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Dense Breast Tissue

Giving Thanks: An Inventory of Gratitude for Each Year since my Advanced Stage Breast Cancer Diagnosis

Nancy M. Cappello, Ph.D. | Posted 11.18.2016 | Healthy Living
Nancy M. Cappello, Ph.D.

My stay-at-home mom and my blue collar dad, a navy veteran, were models of gratitude. Consequently, there was no room in the 'Marcucci' household for...

Breast Backwards: From One Size Fits All To Personalized Breast Cancer Screening After My Advanced Stage Breast Cancer Diagnosis

Nancy M. Cappello, Ph.D. | Posted 10.10.2016 | Healthy Living
Nancy M. Cappello, Ph.D.

There are multiple occasions when I discover just the perfect top only to be disappointed that its one size fits all did not fit ME. This is exactly w...

Providing Hispanic/Latina Educational Resources For Optimal Breast Health: Honoring My Hispanic Heritage

Nancy M. Cappello, Ph.D. | Posted 09.14.2016 | Impact
Nancy M. Cappello, Ph.D.

Breast cancer is the leading cause of cancer deaths in Hispanic/Latina women as they are more likely to be diagnosed with advanced stage breast cancer compared to the white non-hispanic population.

An Inconvenient Truth: Implementing Solutions To Screening The Dense Breast To Avoid Winners And Losers

Nancy M. Cappello, Ph.D. | Posted 08.01.2016 | Healthy Living
Nancy M. Cappello, Ph.D.

Until the breast screening community embraces tailored screening for women with dense breast tissue to reduce risk of advanced disease, preventable fatalities will continue.

Protecting the Patient-Consumer From Later-Stage Cancer: Learning From Connecticut's Breast Density Laws

Nancy M. Cappello, Ph.D. | Posted 03.12.2017 | Healthy Living
Nancy M. Cappello, Ph.D.

Connecticut radiologists, once in opposition to density reporting laws, have demonstrated through its data in clinical settings what has been in the literature for more than two decades.

Shared Decision Making a Fantasy as Task Force Recommendations Put Women With Dense Breast Tissue at Risk for Undetected Cancers

Nancy M. Cappello, Ph.D. | Posted 01.18.2017 | Healthy Living
Nancy M. Cappello, Ph.D.

Despite touting the importance of shared decision making and empowering patients with information about benefits and harms of preventive services, the...

Back to the Future With Breast Density

Nancy M. Cappello, Ph.D. | Posted 12.09.2016 | Healthy Living
Nancy M. Cappello, Ph.D.

In 2004, I was diagnosed with advanced stage 3C breast cancer. My 2.5 cm tumor, illuminated on ultrasound, was invisible by mammogram. Stunned that m...

The Collateral Damage of Being at Average Risk of Breast Cancer and Having Dense Breasts

Nancy M. Cappello, Ph.D. | Posted 10.28.2016 | Healthy Living
Nancy M. Cappello, Ph.D.

A woman cannot participate in shared decision making about her values and preferences of screening without weighing the pros and cons of over-diagnosis, false positives and missed positives.

Beyond the Mammogram: 11 Awareness Facts I Discovered After My Advanced Breast Cancer Diagnosis

Nancy M. Cappello, Ph.D. | Posted 09.25.2016 | Healthy Living
Nancy M. Cappello, Ph.D.

In recognition of my 11 years engulfed in patient breast health advocacy, I present 11 Awareness Facts that, at the time of my diagnosis, were unaware to me.

Breast Cancer Screening: Of Chances and Choices

David Katz, M.D. | Posted 09.11.2016 | Healthy Living
David Katz, M.D.

A sardonic insight by Bertrand Russell deftly, if disturbingly, conveys much of what is wrong in the realm of modern health promotion, particularly wh...

The Juggling Act of a Caregiver

Nancy M. Cappello, Ph.D. | Posted 08.24.2016 | Healthy Living
Nancy M. Cappello, Ph.D.

Caregiving, while rewarding, can be overwhelming especially when the emotional connection to a spouse or parent is difficult to extricate from their day-to-day personal care needs.

This Breast Density Troublemaker Goes to Japan: The Impact of Shaking Up the Status Quo

Nancy M. Cappello, Ph.D. | Posted 07.23.2016 | Healthy Living
Nancy M. Cappello, Ph.D.

Since the shock of my advanced-stage breast cancer diagnosis in 2004, I have relentlessly focused on empowering women with information about the strongest predictor of mammography missing cancer: dense breast tissue.

Breast Density Disclosure: A Pro-Choice and Pro-Life Movement

Nancy M. Cappello, Ph.D. | Posted 06.17.2016 | Healthy Living
Nancy M. Cappello, Ph.D.

Decisions about such a personal issue as breast cancer screening must be informed by best evidence and include the patient's risks, her breast tissue composition, and her personal choice and preferences, even if her choices collide with her health care provider's preferences

USPSTF Draft Guidelines Get a D for Being Dense

Nancy M. Cappello, Ph.D. | Posted 05.15.2016 | Healthy Living
Nancy M. Cappello, Ph.D.

Inflating over-diagnosis claims to trump the detection of an invasive cancer and bemoaning the disclosure of a woman's dense breast tissue and discussions with health care providers about adjunctive screening will likely increase mortality.

The Fog of Density: A Perfect Storm to Improve Breast Cancer Screening

Nancy M. Cappello, Ph.D. | Posted 05.10.2015 | Healthy Living
Nancy M. Cappello, Ph.D.

Tragically, a cancer missed by mammography, typically found by palpation, most likely will result in advanced disease. Women need this critical breast health information as they discuss their personal screening with health care providers.

Do You Know Your Breast Density?

Jennifer Owens | Posted 12.09.2014 | Healthy Living
Jennifer Owens

Don't be dense about your breast density. While 19 states require your mammogram report to note your breast density, the majority do not. At your next screening, ask a simple question: "Am I dense?"

Mammography: Just Some of the Facts, Ma'am

Nancy M. Cappello, Ph.D. | Posted 06.18.2014 | Healthy Living
Nancy M. Cappello, Ph.D.

Physicians have an ethical responsibility to truthfully communicate the current scientific facts with their patients. Additionally, they need to listen to and respect patients' preferences even when it may collide with their own preferences.

What Happens in Vegas... Is Exposed!

Nancy M. Cappello, Ph.D. | Posted 06.01.2014 | Healthy Living
Nancy M. Cappello, Ph.D.

One can hardly talk about Las Vegas without including the word "breasts" to describe some of the razzle-dazzle scantily-clad entertainment. Bombarded...

Being Less Dense About Breast Cancer Screening

David Katz, M.D. | Posted 11.13.2013 | Healthy Living
David Katz, M.D.

A false sense of security from a "normal" mammogram in a woman with dense breast tissue is just the kind of trouble we want to avoid. And while mammograms save lives, they have limitations- and the best screening programs account for them.