Fertility drugs and ovarian cancer: it’s all by chance

February 16, 2009 by Raquel Billiones  
Filed under CANCER

The first in vitro fertilization (IVF) baby was born in the UK over 30 years ago. Since then, millions of women have undergone different types of fertility treatments as part of the so-called assisted reproduction technology.

There has been considerable debate on whether fertility drugs can increase women’s risk of developing ovarian cancer. Previous studies gave inconclusive and sometimes conflicting results and this is a major concern for women who undergo several cycles of fertility treatment in hope of becoming pregnant.

The latest research brings good news to women who are undergoing fertility treatment. Danish researchers have reported that fertility drugs do not increase women’s risk of getting ovarian cancer. Allan Jensen and colleagues at the Danish Cancer Society conducted a research on 54,362 women with infertility problems and referred to Danish fertility clinics between 1963 and 1998. The study was designed to evaluate the effects of fertility drugs on the risk to ovarian cancer. Of the over 5,000 participants, the number of women who developed ovarian cancer was 156. The researchers adjusted the risk factors and assessed the effects of four types of fertility drugs over an average period of 16 years. The results showed that the use of any fertility drug does not increase the risk for ovarian cancer. It also showed that there was no increased risk in women who had undergone 10 or more fertility treatments, regardless whether these resulted in pregnancy or not. The authors, however, have observed some increased risk on women who used the drug clomiphene although they believe that the association was just by chance.

According to the authors:

Our results show no convincing association between the overall risk for ovarian cancer and use of fertility drugs, and are generally reassuring”

However, they do point out that, as many of the study participants have not yet reached the peak age for ovarian cancer, they will continue to monitor the risk.

These findings are very reassuring for fertility patients and doctors alike. Nowadays, when women are putting off childbearing as late as possible, the incidence of fertility problems is high. For many women, fertility treatments are their only hope to fulfill their wish for children. According to Penelope Webb of the Queensland Institute of Medical research

Some women who take fertility drugs will inevitably develop ovarian cancer by chance alone, but the current evidence suggests that women who use these drugs are not increasing their risk of developing this highly fatal cancer.

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Protein makes ovarian cancer cells eat themselves

November 27, 2008 by Raquel Billiones  
Filed under CANCER

They say that cures sometimes come from the most unexpected places. In this case, the cancer cure actually works in a very unexpected and unusual way. Meet PEA-15, a protein that make ovarian cancer cells eat themselves

Researchers at The University of Texas M. D. Anderson Cancer Center discovered a protein that can inhibit the growth of ovarian cancer. This protein, called phospho-enriched protein in astrocytes or PEA-15 can actually force cancer cells to cannibalize themselves. The study was based on data from 395 women with ovarian cancer. Results showed that those women with high PEA-15 levels in their tumors had a median survival time of 50.2 months. Those women with low levels of the protein in their tumors, however, had a median survival time of 33.5 months. According to senior author Dr. Naoto Ueno, associate professor of breast medical oncology, the presence of PEA-15 can help determine the woman’s prospects for surviving ovarian cancer.

These findings provide a foundation for developing a PEA-15 targeted approach for ovarian cancer and for clarifying whether this protein is a novel biomarker that can predict patient outcomes,” according to Ueno.

A series of laboratory experiments led by another researcher Dr. Chandra Bartholomeusz also showed that PEA-15 inhibits the growth of ovarian cancer by making them self-cannibalize. It seems that the cell essentially eats itself until it dies. The experiments showed that if PEA-15 is removed, the cancer cells increase by 115% compared to those cells that still had the protein.

Before the discovery of PEA-15’s self-cannibalization mechanism, Ueno’s research team had also reported that the protein can also inhibit cancer in another way. They discovered that PEA-15 can inhibit a protein called extra-cellular signaling related kinase or ERK. This protein ERK is found in the cell nucleus and enhances cancer growth. What the PEA-15 does is to bind to ERK and take it out from the nucleus and moves it into the cytoplasm preventing it from enhancing cancer growth.

“PEA-15 offers us a new dimension for potentially targeting ERK,” according to Ueno. “We’ve shown with high levels of PEA-15, women with ovarian cancer are surviving longer.” Levels of the protein in tumors also might affect how other drugs work against the disease. Similar research is under way in breast cancer with PEA-15, which is short for phospho-enriched protein in astrocytes.

Cancer of the ovary kills approximately 15,000 women in the United States every year. This type of cancer is very hard to diagnose in its early stages. Most ovarian cancers are discovered at later stages when complete treatment is not possible.

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The Ovarian Cancer Battle

May 8, 2008 by Tina Radcliffe  
Filed under CANCER

ovary.jpg

Ovaries are the small almond shaped glands that attach to the uterus via the fallopian tubes. They produce eggs and hormones.

According to the American Cancer Society, a woman’s risk of getting ovarian cancer in her lifetime is 1 in 71. The National Cancer Institute estimates that in 2008 there will be 21,250 new cases diagnosed and 15,520 deaths.

Most Ovarian Cancer develops from:

Epithelial Cells: surface cells covering the ovary, the most commonly diagnosed ovarian cancer
Germ Cells: the egg producing cells

While the cause of ovarian cancer is unknown, it is known what may reduce or increase your risk.

Ovarian Cancer Risk Factors:

  • Your risk of getting ovarian cancer is reduced if you have had a hysterectomy or a tubal ligation (fallopian tubes are ‘tied’)
  • Your risk is lower if you have had children, and lower with each pregnancy
  • Women who have breast fed have a lower risk
  • Women who take birth control pills have a lower risk
  • The use of male hormones to treat endometriosis may increase your risk
  • Obesity may increase your risk
  • A family history of ovarian cancer, breast cancer or colorectal cancer increases your risk
  • A personal history of breast cancer increases your risk
  • Use of estrogen therapy alone may increase your risk
  • Most ovarian cancers occur in women who are in menopause.

Please visit the American Cancer Society site for a complete discussion of these risk factors.
Ovarian cancer may be detected with a pelvic exam. By that time it may be advanced. Women with high risk factors and a family history should be extra diligent to maintain routine gynecologic exams and be very observant for possible symptoms.

Symptoms May Include:

Simple acronyms shared by the Ovarian Cancer National Alliance are:

B for Bloating
P for Pelvic or abdominal Pain
D for Difficulty eating or feeling full quickly
U for Urinary symptoms (urgency or frequency)

It’s obvious these symptoms may be indicative of other diseases. Per the American Cancer Society, “If you have symptoms that you can’t explain nearly every day for more than a few weeks, talk to your doctor right away. “

The BRCA1 and BRCA2 (or Breast Cancer 1 and 2) genes are responsible for many cases of familial ovarian cancer and familial breast cancer. Women with a familial link to ovarian cancer should consult their physicians about this test. Source: The Gilda Radner Familial Ovarian Cancer Registry at Roswell Park Cancer Institute in Buffalo, N.Y.

As part of diagnosis, your physician may order a blood test. A CA-125 will show higher levels in women who have ovarian cancer. Other tests may include various radiographic imaging exams and possibly a biopsy, colonoscopy and or laparoscopy.

Treatment:

Currently a combination of surgery, chemotherapy and radiation are the modalities for ovarian cancer treatment. Early diagnosis is the key.

For up-to-date treatment options for ovarian cancer see the National Cancer Institute pages which includes information on antiogenisis, the process of reducing the blood supply to tumors.

teal-ribbon.jpgOvarian Cancer Initiatives and Resources:

One of the strongest voices in the battle against ovarian cancer is the The Ovarian Cancer National Alliance. Their National Agenda has three initiatives:

1. Advance Ovarian Cancer Research
2. Improve Health Care Practice for Ovarian Cancer, and
3. Expand the National Advocacy Movement for Ovarian Cancer

February 13, 2008, a Yale University Phase II clinical trial released the following information: ” Researchers at Yale School of Medicine have developed a blood test with enough sensitivity and specificity to detect early stage ovarian cancer with 99 percent accuracy. ”

For more information on clinical trials for ovarian cancer see the American Cancer Society Clinical Trials Matching Service, the National Cancer Institute or The Ovarian Cancer National Alliance Clinicial Trials Matching Service.

The Gynecologic Cancer Foundation (GCF) offers support and advocacy. Upcoming classes include: 2008 Ovarian Cancer Survivors Course.

Ovarian Cancer Canada, and the Winners Walk of Hope: ” Join thousands of people in 14 cities across Canada on Sunday, September 7th to help commemorate September as Ovarian Cancer Awareness Month.”

Conversations! The International Newsletter for those Fighting Ovarian Cancer.

SHARE: Self-help for Women with Breast or Ovarian Cancer: hotlines, support groups, education and advocacy.

Battling Books:


100 Questions & Answers About Ovarian Cancer, Second Edition by Don S. Dizon (2006)

A Guide to Survivorship for Women With Ovarian Cancer by F. J. Montz, Robert E. Bristow, and Paula J. Anastasia (2005)

It’s My Ovaries, Stupid! by Elizabeth Lee Vliet (2003)

Tomorrow is your last day–comment on any blog post through Friday May 9th, for a chance to win a free pound of Bald Lady coffee.

               

Where Do We Stand in the War on Cancer? The Biggest Advances in 2007

January 14, 2008 by Lesly Maranan  
Filed under CANCER

During his 1970 inaugural address, American President Richard Nixon declared a War on Cancer. Promising to allocate at least $100 million in funding to investigate the causes for what was then the second-leading cause of death in the United States, Nixon followed through in 1971 by signing the National Cancer Act. Key objectives of this act included infusing basic sciences research funding, ramping up clinical trials and making the National Cancer Institute a free-standing body under the National Institutes of Health.

Nearly forty years later, physicians and scientists are making great strides in better understanding the etiology, management and treatment in all forms of cancer. Recently, the American Society for Clinical Oncology released a report entitled, Clinical Cancer Advances 2007: Major Research Advances in Cancer Treatment, Prevention, and Screening. This annual review, which is available as a .pdf, podcast, and slideshow at the People Living With Cancer website, includes the following highlights: 

Primary Liver Cancer Patients Get the Option for Systemic Treatment: Until recently, surgical techniques were the first line of treatment in liver cancer patients because response to chemotherapy was so poor. In 2007, results of a large study showed that advanced liver cancer using sorafenib (Nevaxar), a targeted chemotherapeutic, lived 44 percent longer than patients who did not. Read more

               

Gynecologic Cancer Second Opinion: Do I need one?

January 19, 2007 by HART 1-800-HART  
Filed under CANCER

By Steven Vasilev MD

If you are already under the care of a board certified or fellowship trained board eligible gynecologic oncologist then whether or not you should get a second opinion depends upon your level of trust and personal interaction with your oncologist. Gynecologic oncologists receive 3-4 years of training after ObGyn residency, gaining extra surgical skills which put them into an elite category of highly skilled cancer surgeons. Physicians in this category are specifically trained for treatment of gynecologic cancers, including surgery, chemotherapy and integration of radiation therapy into a comprehensive treatment plan.

On the other hand if you have not seen a gynecologic oncologist, the prudent thing to do is to seek one out and obtain a second opinion from them!! Even if the recommended treatment for a presumed early cancer sounds reasonable to you, it would behoove you to obtain a second opinion. It may mean the difference between cure and no cure.

Almost all universities and academic centers, including NCI designated cancer centers, have gynecologic oncologists on staff. The links section on this site has several options. The main site which lists most of the board certified or eligible gynecologic oncologists in the US is the Society of Gynecologic Oncologists: www.sgo.org

Universities and academic centers are definitely NOT the only place to find qualified gyn oncologists. In fact, these centers have a mix of senior and junior faculty, some who have just recently completed their fellowship. While these junior faculty members are certainly well qualified to care for you and have support from the senior faculty, there are many gyn oncologists in private practice who have a wealth of experience and potentially a better skill set to take care of you. This is because some private practices have a high volume of patients, in some cases exceeding that found in academic referral centers. Therefore,some private practitioners have a greater experience base than academic practitioners. Finally, some private practices are involved in clinicial research, while many are not. If you seek an opinion which may involve research studies, first determine if the practitioner you are going to see is involved in such trials.

The final, and potentially most important, advice is that not all gyn oncologists are the same. Some have better surgical skills than others, some give chemotherapy while others refer to medical oncologists, practice philosophies differ, and as in any area….personalities differ. It is unfortunately impossible to determine who is best suited for your special needs, but a bit of “research” regarding your potential doctor is wise. A certain amount of information can be gleaned from the the Society of Gynecologic Oncologist’s site and the National Practitioner’s Data Bank NPDB, but personality and philosophy differences are more difficult to assess. Unfortunately, there is no overall performance card available like that used in baseball. Some information of this subjective kind is available in patient forums and chats.

Steven A. Vasilev MD,MBA,FACOG,FACS is a fellowship trained and board certified gynecologic oncologist, which means he is specially trained and certified to take care of women with gynecologic cancers using a broad spectrum of skills. He has practiced at academic as well as private centers, has been on the faculty of three universities and continues to be involved in research and education. You can visit www.gyncancerdoctor.com to learn more about screening, prevention and treatment of gynecologic cancers.

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Barbara’s Ovarian Cancer Story Part II

January 18, 2007 by HART 1-800-HART  
Filed under CANCER

By L. John Mason and Barbara Ehlers-Mason, RN

Part II Conquering the Fear, Fighting the Cancer

Ovarian Cancer: Process and Survival

Post Surgery

Read Part I for information regarding diagnosis and surgery…

The next few weeks after my discharge from the hospital, were very busy. My sister, Nance, and my mom decorated the house and Christmas tree. My sister Lauren visited from Washington and cleaned, cooked and lent invaluable support to all of us. There were visits to the surgeon for follow-up and the oncologist for the initial visit. John and my sisters accompanied me. It was so very helpful to have someone else ask questions and write down information. It can be an overwhelming experience, especially when you’re a little “spaced out” on vicodin for pain management, as I was. I signed on to be part of a clinical study using different combinations of medications for eight instead of the normal six cycles. Laurie had brought a book with her that offered a lot of information on how to deal with an ovarian cancer diagnosis and subsequent treatments. One suggestion was to research clinical studies. There is a great deal of “cutting edge” research out there but you may have to hunt for it, do your homework, and bring the information to your doctor. My oncologist’s office was conducting a trial, I was accepted, and I was scheduled to begin treatment on December 21.

Even though I was dreading the whole process, I knew I had to approach it in much the same way I did the surgery, almost like an athletic event or a race. I wanted to go in as strong and as prepared as possible and with a better “attitude.”

Attitude is defined as a manner of acting, feeling or thinking that shows one’s disposition, opinion and mental set. We may not be able to control a situation, but we can choose our attitude about that situation- victim or fighter; passive or aggressive; depressed or striving toward joy and happiness; caught in the “why me’s” or searching for the “what can I learn from this.” With the help of many people and through much reading and research, my “attitude-adjustment” process unfolded.

A booklet entitled “Preparing for Chemo” suggests several things that I immediately put into action.

1) Get your hair cut short so that when your hair starts falling out, it’s less traumatic and won’t clog the shower’s drain. (This worked for the drains but I was still traumatized.)

2) If you plan to wear a wig, shop for it before starting chemo. My sisters and my dear friend and hairdresser Patty, helped with both of these steps. Watching my long hair fall to the floor was very hard and yet made me feel the tiniest bit more in control of what was happening to me. To my surprise, everyone loved my new hairdo. The compliments boosted my ego when I really needed it. Nance and Laurie accompanied me to the wig shop. Laughter is very good medicine-and we laughed a lot as we all played with the wigs before settling on two very nice ones. Four hundred dollars later I was armed with my hair prosthetics and a sore belly from laughing. At this writing, I’m sporting my own very short hair after nine months of wigs and hats.

3) The booklet suggests having a dental check up and cleaning before starting chemo. Also important is giving your home a thorough cleaning and perhaps scheduling someone to come in once a week thereafter- a clean house can minimize exposure to infectious agents.

4) Building up strength through exercise and a good diet can help minimize some of the side effects of chemo. This booklet and other helpful literature, is available through oncology offices and offers good practical information. I also found the library and the internet to be good resources.

Shortly after my homecoming, from the hospital, I received a telephone call from Lindy, a volunteer with the Cancer Society (set up by my husband and the cancer support staff at the hospital.) She had been diagnosed and treated for Stage IIIc ovarian cancer seven years ago. Hearing from her gave me a real boost and some good tips for dealing with the upcoming chemo. She shared her experiences with surgery, hair loss and complete recovery! She is still cancer free! In addition to advice on make-up to camouflage the fact that one has no eyebrows or eyelashes, she told me how helpful acupuncture was for her. She felt that it really minimized some of the chemo side-effects and “rebalanced” her body’s energy. I had had a few sessions of acupuncture many years ago, and I immediately knew that this would be right for me. I believe in its efficacy and definitely feel the sessions have been very beneficial.

My first acupuncture session was four days after the first chemo treatment. The meds they gave me to prevent nausea worked very well. I didn’t have much of an appetite and felt a little achy and tired but the only real side effect I experienced was a terrible, hand-wringing itching and tingling in my hands and feet. Amy, my acupuncturist, has worked with several people undergoing chemo, is very knowledgeable, and had a good treatment plan in place for me. I scheduled to see her 2 days before and 4 days after every chemo session. After my first visit with her, I did feel better, more energized and the itching had definitely dissipated a good deal. She gave me some suggestions on supplements and some Chinese herbs to use.

The side effect of itching, burning and tingling is called neuropathy and is fairly common with the types of chemo protocol I was on. After my second and third sessions, the symptoms worsened! I turned to the internet to learn more about neuropathy and what, if anything, I could do about it. I found an article by Cindy H. Makencon, website: www.ovarian-news.org, entitled “coping-Tips for dealing with neuropathy.” She offered a great deal of helpful information including reports of studies on the benefits of taking fairly large doses of L-Glutamine Sulfate and Chondroitin. I forwarded this information onto Carolyn, the research nurse in charge of my clinical study, and she shared the information with the oncologist. I had already started taking L-Glutamine when I met with him. He had further researched and developed a new treatment plan for me which included large doses of L-Glutamine, a change in one of the chemo meds, and the addition of a medication called neurontin. The combination of all these things worked! The neuropathy gradually subsided and I’ve had no further problems.

I believe a few other factors contributed to my being able to handle the chemo pretty well. I continued to increase my exercise regimen, progressing to walking everyday and then back to the gym for step-classes, albeit modified, and lifting light weights. Exercise builds muscle strength, increases oxygen and blood flow and for me, was and is a real physical and mental energy boost.

I came across a book entitled: “Herbal Therapy & Supplements- a Scientific and Traditional Approach” written by Merrily A. Kuhn, RN, Ph.D. and David Winston, a herbalist and ethnobiologist. The book was part of an at-home study course that I needed to complete for my RN Continuing Education Credits. The book offers a comprehensive guide to many common and some less common herbs and supplements, their uses, adverse effects, contraindications, and drug-herb interactions. After careful research, I started using several herbs and supplements designed to minimize chemo side effects and boost my immune system. I was careful to use things that do not stimulate estrogen in the body as my cancer was estrogen-receptor positive. I started taking these supplements one or two things at a time in smaller doses in order to monitor any unfavorable reactions, before adding more. Most importantly, I notified my doctor that I was taking supplements and having acupuncture.

At the end of this article, I will offer a complete list of the supplements and herbs that I have been using and some information regarding the rationale for each of these additions.

For several months, our kitchen counter resembled a drug and supplement store. I had to write up a daily schedule of what to take when. It was worth it! Once the neuropathy was under control, I tolerated the remainder of the chemo treatments pretty well. I was able to work full time and exercise, and my appetite and energy levels were good. Physically, acupuncture, exercise, diet, and supplements were, and still are, valuable tools which helped me deal with the chemo and recover from its serious effects.

On another level, the emotional and spiritual aids were an even more powerful part of the healing process. Previously, I mentioned my visualizations regarding pre and post operative healing and seeing myself healthy and cancer free. Now, it was time to take it a step further and include it as a powerful adjunct to the chemo medications. Rather than seeing the meds as a poison, I started to visualize it as “nectar from the gods,” washing through me and being taken up by my immune cells as a potion to destroy cancer cells. A few weeks before my first treatment, I read an article about a young local girl who had battled cancer at age 16. She wrote a book about her experience and included her thoughts on seeing her chemo as “nectar from the gods.” I admired her outlook and incorporated it into my work. My husband, John, created a special tape for me to listen to while receiving the infusion of chemo. This guided exercise included relaxation, healing messages, and suggestions for picturing my immune cells taking care of things and using the chemo effectively. Before each chemo session, even before they started the IV, he would do a relaxation exercise with me. This ritual became a very important part of the process. By working on my “attitude” towards the chemo and by connecting with these parts of myself that can be powerful self-healers, I felt I was taking back control of what was happening. Feeling that you are part of the healing process instead of a passive receiver of medications etc., is very empowering.

Rituals and routines are very comforting, especially when you’re experiencing stressful times. My “chemo ritual” evolved from the very first session. The night before, I meditated and did my healing visualizations at bedtime. John drove me to the oncology center. I selected my chair and we settled in with his relaxation exercise. My sister, Nance, arrived bearing muffins and silly magazines. After visiting and chatting, John left for work and Nance and I munched muffins and laughed at the National Enquirer stories. About an hour before the infusion was completed, my brother, Tom, would arrive for a visit and to take me home. Somewhere in the session, my sister, Laurie, would call from Washington to check in and often John would “pop in” in his travels. I always had company and felt lovingly supported. Sabrina included me in her meditation every morning and my mom would stop by the day after the session for tea and a chat. Every three weeks from December 21 through May 27, we followed this routine. The nurses and my family got to know one another and we became a real team!

Returning to work seven weeks after surgery was another normalizing routine that made me feel like I was taking back my life. Except for the day of chemo and the following day, I’ve worked full time, feeling productive, healthy and normal. My co-workers have been very supportive and caring. They even threw me a graduation party to celebrate the completion of chemo.

Even before my last chemo, I was researching what to do to prevent a recurrence of the disease. I found information on a clinical study for Ovarex, a vaccine designed to prevent a recurrence of ovarian cancer. After many phone calls, letters and haggling with my insurance company, I was accepted into a study being conducted at Stanford’s Cancer Center in Palo Alto. It involved monthly infusions for the first three months and then every twelve weeks for the rest of the year, with routine labs and CT scans. I’ve experienced only mild side effects and feel fortunate to have access to one more tool.

This past year has been one of lessons for me. I would have preferred the “universe” had given me a gentle tape on the shoulder instead of this Giant Thump on the head to let me know I had things to learn about myself and how “I am” in the world. Here are some of the things I have learned from this experience:

1. Pay attention - perhaps if I had agitated more forcefully with my doctor that something was NOT right, she would have responded with more attention. LISTEN to your body and trust your intuition.

2. Don’t take anything for granted - people, job, health, hair. When you face the loss of these things, you realize how special people are, how the day-to-day routine of a job is a gift, how precious good health is and even how much better a “bad hair” day is than NO HAIR!

3. There are a great many sources of invaluable information out there through people, libraries and the internet. Taking advantage of these resources allowed me to create a comprehensive plan to restore my health and fight the disease using a combination of Western and alternative therapies.

4. We do have choices in how we deal with a crisis - probably the best choice for me was to reach out and ask for help. The more people I told about my health issues, the more positive energy came my way. I felt empowered rather than vulnerable and armed with my helmet (a wig, which, by the way, I got complements on) and my armor (acupuncture, supplements, chemo, prayers and visualization) I was ready to do battle. I was “Warrior Princess” instead of cancer patient.

5. Laughter is GOOD MEDICINE!

At this writing, my labs and CT scans are completely normal. I’m back to my normal routines of work and exercise. I’m sporting a “Jamie Lee Curtis” hairdo. I am excited about decorating and shopping for Thanksgiving and when we all come together, we’ll have a lot to be thankful for! Before we dig into our feast, I’ll be asking each person to write on a piece of paper, one thing that they are grateful for. Each of us will then withdraw one of these papers from the basket and try to guess who wrote the message. It will be easy to guess mine. I’m grateful for all the love and support from my family and friends (with a special thanks to my son, Matt, and my husband for shaving their heads to support me and to my son, Mike, and his band for dedicating songs to me at concerts and their fund raising for the Cancer Society.) I’m grateful for the prayers and best wishes that came my way from people I don’t even know. I thank you!!! Well, of course, that’s more than one thing on my piece of paper but so what! It’s time to celebrate!

Happy Thanksgiving 2004 and celebrate every day of your life.

Barbara’s Complete Ovarian Cancer Fighting Supplement List:

Three Imperial Mushroom Capsules - available through acupuncture office

A) Reishi- Immuno stimulant: enhances immune system; use is sanctioned by the Japanese Health Ministry as an adjunct treatment for cancer; Increases activity of chemotheraputic agents and reduces adverse effects such as nausea, decreased white blood cell counts; helps protect the liver against damage caused by viral, drug and environmental toxins.

B) Shitaki- strengthens immune system response; improves survival times of cancer patients when used concurrently with chemo.

C) Maitake- best known for cancer fighting properties; many doctors in Japan use it to lower blood pressure and blood lipids; effective as an anti-tumor agent and immune system modulator.

Echinacia- used in Germany along with chemo in the treatment of cancer. May enhance white blood cell counts in persons undergoing chemo.

Cat’s Claw- reduces side effects of chemo; used in clinical practice in Europe for cancer & HIV; has important immune enhancing properties; helps increase the number of T-cells, the true soldiers of the immune system. In Austria, it is used together with conventional treatment (chemo, radiation &/or surgery) to treat hundreds of cancer patients per year.

Graviola- scientists have been studying this herb since the 1940’s - four studies were published in 1998 re: significant anti-tumor properties and selective toxicity against various types of cancer cells (without harming healthy cells; Purdue University has conducted a great deal of research on the Annonaceous acetogenins family to which graviola belongs) much of which has been funded by the National Cancer Institute or the National Institute of Health.

Acidophyllis- rebalances intestinal flora (especially important when you’re taking a lot of medications.)

Multivitamins with Vitamin E

Calcium Supplement

IP-6 with Insositol- has been studied extensively for over 20 years; has powerful effects on the immune system.

Wheat Grass Juice- increases hemoglobin; rebuilds the blood; improves body’s ability to heal wounds; washes drug deposits from the body; neutralizes toxins and carcinogens in the body.

Green and White Tea- Chinese believe green tea is a cure for cancer and a longevity tonic; boosts immune system function; research being done all over the world and in the US by the National Cancer Institute re: anti-tumor activity. Both green and white tea are excellent antioxidants.

Website for researching herbs- Plant Database Raintree Nutrition

I used the guided relaxations/visualizations CD’s from the Stress Education Center-Dstress.com
1. #209 Stress Management for Pre and Post-op Survival
2. #208 Stress Management for Healing

Reference:
Health Update from SELF Magazine by Jennifer Nelson November, 2004
Ovarian cancer: a not-so-silent killer

“Early diagnosis is crucial. When disease is caught before it spreads, 80 percent of women will survive.”

by Barbara Ehlers-Mason, RN and L. John Mason, Ph.D.

Written in November, 2004, one year after the Surgery for Ovarian Cancer, in November, 2003

Stress Education Center (707) 795-2228 website: www.dstress.com

L. John Mason, Ph.D. is the author of the best selling “Guide to Stress Reduction.” Since 1977, he has offered Executive Coaching and Training.

Please visit the Stress Education Center’s website at Stress, Stress Management, Coaching, and Training for articles, free ezine signup, and learn about the new telecourses that are available. If you would like information or a targeted proposal for training or coaching, please contact us at (360) 593-3833.

If you are looking to promote your training or coaching career, please investigate the Professional Stress Management Training and Certification Program for a secondary source of income or as career path.

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Barbara’s Ovarian Cancer Story, Part I

January 16, 2007 by HART 1-800-HART  
Filed under CANCER

By L. John Mason

Process and Survival

On October 30, 2004, I will mark an anniversary of sorts. On this date a year ago, my life changed dramatically. I remember small details like the doctor’s matter-of-fact voice discussing major surgery, chemotherapy, losing my hair. I remember the “dear-in-the-headlights” look on my husband’s face, a look probably mirrored in my own face. I remember the day was beautiful, warm and sunny. I don’t remember much of my drive back out to work or exactly how I told my co-workers that I scheduled for surgery in approximately three weeks for what was, almost certainly, advanced ovarian cancer. I’ve been asked to share some of the things that I found and did that helped me on this journey that began almost a year ago.

My first reaction was probably pretty standard - DENIAL- “This can’t be happening to me. I’m healthy. I eat right. I exercise.” Then came -ANGER. I had just had a complete physical with my doctor (which included the OB-Gyn exam) on August 28th. I had been complaining to her for months about bloating, increased waist size, and fullness. But she had assured me that everything was fine and that my exam was normal. (How could she have missed a tumor the size of my fist?) -FEAR followed anger. I have never had surgery. Chemotherapy? A nightmare! I don’t want to be sick. I don’t want to lose my hair! What about work, my family, my LIFE?

Fear can be a great motivator. It motivated me to learn as much as I could about ovarian cancer, the surgery, the chemotherapy protocols and the newest treatments and clinical studies. Surgery was scheduled for November 24th, two days before Thanksgiving. In the three weeks prior to surgery, I organized my work load in my department in preparation for being gone for 6-8 weeks. I spent hours gleaning information from the internet and library. I turned to friends and family for support and positive energy through prayer and visualization. With the help of my husband and a very dear friend, Sabrina, I started preparing for the surgery. We made pre and post operative tapes for stress relief (anxiety control), relaxation, pain relief, and healing. I practiced visualizing an uneventful, no complications, very successful surgery with minimal post-op discomfort and rapid recovery. My daily meditations included messages of self-healing and images of my powerful immune system already fighting and destroying the cancer cells. I continued to exercise and, in fact, went to my favorite exercise class the day before surgery. Exercise has played a very important part in my recovery from surgery and chemo. I went into surgery feeling stronger, mentally and physically, almost as if I’d been preparing for a marathon. In addition to increased exercise that included walking, step class, and weight training, I increased my vitamin intake to boost my immune system and energy levels. And just like an athlete preparing for an event, I endeavored to prepare myself emotionally and spiritually. “I feel myself strong, healthy and completely cancer free, now and forever,” became, and still is, my mantra. I gathered all the good wishes and positive healing energy from friends and family like a cloak around me. I worked very hard at controlling my fears about the surgery, chemo and my future instead of letting the fears control me!

The morning of November 24th dawned clear and cold. Six AM found John and I on our way to UCSF to check in for surgery. I remember feeling somewhat disconnected to what was happening, surrounded by a sense of unreality. “I should be getting ready for work and shopping for Thanksgiving and decorating the house.” Instead, we are speeding toward a big unknown. I practiced some “grounding” and “centering” techniques that Sabrina had taught me and kept deep breathing whenever the “nervous butterflies” fluttered around inside of me.

Checking in went smoothly. In my meeting with the anesthesiologist, I requested that he follow a script I had written up for him to use while talking to me during the surgery. The script had messages like: “Everything is going smoothly, Barbara,” you’ll wake up feeling minimal discomfort,” You’ll have a speedy recovery and nor complication.” He agreed to my request and I was off to surgery.

The next few days are a blur, as I was in and out of sedation and on pain medication. A few memories do stand out- many, many beautiful flowers being delivered, gentle hands and voices taking care of and reassuring me; the faces of my loved ones looking stunned and scared. I must have appeared pretty scary with tubes and IV’s everywhere! All seemed to be progressing smoothly until three days before my discharge. I was alert and moving around my room, sitting in the chair, and walking the hallways. And I experienced my worst day! Up until that time and for what seemed like for weeks, I’d been consciously putting on a good, strong, positive front. My theory was that the more positive energy would be reflected back to me in the form of: “It wasn’t cancer, but just a benign cyst. Well, it is cancer, but we caught it early. The surgery will go great, and I’ll recover quickly. I’ll get back to my regular life!” That day started with a visit from my surgeon. She said I had had Stage IIIc ovarian cancer and she did not know if there was lymph node involvement. She was waiting for the report. She said a discharge nurse would be by to discuss chemo, wound care and at home follow-up. In her exam, the doctor found that my left leg was very swollen and she was sending me to have a CT Scan to rule out a blood clot. Also, my wound was infected in one area. She removed a few staples and started me on IV antibiotics. The staple removal procedure was very painful and I cried. Getting in and out of the wheelchair and up and down off the table for the CT scan was painful and I cried. Looking down at my 13 inch abdominal wound which was stapled except for a 3 inch open area and seeing my swollen to “twice it’s size” left leg made me cry. And then there was the visit with the discharge nurse. A nice lady with a friendly smile as she spoke about chemo protocols that I’d be starting in three weeks, all of which would cause loss of hair, eyelashes and eyebrows. I cried. I felt so compromised, so vulnerable and SO ANGRY! Picture an armful of IV’s shaking a fist at the sky. Looking back, I think finally getting angry and crying was good for me. After all, this wasn’t fair, I didn’t deserve this and the whole thing was overwhelming!

The next day was a little brighter. I went back to listening to my tapes, practicing my meditation and using the techniques that Sabrina and John had taught me for pain and stress relief. The CT scan was negative. No blood clots. My body was just redistributing fluids. I increased my walks around the halls and the swelling started to dissipate. The pathology report showed, to the surgeon’s surprise, that there was no lymph node involvement! I felt like I had gotten an A+. And, after 10 days of hospitalization, I was going home.

That first breath of fresh air was heaven! San Francisco was at it’s prettiest-clear blue sky, warm sun on my face and a cool breeze caressing my cheeks and tousling my hair. My brother carefully loaded me and my pillow into his car and I was, thankfully, on my way home.

My husband, sister Nance and my mom welcomed me with a clean house, lots of tasty treats and loving arms. My sister, Laurie, would arrive in a few days. The house would be decorated for Christmas and I was preparing to embark on phase 2, recovery from surgery and starting chemotherapy.

The second part of the story will be published in a future newsletter. It describes the chemotherapy, finding clinical studies, complimentary approaches to beating ovarian cancer that have been work for Barbara.

Ovarian Cancer: a not so silent killer

Ovarian cancer has long been considered difficult to detect with vague symptoms that look like other conditions such as Irritable Bowel Syndrome and PMS. I had been experiencing bloating, gas, fullness, and urinary tract problems for several months. I complained to my doctor. She suggested dietary changes but never did any follow up testing on me. A simple blood test called CA-125 would have alerted her to the problem before it had advanced to Stage III. An elevated CA-125 (above 35) is indicative of ovarian cancer, especially in conjunction with the other symptoms I had. New research points to a clear sign of the disease: the presence of three specific symptoms simultaneously- increased waist size, bloating or gas, and the urgent need to urinate. Since my diagnosis, several friends and my sister have requested that their doctors do a baseline CA-125, especially, if they had symptoms of gas or bloating. Fortunately, they are fine. I urge you to do research, get information and if you have any symptoms or concerns, talk to your doctor and be assertive about what you want.

Vitamin and supplements that Barbara researched and used in her fight with ovarian cancer, Phase I.

The following is a list of vitamin and supplements that I took to prepare for surgery and to speed post-operative healing.

Vitamin A: 25,000 IU daily- numerous studies have shown the beneficial effects of Vit.A on healing after surgery.

Vitamin C: 2,000 mg per day- essential for collagen synthesis which is part of normal wound healing.

Zinc, magnesium, B Complex: wound healing

Vitamin E: speeds healing

Homeopathy:

Arnica montana 30x, 3-4 pellets twice per day on the day before surgery and also as soon before surgery as possible. Then take them as soon as possible in the recovery room. Take for 1 week following surgery. Arnica is very good at preventing ill effects from any kind of physical trauma. Refer to: Women’s Bodies, Women’s Wisdom by Christine Northrup, MD for further information about these and other supplements. She also has a script example of four healing statements for the surgeon and anesthesiologist that I requested they say to me during my operation.

I also took Cat’s Claw. I found information about this herb on the internet and started taking it as soon as I was diagnosed. I continue to take it daily. Cat’s Claw is indigenous to the Amazon rainforest and other tropical areas of South and Central America. It has been used for over 2,000 years by indigenous peoples for a variety of conditions including wound healing, cancer, internal cleansing, and “normalizing” the body. It has been used in Europe and Peru since the early 1990’s as an adjunctive treatment for cancer and AIDs as well as other diseases that target the immune system.

A good information website for further research: Raintree Nutrition-Tropical Plant Database.

Link to Part II

I used the guided relaxations/visualizations CD’s from the Stress Education Center-Dstress.com

1. #209 Stress Management for Pre and Post-op Survival
2. #208 Stress Management for Healing

Reference:
Health Update from SELF Magazine by Jennifer Nelson November, 2004 Ovarian cancer: a not-so-silent killer

“Early diagnosis is crucial. When disease is caught before it spreads, 80 percent of women will survive.”

by Barbara Ehlers-Mason, RN and L. John Mason, Ph.D.

Look for Part II …. If you wish more information.

Stress Education Center (707) 795-2228 website: www.dstress.com

L. John Mason, Ph.D. is the author of the best selling “Guide to Stress Reduction.” Since 1977, he has offered Executive Coaching and Training.

Please visit the Stress Education Center’s website at Stress, Stress Management, Coaching, and Training for articles, free ezine signup, and learn about the new telecourses that are available. If you would like information or a targeted proposal for training or coaching, please contact us at (360) 593-3833.

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Article Source: EzineArticles.com/?expert=L._John_Mason

               

The Hidden Issues Of Ovarian Cancer

November 29, 2006 by HART 1-800-HART  
Filed under CANCER

By Rebecca Prescott

Dr Christiane Northrup has some interesting insights into the emotional and energetic issues associated with ovarian cancer. Whilst it is impossible to generalize emotional and energetic responses, she highlights the issue of rage in ovarian cancers. She describes the ovaries as being ‘female balls’ which means they relate to an active participation in the world in a way that expresses our unique creative potential, as women, on an individual basis.

She says: “…we as women must be open to the uniqueness of our creations and their own energies and impulses, without trying to force them into predetermined forms. Our ability to yield to our creativity, to acknowledge that we cannot control it with our intellects, is the key to understanding ovarian power.” (p187, Women’s Bodies, Women’s Wisdom)

She relates the issue of rage as deriving from being in an abusive relationship - not necessarily physically abusive, though of course this could be the case. And it may not necessarily be a personal or intimate relationship. It could be with work, societal, or even spiritual. But it embodies a way of relating and dealing with something or someone, where the woman involved feels controlled by the situation and does not believe in her ability to change it, or herself. It is a denial of her innate power and self-sovereignty. A denial of a woman’s innate dignity, creativity, spirituality, and complexity.

Interestingly, Dr Northrup notes that ovarian cancer is linked to a diet high in fat and dairy food. Dairy products in Oriental medicine, are associated with the liver meridian. Meridians are energy conduits, and though they have a specific anatomy, they are not equated necessarily with the organs of the same name, as understood in conventional western medicine. The emotion associated with a liver meridian that is out of balance, is rage and anger.

Oriental medicine believes that diseases start in our energetic body first, and then progress to the physical body. And certainly not all women who have a high fat and high dairy diet develop ovarian cancer. Dr Northrup suggests that women take care of their ovaries and uterus by reclaiming and expressing whatever this deep creative energy is for them. She suggests taking the time to do this daily.

A recent scientific study has also found that drinking two cups or more of tea a day can reduce the risk of ovarian cancer by 46%. This study was done in Sweden over a 15 year period. Sweden is a country where there is a higher risk of ovarian cancer, as are other countries with a high dairy consumption (Denmark and Switzerland).

References:
www.nutraingredients-usa.com/news/ng.asp?id=64537 />
Dr Christiane Northrup, Women’s Bodies, Women’s Wisdom (Piatkus, 1995)

If you’d like to read more about supplements, herbs, and a deeper understanding of why we get sick, check out this article. If you enjoy the health benefits of tea, read this to discover why green tea is so beneficial, and how green tea weight loss helps.

Article Source:

NOTE: The contents in this blog are for informational purposes only, and should not be construed as medical advice, diagnosis, treatment or a substitute for professional care. Always seek the advice of your physician or other qualified health professional before making changes to any existing treatment or program. Some of the information presented in this blog may already be out of date.