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Early lung cancer detection needed

When Dana Reeve, widow of actor studies with people). Some of these
Christopher Reeve, died of lung cancer, agents are being investigated as single
the stories of her death pointed out that agents; others are being tested in
she didn't smoke. She was young, only 44; combinations of two drugs.
she had nursed her paralyzed husband for Chemoprevention trials look at possible
eight years; she left a ways to prevent cancer with interventions
13-year-old son an orphan. And how could that include drugs, vitamins, diet,
she have gotten lung cancer? She had hormone therapy, or other agents.
never smoked.Lung cancer is often The American Cancer Society (ACS) has set
preventable, and it is usually fatal. aggressive challenge goals for the nation
Unfortunately I will also become a victim to decrease cancer incidence and
of this disease. Not for myself, but a mortality--and to improve the quality of
victim because I am a friend of a lung life of cancer survivors--by the year
cancer person. One of my very dearest 2015. To address these critical goals,
friends will undergo a lung operation the ACS publishes the Nutrition and
this coming Tuesday. Physical Activity Guidelines to serve as
Be cautious of any information or claims a foundation for its communication,
obtained from unmonitored sources, in policy, and community strategies and
particular the Internet. The Internet can ultimately, to affect dietary and
be an empowering source of information, physical activity patterns among
but a healthcare professional should be Americans.
consulted before making medical These guidelines, published every five
decisions. years, are developed by a national panel
What is cancer? of experts in cancer research,
Cancer is a disease that starts in our prevention, epidemiology, public health,
cells. Our bodies are made up of millions and policy, and as such, they represent
of cells, grouped together to form the most current scientific evidence
tissues or organs. Genes inside each cell related to dietary and activity patterns
order it to grow, work, reproduce and and cancer risk. The ACS guidelines
die. are consistent with guidelines from the
Normally, our cells remain healthy. American Heart Association for the
Sometimes a cell's instructions get mixed prevention of coronary heart disease as
up and it behaves abnormally. After a well as for general health promotion, as
while, groups of abnormal cells can defined by the Department of Health and
circulate in the blood or immune system, Human Services' 2000 Dietary Guidelines
or they can form lumps or tumours. for Americans.
Tumours can be either benign In 2006 there will be an estimated
(non-cancerous) or malignant (cancerous). 174,470 new cases of lung cancer and an
Benign tumour cells stay in one place in estimated 162,460 Americans will die from
the body and are not usually the disease.
life-threatening. The American Cancer Society offers
Malignant tumour cells are able to invade support and hope for people diagnosed
the tissues around them and spread to with lung cancer and their families as
other parts of the body. Cancerous cells well as resources to help smokers quit 24
that spread to other parts of the body hours a day, 7 days a week, including its
are called metastases. The first sign own Quitline, which since its launch in
that a malignant tumour has spread is May 2000 has provided services to more
often swelling of nearby lymph nodes, but than 150,000 callers. For more
cancer can metastasize to almost any part information, call 800-ACS-2345 or visit
of the body. It is important to find Lung cancer chemoprevention - Why does it
malignant tumours early and treat them. not work?From the National Cancer Center.
Cancers are named after the part of the Common wisdom is that vitamin in fruits
body where they start. For example, and vegetables prevent cancer. However,
cancer that starts in the colon but trials of supplementing vitamins like
spreads to the liver is called colon vitamin A analogues (retinoids:
cancer with liver metastases. beta-carotene, retinol, retinyl
There are four main types of lung cancer: palmitate, or isotretinoin) or vitamin E
small cell lung cancer, squamous cell (alpha-tocopherol), did not prevent lung
carcinoma, large cell carcinoma and cancer in smokers. Randomised trials in
adenocarcinoma. Tobacco smoking is all the three settings: primary (healthy
strongly linked to the first three but high-risk e.g. smokers), secondary
only weakly linked to adenocarcinoma. (pre-malignant lesions), and tertiary
However, this type of lung cancer has (prevention of second primary tumours in
been linked to the use of low-tar previously treated patients), have
cigarettes. produced negative results (either neutral
The best means of prevention is to never or harmful).
start smoking or using chewing tobacco, Chemoprevention trials were prompted by
or to stop using tobacco products. A relationship between diet and lung
healthy diet is an important part of cancer. Diet rich in foliage vitamins was
prevention. protective against lung cancer - as
The outlook varies by cell type and stage demonstrated in a recent Dutch study of
of the disease. In general, the prognosis 939 patients. Similarly, higher blood
is better for squamous cell cancers than level of ß-carotene is linked to a lower
for adenocarcinomas. Early detection is risk of lung cancer. Nonetheless,
key to better chances of survival. intervention trials failed to show a
According to the American Lung reduced risk in lung cancer by consuming
Association, 87 percent of lung cancer ß-carotene. A phase III trial, the
cases are caused by smoking. Another 12 Alpha-Tocopherol, Beta-Carotene (ATBC)
percent are linked to radon exposure. [beta-carotene (20 mg/d),
Only 15 percent of people diagnosed with alpha-tocopherol (50mg/d)] indicated
the disease will still be alive five significant increases in lung cancer
years after the diagnosis; 60 percent die incidence (18%) and no effect on lung
within the first year. What is cancer mortality (risk ratio, 0.99).
Chemoprevention? For individuals who Another study, CARET, had a 28% increase
demonstrate the greatest risk, in lung cancer with vitamin treatment.
researchers are currently conducting Similarly, in both Euro-scan and the
several new trials to test the use of US-Lung Intergroup Trial (both testing
natural and synthetic substances to retinoids in tertiary prevention),
prevent development of the disease. This results were neutral.
new research has been coined, Disclaimer: please. Any information is
chemoprevention. for general entertainment and educational
The National Cancer Institute's (NCI) purposes only, and should not be
chemoprevention research effort started construed as medical advice, medical
in the early 1980s and has grown opinion, diagnosis or treatment. Any
considerably since that time. Currently, information provided by this web site is
approximately 400 compounds are being not a substitute for actual medical
studied as potential chemopreventive attention. Always promptly consult your
agents, mainly in laboratory research. licensed health-care professional for
Over 40 of these compounds are being medical advice and treatment.
studied in clinical trials (research




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