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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Swim Across America Events Help Fund Research for Young Cancer Survivors

During a child’s cancer therapy and recovery process, insomnia can often be viewed as only a side effect in the scope of treatment-related symptoms.

However, there are many physical and psychological implications that develop when a child does not sleep well, says Eric Zhou, PhD, a clinical psychology fellow in Dana-Farber’s David B. Perini, Jr. Quality of Life Clinic.

Zhou, who is also a research fellow at Harvard Medical School, has spent the last year studying treatments for insomnia in adolescent and young adult cancer survivors through Dana-Farber’s Swim Across America Fellowship.

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An Overview of Lymphoma Therapy

More than 70 years ago, two pharmacologists began looking at mustard gas as a possible treatment for lymphoma. The chemical, used during World War I, lowered blood counts and destroyed lymph nodes in soldiers who were exposed to the gas.

Two decades after the war, a thoracic surgeon named Gustav Lindskog used nitrogen mustard to successfully treat a patient with non-Hodgkin’s lymphoma.

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Revisiting Cancer Care in Rwanda: One Year Later

By Lori Buswell, RN

I recently returned from a three-month rotation as a nurse fellow at a comprehensive cancer center at Butaro Hospital in Rwanda, a tiny African country known as the “land of a thousand hills.” The hospital, built and operated by the Ministry of Health and Partners In Health, is located in a rural, mountainous area where most residents are farmers. Because most homes do not have running water, people fill up 5-gallon jugs at the local water spigot.

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Making Fertility Decisions Post-Diagnosis

Liz Moroney celebrated her 23rd birthday in an unusual place — at a fertility clinic. Liz, a recent college graduate, wanted to plan for having children before it was too late.

Diagnosed with Hodgkin’s lymphoma in June 2010, she spent 4 months in chemotherapy treatment in New York. Afterward, she and her reproductive endocrinologist watched her fertility numbers dwindle over a year of visits. Her endocrinologist was skeptical of the effectiveness of fertility treatment; So, too, was Liz.

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Avastin Helps Patients with Glioblastomas, Doctors Say

The drug Avastin, when added to initial therapy for glioblastoma, can give patients a few extra months’ reprieve before their brain tumors start growing again, but does it make their quality of life better – or worse?

That’s a matter of heated debate for doctors – and confusion for patients – after two large clinical trials reported conflicting results at the annual American Society of Clinical Oncology (ASCO) conference in June. Some experts contend that Avastin lacked sufficient benefit for use as an “upfront” treatment for glioblastomas – the most common and aggressive brain tumors.

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What You Should Know about Palliative Care

Palliative care is often misunderstood. People may associate it with end-of-life care or “giving up” – especially when facing a serious health challenge like cancer. But palliative care may not be what you think, and you shouldn’t be afraid to ask for it. Here’s a closer look at what palliative care is – and isn’t.

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Classes Help Survivors Move Beyond Cancer

Dana-Farber celebrates cancer survivorship in June with Living Proof, an annual series of events that includes workshops and programs as well as a keynote reception on June 20.

The end of treatment is an important milestone for any cancer patient, but it can also be a time of anxiety. In fact, some new cancer survivors say leaving the routine of regular visits with their health care team can be downright scary. That’s why Dana-Farber and other leading cancer centers offer programs to help survivors transition from active treatment to living well beyond cancer.

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