Don't delay. There's no better time than the present to get your weight in check. Especiallly now that The American Cancer Society is reporting that maintaining a healthy weight is at the top of their cancer prevention list.

"We know that obesity is related to a number of different cancers, breast cancer among post-menopausal women, colon cancer, esophageal, kidney cancer," says Colleen Doyle of American Cancer Society spokeswoman.

This makes the ACS recommendations more urgent than ever.

The ACS urges individuals to eat a diet rich in fruits, vegetables, and whole grains and to exercise at least five days per week.

There are no guarantees, of course, that these practices will hold off cancer. But "the good news is that a lot of people think they don't have any control over their risk of cancer and we're here to tell people that absolutely you do have some control," says Doyle.

It is estimated that poor diet and lack of physical activity cause about one-third of cancer deaths each year, about the same number of cancer cases caused by smoking.

The old saying an aspirin a day keeps the doctor away seems to apply for certain cancers now. Researchers reported that aspirin and other NSAIDs decrease the risk of progression of the most aggressive form of Barrett's esophagus to esophageal cancer. In a study NSAID users took the drug at least once a week for six or more months any time during follow-up, regardless of daily frequency, duration, or type, the researchers reported. Galipeau and colleagues also found that those with three or more of the biomarkers who used aspirin or other NSAIDs had a 30% risk of esophageal cancer after 10 years, while those with the same biomarkers who did not use NSAIDs had a 79% risk of developing cancer within a decade.

The vast majority of patients in this cohort had gastroesophageal reflux disease and were undergoing therapy, mainly with proton-pump inhibitors. It is unclear how the frequency or severity of symptoms may have affected NSAID use by participants, the researchers said. However, to their knowledge, they said, symptoms from reflux are not associated with intermediate endpoints or cancer in Barrett's esophagus, so it is unlikely that symptoms could explain the association of NSAID use with reduced risk of esophageal cancer. The findings may help identify patients who may benefit most from a very cost-effective, noninvasive therapy in the form of aspirin or NSAIDS.

Cancer of the esophagus is one of the fastest rising cancers in the United States -- but the common screening test, both expensive and risky, is not widely used. Thankfully, a newer option, around since the mid-90s, is quicker and easier and is catching on around the country.

Trans-Nasal Esophagoscopy (TNE) is the better option, and it works like this: a doctor numbs the nose, inserts a thin, flexible tube -- no bigger than a pencil -- through the nostril and into the esophagus, removes a bit of tissue for biopsy purposes, takes a few pictures, and pulls the tube back out through the nostril. The patient gets to watch it all on a monitor and gets to depart from the procedure with no ill effects.

Traditional esophagus cancer screening involves a similar tube that is inserted through the mouth. Due to the gag reflex, patients are sedated. While there are often no complications from the procedure itself, the intravenous sedation can cause problems.

"You don't need those risks to see what's going on," says one doctor, who reports that esophageal cancer responds very well when caught early by tools like TNE.

Carbohydrate consumption of Americans has increased over the years and so has the incidence of esophageal cancer. Esophageal adenocarcinoma rose from 2,500 cases per year back in 1973 to nearly 15,000 cases per year in 2001.

The study reported by Vijay S. Khiani M.D., of Case Western Reserve in Cleveland, was presented at the American College of Gastroenterology meeting. The investigators found an association between the rising incidence of esophageal cancer in the United States and the increase in U.S. per-capita carbohydrate consumption over the past three decades.

Although the data could not prove a causal link, Dr Khiani noted that a carbohydrate-heavy diet can lead to obesity, which in turn can lead to gastroesophageal reflux disease (GERD). This disease has been linked to a greater likelihood for developing Barrett's esophagus, a precursor to lower-esophageal cancer.

Dr. Khiani stressed that the study does not support total carbohydrate avoidance, a strategy promoted by some fad diets. The investigators concluded, "This ecological study provides evidence for the hypothesis that excess carbohydrate intake in the U.S. population may partially account for the increased trend of incidence rates of adenocarcinoma of the esophagus. It is possible that obesity resulting from excess carbohydrate intake many be an intermediate link".

Studies exist that link acid-reflux conditions to cancer of the larynx -- or voice box -- but authors of a new study say they all suffer shortcomings in methodology.

The new study, published in the American Journal of Medicine, was intended to make up for these shortcomings by comparing 96 men and women with laryngeal cancer to a group of adults without the disease. All participants were matched by age, gender, and ethnicity -- three of the most important risk factors for this cancer. Overall, the study found people with GERD -- gastroesophageal reflux disease -- were twice as likely to develop laryngeal cancer, compared to those without the condition. GERD has long been considered a possible risk factor for this cancer, mostly because GERD is common among people with the cancer. More definitive studies are on the horizon.

GERD, which occurs when the muscle of the bottom of the esophagus fails to close properly, allowing stomach acids to leak into the esophagus, is also linked to esophageal cancer.

A few days ago I posted about Cathy's EC Cafe. It's a webpage designed to help those diagnosed with esophageal cancer. In that post I mentioned one of the stories I liked on the webpage written by a six year esophageal cancer survivor named Barry Bokhaut. I decided to email Barry and talk to him about his experience and any advice he might have for those diagnosed.

I think Barry's story is inspirational and can help others newly diagnosed know that survival is possible even though the statistics look grim. According to the American Cancer Society 13,770 of the 14,550 estimated cases of esophageal cancer in 2006 will die of their disease. At the current time only less than 20 percent of patients survive five years.

Barry answered the question as to why esphageal cancer is so hard to cure. "Esophageal cancer's low survival rates is in a large part due to the fact that the symptoms are very benign, and the disease is often very advanced before doctors properly diagnose it. Far too many people are told by their doctors that they are suffering from heart burn or indigestion, and are given antacids. By the time the difficultly in swallowing manifests, and the doctors get around to a full diagnostic workup, the disease is very established and extremely difficult to deal with, as it spreads quickly."

Cathy's EC Cafe' was started in 1995 to support those diagnosed with esophageal cancer. When Cathy's dad was diagnosed with the disease in 1995, Cathy could not find much information on the internet. Since then, The Cafe has celebrated more than ten years of providing information on esophageal cancer.

The website won the 26th OncoLink Editor's Choice Award in 2006. OncoLink site states "This award is given by the editors of OncoLink to the provider of the highest quality cancer information on the internet. Selection is based on the particular emphasis we at OncoLink place on patients and families who empower themselves with information about their disease. Your site is exemplary of this philosophy, and serves as a model for others."

You can find at Cathy's Cafe many survivor stories to read or you can join the EC-Group for a more personal touch. The information provided can help a newly diagnosed patient get all the information they need about esophageal cancer in one place.

One survivor story that I took particular interest in was Barry Bokhaut's. He also has on the website a story that he wrote called My Blue Hat. I loved his story and I really related to it being a cancer survivor myself.

Ann Richards was the Governor of Texas from 1991 to 1995. She was only the second woman to hold that post. In March of his year she said she was being treated for esophageal cancer. She passed away at the age of 73.

Ann Richards seemed like a spunky lady. When she was nearing sixty she rode a Harley-Davidson motorcycle because she said "I thought I needed to do something kind of jazzy." Ann didn't start her political career until she was in her 40's. She won a seat on the Travis County commission in Austin in 1976.

The 1988 Democratic National Convention is when Ann burst onto the scene. At the keynote address she famously described the syntax-challenged Republican presidential nominee, George H.W. Bush, this way: "Poor George. He can't help it. He was born with a silver foot in his mouth."

She eventually was defeated for the re-election of Governor by Bush's son, and future president, George W. Bush. That was the last time she ran for office. She then worked as consultant and commentator and she served on corporate boards.

One quote she liked that she said summed up the aspiration of women in politics: "Ginger Rogers did everything that Fred Astaire did. She just did it backwards and in high heels."

Heartburn has never really been considered a major health concern. It has been considered uncomfortable and annoying and troublesome -- yet still only a harmless nuisance. In recent studies, though -- summed up in the September 2006 Oprah magazine -- heartburn has been linked to a deadly form of esophageal cancer. Apparently, people who experience heartburn one time per week or more have a fivefold or greater risk of adenocarcinoma of the esophagus -- a cancer with incidences jumping as much as 500 percent over the past 40 years. Experts insist, however, that adenocarcinoma is still rare. One doctor states that 40 percent of Americans have heartburn once per month -- yet only 8,000 to 9,000 people develop this specific cancer each year.

For the unfortunate few who do go on to contract cancer, there is hope in a surgical procedure to remove the cancer and part or all of the esophagus and nearby lymph nodes -- which can dramatically increase the odds for survival. For most of us, a bit of heartburn does not signal an eventual cancer diagnosis. It just means we might need to self-treat the symptoms with over-the-counter remedies. And a recent review at Stanford suggests that sleeping with your head elevated can reduce reflux pain.

You should see a doctor if your heartburn results in a consistent burning sensation, difficulty swallowing, or vomiting.

The addition of further chemotherapy added to neoadjuvant chemotherapy in patients with esophageal cancer can improve survival. When diagnosed with esophageal cancer the patient is usually given chemotherapy to shrink the tumor before surgery, it also may be accompanied by radiation. This gives a better chance that the tumor will be smaller and can be fully removed. It also is treating the body immediately with systematic therapy in case any cancer cells are circulating in the body.

The journal Cancer has published an article from researchers at MD Anderson Cancer Center regarding additional chemotherapy added to the neoadjuvant chemotherapy already given to patients who have locally advanced esophageal cancer.

The study included 130 patients with esophageal cancer who received neoadjuvant chemotherapy plus radiation therapy and their outcomes were compared to 117 patients who received the same treatment plus and additional course of chemotherapy (induction chemotherapy) prior to surgery.

At five years overall survival was 43 percent for those treated with the additional induction chemotherapy before surgery, compared to 28 percent for those not treated with induction chemotherapy.

The researchers concluded that the induction chemotherapy added to the neoadjuvant chemotherapy improved survival.

The University of Miami's first basketball All-American and member of the school's Athletic Hall of Fame died Friday of esophageal and colon cancer. Dick Hickox, a 5-6 guard who led the 1959-60 Hurricanes to a 23-3 record and a No. 8 ranking -- still the school's highest -- was 68 years old.

Hickox never meant to play basketball at UM. He went to Coral Gables with a friend who was homesick and who threatened to leave unless coach Bruce Hale brought in Hickox and a another friend. Hale agreed -- and had no idea what he was getting. Hickox averaged 22.1 points that season and went on to make history. He was named second All-American, alongside Providence guard Lenny Wilkens. Hickox drew crowds of 5,000 and celebrities -- like actors Burt Reynolds, George Hamilton, and then-Cassius Clay -- often cheered him on from under the basket.

Hickox spent his adult years working in the Dade County Public School system and was the business manager of the South Miami High athletic department. In March, he attended the Atlantic Coast Conference tournament in Greensboro, N.C., and received a Legends Award. It was the best basketball weekend of his life, one friend said.

Hickox is survived by his wife, his son, and his daughter.

Japanese-American actor Mako Iwamatsu, who received an Oscar nomination for best supporting actor when he played the Chinese character Po-ha in the 1966 movie The Sand Pebbles, is credited for Hollywood's acceptance of Asian-Americans as serious actors, not merely caricatures or stereotypes. Last Friday, Mako died of esophageal cancer.

During Mako's career in film and theater, he co-founded the first Asian-American theater company, East West Players, where he trained aspiring actors and playwrights. Mako had roles in the films Conan the Barbarian, Seven Years in Tibet, Pearl Harbor and the Japanese film Owls Castle.

Mako was the voice of evil demon Aku in the animated series Samurai Jack, and as the parody of Aku, Achoo, in Duck Dodgers, as well as Uncle Iroh in Avatar: The Last Airbender.

According to artistic director Tim Dang of East West Players, "If it wasn't for Mako there wouldn't have been Asian-American theater. He is revered as sort of the godfather of Asian-American theater." Born in Kobe, Japan, Mako was the son of noted children's book author and illustrator Taro Yashima. He has a star on the Hollywood Walk of Fame. Mako was 72.

Watercress is one of the richest sources of dietary phenylethyl isothiocyanate (PEITC). PEITC has been shown to inhibit phase 1 enzyme activation. Effectively it stops potential carcinogens becoming carcinogenic. Watercress is a member of the cruciferous vegetable family that includes broccoli, kale and mustard greens. Watercress leaves are tiny and glossy green with a peppery taste and pack a powerful punch of cancer fighting agents especially cancers related to smokers like lung and esophageal. This simple salad is packed full of nutrients and vitamins and is easy to prepare. As always remember to buy organic products when you can.

Vicki's Watercress and Orange Salad
1 Bag or bunch of watercress rinsed well and patted dry
1 bunch of fresh asparagus cut in 1" pieces
2 cups orange wedges peeled
1/2 cup craisins (dried cranberries)
1/4 cup sliced almonds

Vicki's Simple Citrus Dressing:
1/4 Cup orange juice
1 tablespoon lime juice
2 tablespoons extra virgin olive oil
2 tablespoons honey

In a small bowl combine all the dressing ingredients and chill for 5 minutes. Blanch asparagus in boiling water for 3-5 minutes keeping it crisp but a little tender. Drain and rinse in cold water. In a large bowl mix the watercress orange wedges, craisins, and asparagus and toss with the dressing. Sprinkle the sliced almonds on top and serve immediately.