COOKING

Most common Types of Cancer – Breast Cancer

Breast cancer
Breast cancer(malignant breast neoplasm) is a cancer that starts in the tissues of the breast either from the inner lining of milk ducts (Ductal carcinoma) or the lobules (Lobular carcinoma) that supply the ducts with milk. there is also rare cases that breast cancer starts in other areas of the breast. In 2010, over 250,000 new cases of breast cancer were expected to be diagnosed in women in the U.S. alone and the risk of getting invasive breast cancer during life time of a women is 1/8.

Signs and Symptom
Breast cancer is first noticed as a painless lump in the breast or armpit and most often discovered by you or your partner may discover the lump or or your doctor during a routine physical exam.
In early case of cancer, symptoms normally include
1. Lump (mass) in the breast
2. Lump in the armpit (lymph nodes)
3. Nipple discharge (clear or bloody)
4. Inverted or retracted nipple
5. Scaly or pitted skin on nipple persistent tenderness of the breast
6. Unusual breast pain or discomfort
7. Etc.

In advance case of cancer as cancer have spread to distance of the body, symptoms include
1. Bone pain (Secondary tumors in bone)
2. Shortness of breath (Secondary tumors in lung)
3. Unintentional weight loss and drop in appetite (Secondary tumors in liver)
4. Headaches, neurological pain or weakness (Secondary tumors in the nervous system)
5. Etc.

A rare case of breast cancer (Inflammatory Breast Cancer (IBC))
Inflammatory breast cancer (IBC), an aggressive cancer can occur in women of any age, grows in sheets instead of lumps invades nearby skin, leading to whole breast may go suddenly red and feel hot, resembling an inflammation and happening only about 1-6% of all breast cancer cases in the USA. It should be treated very promptly. Symptoms include
1. Rapid swelling (a cup size in a few days) sometimes
2. Associated by skin changes (pink, red, or dark-colored areas)
3. Nipple retraction
4. Persistent itching, skin hot to touch
5. Initially resembles mastitis
6. Breast skin ulcers (later stage of IBC)
7. Etc.

Risk factors
1. Gender
If you are women, your chance of getting breast cancer is 99 % higher due to more breast cells and constant exposure to growth hormones that affect the production of estrogen and progesterone.

2. Aging
Breast cancer increases proportional with age. Researchers found that out of 1/8 invasive breast cancers found in women, 2 out of 3 are women age 55 or older.

3. Heredity
About 5% of woman of breast cancer are caused gene mutation inherited from either the parents.

4. Family factor
Researchers found that if one of your direct family have developed breast or ovary cancer, your risk of getting breast cancer is increased.

5. Pregnancy
The risk of develop breast cancer for women who never get pregnant.

6. Smoking
Researchers found that the risk of women who had smoked cigarettes in their teen years have a high risk of getting breast cancer and women who smoke for 35 years or more have a 59% higher risk of developing breast cancer, compared with those who never smoked

7. BRCA1 and BRCA2
Researchers found that mutation of tumor suppressor gene BRCA1 and BRCA2 are likely to develop breast cancer later in their life.

8. Menstruation
Women who started menstruating at an early age (before age 12) or went through menopause at a later age (after age 55) have a slightly higher risk of breast cancer due to longer lifetime exposed to estrogen and progesterone hormones.

9. Ataxia telangiectasia mutated (ATM)
The alternation of The ATM gene provides instructions for making a protein in controling the rate cells grow and divide and assisting in DNA of cells repair by recognizing damaged or broken DNA strands caused by toxic chemicals or radiation. Inheriting one mutated copy of this gene increase the risk of breast cancer.

10. Tumor protein 53 or P53
P53, a tumor suppressor protein in humans encoded by the TP53 gene can cause Li-Fraumeni syndrome, increasing the risk of developing of breast cancer.

11. Dense breast tissue
Women who have denser breast tissue and more glandular tissue and less fatty tissue, have a higher risk of developing of breast cancer.

12. Previous breast lump that had atypical change
A benign breast lump which showed atypical change called atypical hyperplasia increases the risk of developing breast cancer later in their life.

13. Overweight
Overweight and obese women have a higher risk of developing breast cancer compared to women who maintain a healthy weight in BMI index, especially after menopause.

14. Etc.

Factors that reduce the risk of breast cancer
1. Breast feeding
Researchers found that women who breast feeding their babies slightly lower risk of developing of breast cancer.

2. Early age at first full-term pregnancy:
Women who have their first full-term pregnancy at an early age slightly lower the risk of developing breast cancer later in life. Researchers found the women who have a first full-term pregnancy before age 20, the risk of developing breast cancer is about half that of women whose first full-term pregnancy occurs after the age of 30 and only limited to hormone receptor-positive breast cancer.

3. Increasing number of births
The risk of breast cancer declines with the birth of number of children, Researchers found that Women who have given birth to five or more children have half the risk of women who have not given birth and only limited to hormone receptor-positive breast cancer.

4. Preeclampsia
Women who have had pregnancy conditions of high blood pressure and protein in the urine develop after the 20th week may slightly decrease the risk of developing breast cancer. Researchers suggested that certain hormones and proteins associated with preeclampsia may affect the risk of breast cancer.

5. Longer duration of breastfeeding:
Researchers found that Breastfeeding for an extended period of over a year) reduces the risk of developing of breast cancer later in their life in both hormone receptor-positive and hormone receptor-negative breast cancer.

6. Drinking more Coffee
In a new study, published in the journal Breast Cancer Research, women who drink five cups of coffee a day or more can reduce the risk of getting certain types of breast cancer. (How many women can do that without developing nervous tension)

7. Etc.

Diagnosis
1. Clinical Breast Exam (CBE)
The purpose of the clinical breast examination (CBE) is to detect early breast abnormalities or evaluate patient reports of symptoms of breast cancers at an earlier stage for more more effective treatment. In most case, cancer caught in early stage can be cured completely. In U. S. the American Cancer Society (ACS) recommended that women between the age of 20 to 39 should have a CBE once every three years and women 40 and older to get CBE annually.

2. Mammograms
If you have any symptoms is mentioned above, the first test which your doctor order is a mammogram to screen and detect any breast tissue abnormally and any sign of tumor. mammograms can detect between 85 to 90 percent of all abnormalities, including breast cancer, cysts, fibroadenomas, tumors, etc. even before you can feel a lump.

3. Breast Magnetic Resonance Imaging (MRI)
Breast magnetic resonance imaging (MRI) is a medical test that helps physicians diagnose the breast conditions of a patient by using powerful magnetic field, radio frequency pulses to produce detailed pictures of soft tissues and internal structures of the breast. It reveals different details about many breast conditions that cannot be obtained by mammography, ultrasound, etc.

4. Elastography
Elastography, a new technology for imaging breast tissue, is a non-invasive method used to detect or classify the stage of the tumors. In a study comparing ultrasound with breast elastography measurement, researchers found that breast elastography was highly effective in distinguishing benign from malignant breast tumor.

5. Ductal Lavage (Pap smear for the breast)
Ductal lavage also known as Pap smear for the breast, is one of fluid test used in addition to CBE and mammography to detect breast cancer by with drawing fluid which contains breast cells from the breast ducts with the use of a tiny catheter inserted into the nipple.

6. Breast Biopsy
In a breast biopsy, a very small tissue sample is extracted and examined under a microscope for the presence of cancer cells by using a medical instrument (fine needle aspiration cytology (FNAC), Core needle biopsy (CNB) and Stereotactic biopsy) or cutting out by a surgical procedure.

7. Etc.

Factors that influence treatment options
A. Stages of breast cancer
The stages of breast cancer are classified depending to
1. Size of the cancer
2. Invasive or not
3. whether cancer has spread to the lymph nodes
4. whether the cancer has spread to the distance parts or organs of the body.
There are 4 stages of breast cancer in TNM rating (where T is referred for tumor size, N is referred for Lymph Node status, M is referred for invasive or not)
# T: Tumor Size is divided into four classes: T-1 is between 0 – 2 cms, T-2 is between 2 – 5 cms, T-3 is > 5cms, and T-4 is a tumor of any size growing into the chest wall or skin, including inflammatory breast cancer.
#N: No swollen nodes: N-0, some swelling but negative node (not cancerous): N-1a, swelling nodes and positive node (cancerous): N-1b, quite swollen and bunched together: N-2, quite swollen and near the collarbone:N-3.
# M: if no cancer cell is found: M-0, cancer cells found: M-1.

a. Stage 1
T-1 tumor and clear lymph nodes with no evidence of spreading (M-0), or T-1N-0M-0.
b. Stage 2
Stage 2 is the combination of combination of T-1, T-2, or T-3 tumor, N-0. N-1a and N-1b but no spreading (M-0)
c. Stage 3
Stage 3 is the combination of all T or N but no spreading(M-0)
d. Stage 4
Stage 4 is the combination of T, N-1a, N-1b, N-2, N-3 and M-1

B. Hormone receptors sites and HER2 (Human Epidermal growth factor Receptor 2)
1. Hormone receptors
A hormone receptor is a receptor protein on the surface of a cell with the function of binding to a specific hormone in its interior. Estrogen receptors are that bind estrogen hormone and progesterone receptors are cells with the same.
Estrogen and progesterone receptor status tests
They are the tests to determine whether the tumor’s growth is influenced by the hormones estrogen and/or progesterone by taking a sample of breast cancer tissue obtained during a biopsy.
a. Cancer with hormones sensitive is always slower growing
b. Reponses well to hormones suppression treatment
c. If there is negative found in both tests (ER- and PgR-), hormone suppression treatments are not required (tuomor is not driven by hormones). Further testings are required to determine the best options.
d.
# ER-0, PgR-0 is no estrogen and progesterone receptor found
#Er-1+, PgR-2+ small numbers of estrogen and progesterone receptors found accordingly
#ER-2+, PgR-2+ a medium numbers of estrogen and progesterone receptors found accordingly
# ER-3+, PgR-3+ large numbers of estrogen and progesterone receptors found accordingly.

2. Testing HER2 (human epidermal growth factor receptor 2)
About 30% of breast cancers are caused by over expression of its protein product or HER2.
If your cancer is no driven by either hormones estrogen or progesterone, you doctor my order the testing of HER2. HER2, a gene with function of signaling the growth and differentiation of cells. and a healthy breast has only 2 copies of the HER2 gene.
A test of HER 2 positive can be treat by the amplification of other genes and the use of the drug Herceptin, in combination with other chemotherapy drugs, otherwise your cancer is not caused by gene HER2.
a. IHC test
IHC is the most commonly used test ordered by your doctor to determine the number of HER2 receptor protein on the surface of the cancer cells done by a special staining process performed on fresh or frozen breast cancer tissue removed during biopsy.
*HER2-0 or HER2-1+ is considered HER2 negative
*HER2-2+ or HER2-3+ is considered HER2 positive.

b. FISH test (Fluorescence in situ hybridization test)
If the IHC test can not clearing provide results of the HER2 positive or negative then FISH will be required. FISH is considered more accurate to determine whether the cells have extra copies of the HER2 gene by vitalizing gene HER2 in breast cancer tissues removed during biopsy. HER2-positive or negative)

The main types of invasive and non invasive breast cancer
1. Invasive breast cancer
Invasive breast cancers grow by alternation of the DNA of the breast cells and either have a tendency to spread to the lymph nodes then to distant parts of the body or already do so. Most breast cancers are invasive.
Common types of invasive breast cancers include:
a. Infiltrating/Invasive Ductal Carcinoma (IDC)
This is the most common type of breast cancer accounted for about three-quarter of all breast cancer, originated in the milk ducts, then spread out to nearby breast tissue includingInflammatory breast cancer (IBC), Medullary carcinoma, Metaplastic breast cancer, Paget’s disease of the nipple, Tubular carcinoma, etc.

b.Infiltrating/Invasive Lobular Carcinoma (ILC)
Lobular breast cancer is another common types of invasive breast cancers, originated in the glands or lobes, that has broken through the wall of the lobule and begun to invade the tissues of the breast. Infiltrating Lobular Carcinoma accounted for about ten percent of all breast cancer.

2. Non invasive breast cancer
Non invasive breast cancer is also known as carcinoma in situ of which breast cancer cells stay within the milk ducts or lobules in the breast.
a. Ductal carcinoma in situ (DCIS)
DCIS is one the most common type of non-invasive breast cancer as it has tendency not to beyond the milk duct into surrounding breast tissue and treated differently than other types of invasive cancer. DCIS isn’t life-threatening, but it increases the risk of developing an invasive breast cancer in the future of the patient life.

b. Lobular Carcinoma In Situ (LCIS)
LCIS, is another types of invasive breast cancer, originated from the abnormal cells growth in the breast lobules, but not spread to the surrounding breast tissues. Researchers found that 25 percent of patients who have LCIS will develop breast cancer at some point in the future.

Depending to your diagnosis, your breast cancer is ranked in stage and grade by your oncologist and radiologist and treatment will be suggested or given accordingly.

Phytoestrogen and breast cancer
Since there is controversy of phytoestrogen protects against or induces breast cancer, we would like you to read this research from The American Journal of Clinical Nutrition 2oo4

Prevention and after treatments
A. With Foods
1. Food with high amount of beta carotene
All yellow orange vegetables contains high amount of beta carotene, a precursor of vitamin A which can be stored in the liver. Researchers found that eating foods high in beta- carotene lowers the risk of breast cancer.

2. Food with high amount of Indole -3-carbinol
Cruciferous vegetables, such as broccoli, cauliflower, cabbage, turnips, brussel sprout, etc. contains high amount of indole -3-carbinol which inhibits the breast cancer promoting estrogens such as the 16-hydroxy- estradiol and 16-hydroxy-estrone.

3. Nuts and seeds
Most but and seeds contain high amount of linoleic acid which found to prevents and reduces the risk of breast cancer in some studies.

4. Foods contain high amount lycopene
Lycopene is a bright red carotene and carotenoid but no vitamin A activity pigment and phytochemical found in tomatoes and other red fruits and vegetables, such as red carrots, watermelons and papayas. Reseachers found that lycopene inhibits tumors cells. Eat cooked tomatoes reduces the risk of breast and prostate cancer.

5. Foods with high resveratrol
Drinking no more than 150 mg of red wine or eating red grape helps to reduce the risk of breast cancer due to high amount of resveratrol. Researchers found that resveratrol has the ability to prevent the estrogen process that leads to cancer by blocking the formation of the estrogen DNA abducts.

6. Food with high amount of Omega 3 fatty acid
Cold water fish such as salmon, tuna, etc and nuts and seeds such as walnut, pumpkin seeds, flaxseeds contain high amount of Omega 3 fatty acid. Researchers found that omega-3 fatty acids not only combat breast cancer but also prevent the breast cancer from spreading to other issue or organs.

7. Food with high amount of anthocyanins
Cherries contain high amount of anthocyanins. In some studies, found that cherries inhibit colon cancer and breast cancer cells.

8. Food with amount of limonoids
Researcher found that the peel and white membrane of oranges, lemon, tangerine contain high amount of limonoid, a chemical compound showed inhibition of breast cancer in test tubes. Eat whole fruit oranges and tangerines.

9. Eating whole grains
Study showed that women who ate one serving a day of a cereal high in wheat bran reduces the risk of breast cancer by increasing intake of high levels of vitamin and mineral and reducing in take of artificial ingredients added in refine grain which promotes estrogen.

10. Avoid trans and saturated fat
Diet high in trans and saturated fats increase the production of bad estrogen that induces the risk of breast cancer.

11. Polyphenol Epigallocatechin-3 Gallate (EGCG)
Green tea contains high amount of EGCG, a compound has been known to inhibit breast cancer cells. A new study has elucidated the molecular mechanisms by which (-)-Epigallocatechin-3-gallate (EGCG), a compound found in green tea, exerts anti-cancer effects in tamoxifen-resistant breast cancer cells.

12. Top your olive oil instead of high heat
Oil becomes trans fat in high heat increases the risk of breast cancer as mentioned above.

13. Diallyl trisulfide
Garlic and onion contain sunstance diallyl trisulfide that can suppress breast cancer cell invasion and metastasis.

14. Isoflavinoids
Soy caontains high amount of isoflavonoid which can block the more powerful estrogens from stimulating estrogen sensitive cancer cells by occupying the estrogen receptors in breast cells.

15. Lignan
Lignan also known as mammalian lignan in flaxseed is a chemical structural similarity to the natural estrogen, 17-Beta-estradiol which has a weak estrogenic or antiestrogenic properties to inhibit breast cancer cells.

16. Etc. Please read 100+ Healthy Foods Classification

B. With Antioxidants
Antioxidants reduce the risk of oxidation causes of tissues damage and mutation of DNA of cells which can cause breast cancer and recurrence of breast cancer by scavenging or stopping them before causing damage to the normal cells.
You can read more details of above at this link Antioxidants, Free Radicals, Cancers, Diseases

1. Lycopene
Lycopene found abundant in cooked tomatoes as a powerful antioxidants counterbalances the detrimental oxygen free radicals before they can damage cellular structures in the breast as well as other types of cancer.

2. Vitamin A
Vitamin A plays an important role as an antioxidant as it scavenges free radicals by preventing them to become cancerous. including breast tissues but vitamin A have had mixed results in treating cancer according to W. Byers, Ph.D., a professor of oncology and cell biology at Georgetown’s Lombardi Comprehensive Cancer Center as vitamin A may cause some breast cancer cells to form blood vessels brings up the rather disturbing notion that treatment with these drugs may actually stimulate tumor growth,…”

3. Vitamin C
As an antioxidant and water soluble vitamin, vitamin C can be easily carry in blood and operate in much of the part of body. By restoring vitamin E, vitamin A and E helps to fight against forming of free radicals by scavenging in inhibiting any cause of oxidation.

4 Vitamin E
It beside is important in protecting muscle weakness, repair damage tissues, lower blood pressure and inducing blood clotting in healing wound, etc, it also is one of powerful antioxidant, by moving into the fatty medium to prevent lipid peroxidation, resulting in lessening the risk of chain reactions by curtailing them before they can starts.

5. Coenzyme Q10
Coenzyme Q10 enhances energy production by promoting the process of the production of ATP then serving as fuel for the cells and acts an antioxidant to prevent the generation of free radicals during this process, thus reducing the risk of breast cancer and other types of cancers.

g. Etc.

C. With Herbs
1. Keladi Tikus
Keladi Tikus is also known as Rodent Tuber, a genus of Typhonium in Araceae family native to Eeast Asian. The herb has been used in traditional herbal
medicine in treating cancer, including leukemia. Researcher Sheen Lai Choo from Malaysia Science Research Center found that compound Fitol in keladi tikus expresses apoptosis property by activating PPARy to causes cancer cells die by suicide (Apaptosis).

2. Eruca sativa
Eruca sativa is also known as Arugula herba genus of Eruca, belongs to the family Brassicaceae, native to Europe and western Asia and It is a type of cruciferous vegetable like broccoli, cauliflower and cabbage. Study showed that Eruca sativa promotes apoptosis, suppresses cell cycle progression and inhibits angiogenesis of human breast cancer cells.

3. Anethum graveolens (Dill) seeds
Anethum graveolens is also known as dill, a genus Anethum, belongs to the family Apiaceae. Monoterpenes, the substance of essential oil activates the secretion of glutathione-S-transferase is an anti carcinogens and carcinogens neutralizing agent.

4. Trifolium pratense
Trifolium pratense is best known as Red clover, a genus Trifolium, belongs to the familyFabaceae, native to Europe, Western Asia and northwest Africa. Researcher found that genistein inhibits of cancer cell growth, promotes apoptosis

5. Actaea racemosa
Actaea racemosa is also known as black cohosh, a genus Actaea, belongs to the family Ranunculaceae, native to eastern North America. researchers found that black cohosh can block cell growth, Rebbeck and colleagues note. The herb contaons high amount of antioxidanta, and has been shown to have anti-estrogen effects. Taking black cohosh may reduce the risk of breast cancer by more than 50 per cent, suggested by an epidemiological study from the United States.

6. Punica granatum essential oil
Punica granatum is also known as pomegranate, a genus Punica, belongs to family Lythraceae, native to native to the Iranian Plateau and the Himalayas in north Pakistan and Northern India. Researcher from the Technion-Israel Institute of Technology found that pomegranate essential oil triggers apoptosis, a self-destruct mechanism in breast cancer cells.

7. Etc.

D. Chinese Herbs
1. Ban Zhi Lian
Ban Zhi Lian is also known as scutellaria. The bitter and cool herb has been used in TCM as diuretic and to treat tumors and cancer as it clears heat, expels toxins, eliminates stagnation, stops bleeding and calms pain by enhancing the functions of lung, liver, spleen, stomach and large intestine channels. In vitro study, essential oil extract of 200mg/ml of the herb possesses the effect of inhibiting the tissues of rectum cancer or colon cancer.
In lab tests of animals and breast-cancer cells, BZL101 caused apoptosis or cell death, researchers found.

2. Qing Hao
Qing Hao is also known as Worm Wood. The bitter and cold herb has been used in TCM as anti malaria agent and to trealupus, schistosomiasis as it disperses cold and dampness, expels wind and calms pain by enhancing the functions of kidney, liver and gallbladder channels.
Researchers found that qing hao elevates the calcium ions of leukemia white cells, triggering apoptosis, a self-destruct mechanism in cancer cells. A University of Washington study showed that qing hao selectively kills several cancer cell lines in the test tube.

3. Huang Lian
Huang Lian is also known as Figwortflower. The bitter and cool herb has been used in TCM to treat indigestion, diabetes, inflammation of intestine, diarrhea caused by bacterial infection, high fever, restlessness and insomnia, etc. as it clears heat, dries dampness, disperses fire and expels toxins by enhancing the functions of heart, large intestine, liver, and stomach channels.
Researchers at Memorial Sloan Kettering Cancer Center (MSKCC) found that huang lian extract has been shown to induce apoptosis and to arrest cell growth by up-regulating Interferon beta and tumor necrosis factor-alpha genes in breast cancer cells.

4. Yun Zhi
Yun Zhi is also known as Turkey Tail Mushroom. The sweet, bland and cold herb has been used in TCM as an antibiotic, anti-viral, and anti-tumor agent and to treat hepatitis B, tumors in the digestive system, respiratory system and in the cervix uteri as it clear heat and dampness, transforming phlegm and expels toxin by enhancing the functions of liver, spleen, lung channels.
Researchers found that Yun Zhi significantly improves survival rates and lifespan for gastric, esophageal, colorectal, breast and lung cancers.

5. Bai Hua She She Cao
Bai Hua She She Cao is also known as spreading hedyotis, The bitter, sweet and cold herb has been used in TCM as anti-bacteria, anti-inflammation, anti-tumor, anti-virus agent and to treat snakebite and enhances immune system as it clears heat, drains dampness, expels toxins and resolves abscesses by enhancing the functions of liver, stomach, large intestine channels.
The Sanjiv Kumar YADAV, Shao Chin LEE(Yong Loo Lin School of Medicine, National University of Singapore researcher results showed that the ethanol extract from Bai Hua She She Cao effectively evokes cancer cell apoptosis, possibly through burst-mediated caspase activation.

f. Etc.

Treatments
A. Types of treatments

Most invasive cancers are treated with combination of the below types of treatment
1. Surgery
Most patients with invasive or non invasive breast cancer are required surgery to remove the cancer from the breast. While non invasive cancer patients are not needed further treatment, invasive cancer patients usual needed to have some of the lymph nodes removed and examined under a microscope by pathologist to see if they contain cancer cells.
1.1. Breast-conserving surgery
The operation only removes the breast cancer cells but conserves the other healthy breast cells. It only works well with patients with small size of tumors.
a. Lumpectomy:
Operation used to remove the breast cancer cells and some the tissue around the breast.
b. Partial mastectomy
Normally, partial mastectomy required 2 incisions in the surgery. One incision for removing the breast cancer cells and tissue around it, the others is for removal for lymph nodes tissues for examination.
1. 2. Mastectomy
a. Total mastectomy
The complete removal of the breast that has cancer and some lymph node tissues are taken as the same time in the operation.
b. Modified radical mastectomy: The surgery not only to remove the whole breast that has cancer, many of the lymph nodes under the arm, the lining over the chest muscles, but sometimes, also parts of the chest wall muscles as well.This types of operation may only perform with patient with advance stage of breast cancer.
c. Radical mastectomy:
Beside removing the breast that has cancer, radical mastectomy also remove the chest wall muscles under the breast, and all of the lymph nodes under the arm.

1.3. Side effect
a. Soreness, tenderness, and pain at the incision site.
b. Nerve damage
c. Lymphedema
d. Shift in weight
e. Tightness in skin
f. Poor wound healing, bleeding, or
g. reaction to the anesthesia

2. Radiation therapy
2.1 By using high-energy x-rays or other types of radiation, radiation therapy kills breast cancer cells and keep them from growing or regrowing. Depending to stage or grade of the breast cancer of the patient, there are two types of radiation therapy.
a. External radiation
By using a machine outside the body to send direct high-energy x-rays or other types of radiation toward the cancer.
b. Internal radiation
Internal radiation
By placing a radioactive substance direct into or near the cancer by a medical intrument with the aim to kill nearby cancer cells.

2.2 Side effects
a. Fatigue
b. Chest pain
c. Heart problem
d. Short of breath
e. Skin discoloration or pinkness, irritation.
f. Etc.

3. Chemotherapy
3.1. Chemotherapy is most used to treat breast cancer patience with advance stage or grade, as it has spread to a distant parts of the body by using drugs taken by mouth or injected into a vein or muscle of the patient to stop the growth of or to kill cancer cells.
3.2. Side effects
a. Nausea
b. Vomiting
c. Hair loss
d. Fatigue
e. Anemia
f. Mouth sores taste and smell changes
g. Infection
h. Etc.

4. Hormone therapy
4.1. If the breast cancer is due to hormone related actions, hormone therapy is most effective to blocks their action and stops cancer cells from growing. Tamoxifen is often given to patients with early stages of invasive breast cancer by suppressing the production of estrogen for over period of 5 years.

4.2. Side effects
a. Headache
b. Nausea
c. Breast pain
d. Constipation or diarrhea Nausea
e. Loss of or decrease in appetite
f. Tenderness in the breasts
g. Trouble sleeping
h. Etc.

5. Biological therapy
a. By enhancing the body’s own immune or hormonal system to kill cancer cells, while leaving healthy cells relatively intact with the use of antibodies to attack cancer cells or block their activities or interrupting the hormonal or chemical pathways of the cancers with certain drugs composed of small molecules .
b. Side effects
b.1. Allergic reactions,
b. 2. Difficulty breathing, swelling,
b. 3. Nausea,
b.4. Fever or chills, and
b. 5. Dizziness and fatigue
b.6. Etc.

6. Target therapy
6.1. Target therapy is a treatment used to treat breast cancer caused by specific cells by killing them but without harming normal cells.
Trastuzumab (Herceptin) is a drug that used effectively to treat breast cancer caused by growth factor protein HER2, while lapatinib inhibits the HER2 protein and other proteins effects inside tumor cells.

6.2. Side effects
a. Shortness of breath
b. Leg swelling
c. Severe fatigue
d. Weakness
e. Nausea
f. Vomiting
g. Cough
h. Diarrhea
i. Headache
j. Etc.

The main objective of all treatments is to remove all the primary cancerous and non cancerous tumors but leave the breast as undisturbed as possible and prevent the cancerous tumors from reoccurring.

Male breast Cancer
Although it is rare, it can happen, approximate 1% of breast cancer patients are male. It is most common in older men, but can occur at any age. Symptoms are a similar to those of femal breast cancer. Therefore, if you notice any usual symptoms of your breast, please see your doctor imediately, because early diagnosis have a good chance to be cured. Treatments are also similar to those of above, depending to the grade and stage of the tumors. (We will come back with a article of male breast cancer later).

Breast reconstruction
Breast reconstruction after mastectomy for patient with breast cancer are always discussed before the surgery. Although, the reconstruction of breast is no longer giving back the natural breast but most women are graceful. There are many ways for breast reconstruction and general anesthesia is required in all stages. No matter what types of breast reconstruction you choose. Before mastectomy, your breast reconstruction and breast removal surgeons will provide you with all information, made sure you understand, discuss and ask, if you have any question before going into operation room.
1. Implant
1.1. If you chose to have breast reconstruction after surgery with implant, you may be advised to have implanted done after the would of the surgery area is completely heal. In this type of treatment, the surgeon will remove enough skin over your breast during the mastectomy to be able to close the skin flaps for the reconstruction breast and placed a expander is a pouch made out of silicone, it will be slowly filled until it reach the right size, before the permanent breast implant is placed.
This type of breast reconstruction is done over stages and general anesthesia is necessary.
1.2. Side effects
a. leaking
b. Scar may become permanent
c. Shifting
d. Infection
e. Uneven breasts
f. Etc.

2. Breast reconstruction with natural tissue
If you chose to have breast reconstruction with natural tissue and later after surgery
2.1. Trectus abdominous muscle flap
Using skin, fat, and muscle in your lower belly, from one hip to the other, by tunneling this tissue under the skin of your abdomen up to the breast area with the blood vessels cut and reattached to blood vessels under your arm then made to the size and shape that match your other breast.

2.2 The latissimus muscle flap

Using skin, fat, and muscle of your upper back, on the side of your breast that was removed by tunnelling this tissue under your skin to the breast area with blood vessels will remain connected to the area where the tissue was taken off then made to the size and shape that match your other breast.

2.3. Side effects
a. Loss of sensation
b. Scar
c. Uneven breast size
d. Etc.

Most breast reconstruction are done over stages with general anesthesia.
For other cancer or health articles, please visit http://medicaladvisorjournals.blogspot.com/

About the Author

kyle J. Norton – I have been studying natural remedies for disease prevention for over 20 years and working as a financial consultant since 1990. Health Researcher and Article Writer. Master in Mathematics and BA in World Literature and Literary criticism

Pineapple carving, Montreal based “Chef for Hire” show us how to make this centerpiece.

The Best Homemade Baby Food on the Planet: Know What Goes Into Every Bite with More Than 200 of the Most Deliciously Nutritious Homemade Baby Food … More Than 60 Purees Your Baby Will Love $11.55 Food Made with Love Is Food You Can Trust.   Preparing simple, homemade food in the comfort of your own kitchen is one of the greatest gifts you can give your little one. Not only does it allow you to nourish your child with the most pure and wholesome ingredients, but it also gives you the peace of mind of knowing what has gone into every bite your baby takes.  Full of recipes to suit every ag…

The Wholesome Baby Food Guide: Over 150 Easy, Delicious, and Healthy Recipes from Purees to Solids $8.95 Baby food doesn’t need to be tasetless, processed and in a jar. It can be fresh, vibrant and delicious. In THE WHOLESOME BABY FOOD GUIDE, Maggie Meade will show you how easy it is to feed your baby homemade goodness. Based on the top-rated baby food website, THE WHOLESOME BABY FOOD GUIDE is filled with carefully researched information on nutrition, allergies, myths, and the best practices for intr…

Preggatinis: Mixology for the Mom-To-Be $7.39 Within these pages are 75 original Preggatini recipes highlighting fresh juices, herbs, and garnishes as well as ideas for Preggatini Parties – a modern spin on the humdrum baby shower. Organized by pregnancy stages and symptoms, this lavishly illustrated, pocket-sized, virtually intoxicating guide also offers quotes from famous mums about pregnancy and health and such options as ‘De-virginize for…

In-Home Cooking Class & Wine $575 Private cooking classes are a delicious way to bring people together to share a mutual hobby or just get together for a fun evening. Your Chef will come to your home and will teach you and your guests how to create exciting new dishes in a fun and relaxed atmosphere.Select from several Class Themes covering a variety of styles of cooking. As a perfect complement to your cooking experience, your Chef will pair 4 different wines with the dishes you create.So get ready for a night you and your guests won\’t soon forget filled with delicious foods, wine and friends.About the Chef: Your Chef graduated at the top of his class from the prestigious Le Cordon Bleu Culinary Arts Program. He has served as Executive Chef at numerous award winning restaurants in both St. Louis and Dallas. In addition to being an accomplished Chef, he is a father of two, great with groups and extremely personable.Class Themes:Mediterranean in Your Backyard:Lecture #1: Warm Focaccia BruchettaLecture #2: Roast Eggplant Soup ShootersLecture #3: Farm Raised Chicken BracioleLecture #4: Roast Apple SpanikopitaFinding Local French Foods:Lecture #1: Aged Cheddar GougeresLecture #2: Puree of Onion Soup ShootersLecture #3: Roast Pork Loin RouladeLecture #4: Mini Texas Pecan TartSouthwestern Cuisine:Lecture #1: Green Chili EmpanadasLecture #2: Tortilla Soup ShootersLecture #3: Black Pepper Marinated Hanger SteakLecture #4: Almond & Honey FlanUncovering Hors D\’oeurves:Lecture #1: Tomato & Mozzarella Skewers with basil pureeLecture #2: Polenta Cakes with cranberry chutneyLecture #3: Lamb brochettes with chili glazeLecture #4: Chocolate Covered Strawberries

Cooking with Wine Humor Apron by CafePress $22 Great gift for the wine lover I really love cooking with wine. Sometimes I’ll even put in the food. Wine saying, quote. Red wine glass. Humor Apron Great in the kitchen or at the BBQ, our mid-length apron provides great coverage to help keep spills and splatters off your clothes. Makes a great gift for gourmets or grill-masters. Ties at neck and waist. Two center-stitched bottom compartment pouches f

Cooking with Wine Funny Sweatshirt by CafePress $39.5 Cooking with Wine Funny Sweatshirt Tee, TShirt, Shirt Warm up in our stylin’ Hanes Heavyweight 90/10 cotton/polyester sweatshirt. Thick but not bulky, for maximum comfort and durability whether you’re working out or hanging out. 10.1 oz. patented PrintPro174; fabric in a 90/10 cotton/polyester

Cooking With Wine Funny Apron by CafePress $22 Humorous wine apron, I like cooking with wine Funny Apron Great in the kitchen or at the BBQ, our mid-length apron provides great coverage to help keep spills and splatters off your clothes. Makes a great gift for gourmets or grill-masters. Ties at neck and waist. Two center-stitched bottom compartment pouches f

Cooking With Wine Funny Apron dark by CafePress $24.5 I Love To Cook With Wine, Sometimes I Even Put It In The Food t-shirts and gifts. This funny cooking quote makes a great gift for a wine lover. Please take a look at all our humorous wine products. Funny Apron dark Spice up conversations in the kitchen or around the BBQ with this tasty-looking apron made of high-quality cotton twill, it’s rugged and wears great too. Ideal for cooking, baking, grilling or bartending, it’s perfect for foodies of all sizes. Simply sl

Cooking with Wine Humor Women’s Light Pajamas by CafePress $39.5 Great gift for the wine lover I really love cooking with wine. Sometimes I’ll even put in the food. Wine saying, quote. Red wine glass. Humor Women’s Light Pajamas Get your beauty rest in style with this comfy women’s pajama set. These cozy pj’s come with your choice of a soft pink/black or white/black plaid flannel bottom, plus your choice of black or white tee top. The custom, personalized pajamas also make great

Cooking with Wine Funny Women’s T-Shirt by CafePress $22 Cooking with Wine Funny Women’s T-Shirt Tee, TShirt, Shirt Our 100% cotton Women’s tee is preshrunk, durable and guaranteed. 5.6 oz. 100% cotton. Standard fit.

Cooking With Wine Funny Framed Tile by CafePress $15 I Love To Cook With Wine, Sometimes I Even Put It In The Food t-shirts and gifts. This funny cooking quote makes a great gift for a wine lover. Please take a look at all our humorous wine products. Funny Framed Tile Set off our decorative ceramic tile in its own stylish stained wooden frame — the perfect way to complete a decorative gift or keepsake. Rounded edges and quality construction make this Framed Tile the ultimate wall accent. Frame measures 6qu

Cooking With Wine BBQ Funny Apron by CafePress $22 I Love To Cook With Wine, Sometimes I Even Put It In The Food t-shirts and gifts. This funny cooking quote makes a great gift for a wine lover. Please take a look at all our humorous wine products. Funny Apron Great in the kitchen or at the BBQ, our mid-length apron provides great coverage to help keep spills and splatters off your clothes. Makes a great gift for gourmets or grill-masters. Ties at neck and waist. Two center-stitched bottom compartment pouches f

Cooking With Wine Funny Women’s Tracksuit by CafePress $40 I Love To Cook With Wine, Sometimes I Even Put It In The Food t-shirts and gifts. This funny cooking quote makes a great gift for a wine lover. Please take a look at all our humorous wine products. Funny Women’s Tracksuit Our Womenrsquo;s Raglan Tracksuit is sporty, stylish and ultra-soft, so it feels great against the skin. The zip up hoodie is side-seamed for a shapely fit. The color coordinated sweatpants are destined to be your favorite pair, with a straight leg fit,

Cooking with Wine Funny Boxer Shorts by CafePress $16 Cooking with Wine Funny Boxer Shorts Enjoy the roomy comfort of our sexy boxers as underwear or sleepwear. They’re 100% cotton, open fly for thinking outside the boxers. Boxers, because you don’t want to be brief.. .

Cooking with Wine Funny Women’s Tank Top by CafePress $22 Cooking with Wine Funny Women’s Tank Top Sporty and sexy, wear our women’s tank top to beat the summer heat or workout in cool comfort. Our tank top is made of 100% combed ring spun cotton, and cut for a close, fashionable fit. Neck and armhole are carefully shaped to conceal a bra.6.1 o

Cooking with Wine Funny Framed Tile by CafePress $15 Cooking with Wine Funny Framed Tile Set off our decorative ceramic tile in its own stylish stained wooden frame — the perfect way to complete a decorative gift or keepsake. Rounded edges and quality construction make this Framed Tile the ultimate wall accent. Frame measures 6qu

Cooking with Wine BBQ Funny Apron by CafePress $22 Cooking with Wine Funny Apron Great in the kitchen or at the BBQ, our mid-length apron provides great coverage to help keep spills and splatters off your clothes. Makes a great gift for gourmets or grill-masters. Ties at neck and waist. Two center-stitched bottom compartment pouches f

Cooking with Wine Funny Hooded Sweatshirt by CafePress $45 Cooking with Wine Funny Hooded Sweatshirt Tee, TShirt, Shirt The hoodie: the perfect utilitarian piece of clothing. Leave your hat and scarf at home Stay warm and comfy in your Pullover Hooded Sweatshirt. This hoodie is constructed with a cotton/polyester blend – both durable and comfortable.Heavyweight 90

Cooking with Wine Funny White T-Shirt by CafePress $22 Cooking with Wine Funny White T-Shirt Tee, TShirt, Shirt The white t-shirt is a timeless classic for a reason; it should be a staple in every wardrobe. It is clean, simple, and durable. The best part is you can wear it with anything. This 100% cotton T-shirt is so comfortable you’ll want to wear it to bed.

Cooking With Wine Funny Large Mug by CafePress $18 I Love To Cook With Wine, Sometimes I Even Put It In The Food t-shirts and gifts. This funny cooking quote makes a great gift for a wine lover. Please take a look at all our humorous wine products. Funny Large Mug Super-size your favorite beverage or just size-up to avoid spills with our hefty, 15 oz. ceramic Large Mug. Large easy-grip handle. When you need more, mug it up. Measures 4.5 tall, 3.25 diameter. Dishwasher and microwave safe.

Cooking With Wine Funny Dark T-Shirt by CafePress $26 I Love To Cook With Wine, Sometimes I Even Put It In The Food t-shirts and gifts. This funny cooking quote makes a great gift for a wine lover. Please take a look at all our humorous wine products. Funny Dark T-Shirt Tee, TShirt, Shirt Don’t waste time deciding on which shirt to put on each morning. This dark shirt t-shirt will never go out of style and hides stains better too. This high-quality t-shirt is pre-shrunk and 100% cotton, which makes it both comfortable and durable.

Cooking With Wine BBQ Humor Apron by CafePress $22 If you love cooking with wine, get your t-shirt, mug or tote bag today. Humor Apron Great in the kitchen or at the BBQ, our mid-length apron provides great coverage to help keep spills and splatters off your clothes. Makes a great gift for gourmets or grill-masters. Ties at neck and waist. Two center-stitched bottom compartment pouches f

Cooking With Wine Humor Women’s Zip Hoodie by CafePress $39.5 If you love cooking with wine, get your t-shirt, mug or tote bag today. Humor Women’s Zip Hoodie It’s hip. And it zips. Which means you can look great and stay toasty-warm in this soft zip-up fleece hooded sweatshirt from Hanes. And when things heat up, it slips off with quick pull on the jam resistant zipper.8 oz. fleece blend 80% cotton/

Cooking With Wine Humor Dark T-Shirt by CafePress $26 If you love cooking with wine, get your t-shirt, mug or tote bag today. Humor Dark T-Shirt Tee, TShirt, Shirt Don’t waste time deciding on which shirt to put on each morning. This dark shirt t-shirt will never go out of style and hides stains better too. This high-quality t-shirt is pre-shrunk and 100% cotton, which makes it both comfortable and durable.

Fundamentals of Cooking $150 A 4-hour long intensively interactive experience, the Fundamentals of Cooking includes an Introduction and Philosophy of Cooking, Essential Tools of the Trade, and The Building Blocks of Technique, including everything from basic knife skills to knowing which cooking process to use to achieve any number of desired outcomes. Each member of the class will have the opportunity to cook alongside Chef, so get ready to get your hands dirty! By aiding in the preparation and execution of an array of essential recipes for any cook, you’ll walk away from this class feeling confident, creative, and ready to tackle surprising new things in the kitchen.Following this intensive and hands-on course, the class will wind down just like the pros, over a glass of wine and your delicious creations!

I love cooking with wine Funny Women’s Light T-Shirt by CafePress $22 I love cooking with wine, Sometimes I even put it in the food. Humorous T-shirts, mugs, aprons and other clothing and gifts for the wine lover. Funny Women’s Light T-Shirt Tee, TShirt, Shirt Our 100% cotton women’s tee is preshrunk, durable and guaranteed.5.6 oz. 100% cotton. Standard fit.

Cooking With Wine Funny Women’s Dark T-Shirt by CafePress $26 I Love To Cook With Wine, Sometimes I Even Put It In The Food t-shirts and gifts. This funny cooking quote makes a great gift for a wine lover. Please take a look at all our humorous wine products. Funny Women’s Dark T-Shirt Tee, TShirt, Shirt The women’s Dark T-shirt is comfortable, casual, and classy. The shirt is simple, flattering and will quickly become a favorite. The pre-shrunk 100% cotton is soft and durable.5.6 oz 100% cotton. Standard Fit.

Cooking With Wine Funny Women’s Light T-Shirt by CafePress $22 I Love To Cook With Wine, Sometimes I Even Put It In The Food t-shirts and gifts. This funny cooking quote makes a great gift for a wine lover. Please take a look at all our humorous wine products. Funny Women’s Light T-Shirt Tee, TShirt, Shirt Our 100% cotton women’s tee is preshrunk, durable and guaranteed.5.6 oz. 100% cotton. Standard fit.

Cooking with Wine Funny Long Sleeve T-Shirt by CafePress $32.5 Cooking with Wine Funny Long Sleeve T-Shirt Tee, TShirt, Shirt The most comfortable t-shirt ever Our 100% cotton, Hanes Beefy-T is preshrunk, durable and guaranteed. 6.1 oz. 100% luxuriously soft ring spun cotton . Standard fit. Ribbed sleeve cuffs.

Cooking With Wine Funny Long Sleeve Dark T-Shirt by CafePress $32.5 I Love To Cook With Wine, Sometimes I Even Put It In The Food t-shirts and gifts. This funny cooking quote makes a great gift for a wine lover. Please take a look at all our humorous wine products. Funny Long Sleeve Dark T-Shirt Tee, TShirt, Shirt Our Long Sleeve T-Shirt adds an extra element of style for a casual night out, or to keep the chill off. Made of 100% ringspun cotton for maximum comfort, put on your new favorite T-Shirt from a favorite, trusted name in t-shirts, Hanes.6.1 oz. 1

Cooking With Wine Humor Long Sleeve T-Shirt by CafePress $32.5 If you love cooking with wine, get your t-shirt, mug or tote bag today. Humor Long Sleeve T-Shirt Tee, TShirt, Shirt The most comfortable t-shirt ever Our 100% cotton, Hanes Beefy-T is preshrunk, durable and guaranteed. 6.1 oz. 100% luxuriously soft ring spun cotton . Standard fit. Ribbed sleeve cuffs.

I love cooking with wine BBQ Humor Apron by CafePress $22 Do you love cooking with wine? Maybe sometimes you even put it in the food Great gift for the frazzled chef. Humor Apron Great in the kitchen or at the BBQ, our mid-length apron provides great coverage to help keep spills and splatters off your clothes. Makes a great gift for gourmets or grill-masters. Ties at neck and waist. Two center-stitched bottom compartment pouches f

Got Wine Wine Apron dark by CafePress $24.5 Connoisseur or casual wine drinker, by the bottle or by the glass, got wine? Wine Apron dark Spice up conversations in the kitchen or around the BBQ with this tasty-looking apron made of high-quality cotton twill, it’s rugged and wears great too. Ideal for cooking, baking, grilling or bartending, it’s perfect for foodies of all sizes. Simply sl

Cooking Party In Your Home $495 Your friendly and knowledgeable instructor, Chef Mark Tafoya, will come to your home and teach a cooking class of your choosing for you and a group of family or friends. You’ll learn new techniques, cooking tips and tricks, and work on recipes of your own choosing. At the end of your party, you’ll feast of the delicious culinary creations you’ve made.Chef Mark will consult with you prior to your Cooking Party to craft a lesson perfectly tailored to your interests. Whether your group is comprised of cooking beginners, parents who cook for the family, or experienced cooks looking to take your technique to the next level, Chef Mark will design a lesson that will be fun and tasty.The lessons will be organized around a set of recipes, with each recipe serving as an example of techniques you’d like to learn or practice. Choose to learn about foods from around the world including French, Italian, Spanish, Southwestern, Thai, Vietnamese, Persian, Japanese, Greek, Moroccan and many more. Chef Mark will consult with you to customize the lesson plan to your liking, and can accommodate virtually any tastes you have.This class is ideal for a group of friends who want to have a fun time bonding in the kitchen while expanding your cooking technique.About the Chef: Chef Mark Tafoya is the co-owner and Executive Producer of the Culinary Media Network, and has been featured in the New York Times, USA Today, The Wall Street Journal, Fast Company, TheStreet.com, Time Out New York, Bon Appetit and the Fox Business Channel. Chef Tafoya, along with co-author Jennifer Iannolo, has published “The Gilded Fork: Entertaining at Home, A Year of Dinner Parties”, featuring 13 seasonal dinner party menus with recipes, wine pairing notes and chef’s tips.In addition to being an accomplished Chef, Mark Tafoya is a Yale graduate, is extremely personable, and will create a positive and relaxing evening for you and your guests.

Wine Lovester Wine Apron by CafePress $22 Spice up conversations in the kitchen or around the BBQ with this tasty-looking apron made of high-quality cotton twill, it’s rugged and wears great too. Ideal for cooking, baking, grilling or barte Wine Apron Great in the kitchen or at the BBQ, our mid-length apron provides great coverage to help keep spills and splatters off your clothes. Makes a great gift for gourmets or grill-masters. Ties at neck and waist. Two center-stitched bottom compartment pouches f

Don’t I look too young to be Pregnancy Apron dark by CafePress $24.5 GREAT GIFTS FOR EXPECTANT GRANDFATHERS. Pregnancy Apron dark Spice up conversations in the kitchen or around the BBQ with this tasty-looking apron made of high-quality cotton twill, it’s rugged and wears great too. Ideal for cooking, baking, grilling or bartending, it’s perfect for foodies of all sizes. Simply sl

In-Home Cooking Classes $559 Have fun with friends learning new kitchen skills and creating tasty dishes with the former Executive Chef for Andres, the most awarded and honored restaurant in Las Vegas.Prior to your evening, you will be able to discuss your preferences, any dietary concerns and the menu options.Crack open a bottle of wine, bring out your cutting board, roll up your sleeves and learn how to prepare, cook and present a three course meal. While you celebrate your new culinary creations and sit down to enjoy them, Chef will take care of cleaning the kitchen.

Cooking with Wine Ash Grey T-Shirt Funny Light T-Shirt by CafePress $22 Cooking with Wine Funny Light T-Shirt Tee, TShirt, Shirt This light t-shirt will be fashionable even after the zombie Apocalypse. In fact, this shirt might be the very reason you’ll survive said Apocalypse. The light color shows you aren’t worried about getting stains – and even if you were, those stains show t

BBQ Wine Apron by CafePress $22 Whether cooking in the kitchen, grilling on the backyard deck, or sipping wine at a party, this apron will catch all off your drips. Wine Apron Great in the kitchen or at the BBQ, our mid-length apron provides great coverage to help keep spills and splatters off your clothes. Makes a great gift for gourmets or grill-masters. Ties at neck and waist. Two center-stitched bottom compartment pouches f

In Vino Veritas Wine Apron dark by CafePress $24.5 In Vino Veritas with heraldic shield, wine glass, grapes and vines. Wine Apron dark Spice up conversations in the kitchen or around the BBQ with this tasty-looking apron made of high-quality cotton twill, it’s rugged and wears great too. Ideal for cooking, baking, grilling or bartending, it’s perfect for foodies of all sizes. Simply sl

Wine Diet Funny Apron dark by CafePress $24.5 Wine Counts As A Serving Of Fruit t-shirts and gifts. This funny fruit design makes a unique gift for a wine lover who is on a diet. Please take a look at all our humorous wine products. Funny Apron dark Spice up conversations in the kitchen or around the BBQ with this tasty-looking apron made of high-quality cotton twill, it’s rugged and wears great too. Ideal for cooking, baking, grilling or bartending, it’s perfect for foodies of all sizes. Simply sl

Wine Warning Funny Apron dark by CafePress $24.5 Warning The consumption of wine might cause you to think you can sing t-shirts and gifts. This funny warning makes a unique gift for a wine lover. Please take a look at all our wine humor products. Funny Apron dark Spice up conversations in the kitchen or around the BBQ with this tasty-looking apron made of high-quality cotton twill, it’s rugged and wears great too. Ideal for cooking, baking, grilling or bartending, it’s perfect for foodies of all sizes. Simply sl

Polish Toast Wine Vintage Apron dark by CafePress $24.5 Na Zdrowie, Polish Toast Wine t-shirts and gifts. This traditional Polish language toast design makes a great gift for a wine lover. Please take a look at all our Polish wine products. Vintage Apron dark Spice up conversations in the kitchen or around the BBQ with this tasty-looking apron made of high-quality cotton twill, it’s rugged and wears great too. Ideal for cooking, baking, grilling or bartending, it’s perfect for foodies of all sizes. Simply sl

Fall Grape Harvest Wine Apron dark by CafePress $24.5 Watercolor Print- Grape Harvest Wine Apron dark Spice up conversations in the kitchen or around the BBQ with this tasty-looking apron made of high-quality cotton twill, it’s rugged and wears great too. Ideal for cooking, baking, grilling or bartending, it’s perfect for foodies of all sizes. Simply sl

Wonderful Life Wine Apron dark by CafePress $24.5 Spice up conversations in the kitchen or around the BBQ with this tasty-looking apron made of high-quality cotton twill, it’s rugged and wears great too. Ideal for cooking, baking, grilling or bartending, it’s perfect for foodies of all sizes. Simply sl Wine Apron dark Spice up conversations in the kitchen or around the BBQ with this tasty-looking apron made of high-quality cotton twill, it’s rugged and wears great too. Ideal for cooking, baking, grilling or bartending, it’s perfect for foodies of all sizes. Simply sl

I’ve been boarded pregnancy Baby Women’s Tank Top by CafePress $22 Cute maternity shirt for any knocked up pirate wench I’ve been boarded with the jolly roger right over your baby bump. Adorable shower gift for anyone cooking a little caribbean pirate Baby Women’s Tank Top Sporty and sexy, wear our women’s tank top to beat the summer heat or workout in cool comfort. Our tank top is made of 100% combed ring spun cotton, and cut for a close, fashionable fit. Neck and armhole are carefully shaped to conceal a bra.6.1 o

I’ve been boarded pregnancy Baby Hooded Sweatshirt by CafePress $45 Cute maternity shirt for any knocked up pirate wench I’ve been boarded with the jolly roger right over your baby bump. Adorable shower gift for anyone cooking a little caribbean pirate Baby Hooded Sweatshirt Tee, TShirt, Shirt The hoodie: the perfect utilitarian piece of clothing. Leave your hat and scarf at home Stay warm and comfy in your Pullover Hooded Sweatshirt. This hoodie is constructed with a cotton/polyester blend – both durable and comfortable.Heavyweight 90

If You Don’t Like My Cooking… BBQ Humor Apron by CafePress $22 Let your guests know how to register a complaint about your cooking – just have another glass of wine What a perfect hostess or host gift this design would make, on an apron or coaster Humor Apron Great in the kitchen or at the BBQ, our mid-length apron provides great coverage to help keep spills and splatters off your clothes. Makes a great gift for gourmets or grill-masters. Ties at neck and waist. Two center-stitched bottom compartment pouches f

If You Don’t Like My Cooking… Humor White T-Shirt by CafePress $22 Let your guests know how to register a complaint about your cooking – just have another glass of wine What a perfect hostess or host gift this design would make, on an apron or coaster Humor White T-Shirt Tee, TShirt, Shirt The white t-shirt is a timeless classic for a reason; it should be a staple in every wardrobe. It is clean, simple, and durable. The best part is you can wear it with anything. This 100% cotton T-shirt is so comfortable you’ll want to wear it to bed.

If You Don’t Like My Cooking… Humor Women’s T-Shirt by CafePress $22 Let your guests know how to register a complaint about your cooking – just have another glass of wine What a perfect hostess or host gift this design would make, on an apron or coaster Humor Women’s T-Shirt Tee, TShirt, Shirt Our 100% cotton Women’s tee is preshrunk, durable and guaranteed. 5.6 oz. 100% cotton. Standard fit.

If You Don’t Like My Cooking… Humor Framed Tile by CafePress $15 Let your guests know how to register a complaint about your cooking – just have another glass of wine What a perfect hostess or host gift this design would make, on an apron or coaster Humor Framed Tile Set off our decorative ceramic tile in its own stylish stained wooden frame — the perfect way to complete a decorative gift or keepsake. Rounded edges and quality construction make this Framed Tile the ultimate wall accent. Frame measures 6qu

If You Don’t Like My Cooking… Humor Rectangle Magnet by CafePress $5 Let your guests know how to register a complaint about your cooking – just have another glass of wine What a perfect hostess or host gift this design would make, on an apron or coaster Humor Rectangle Magnet Add instant style to lockers, dorm rooms, workspace or the fridge while keeping your notes and reminders in view with an attention-grabbing Rectangle Magnet. Measures 2.125 x 3.125. Metal shell. Mylar/UV protecting cover.

Pregnancy Gift Set $98.95 An ideal gift for a pregnant relative or friend. Includes Mommy-to-be Milk Bath, Stretch Mark Oil and Back Rub Oil. Three essentials for any pregnancy, all wrapped up in a natural fiber gift bag.

I’ve been boarded pregnancy Baby Jr. Raglan by CafePress $28.5 Cute maternity shirt for any knocked up pirate wench I’ve been boarded with the jolly roger right over your baby bump. Adorable shower gift for anyone cooking a little caribbean pirate Baby Jr. Raglan Our Jr. Raglan from American Apparel is body contoured and baby soft. Made of 100% superfine combed cotton baby rib, this raglan provides the perfect look for any season. 5.8 oz. 100% Ultra-fine combed ring spun 1×1 baby rib cotton. Size up

I’ve been boarded pregnancy Baby Jr. Jersey T-Shirt by CafePress $22.25 Cute maternity shirt for any knocked up pirate wench I’ve been boarded with the jolly roger right over your baby bump. Adorable shower gift for anyone cooking a little caribbean pirate Baby Jr. Jersey T-Shirt Tee, TShirt, Shirt Turn heads in this hot, hip, curve-hugging tee from American Apparel. Made of ultra-fine, ring-spun cotton, it gets softer with each washing. Lightweight for summer comfort or winter layering, it39;s a casual, effortless way to ensure you39;re stylin

Snail Wine Funny Tile Coaster by CafePress $10 Snail, cooking, plate, wine, glass, kitchen, chess, funny, crown, black, orange, red, art nouveau motifs Funny Tile Coaster Liven up any room or party with our fun, hip tile coasters, measuring 4.25 x 4.25 and 1/6-inch thick. Images are applied with a polyester resin that accepts dye as part of the coating. Four felt pads protect your furniture from scratches. Dish

Will run for wine Sports Apron dark by CafePress $24.5 Show your love of running with a distressed vintage looking will run for wine t-shirt Sports Apron dark Spice up conversations in the kitchen or around the BBQ with this tasty-looking apron made of high-quality cotton twill, it’s rugged and wears great too. Ideal for cooking, baking, grilling or bartending, it’s perfect for foodies of all sizes. Simply sl

Wine and Pizza Sex / relationships Apron by CafePress $22 Italian cooking apron featuring wine and pizza Sex / relationships Apron Great in the kitchen or at the BBQ, our mid-length apron provides great coverage to help keep spills and splatters off your clothes. Makes a great gift for gourmets or grill-masters. Ties at neck and waist. Two center-stitched bottom compartment pouches f

Fine Wine Birthday Apron dark by CafePress $24.5 A nice ripe bunch of grapes hangs from colorful birthday balloons with the words: quot;My age? If I was wine you couldn’t afford me.quot; Great gift for that older, mature, perfectly ripe birthday b Birthday Apron dark Spice up conversations in the kitchen or around the BBQ with this tasty-looking apron made of high-quality cotton twill, it’s rugged and wears great too. Ideal for cooking, baking, grilling or bartending, it’s perfect for foodies of all sizes. Simply sl

Wine Trixie BBQ Humor Apron by CafePress $22 Do you chug wine while cooking ? well here’s the apron for you, be an attraction in the kitchen. Humor Apron Great in the kitchen or at the BBQ, our mid-length apron provides great coverage to help keep spills and splatters off your clothes. Makes a great gift for gourmets or grill-masters. Ties at neck and waist. Two center-stitched bottom compartment pouches f

Expecting Pregnancy Pregnancy Women’s Tank Top by CafePress $22 Expecting Pregnancy Pregnancy Women’s Tank Top Sporty and sexy, wear our women’s tank top to beat the summer heat or workout in cool comfort. Our tank top is made of 100% combed ring spun cotton, and cut for a close, fashionable fit. Neck and armhole are carefully shaped to conceal a bra.6.1 o

Expecting Pregnancy Pregnancy Hooded Sweatshirt by CafePress $45 Expecting Pregnancy Pregnancy Hooded Sweatshirt Tee, TShirt, Shirt The hoodie: the perfect utilitarian piece of clothing. Leave your hat and scarf at home Stay warm and comfy in your Pullover Hooded Sweatshirt. This hoodie is constructed with a cotton/polyester blend – both durable and comfortable.Heavyweight 90

Your Pregnancy Week by Week: First Trimester $10.47 Your Pregnancy Week by Week is the most medically current and comprehensive pregnancy guide available….

Your Pregnancy Week by Week: Third Trimester $10.47 Your Pregnancy Week by Week: Third Trimester is the most medically current and comprehensive pregnancy guide available….

Your Pregnancy Week by Week: Second Trimester $10.47 Your Pregnancy Week by Week: Second Trimester is the most medically current and comprehensive pregnancy guide available….

Expecting Pregnancy Pregnancy Jr. Raglan by CafePress $28.5 Expecting Pregnancy Pregnancy Jr. Raglan Our Jr. Raglan from American Apparel is body contoured and baby soft. Made of 100% superfine combed cotton baby rib, this raglan provides the perfect look for any season. 5.8 oz. 100% Ultra-fine combed ring spun 1×1 baby rib cotton. Size up

Bun in the oven Pregnancy Pregnancy Jr. Raglan by CafePress $28.5 Bun in the oven Adorable Pregnancy Fun Tee Pregnancy Jr. Raglan Our Jr. Raglan from American Apparel is body contoured and baby soft. Made of 100% superfine combed cotton baby rib, this raglan provides the perfect look for any season. 5.8 oz. 100% Ultra-fine combed ring spun 1×1 baby rib cotton. Size up

Pregnancy Teddy Bear by CafePress $18 We hope that these products will help your little angel’s brothers, sisters in the grieving process. Pregnancy and Infant Loss Awareness. Stillbirth. SIDS. Miscarriage. Ectopic Pregnancy. Pregnancy Teddy Bear Our plush bear is a cutie in his own message-bearing t-shirt and festive red and blue ribbons. Here’s a great gift for Valentine’s Day, baby showers, birthdays, get well-wishes, a pair of wedding bears, or any reason you dream up. Put a smile on someone’s

Pregnancy Bib by CafePress $12 We hope that these products will help your little angel’s brothers, sisters in the grieving process. Pregnancy and Infant Loss Awareness. Stillbirth. SIDS. Miscarriage. Ectopic Pregnancy. Pregnancy Bib Eeewww Baby, Baby Itrsquo;s okay to make a mess in our easy-wash 100% cotton bib. It provides great upper body coverage to protect babyrsquo;s clothes. The sturdy closure makes this one-size bib fit newborns to 36 months. 100% jersey cotto

Toasting Wine Lobster Funny Apron dark by CafePress $24.5 Spice up conversations in the kitchen or around the BBQ with this tasty-looking apron made of high-quality cotton twill, it’s rugged and wears great too. Ideal for cooking, baking, grilling or bartending, it’s perfect for foodies of all sizes. Simply sl Funny Apron dark Spice up conversations in the kitchen or around the BBQ with this tasty-looking apron made of high-quality cotton twill, it’s rugged and wears great too. Ideal for cooking, baking, grilling or bartending, it’s perfect for foodies of all sizes. Simply sl

White Wine Goddess Humor Apron dark by CafePress $24.5 Spice up conversations in the kitchen or around the BBQ with this tasty-looking apron made of high-quality cotton twill, it’s rugged and wears great too. Ideal for cooking, baking, grilling or bartending, it’s perfect for foodies of all sizes. Simply sl Humor Apron dark Spice up conversations in the kitchen or around the BBQ with this tasty-looking apron made of high-quality cotton twill, it’s rugged and wears great too. Ideal for cooking, baking, grilling or bartending, it’s perfect for foodies of all sizes. Simply sl

Cheese amp; Wine Funny Apron dark by CafePress $24.5 Spice up conversations in the kitchen or around the BBQ with this tasty-looking apron made of high-quality cotton twill, it’s rugged and wears great too. Ideal for cooking, baking, grilling or bartending, it’s perfect for foodies of all sizes. Simply sl Funny Apron dark Spice up conversations in the kitchen or around the BBQ with this tasty-looking apron made of high-quality cotton twill, it’s rugged and wears great too. Ideal for cooking, baking, grilling or bartending, it’s perfect for foodies of all sizes. Simply sl

Beginner’s Guide into the World of Wine: Wine $7.97 Wine expert and broadcaster, John Radford, shows you the basics of wine. Also discover why there’s a large markup on wine, and also sample the delights of Bulgarian wine….

Precious Cargo Inside Pregnancy Pregnancy Women’s T-Shirt by CafePress $22 Precious Cargo Inside Pregnancy Pregnancy Women’s T-Shirt Tee, TShirt, Shirt Our 100% cotton Women’s tee is preshrunk, durable and guaranteed. 5.6 oz. 100% cotton. Standard fit.

Bun in the oven Pregnancy Pregnancy Women’s T-Shirt by CafePress $22 Bun in the oven Adorable Pregnancy Fun Tee Pregnancy Women’s T-Shirt Tee, TShirt, Shirt Our 100% cotton Women’s tee is preshrunk, durable and guaranteed. 5.6 oz. 100% cotton. Standard fit.

I’ve been boarded pregnancy Women’s Pink T-Shirt Baby Women’s Light T-Shirt by CafePress $22 Cute maternity shirt for any knocked up pirate wench I’ve been boarded with the jolly roger right over your baby bump. Adorable shower gift for anyone cooking a little caribbean pirate Baby Women’s Light T-Shirt Tee, TShirt, Shirt Our 100% cotton women’s tee is preshrunk, durable and guaranteed.5.6 oz. 100% cotton. Standard fit.

WINE MAKING Women Apron dark by CafePress $24.5 Crushing of the grapes. Art work by Kathleen Gwinnett Women Apron dark Spice up conversations in the kitchen or around the BBQ with this tasty-looking apron made of high-quality cotton twill, it’s rugged and wears great too. Ideal for cooking, baking, grilling or bartending, it’s perfect for foodies of all sizes. Simply sl

Expecting Pregnancy Pregnancy Women’s Long Sleeve T-Shirt by CafePress $32.5 Expecting Pregnancy Pregnancy Women’s Long Sleeve T-Shirt Tee, TShirt, Shirt Our 100% cotton, women’s long sleeve tee is preshrunk, durable and guaranteed. Constructed of mid-weight jersey, it’s just the right weight for layering. Side seamed construction provides a perfect shape, for a contoured but loose fit.5.5 oz. 10

Wine Sack-Moka Collection $14.95 Wine Sack-Moka Collection

Wine Sack-St Tropez $14.95 Wine Sack-St Tropez

Midwife’s Hand Pregnancy Mug by CafePress $15 Spread the beauty of this ancient woman support during pregnancy and birth Pregnancy Mug The perfect size for your favorite morning beverage or late night brew. Large, easy-grip handle. Treat yourself or give as a gift to someone special. Measures 3.75 tall, 3 diameter. Dishwasher and microwave safe.

Pregnancy Toddler T-Shirt by CafePress $12 We hope that these products will help your little angel’s brothers, sisters in the grieving process. Pregnancy and Infant Loss Awareness. Stillbirth. SIDS. Miscarriage. Ectopic Pregnancy. Pregnancy Toddler T-Shirt Tee, TShirt, Shirt Our 100% cotton toddler tee will look great on your little ones.5.5 oz. 100% cotton. Standard fit.

Pregnancy Ringer T by CafePress $22.25 The Ringer T has made a fashion comeback, and ours is a popular favorite. This classic style is sure to impress even the most discerning t-shirt connoisseur with an eye for retro-coolness. Great for relaxing in comfort year-round.5.5 oz. 100% pres Pregnancy Ringer T The Ringer T has made a fashion comeback, and ours is a popular favorite. This classic style is sure to impress even the most discerning t-shirt connoisseur with an eye for retro-coolness. Great for relaxing in comfort year-round.5.5 oz. 100% pres

Pregnancy Bumper Sticker by CafePress $5 ‘Abortion does NOT make you un-pregnant. It just makes you the mother of a Dead Baby.’ Spoken by a woman who regretted her abortion. A strong pro-life message for Right-to-Life activists. Pregnancy Bumper Sticker Tell the world how you feel Our bumper stickers are perfect for expressing yourself while cruising down the highway or just for posting on the wall. Measures 10 x 3. Printed on 4mil vinyl using water and UV resistant inks -

Pregnancy Oval Sticker by CafePress $5 Our stickers are printed on 4mil vinyl using water and UV resistant inks 150; meaning no fading in the sun or bleeding in the rain. Measures 3quot; x 5quot; oval Printed on durable 4mil vinyl Pregnancy Oval Sticker Our stickers are printed on 4mil vinyl using water and UV resistant inks 150; meaning no fading in the sun or bleeding in the rain. Measures 3 x 5 oval. Printed on durable 4mil vinyl.

Pregnancy Hooded Sweatshirt by CafePress $45 The hoodie: the perfect utilitarian piece of clothing. Leave your hat and scarf at home Stay warm and comfy in your Pullover Hooded Sweatshirt. This hoodie is constructed with a cotton/polyester blend – both durable and comfortable.Heavyweight 90 Pregnancy Hooded Sweatshirt Tee, TShirt, Shirt The hoodie: the perfect utilitarian piece of clothing. Leave your hat and scarf at home Stay warm and comfy in your Pullover Hooded Sweatshirt. This hoodie is constructed with a cotton/polyester blend – both durable and comfortable.Heavyweight 90

Pregnancy Mug by CafePress $15 The perfect size for your favorite morning beverage or late night brew. Large, easy-grip handle. Treat yourself or give as a gift to someone special. Measures 3.75 tall, 3 diameterDishwasher and microwave safe Pregnancy Mug The perfect size for your favorite morning beverage or late night brew. Large, easy-grip handle. Treat yourself or give as a gift to someone special. Measures 3.75 tall, 3 diameter. Dishwasher and microwave safe.

Pregnancy iPad Case by CafePress $39.5 Pad the iPad. This new protective case for the iPad is a cool cover that brings originality and personality to devices. Perfect for iPad lovers, these hard cases help safeguard iPads from scratches and damage.Applereg; and iPadreg; are trademarks Pregnancy iPad Case Pad the iPad. This new protective case for the iPad is a cool cover that brings originality and personality to devices. Perfect for iPad lovers, these hard cases help safeguard iPads from scratches and damage.. Applereg; and iPadreg; are trademarks

Pregnancy Sweatshirt by CafePress $39.5 Warm up in our stylin’ Hanes Heavyweight 90/10 cotton/polyester sweatshirt. Thick but not bulky, for maximum comfort and durability whether you’re working out or hanging out. 10.1 oz. patented PrintPro174; fabric in a 90/10 cotton/polyester Pregnancy Sweatshirt Tee, TShirt, Shirt Warm up in our stylin’ Hanes Heavyweight 90/10 cotton/polyester sweatshirt. Thick but not bulky, for maximum comfort and durability whether you’re working out or hanging out. 10.1 oz. patented PrintPro174; fabric in a 90/10 cotton/polyester

A Guide to Wine $20.29 Actor and wine expert Julian Curry has devised a unique audiobook guide to wine which takes the listener to the heart of winemaking and wine drinking in a clear but light-hearted manner.

Pregnancy Jr. Hoodie by CafePress $34 A fashion must that defines today39;s hip style, our Jr. Hoodie is a body-loving curve-hugger. From American Apparel, get into baby soft 100% super fine-combed cotton fleece. Front zipper, hood and pockets to keep the chill off. Pre-washed 7.2 Pregnancy Jr. Hoodie A fashion must that defines today39;s hip style, our Jr. Hoodie is a body-loving curve-hugger. From American Apparel, get into baby soft 100% super fine-combed cotton fleece. Front zipper, hood and pockets to keep the chill off. Pre-washed 7.2

Pregnancy Baseball Jersey by CafePress $32.5 Our 100% cotton Baseball Jersey is a sporty hit with both men and women whether you’re in the game or just looking the part in great run-around casual-wear. Choose red, blue or black sleeves. 6.1 oz. 100% heavyweight cottonStandard f Pregnancy Baseball Jersey Our 100% cotton Baseball Jersey is a sporty hit with both men and women whether you’re in the game or just looking the part in great run-around casual-wear. Choose red, blue or black sleeves. 6.1 oz. 100% heavyweight cotton. Standard f

Pregnancy Framed Tile by CafePress $15 Set off our decorative ceramic tile in its own stylish stained wooden frame — the perfect way to complete a decorative gift or keepsake. Rounded edges and quality construction make this Framed Tile the ultimate wall accent. Frame measures 6qu Pregnancy Framed Tile Set off our decorative ceramic tile in its own stylish stained wooden frame — the perfect way to complete a decorative gift or keepsake. Rounded edges and quality construction make this Framed Tile the ultimate wall accent. Frame measures 6qu

Pregnancy Journal by CafePress $11 Scribble important stuff – lyrics, recipes, addresses, and more. Our Wire-O bound, 160 page journal has your choice of papers and measures 5 x 8, a handy on-the-go size to fit in your backpack. Get creative and let the muse flow. Back cove Pregnancy Journal Scribble important stuff – lyrics, recipes, addresses, and more. Our Wire-O bound, 160 page journal has your choice of papers and measures 5 x 8, a handy on-the-go size to fit in your backpack. Get creative and let the muse flow. Back cove