What do you think is the best way to choose an experienced and quality surgeon? Some researchers think it's by reputation. That's how I got mine. A friend told me who he'd use if his wife or mother developed breast cancer and then more and more people began recommending the same surgeon. It seemed logical I'd use him too. And I'm glad I did.

A study published in the January 20 Journal of Clinical Oncology reveals that women who actively choose their surgeons by reputation are more likely to be treated by experienced surgeons in hospitals with comprehensive cancer programs. Reputation even beat out accepting referrals from other doctors or health plans.

Many cases of ovarian cancer are diagnosed at advanced stages, its one of the gynecological cancers that is hard to diagnose in the early stages of the disease. Ovarian cancer needs to be treated correctly from the get -go for the best chance of survival.

It seems that some women are not receiving appropriate surgery in the United States based on an article in Journal Watch by Andrew M. Kaunitz MD.

A study found that out of 10,000 women diagnosed with ovarian cancer from 1999 to 2002, only forty two percent underwent surgery at teaching hospitals. Almost half of the patients in the study were operated on by surgeons who performed fewer than 10 ovarian cancer surgeries each year. Scarier yet, the study showed that about 25 percent of these women underwent surgery by very-low-volume surgeons -- less than one annually.

Dr. Kaunitz advice is to seek out a gynecological oncologist to get comprehensive care that is needed.

Don't be afraid to ask a surgeon -- How many times have you performed this surgery?

Simply being female puts all women at risk for breast cancer. That and age, race, family history, personal history, genetic make-up, when they had children, when they reach menopause, and a whole host of other possible factors.

Now U.S. doctors are officially calling body mass index, breast density, and alcohol consumption predictors of the disease, says Therese Bevers, medical director of the Cancer Prevention Center, at the University of Texas M.D. Anderson Cancer Center in Houston.

Bevers helped write updated guidelines for the prevention of breast cancer and presented them at the 12th annual National Comprehensive Cancer Network in Hollywood, Florida on Friday.

The guidelines, featuring the revised list of risk factors, also offer treatment options for women -- including bilateral mastectomy for women who have tested positive for the genes BRCA1 and BRCA2 as well as possible medical treatments with drugs such as tamoxifen and raloxifene.

Cancer patients receiving treatment at the Arizona Cancer Center in Tucson will walk through the doors of a new building -- the Fasseas Cancer Center-- beginning tomorrow morning.

The new center, named after major donors Peter and Paula Fasseas, is built on the skeleton of a defunct Tucson hospital. It took 16 months to build and cost an estimated $30 million. And now the comprehensive cancer center is ready for use.

More than 800 cancer patients have appointments during the first week, and 110 medical staff will relocate to the new clinic that has been called the crown jewel of new University Medical Center North Campus and one of the most modern cancer treatment centers in the United States.

The new two-story clinic -- to be joined later by facilities for radiation oncology, ambulatory surgery, imaging services, and a Ronald McDonald House for pediatric patients and their families -- will feature patient support groups, counseling, therapeutic massage, a healing garden, a resource center, and a salon to help patients cope with hair loss and other side effects of cancer treatment.

A formal grand opening for the new clinic is planned for February 18.

Tampa's H. Lee Moffitt Cancer Center & Research Institute, the only comprehensive cancer center in Florida, has just partnered with Merck & Co., one of the world's largest drug companies, to develop personalized cancer treatments using a patient's genetic profile.

The two powerhouse entities will form a for-profit company called M2Gen on donated land near the University of South Florida. And in the span of just a few years, researchers plan to compile a database of tumor tissue and other medical information to determine why some patients respond to treatment while others do not. The database could house information on more than 30,000 patients within five years and will enable researchers to identify biological markers that could help doctors choose the most effective treatment based on the genetic make-up of each patient's tumor.

Blind treatment -- where everyone receives the same thing -- will be a thing of the past as tailor-made therapies replace the one-size-fits-all approach.

Florida Governor Jeb Bush says of the partnership that will create more than 170 high-paying jobs, "Man, I don't know if you can think of a better Christmas present than that."

Nearly half of all cancer patients and others in their households have trouble coordinating cancer care, according to a recent public health poll.

Many who participated in a recent telephone poll revealed they were confused about prescriptions, were sent for duplicate tests, and received conflicting information about their treatment plans.

Experts say choreographing care is one of the most important challenges in the world of cancer. Navigating the maze of medical madness can be emotionally draining and can even hurt a patient's chance of recovery.

Now is the time to become advocates for our own health -- before we are left behind. So get ready to take charge -- and consider these seven thoughts on actively coordinating your own cancer care.

• Today, cancer patients spend more time at home and not in hospitals like they did generations ago. This leaves them to manage much of their care on their own -- often a monumental and overwhelming task. Patients, or a designated friend of family member, should document every tidbit of medical information, including names, phone numbers, medical records, instructions, medications, dosages, appointments, questions, responses, and more. Jot down symptoms and worries and concerns. File away pamphlets and handouts and bills and receipts. Don't count on memory alone to provide all the details. Allow for back-ups. They will serve you well.
  

• Most cancer patients need a whole team of doctors -- radiologists, pathologists, medical oncologists, radiation oncologists, surgeons -- but each doctor may handle only one aspect of care while no one runs the show. It's the perfect scenario for disrupted and piecemeal care, says one doctor. Consider searching for comprehensive cancer centers where a variety of professionals are housed under one roof and patients can often meet with all their doctors at one time. Currently, only about 10 percent of cancer patients are seen at this type of large center.

• Many doctors are stuck in electronic gridlock because doctors in one building may be unable to access the records of doctors in other locations due to incompatible computer systems or paper charts. Patient advocates say all patients should have easily accessible electronic medical records. One cancer center hopes to start a program that would allow for storage of patient records on small, portable USB flash drives. Patients would keep the drives and could plug them in at home or at their doctor's office.

• Cancer patients often suffer from lack of information. Long-term survivors, for example, often have trouble recalling exactly what was done to them. And over time, doctors may relocate or pass away, leaving survivors with little to reconstruct their journeys.
  

• Shortly after diagnosis, patients should request from their doctors a care plan -- an outline of how doctors plan to treat their cancers.

• Patients should also receive a treatment summary at the end of therapy. This should outline all surgeries, chemotherapy, radiation, medications, and dosages.

• A plan for ongoing care should be offered to all cancer patients so they know how to monitor their health. This plan should include guidance on screening tests, follow-up visits, and potential long-term side effects.

"A lot of anxiety results from not knowing what comes next", says one patient advocate. "People armed with good information tend to make better decisions."

I started my breast cancer treatment under the care of one oncologist. And then in a search for more warmth and compassion, I landed in a new relationship with a new oncologist. He offered me just what I was seeking. Plus something I didn't expect.

My new oncologist offered me a new treatment plan -- a new course of action that better suited my specific disease.

U.S. researchers reported yesterday that breast cancer patients were urged to change their treatment plan more than half the time when they received a second opinion from a multidisciplinary panel of surgeons, radiation oncologists, medical oncologists, radiologists, and pathologists.

Researchers at the University of Michigan Comprehensive Cancer Center believe second-opinion changes are a result of different interpretations of breast imaging and pathology results, consideration of new techniques and treatments, discovery of undiagnosed second cancers, and emerging medical research.

It wasn't a formal multidisciplinary team that delivered me a new, better opinion for my own cancer care. It was one man, who merged instinct and science and then consulted a well-know oncologist friend who agreed with the approach I ended up following.

I am thankful for everything I gained from my second opinion -- the warmth, the compassion, the treatment plan that has served me well for two years.

TIME magazine has faithfully followed the issues defining cancer. The topic has made the covers of many issues, and it receives plentiful press on the pages in between. Stories spotlight an array of different cancers, address research and new developments, and offer personal glimpses into the lives of both everyday survivors and those with celebrity status. A look into the archives of TIME magazine -- seven specific issues -- illustrates a proven commitment to the cancer cause. And it proves the mystery of cancer is much the same today as it was many years ago.