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Breast MRI now officially recommended

I get mammograms every six months. I get ultrasounds every six months. I get a breast MRI every year. That's my typical screening routine, intended to keep breast cancer from invading my life for a second time.

This combination of testing -- primarily the MRI part -- has not been typical for all at-risk women. It's just the plan my doctors have determined is the best insurance policy for me. But as of yesterday, the American Cancer Society began recommending regular use of MRI scans, rather than conventional mammograms, for women facing a breast cancer risk of 15 percent or more.

Family history places one to two percent of women at a 20 percent higher risk of developing the disease than women without such a history. Women carrying a BRCA1 or BRCA 2 gene mutation face a lifetime risk of up to 65 percent. And women with a personal history of the disease are at risk of a repeat diagnosis. These are the women MRI screening can help.

Recent studies show MRI to be much more sensitive than mammograms. And in an investigation of 969 women diagnosed with breast cancer in one breast, MRI found 30 additional tumors in the opposite breast previously missed by mammograms and physical exams.

Not typically used for routine screenings due to cost and a few false alarms -- sometimes the scans detect suspicious areas that once surgically tested turn out to be benign -- MRI is still the best tool for detecting more cancerous tumors earlier.

There is no proof yet that the cancers detected by MRI will translate into longer lives for patients. Life-extending benefits will become clear only after women are followed for a longer period of time.

Lung Cancer: Celebrex in addition to second line chemotherapy not recommended

Celebrex (celecoxib) does not seem to show any benefit in patients receiving second line chemotherapy for lung cancer. Second line chemotherapy refers to treatment given when the initial treatment does not work or stops working.

According to the results of a phase II clinical trial published in the Journal of Clinical Oncology, the effectiveness of Celebrex is not seen when added to chemotherapy for patients with non-small cell lung cancer (NSCLC). Researches conducted the trial among 133 patients with stage IIIB or Stage IV NSCLC. Aside from pain, the addition of Celebrex did not improve patient symptoms or outcomes. One year survival was 24 percent among patients treated with Celebrex and chemotherapy and 36 percent among patients treated with chemotherapy alone.

Celebrex is a non-steroidal anti-inflammatory agent that inhibits the COX-2 enzyme, which plays a role in inflammation. There has been some evidence that COX-2 inhibitors may increase response to chemotherapy. Further research needs to be conducted since it is still possible that specific subsets of patients with NSCLC may benefit from COX-2 inhibitors.

Study shows red meat associated with pancreatic cancer

I'm never quite sure about what foods I should eat and what foods I should not eat. Sometimes I hear that fish is healthy and recommended and then I hear that I should not eat fish at all due to concerns such as mercury levels. It seems that opinion on certain foods -- like fish and carbohydrates and dairy items -- sways and changes, which leaves me uncertain about how I might approach my diet in the best possible way. But opinion on red meat seems to be getting more and more consistent -- as more and more studies indicate that red meat is associated with a variety of health problems. And now red meat appears to raise the risk of developing pancreatic cancer, according to a Swedish report in the International Journal of Cancer.

More than 61,000 women were studied for possible effects of meat, fish, poultry, and egg consumption. After 17 years, 172 of these women were diagnosed with pancreatic cancer, and researches say it's because of the red meat. I suppose this could have been a coincidence -- and these women were destined for their diagnoses regardless of diet. But researchers conclude that long-term consumption of red meat is associated with an increased risk of pancreatic cancer -- one of the most deadly cancers that is seldom detected at an early, curable stage.

The good news from this study -- there does not seem to be a connection between pancreatic cancer and the consumption of fish and eggs. And the consumption of poultry may actually cut the risk of pancreatic cancer.

Breast book is bible for women with breast cancer

The day I was diagnosed with breast cancer is the day I bought Dr. Susan Love's Breast Book -- actually my sister ran to the store and bought it for me -- after it was recommended as the bible for women with breast cancer. I was told that in the absence of answers to my questions from my doctor, I should look to Dr. Love for responses that would probably mirror what my own doctor would say. So if a question or worry entered my head, I didn't have to call and leave a message for my doctor. I didn't have to wait for a return call or for my next appointment. I could open the pages of this almost 600-page book and find up-to-date and accurate information. The information I found eased my mind and gave me hope -- and it also scared me and introduced to me to the sometimes-tragic effects of breast cancer.

Continue reading Breast book is bible for women with breast cancer

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