How to Tell Your Children You Have Cancer

For many parents, their first concern after a cancer diagnosis is the impact it will have on their children. There’s a lot of medical information to digest and decisions to be made, including how and when to tell your children.

There are good reasons talk to your children as soon as possible after your diagnosis. No matter their age, children will realize something is wrong; they may discover the truth accidentally from someone else, and it’s better if you can present the information in an honest and hopeful manner.

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One Year After My Stem Cell Transplant — What I’ve Learned

by Martha Laperle

When my son Ryan ran the Boston Marathon this year, I watched him with a special level of pride. Not only had he completed his first-ever marathon in four hours, but he was running, in large part, because of me.

Just over a year earlier, at the age of 57, I had been diagnosed with an aggressive form of acute myeloid leukemia (AML), a diagnosis that turned my life upside down and led to weeks of chemotherapy and a stem cell transplant at Dana-Farber/Brigham and Women’s Cancer Center (DF/BWCC). Ryan was running to raise funds for the Leukemia & Lymphoma Society and had received nearly $11,000 in pledges.

Barely a minute after Ryan crossed the finish line, the area shook with explosions.

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Drinking in Early Adulthood Can Increase Breast Cancer Risk

Women who believe that drinking moderate amounts of alcohol won’t increase their risk of breast cancer may want to think again.

Last year, Wendy Chen, MD, of the Susan F. Smith Center for Women’s Cancers at Dana-Farber and her colleagues published a study showing that women who drank as little as three to six glasses of wine or other alcoholic beverages a week increased their breast cancer risk by about 15 percent.

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Ask the Expert: Questions and Answers about Ovarian Cancer

Dana-Farber Cancer Institute recently partnered with CancerConnect and Ursula Matulonis, MD, to answer questions about ovarian cancer. Experts in the Susan F. Smith Center for Women’s Cancers offer the latest research and treatment for this type of cancer. Watch one patient’s story.

Q: Is taking curcumin recommended to prevent ovarian cancer from returning? Do you have any other suggestions for preventing recurrence?

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When Should My Daughter Get Her First Pap Test?

By Sarah Feldman, MD, MPH

Pap testHealthy young women should get their first Pap test at age 21. If that test is normal, they should have additional Pap tests every three years. If they have symptoms such as abnormal bleeding or are found to have an abnormality on their cervix during an exam, they may need a diagnostic Pap for cervical cancer earlier. Immunosuppressed women should start Pap testing with the onset of sexual activity, then repeat annually.

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What is the Difference Between Palliative Care and Hospice?

Although the terms are often used interchangeably, palliative care and hospice care differ in several important ways for cancer patients – most notably, the stage of treatment at which they are given. Both types of care focus on relieving patients’ pain and discomfort, whether caused by the cancer itself or the side effects of treatment. … Read more

Dating and Cancer 101

SWF, Bald, Undergoing Chemo and Radiation…

Oh yeah, isn’t that the first profile you would click on if you were searching for the love of your life or even just a new ‘friend’ online? Dating in itself – or, I should say, finding someone to date – is never easy. Finding someone when you happen to be bald, going through chemo and/or making daily trips to the hospital for radiation makes it a zillion times more complicated. I know. I’ve tried it.

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Chemotherapy Related Neuropathy: Managing this Nerve Wracking Problem

While chemotherapy can kill cancer cells, certain chemotherapy drugs can also cause an uncomfortable and distressing condition that may produce numbness, tingling, and discomfort in the arms or legs. This condition, known as peripheral neuropathy (CIPN), can make it difficult for people to perform day-to-day activities.

Although there is no sure prevention for CIPN, there are ways to control the pain and minimize its effects on quality of life, says Cindy Tofthagen, PhD, ARNP, an assistant professor of nursing at the University of South Florida and post-doctoral fellow at Dana-Farber and the University of Massachusetts.

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Cancer Patient Redefines Strength

By Stacey Carroll

Watch Stacey Carroll describe how she got her strength back.

In my mental dictionary, strength had to do with will power and physical ability, and I believed I was strong according to my definition. I’ve been in the US Army for 20 years, served as a Commander twice, had been to Iraq and seen the brutality of war, kick-boxed in competitions, and worked as an ICU nurse.

Diagnosed with breast cancer during my tour in Iraq, I received my care at Dana-Farber/New Hampshire Oncology-Hematology. I never envisioned the type of strength I would need.  My definition had to be altered.

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Confronting the Mental Challenges of Cancer Treatment

by Richard Saltus

Living with cancer is a physical and emotional challenge, but people may also find it hampers their thought processes and memory. Often the deficits are temporary, but sometimes they persist or appear months or years later as delayed effects.

Cognitive difficulties, says Clare Humphreys, PhD, a neuropsychologist at Brigham and Women’s Hospital, “are caused not just by the direct effect of cancer, but also the effects of treatment, as well as factors like pain, disrupted sleep, anxiety, and depression.”

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Tips for Talking to Your Children About Genetic Test Results

There are many decisions parents face after testing for genetic cancer risk, including whether to tell their children and how to approach the conversation.

If you decide to talk to your children about the test results, allow yourself some time to process the information; you want to be calm and clear when you talk with them. Remember that you know your children best and there are no set rules for talking to kids about genetic tests.

You also may want to talk with your spouse and decide whether you would like to speak with the children together or individually. It is good to be aware that sometimes spontaneous discussion opportunities arise – such as driving a child to school or practice – when a child asks a question that can disrupt parents’ plans for informing them, but can feel like a natural way for the topic to come up and be talked about.

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Research in Advanced Ovarian Cancer Shows Promise

By Ursula Matulonis, MD

After a long period of slow progress, new knowledge about the genetics of ovarian cancer is leading to the development and testing of new therapies.

Researchers at the Susan F. Smith Center for Women’s Cancers will soon be launching several phase 3 clinical trials testing drugs known as PARP inhibitors for patients with platinum-sensitive recurrent ovarian cancer – tumors that initially responded to platinum-based chemotherapy agents but have shown evidence of regrowth at least six months after treatment. Phase 3 trials test drugs in large numbers of patients to evaluate the drugs’ effectiveness as well as safety. PARP inhibitors work by blocking one of the pathways by which tumor cells repair their damaged DNA.

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Outsmart Your Genes: Understanding BRCA1/2 Cancer Risk

When Angelina Jolie underwent a preventative double mastectomy earlier this year, this issue of cancer risk and genetics made front-page headlines. Jolie, who announced the operation in a New York Times op-ed, tested positive for the BRCA1 gene mutation and learned she had an 87 percent risk of developing breast cancer.

Jolie’s announcement left many women wanting to know more: What is a gene mutation? Should I undergo genetic testing? What should I do if my tests are positive?

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Exercise Can Help Fight Cancer Fatigue

Cancer-related fatigue is one of the most common complaints among cancer patients and survivors. This type of weariness, which typically occurs during treatment or in the first year after, is particularly difficult because it can last for long periods of time and doesn’t go away after sleep or rest.

A growing body of research shows that cancer patients who get regular exercise report feeling less tired.

If you’re interested in starting an exercise routine to address fatigue, consider these tips:

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Living with Stage IV Ovarian Cancer

Medically reviewed by Ursula Matulonis, MD

By Maura Perkins

I can’t pinpoint when I started to get ovarian cancer symptoms. It was all very subtle and gradual. I was a healthy person. I ran, biked swam, hiked, and went to the gym regularly.

A slight pain in my left side, difficulty digesting food, feeling of fullness, and shortness of breath: those were the subtle constellation of symptoms that landed me in my primary care doctor’s office. At the age of 50, I felt like I was going downhill fast.

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What Should I Expect for my PET/CT Scan?

Patients undergo different types of scanning procedures to produce detailed images of potential cancer growth. Depending on the cancer, physicians may use MRI, mammography, CT, PET/CT or other technologies.

While some of these procedures use only x-rays or radio waves to create images, a PET/CT scan uses a combination of traditional x-rays and computer imaging. A radioactive substance similar to glucose is given to the patient, and because cancer cells tend to use more glucose than normal cells, PET/CT scans can help detect the biological activity of those cancer cells.

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