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Showing posts with label esophageal-cancer. Show all posts
Showing posts with label esophageal-cancer. Show all posts

Artist and Survivor Jacob Riley-Wasserman Inspires Flip4Cancer.com to Benefit Abramson Cancer Center

Jacob Riley-Wasserman has an eye for the interesting and unusual.

After completing his studies in furniture design at the Rhode Island School of Design, Jacob planned to start a graduate program at New York University when he began having difficulty swallowing. He was only 22.

“I had an endoscopy at Penn Medicine that summer, and went back to New York to begin to prepare for grad school,” Jacob remembers. “It was just before I was to start school again that I learned I had esophageal cancer.”

Jacob returned to his home in New Jersey to receive proton therapy and chemotherapy at Penn Medicine.

It was at the Roberts Proton Therapy Center where Jacob became fascinated by the treatment process. “I was amazed that this beam of proton radiation was hitting my tumor without radiating to other areas of my body,” says Jacob.

As a designer and artist, Jacob was especially drawn to the compensator blocks used to direct the proton beam to the treatment area.

“Compensator blocks are custom made to fit the patient and their particular tumor,” says Jim Metz, MD, vice chair of radiation oncology at Penn. “Before proton therapy begins, the blocks are created based on scans of the patient’s anatomy and tumor site. Each time they come in for therapy, the compensator blocks are placed in the beam line to shape the distribution of protons over the target area while sparing exposure to normal tissue.”

Jacob was so fascinated with the compensator block, he asked to take his home. Then, he had another idea.

“I thought it would be a cool thing to start offering to patients,” says Jacob. “So we are beginning a program in which patients take their blocks home after a small donation is made to patient education at the Abramson Cancer Center.”

Today, Jacob’s tumor in his esophagus is gone, but he is still undergoing treatment at the Abramson Cancer Center.

While on leave from school, he is staying busy in his workshop.

His most successful design is the Star Spangled Spatula. Crafted of solid walnut and stainless steel, the over-sized grilling spatula has been highlighted in national publications like the New York Times, Martha Stewart Living, and Fast Company. Jacob licensed it with New York based firm, Areaware, and it has been sold across the country in home stores including Williams Sonoma, Bed, Bath & Beyond, and shops in some of the nation’s prominent museums. There’s also a smaller vinyl version for kitchen use.

With the spatula’s popularity, Jacob has decided to donate a portion of the percentage he receives from its sale to the Abramson Cancer Center.

“My cancer diagnosis has been a huge blow but I’ve been trying to keep as busy as possible,” he says. “I like to be working and make stuff. I work with my hands. This has been my opportunity to be on top of that. I don’t just have cancer, get treatment, and sit at home. I’ve been using this as an opportunity to create -  the perspective on that is interesting.”

To purchase a Star Spangled Spatula, or to learn more about Jacob, visit www.flip4cancer.com


Esophageal Cancer: Risk and Prevention

Esophageal Cancer Risk and Prevention

There are risk factors that can increase the chance of developing cancer. Having a risk factor, or even several, does not mean that someone will get cancer. There are different kinds of risk factors.

Some risk factors for cancer, like age and family history, cannot be prevented. Patients who feel they are at risk may benefit from consulting with a risk assessment specialist within Penn Medicine’s GI genetics program.

Esophageal Cancer Risk Factors

Researchers believe chronic irritation of the esophagus may affect esophageal tissue and put some people at higher risk for developing esophageal cancer.

Some other risk factors include:
  • Alcohol use
  • Tobacco use
  • Barrett’s esophagus
  • Gastroesophageal reflux disease (GERD)
  • Eating a diet low in fruits and vegetables
  • Obesity
  • African Americans (greater risk for developing squamous cell esophageal cancer)
  • Caucasians (greater risk for developing adenocarcinoma)

Overall, men are about three times more likely than women to develop esophageal cancer.
Barrett’s esophagus is a condition in which the lining of the esophagus is damaged by stomach acid. Barrett’s esophagus is the body’s way of repairing the damage and this may increase the risk for developing esophageal cancer.

People diagnosed with Barrett's should be monitored for precancerous cells in the lining of the esophagus. If precancerous cells are found, they can be treated endoscopically to help prevent cancer.

Esophageal Cancer Prevention

The risk of esophageal cancer may be lowered by making several lifestyle changes:
  • Limiting or eliminating alcohol use: Moderate or no consumption of alcohol can decrease the risk of developing cancer.
  • Eliminating tobacco use: Smoking or chewing tobacco can increase the risk of developing cancer. Patients can get help to stop smoking through Penn Medicine’s Lung Center or through a smoking cessation research program at the Abramson Cancer Center.
  • Eating a diet rich in fruits and vegetables: This includes fruits and vegetables that are green and yellow, and cruciferous vegetables such as cabbage, broccoli and cauliflower.
  • Maintaining a healthy weight: Research has shown that obesity is a risk factor for developing esophageal cancer. A physician can help patients learn strategies to lose weight.

Esophageal Cancer Risk Assessment

Penn Medicine offers programs for patients who want to determine their risk of developing gastrointestinal cancer through the Penn Gastrointestinal Cancer Risk Evaluation Program.

This program offers knowledge about the presence of genetic risk factors for cancer and provides patients with important, sometimes life-saving options.

Learn more about your risk for esophageal cancer.

Learn more about esophageal cancer, and esophageal cancer treatment at the Abramson Cancer Center.

Focus On Esophageal and Stomach Cancer Free Conference

stomacn-esophageal-cancer-treatment-philadelphia
The Focus On Esophageal and Stomach Cancer Conference is a full day designed to address the personal and medical issues facing those with esophageal and stomach cancer including those in treatment, survivors, their loved ones, and caregivers.

Register for the 2013 Focus On Esophageal and Stomach Cancer Conference

Get information on the latest advances, diagnosis, treatment, symptom management and psychosocial issues; as well as the opportunity to network and gain support from other esophageal and stomach cancer survivors.

Date: Friday, March 22
Time: 7:30 am to 10:30 am
Location: Hilton Hotel, 4200 City Avenue, Bala Cynwyd, PA

Register for this free event here.

These conferences are made possible through philanthropic funding. Help support our efforts to empower patients and survivors to become more active participants in their care by making a donation to the Abramson Cancer Center today.
 

Awareness Month: Testicular, Esophageal and Head and Neck Cancers

April is testicular, esophageal and head and neck cancer. Be sure to subscribe to the Focus On Cancer blog, and "like" the Abramson Cancer Center Facebook page for information about testicular, esophageal and head and neck cancer throughout the entire month.

At a Glance: Testicular Cancer

  • Testicular cancer is most common in young or middle-aged men, and the most common cancer in men ages 15 to 34.
  • If detected early, the survival rate is high. In 2013, it is estimated there will be 7,920 new cases of testicular cancer, and there will be 370 deaths from testicular cancer.
  • Some risk factors for testicular cancer include: Having an undescended testicle, having a testicle that is smaller, and does not function normally, having had abnormal development of the testicles, being Caucasian, and having a personal or family history of testicular cancer.
Learn more about the treatment for testicular cancer at the Abramson Cancer Center.

At a Glance: Esophageal Cancer

  • It’s estimated 17,990 new cases of esophageal cancer will be diagnosed this year, and there will be 15,210 deaths from esophageal cancer.
  • Men are three times more likely than women to be diagnosed with esophageal cancer.
  • Esophageal cancer has been linked to alcohol and tobacco use, as well as gastroesophageal reflux disease, or GERD.
Learn more about treatment for esophageal cancer at the Abramson Cancer Center.

Join the esophageal cancer monthly support group at the Joan Karnell Cancer Center at Pennsylvania Hospital for patients with esophageal cancer and their caregivers, focusing on surgical side effects, nutrition and social issues.

At a Glance: Head and Neck Cancer

  • Most head and neck cancers begin in the lining of the head and neck.
  • Head and neck cancer has been linked to tobacco use, alcohol use, and HPV.
  • Drs. Bert O’Malley and Greg Weinstein of Penn Medicine developed Trans-Oral Robotic Surgery, a minimally invasive, robotically assisted surgical approach to removing tumors of the mouth, throat and voice box that dramatically improves the treatment of head and neck cancers.
Learn more about treatment for head and neck cancer at the Abramson Cancer Center.

Prevent Esophageal and Stomach Cancer: A Free Conference

Prevent-esophageal-cancer
On Friday, March 22, the Abramson Cancer Center presents a conference about esophageal and stomach cancer prevention

2013 CANPrevent Stomach and Esophageal Cancer Conference

The CANPrevent Stomach and Esophageal Cancer Conference offers the latest information on colorectal screening and managing the genetic risk for you and your family.

Who Should Attend

Those at risk for esophageal cancer due to:
  • Gastroesophageal reflux disease (GERD)
  • Barrett's (or Barrett) esophagus
  • The use of tobacco products, including cigarettes, cigars, pipes, and chewing tobacco
  • Drinking alcohol
  • Obesity
  • Human papilloma virus (HPV)
  • Achalasia
  • Tylosis
  • Esophageal webs
  • Work place exposure to chemical fumes
  • Injury to the esophagus

Those at risk for stomach cancer due to:
  • A family history of stomach cancer
  • Helicobacter pylori (H pylori) infection
  • Mucosa-Associated Lymphoid Tissue (MALT) lymphoma
  • Diets that have large amounts of smoked foods, salted fish and meat, and pickled vegetables
  • Tobacco use
  • Obesity
  • Previous stomach surgery
  • Pernicious anemia (vitamin B12 deficiency)
  • Menetrier disease (hypertrophic gastropathy)
  • Type A blood
  • Some types of stomach polyps
  • Epstein-Barr virus infection
  • Workers in the coal, metal, and rubber industries
  • Immune deficiency
  • Inherited cancer syndromes:
    • Hereditary diffuse gastric cancer
    • Hereditary non-polyposis colorectal cancer (Lynch syndrome)
    • Familial adenomatous polyposis (FAP syndrome)
    • BRCA1 and BRCA2

Register for the 2013 CANPrevent Esophageal and Stomach Cancer Conference

Gain knowledge and take action by getting important information from our experts. Breakfast will be provided.
Date: Friday, March 22
Time: 7:30 am to 10:30 am
Location: Hilton Hotel, 4200 City Avenue, Bala Cynwyd, PA

Register for this free event here.
These conferences are made possible through philanthropic funding. Help support our efforts to empower patients and survivors to become more active participants in their care by making a donation to the Abramson Cancer Center today.

Esophageal Cancer: "You Don't Have to Go Through It Alone"

As a teenager, Rick Megaro had heartburn a lot. He managed it with over-the-counter medications, but it always came back. He just figured he would have to live with it.

When he was 28, Rick began to have difficulty swallowing, and made an appointment with his doctor.

“He figured I was eating too fast, and advised me to slow down my eating and cut my food into smaller bites,” remembers Rick. “A few years later, I had a lot of trouble eating spaghetti, and I knew something was not right. I began eating liquid and soft foods to compensate for my swallowing issues and lost 25 pounds. My wife finally convinced me to go see a doctor.”
Rick Megaro ready for a ride

Rick came to Penn Medicine where he was examined by Penn physician Robert Cato, MD. Dr. Cato ordered an upper GI test and barium swallow – both diagnostic GI tests.

An endoscopy with Penn gastroenterologist Michael Kochman, MD, revealed Rick had stage 3 esophageal cancer (cancer was found in his lymph nodes). Rick was only 30.

“I was married with young kids at the time,” says Rick. “It was really a shock for all of us and I was scared to death”.

About Esophageal Cancer

Esophageal cancer is cancer that develops within the lining of the esophagus, the muscular tube through which food passes from the mouth to the stomach.

There are two types of esophageal cancer:
  • Squamous cell carcinoma: Cancer that begins in the flat skin-like cells lining the esophagus.
  • Adenocarcinoma: Cancer that begins in the intestinal-type cells that make and release mucus and other fluids.
Researchers believe chronic irritation of the esophagus, like years of heartburn as was the case with Rick, may affect esophageal tissue and put some people at higher risk for developing esophageal cancer.

Barrett’s esophagus can also increase a person’s chance of developing esophageal cancer.
Barrett’s esophagus is a condition in which the lining of the esophagus is damaged by stomach acid, and cells within the lining are replaced by cells normally found lower in the GI tract.

Life After an Esophageal Cancer Diagnosis

Rick had an esophagectomy, as well as lymph nodes removed, to remove the cancer.

An esophagectomy is the most common form of surgery for patients with esophageal cancer. In this procedure, the part of the esophagus affected by cancer is removed. The healthy part of the esophagus is then connected to the stomach. Lymph nodes near the esophagus are also removed and examined for cancer. If the esophagus is blocked by a tumor, an expandable stent, or tube, may be placed prior to surgery to help keep the esophagus open to improve nutritional status, or after surgery for palliation.

Rick says: “After surgery, I had six weeks of chemotherapy, and six weeks of radiation. I was supposed to have a second round of 6 weeks of chemotherapy but my white blood count did not recover and my oncologist, David Vaughn, MD, thought I had enough. It took a good year to start eating normal foods again and adapt to the physical changes my body went through after surgery.”

Like many patients who have had esophagectomies, Rick had to re-learn how to eat and manage uncomfortable gastrointestinal side effects while trying to regain his health.

“The Esophagectomy Support Group at Penn really helped me adjust and relate to others going through the same side effects I was experiencing,” says Rick.

The support group meets quarterly at the Abramson Cancer Center of The University of Pennsylvania. Rick still goes to the support group meetings today after more than 16 years and has made many wonderful friends and connections.

Rick says, “The support group is run by the best nurses on the planet and is supported by a complete staff of doctors and medical professionals that help the patient from surgery to recovery. It is a wonderful place for patients, families, caregivers and survivors to talk with each other and share the experiences they all go through. It is so comforting knowing that you are not alone through this experience.”

The support group is also reaching out to patients before their surgery so they know what to expect and this helps relieve their fears and anxiety.

“If someone is going through their cancer treatment or someone that is scheduled to have an esophagectomy, it’s important to come out to these meetings and listen to other people who have been through it,” says Rick. “Being a part of a group of people who have been through this can relieve a lot of anxiety and worries, which is really important because having a good attitude is a big part of the recovery process.”

Now, 16+ years after his diagnosis and surgery, Rick gets an endoscopy every year and continues to enjoy a healthy and active lifestyle.

“If you have esophageal cancer, you don’t have to go through it alone,” says Rick.

For more information about the Esophagectomy Support Group at Penn, visit their Facebook page.