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Fortunately for many women, once an initial tumor has been detected and surgically removed, there is little chance of tumor recurrence. With the use of radiation, systemic chemotherapy, or tamoxifen the risk of recurrence may be further reduced. A number of women, however, will have tumors that recur either locally (in the treated breast or breast wall) or at a distance (in the form of metastatic disease).At one time the fear of tumor recurrence led many physicians to advocate radical mastectomies or modified radical mastectomies to patients initially diagnosed with breast cancer, in the hope of eliminating the tumor totally and preventing tumor recurrence. We now know that lumpectomies or partial mastectomies often are equally effective in completely removing the primary tumor.If another breast cancer develops after a lumpectomy or partial mastectomy, it may be a recurrence of the original tumor or it may be a new and unrelated cancer. If such a tumor develops on the chest wall outside the normal breast tissue or adjacent to the mastectomy site, it is likely that the original cancer has recurred.Unfortunately, there is then a high risk that the cancer will spread to other parts of the body.*36\320\2*

#1 AND #21  porterhouse steak per person, approximately 16 ounces with bone, yielding approximately 8 ounces of meatLarge baked potato with sour cream and cheddar cheese and butterFrozen string beans with butter or margarine Salad (with packaged salad dressing) Tea or coffee No dessertDINNER #22 boned and skinned chicken breasts stuffed with chopped mushrooms, zucchini and mozzarella cheese (two per person) Brown riceSalad with packaged salad dressing Tea or coffee No dessertThe calorie count on Dinner # 1 is slightly over 1,400; Dinner #2 is about 700. Incredible difference for two very similar meals, isn’t it? My husband could probably lose weight by cutting out snacks and eating dinners like #2. Or I could refine Dinner #2 slightly, reducing it by 100 to 150 calories.Empty CaloriesThere are two types of calories that are so sneaky you hardly realize you are eating them: hidden calories and empty calories. Hidden calories are the ones that are in regular, everyday foods—but you don’t suspect they are there, unless you are sophisticated at calorie-counting. A steak has more calories than the average eater would ever guess. Look at Dinner # 1 and Dinner #2, and see the difference those hidden calories can make.*62/243/1*