive writing. Instead of jotting down lists of symptoms or side effects, you write about how you feel.
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If you have goals that you want to achieve, writing a journal can not only help you hit those goals, but more importantly can also remind you how far you have come. An example of a goal might be getting back to exercise after treatment. When a goal feels unattainable, breaking it down into bite-sized chunks and keeping a note of what you have achieved day-to-day can make it feel more manageable.
Youâre free to write about whatever you like. But you might want to start with something that has been worrying you or something that has recently appeared in your dreams.
Making a start A journal and its purpose will be different for everyone, and the outcomes can vary widely, but they are almost always very positive. People approach keeping a journal or diary in a variety of ways. If youâre getting started, don't set any rules and just see what comes naturally. Feel free to express yourself in any way that feels comfortable for you. For example, some people find that sketching and drawing in their journal helps them express emotions.
Choosing the right diary Choose something really nice to write in. This might be a day-by-day diary, a plain journal or something that you have completely customised. An engaging cover will mean that youâre more likely to pick it up and use it.
1 FIVE TIPS TO GET YOU STARTED
Start small. A few minutes each day will help you to reflect and find some balance.
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Donât worry about grammar or spelling. Remember, your journal is just for you.
Get creative. Your journal doesnât have to be for writing only, and you can include anything you like. Try adding in drawings, poems, quotes or other creative projects.
2 Write when you feel like it. If keeping your journal starts to feel like âa taskâ or âworkâ, donât force yourself to do it.
5 Try some writing prompts if youâre not sure what to write about. A few suggestions include: âToday I felt grateful for...â, âI am feeling worried about...â, or âAt my next appointment, I hope that...â
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J-TOP INTREVIEW WITH INTERVIEWERS: MARIA SAKIKO SUZUKI, YUKI SHIBUYA
Dr. Sakiko Miura Profile Assistant professor Department of Pathology Showa University School of Medicine
Please tell me about your field of specialization. Dr. Sakiko Miura (Hereafter âDr. Miuraâ) I am a pathologist. My main specialization is the mammary glands, but I do diagnose other medical conditions as well.
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challenge made me want to try it all the more. How did you find out about J-TOP? Dr. Miura I heard about it from Dr. Seigo Nakamura at a conference we attended. At the time we seldom had the chance to talk together, so I was very grateful.
What led you to specialize in mammary glands? Dr. Miura For a long time, I used to think that the field of mammary gland pathology was difficult and not one of my strengths. But then I started going to conferences and getting acquainted with clinical doctors and breast oncologists who helped me become more familiar with the field. Another aspect was the challenge of it: I knew this was not an easy field of specialization, but that
What impressed you about the on-site training through the JME? Dr. Miura Everyone at MD Anderson was highly specialized in their field, and I had the opportunity to work with professionals who are at the top of their game. I was deeply impressed that they were treating patients using evidence from their own research. That left the biggest impression on me, and I realized that I needed to grow in my field of expertise as well.
The challenge made me want to try it all the more.
What changed for you between before and after you went to JME? Dr. Miura My perspective changed. Seeing how things were done at MD Anderson made me really think about what I needed to do. I thought about our
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quality of work compared to what I saw in America and where to improve, or the quality of our everyday work as pathologists. Personally, I also learned about the importance of getting out of my comfort zone. It is easy to stay where it is comfortable so that you donât feel insecure, but I think my experience in JME made me want to get myself out there. I want to do my best and apply what I have learned, one step at a time. Is there anything you want to share about your experience in participating J-TOP and JME? Dr. Miura From the perspective of a pathologist, I think that Japanese pathologists today are not very aware of team science or team oncology. I believe the essence of what is taught in J-TOP is very important, whether it be for research or collaborations, and I want to pass this essence on to younger pathologists.
It is said that there is a lack of pathologists in Japan. To what extent is this true? Dr. Miura The population of pathologists in Japan is actually quite small. Roughly speaking, it is said to be between 1/5 and 1/8 of American population of pathologists. Additionally, collectively speaking, a large part of the population of Japanese pathologists is getting older, with an average age in the late fifties. These limitations make it difficult to do things the same way as in America. As a pathologist, how do you think this can change? Dr. Miura Because there are so few of us, I hope the number increases. This is actually part of my mission. Unlike clinical doctors, pathologists do not get as much opportunity to see patients, and so we tend to have an image of being researchers in labs. Our work is actually to diagnose samples taken from the patient and to write up pathology reports based on the results, which we give to clinical doctors. So, it is not the case that we do not deal with people, but because of the image we have, doctors who want to work directly with
patients tend to avoid this field. I went through a phase where I believed this myself. Before becoming a pathologist, I was a pulmonologist and liked working with people. Because of the wrong image that I had about pathologists, there were times when I worried if I was the right person to do the job. What led you to change from being a pulmonologist to becoming a pathologist? Dr. Miura I was actually interested in pathology since I was a student. Growing up, my parents had their own private practice, so I had always admired doctors. I knew
Because there are so few of us, I hope the number increases. This is actually part of my mission.
I wanted to work directly with patients, which is why I first took internal medicine. However, as I worked as a clinical doctor, I was seeing a lot of things that I really could not understand. For example, when I saw an X-ray, I didnât know if it was cancer or inflammation, but I wanted to do something for the patient â I really didnât like being in that situation. For that reason, I felt that diagnosing a sample and asking, âWhat is it?â was a good match for me, so I became a pathologist. What is your mission and your vision? Dr. Miura Sometimes it can feel unclear, but I know that I would like to commit to being a part of research that can be applied directly in the clinical field, with the purpose of providing as much useful information as possible for treating patients. Since I am also involved with the tests, I want to increase my skills as a pathologist in diagnosis, including in management and ensuring safety. Thank you very much for this valuable conversation.
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J-TOP INTREVIEW WITH INTERVIEWERS: MARIA SAKIKO SUZUKI, YUKI SHIBUYA
Dr. Tomo Osako Profile Staff Scientist (Staff Pathologist) Division of Pathology, The Cancer Institute, Japanese Foundation for Cancer Research
Could you tell us about what you do on a day to day basis as a pathologist? Dr. Tomo Osako (Hereafter, âDr. Osakoâ) Pathology is the field of medicine that uses surgery or biopsies to examine tissue to diagnose cancer or other diseases, and a pathologist is the person responsible for making the final diagnosis. I mainly handle breast cancer diagnosis at the Cancer Institute Hospital of JCFR (JCFR). I also do research on cancerous tissue. What inspired you to specialize in breast cancer? Dr. Osako I started as a clinical surgeon. I originally did my residence in Kyoto serving at a university hospital, after which I went to work at a regional hospital. One of the reasons why I became interested
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in breast cancer was that, when I was working as a surgeon, I became keenly aware of the lack of breast cancer specialists. It was also important for me to be able to treat patients from different angles. Instead of being limited to performing surgeries, I wanted to be able to do things like diagnosis, treatment, and palliative care for patients who had relapses. I had one patient who had an extremely rare type of breast cancer, and I remember that we had a hard time diagnosing her condition. Sadly, she passed away, but that experience made me want to study at a specialized hospital, and so I came to JCFR. After learning about chemotherapy, pharmacotherapy, and radiation therapy, I wanted to spend a year learning about pathology, and came to the pathology
department. I discovered that I was actually very interested in the work, and since there was a lack of people in the field, I thought this would be an area where I could make a contribution. Thatâs when I decided to become a pathologist. What is most satisfying about being a pathologist? Dr. Osako As a pathologist I make the final cancer diagnosis, so there is the challenge of making final decision which I find interesting and fulfilling. JCFR also handles a lot of difficult cases, and so I find my work here very educational. Finally, since JCFR is both a hospital and a research facility, I get to do both diagnosis and research, which is something that I like about being a pathologist.
How much of your work is currently dedicated to diagnosis and research respectively? Dr. Osako At the moment my work is overwhelmingly concentrated in diagnosis. JCFR gets the highest volume of cases of any hospital in Japan, but there are currently only two pathologists specializing in breast cancer at the hospital. We currently have 3,200 samples to diagnose, which results in 1,600 samples each. Diagnosing these samples occupies most of my time, and research is relegated to time I can get on weekends. I think there is room for improvement in this aspect. When was the first J-TOP workshop you participated in? Dr. Osako It was the 2017 Winter session. After that I went on the JME (Japanese Medical Exchange Program). What was your impression of J-TOP? Dr. Osako It was a lot of fun. It was tough at times, because the J-TOP workshop had groupworks which sometimes could take until midnight to complete, but we still had a good time. Most people in pathology are pathologists and technicians, so as a pathologist you do not get as many opportunities to see patients yourself, and you do not work much with nurses or pharmacists. In that respect, I learned a lot from working with people from other medical fields. Patients also participated in the workshop, and getting to hear from them directly was another interesting part of the project for me.
My mission is to provide breast cancer patients with the best treatment possible
What impressed you about the on-site training through the JME? Dr. Osako The big thing would be the difference between the American and Japanese systems. At the very least, the way pathology works were quite different, so it allowed me to see the Japanese system from a different perspective. For example, at JCFR the whole process of taking and diagnosing a sample, from surgery to informing patients with the final results, takes about five weeks. At MD Anderson, however, the whole process takes just five to seven days. Wow, thatâs a big difference! What do you think is causing that difference? Dr. Osako At JCFR we cut samples after soaking them with formalin, while at MD Anderson they speed up the process by cutting raw tissues, before soaking them in formalin to make samples. This process is mostly done by technicians, while in Japan, most of that work is done by doctors. The division of labor among doctors â and therefore the entire workflow â were completely different at MD Anderson. Could you tell us about any changes you felt or noticed after the JME? Dr. Osako There were three things. Firstly, I was really grateful for the chance to spend five weeks studying with really ambitious and gifted people, as well as the chance to meet the people at MD Anderson, and in particular my mentor, Dr. Sahin. Secondly, I was glad that I got to accompany the nurses and pharmacists during their rounds. This experience helped me get a better sense of the role of pathology as part of the overall medical process, which is something that has been difficult to do in Japan, because I had been working almost exclusively on pathology at JCFR. Lastly, it was good to be able to see both the differences and similarities
between the Japanese and American systems. Through my experience, I found that there are many things that need to be improved in Japan. As with the diagnosis itself, it was nice to know that we may have different systems and expressions, but at the end of the day what we are looking for is the same. You spoke about the position of pathology within the medical process. Could you share in more detail about the differences between Japanese and American pathology systems? Dr. Osako In Japan, most people do not really know what pathology is. As a result, there is a serious shortage of pathologists, and there are not many people who aspire to become one. In America, I got a sense that far more people are aware of the field, and that the status of pathologists in society was much higher, their salaries were better, and there were more people who wanted to get into the field. What is your mission and your vision? Dr. Osako My mission is to provide breast cancer patients with the best treatment possible, through diagnosis and research based on high quality pathological examination. My vision is to become a leader in the field of breast cancer diagnosis by combining morphological diagnosis â that is, the diagnosis of cancer based on its shape â with cutting-edge molecular diagnosis to develop better diagnostic markers and prognostic markers for more effective cancer treatment. Thank you very much for this valuable conversation.
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YOUR QUESTIONS ANSWERED Breast Cancer Careâs experts answer your questions about breast cancer and its treatments.
Why do I keep forgetting things?
Q
I started having problems with my memory during chemotherapy. I finished chemo six months ago but Iâm still forgetful. Iâm now taking tamoxifen. Why am I still having this problem?
A
Some people find it difficult to concentrate and feel more forgetful following cancer treatment. Although itâs often called âchemo brainâ or âchemo fogâ, some people have changes to their memory and concentration even if they donât have chemotherapy. The shock of the diagnosis, constant appointments and side effects from treatment can all affect normal thinking. Hormone therapy may also have an effect on memory. Not sleeping well, fatigue, anxiety, stress and any menopausal symptoms you may have as a result of taking tamoxifen can also play a part. Being more forgetful can have a big impact on your daily life, but most people find their memory improves gradually over time. Knowing youâre not alone can help. You may find it useful to talk to someone else going through the same thing.
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Knowing youâre not alone can help. You may find it useful to talk to someone else going through the same thing.
What can help my joint pain?
Q
Iâve been taking letrozole for a year and am suffering with joint pains. What can I do for help?
A
Many people experience joint pain when taking letrozole. For some people it can really affect their quality of life. Taking regular pain relief, particularly anti-inflammatory pain relief, may help. Check with your doctor before taking this kind of medication. Gentle exercise, such as walking and stretching, may help relieve stiffness in your joints. Maintaining a healthy weight will also help reduce stress on the joints. Let your treatment team know about your joint pain so you can be properly assessed. Letrozole is a type of hormone therapy used to treat postmenopausal women. It It belongs to a group of drugs called aromatase inhibitors. For some people, switching from one hormone therapy drug to another might help joint pain and stiffness, so your doctor may suggest this. They can also refer you to a pain management clinic or for physiotherapy if appropriate.
Maintaining a healthy weight will also help reduce stress on the joints.
Why have I been offered palliative care?
Q
Iâve been referred for a palliative care assessment, having been diagnosed with secondary breast cancer in the lungs. I feel pretty well at the moment so why do I need this?
A
Many people think of palliative care as being only about end-of-life treatment, and are often surprised or worried itâs mentioned as being part of their care. Itâs often called palliative and supportive care, and also focuses on controlling symptoms such as pain, breathlessness and fatigue. As well as helping manage physical symptoms it can help you and the people closest to you deal with the psychological, social, and spiritual effects of secondary breast cancer. Palliative care is often introduced soon after a diagnosis of secondary breast cancer and continues alongside any medical treatment. Evidence suggests the earlier people with secondary breast cancer are introduced to palliative care, the better their quality of life. Palliative care usually involves a team of healthcare professionals such as specialist nurses, doctors, social workers, physiotherapists and occupational therapists. Your individual needs and those of your family will be assessed by the doctor or nurse who sees you, so they can plan any care you may need.
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â Bánh xÚo (Vietnamese-style savory pancake) â Seasoned Chicken on Jasmine Rice â Lemongrass Flavored Clam Soup â Corn Che
Asian Comfort Food ~Vietnamese Cuisine ~
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Recipe
Recipe provided by: Tokyo Gas âFoodâ Information Center
Bánh xÚo
(Vietnamese-style savory pancake)
Tinted yellow by the turmeric, Bánh xÚo is fried until crispy. These pancake sandwiches contain plenty of Vietnamese-style pork, shrimp, and beansprouts. Served with fresh herbs and vegetables, they are also drizzled with a Vietnamese fish sauce (NÆ°á»c mắm).
[NÆ°á»c mắm] 2 tablespoons sugar 2 tablespoons lemon juice 2 tablespoons fish sauce (NÆ°á»c mắm) 2 tablespoons water A pinch of minced garlic 1 small red chili pepper 6 large leaves of red leaf lettuce Herbs (such as mint, shiso, Chinese cabbage) to taste
Advice This recipe used confectionary/cooking rice flour. The amount of water may vary slightly depending on the type of rice flour. Be aware and adjust accordingly. This recipe used a type of dried chili peppers called é·¹ã®çª Taka no tsume (eagleâs talons). We soaked the peppers in lukewarm water and removed the seeds before use. Using Thai birdâs eye chilies gives a more intense spiciness. When chopping these chilies, take care not to touch your eyes or
( E X C L U D I N G P R E PA R AT I O N T I M E )
start to lift, pour in a generous amount of oil and cook further on medium heat. 7 When the edges of the dough start to brown, place step 3 and 1/3 of the bean sprouts onto one side of the dough and place a lid on the pan. Steam the dough in the pan until the bean sprouts start to sweat (medium heat). Remove the lid and continue to cook until the bottom of the pancake browns. Fold the pancake in half. 8 Place step 7 on a plate, follow by lettuce, herbs, and steps 4, 5. Wrap the herbs and the namasu with the lettuce. Drizzle with NÆ°á»c mắm and serve.
expose them to any open wounds, as they are very spicy and will hurt. âBánhâ is a Vietnamese term often used in flour dishes. âXÚoâ describes the sound that the dough makes when it hits the hot skillet. An alternative style is to fry the pork and shrimp in an oiled wok. When they are cooked, pour in your batter, and place either bean sprouts or steamed green beans on top. Close lid, then briefly steam before adding a generous amount of oil and cook on high heat to fry.
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«Namasu (pickled side dish)» 200g Japanese radish 60g carrot Œ teaspoon Salt [B] 3 tablespoons vinegar 2 tablespoons sugar œ tablespoon water A pinch of salt
Recipe 1 Mix rice flour and turmeric together, then mix into ingredients A. Stir into a batter, then divide into 3 equal parts. 2 Slice the pork into slices roughly 3-4 cm thick and devein and peel the shrimp. 3 Oil the pan, and fry the pork and shrimp (added in that order) on a medium to high heat. When cooked through, salt to taste and remove from pan. Divide into three parts. 4 For namasu: Cut radish and carrots into thin strips, then add salt and let marinate. Drain any liquid, then add ingredients B. 5 Mix the ingredients for the NÆ°á»c mắm 6 Lightly oil pan and place on mediumlow heat, or 180°C on a temperaturecontrolled apparatus. When the frying pan is warm, turn off the heat and flatten the dough from step 1 evenly onto the pan. Turn the stove on high heat and fry the dough. When the edges of the dough
âŒ
«Batter» 80g rice flour Œ teaspoon turmeric [A] 100g coconut milk 150ml water [Main] 120g thinly sliced pork 12 small shrimp A pinch of salt 300g bean sprouts Salad oil as needed
5 0 8 KC A L P E R P E R S O N | C O O K I N G T I M E : 2 0 M I N U T E S
âŒ
Ingredients for 3 servings (26cm diameter frying pan required)
PiNK ⢠FALL 2019
15
Recipe
Seasoned Chicken on Jasmine Rice Juicy Vietnamese-style grilled chicken flavored with garlic and lemon grass, on delicious jasmine rice.
Ingredients for 6 servings 1œ cups jasmine rice 1œ cups water [A] 40g minced raw lemon grass 20g minced garlic 2 tablespoons vegetable oil 1-2 minced red chili pepper 2 stalks green onion 2 chicken thigh [B] 1 tablespoon Vietnamese fish sauce 1 teaspoon sugar œ teaspoon minced garlic
3 9 5 KC A L P E R P E R S O N | C O O K I N G T I M E : 2 5 M I N U T E S
Recipe 1 Rinse the rice, then add the required amount of water and cook. 2 Put ingredients A in a frying pan on low heat. When ingredients start to brown, add minced chili peppers, take off the heat and put in a bowl. When ingredients have cooled, add thinly sliced green onion. 3 Remove excess fat from chicken and make sure it is consistent in thickness. Then cut into two equal pieces. Knead ingredients B into the chicken and grill on high heat for 9 minutes on each side. Slice the chicken diagonally after it is cooked.
( E X C L U D I N G P R E PA R AT I O N T I M E )
4 Put the rice from step 1 into a bowl and sprinkle the fried onion on top. Place steps 3 and 2 (in that order) on top of the rice. Finally add thinly sliced cucumber and tomatoes cut into wedges on top.
3 tablespoons fried onion œ cucumber 1 tomato
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PiN K ⢠FALL 2019
expose them to any open wounds, as they are very spicy and will hurt. In step 2, because there is only a small amount of ingredients A, they will brown very quickly. Be careful not to burn them.
âŒ
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Advice This recipe used a type of dried chili peppers called é·¹ã®çª Taka no tsume (eagleâs talons). We soaked the peppers in lukewarm water and removed the seeds before use. Using Thai birdâs eye chilies gives a more intense spiciness. When chopping these chilies, take care not to touch your eyes or
Recipe
Lemongrass Flavored Clam Soup The fresh lemongrass accentuates the umami of the clams to create a soothing soup.
[A] 1 teaspoon minced garlic 2-3 slices thinly sliced ginger 1 tablespoon sesame oil 3 œ cups water 2 teaspoons fish sauce
2 9 KC A L P E R P E R S O N | C O O K I N G T I M E : 10 M I N U T E S
Recipe 1 Remove sand from the clams by scrubbing and rinsing them. Slice the lemongrass thinly and diagonally. 2 Thinly slice the purple onion, then rinse with water and drain. Roughly chop the Chinese cabbage. 3 Put ingredients A into a pot and cook over low heat. When the ingredients emit
Advice Using 3-4 stalks (excluding the stems) of lemongrass to enhance the flavor is a valid option to consider. Because it is very tough, take care to use only chewable parts of the stalk. Lemongrass is an herb known for having a fresh flavor very similar to lemon. All parts of the plant can be used, and the hard stem
âŒ
300g clams (with shells) 1-2 stalks lemongrass 30g purple onion Chinese cabbage as needed
âŒ
Ingredients for 6 servings
( E X C L U D I N G P R E PA R AT I O N T I M E )
a pleasing aroma, add step 1 and cook on medium heat. Add water and simmer on high heat. When the clams have opened, skim the foam from the surface, turn to a low heat and add the fish sauce. 4 Put step 3 into a bowl and place step 2 on top.
is often used for herbal tea, stewed dishes, and shellfish dishes. The softer parts of the plant can be mashed for more flavor. This can then be chopped and eaten raw or added to stir fry dishes. Lemongrass is used as the core flavor in many grilled meat and seafood dishes.
PiNK ⢠FALL 2019
17
Recipe
Corn Che
Che is a Vietnamese souplike dessert. Enjoy the delicious sweetness of the corn.
Ingredients for 6 servings 20g sticky rice 1 cup water [A] 50g corn 80g creamed corn (canned) 150g coconut milk 30g sugar 1 tablespoon peanuts (roughly chopped)
10 3 KC A L P E R P E R S O N | C O O K I N G T I M E : 3 0 M I N U T E S
( E X C L U D I N G P R E PA R AT I O N T I M E )
Recipe 1 Rinse the sticky rice, then soak overnight. After soaking, drain the water using a sifter. 2 Put step 1 and an appropriate amount of water into a pot and set it on high heat. When the water starts to boil, reduce to a low heat and simmer for 15 minutes, stirring occasionally. When the rice is soft add ingredients from A. Add water to adjust consistency while continuing to simmer for another 10 minutes on a medium to low heat. 3 Serve in a bowl and garnish with peanuts.
Tokyo Gas Cooking Class Tokyo Gas provides the gas every kitchen needs to cook a good meal. Our mission is to enrich your life through the art of cooking. The three essentials of Tokyo Gas Cooking Class 1 Each cooking class is an independent, stand-alone class. You can try out a recipe whenever you have some free time. 2 We believe that anyone can experience the joy of cooking. 3 Our lessons can teach you new things about Japanese culture and its aesthetics, time-saving recipes, eco-cooking, bread baking, sweets and more. â» Classes are conducted in Japanese only.
Precautions for using gas stoves, grills and ovens â Always turn the ventilation fan on. â Read the instruction manual carefully to use the equipment correctly and safely.
Interested in learning how to cook? We're looking for students. www.tg-cooking.jp
18
PiN K ⢠FALL 2019
ããªãã®ã¹ããŒãªãŒã ãèããäžããïŒ
Share your story in PiNK! PiNK ã«çµéšè«ãå¯çš¿ããŠã¿ãŸãããïŒ Would you like us to publish your story?
åéèŠé Requirements â¶
5,000 ã 6,000 æåã®åçš¿
Article of 1,000 â 1,100 words
åçš¿ã¯ããœã³ã³ã§äœæããŠãã ããããŸããå°å·ç©ã CD ã§å çš¿ããéµéããã ããå Žåãæ²èŒã®æç¡ã«ãããããè¿åŽã ãããŸãã®ã§ãããããããäºæ¿ãã ããã Please compose your draft in Word or any other comparable format. Please note that hardcopies or CDs with the article sent by mail will not be returned regardless of publication status. Also, please be reminded that the purpose of the article is to inspire, give hope and provide positive support to others in Japan regarding early diagnosis, treatment and care of breast cancer. æ¬æã§è§ŠããŠããã ãããç¹ïŒ ïŒ ä¹³ãããèŠã€ããçµç·¯ ïŒ å®æçãªãã³ã¢ã°ã©ãã£ãŒæ€èšºãåããŠããã ïŒ å®æçãªèªå·±æ€èšºãè¡ã£ãŠããã ïŒ ä¹³ãããšèšºæãããæã®ã¹ããŒãž ïŒ æ²»çå 容 ïŒæè¡ãæããå€çæ³ã ãã«ã¢ã³çæ³ãªã©å ·äœçã«ïŒ ïŒ è¬ãæçšãããå Žåã¯ãã®çš®é¡ãšæé Please include in your article draft: 1 How you found out you had breast cancer; 2 Whether or not you regularly had annual mammography screenings;
åçš¿ã®éä»ããåãåããã¯ã以äžãŸã§ãæ°è»œã«ïŒ
For article submissions or any queries, please contact: â Email: pink@rftcjapan.org â TEL: 03-4520-8650 3 4 5 6
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Whether or not you regularly conducted self-examinations; At which stage you were diagnosed; What kinds of treatment you underwent (surgery, chemotherapy, hormone therapy, etc.); and What types of drugs you were prescribed if any.
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Other remarks
⢠å¿åã®éã¯ãæ°åã幎霢ãäœæãé»è©±çªå·ãã¡ãŒã«ã¢ã㬠ã¹ã®èšèŒããé¡ãããŸãã ⢠å人æ å ±ã«ã€ããŠã¯é©åã«ç®¡çããPiNK çºè¡æ¥å以å€ã« ã¯äœ¿çšããããŸããã
⢠èªé¢ã®éœåãªã©ã«ãããé©å®ç·šéã»ç»åã®ãªãµã€ãºãªã©ã ãããŠããã ããŸãã ⢠ã»ãã®èäœç©ãåŒçšã»è»¢èŒããå Žåãèäœæš©ã«ååãªã é æ ®ã®äžããå·çãã ããã ⢠æ²èŒã®å¯åŠãæ²èŒææãé çªãªã©ã¯åœæ¹ã«äžä»»ããŠããã ããŸãã ⢠åçš¿æã»ã瀌ãªã©ã®ãæ¯æãã¯ã§ããŸããã®ã§ããããã ããäºæ¿ãã ããã ⢠Make sure to provide in writing your name, age, mailing address, phone number, and email address when submitting your article. ⢠Please be reassured that we will not use your personal information for any purposes other than publication and delivery of the magazine without your prior consent. ⢠The Foundation reserves the right to edit your story for consistency in style regarding PiNK magazine, and to crop or resize the photography you submit to fit our layout. ⢠Confirm in writing that there is no copyright infringement regarding the direct quotes from other sources used in your article. ⢠Publicationâas well as timing and orderâof your article in PiNK magazine are up to the discretion of the Foundation. ⢠There is no compensation for the story you submit.
PiNK ⢠FALL 2019
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RFTC® JAPAN PRODUCTS Online Shop
rftcjapan.org/product-category/products
RFTC JAPAN T-shirt
RFTC JAPAN Cap
UT
LD O
K SO
BLAC
NEW!
ãªã¹ã¹ã¡ïŒ
2018
S/M/L/XL ¥ 1,000
2017
Â¥ 500
S/M/L/XL ¥ 1,000
2016
Until Thereâs a Cure Pink Band
2015
S/XL Only
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Â¥ 1,000
Â¥ 1,000
MïŒL Â¥ 300
RFTC® Japanã¯ãRun for the Cure®/Walk for Lifeã€ãã³ãã®ãªãªãžãã«T-ã·ã£ãã«ã ãã¥ãŒãã©ã³ã¹ãžã£ãã³ã®åè³ããããŠããŸãã
Our Run for the Cure®/Walk for Life event t-shirt is sponsored by New Balance Japan.
Shop online or email us your order. After we get back to you
åååãè³Œå ¥ç¹æ°ããååãäœæãé»è©±çªå·ããèšå ¥ã®ãããã¡ãŒã«ã§ãç³ã蟌ã¿äž
payment to the account below with your full name.
ã·ã§ããããããè³Œå ¥ããã ããŸãã
with shipping fees and stock availabilities, please make a Bank fees should be incurred by purchaser.
ãããåšåº«ã確èªã®äžãéæãåãããåèšéé¡ããç¥ããããããŸãããªã³ã©ã€ã³ 代éã¯ãäžèšéè¡å£åº§ã«æ¯ã蟌ã¿ããé¡ãããããŸãã æãå ¥ããŸãããæ¯èŸŒææ°æã¯åèªãè² æ äžããã
ãæ¯æãéè¡å£åº§:
Mitsubishi UFJ Bank
E-mail: inquiries@rftcjapan.org
ãã¯ãïŒ ã©ã³ãã©ãŒã¶ãã¥ã¢ãã¡ã³ããŒã·ã§ã³
Tokuhi) Run for the Cure Foundation
rftcjapan.org
äžè±UFJéè¡ æžè°·æ¯åº æ®é 3609116
Shibuya Branch Futsuu 3609116
Tel: 03-4520-8650
PiNK ⢠FALL 2019
9
The Lemon Project Report By Maria Sakiko Suzuki and Arturo Lopez Flores
æ°åã§èŠãThe Lemon Project
The Lemon Project in numbers 2013幎ã«éå§ãä»å¹Žã§6幎ç®ãè¿ããã¬ã¢ã³ãããžã§ã¯ãã
ã¬ã¢ã³ãããžã§ã¯ããšä¹³ããã«é¢é£ããæ°åãã¿ãŠã¿ãŸãããã
The Lemon Project started in 2013 and is now in its sixth year. Letâs take a look at the Lemon Project and basic information about breast cancer in numbers. â» 2013幎9æã2019幎7æã®çŽ¯èš From September 2013 - July 2019
4,780
178
å
å
ã¬ã¢ã³ãããžã§ã¯ãéå¬åæ°çŽ¯èš
Total number of seminars conducted
ã¬ã¢ã³ãããžã§ã¯ãåå è çŽ¯èš Total number of participants
103
ã¬ã¢ã³ãããžã§ã¯ããéå¬ããäŒç€Ÿã»å£äœã»åŠæ ¡ Total number of corporations, organisations, and schools that have hosted The Lemon Project
13 %
ç·æ§ Male
12 % 50代
2%
60代以é
22 % 20代
87 %
å¥³æ§ Female
åå è ã®ç·å¥³æ¯ç
Male-to-female ratio of attendees 10
PI N K ⢠SUMMER 201 9
35 % 29 % 40代
åå è ã®å¹Žéœ¢å±€
30代
Age distribution of attendees
99 95
% (Female) % (Male)
ã¬ã¢ã³ãããžã§ã¯ãã®æºè¶³åºŠ
Satisfaction level of attendees
3å
73 å Good
295 å
Average
21 å Good
32 å Very Good
Very Good
â» 2017幎ãš2018幎ã®åå è ããã®ã¢ã³ã±ãŒãåçãã Results from 2017 and 2018 Lemon Project attendees who took our survey.
3å
Average
女æ§
ç·æ§
Female
æ°åã§èŠãä¹³ããã®åºç€ç¥è
Male
44.9
Breast Cancer in numbers
%
OECD(çµæžååéçºæ©æ§ïŒå çè«žåœã®ä¹³ããæ€
1
蚺çã70ã80ïŒ ãªã®ã«å¯Ÿããæ¥æ¬ã®ä¹³ããæ€èšº
çã¯å é²åœã®äžã§ã極ããŠäœãåŸåããããŸãã
äœ
ä¹³ããã¯ãæ¥æ¬äººå¥³æ§ã眹æ£ããããã®äžã§æã眹æ£ç
The breast cancer screening rate in Japan is extremely low compared to other developed countries: the average screening rates of other OECD member nations is 70ã80%.
Breast cancer is the most common form of cancer among Japanese women.
â»å¹³æ28幎åœæ°ç掻åºç€èª¿æ»ïŒåçåŽåçïŒ ããã 20æ³ã69æ³ã察象ã
ã®é«ãããã§ãã
ä¹³ããã¯ã30ã64æ³æ¥æ¬äººå¥³æ§ã®æ»äº¡åå ã®ãããã§ãã Breast cancer is the most common cause of death among Japanese women ages 30 to 64 years old.
90
From the 2016 Comprehensive Survey of Living Conditions conducted by the Ministry of Health, Labor, and Welfare. The ages of those surveyed ranged from 20 years old to 69 years old.
%
0æã§çºèŠããå Žåã¯100%ã1æã§çºèŠããå Žåã¯90%ã®5幎ç åçãæåŸ ã§ããæ©æçºèŠã»æ©ææ²»çã極ããŠéèŠã§ãã
Early diagnosis and treatment is vital for successful breast cancer recovery, with average 5-year survival rates of 100% for treatment of stage 0 cancer and 90% for treatment of stage 1 cancer.
PiNK ⢠FALL 2019
11
ä¹³ ãã ã® 1 2 ã®ãµã€ã³ ä¹³ ãã ã¯ã©ã ãªèŠ ãç®ãæ 觊ãªã®ïŒ
12 Signs of Breast Cancer
What does breast cancer look and feel like?
ãã 㪠ç ç¶ã¯ ã ã㟠ã ãïŒ
ã©ããã£ãŠä¹³ããã
èŠã€ããããšãã§ããã®ïŒ How do you find breast cancer? ã»ã«ããã§ãã¯ãããããšãæ€èšºãåããããš ã«ãã£ãŠèŠã€ããããšãã§ããŸãããã³ã¢ã°ã© ãã£ãŒãªã©ã®æ€èšºã¯æ©æçºèŠã«ã€ãªãããŸãã®
ä¹³æ¿ã®ããŒã¿ indentation
ç®èã®ãã ã skin erosion
éèã®æ匵 growing vein
ä¹³é ã®çœåŒ nipple retraction
ç®èã®ç¡¬å hardening
ã§ãå®æçãªæ€æ»ãå¿ãããŸãããããŸããå®æ çã«ã»ã«ããã§ãã¯ãããããšã§èªåã®èžã®é
åžžã®ç¶æ ãææ¡ããããšãã§ããçç¶ããã£ã
å Žåã¯å»åž«ã«çžè«ããããšãã§ããŸããã»ã«ã ãã§ãã¯ã®æ¹æ³ã¯æ¬¡ã®ããŒãžãã芧ãã ããã
çªåºããããã bump
Through self-examinations and screenings. Regular screenings such as a mammogram can detect a lump long before it can be felt and increase the odds of early detection.
Routine self-exams also help you be familiar with how your breasts look and feel so that you can alert a healthcare professional if
there are any changes. Check the next page on how to do a self-examination.
ãã®ãããªçç¶ã«æ°ã¥ãããã å»åž«ã«çžè«ããŸãããã
If you find a sign of breast cancer, consult a doctor.
12
PiN K ⢠FALL 2019
ä¹³ããã«ã€ããŠãã£ãšç¥ããã
Do you have any of these symptoms?
人ã¯ãã¬ã¢ã³ãããžã§ã¯ããäž»å¬ ããŠã¿ãŸãããïŒ
Do you want to learn more about breast cancer? Try hosting a Lemon Project! ã¬ã¢ã³ãããžã§ã¯ããšã¯ïŒ
ã¬ã¢ã³ãããžã§ã¯ãã¯ãä¹³ããã«é¢ããåºç€ç¥èã å®ææ€èšºã®å€§åãã ãããŠã»ã«ããã§ãã¯ã®æ¹æ³
ãªã©ãç¥ã£ãŠããããã§ç¥ããªãä¹³ããã®ç¥èã
åŠã¶ãRFTC Japan ã®æè²åè掻åã§ãã
èµ€ã¿ã»ã»ãŠã redness or heat
åœå£äœã®è¬åž«ãäŒæ¥ãåŠæ ¡ãèªæ²»äœãªã©ã«èšªå
ããã»ãããŒåœ¢åŒã§ä¹³ããã«ã€ããŠåããããã
ä¹³é ããã®åæ³ new fluid
説æããŸãã ã»ãããŒã¯è¬ç¿ãšã¯ãŒã¯ã·ã§ããã§
æ§æãããŠããã ã¯ãŒã¯ã·ã§ããã§ã¯å®éã«ãã¬
ã¹ãã¢ãã«ã«è§ŠããŠãããã®æ觊ãæã§èŠãã
è¡šé¢ã®å¹åž dimpling
ããšãã§ããŸãã
ã¬ã¢ã³ãããžã§ã¯ãã®ã»ãããŒã¯ç¡æã§æäŸã
ãŠããŸãã èå³ã®ããæ¹ã¯ä»¥äžã®QRã³ãŒããã ãæ°è»œã«ãåãåãããã ããã
ä¹³æ¿å ã®ããã inside lump
What is The Lemon Project? å·Šå³ãµã€ãºã®å€å new asymmetry
The Lemon Project is RFTC Japanâs education initiative seminar which
ç®èã®å€å âorange peelâ skin
aims to teach basic information and challenge misconceptions about breast cancer.
It starts with a short lecture followed
ããã®ãããã¯
ã©ã®ãããªæ觊ã§ããïŒ What does a cancerous lump feel like?
ããã®ãããã¯å€ãã®å Žåã ã¬ã¢ã³ã®
çš®ã®ããã«ç¡¬ãåããŸããã ãããã®åœ¢
ã倧ããã¯ããããã§ãã
A cancerous lump often feels hard and immovable like a lemon seed. It can be any shape or size.
Looking for an English-speaking support group? Tokyo Bosom Buddies is a survivor group in Tokyo for foreigners and English-speaking Japanese.
by a hands-on workshop where participants learn how to
self-examine using silicone breast models. Participants leave the
seminar with potentially life-saving knowledge about breast cancer.
The Lemon Project can be hosted
wherever it is needed nationwide free of charge.
For more information, check the QR code below.
Gatherings at Franciscan Chapel Center in Roppongi once a month. For details, please email inquiries@rftcjapan.org
rftcjapan.org
Campaign designed by
worldwidebreastcancer.com
13
Monthly Self-Examination èªå·±æ€èšºã§ãã€ãã®æ觊ãèŠããŠãå°ããªå€åãæ©ãæãåããŸãããã æ©æçºèŠãããªãã®èžããããŠåœãæããŸãã
You know your body better than anyone else.
Know your normal, so you can detect the slightest abnormality immediately.
èªå·±æ€èšºã®ææ
When to Examine ççãçµãã£ãŠãä¹³æ¿ã®ç·åŒµãè «ãããªãæãæé©ã§ããççãäžèŠåãªå Žåã éçµããŠããå Žåã¯ãæ¯æåãæ¥ã決ããŠãã§ãã¯ããŸãããã
Itâs best to self-examine after your menstruation cycle, when breasts are less tender or
swollen. If your cycle is irregular or you have reached menopause, pick a date you can easily remember and check every month.
èªå·±æ€èšºã®æ¹æ³
Self-Exam Procedure
1
14
é¡ã®åã§äž¡æãæããä¹³æ¿ã«èµ€ã¿ã»è «ãããªããã ä¹³é ããåæ³æ¶²ããªãããèŠãŠç¢ºãããŸãã
Raise your arms in front of a mirror and examine for irritation, swelling or discharge.
PiN K ⢠FALL 2019
2
次ã«è§Šã£ãŠãã§ãã¯ããŸãã èã®äžã»ãã©ã©ã€ã³ã»ã¿ããã¡ã» é骚ã®å¹ãã éšåã»é骚ã»è©ãã€ãªãã èžå šäœããŸãã¹
ããªã調ã¹ãŠãã ããã
Next, feel and explore your breast area within the
boundaries connecting armpit, rib, collarbone area and shoulder for lumps.
2a
2b
è ¹ã䜿ã£ãŠãã§ãã¯ããŸãã 次ã®
ãã¯è»œããå°ã匷ãã ãããŠæ·±ããŸã§è§Šããããã«ã
人差ãæãäžæãè¬æã®3æ¬ã®æ
ïŒç®æã«ã€ãã³ã€ã³ãµã€ãºã®åãïŒåæããŸãã ãŸ
ããã«æãåãããŠãèžã調ã¹ãŠ
å§åãå€ããŠãã§ãã¯ããŸãã
ã¿ãŸãããã
Draw three coin-sized circles in one spot,
Use the pads of your pointing
applying different pressure each time: light,
finger, middle finger and ring
medium and deep.
finger to feel and check your breast. Use the following patterns below to check.
2c
èã®äžããå§ããèžå šäœã«ããã£ãŠäžäžæ¹åã«åãããªãããã§
(C-1) äžã«ç§»åãã
(C-2) äžã«ç§»åãã
ãã¯ããŸãã å³èžããã§ãã¯ããéã¯å·Šæã䜿ããçµãã£ãããå³
ãšãã®åäœïŒ
ãšãã®åäœïŒ
Check by following the vertical or âup and downâ pattern and
ã©ã€ãããä»ã®æãå
æ¬åã¹ã©ã€ãããä»ã®
breast sand repeat with the other side.
When moving
æã§å·Šèžã調ã¹ãŸãããã
cover the entire breast. Use your left hand to check your right
è¬æãäžã«1æ¬åã¹
ãããŸãã
downwards, move your ring finger
one space over and
have your other fingers follow.
人差ãæãäžã«æ1 æãåãããŸãã When moving
upwards, move
your pointing finger one space over and
have your other fingers follow.
(C-3) 暪ã«ç§»åãããšãã®åäœïŒ
äžæãé¢ç¯1ã€åã¹ã©ã€ãããä»ã®æãåã
ããŸãã
Move horizontally by moving your middle finger one joint over.
3
ä»°åãã«å¯ãŠãè ãé äžã«æããŠèª¿ã¹ãŠãŠã¿ãŠãã
ãã§ããã ã颚åãã·ã£ã¯ãŒã§èº«äœãæŽãæã«ãã§ã
ã¯ããŠã¿ãã®ãããã§ãããã ãããããæ¹æ³ã§æ¯æ è¡ããŸãããã
You can lie down with one arm tucked behind
your head, or you can self-examine while taking
a bath or shower. Check your breast every month with whichever method you find easiest.
å€åãç°åžžãæãããšãã¯ã ããã«å°éå»ïŒå€ç§ãä¹³è ºãä¹³è ºç§ïŒã«çžè«ããŸãã
If you any changes or abnormalities, contact your doctor immediately.
ããªã¬ã³ãèŠã€ããããšãã§ããŸãã
recommended that women receive a mammography once a year.
ãã 幎ã«äžåºŠã¯ã ãã³ã¢ã°ã©ãã£æ€å¥šãããŠããŸãã 觊ã£ãŠãããããªããããªå°
Some abnormalities cannot be detected by touch alone; therefore it is
ç£ä¿®ïŒé岡ããã»ã³ã¿ãŒä¹³è ºå€ç§ é«æ©ãããå»åž«ãMammaCare Corporation
PiNK ⢠FALL 2019
15
ãªãœãŒã¹
RESOURCES RFTC® Japanããã³ã¢ã°ã©ãã£ãŒæ©æãå¯èŽããå©æéã®æäŸãè¡ã£ãå»
RFTC® Japanã®æŽ»åã«ãååã ãæ¯æŽããã ããŠããå»çæ©é¢ã§ãã
å¯èŽãã6å°ã®ãã³ã¢ã°ã©ãã£ãŒæ©åšã¯ãåèšããã19,180人ã®å¥³æ§ã«
Below is the list of medical institutions that support RFTC® Japan.
çæ©é¢ã¯äžèšã®ãšããã§ãã
å©çšããŠããã ããŠããŸããæ€èšºãå蚺ããçŽ60%ã®å¥³æ§ããåããŠãã³ã¢ ã°ã©ãã£ãŒæ€èšºãå蚺ããããšã¢ã³ã±ãŒãã«åçããŠããããã³ã¢ã°ã©ãã£ãŒ æ€èšºãæ®åããŠããªãããšãç©èªã£ãŠããŸãã
Below is the list of hospitals where RFTC® Japan has donated mam-
æ±äº¬éœ / Tokyo
19,180 women have received screenings on these machines and 60%
ã104-8560 æ±äº¬éœäžå€®åºæç³çº9-1
mography machines.
indicated it was their first-ever screening.
åèç / Chiba
åèå¥çç é¢ / Chiba Kensei Hospital
ã262-0032 åèåžè±èŠå·åºå¹åŒµçº4-524-2
(4-524-2 Makuhari-cho, Hanamigawa-ku, Chiba-shi 262-0032) tel. 043-276-1851
www.chibakensei-hp.jp åèæ°éœåžã©ãŒãã³ã¯ãªãã㯠/ Chiba Shintoshin Rurban Clinic ã270-1337 åèçå°è¥¿åžèæ·±138
(138 Soufuke, Inzai-shi, 270-1337) tel. 0476-40-7711
www.chibashintoshi.or.jp
èšåç / Ibaraki
ãŸã€ã°ããŠã£ã¡ã³ãºã¯ãªãã㯠/ Matsubara Womenâs Clinic ã300-1152 èšåççš²æ·é¡é¿èŠçºèå·æ¬é·2018-7
(2018-7 Arakawahongo, Ami-cho, Inashiki-gun, Ibaraki 300-1152) tel. 029-830-5151
www.happy-mw.com
èè·¯å åœéç é¢ / St. Luke's International Hospital (9-1 Akashi-cho, Chuo-ku, Tokyo 104-8560) tel. 03-3541-5151 www.luke.or.jp
æå倧åŠç é¢ ä¹³è ºå€ç§â¢ãã¬ã¹ãã»ã³ã¿ãŒ / Shouwa University Hospital Breast Center
ã142-8666 æ±äº¬éœåå·åº æã®å°1-5-8
(1-5-8 Hatanodai, Shinagawa-ku, Tokyo 142-8666) tel. 03-3784-8000
showa-breast.com æ±äº¬å ±æžç é¢ / Tokyo Kyosai Hospital ã153-8934 æ±äº¬éœç®é»åºäžç®é»2-3-8
(2-3-8 Nakameguro, Meguro-ku, Tokyo 153-8934) tel. 03-3712-3151
www.tkh.meguro.tokyo.jp
ä¹å· / Kyushu
瀟äŒå»çæ³äººåæäŒ çžè¯ç é¢ / Sagara Hospital ã892-0833 鹿å 島ç鹿å 島åžæŸåçº3-31
(3-31 Matsubaracho, Kagoshima-shi, Kagoshima 892-0833) tel. 099-224-1811
å²éç / Gifu
ãã¬ã¹ããã¢å®®åŽç é¢ / Breastopia Miyazaki Hospital
ã509-0214 å²éçå¯å åžåºèŠ876
tel. 0985-32-7170
å»çæ³äººéŠšä»äŒ è€æç é¢ / Fujikake Hospital (876 Hiromi, Kani-shi, Gifu 509-0214) tel. 0574-62-0030
www.okbnet.ne.jp/~fuj598
倧éªåº / Osaka
糞æ°ã¯ãªãã㯠/ Itouji Hospital
ã559-0016 倧éªåžäœä¹æ±åºè¥¿å è³å±1-1-6
(1-1-6 Nishikagaya, Suminoe-ku, Osaka 559-0016) tel. 06-6681-2772
ã880-0000 å®®åŽåžäžžå±±2-112-1
(2-112-1 Maruyama, Miyazaki-shi, Miyazaki 880-0000) www.breastopia.or.jp
åæµ·é / Hokkaido
瀟äŒå»çæ³äººåæ åæã¯ãªãã㯠/ Hokuto Clinic ã080-0833 垯åºåžçš²ç°çºåºç·7-5
(7-5 Kisen, Inadamachi, Obihiroshi, Hokkaido) tel. 0155-48-8000
www.hokuto7.or.jp
www.myclinic.ne.jp/itoujiclinic/pc/index.html å»çæ³äºº çŽå¹žäŒ è±äžæž¡èŸºç é¢ / Toyonaka Watanabe Hospital ã561-0858 倧éªåºè±äžåžæéšè¥¿çº3-1-8 (3-1-8 Toyonaka-shi, Osaka 561-0858) tel. 06-6864-2301
www.watanabe-hp.or.jp/hospital
31
PiN K ⢠FALL 2019
NPOæ³äºº Run for the Cure® Foundationïž (RFTC® Japan)
ã141-0032 æ±äº¬éœåå·åºå€§åŽ3-6-28 Daiwa倧åŽ3äžç®ãã«6é
(Daiwa Osaki 3-chome Bldg. 6F, 3-6-28 Osaki, Shinagawa-ku, Tokyo 141-0032) Tel: 03â-â4520-â8650 Email: inquiries@rftcjapan.org rftcjapan.org
PiNK â€Â¢ FALL 2019
30
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