Most people know that colorectal screening is on the “to do” list when they reach 50 years of age, barring any high risk concern for where screening would begin earlier. Screening saves lives and prevents many colon cancers. With the increase in public awareness and availability of colonoscopy screening, the rates of colon and rectal cancers have been declining and survival rates increasing for people between the ages of 50 and 74. This is great news for our mature population, but a recent study indicates a concerning trend of increased risk of colorectal cancer in young people, ranging from ages 20 to 34 and 35-49 year olds.
When I was a surgical resident, I donated 150 ounces of breastmilk to a woman I’d never met, a woman who had undergone a bilateral mastectomy for cancer. It was an easy decision – I had more than I could use, she had none that she could provide. This experience became a major one in my decision to specialize in breast surgery. The dichotomy of breasts fascinated me. Breasts are highly sexualized, yet the source of comfort and food to babies. Breasts can make life-sustaining milk, and they can develop a cancer in up to 1 in 8 women that can be life-threatening. It is no wonder that society’s relationship with breasts and breastfeeding is complicated.
I have had many patients (too many) in my practice who were young and pre-childbearing, or even pregnant or breastfeeding at the time of diagnosis. Most experience the same terror that Ms. Wax-Thibodeux felt. Many choose bilateral mastectomies, prioritizing their health and a minimization of future risk. I also care for young women with benign breast disease, that still require surgical biopsies. I do discuss the potential impact of any surgery on breastfeeding. For a lot of women, this is a side effect they hadn’t even considered. It often does not ultimately change their mind about their own most appropriate surgical choice, but there can be a pause. A moment where they consider what that means, when they reconcile themselves to that consequence, when they have the moment to grieve. Unfortunately, I suspect that not all of my colleagues do this. I wasn’t ever trained to discuss it. We spent more time, significantly more time, discussing ...
Swedish Cancer Institute and Seattle Radiology have been screening for lung cancer by low dose CT scan since 2000 as Principal Investigators in the International Early Lung Cancer Action Program, an international screening registry. This program, in addition to the large National Lung Screening Trial by the National Cancer Institute and several other international lung screening research trials, has been instrumental in delivering the need for lung cancer screening to the forefront and addressing this dreadful cancer in a complete face off. This research has clearly demonstrated an ability to significantly improve survival and save lives by early detection of lung cancer through routine low dose CT scan imaging.
Nearly a year ago the United States Preventive Services Task Force made a formal Grade B recommendation for lung cancer screening, by low dose CT scan, in high-risk people. People ..
The Movember movement began ...
Today, I can provide them with even greater evidence that the techniques that we use today are safer and have less risk of cardiac injury. According to a study published in the October 1, 2014 issue of the International Journal of Radiation Oncology • Biology • Physics (Red Journal), the official scientific journal of the American Society for Radiation Oncology (ASTRO), the survival from breast cancer is the same regardless of whether you were treated with radiation to your left or right breast mound.
Many studies over many decades have shown that breast cancer patients treated with radiation therapy have improved local-regional recurrence, and breast cancer-specific survival after breast-conserving surgery and overall survival (OS) after mastectomy. The media has focused its attention on long-term follow-up of historic radiation therapy trials for breast cancer which demonstrated a potential increase in cardiac mortality. However, these studies used earlier modes of radiation therapy including Cobalt and orthovoltage radiotherapy, and did not employ CT-based planning, which allows for greater cardiac avoidance. Three recent studies suggest that ....
Can physical activity help treat or prevent lung cancer? According to a 2007 study presented at the American Association for Cancer Researcher’s 6th Annual International Conference on Cancer Prevention, the answer is yes!
Physical activity is linked with a lower risk of developing lung cancer. The benefits of physical activity extended to men, women, current smokers, former smokers and never smokers. The activities did not require hours a day or an expensive gym membership. Even gardening twice a week reduced the risk of developing lung cancer.
A growing body of research shows that it is safe for patients with lung cancer to exercise before, during and after treatment. Pulmonary rehabilitation programs have