1) Kevin Braunschweiger was diagnosed with prostate cancer at age 45 and was more concerned about potential impacts to his sex life than death.
2) Early detection is key for genital-pelvic cancers like prostate and testicular cancer. However, many men delay seeking treatment due to embarrassment or fears over impotence and incontinence from surgery.
3) Braunschweiger opted for brachytherapy seed implantation instead of surgery after learning the procedure had similar effectiveness with less risk of side effects. While surgery offers a higher cure rate, radiation allows additional treatment if the initial treatment fails. Early detection and treatment are important for genital cancers.
The newsletter provides information on upcoming conferences, recent literature on breast cancer and other topics, and a commentary on the use of a 21-gene recurrence score assay to guide treatment decisions for early-stage breast cancer. It also lists literature on topics like coffee consumption and breast cancer risk, neoadjuvant chemotherapy for triple-negative breast cancer, and a historical account of breast cancer surgery.
The document discusses the evolution of colposcopy terminology and standards. It notes that terminology and techniques vary widely in different settings, making it difficult to compare outcomes and practices. The development of standardized terminology and rigorous training programs, like those in the UK, can help improve colposcopic accuracy and consistency between providers. The document also reviews studies on how factors like lesion size and excision dimensions may impact outcomes. It introduces new terminology for describing findings like the transformation zone type and ridge sign.
This document summarizes key findings about HPV natural history and HPV testing for cervical cancer screening. It was found that HPV infection is very common but rarely leads to cancer. While persistent HPV infection can cause cervical cancer after 10-15 years, many cofactors are also involved in cancer development. Studies showed that HPV becomes undetectable within 2 years for most women. HPV testing was found to detect more pre-cancer than pap smears but also detected more lesions that may regress. HPV testing allows longer screening intervals for HPV-negative women and better protection against cancer compared to pap smears alone. While HPV testing is more effective, implementing new screening strategies poses challenges where pap smear systems are already in place.
This document discusses the terminology used for preinvasive cervical lesions. It begins with definitions of dysplasia and provides a historical review of terminology, including carcinoma in situ (CIS) and cervical intraepithelial neoplasia (CIN). It then describes the 2001 Bethesda System for cervical cytology reporting and the Lower Anogenital Squamous Terminology (LAST) project. The LAST project aimed to create a unified histopathological nomenclature for HPV-associated preinvasive lesions across anatomical sites, recommending a two-tiered system of low-grade squamous intraepithelial lesions (LSIL) and high-grade squamous intraepithelial lesions (HSIL).
1 prof james bently cervical cancer screening 2014Tariq Mohammed
This document discusses options for cervical cancer screening including visual inspection with acetic acid (VIA), cervical cytology, HPV testing, and combinations of tests. It reviews the strengths and limitations of different screening methods and highlights priorities for efficient, low-cost screening in low-resource settings. Optimal screening may involve initial HPV testing at age 35 with reflex cytology for positives and cytology follow-up of negatives before longer interval rescreening.
2 prof james bently differentiating high and low gradeTariq Mohammed
1) Differentiating between high grade (CIN 2/3) and low grade (CIN 1) cervical lesions is important for treatment decisions.
2) Colposcopic features that suggest high grade lesions include coarse mosaicism, irregular blood vessels, thick opaque white epithelium, well-demarcated ridges, and papillary configurations with sharp borders.
3) Low grade lesions typically have features like a transient whitening with acetic acid, fine punctation, ill-defined margins, and peripheral or small sizes.
Cancer screening may discover many dormant, regressing, or slowly progressing tumors that would not have affected the screened individuals. Such findings with there therapies are obviously harmful. This lecture is highly based on the book "over diagnosed" by H. Gilbert Welch and was presented in 2013 to KFSH-Dammam physicians
Asccp management guidelines august 2014 ppt. Dr. Sharda Jain /Dr Jyoti Agarw...Lifecare Centre
Updated Consensus
American society of Colpscopy & cervical pathology
Guidelines 2014for Managing forAbnormal Cervical Cancer Screening Test and Cancer Precursors
Dr. Sharda Jain /Dr Jyoti Agarwal / dr. Jyoti Bhasker
The newsletter provides information on upcoming conferences, recent literature on breast cancer and other topics, and a commentary on the use of a 21-gene recurrence score assay to guide treatment decisions for early-stage breast cancer. It also lists literature on topics like coffee consumption and breast cancer risk, neoadjuvant chemotherapy for triple-negative breast cancer, and a historical account of breast cancer surgery.
The document discusses the evolution of colposcopy terminology and standards. It notes that terminology and techniques vary widely in different settings, making it difficult to compare outcomes and practices. The development of standardized terminology and rigorous training programs, like those in the UK, can help improve colposcopic accuracy and consistency between providers. The document also reviews studies on how factors like lesion size and excision dimensions may impact outcomes. It introduces new terminology for describing findings like the transformation zone type and ridge sign.
This document summarizes key findings about HPV natural history and HPV testing for cervical cancer screening. It was found that HPV infection is very common but rarely leads to cancer. While persistent HPV infection can cause cervical cancer after 10-15 years, many cofactors are also involved in cancer development. Studies showed that HPV becomes undetectable within 2 years for most women. HPV testing was found to detect more pre-cancer than pap smears but also detected more lesions that may regress. HPV testing allows longer screening intervals for HPV-negative women and better protection against cancer compared to pap smears alone. While HPV testing is more effective, implementing new screening strategies poses challenges where pap smear systems are already in place.
This document discusses the terminology used for preinvasive cervical lesions. It begins with definitions of dysplasia and provides a historical review of terminology, including carcinoma in situ (CIS) and cervical intraepithelial neoplasia (CIN). It then describes the 2001 Bethesda System for cervical cytology reporting and the Lower Anogenital Squamous Terminology (LAST) project. The LAST project aimed to create a unified histopathological nomenclature for HPV-associated preinvasive lesions across anatomical sites, recommending a two-tiered system of low-grade squamous intraepithelial lesions (LSIL) and high-grade squamous intraepithelial lesions (HSIL).
1 prof james bently cervical cancer screening 2014Tariq Mohammed
This document discusses options for cervical cancer screening including visual inspection with acetic acid (VIA), cervical cytology, HPV testing, and combinations of tests. It reviews the strengths and limitations of different screening methods and highlights priorities for efficient, low-cost screening in low-resource settings. Optimal screening may involve initial HPV testing at age 35 with reflex cytology for positives and cytology follow-up of negatives before longer interval rescreening.
2 prof james bently differentiating high and low gradeTariq Mohammed
1) Differentiating between high grade (CIN 2/3) and low grade (CIN 1) cervical lesions is important for treatment decisions.
2) Colposcopic features that suggest high grade lesions include coarse mosaicism, irregular blood vessels, thick opaque white epithelium, well-demarcated ridges, and papillary configurations with sharp borders.
3) Low grade lesions typically have features like a transient whitening with acetic acid, fine punctation, ill-defined margins, and peripheral or small sizes.
Cancer screening may discover many dormant, regressing, or slowly progressing tumors that would not have affected the screened individuals. Such findings with there therapies are obviously harmful. This lecture is highly based on the book "over diagnosed" by H. Gilbert Welch and was presented in 2013 to KFSH-Dammam physicians
Asccp management guidelines august 2014 ppt. Dr. Sharda Jain /Dr Jyoti Agarw...Lifecare Centre
Updated Consensus
American society of Colpscopy & cervical pathology
Guidelines 2014for Managing forAbnormal Cervical Cancer Screening Test and Cancer Precursors
Dr. Sharda Jain /Dr Jyoti Agarwal / dr. Jyoti Bhasker
Ovarian cancer has a poor prognosis because it is often diagnosed at an advanced stage. Screening average risk women is not recommended as randomized trials found no decrease in mortality. Screening high risk women with annual CA-125 and transvaginal ultrasound may detect some early stage cancers but also has many false positives. The UKCTOCS trial found the multimodal screening strategy of combining CA-125 interpreted through ROCA and transvaginal ultrasound had higher sensitivity and positive predictive value than ultrasound alone, but mortality results are still pending. Periodic screening of high risk women who have not had risk reducing surgery may be recommended starting at age 35 or earlier based on family history.
4 prof james bently management guidelines 2014Tariq Mohammed
This document provides guidelines for colposcopy management from the IFCCP Jeddah Jan 2014 conference and the ASCCP Management Guidelines 2012 and SOGC SCC Colposcopy Guidelines 2012. It discusses recommendations and algorithms for evaluating and managing various abnormal cytology results and histological findings identified during colposcopy, including ASCUS, LSIL, ASC-H, HSIL, AGC, cervical intraepithelial neoplasia grades, and other conditions. Management may involve repeat testing, colposcopy, biopsy, excisional procedures, or return to routine screening depending on the abnormality, risk level, and other factors.
1) The document discusses the HPV vaccine and summarizes data from clinical trials of the Cervarix and Gardasil vaccines. It finds that Cervarix demonstrated 93.2% efficacy against CIN3+ lesions irrespective of HPV type, while Gardasil demonstrated 43.0% efficacy against the same endpoint.
2) Long-term follow up data of the Cervarix vaccine showed sustained high antibody levels and protection against CIN3+ lesions up to 9 years post-vaccination. Challenge studies found Cervarix elicited an anamnestic response.
3) Both vaccines were well tolerated and showed cross-protection against non-vaccine HPV types. However, Cervarix demonstrated higher long
Senology.org Newsletter - January 12, 2012 - Latest Advances in Clinical Seno...Senology.org
This newsletter from Senology.org provides information on recent developments in breast cancer research and treatment. It includes a summary of 8 recent research papers on various topics related to breast cancer, a comment on a new oncoplastic surgery technique, discussion topics for an online forum, announcements of upcoming conferences, and a historical passage on the work of William Halsted in breast cancer surgery. It also promotes connecting specialists through various social media platforms and provides RSS feeds to receive real-time updates.
This document discusses screening for early detection of ovarian cancer. Pelvic examinations are currently the standard screening method, but evidence shows they often find benign conditions and lead to unnecessary follow-up procedures. Blood tests measuring tumor markers and imaging tests also have limitations in screening. While earlier detection could improve outcomes, currently available screening methods are not sufficiently effective at finding early ovarian cancers. Improved screening approaches are still needed.
Senology.org Newsletter - March 2, 2012Senology.org
This newsletter provides information on breast cancer research and events for medical professionals. It includes a literature review highlighting recent studies on topics like alcohol and breast cancer risk, BRCA1 testing, and mammography detection rates. It also lists upcoming conferences, and excerpts a historical article on radical mastectomy. The newsletter aims to connect specialists worldwide by promoting profiles on social media and discussion forums.
Senology.org Newsletter - December 6, 2011Senology.org
This newsletter from Senology.org provides information on recent developments in breast cancer research and treatment. It includes summaries of 8 recent studies on topics such as the impact of digital mammography, the use of ultrasound to distinguish benign and malignant breast masses, and biomarkers for predicting chemotherapy response and prognosis. It also announces upcoming conferences, and discusses the limited benefits of MRI screening for breast cancer patients. The newsletter aims to connect specialists around the world and share new research.
L rotenberg, g lenczner premalignant breast lesion imaging jfim hanoi 2015 compLuc ROTENBERG
This document discusses breast premalignant lesions, their imaging appearance, diagnosis, and management. It provides information on lesions such as DCIS, ADH, ALH, and LCIS. Imaging modalities like mammography, ultrasound, and MRI can detect these lesions as masses, calcifications or other abnormalities. Biopsy is often used for diagnosis but may underestimate the lesion. Surgical excision is generally recommended when premalignant lesions are found on biopsy to rule out associated malignancy, though careful radiologic-pathologic correlation in some cases can guide observation over excision. Underestimation rates vary by biopsy method and number of specimens obtained.
Senology.org Newsletter - June 1, 2012Senology.org
This newsletter provides information on recent publications related to senology and oncology, including summaries of literature on topics like breast cancer screening and treatment. It also announces upcoming conferences and events, and discusses participation in an online medical community on LinkedIn. The newsletter aims to connect specialists around the world by sharing research and opinions.
This document discusses the management of women with minor smear abnormalities. It begins by stating that in England in 2009, over 239,000 women received a smear result of a minor abnormality, with most not having high-grade cervical intraepithelial neoplasia (CIN). It then examines management strategies, including immediate colposcopy versus cytological surveillance. While immediate colposcopy allows for earlier detection and treatment of high-grade CIN, surveillance is less efficient. New guidelines recommend immediate colposcopy for mild dyskaryosis. HPV testing shows promise as a triage method but could increase referral rates to colposcopy. Overall, management aims to balance cancer risk reduction with psychological impacts and costs to the
This document discusses screening for ovarian cancer. It notes that ovarian cancer often presents at an advanced stage and has a poor survival rate as a result. Screening aims to detect the cancer earlier when it is more treatable. However, current screening methods like pelvic exams and the tumor marker CA-125 lack sufficient accuracy. A large clinical trial found that annual screening using transvaginal ultrasound and CA-125 did not result in earlier detection or reduced mortality compared to no screening. The high rate of false positives can lead to unnecessary surgeries, which pose risks. More accurate tests are needed for population-wide ovarian cancer screening to be effective.
Invasive Lobular Carcinoma — Highlights from the First Ever ILC Symposium bkling
Steffi Osterreich, PhD, and Rachel Jankowitz, MD, of University of Pittsburgh Cancer Institute, join Heather Hillier, breast advocate and co-chair of the first international ILC Symposium, in offering an overview of Invasive Lobular Carcinoma and highlights from the conference, which took place in Pittsburgh in September 2016. The program was presented in collaboration with MBCN.
1) The document discusses the management of CIN2 and persistent CIN1 lesions, outlining the goals of cervical screening programs, issues around overtreatment versus effective use of resources, and core issues in treatment.
2) It summarizes the natural history of HPV infection and progression to cancer, noting most infections are transient but some persist and may progress.
3) Guidelines are provided around the management of CIN1 and CIN2 lesions, including surveillance times and consideration of expectant management for some low-grade lesions given risk of regression. Overtreatment is a concern but so is loss to follow up.
The study of disease transmission
By and large, the frequency of disease is higher in men than in ladies and higher in industrialized areas and countries.
PRIMARY SQUAMOUS CELL CANCER OF BREAST: A CASE REPORTKETAN VAGHOLKAR
Primary squamous cell cancer (SqCC) of the breast is a rather rare disease. These tumors are known to be
quite aggressive in nature and are usually found to be treatment-resistant. Currently, there is no standard treatment
guideline for the management of primary SqCC of the breast. In this case report, we present a case of primary SqCC of
the breast in 60-year old postmenopausal women presenting as pigmented lesion over the right breast (no lump). Initial
skin biopsy (core) done by dermatologist revealed squamous cell cancer in situ (Bowen’s disease); however surgical
resection of the lesion and subsequent histopathological examination revealed primary SqCC (no secondary sites were
found elsewhere in the body).
Nulife module 6 screening for malignancies editedManinder Ahuja
These six modules from 2-7 are on mid life health care of women and were made with intention of training general gynecologist and other speciality into care of mid life women and have Mid Life OPD cards as mainstay of care.
This study aimed to predict the risk of malignancy in women with adnexal masses using preoperative factors. The researchers analyzed 395 patients and found:
1) Tumor morphology on ultrasound, elevated serum CA 125 levels, presence of ascites, and older age were associated with higher risk of malignancy.
2) Patients with solid or complex masses and CA 125 > 35 U/mL had a positive predictive value of 84.7% for malignancy.
3) Purely cystic masses had a 100% negative predictive value for ruling out malignancy.
4) The combination of complex/solid mass and elevated CA 125 best defined patients at high risk of ovarian cancer.
This document summarizes a roundtable discussion on immuno-oncology (I-O) involving leading oncologists, patient groups, and public health experts. The participants discussed the transformative potential of I-O but also the challenges it poses, including identifying which patients will benefit, managing patient expectations, and ensuring accessible support systems for long-term treatment. They debated models for delivering I-O locally while maintaining specialist oversight and how industry could help support new delivery solutions and pathways.
Terrence Spivey is the artistic director of Karamu House in Cleveland, America's oldest African American theater. He wants to return Karamu to its former glory as a premier black theater that launched the careers of many famous actors. Spivey is holding a summer camp to engage local youth in the arts and help revive interest in Karamu. Though the theater struggled in recent decades, Spivey hopes to bring in renowned black playwrights and actors and produce high quality works that reflect Karamu's original mission of celebrating multicultural stories.
we Assist everyone who dare to dream and wants to start his/her own business and wants to work on it and secure a bright future
http://www.foreverliving.com/
http://www.soaringteam.com/
I am under Andy\’s Waring team..anybody feel free to check the websites..i f you are interested to be a part of our team just feel free to contact me on L.aldabbas@soaringteam.com! or visit my Website at www.no-more-rat-race.com and enter My pass code: 2692 to watch The online presentation..cheers everybody!
Collaborative Campus Community Redevelopmentmarianneep
This was the initial presentation shown by Dr. Michael Schoop, President of Tri-C Metropolitan Campus, to the professional consultants of the Collaborative Campus Project.
The project is designed to reach out to community residents, discover their needs, assets and opportunities, and then create a proposal for how to address those for the future improvement of Cleveland's Campus District.
Ovarian cancer has a poor prognosis because it is often diagnosed at an advanced stage. Screening average risk women is not recommended as randomized trials found no decrease in mortality. Screening high risk women with annual CA-125 and transvaginal ultrasound may detect some early stage cancers but also has many false positives. The UKCTOCS trial found the multimodal screening strategy of combining CA-125 interpreted through ROCA and transvaginal ultrasound had higher sensitivity and positive predictive value than ultrasound alone, but mortality results are still pending. Periodic screening of high risk women who have not had risk reducing surgery may be recommended starting at age 35 or earlier based on family history.
4 prof james bently management guidelines 2014Tariq Mohammed
This document provides guidelines for colposcopy management from the IFCCP Jeddah Jan 2014 conference and the ASCCP Management Guidelines 2012 and SOGC SCC Colposcopy Guidelines 2012. It discusses recommendations and algorithms for evaluating and managing various abnormal cytology results and histological findings identified during colposcopy, including ASCUS, LSIL, ASC-H, HSIL, AGC, cervical intraepithelial neoplasia grades, and other conditions. Management may involve repeat testing, colposcopy, biopsy, excisional procedures, or return to routine screening depending on the abnormality, risk level, and other factors.
1) The document discusses the HPV vaccine and summarizes data from clinical trials of the Cervarix and Gardasil vaccines. It finds that Cervarix demonstrated 93.2% efficacy against CIN3+ lesions irrespective of HPV type, while Gardasil demonstrated 43.0% efficacy against the same endpoint.
2) Long-term follow up data of the Cervarix vaccine showed sustained high antibody levels and protection against CIN3+ lesions up to 9 years post-vaccination. Challenge studies found Cervarix elicited an anamnestic response.
3) Both vaccines were well tolerated and showed cross-protection against non-vaccine HPV types. However, Cervarix demonstrated higher long
Senology.org Newsletter - January 12, 2012 - Latest Advances in Clinical Seno...Senology.org
This newsletter from Senology.org provides information on recent developments in breast cancer research and treatment. It includes a summary of 8 recent research papers on various topics related to breast cancer, a comment on a new oncoplastic surgery technique, discussion topics for an online forum, announcements of upcoming conferences, and a historical passage on the work of William Halsted in breast cancer surgery. It also promotes connecting specialists through various social media platforms and provides RSS feeds to receive real-time updates.
This document discusses screening for early detection of ovarian cancer. Pelvic examinations are currently the standard screening method, but evidence shows they often find benign conditions and lead to unnecessary follow-up procedures. Blood tests measuring tumor markers and imaging tests also have limitations in screening. While earlier detection could improve outcomes, currently available screening methods are not sufficiently effective at finding early ovarian cancers. Improved screening approaches are still needed.
Senology.org Newsletter - March 2, 2012Senology.org
This newsletter provides information on breast cancer research and events for medical professionals. It includes a literature review highlighting recent studies on topics like alcohol and breast cancer risk, BRCA1 testing, and mammography detection rates. It also lists upcoming conferences, and excerpts a historical article on radical mastectomy. The newsletter aims to connect specialists worldwide by promoting profiles on social media and discussion forums.
Senology.org Newsletter - December 6, 2011Senology.org
This newsletter from Senology.org provides information on recent developments in breast cancer research and treatment. It includes summaries of 8 recent studies on topics such as the impact of digital mammography, the use of ultrasound to distinguish benign and malignant breast masses, and biomarkers for predicting chemotherapy response and prognosis. It also announces upcoming conferences, and discusses the limited benefits of MRI screening for breast cancer patients. The newsletter aims to connect specialists around the world and share new research.
L rotenberg, g lenczner premalignant breast lesion imaging jfim hanoi 2015 compLuc ROTENBERG
This document discusses breast premalignant lesions, their imaging appearance, diagnosis, and management. It provides information on lesions such as DCIS, ADH, ALH, and LCIS. Imaging modalities like mammography, ultrasound, and MRI can detect these lesions as masses, calcifications or other abnormalities. Biopsy is often used for diagnosis but may underestimate the lesion. Surgical excision is generally recommended when premalignant lesions are found on biopsy to rule out associated malignancy, though careful radiologic-pathologic correlation in some cases can guide observation over excision. Underestimation rates vary by biopsy method and number of specimens obtained.
Senology.org Newsletter - June 1, 2012Senology.org
This newsletter provides information on recent publications related to senology and oncology, including summaries of literature on topics like breast cancer screening and treatment. It also announces upcoming conferences and events, and discusses participation in an online medical community on LinkedIn. The newsletter aims to connect specialists around the world by sharing research and opinions.
This document discusses the management of women with minor smear abnormalities. It begins by stating that in England in 2009, over 239,000 women received a smear result of a minor abnormality, with most not having high-grade cervical intraepithelial neoplasia (CIN). It then examines management strategies, including immediate colposcopy versus cytological surveillance. While immediate colposcopy allows for earlier detection and treatment of high-grade CIN, surveillance is less efficient. New guidelines recommend immediate colposcopy for mild dyskaryosis. HPV testing shows promise as a triage method but could increase referral rates to colposcopy. Overall, management aims to balance cancer risk reduction with psychological impacts and costs to the
This document discusses screening for ovarian cancer. It notes that ovarian cancer often presents at an advanced stage and has a poor survival rate as a result. Screening aims to detect the cancer earlier when it is more treatable. However, current screening methods like pelvic exams and the tumor marker CA-125 lack sufficient accuracy. A large clinical trial found that annual screening using transvaginal ultrasound and CA-125 did not result in earlier detection or reduced mortality compared to no screening. The high rate of false positives can lead to unnecessary surgeries, which pose risks. More accurate tests are needed for population-wide ovarian cancer screening to be effective.
Invasive Lobular Carcinoma — Highlights from the First Ever ILC Symposium bkling
Steffi Osterreich, PhD, and Rachel Jankowitz, MD, of University of Pittsburgh Cancer Institute, join Heather Hillier, breast advocate and co-chair of the first international ILC Symposium, in offering an overview of Invasive Lobular Carcinoma and highlights from the conference, which took place in Pittsburgh in September 2016. The program was presented in collaboration with MBCN.
1) The document discusses the management of CIN2 and persistent CIN1 lesions, outlining the goals of cervical screening programs, issues around overtreatment versus effective use of resources, and core issues in treatment.
2) It summarizes the natural history of HPV infection and progression to cancer, noting most infections are transient but some persist and may progress.
3) Guidelines are provided around the management of CIN1 and CIN2 lesions, including surveillance times and consideration of expectant management for some low-grade lesions given risk of regression. Overtreatment is a concern but so is loss to follow up.
The study of disease transmission
By and large, the frequency of disease is higher in men than in ladies and higher in industrialized areas and countries.
PRIMARY SQUAMOUS CELL CANCER OF BREAST: A CASE REPORTKETAN VAGHOLKAR
Primary squamous cell cancer (SqCC) of the breast is a rather rare disease. These tumors are known to be
quite aggressive in nature and are usually found to be treatment-resistant. Currently, there is no standard treatment
guideline for the management of primary SqCC of the breast. In this case report, we present a case of primary SqCC of
the breast in 60-year old postmenopausal women presenting as pigmented lesion over the right breast (no lump). Initial
skin biopsy (core) done by dermatologist revealed squamous cell cancer in situ (Bowen’s disease); however surgical
resection of the lesion and subsequent histopathological examination revealed primary SqCC (no secondary sites were
found elsewhere in the body).
Nulife module 6 screening for malignancies editedManinder Ahuja
These six modules from 2-7 are on mid life health care of women and were made with intention of training general gynecologist and other speciality into care of mid life women and have Mid Life OPD cards as mainstay of care.
This study aimed to predict the risk of malignancy in women with adnexal masses using preoperative factors. The researchers analyzed 395 patients and found:
1) Tumor morphology on ultrasound, elevated serum CA 125 levels, presence of ascites, and older age were associated with higher risk of malignancy.
2) Patients with solid or complex masses and CA 125 > 35 U/mL had a positive predictive value of 84.7% for malignancy.
3) Purely cystic masses had a 100% negative predictive value for ruling out malignancy.
4) The combination of complex/solid mass and elevated CA 125 best defined patients at high risk of ovarian cancer.
This document summarizes a roundtable discussion on immuno-oncology (I-O) involving leading oncologists, patient groups, and public health experts. The participants discussed the transformative potential of I-O but also the challenges it poses, including identifying which patients will benefit, managing patient expectations, and ensuring accessible support systems for long-term treatment. They debated models for delivering I-O locally while maintaining specialist oversight and how industry could help support new delivery solutions and pathways.
Terrence Spivey is the artistic director of Karamu House in Cleveland, America's oldest African American theater. He wants to return Karamu to its former glory as a premier black theater that launched the careers of many famous actors. Spivey is holding a summer camp to engage local youth in the arts and help revive interest in Karamu. Though the theater struggled in recent decades, Spivey hopes to bring in renowned black playwrights and actors and produce high quality works that reflect Karamu's original mission of celebrating multicultural stories.
we Assist everyone who dare to dream and wants to start his/her own business and wants to work on it and secure a bright future
http://www.foreverliving.com/
http://www.soaringteam.com/
I am under Andy\’s Waring team..anybody feel free to check the websites..i f you are interested to be a part of our team just feel free to contact me on L.aldabbas@soaringteam.com! or visit my Website at www.no-more-rat-race.com and enter My pass code: 2692 to watch The online presentation..cheers everybody!
Collaborative Campus Community Redevelopmentmarianneep
This was the initial presentation shown by Dr. Michael Schoop, President of Tri-C Metropolitan Campus, to the professional consultants of the Collaborative Campus Project.
The project is designed to reach out to community residents, discover their needs, assets and opportunities, and then create a proposal for how to address those for the future improvement of Cleveland's Campus District.
Social Media and Recruitment: It's not what you know, but who you know that m...jnavan
A copy of my thesis for my HDip in EBusiness which examines the use of Social Media in Recruitment in Ireland, specifically focusing on the idea that "It's not what you know, but who you know, that makes the difference".
Cleveland State University, Tri-C, and St. Vincent Charity Hospital are collaborating on a Campus District Collaboration Project to connect their downtown campuses and improve quality of life for residents through $500 million in investments. The project aims to enhance relationships between institutions and the community by designing quality of life experiences, with the goal of raising the average annual income of $3,000 in the area to the state average of $40,000.
Campus District Collaboration Project (July 23, 2010)marianneep
This presentation was given by the professional and student consultants of the Collaborative Campus Project, which is working on creating a design proposal for Cleveland's Campus District. The proposal is based on community engagement and the collaboration between professional designers and local students.
Henry and his 12-year-old son Henny embarked on a 9,000-mile road trip across America in their 1982 VW Vanagon to spend quality time together. Over seven weeks, they drove from their home in Ohio through the central and western United States, camping along the way with their dog Bucky. Henry has a chronic illness called lupus but has remained in good health during the trip. The trip has provided an opportunity for father-son bonding and experiencing the natural beauty of places like Death Valley and Mount Whitney through leisurely exploration off the beaten path.
Cpl is Ireland's largest recruitment agency that has experienced massive growth. It offers opportunities for career development and high financial rewards for top performers. As the market turns around, now is a great time to join Cpl and take advantage of its large client portfolio, profitable business model, training programs, and opportunities for career advancement. Cpl prioritizes technology innovation and corporate social responsibility initiatives.
The emerging field of geriatric oncology is changing the way cancer is treated in elderly patients. Geriatric oncologists consider patients' overall health and customize treatments instead of using a one-size-fits-all approach. They are conducting more clinical trials with elderly patients to develop safer and more effective treatments. Additionally, they address social issues like transportation that have prevented some elderly from receiving care. This revolution in care has the potential to prolong survival and quality of life for many elderly cancer patients.
Karya ini membahas penulisan karya seni lagu Al-Quran di Nusantara dengan fokus pada Malaysia dan Indonesia. Ia meninjau perkembangan ilmu ini yang didasarkan pada peranan qari dan penghasilan karya ilmiah. Beberapa penulisan karya seni lagu Al-Quran dianalisis, termasuk Kursus Qari dan Qariah karya Syeikh Abdullah al-Qari dan Qawaid Tarannum karya Tuan Haji Nik Ja'far Nik Ismail.
Philip Resnick is a renowned forensic psychiatrist known for his expertise in evaluating individuals involved in high-profile criminal cases. The document discusses his testimony in the Andrea Yates case, where he concluded she was legally insane due to mental illness when she drowned her five children. It outlines his career path and experience evaluating individuals who committed violent crimes. There is some criticism of his conclusions in the Yates case from other psychiatrists. The document provides context on Resnick's thorough approach to evaluations and willingness to defend his opinions in court.
Campus District Market Research Presentationmarianneep
The document discusses a research and design project for the Campus District in Cleveland. It provides background on the district and stakeholders involved. Research strategies discussed include gathering demographic data, conducting interviews, and analyzing case studies. Opportunities for design identified include addressing needs for food/retail, fitness, public safety, and creating spaces and programs to promote interaction between stakeholder groups in the district. The overall goal is to empower stakeholders to collaboratively design experiences and sustain quality of life.
The Future of Real Estate in Ohio: Walkable Urban Placesmarianneep
Chris Leinberger of LOCUS - a national network of real estate developers and investors that advocates for sustainable, walkable urban development in America’s metropolitan areas - gave this presentation at a series of events, “Advancing Ohio’s Urban Agenda: Walkable Communities for Globally Competitive Cities,” co-hosted by Greater Ohio Policy Center, the Urban Land Institute (ULI) district councils of Cincinnati, Cleveland and Columbus, and LOCUS. The events took place in Cincinnati, Cleveland and Columbus on January 16th and 17th of 2013.
The three groups built the case for walkable development based on market demand and the need for Ohio cities to act now to take advantage of current demographic shifts to remain globally competitive. These events provided a forum to connect developers from urban centers across the state to discuss the demand for sustainable communities.
The document provides an update on the progress of the Campus District project. It discusses research that has been conducted, including surveys distributed to employees and businesses in the area. It also outlines the initial design concepts for connecting paths and routes throughout the district, including agricultural, economic development, and production routes. Finally, it discusses strategies for communication and developing experiences in the district, including street festivals, music events, apprenticeships, health and wellness programs, and business incubators. The overall goal is to enhance quality of life and opportunities through various pride-building and enriching initiatives.
Advancing Ohio's Urban Agenda: Walkable Communities for Globally Competitive ...marianneep
Greater Ohio Policy Center partnered with the Urban Land Institute (ULI) district councils of Cincinnati, Cleveland and Columbus, as well as LOCUS to host “Advancing Ohio’s Urban Agenda: Walkable Communities for Globally Competitive Cities,” an exclusive series of events hosted in Cincinnati, Cleveland and Columbus on January 16th and 17th of 2013.
The three groups built the case for walkable development based on market demand and the need for Ohio cities to act now to take advantage of current demographic shifts to remain globally competitive. These events provided a forum to connect developers from urban centers across the state to discuss the demand for sustainable communities.
Neuroendocrine carcinomas are a type of cancer that arises from neuroendocrine cells found throughout the body. Unlike most cancers that form in organ linings, neuroendocrine tumors originate from endocrine and nervous system cells. While they tend to progress more slowly than other cancers, the likelihood of metastasis increases with tumor size. The most common sites are the small intestine, lungs, and rectum. Proper classification is important for understanding prognosis and treatment.
This document discusses the issue of cancer overdiagnosis and overtreatment. It notes that improved screening technologies are detecting more cancers, but not all of these cancers pose a health risk or need treatment. Some experts argue for changing how indolent or slow-growing cancers are defined and classified to reduce overtreatment. They propose distinguishing cancers that will likely progress from those that will not, in order to tailor treatment approaches and avoid unnecessary procedures. Large datasets on cancer genetics and behaviors are needed to better stratify and predict cancer risks and outcomes.
The early symptoms of ovarian cancer are easily missed and often confused with gastrointestinal issues like bloating, constipation, and pelvic pain. There are no reliable screening tests for ovarian cancer detection. Risk factors include family history, never using birth control pills, and having fewer or no children. While ovarian cancer can be deadly, treatments have improved and many women now live longer with the disease. It is important for women with symptoms or risk factors to see a gynecological oncologist for evaluation and care.
This document discusses cancer in teens. It begins with an overview, defining cancer and its causes. The most common cancers in teens are osteosarcomas (bone cancer), leukemia (blood cancer), and brain tumors. Symptoms of cancer can include exhaustion, lumps, headaches, and unusual bleeding. Doctors use tests like blood tests, biopsies, and imaging to diagnose cancer. The main treatment methods are surgery, chemotherapy, and radiation, and the goal is detection and treatment as early as possible. Support is important for teens undergoing cancer treatment.
cell division discovery could offer fresh insight into cancer and blood test ...Danny Zuluaga
The document summarizes two scientific articles about recent discoveries related to cancer research. The first article discusses the discovery of protein complexes that help distribute DNA correctly during cell division, which could provide new insights into cancer. The second article reports that a simple blood test may be able to detect gene mutations associated with cancers like pancreatic cancer by analyzing DNA in blood exosomes shed by tumor cells, avoiding the need for tumor biopsies. These discoveries could help advance cancer screening and drug development.
This document provides a guide to breast cancer centers organized by the law firm Anapol Schwartz. It includes contact information for lawyers at the firm and introduces topics on breast cancer diagnosis, treatment options like chemotherapy, radiation and surgery, risk factors, symptoms and statistics. It also lists breast cancer centers in each U.S. state along with some example centers in several states.
Is Cancer a Genetic Disease? | The Cancer Genome Atlas Project ResultsMarkSloan21
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Today we’re going to put the genetic theory of cancer to the test to find out once-and-for-all if cancer is a genetic disease. From studies on frog egg tumor transplants, to cybrids to the cancer genome atlas project, we're going to look deep into the evidence and see what we find.
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The document provides updates from various departments at the Kimmel Cancer Center. It announces new treatments for prostate cancer including high intensity focused ultrasound. It highlights advances in areas like radiation oncology, integrative medicine, and stem cell research. It recognizes support from donors and announces new rankings for cancer care.
The document discusses a new tumor detecting app developed by researchers at Harvard University. The app uses a miniature nuclear magnetic resonance machine to analyze tiny tissue samples and can determine if a tumor is cancerous within 60 minutes, much faster than traditional biopsy results. The app is highly accurate, cost effective, and has the potential to enhance cancer diagnosis and treatment. However, more testing is still needed and it may be 5-10 years before the technology is widely available in hospitals.
1) A Swedish study found that early prostate surgery cuts deaths from prostate cancer in men under 65 with low-risk prostate tumors, compared to watchful waiting.
2) After 15 years, men who had early surgery cut their risk of death from prostate cancer by 38%. However, early surgery did not provide a significant benefit for men diagnosed after age 65.
3) The definition of "low risk" has changed over time, so not all men currently defined as low risk would necessarily benefit from early surgery. The treatment approach depends on factors like age, other health conditions, and tumor characteristics.
This presentation is a good overview of men's health issues. It includes many graphical representations that enhance and accentuate the presentation. Furthermore, it is very educational.
The document discusses 10 common myths about cancer, including that all cancers are the same, that cell phones cause cancer, and that a positive attitude alone can cure cancer. It explains that while there is no single cure for cancer as a broad category, individual cancers can be cured through various treatments. It also debunks myths that artificial sweeteners and cancer screenings always find cancerous lumps. The document aims to provide accurate information about cancer and dispel widely believed misconceptions.
Breast cancer is a tumor that starts in the cells of the breast, usually developing in the milk producing glands. Some potential causes of breast cancer include being female, increasing age, family history, and lifestyle factors like smoking. Breast cancer can be treated through surgery to remove the tumor, radiation therapy to destroy remaining cancer cells, and chemotherapy which uses medication to destroy cancer cells throughout the body. While breast cancer cannot always be prevented, early detection through screening and treatment can help reduce the risk of the disease spreading.
This document discusses prostate cancer, including its causes, diagnosis, signs and symptoms, and treatment options. It begins with background information on the prostate gland and how cancer develops. Risk factors for prostate cancer are then outlined, such as age, race, and family history. Methods for diagnosis include digital rectal exam, PSA testing, and imaging. A case study is presented of a 66-year-old man whose tests revealed prostate cancer. The document concludes by emphasizing the importance of early detection and treatment to achieve the best outcomes.
This document discusses several topics related to cancer research and treatment. It begins by explaining that cancer arises from errors in cell replication that can be caused by environmental or lifestyle factors. It then discusses several studies, including one finding that daily multivitamin supplements may reduce cancer risk in older men, and another showing that ovarian cancer screenings are not effective in reducing mortality. The document also discusses how cancer stem cells can fuel tumor growth and how targeting these cells may lead to more effective treatments. Overall, it presents the complexity of cancers and explores new strategies for research based on a deeper understanding of the disease at the cellular level.
Balancing direct marketing and brand in-house: keeping the seesaw level | Bra...CharityComms
Amy Oberholzer, head of individual giving and Philippa Bell, senior designer, Prostate Cancer UK
Visit the CharityComms website to view slides from past events, see what events we have coming up and to check out what else we do: www.charitycomms.org.uk
Breast cancer screening, medical, epidemiologic, social and psychologic aspectsCancer Rose
Presentation «Breast cancer screening, medical, epidemiologic, social and psychologic aspects» by Dr. Cécile Bour, Radiologist and President of Cancer Rose non-profit organization (www.cancer-rose.fr), during 15th International Meeting of Psychiatry, Psychoanalysis and Clinical Psychology & Associated exhibitions, « A couch on the Danube », Budapest, May 8, 2018.
Cancer Rose is a French non-profit organization of health professionals.
Independent French medical doctors and a doctor in toxicology, have created the site www.cancer-rose.fr to inform you of the most recent and relevant data on breast cancer mass screening.
By decoding and popularizing the most recent research findings published in the most important international medical journals, analyzing the controversy and providing a social and feminine analysis, our objective is to inform women concerned by breast cancer mass screening in order to help them making their choice and to provide independent information resources to interested physicians.
Cancer Rose has no sponsorships, honoraria, monetary support or conflict of interest from any commercial sources.
President Bush's decision to allow federal funding for research on existing embryonic stem cell lines opened new doors for medical research in Cleveland. However, researchers caution that understanding how embryonic stem cells function and translating discoveries into clinical applications will be a long process requiring at least a decade of additional research. The decision also reinvigorated debates around the moral and ethical issues surrounding the use of embryonic stem cells.
Brendan Ring carries on the family tradition of storytelling. Growing up in a small Irish village, he was surrounded by storytellers sharing cultural traditions and tales orally before the advent of television. As an adult, Ring owns a restaurant and bar in Cleveland called Nighttown, where he entertains customers each night with stories from his vast repertoire of Irish tales, histories, and characters. His favorite story to share is about his grandfather's role as a telegraph operator who covertly sent a message during the 1916 Easter Rising in Ireland that alerted the world to the revolution taking place.
Olivia was born prematurely at 25 weeks gestation after her mother Sara went into early labor due to HELLP Syndrome. Weighing only 1 pound 8 ounces at birth, Olivia required intensive care in the neonatal intensive care unit (NICU) where she faced many health challenges. After over a month in the NICU receiving respiratory support and treatment, Olivia was making progress but continued to face ups and downs as her organs developed outside of the womb. Her mother Sara was learning to cope with the uncertainty and alien experience of having a premature baby in the NICU.
Life Transformer dr. helmut schreiber0001marianneep
Dr. Helmut Schreiber has been a pioneer in bariatric surgery for over 30 years. When he began in 1975, bariatric surgery was a little-known and barely respected specialty. Now, it is one of the fastest growing fields in medicine due to the obesity epidemic. As medical director at St. Vincent Charity Hospital, Dr. Schreiber performs around 100 bariatric surgeries per month and helped establish a comprehensive support system for patients. Validation of bariatric surgery has grown as studies show it significantly reduces obesity-related health risks and hormones like ghrelin that cause hunger. Dr. Schreiber's dedication to helping obese patients transform their lives through bariatric surgery has earned
1) A grocery store owner in Beit She'an, Israel had his store bombed by a Palestinian man in 2003, killing the owner and his father. The Cleveland Jewish Community Federation has partnered with Beit She'an as a "Sister City" and provided funding to help rebuild the store.
2) The partnership between Cleveland and Beit She'an aims to strengthen the regional economy and connect its diverse communities through student exchanges, staff visits, and economic development programs.
3) Due to Cleveland's annual donations and economic involvement, Beit She'an has experienced 10% annual commercial growth and Cleveland's presence is very noticeable to local English speakers. The partnership has helped transition Beit She'
Presentation by the Collaborative Campus Project on proposed design solution for Cleveland's Campus District. This presentation was the culmination of work on the project by the end of Week 4.
This presentation is from Cleveland Campus District's Collaborative Campus Project about the project's progress to date, including research conclusions, best practices (of other neighborhoods using similar neighborhood revitalization design techniques), and potential solution designs.
1. livin well
Early detection is the key to treating genital-pelvic cancers diagnosing the disease during an examination. "You have to
consider all the options, not just cutting the prostate out, because
your life may be miserable after you cut it out," he says. "Some
By CHRISTOPHER JOHNSTON older people might not care if they have to carry a bladder bag
around, but it's different for a younger person who has to go
Upon being diagnosed with prostate cancer, Kevin into people's homes or go to an office every day and is interested
Braunschweiger was less concerned about losing his life than in maintaining a good romantic relationship."
about losing his love life. The embarrassment factor, though, never really entered his
"At a fairly young age, 45, I had some special mind. "I'd probably still have an issue with testicular cancer, just
considerations," recalls the Mentor resident. "My wife is five because it's a sensitive area," Braunschweiger says, adding with a
years younger than me, and although I was done having kids, I laugh: "But since I've never seen or touched my prostate, it
wasn't done having fun." wasn't that interesting to me."
Men being men, fears of being less than virile unfortunately Considered young for the average prostate cancer patient,
often take precedence. Despite the high cure rate for prostate Braunschweiger was actually very fortunate to have it diagnosed
and testicular cancers that are detected early, most men with when he did, because the most insidious aspect of prostate cancer
genital-pelvic cancers are more concerned about the possibility is that it usually shows no symptoms in its early stages, when it is
of impotence and incontinence that may occur as a result of most treatable. He had complained of a dull pain in his. lower
surgery to remove the tumor. Then, there's always the potential back similar to the discomfort he had felt in 1992, when he had a
embarrassment because of the tumor's physical location and the kidney stone removed.
primal, psychological gravitas a man invests in his manhood. . Although ranked by the National Cancer Institute as the
Braunschweiger admits the former was his initial concern in second most frequently diagnosed non-skin cancer in American
August 1998, when his urologist prescribed surgery after men, prostate cancer stands a distant second to lung cancer as a
83
2. cause of death. Lung cancer killed 94,400 of the 98,300 men 10 years ago was approximately equal to surgery in effectiveness,
struck with the disease in 1997, vs. the estimated 41,800 deaths why not do the radiation seed therapy?"
from the 209,900 new cases of prostate cancer detected, While the surgery yields a higher risk of impotence or
according to NCI statistics. incontinence than the radiation, Ellis says, the advantage is that if
About 80 percent of men develop prostate cancer by the time there is a local failure afterward, patients can still receive the
they reach their 80s, though only 2 to 3 percent die from the radiation therapy. With radiation treatment, however, if there is a
disease. Still, the American Cancer Society recommends that, local failure within the prostate - which, Ellis argues, is less
starting at age 50, every man should have an annual check-up common than with surgery - it is difficult to then perform
that includes a digital rectal examination and prostate-specific surgery without damaging the bladder or the rectum. Moreover,
antigen (PSA) blood test, a powerful diagnostic tool developed in new surgical grafting techniques have been developed to spare
the late '80s to detect cancer activity in the prostate gland. the nerves that were most often damaged during a
That recommended starting age drops to 45 for Caucasian prostatectomy.
males with a family history of prostate cancer and for African
American males who, for reasons yet undetermined, have a SIMILAR FEARS AND psychological issues also apply in the case of
higher incidence of prostate cancer than Caucasians. For African testicular cancer, or testes tumor. Unfortunately, although only
American men with a family history of prostate cancer, the about 7,000 American men are diagnosed with this form of
annual check-up should start even earlier, says Dr. Joseph cancer each year, it can prove extremely deadly for those who do
Dankoff, member of the Department of Urology and assistant not respond immediately upon detection.
professor of clinical urology at the Northeast Ohio College of Michael Gusley, 44, of Parma, is fortunate to be recovering
Medicine in Akron. from testicular cancer. Last year, he noticed that his right
"We don't know if it's caused by a genetic predisposition or testicle had become enlarged, but he put off seeing a doctor
environmental conditions, but extensive research is being '" because he wasn't experiencing pain, and his temporary
conducted to determine the racial differences at research .' job did not provide any medical coverage.
facilitiesworldwide," Dr. Dankoff says. . This past April, when he began feeling a sharp pain
in his right side, Gusley went to the emergency room
FAMOUS FOR PERFORMING exhaustive research into purchases, at Parma Community General Hospital, where a
Braunschweiger, a financial planner for the Aid Association for CAT scan revealed a cancerous mass in his abdomen.
Lutherans, did some checking and found Dr. Rodney J. Ellis, Surgeons also removed the enlarged testicle. Gusley
director of brachytherapy, Department of Radiation is currently undergoing chemotherapy to eliminate
Oncology at University Hospitals of Cleveland. Ellis is the abdominal tumor.
pioneering brachytherapy - the implantation of radioactive "I knew it was cancer, but I put it off, which
seeds or pellets into the diseased prostate - which was a bad thing to do," Gusley acknowledges. "I
eliminates the risk of functional problems caused by now tell people who realize they have an enlarged
damage to the nerves during surgery. The procedure testicle to get it treated as soon as possible, so the
has been used in the U.S. since the early 1980s. cancer doesn't spread as it did with me."
"Generally, a prostatectomy is the number Testes tumor strikes men between their late teens
one recommendation that most of the and early 40s. (While older men can get a tumor in the
urologists will make," Ellis says. "But now testicle, it is usually a lymphoma, which is treated
the data for radiotherapy looks as good as differently and does not always require removal.)
it does for surgery." Physicians tell too many tales of young patients too
Advances in computer technology embarrassed by their condition to report it - long past the
let surgeons pinpoint the cancer's early stages of the cancer, which is defined as before it
location; doctors can more accurately progresses beyond the testes - even to the point where the fast-
insert the radioactive seed implants or growing tumor, which doubles approximately every month or
focus the external radiotherapy beam closer to two, had reached the size ofa softball.
the center of the tumor and provide a higher dose of radiation The irony is that testes tumor is highly treatable in its early
where it is most needed to eradicate the tumor. Depending on stages, especially due to advances in chemotherapy over the past
the volume of the tumor, the implants typically average around few decades. To enhance early detection of testes tumor, the
100 tiny seeds of either an iodine or a palladium isotope. American Cancer Society recommends monthly self-exams,
"By sparing all of the other tissue from getting a high dose of starting in the early teen years.
radiation, we can deliver the treatment more safely because it's "Testes tumor represents a very small percentage of all
less toxic, and we can give a higher dose so that our cure rates malignancies, and it's highly responsive to chemotherapy," says
improve," explains Dr. Ellis. Dr. Michael Oefelein, assistantprofessor, urology, Case Western
Those advances factored into Braunschweiger's decision to go Reserve University School of Medicine and University Hospitals
with the seed implants. "We looked at the statistics of of Cleveland.
implantations that were done 10 years ago, which weren't even Again, the recently developed nerve-sparing technique can
the state-of-the-art procedures," he says. "So if what was done mitigate impotence and incontinence caused during the removal
84 NorthernOhioLive : August 2000
3. of lymph nodes around the retroperitoneum or the aorta and
inferior vena cava in the upper torso, which are the first places
testicular cancer spreads to after leaving the testes. Damage to
these nerves can cause impotence by impairing the reflex
contraction that normally occurs during ejaculation, which closes
the bladder neck and forces the semen to discharge through the
urethra rather than into the bladder.
Treatment of a new high-dose chemotherapy, followed
by a bone marrow transplant to replace damaged blood cell
producers in the marrow, is available for patients with
advanced-stage tumors.
Perhaps most important, for both prostate and testicular
cancer, increased awareness is the key to ensuring earlier
detection that can significantly raise cure rates. Today, physicians
applaud the impact of major celebrities going public about their
cancers - golfer Arnold Palmer and New York Mayor Rudolph
Giuliani for prostate cancer, and skater Scott Hamilton and
comedian Tom Green for testicular cancer - as the most
powerful form of awareness-raising publicity.
Ultimately, Dankoff says, early detection is essential for saving
a patient's life. "You can invent all the new chemotherapy and
other treatments you like, but without early detection, once the
cancer has metastasized, the newfangled stuff isjust like spitting in
the wind," he says.
Christopher Johnston Ulges fnend and foe alike to undergo a yearly check-up.
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