An exclusive “Ask the Expert” Q&A session with the esteemed medical oncologist from Memorial Sloan Kettering Cancer Center, Dr. Tiffany Traina, a luminary in the field of oncology, particularly in the battle against TNBC.

Below is a summary of the discussion with Dr. Traina.

For those navigating life after early-stage triple-negative breast cancer (TNBC) treatment, a thoughtful blend of ongoing screening, genetic testing, lifestyle adjustments, and integrative therapies can provide both reassurance and resilience. Here, we explore expert recommendations for post-treatment support, from evidence-based medical options to complementary therapies and lifestyle choices.

1. Genetic Testing for Targeted Follow-Up Care

• Patients with multiple occurrences of TNBC should consider genetic testing for BRCA1 and BRCA2 mutations. This information can offer insight into cancer risk and the potential need for additional screenings, such as ovarian cancer. Genetic testing provides valuable data that can help patients make informed decisions about their health.

2. Bone Health for Post-Menopausal Patients

• Research suggests that post-menopausal women undergoing TNBC treatment may benefit from bone-directed therapies like zoledronic acid, which can improve survival rates and reduce the likelihood of recurrence in bones. Given twice annually over three to five years, it’s essential to consult healthcare providers for suitability and to monitor bone density levels regularly.

3. Lifestyle Adjustments for Cancer Prevention

• Diet: A diet focused on plant-based foods, with limited meat intake, has been associated with better health outcomes. Maintaining a healthy body weight also plays a role in reducing recurrence risk.
• Exercise: Weight-bearing exercises are beneficial not only for bone strength but also for cardiovascular health and overall wellbeing.
• Alcohol Consumption: Moderation is key, as high alcohol consumption correlates with increased cancer risk. Experts suggest staying below five to seven drinks per week.

4. Exploring Clinical Trials for Complementary Therapies

• Patients interested in integrative medicine can participate in clinical trials that study lifestyle and complementary therapies like acupuncture, shown to alleviate side effects from anti-estrogen therapies. Such studies allow the medical community to validate and potentially broaden insurance coverage for effective, non-traditional interventions.

5. Integrative Oncology and Reliable Resources

• Major cancer centers, such as Memorial Sloan Kettering, offer integrative oncology programs and virtual resources. Patients can benefit from online access to evidence-based information on supplements and herbs, with Memorial Sloan Kettering’s “About Herbs” database standing out as a helpful tool for patients exploring complementary health options.

These integrative approaches underscore the importance of a well-rounded, personalized strategy for breast cancer survivors, helping them to take proactive steps toward long-term health.

For anyone considering new interventions, consulting with healthcare professionals remains essential, ensuring that every approach aligns with individual health needs and current treatments.