Fertility and Cancer
by Lisa Kolp, MD
When you hear the news that you have cancer, you may feel as if your life is spinning out of your control. You wonder whether you will survive. And what about all the side effects of cancer treatment? Will you be able to manage them? Then your doctor drops another bomb, sending your sense of control hurtling even further from your reach: the treatments intended to save your life may leave you infertile.
Put an End To Cancer Pain
by Julie Knight, PharmD, Charlene Whittlesey, PharmD, BCPS, and Sorin Buga, MD, FACP
Pain, as defined by the International Association for the Study of Pain, is “an unpleasant sensory and emotional experience associated with actual or potential tissue injury or described in terms of such damage.” In other words, pain is whatever you perceive it to be. We all feel pain differently; therefore, the pain experience is unique to each person.
Questions and Answers about Lymphedema
by Stanley G. Rockson, MD, FACP, FACC
Lymphedema is the accumulation of a protein-rich body fluid called lymph, typically in one part of the body, when the lymphatic system for fluid transport is damaged. For example, if lymph nodes are removed from the armpit region during breast cancer treatment, lymphedema can occur in that arm.
When Cancer Pain and Chronic Pain Coexist
by Pamela J. Haylock, PhD, RN, FAN, and Carol P. Curtiss, MSN, RN-BC
If you find yourself in a situation where you are dealing with cancer pain in addition to chronic pain, here are some things you should know.
Confronting Cancer as a Senior Adult
by Amy MacKenzie, MD, and Andrew E. Chapman, DO, FACP
Making treatment decisions can be challenging. Meeting with multiple specialists to discuss everything from chemotherapy to survivorship plans is an overwhelming part of the cancer experience for anyone diagnosed with cancer. However, if you’re a senior adult, you also have a unique set of challenges to consider as you work with your healthcare team to plan your treatment.
A Clinical Trial System for the Era of Precision Cancer Medicine
by Jeffrey Abrams, MD
The National Cancer Institute has the largest oncology clinical trials program in the world, supporting, fully or in part, 3,775 active clinical trials and enrolling more than 35,000 clinical trial participants annually. Yet, as a director of NCI-supported clinical trials, I know that behind every statistic is a person, each of whom brings his or her own motivations and hopes to the table when deciding whether to participate in a clinical trial.
Should You Consider Genetic Counseling and Testing?
by Ellen T. Matloff, MS, CGC, and Karina L. Brierley, MS, CGC
Genetic counseling and testing have become integral tools in the fight against cancer. The results can provide important information to help guide appropriate surgical decisions, treatment, surveillance, and prevention strategies for an individual and his or her entire family. Awareness and availability of cancer genetic counseling and testing, criteria for insurance coverage of testing, and available testing options have expanded rapidly in the past decade. Therefore, even cancer survivors who did not previously have the chance to undergo genetic counseling and testing, or who tested negative in the past, may now be candidates for these services.
Hope for the Future
by Laxmi A. Kondapalli, MD, MSCE
With cancer survival rates steadily increasing, what was once considered a “terminal illness” now allows people to imagine a life after cancer with expectations beyond survival. However, some of the new life-saving treatments contributing to increased survival can negatively affect fertility, causing delays in childbearing or even compromising a person’s ability to have children in the future. Fortunately, over the last several decades, the emergence of the medical discipline of oncofertility and the development of new fertility preservation techniques have made the dream of building a biological family a reality for many cancer survivors.