Nano Technology Helps Detect Lung Cancer in Breath Medgadget.com, CA - 6 minutes ago There was no overlap in the response patterns between the healthy and lung cancer patients in these first tests. The researchers are now testing their ...
Making aspirin work; standing up to lung cancer 6abc.com, PA - Nov 30, 2008 That's the word from a survey by the Lung Cancer Alliance. The Alliance says patients feel stigmatized, not just by neighbors, friends, and family, ...
Families to remember their cancer patient loved ones GazetteLive, UK - Pauline said every year they diagnose around 400 patients with lung cancer - the biggest cancer killer. Christmas Messages of Remembrance starts at 7pm and ...
Most women ?do not know about lung cancer? 디지틀보사, South Korea - President Park Chan-il said, ?According to the number of new lung cancer patients by sex, there are more male patients than female patients with ratio of ...
For swimmer battling cancer, pool is his comfort zone USA Today - "You have cancer; it doesn't have you," Rick Shanteau, a lung cancer patient for the last year, told his son. Eric, 24, has been living those words every ...
Initial chemo beneficial in lung cancer brain metastasis Medicexchange, UK - 51 minutes ago Primary chemotherapy for newly diagnosed non-small-cell lung cancer patients with synchronous brain metastases compares well with initial whole-brain ...
Washington Univ. prof wins $728K grant for cancer research Bizjournals.com, NC - Aug 4, 2008 McQueen said about 40 percent of early-stage lung cancer patients continue or return to smoking within a year. She is interested in working with these ...
PVH to aid growing number of cancer patients The Coloradoan, CO - Aug 6, 2008 "Patients aren't affected by cancer only in the spring and fall," said Liz Westers, a program facilitator and an executive administrative assistant at ...
Source: Google News
Microsatellite alterations in plasma DNA of small cell lung cancer patients - XQ Chen, M Stroun, JL Magnenat, LP Nicod, AM Kurt, … - Nat Med, 1996 - nature.com Article. Nature Medicine 2, 1033 - 1035 (1996) doi:10.1038/nm0996-1033 Microsatellite
alterations in plasma DNA of small cell lungcancerpatients. ...
Revisions in the International System for Staging Lung Cancer - CF Mountain - Chest, 1997 - Am Coll Chest Phys ... C. Doddoli, S. Antoniotti, P. Thomas, and P. Auquier The Place of Patient Satisfaction
in Quality Assessment of LungCancer Thoracic Surgery Chest, November 1 ...
Almost 40% of patients with lung disease believe that surgery can make cancer spread by exposing the tumor to air, according a newly published survey. This myth was more common among African Americans than whites, and researchers suggest it may contribute to lower lung cancer surgery and survival rates for blacks.
Lead author Mitchell Margolis, MD wrote that "...widespread acceptance of the study belief could undermine the best chance for cure of early-stage lung cancer." The study is published in the Annals of Internal Medicine (Vol.139, No. 7: 558-563).
Margolis designed the survey because his patients at the Philadelphia Veterans Affairs Medical Center often mentioned the false belief, and several African-American patients refused to see a surgeon on that basis. A total of 626 patients with lung cancer or other pulmonary diseases took the survey at clinics around Philadelphia, in Los Angeles, and in Charleston, South Carolina.
Overall 38% believed air exposure during surgery would cause a tumor to spread. By race, 61% of African Americans and 29% of white respondents agreed with this belief. It was also associated with lower income and education levels.
Nineteen percent of African Americans and 5% of whites said they would refuse lung surgery based on the myth. Some 14% of blacks and 5% of whites would stick to their belief even if their doctors told them it was false.
Sad Personal Experiences
Few people remembered where they first heard of the notion that surgery causes lung cancer to spread; some named "the gossip mill." What many people did remember were sad medical outcomes for loved ones with cancer.
"The reality is that people come in very late in the disease and a few months later they die," explained Harold Freeman, MD, of North General Hospital in New York City and an expert on racial disparities in cancer.
"People who believe myths have a life experience that supports their beliefs," he continued, "and if people's relatives and friends are being operated on and dying, that's a strong personal experience."
Margolis speculates that past experiences with poor surgical or perioperative care could play a role, as well as "the legacy of racial discrimination against African Americans, mistrust and disenfranchisement from the current health care system."
Less Surgery, Lower Survival Rates
Overall, the outlook for surviving localized lung cancer has improved somewhat, largely due to better surgical techniques. The five-year survival rate for white patients at this stage is 49%. But African Americans don't do as well; only 43% survive five years or longer after diagnosis.
In his journal article, Margolis cites a recent study of elderly patients with localized lung cancer that found a 13% lower rate of surgery and an 8% lower five-year survival rate for African Americans compared with whites.
Freeman says doctors and patients must both make changes so false beliefs don't prevent patients from pursuing the best treatment. "The key to this is that we have to ask physicians to be very sensitive and understanding and open about the myths or beliefs that people share with us," he said.
"There are reasons for patient's beliefs," said Freeman.
"Doctors have to take more time and try to bring some logic to the issue without insulting the dignity of the person," he continued. "If all cancers touched by air did spread quickly, you could logically assume that all people whose cancers are treated with surgery would die. And that's clearly not the case."
The puzzle of higher lung cancer death rates for African Americans is only one part of a larger trend that is the subject of intense study. According to the American Cancer Society's Cancer Facts & Figures, 2003, black Americans are more likely to develop and die from cancer than people from any other racial or ethnic group. Death rates have begun to come down, but the death rate for all cancers combined remains about 30% higher in African Americans than whites.
