Posts Tagged ‘head and neck cancer’

Take Steps Now to Prevent Cancer

April CancerApril is Cancer Control Month. That means we need to find ways to reduce our risk of cancer as well as the chances that we’ll die from the disease. We have a tough job ahead. Before the year is over, nearly 1.7 million Americans will be newly diagnosed with cancer. It’s a sobering statistic and one that we can impact in a big way by taking steps now to help prevent the second leading cause of death in the United States.

If you’re a smoker, find a way quit. According to the Centers for Disease Control and Prevention, smoking cigarettes can cause cancer in almost any part of the body and is responsible for some of the most deadly types of the disease. As an oncologist, I would recommend that you stay away from all tobacco products and byproducts, including second hand smoke.

It is estimated that one in three Americans is now obese. Obesity is proven to be a major risk factor for breast, colon, esophageal and kidney cancers. It’s more important than ever that you maintain a healthy weight by eating a diet rich in fruits, vegetables and whole grains. Pay attention to portion size and cut down on alcohol consumption. While you’re at it, get off the couch and get some regular exercise. It will not only help you watch your weight, but studies show staying physically active can lower your risk of certain cancers.

As the summer months approach, be sure to protect your skin from the harmful effects of ultraviolet radiation by wearing sunscreen with an SPF 30 or higher. Cover up or better yet, stay out of the sun during the peak hours of 10am to 2pm and stay away from tanning beds and sun lamps.

Finally, some cancers are hereditary. Know your family history of cancer and learn about the importance of early detection through screening. If you’re a woman at average risk for breast cancer, be sure to have a clinical breast exam and mammogram every year starting at age 40. Women ages 30-65 should also be screened every five years for cervical cancer. Colorectal cancer screening for women and men should begin in those 50 and older. Your health care provider can give you more information about the benefits of a colonoscopy.

For advice on locating cancer-screening opportunities, contact Emory Health Connection at 404-778-7777 to learn more from a registered nurse.

About Dr. Jillella

Anand Jillella, MDAnand Jillella, MD, is a national leader in bone marrow transplantation and has led the development of a strategy to decrease induction mortality for acute promyelocytic leukemia. He leads the efforts of the Winship Cancer Network and is expanding Winship’s role in bringing clinical and population-based cancer research to communities throughout Georgia and surrounding states.

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Winship Cancer Institute of Emory University

Screenings Help Catch Head and Neck Cancers

head and  neck cancer screeningsA recent study reported in JAMA Otolaryngology found that most Americans know little to nothing about head and neck cancers and could not name the most common symptoms and risk factors. This is a problem. If you wait months or even years to get a sore in your mouth or swelling in your neck checked by a doctor, you could be ignoring a sign of head and neck cancer that’s progressing. And, as with many other forms of cancer, the earlier a head and neck or oral cancer is diagnosed, the less invasive the treatment is and the higher the chance of cure. As a doctor who sees many patients with these cancers, one message comes through loud and clear: don’t ignore symptoms.

On April 17th, doctors and staff with Emory’s Department of Otolaryngology and Head and Neck Surgery will hold a free head and neck screening at Emory University Hospital Midtown (EUHM). This is a chance for patients who might be suffering any symptoms or have any of the stated risk factors for head and neck cancer, to have a simple, free exam. This involves a physical exam of the neck and inside the mouth, including the middle throat, soft palate, the base of the tongue, and the tonsils. As a best practice, Emory Healthcare suggests this screening procedure should also be a part of a routine dental visit.

Get a Free Head and Neck Screening on April 17th:

Emory University Hospital Midtown
Department of Otolaryngology and Head and Neck Surgery
9th Floor, suite 4400
550 Peachtree Street, NE
Atlanta, GA 30308

Date: 4/17/2015
Time: 8:00 AM- 12:00 PM

This is a first come – first serve walk in clinic. No Appointment Necessary.

For more information:
Phone: (404) 778-3381
Email: meryl.kaufman@emoryhealthcare.org

Important Information on Head and Neck Cancers:

Head and neck cancer involves skin or mucosal surfaces of the head and neck and includes cancers of the mouth, throat, nasal sinuses, skin of the head and neck and cancers of the major salivary glands. Head and neck cancers account for approximately 3% of cancers diagnosed every year in the United States and affect more than twice as many men as women.

Symptoms of head and neck cancer vary somewhat by site but often include non-healing ulcers in the mouth, unexplained loosening of the teeth, and pain that does not improve. Patients with cancers of the throat or salivary glands will often come in with a painless lump in the neck that does not resolve with antibiotics. Other patient will have ear pain or difficulty and/or pain when swallowing.

Potential Risk Factors for Head and Neck Cancer:

Head and neck cancer has historically been most associated with tobacco and alcohol abuse, and may also be associated with marijuana use. Recently, the human papilloma virus (HPV), a virus commonly passed during sexual activity, has been widely implicated in cancers of the tonsils and base of tongue. According to the Centers for Disease Control and Prevention, HPV usually goes away by itself and does not cause health problems, but may be responsible for a growing number of oral cancers. Other risk factors include poor oral hygiene, radiation exposure, and Epstein-Barr Virus (Mononucleosis).

Every year, the Head and Neck Cancer Alliance promotes an awareness week in April that is highlighted by free head and neck cancer screenings all across the country. Our own free screening at EUHM is open to anyone in the community and we enthusiastically invite you to participate. We look forward to providing you with the opportunity to proactively advance your health on April 17!

About Dr. El-Deiry

Mark El-Deiry, MDMark W. El-Deiry, MD, is an Assistant Professor in the Department of Otolaryngology – Head & Neck Surgery, in the Emory University School of Medicine. He also serves as Chief of the Division of Head and Neck Surgery, Department of Otolaryngology, and Director of the Head and Neck Oncology Surgery Center. He is a member of the surgical team that specializes in treating patients with head and neck cancers including complex microvascular reconstructive surgery.

El-Deiry and the entire head and neck team are interested in promoting screenings that help detect head and neck cancers in early stages. His research interests include quality of life in head and neck cancer survivors and quality outcomes involved with treating patients with advanced stage head and neck cancer.

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HPV and Head and Neck Cancer Chat

HPV-Related Head and Neck Cancers on the Rise

Head Neck CancerHead and neck cancer causes almost 200,000 deaths each year and is now recognized as one of the major health concerns both in the United States and worldwide. In particular, there has been a noted increase in the incidence of oropharynx cancer (OPC), mainly tonsil and base of tongue cancers, that are linked to infection with the human papilloma virus (HPV).

According to the National Cancer Institute, HPV infections are the most common sexually transmitted infections in the US and more than half of sexually active people are infected with one or more HPV types at some point in their lives. Most HPV infections occur without any symptoms and go away without any treatment over the course of a few years. However, HPV infections sometimes persist for many years and can increase a person’s risk of developing cancer.

The human papilloma virus 16 (HPV16) infection linked to oropharynx cancers is a sexually transmitted virus that seems to affect mostly young Caucasian males. Traditionally the non-HPV related head and neck cancers are strongly linked to smoking, but patients with HPV related cancers are usually not tobacco users. HPV-related head and neck cancers are a distinct disease entity which has particular molecular, epidemiological, and clinical characteristics. Multiple studies have shown that HPV-related oropharynx cancers are easier to cure compared to the head and neck cancers caused by tobacco and alcohol use, but smoking still seems to affect the chances of curing patients with HPV related OPC. There is also recent evidence suggesting that smoking is linked to a higher risk of having HPV-related OPC.

Still, sexual transmission of HPV is believed to be the main risk factor for HPV-related head and neck cancers and oral sexual behavior has been linked to an increased risk of HPV-related oropharyngeal squamous cell carcinoma. For example, studies have shown the odds of developing oral HPV infection among a group of college-aged men increased with increases in the number of recent oral sex partners or open-mouthed kissing partners, but not vaginal sex partners.

The Food and Drug Administration (FDA) has approved two vaccines that are highly effective in preventing infection with HPV types 16 and 18. Because research clearly shows that vaccination makes a difference in preventing cervical cancer, which is very closely linked to HPV-16, the HPV vaccine has been recommended for girls aged 11 to 12. There is also a more recent recommendation from the Advisory Committee on Immunization Practices (ACIP) for boys of the same age to receive the HPV vaccine. Even though vaccination for HPV-related oropharynx cancers has been an active area of research, the implementation of such an approach is still limited.

For the majority of cancers of the head and neck that do not originate from the area of the oropharynx (non-OPC), HPV does not seem to be a significant risk. However, of interest, HPV is still apparently linked to some patients who have non-OPC. The significance of this link is not clearly known and more studies are needed to understand the role of HPV in patients with non-OPC.

About Dr. Saba

Nabil Saba, MDNabil Saba, MD, FACP, is a nationally recognized expert in the treatment of head and neck and esophageal cancer. As principal investigator on several head and neck cancer trials, he has initiated studies focusing on novel approaches for treating these diseases. Dr. Saba is a member of the ECOG Head and Neck Cancer steering committee, and an elected member of the American Head and Neck Society (AHNS). He also serves on the American College of Radiology appropriateness criteria panel for Head and Neck Cancer.

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Takeaways from Dr. Saba’s Head and Neck Cancer Chat

Thanks to everyone who joined us on Tuesday, June 24, for our live online chat on “Risk factors, symptoms and treatment options for head and neck cancer” led by Nabil Saba, MD, Chief of Head and Neck Oncology at Winship Cancer Institute of Emory University.

According to the National Cancer Institute (NCI), head and neck cancers account for approximately three percent of all cancers in the U.S. During the chat, Dr. Saba addressed some of your questions relating to risk factors, symptoms and the latest research for head and neck cancer. See all of Dr. Saba’s answers by checking out the chat transcript! Here are just a few highlights from the chat:

Question: What are the symptoms of head and neck cancer? How do I know if I need to go get checked out?

Nabil Saba, MDDr. Saba: Symptoms include having a lump in the neck, persistent changes in your voice over time, difficulty swallowing, and unusual pain in the neck/throat area (pain that doesn’t seem to get better with time). These are some common symptoms, so if you’re experiencing any of these, it would probably be a good idea to talk to your physician.

 

Question: Are there particular factors or traits that may pre-dispose a person to head or neck cancers?

Nabil Saba, MDDr. Saba: There are certain well-defined risk factors for head and neck cancer, including a history of smoking or alcohol consumption. It has also been observed that HPV-related oropharynx cancer is increasing in Caucasian males, whereas oral tongue cancer seems to be increasing in Caucasian females. While there is an increased risk of head and neck cancer in these groups of people, it doesn’t necessarily mean you are at high risk if you fall into one of these groups.
 
If you missed out on this live chat, be sure to check out the full list of questions and answers on the web transcript. You can also visit www.emoryhealthcare.org/cancer for more information on cancer treatment at Winship at Emory.

Risk Factors and Symptoms of Head and Neck Cancer

Head and Neck Cancer ChatHead and neck cancer includes a collective group of cancers occurring in the head or neck region, ranging from the nasal cavity and sinuses, to the back of the throat, including the oral cavity, tonsils, base of the tongue, nasopharynx, hypopharynx and larynx.

According to the National Cancer Institute (NCI), head and neck cancers account for approximately three percent of all cancers in the U.S. Studies show that these cancers are more common in people over the age of 50 and three times more common in men than in women; however, if diagnosed early, head and neck cancer is often curable.

Recently, a growing number of cancers occurring in the base of the tongue and tonsils have been linked to human papillomavirus (HPV), which is already a well known risk factor for cervical cancer in women. HPV-related head and neck cancer is a distinct type of cancer and so far has been diagnosed more in men than women.

Join Nabil Saba, MD, Chief of Head and Neck Oncology at Winship Cancer Institute of Emory University, as he hosts a live chat on “Risk Factors, Symptoms and Treatment Options for Head and Neck Cancer.” Dr. Saba will be available to answer all of your questions such as:

  • What are the known risk factors linked to head and neck cancer?
  • What are the symptoms of head and neck cancer?
  • How is head and neck cancer diagnosed?
  • Can head and neck cancer be prevented?

Chat Details:

Date: Tuesday, June 24, 2014
Time: 12:30- 1:30 pm EST
Chat Leader: Dr. Nabil Saba
Chat Topic: Risk Factors, Symptoms and Treatment Options for Head and Neck Cancer

Chat Sign Up

Local Firefighter Stomps Out Head and Neck Cancer: Get Screened on April 25!

While the human papillomavirus (HPV) is most commonly known as a risk factor for cervical cancer in women, it is also a growing risk factor for head and neck cancers in men. According to the American Cancer Society, oral cavity and oropharyngeal cancers (tongue, tonsils, oropharynx, gums and other parts of the mouth) occur more than twice as often among men as they do among women. Tobacco and alcohol use are still the most common risk factors for all head and neck cancers, but recent studies from the Centers for Disease Control and Prevention (CDC) report that 60 to 70 percent of cancers in the throat and base on the tongue may be linked to HPV.

The National Cancer Institute (NCI) states that head and neck cancers account for approximately three percent of all cancers in the U.S. Head and neck cancer includes cancers that occur in the head or neck region, ranging from the nasal cavity and sinuses, to the back of the throat, including the tonsils and base of the tongue.

In this FOX 5 video, meet Frank Summers, a local Atlanta-area firefighter who sought treatment at Winship Cancer Institute of Emory University, after his startling diagnosis of HPV-related head and neck cancer.

 

Free Head & Neck Cancer Screening

Want to get screened? Emory’s Department of Otolaryngology (Ear, Nose and Throat) will hold a FREE head and neck cancer screening tomorrow, Friday, April 25, 2014 at Emory University Hospital Midtown. The screening will be held from 8am to 12pm at the address below. Walk-ins are welcome!

Department of Otolaryngology – Head & Neck Surgery
Emory University Hospital Midtown
Medical Office Tower (MOT), 9th Floor, Suite 9400
550 Peachtree Street NE
Atlanta, GA 30308

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Why We Run: A New Type of Togetherness

Bari Ellen & Charles RossBari Ellen and Charles Roberts always had a strong marriage. Togetherness was a major goal for the couple, who married in late midlife. Their shared experience of running a restaurant together, traveling together and moving across country to Arizona for a new life adventure strengthened their bond.

Their togetherness took a wayward turn in 2009, however, when the husband and wife were each diagnosed with cancer within two days of one another. Charles had been sick for months, but doctors couldn’t determine what was wrong. Bari Ellen, who was feeling great physically, had gone to yet another doctor’s appointment with her husband. Charles suggested to the doctor that perhaps he just had an infection, as his wife seemed to have an infection, too.

“She’s got a lump on her neck. Maybe we both just have an infection,” Charles said.

The doctor took one look at the lump on Bari Ellen’s neck and said, “Make an appointment with the receptionist tomorrow.” It was a good thing that she did.

“They did a biopsy, and the doctor told me I had head and neck cancer and that it was pretty far gone. He said he didn’t know what he could do for me,” Bari Ellen remembered.

Her cancer was staged at 4B and the prognosis was poor. Two days after Bari Ellen received her bad news, lab results for Charlie came back announcing that he had acute lymphoblastic leukemia, or ALL.

“We were in a swirl,” Bari Ellen said. “It just came out of nowhere.”

Within a week, Bari Ellen went to Atlanta at the suggestion of her daughter, who works at Emory, to get a second opinion. Her daughter had told her that maybe the couple could find hope and better news at Winship Cancer Institute of Emory University.

“Once we got to Winship and saw their compassion and dedication and their sense of purpose, we got a sense of purpose and hope, too,” Bari Ellen said. “They gave us an action plan; they didn’t just write me off. We knew we had a fight before us, but we knew we could win it.”

Today, as survivors for four years, the Rosses are retired, enjoying grandchildren, exercising, volunteering and taking care to eat healthfully. They are also running races and this year, both of them are registered for the Winship Win the Fight 5K on October 5th. The couple have formed a team called the Ross Re-Missionaries, and are recruiting as many friends and family members as they can.

“After everything we’ve been through, and after everything they’ve done, I said ‘We’re going to start giving back,’” Bari Ellen said.

The randomness of their diagnoses helps the Rosses to understand the importance of cancer research, which is another reason they strongly support the Winship Win the Fight 5K. All money goes to cancer research at Winship and donors can choose a specific cancer type to which they would like to contribute.

“Our doctors were so phenomenal and did so much for us that we want to do whatever we can,” Bari Ellen said. “They saved our lives.”

The Winship Win the Fight 5K is fast upon us! If you want to run or simply help support other runners like the Roberts, visit the Winship 5K website for more information.

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