SINAI Urban Health Institute

Archive for the ‘Cancer’ Category

Around 1.5 percent of women are likely to develop ovarian cancer at some stage of their life. It is less common than breast cancer but is considered as the most serious and fatal of all gynecological cancers.

The reason for this is that the cancer is usually advanced before it is diagnosed, making treatment difficult. The ovaries cannot be easily examined and, because the warning signs are unclear, late diagnosis is common.

Because of the lack of screening tests available, it is imperative to know the early symptoms and the possible risk factors.

Understanding ovarian cancer

The ovaries are two small organs that are a part of the female reproductive system and they are situated each side of the uterus. These ovaries contain germ cells that become eggs which are released when the woman menstruates.

They also produce estrogen and progesterone, the hormones that adjust the menstrual cycle and have an effect on the growth of breasts and body hair as well as affecting the development of the female body shape.

What types of tumors are there?

This normally happens in an organised manner but occasionally they grow abnormally and form a growth that we know as a tumor.

This tumor may be benign or it may be malignant. If it is benign, it is not cancerous and does not spread to other parts of the body. A malignant tumor, on the other hand, is cancerous and will often spread, making mestastases or secondary cancers.

Ovarian cancer is malignant and can occur in either one or both of the ovaries. There are three main groups that are related to the cells where the cancer starts.

Epithelial ovarian cancer, as its name implies, grows in the epithelium which is the surface of the ovary. It is the most common and accounts for around 90 percent of ovarian cancer. It mainly affects post menopausal women.

Another kind of epithelial tumor is a borderline tumor which grows much more slowly than its regular counterpart. These can normally be removed successfully even if diagnosed at an advanced stage.

There is a very rare form of ovarian cancer called germ cell ovarian cancer that starts in the cells that develop into eggs. This only accounts for about 5 percent of ovarian cancers and usually occurs only in women under 30.

The other five percent of ovarian cancers are generally sex-chord stromal cell ovarian cancer that affects the ovary cells responsible for female hormones. It can affect women of all ages.

Who is at risk of getting ovarian cancer?

The cause of ovarian cancer is unknown but there are some risk factors that have been identified through research. Although having these risk factors may increase your chances of developing ovarian cancer, they do not mean that you will necessarily get the disease. However, knowledge of these risk factors can be helpful. If you are concerned by having any of these risk factors, it is important to talk to your healthcare professional.

Factors that may increase your risk of ovarian cancer include:

Age- Around 90 percent of ovarian cancers affect women over 40.

Cultural background – Caucasian women in western society have higher rates of ovarian cancer than African or Asian women.

Number of pregnancies – Women who have never been pregnant appear to have a higher risk of ovarian cancer.

Family history – Between 5 and 10% of ovarian cancers are genetic. Researchers believe that the genes responsible for breast cancer (BRCA1 and BRCA2) are involved in almost all cases of familial ovarian cancer as well as familial breast cancer. It is also thought that these same damaged genes may be responsible for some endometrial and colon cancers. If you are genetically predisposed to any ovarian, breast, endometrial or colon cancers, you may have an increased risk of getting ovarian cancer.

Infertility and taking fertility drugs – Women who have had fertility drugs may be at a higher risk although infertility itself is a risk factor so this cannot be taken as a clear indication.

Hormone Replacement Therapy – The use of estrogen only HRT which is usually when you have had a hysterectomy, has been identified as a possible risk factor for ovarian cancer, particularly if you have been on this therapy for over ten years.

Lifestyle factors – Obesity is a risk factor associated with ovarian cancer as is a diet that is high in fat.

Can I reduce the risk of ovarian cancer?

Currently, there are no known procedures to prevent or detect early ovarian cancer but there are ways to reduce the risks. Some of these are:

Oral contraceptives – Research has found that the use of oral contraceptives can cut the risk of ovarian cancer by up to 60 percent if taken for a period of five years during your life.

Pregnancy and breastfeeding – Breastfeeding delays ovulation after childbirth and therefore decreases your risk of ovarian cancer. However, there is no guarantee that breastfeeding will stop you from developing ovarian cancer.

Enjoy a low fat diet – A high fat diet has been identified as a risk factor in ovarian cancer. Therefore, it makes sense to stick to a low fat diet with lots of fresh fruit and vegetables.

Tubal ligation or hysterectomy – These operations are only performed with a valid medical reason but it is believed that they both reduce the risk of ovarian cancer.

People with a strong family history of ovarian cancer may opt to speak to a genetic counselor that can assess whether you are at risk of developing the disease. If your family history suggests the damaged genes associated with ovarian, breast, endometrial, or colon cancer, it may be wise to have genetic testing. If these tests show the damaged BRCA1 or BRCA2 genes, you may be refe.rred to a gynecological oncologist to consider ways to reduce your risk.

Early symptoms of ovarian cancer

Because there is no screening test available for ovarian cancer, it is recommended that you have a regular pelvic vaginal checkup to see if there are any changes in your ovaries. It is also vital that you consult your healthcare specialist if you notice any possible signs of this illness. Because the symptoms are often common to many other medical conditions, diagnosis of ovarian cancer can be difficult

However, if you have any of the following symptoms that are unusual for you and that persist for more than a week, see your doctor without delay.

Some symptoms of ovarian cancer may include:

Stomach discomfort of pain in the pelvic area

Persistent nausea or wind.

Feeling constantly bloated or ‘full’.

Unexplained weight gain.

Loss of appetite or unexplained weight loss

Bowel changes

Frequency or urgency in urination

Lethargy.

Pain during intercourse.

Unexplained vaginal bleeding.

Sometimes, ovarian cancers are wrongly diagnosed as irritable bowel syndrome or menopause so if you are concerned, ask to be referred to a gynecological oncologist who can order tests to rule out ovarian cancer. It is rare that these symptoms will be ovarian cancer but if it is, early detection gives an excellent chance of survival.

Diagnosing ovarian cancer

If your doctor suspects ovarian cancer, you will be referred to a gynecological oncologist who will organize tests which may include any or all of the following:

An internal pelvic examination.

Blood tests

Chest and stomach x-rays.

A barium enema to rule out bowel problems

Ultrasound scans

If the results show a likelihood of ovarian cancer, you will be recommended to have an operation to confirm the diagnosis (none of the abovementioned tests can be sure). During the operation, if the surgeon finds ovarian cancer, they will normally remove the cancer as well as the ovaries.

It is important to understand before the surgery that this may happen so learn all you can about
your illness and the outcomes before the operation.

Anne Wolski has worked in the health and welfare industry for more than 30 years. She is a co-director of http://www.magnetic-health-online.com and http://www.betterhealthshoppe.com which are both information portals with many interesting medical articles. She is also an associate of http://www.timzbiz.com which features many articles on internet marketing and resources.

AN ARTICLE ON CANCER

What is cancer?

Cancer is the general term used for diseases in which normal cells separate without any control thus involving other tissues. Cancer cells can also spread to various parts of the body through the blood and lymph system.

 

Wild cell growth turns into cancer when it is exposed to carcinogens (Cancer- causing substance) genetic defects, or viruses. A tumour is formed when cancer cells multiply large masses of tissue. In some cases tumours limit themselves to one spot in the body; some can be removed by surgery. These kinds of tumours may cause little harm and is termed benign. Hostile tumours are called malignant. The study of cancer is called oncology.

 

Causes of Cancer

People get lung cancer most of the time from smoking tobacco which is said to have carcinogenic substance mainly known as tobacco smoke. Some carcinogens include certain chemicals, the Sun’s ultraviolet light, and radiation. Cancer can be formed by several viruses by altering the DNA of a host cell and converting the cell’s normal genes into cancer – causing genes, or oncogenes. Genetic  factors – such as chromosomal abnormalities or the inheritance of faulty genes from a parent of fore parent. This could most likely cause these persons who inherit these genes can end up having cancer. People that are Down syndrome, a chromosomal abnormality are susceptible to leukaemia.

 

How is cancer formed?

When a normal cell transforms into a cancer cell the genetic material (deoxyribonucleic acid or DNA) of a cell is changed, or mutated. Tumours don’t form over night they formed over decades or a certain amount of years, because of this it is very susceptible to formed into a cancer cell as time goes along. Most cancer occurs after the age of fifty, yet some are detected earlier in life, it varies.

 

Different types of cancer

It has been accessed that there are over more than 200 different types of cancers. They are named after the tissue or the organ they begin to form. The term Leukemia refers to cancer of white blood cells (can be also called leukocytes). Melanomas are cancers that begin in melanocytes (skin pigmentation.

 

Names of Cancers

 

Lung Cancer

Bladder Cancer

Colon and Rectal Cancer

Breast Cancer

Endometrial Cancer

Kidney (Renal Cell) Cancer

Non- Hodgkin Lymphoma Pancreatic Cancer

Skin Cancer

Non-melanoma thyroid Cancer

Prostrate Cancer

Leukemia

Bladder Cancer

Bone Cancer

Bile Duct Cancer

Brain Tumour

Appendix Cancer

Adrenocortical Carcinoma

Cervical cancer

Childhood cancer

Eye Cancer

Gall bladder Cancer

Kidney Cancer

Lip and oral Cancer

Liver Cancer

Mouth Cancer

Rectal Cancer

Salivary Cancer

Urethral Cancer

Vaginal Cancer

Vulvar Cancer

            

      

 

 

Treatments for cancer

Oncologists have been using Chemotherapy, or drug therapy to help cancer patience around the world. When cancer spreads to different parts of the body chemotherapy is used to help treat the cancer, before it gets worst. The immune system is weak when cancer spreads through the body. Therefore a treatment name immune enhancing drugs or antibodies are also used to help build back up the immune system and to destroy abnormal cells. There has been an anticancer drug that kills cancer cells while leaving the good ones alive. This drug was introduced in the spring of 2001. The drug, Gleevec has proven to work very strongly against chronic myelogenous leukaemia, leukaemia is one of the four main types of blood cancer.

 

How can u prevent cancer?

Cancer can be prevented by doing the following:

¬For all smokers the only way that you can avoid yourself from getting lung cancer is to stop smoking.

¬Try not to be in the sun for lengthy periods, too much exposure to the sun can cause cancer

¬Lessen your high- fat diets

¬Avoid alcohol as much as possible

¬Unsafe sex

¬Other Carcinogens could prevent more than 80% of all cancer cases.

¬Do yearly testing; this would detect it in the early stage if you are tested positive, early treatment can be taken.

 

The following are various tests than can be taken to see if you have cancer.

 

Skin Cancer: Skin examination this is done by the naked eye of the doctor. If any area may look suspicious then biopsy is done and under the microscope cancer cells are examined

 

 Prostate Cancer:

·       Digital Rectal Examination: Prostrate is examined by a doctor using his/her finger from the lower part from the rectum. When you reach fifty years it must be done at least once a year. If there was any sign before that you may have prostrate then do a test once every year even though you may be under forty

Breast Cancer:

·       Breast Self Examination: when you reach twenty years of age, this examination must be taken once every month.

·       Clinical Breast Examination: the breasts and regions under the arms should be examined also, between the ages of 20 and 40 years. Once every three years this examination should be carried out, and once every year after the age of forty.

·       Mammogram: Imaging of the breasts with X rays. It must be done once every year after 40 years of age.

An illustration of how a mammogram is done

Lung Cancer:

     Chest X-ray: It is imaging of organs and bones in chest with X-ray. Especially if you are a smoker you should do chest x –rays at least twice a year.

 Colorectal Cancer:

·       Fecal Occult Blood Test: Blood in stool which can be seen only under microscope is examined. It must be done once every year after 50 years of age.

Why cancer has and is becoming more prevalent

  Over the last generation there has been vast difference between the way we use to live and how we are now living. I can almost say that we live in a different world. Technology has been increased by a large percentage. Smelter plants, environmental chemical, polluted air, microwaves, computers, utensils and a lot of foods are said to be cancerous to us. Meats that are harmonized (e.g. chicken), plants, vegetables, fruits etc. these are all things that should make us healthy, but instead it can be deadly to us. Because of the amount of hormones that are being injected into them, plants and trees are being sprayed with insecticide, fertilizers as though these liquids are water. Then they are being sold to groceries, farmers etc, for us to buy and eat. 

Is there any cure for cancer?

   Since cancer has been detected, no cure solution has ever been introduced. Various anti–cancer tablets and chemotherapy was put in place in order to control cancer cells. Cancer, AIDS and Sugar diabetes are the three major sicknesses that have no cure. Although there are things out there to help cancer. It is proven that more and more people are getting cancer. Women have become prone to Breast cancer for the past 3o years. United States had even poured out $30 billion to help find a solution to cure cancer.

 

 

 

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