Care for adults

Dr. Jay Harris discusses the link between radiation therapy for breast cancer and heart disease

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By Robert Levy

In a recent study, Oxford University researchers reported that although radiation therapy is a critical tool for the treatment of women with breast cancer, it can also raise their risk of a heart attack or heart disease later in life. The study was based on a review of medical records of 2,168 women in Sweden and Denmark who received radiation therapy for breast cancer between 1958 and 2001, and who were under age 70 at the time.

News coverage of the study, published in the New England Journal of Medicine, has drawn new attention to the heart risks associated with radiation therapy even as it underscores such therapy’s role in improving survival rates for breast cancer patients.

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Why Should I Get a Colonoscopy? (Colorectal Cancer)

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Colonoscopy exams get a bad rap. Even though such exams are brief and painless, many people fear and avoid them. Roughly one third of Americans for whom the exams are recommended are not getting them. Yet colonoscopy is one of the most effective of all cancer prevention methods. As many as 60% of colon cancer deaths could be … Read more

What Happens If You’re Allergic to Your Chemo Drugs?

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Before Oct. 31, 2012, I would have probably guessed that desensitization was a process invented by mental health professionals to make really sensitive people less sensitive. I might have inquired about the cost to put my four-year-old son through “desensitization” so that he wouldn’t throw such a fit when he lost a game of knee hockey in our basement.

Now I know that desensitization is a life-saving process necessary to treat cancer patients like me.

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Do BRCA Mutations Increase a Woman’s Lifetime Cancer Risk?

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By Judy Garber, MD, MPH

We know that women who inherit harmful mutations in the genes BRCA1 or BRCA2 have a sharply increased risk of developing breast and/or ovarian cancer at an early age (prior to menopause). In fact, women with inherited BRCA1 or 2 mutations are about five times more likely to develop breast cancer — and at least 10 times more likely to develop ovarian cancer — than women without such mutations, according to the National Cancer Institute.

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The Power of Listening to Cancer Patients

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By Melissa Cochran, MS, NP

For my cancer patients, a stem cell transplant is a life-changing event. They cannot work outside the home for a full year; visits to Dana-Farber are about the only excursions allowed. No more trips to the grocery store or dinners at a favorite restaurant.

In our clinic, we have a solid team in place – physicians, nurses, social workers, and nurse practitioners like myself – working together to support and anticipate each cancer patient’s needs along the way. As you can imagine, significant physical and emotional issues can arise for our patients.

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Mental Fog, Chemotherapy Side Effect, Is Real and Often Treatable

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Not long ago, doctors were often skeptical when cancer patients who had undergone chemotherapy complained that they were mentally foggy; unable to plan a week’s worth of meals or organize their finances as they could before. Patients called this side effect “chemobrain” and were frustrated by the lack of recognition – or suggested remedies – from their physicians.

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Finding a Way to Help Cancer Patients – Again and Again

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Bob Hurkett doesn’t know what became of the little girl he first heard of in 1998, but he thinks about her often. She was 5 years old and needed a bone marrow transplant. Hurkett and his wife, Jane, attended a donor drive hosted by the girl’s family where their blood was drawn and tested as a possible match.

Neither was a match but Hurkett felt compelled to help. When he learned about the need for platelets – which are vitally important for cancer patients as a means of replacing their own depleted supplies, as well as for trauma victims and other critically ill adults and children –he volunteered to donate.

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Better Coverage for Oral Chemo: Why It Matters

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When Gov. Deval Patrick signed an oral chemotherapy parity bill into law on January 5, Massachusetts joined more than 20 states requiring health plans to cover oral cancer pills at a rate no less favorable than standard intravenous (IV) chemotherapy. The new law tells insurers that they cannot require higher patient costs for oral chemotherapy, and it helps ensure that all forms of chemotherapy are accessible and affordable to Massachusetts cancer patients.

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Exercise During Cancer: Getting Started

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“How soon can I start exercising after I start cancer treatment?” It’s a question I hear often from patients who visit me for a fitness consult or class at Dana-Farber.

My answer? “As soon as possible.”

While it may seem counterintuitive, exercise offers key benefits for cancer patients – even those undergoing difficult treatments. In fact, it’s one of the best ways to give yourself an extra boost during and after cancer treatment.

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Can Breast Cancer Patients Avoid Multiple Surgeries?

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When Jane Davis was diagnosed with breast cancer last July, she began learning as much as she could about her disease. Davis quickly discovered one of the most startling statistics about breast cancer: Up to 40 percent of women who have a lumpectomy require a second surgery. That’s because surgeons often cannot microscopically remove the entire tumor.

But Mehra Golshan, MD, FACS, director of Breast Surgical Services at Dana-Farber/Brigham and Women’s Cancer Center, is trying to change that with a phase I breast surgery pilot study. It’s the first of its kind in the world.

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Proton Therapy No Better Than Traditional Therapy for Prostate Cancer Patients

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This post was originally published in December 2012.

When it comes to treating prostate cancer, proton radiotherapy (PRT) is no better than traditional intensity-modulated radiation therapy (IMRT), according to a new study reported in the Journal of the National Cancer Institute on Friday.

PRT is an advanced but expensive treatment option for some prostate cancer patients. However, the researchers found that the therapy offers no added treatment benefit than the standard therapy. The article concluded: “Although PRT is substantially more costly than IMRT, there was no difference in toxicity in a comprehensive cohort of Medicare beneficiaries with prostate cancer at 12 months post-treatment.”

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Coping with the Holidays When Grief Is New

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It’s hard to believe that the holidays are upon us – again. The stores are overflowing with holiday goods as families gear up for their celebrations.

However, if someone you love has recently died, thinking about the holidays may bring you anguish. What were once happy times might now fill you with tremendous sadness and heartache. You may even wish that this year, you could skip the holidays all together.

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Does Breast Density Affect Mammogram Results?

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While there are genetic and lifestyle risks for breast cancer, some may not realize that breast density also plays a significant role in risk for the disease.  Breasts are considered dense if they are mostly made up of glandular and fibrous tissue and not much fat. Breast density can be seen only on a mammogram; the firmness of breasts is … Read more