Small Cell Lung Cancer ( SCLC)

Lung cancer forms in the lung tissues, most often in the cells that line air passages. These cells grow and multiply uncontrollably, usually due to exposure to toxins such as tobacco, smoke, asbestos, and radiation. 

Diagnosis:

If your doctor suspects you have lung cancer, they will do a diagnostic computed tomography (CT) scan. A CT scan gives the Doctor a detailed 3D scan.

If they find that there might be cancer, they may do a positron emission tomography (PET) scan that can detect cancer that the CT scan could not by using radioactive sugar. Cancer cells will use up the sugar much faster than our normal body cells.

If the PET scan confirms what the CT scan shows, then the final step to confirming you have cancer is taking some tissue from the cancerous areas to test. This is called a biopsy.

Once they have all the information, they will determine your cancer stage. The stage of cancer will help your doctor decide how to treat you. Staging is done on a numerical scale of 1-4. The higher the number, the more it has grown.

Treatment:

Faster growing and treated slightly differently than non-small cell lung cancer (NSCLC). You will still do the same scans, but with SCLC, they may also get a scan of your brain because SCLC is fast-growing cancer and can spread to the brain.

For early-stage SCLC, chemoradiation is used just like NSCLC. The preferred agents are carboplatin, etoposide, atezolizumab, and durvalumab. Generally, your therapy will have carboplatin and etoposide with either atezolizumab or durvalumab.

Risk Factors:

The most common cause of lung cancer is smoking. Other common causes can include exposure to secondhand smoke, asbestos, family history, other lung diseases, and a history of infections such as tuberculosis.

Follow-up:

After completing your therapy, you will follow up with your doctor every 3-6 months for the first 2-3 years. They may repeat your scans and blood work to ensure that the cancer is not returning or growing.

Your doctor might want to see you sooner if they think it is medically necessary.

Things to think about:

  • Always get a second opinion. Healthcare professionals are humans and can see things differently.
  • A biopsy is a gold standard for diagnosing solid tumor cancers. You should not just start therapy without having one.
  • If you are feeling ill, having nausea, or anything out of the ordinary during your treatment, let your treatment team know! They might be able to help you. Remember, they are trying to help you, not make you miserable.
  • The best way to fight cancer is to catch it early. So, see your doctor yearly for a physical and screen early, especially if you have risk factors. The slight inconvenience is worth it!

 

The future of early detection- Liquid biopsy

Cancer is a frightening disease that impacts many people worldwide, a molecular disorder characterized by the corruption of genetic information at the cellular level, with consequences resulting in changes to critical proteins and molecular circuits. While many treatment options are available, early detection is key to successful treatment; liquid biopsies are a new way to detect cancer.

Let us explore liquid biopsy, how it works, and the benefits of using this approach to detect cancer

A liquid biopsy is a new, non-invasive way to detect and screen for cancer, predict a person’s risk of developing cancer, and guide treatment decisions.

Types of liquid biopsies:

There are several types of liquid biopsies currently available or under development. The most common type uses blood or other body fluids to look for DNA changes that may be associated with cancer. Liquid biopsies consist of isolating tumor-derived entities like circulating tumor cells, circulating tumor DNA, and tumor extracellular vesicles present in the body fluids of patients with cancer, followed by an analysis of genomic and proteomic data contained within them.

Other liquid biopsies look for proteins or molecules released by cancer cells into the bloodstream. It involves using a simple blood test to look for cancerous cells or DNA. This method is less invasive than traditional biopsies and can screen for multiple types of cancer at once. It could also monitor cancer patients for recurrent cancer or assess their effectiveness.

Advantages of Liquid biopsy over traditional biopsy:

There is a significant advantage of liquid biopsy over traditional tissue biopsy. Liquid biopsies are minimally invasive, have a shorter turnaround time, lower sample isolation costs, provide real-time drug response monitoring, and reveal spatial and temporal tumor heterogeneities.

As the specificity of the technology continues to progress, cancer screening and prevention will improve and save countless lives by finding cancer early so that routine surgery may only be for a definitive cure.

While far less expensive and accessible than traditional biopsy methods, it is a promising option for patients worldwide. With continued research and development, a liquid biopsy may soon become the gold standard for cancer screening, holding great promise for the future of cancer detection and treatment.

Ampullary Cancer

Ampullary cancer is a rare type that develops in the ampulla, a small sac-like structure where the bile duct and pancreatic duct enter the duodenum (the first part of the small intestine). Ampullary cancer often has symptoms similar to pancreatic cancer that are sometimes mistaken for the disease. The ampulla of Vater secretes digestive enzymes into the duodenum and regulates bile flow from the liver and gallbladder. This cancer is sometimes referred to as periampullary cancer because it can also develop in nearby tissues, such as the pancreas or bile duct.

Most ampullary cancers are adenocarcinomas, which begin in cells lining the inside of the ampulla and producing mucus. These cancers are usually slow-growing and do not spread (metastasize) to other body parts. However, ampullary cancer can be challenging to treat because it is often not caught in its early stages. By the time it is diagnosed, cancer may have spread beyond the ampulla and into nearby tissues.

What causes Ampullary Cancer

The cause of ampullary cancer is unknown but speculated to occur when normal cells in the ampulla start to grow out of control. Symptoms of ampullary cancer include pain in the abdomen, weight loss, jaundice (yellowing of the skin and eyes), and diarrhea or constipation.

Several risk factors for developing ampullary cancer include chronic pancreatitis, familial adenomatous polyposis (FAP), and specific inherited genetic syndromes such as Lynch syndrome. Smoking is also a risk factor. People with these conditions should discuss ways to reduce risk with their doctor.

How is Ampullary Cancer Diagnosed?

Ampullary cancer is diagnosed through a combination of medical imaging tests, such as CT, MRI, and endoscopic procedures, such as upper endoscopy. A biopsy, where a small tissue sample is used for examination under a microscope, is often needed to confirm the diagnosis.

What are the available treatments?

Treatment for ampullary cancer may include surgery, radiation therapy, or chemotherapy. The treatment type depends on the cancer stage (how far it has spread) and the person’s overall health. Surgery is the most common treatment for ampullary cancer. In some cases, only part of the ampulla needs to be removed. However, a more extensive operation, such as pancreaticoduodenectomy (also called a Whipple procedure), may be necessary if cancer has spread beyond the ampulla.

Radiation therapy and chemotherapy are used to treat ampullary cancer. These treatments are given before or after surgery, depending on the cancer stage. Clinical trials testing new therapies for ampullary cancer are always ongoing. People with this condition should speak with their doctor about all treatment options, including clinical trials.

Ampullary cancer is a rare but serious condition. However, treatment has improved recently, and with early diagnosis and proper treatment, patients with ampullary cancer can often lead long and healthy lives.

Cancer Survivorship – Life After treatment

Cancer survivorship means different things to different people. For some, it may be a time of reflection and growth. Others may feel on a roller coaster of emotions, from joy to sadness. No matter your experience, there are ways to cope with the challenges of cancer survivorship. 

After completing treatment  

One of the first things you may notice is that you no longer have the same level of support from your medical team, which can be a difficult adjustment, but it is essential to remember that you are now in charge of your health. You may need to take on new responsibilities, such as managing your medications or monitoring your health. But this is also a time when you can start to take charge of your own life and make choices that are best for you.

Regardless of your experience with cancer survivorship, remember that you are not alone. What you have been through makes you stronger and more resilient. Cancer survivorship can also be a time of growth and healing. With the right support, you can overcome challenges, emerge even stronger than before, and live a whole and happy life.

Here are some tips to help you make the best of it

  • Focus on the future. It’s essential to learn from your experience with cancer, but it’s not healthy to dwell on it. Instead, focus on the present and the future.
  • Stay positive. A positive outlook will help you cope with the challenges that come with life after cancer.
  • Find a support network. Many people have been through what you’re going through. Find a support group or talk to a counselor who can help you navigate this time. Please visit cancergo.org to learn more about the support network.
  • Live your life. Don’t let cancer define you. You are more than your diagnosis. Live your life to the fullest and enjoy every moment.

 

Life after cancer can be a fantastic journey. You must remember that it will take time, patience, and resilience for your body/mind; there will always be challenges and many sources of strength along the way! Remember, live a happy life and be the best version of yourself!

Cancer Survivors: Ways to Help Others

If you are a cancer survivor, you may wonder how you can help cancer patients who are still undergoing treatment. A common question among survivors is, “How do I give back?” There are many ways that you can offer support, both practical and emotional.

Few ideas to give back as a survivor:

Offer: One of the best ways to help cancer patients is by offering your time and energy, whether grocery shopping or taking care of kids; giving them a break from having too many responsibilities can do wonders for someone who has just begun or is going through treatment!

Listen: Cancer patients need someone to listen to them without judgment or advice. Just being there for them can be a tremendous support.

Share your story: If you feel comfortable doing so, sharing your own experience with cancer can be very helpful for cancer patients. It can show them that there is hope and that they are not alone.

Bring food: Cancer patients often have particular dietary needs, so bringing them homemade or healthy meals can significantly help.

Help with financial planning: Cancer treatment can be costly, so offering to help cancer patients budget and plan for their expenses can be a tremendous support.

Be there: Sometimes the best thing you can do is be present for cancer patients. Let them know that you care and are available to help in any way you can. Cancer patients often feel isolated and alone, so your support can make a difference.

Others way of giving back a survivor:

There are many ways to give back as a cancer survivor. Survivors can also volunteer their time, donate money, or raise cancer research and treatment awareness. You can find the best way for you and one that makes you feel good. Just know that your experience and knowledge are invaluable and can help cancer patients. Thank you for being an inspiration and a brave warrior!

What have been some of your favorite ways to give back?

Why a second opinion after a cancer diagnosis matters

Cancer care is an ever-evolving field where new treatments are continuously developed. So, it is always worth getting a second opinion when a person is diagnosed with cancer. Furthermore, research evidence indicates that most early-stage cancer patients are satisfied with the opinion of their first oncologist.

So, what is a second opinion?

A second opinion provides a means to obtain additional input to reassure the patient about the recommended treatment options, feel assured that the initial oncologists correctly diagnosed the patient, and if the most effective treatment plan has been suggested. It can also give patients a chance to explore different treatment options to get more information about the risks and benefits of each option. Second opinions are especially relevant to cases of metastatic cancer.

Furthermore, in some cases, a second opinion may result in a completely different diagnosis, which can majorly impact treatment decisions. Seeking out a second opinion could make all the difference.

A few reasons why a Second Opinion is valuable

1. The Second opinion provides Peace of mind

After a cancer diagnosis, a second opinion can relieve some of the anxiety. When patients have doubts, they should get a second opinion to empower themselves with information and support that helps them make the right decisions and chooses the treatment that provides the best possible outcome.

2. The second opinion provides Different options

The possibility of receiving high-quality care wherever the patient seeks treatment might be there. However, the patient will learn different options they may have by getting a second opinion. Chemotherapy may be an option for patients who may only know about it after seeking a second opinion. Patients may also not realize they could also be a candidate for clinical trials and other therapies without a second opinion.

3. The involvement of a multidisciplinary approach opinion

The participation of a multidisciplinary team that discusses a patient’s treatment options ensures that the oncologist can use the collective knowledge of the entire team to provide a second opinion for each type of cancer.

4. The Support services that make a difference

Because cancer is complicated, having a team and services is vital to making a huge difference. Strong teams that can answer the patient’s questions following the second opinion are:

  • Oncology Nurse Practitioners
  • Oncology Pharmacists
  • Clinical trials recruitment specialists

Finally, cancer care can be expensive, and not everyone can afford to see multiple oncologists. By getting a second opinion, the patient can be sure of making the best possible decision about their health. Furthermore, if the patient cannot afford to see multiple doctors, getting a second opinion can help confirm that the first diagnosis was correct. 

Either way, Second opinions must become a normal part of cancer care.

The Little-known Cancer – Cancer of Unknown Primary (CUP)

CUP, also known as Cancer of unknown primary, is Cancer that has metastasized from another body part. The site where it began, also called the primary site, is unknown in this case.

Why CUP is a challenging cancer?

Cancer of unknown primary is often challenging because it tends to be aggressive and spreads to many body parts when found. Only 2 to 5% of CUP cancers are diagnosed in the U.S. In addition, because the origin of this type of Cancer is unknown, it often is challenging to choose the best treatment. CUPs are usually found in the lymph nodes, liver, lung, peritoneum (lining of the bowel), or bone, and thanks to better diagnostics and screening, they are becoming less common nowadays.

What are the primary causes?

Because the primary site of many of these cancers is unknown, it is hard to predict the primary cause. Even in cases where the primary location is found, the type of Cancer determines the possible risk factors.

Types of CUP cancers

Even when an Oncologists is unable to determine the initial site where the Cancer began, A further microscopic inspection of the cancer cells concludes the Cancer falling into one of the following categories:

  • Neuroendocrine carcinoma: These are cancers that begin in specialized cells called neuroendocrine cells and have traits similar to those of nerve cells and hormone-producing cells. Neuroendocrine tumors are rare and can occur anywhere in the body. Most of this happens in the lungs, appendix, small intestine, rectum, and pancreas.
  • Poorly differentiated carcinoma: Cancer cells are present in this type of CUP, but they do not have enough detail for an oncologist to decide the type of Cancer. Around 10% of these CUP cases are lymphoma, melanoma, or sarcoma.
  • Adenocarcinomas: In six of every ten cancers of unknown primary are adenocarcinomas, beginning in gland cells, with the primary sites in the lung, pancreas, breast, prostate, stomach, liver, or colon.
  • Squamous cell cancer: These cells are flat, similar to cells on the skin or linings of some organs

 

What are the Symptoms of Cancer of Unknown Primary?

While the Symptoms of Cancer of unknown primary (CUP) vary from person to person and depend on where Cancer has spread, patients often experience it.

  • Swollen lymph nodes that are not painful but firm.
  • Abdominal Mass that can be felt from the outside, often causing a feeling of fullness after a small meal
  • Shortness of breath
  • Pain in the chest or abdomen
  • Pain in the bones
  • Skin tumors
  • Fatigue or weakness
  • Lack of appetite or unexplained weight loss

 

How is CUP Diagnosed?

If an oncologist suspects Cancer of unknown primary, one or more of the following tests may be performed for an accurate diagnosis.

  1. Biopsy
    1. Fine needle aspiration (FNA)
    2. Core needle biopsy
    3. Excisional biopsy
    4. Incisional biopsy
    5. Bone marrow aspiration and biopsy
  2. Blood and urine tests
  3. Imaging tests, which may include
    1. X-rays
    2. CT or CAT computed axial tomography) scans
    3. MRI (magnetic resonance imaging) scans
    4. Ultrasound
    5. PET (positron emission tomography) scans
  4. Endoscopy
  5. Colonoscopy

 

What are the available Treatments?

  • Surgery
  • Chemotherapy
  • Radiation therapy
  • Brachytherapy
  • 3D-conformal radiation therapy
  • Intensity-modulated radiotherapy (IMRT)
  • Proton therapy
  • Targeted therapies

 

Finally, Cancer of unknown primary is rare, and it’s essential to be aware of the symptoms and see a doctor immediately if you experience any of them. With early diagnosis and treatment, many people with this type of Cancer can beat the disease successfully.

How to make the most out of the cancerGO mobile app

Welcome to cancerGO and we are delighted that you took the first step towards building a support community that allows you to engage, listen, answer questions, share information, and offer valuable and timely advice. Our platform enables a social network that strives to solve a fundamental problem – democratizing access to information, knowledge, resources, support, and guidance.

Once you register on the cancerGO mobile app, you are able to do multitude of things right away.

Navigate inside your public feed where you can browse cancer related posts, personal stories, tips, articles, and many other informational content. Post a question or a story about your cancer journey. Follow other patients, survivors, caregivers, and physicians. Reach out and send direct messages, and socialize on a cancer-only network.

Find and engage with a physician

You may engage with our physician and specialist community – one of a kind opportunity to start a conversation outside of your hospital network. If you are anxious about your condition and have a burning question, reach out to our growing network of oncologists, therapists, and healthcare professionals, using all social tools that you are already familiar with. Meanwhile, if you are physician, you can use our platform to respond to someone’s question or concern immediately. It is a key step towards destigmatizing cancer by disseminating vetted information to fight misinformation.

Lookup a support organization near you

As a patient or a survivor, you can look up a support organization near you. We are building cancerGO to be the one-stop destination for any cancer related support. As we onboard more non-profits and for-profit support organizations, you may check out local events and activities close to you where you can discover other patients and survivors. Reach out to these organizations from our mobile app easily and plan your next activity. Meanwhile, if you are a member of a support organization and believe that bringing your organization onboard can help many others to connect and benefit, please share it with us and we will reach out to them.

For any app related support questions, you can go to Settings and select Contact Support. Or you may reach directly at support@cancergo.org.

Cancer: A disease we can no longer ignore

Welcome to cancerGO;

we are honored to have you on your platform. cancerGo is a social network platform where oncologists democratize access to knowledge, interpret cancer medicine for a broader audience, and provide accurate cancer-related information to counteract misinformation. We want to equip patients with the correct information to fight cancer efficiently!

Connecting with cancer patients matters more than ever! We hope we partner with you to share and disseminate information with patients, caregivers, and survivors. We also aim to have a partnership where communication is open and goes both ways. In addition, through cancerGo, you can change oncology by providing perspective outside the four walls of the cancer center by involving patients, advocates, and the public.”

As an oncologist, you can use cancerGo to build interactive strategies, such as direct patient engagement, reaching out to potential patients, and sharing information about your organization or private practice. You can gain a following of patients, and you can not only establish a way to regularly communicate with patients but also pave the way for patients to establish an online community to communicate with each other.

Benefits for Oncologists

Many benefits come with joining cancerGo as an Oncologist.

  • You can play a significant role in getting accurate cancer-related information OUT through a dedicated oncology platform with a dedicated audience.
  • You can connect and have a conversation, either with other experts or peers, to learn and disseminate information.
  • You can advance your career by discussing publications, lectures, and a broader range of issues adjacent to the cancer you treat, including healthcare policy and cancer-care topics.

Summary

Above all, as an oncologist, you can end the stigma faced by patients who receive their cancer diagnosis. CancerGO’s platform is a great way to get your message out to cancer patients, survivors, and caregivers. For those reasons, I thank you for your presence on cancerGo, and together, we will fight to destigmatize cancer. 

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