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erikalewis325.jpgBy Erika Archer Lewis

Twenty years ago, while a college senior, I spent weekends commuting from Austin to Houston to care for my 42-year-old mother. She was battling an aggressive form of stage 4 breast cancer and was told her odds for survival were less than 20%. After witnessing first-hand her intense, four-year battle that included chemotherapy, radiation, bone marrow extraction, a mastectomy and breast reconstruction, I wondered for years if and when breast cancer might strike me.

A family history of breast cancer
When my young, healthy, active mother was diagnosed with breast cancer, there was no pattern of women with breast cancer in her family history. But shortly after she was diagnosed, her cousin was diagnosed with the same cancer, even in the same breast. Since that time, there have been four other women on my maternal grandmother's side of the family who have struggled with or lost their lives to breast cancer.

In late 2013, after a series of suspicious mammograms, ultrasounds, an MRI, and three biopsies, I wondered if I was doomed by the pattern within my family that had reared its ugly head decades before. With recent advances in technology and medicine, I learned there was a simple blood test for identifying genetic mutations for breast and ovarian cancer, BRCA 1 and 2. I felt an overwhelming need to know if I had what felt like a ticking time bomb inside my chest.

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By Robert Bresalier, M.D.

Colorectal cancer is the third most common cancer in both men and women in the United States, and the third leading cause of cancer death.

Colorectal cancer develops in the colon or rectum, and grows slowly. In 2014, there will be an estimated 141,000 new colorectal cancer cases in the United States and 49,000 related deaths.  But colorectal cancer is preventable and curable when detected early.

Here are my top four tips to help lower your risks for colorectal cancer:

Tip 1: Get screened for colorectal cancer
Screening remains the most important method to prevent colorectal cancer. People at average risk, age 50 and older, should get a colonoscopy every 10 years. A colonoscopy enables your doctor to detect potentially cancer-causing lesions or polyps early, and remove them.

By Katrina Burton

MD Anderson is standing by a recommendation that women 40 years old and older receive annual mammograms, despite a recent study that raised controversy regarding breast cancer screening.

"We are not recommending that women change their screening practices," says Therese Bevers, M.D., medical director of MD Anderson's Cancer Prevention Center. "We stand by our guidelines that recommend women have annual mammograms beginning at age 40 and continue to be screened as long as they are in good health."

But a study by the Canadian National Breast Screening says annual mammography in women ages 40-59 does not reduce mortality from breast cancer and mammography screening should be revisited.

The results of the study, published in the BMJ Journal on Feb. 11, are in direct contrast to the U.S. Preventive Services Task Force recommendation that  women should begin annual mammograms starting at age 50, and of guidelines by MD Anderson, the American Cancer Society and others that call for annual breast cancer screening to begin at age 40.

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For Terry Arnold, the decision to undergo genetic testing was simple. A triple-negative inflammatory breast cancer survivor, she wanted her children to have the warning she never had.

"By having this testing I'm protecting my family," Terry says. "Now, we have the smoke alarm."

Terry is a mother of five -- three girls and two boys -- ranging in ages from 19 to 31, and a grandmother of five. Genetic testing for the BRCA gene could let those future generations know if they are at risk for breast and ovarian cancers. 

She received the results in November 2013.

"Mutated gene 5385insc-BRCA 1," the report said. That meant her children could have the gene as well.

Facing new questions after genetic testing
Terry's daughters plan to undergo genetic testing soon. Her sons are considering testing to see if they carry the gene. 

At 24-years-old, Terry's daughter Veronica says her mom's results have inspired her to schedule mammograms and cancer screenings.

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By Liz Hill

 

Living in southern Louisiana, my family learned to endure the heat, humidity and sun. But we struggled when it came to protection from its effects, especially sunburns.

 

My mom was a redheaded, blue-eyed, extremely fair-skinned woman. She had her fair share of sun exposure as a child. As an adult, after several basal and squamous skin cancer scares, she realized the value of sunscreen and, really, just avoidance of the sun. She passed those values on to me since I have reddish hair, blue/green eyes and extremely fair skin.

 

My mother's malignant melanoma diagnosis

Mom had a growth on her face that had been examined by a local dermatologist many times, but my mom had been advised not to worry about it. 

Lung cancer screening - low-dose spiral CT scan

When a massive clinical trial about lung cancer screening shows a benefit to current and former smokers, why can it take so long to become accessible for most people?

A draft recommendation by a federal task force in favor of using low-dose CT scans to screen past and current heavy smokers for lung cancer provides insight about the time lag.

The recommendation says that low-dose spiral CT lung cancer screening is only appropriate for those who:

• Are 55 to 80 years old

• Have a 30-pack-year history of smoking (which translates to 1 pack of cigarettes a day for 30 years, 2 packs a day for 15 years, etc.)

• Smoke or have quit smoking within the past 15 years

"The U.S. Preventive Services Task Force's recommendation is a great step forward for this life-saving screening," says Reginald Munden, M.D., professor of Diagnostic Radiology.

Health insurance companies expected to cover CT lung cancer screening for smokers
The task force carefully sorts the pros and cons of a preventive procedure before recommending for or against. Its rulings are highly influential, so both governmental and private health insurers tend to wait for its recommendations before deciding whether to pay for a procedure, Munden says.

The task force's recommended B rating for the procedure, subject to a comment period that ends Aug. 26, is significant. Right now, 95% of the people who want screening have to pay for it out-of-pocket, because only two health insurance companies cover it. Medicare and Medicaid don't reimburse for it, but the task force's recommendation is expected to change that.

"The implications are huge," says Therese Bevers, M.D., medical director of MD Anderson's Cancer Prevention Center. "Health plans, under the Affordable Care Act, are required to cover any screening or service given an A or B rating by the U.S. Preventive Services Task Force. They're not only required to cover it, but to cover it without any co-payment or deductible so the patient is able to get this at no out-of-pocket cost."

active man

One in two men will be diagnosed with cancer during their lifetime. And, one in six men will be diagnosed with prostate cancer, the second leading cause of cancer-related deaths in American men, just behind lung cancer.

So, what can men do to protect themselves from cancer? We recently spoke with John Papadopoulos, M.D., assistant professor of Urology. He works at the MD Anderson Regional Care Center in Katy.

Here's what Dr. Papadopoulos had to say.

What are some easy tips for men to help men prevent cancer?

There are a lot of things men can do to protect themselves from cancer:

  • Avoid tobacco - even celebratory cigars - and limit alcohol to no more than two drinks per day.
  • Maintain a healthy weight and stay physically active each day.
  • Maintain a healthy diet. Make fruits and vegetables the biggest part of every meal and go easy on the meat. Limit the amount of red meat you eat to 18 oz. week and avoid processed meats like hot dogs and pepperoni. 
  • Wear sunscreen and practice sun safety. 
  • See a doctor regularly and get the screening exams you need. Many men avoid seeing a doctor because they're afraid, but if you do have a chronic disease like cancer, diabetes or heart disease, the earlier we catch it, the easier it will be to treat. 

Keep in mind that doing these things doesn't guarantee you won't get cancer. But living a healthy lifestyle can put you in fighting shape if you do develop cancer.

READ: Men: Health for your age

What cancer screening exams do men need? And, when should most men start screening?

Most men need both a prostate exam (digital rectal exam and PSA test) and a colonoscopy starting at age 50. This is the appropriate age for screening if you don't have a family history (father, son, brother) of prostate or colon cancer and you're not African American, which can make you more likely to develop these cancers.

Megan what to expect photo.JPGBy Megan Silianoff

As a blogger and cancer survivor, I'm knowledgeable about various topics. My favorite television shows, for example, are an area of my expertise. I'm also very good at shopping and can navigate my favorite mall with poise and purpose.

And, when I got my latest mammogram earlier this month, I was reminded that I'm also an expert at getting this important screening exam.

So, first, I'll tell you this: While mammograms can be life-saving, they aren't fun. But learning about them "David Letterman" style could be. (Which is telling of my expertise in watching talk shows.)

10. Plan to wait in a separate waiting room.

I've had mammograms in a number of different hospitals, and they all have separate waiting rooms for people getting mammograms.

Immediately upon checking in for your appointment, they'll call you back, and you'll think, "I'm going to be in and out of here," but that's not necessarily the case. You're actually just getting called to sit in a different waiting room. This is important to know if someone plans to go with you because you won't see them throughout the entire process.

March is National Colorectal Cancer Awareness Month. That means it's a great time to think about scheduling a colonoscopy if needed.

Colorectal cancer, cancer of the colon and rectum, is the third most common type of cancer in the United States, not counting skin cancers. But many early stage colon cancers can be prevented through a colonoscopy.

According to Gottumukkala S. Raju, M.D., professor in the Department of Gastroenterology, cancer begins as benign polyps within the colon and develops into cancer over years when left untreated, mainly because they are undetected without a colonoscopy.

little_miss_sunshine_how_kyssi_kicked_cancers_butt_usethisone.JPGKhyrstin Andrews -- better known as Kyssi -- has never met a stranger.

Whether she's waiting for an appointment or receiving treatment, this outgoing four-year-old is full of smiles and personality. Kyssi comforts and befriends everyone she meets, so much that some might call her a hometown celebrity. In fact, it's not unusual for one of her more than 30,000 Facebook followers -- most of them total strangers -- to recognize her around MD Anderson and go up to speak with her.

Kyssi, usually dressed in head-to-toe pink Hello Kitty, sunglasses on top of her head, loves posing for pictures. "She doesn't like to cover up her bald head," says her mother Marla. "Instead, she wears it proud."

"Her big bright smile is now her best accessory."

Kyssi's Wilms' Tumor diagnosis
But as her mom also will tell you, "Kyssi's journey hasn't always been joyful."

Kyssi was diagnosed with Wilms' Tumor, a rare kidney cancer that affects children, on May 1, 2012 -- her father's birthday. She'd had no symptoms until she began urinating blood.

healthier holiday dessert recipes.JPGWhether you're celebrating Hannukah, Christmas or Kwanzaa, no holiday celebration is complete without dessert.

Sure, holiday treats are usually loaded with fat, sugar and calories galore. But they don't have to be. 

Add a dash of health to your holiday treats by whipping up these dessert recipes from our new online cookbook.

Whole wheat snickerdoodles
We've trimmed fat and sugar from this popular cinnamon cookie without sacrificing flavor. Even better, our recipe replaces the usual white flour with whole wheat flour -- a good source of cancer-fighting dietary fiber.

Date truffles
Looking for a quick, elegant treat? With just six ingredients, these date truffles fit the bill.

And, here's some more good news: the dates are rich in disease-fighting antioxidants. Plus, the almonds and walnuts in this recipe deliver omega-3 fatty acids, cancer-fighting vitamin E, magnesium and fiber.

After a series of contentious debates about the value of the prostate-specific antigen, or PSA test as it's widely known, the U.S. Preventive Services Task Force (USPSTF) has issued its final recommendation.  The latest ruling recommends against the test for all men who do not exhibit symptoms of prostate cancer.

The test measures a protein in the blood, which is produced by the prostate gland, and when combined with other factors like age, race and family history, can help guide physicians in determining whether there is reason for a biopsy to screen for evidence of disease.

For years, the test has been credited for saving the lives of men who were otherwise healthy and exhibited no signs of cancer, yet it's also led to unnecessary and harmful treatments in others. This is the crux responsible for stirring passionate discourse among physicians, regulators, patients and families.

Therese Bevers, M.D., professor in the Department of Clinical Cancer Prevention, said the new guidelines are likely to cause confusion and stress MD Anderson believes each patient should have an individualized conversation with their physician.


"We're very concerned with this recommendation against screening for all men because there are some small, but definite benefits associated with prostate cancer screening," Bevers said. "Men should have the option of having access to these benefits as long as they fully understand the harms associated with screening."

Learn more about prostate cancer and the PSA test.

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