Lung Cancer

Lung Cancer Facts & Tips for Prevention

Lung cancer is one of the most common cancers in the world⁠.

In 2015, it was estimated that approximately 26,600 Canadians would be diagnosed with lung cancer.  That is more than any other type of cancer.

In addition to this, more people die from lung cancer than breast cancer, colorectal cancer and prostate cancer combined.

There are two major types of lung cancer, non-small cell lung cancer (NSCLC) and small cell lung cancer (SCLC)⁠.

Non-small cell lung cancer accounts for about 85 percent of lung cancers, small cell lung cancer about 15 percent.⁠

NSCLC usually starts in glandular cells on the outer part of the lung. This type of cancer is called adenocarcinoma. Non–small cell lung cancer can also start in flat, thin cells called squamous cells. These cells line the bronchi, which are the large airways that branch off from the windpipe (trachea) into the lungs. This type of cancer is called squamous cell carcinoma of the lung. Large cell carcinoma is another type of non–small cell lung cancer, but it is less common. There are also several rare types of non–small cell lung cancer. These include sarcoma and sarcomatoid carcinoma.  SCLC usually starts in cells that line the bronchi in the centre of the lungs. The main types of small cell lung cancer are small cell carcinoma and combined small cell carcinoma (mixed tumour with squamous or glandular cells).

Anatomy & Facts About Our Lungs

 

 

Did you know?

  • In proper anatomy our right lung is shorter and wider than our left.  Our left lung is narrower and more oblong
  • The anterior border of the left lung is marked by a deep cardiac notch while the right lung is straight
  • Our left lung is smaller than our right lung because our heart occupies space on the left side
  • Our right lung consists of 3 lobes.  Our left lung has 2
  • Our right lung connects to the trachea by two bronchi while the left lung connects to the trachea by a single bronchus

Possible causes of lung cancer

🔹Cigarette smoking causes most lung cancers.  Of note however many patients who are diagnosed with lung cancer have either never smoked or are former smokers.

🔹Exposure to high levels of pollution⁠

🔹Exposure to radiation and asbestos may increase risk of lung cancer⁠

🔹Genetics

Common symptoms of lung cancer

✔️A cough that doesn’t go away and gets worse over time⁠

✔️Constant chest pain⁠

✔️Coughing up blood⁠

✔️Shortness of breath⁠

✔️Fatigue⁠

Help lower your risk of lung cancer by incorporating the following tips

☑️Stop Smoking:⁠

Smoking is responsible for the majority of lung cancers. If you are a smoker it’s never too late to quit. For those who have been diagnosed with lung cancer, by stopping your smoking habit you can make cancer treatment more effective

☑️Limit Your Chemical Exposure:⁠

Chemicals in the workplace and at home can contribute to lung cancer

☑️Reduce Your Exposure to Second-Hand Smoke:⁠

Exposure to second-hand smoke increases your chance of developing lung cancer

☑️Consume Green Tea and Black Tea:⁠

Studies have shown that consuming Green & Black tea are associated with a reduced lung cancer risk⁠

As well as the above, proper sleep, exercising regularly and eating a diet rich in fruits and veggies are very important habits for cancer prevention as a whole.⁠


References

 

Coping with Post-Mastectomy Pain Syndrome

It is certainly well within the level of expectation to have some pain and/or discomfort after a mastectomy or lumpectomy. But when pain continues for more than a few months post surgery and begins to impact quality of life, this is very likely Post-Mastectomy Pain Syndrome (PMPS).

Studies have shown that between 20 and 30 percent of women who have breast surgery develop PMPS.

What is Post-Mastectomy Pain Syndrome?

Post-mastectomy pain syndrome (PMPS) is chronic nerve (neuropathic) pain after lumpectomy or mastectomy…The classic signs of PMPS are chest wall pain and tingling down the arm. Pain can also be felt in the shoulder, scar, arm, or armpit. Other common complaints include numbness, shooting or pricking pain, or unbearable itching

The exact cause of PMPS is unknown.  A strong theory however is that during surgery damage is caused to the intercostobrachial nerve.  This nerve extends from the outer edge of the breast and runs along the underside of the arm.

Treatments for Post-Mastectomy Pain Syndrome

There are treatments to help relieve PMPS.  This often starts with the use of ibupofen and/or other nonsteroidal anti-inflammatory drugs.

The application of topical anesthetics can be effective for treatment in many cases.

Steroid injections or local anesthetic can be helpful for those who suffer from pain around the scar area.

As well as medical interventions, Integrative therapies can also be of help for those suffering with PMPS.  These include massage therapy, reflexology and acupuncture.

Why Seek Help?

In light of the toll that cancer therapies can have on the body, it may seem somewhat trivial to question your doctor about aches and pains. But it is not.

Pain not only has a physical impact, it can also have a mental one.

Research has demonstrated that the pain women experience suffering from PMPS has been linked to fear of recurrence.  This can be a paralyzing feeling.

Depression, as well, is strongly associated with pain.

Conclusion

Post-Mastectomy Pain Syndrome is real.

Do not dismiss symptoms or concerns that you are experiencing.  Consult your doctor and get relief.

We must be advocates of our own health.


References

https://www.cancer.org/treatment/treatments-and-side-effects/physical-side-effects/pain/post-mastectomy-pain-syndrome.html

https://www.cancer.org/treatment/treatments-and-side-effects/physical-side-effects/pain/post-mastectomy-pain-syndrome.html

https://well.blogs.nytimes.com/2015/06/08/pain-after-breast-cancer-surgery-pmps/

https://www.painresource.com/cancer/post-mastectomy-pain-syndrome-pmps/

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4031190/

 

 

 

 

 

women, sex and cancer

Women, Sex and Cancer

Cancer treatments can have an impact on your sex life.  As a woman, having an understanding of changes that you may experience during the course of your care can help to prepare you and to ease your concerns.

Reproductive Issues

If you are in your reproductive years you should speak to your oncologist, before you begin treatment, about its possible impact on your fertility. Preserving fertility is a viable option in many cases.  It is important to discuss the options available to preserve fertility. women, sex and cancer

Pain or Discomfort During Intercourse

Pain or discomfort during intercourse can also be problematic for some women going through cancer treatment.

Here are some suggestions should this be an issue:

  •  Vaginal lubricants

There are natural vaginal lubricants on the market.  Seek out companies that offer organic oil or water based products.  These will help to increase the comfort of sexual activity.

Coconut oil may also be of use not only as a lubricant but also as an external vaginal moisturizer.

  • Pelvic floor therapy

Pelvic floor therapy for women is a type of physiotherapy that helps with relaxation to loosen tight, tender vaginal muscles resulting in reduced pain during intercourse.

  • Vaginal dilators

Vaginal dilators can help to relieve pain during penetration. They function to stretch the vagina and reduce tightness. They can be used in combination with pelvic floor therapy.

Conclusion

Additional side effects of cancer treatments that can inhibit your ability to enjoy sex include low libido, nausea and fatigue.

It is important to understand that in most cases side effects will be remedied once your treatments are completed.

It is also very important that you keep an open dialogue with your partner during this time.  Speaking to someone with experience in this area may be beneficial both individually and as a couple.

And do remember this.  Intimacy with your partner can be experience in ways other than sexual if, for the time being, a sexual relationship cannot be enjoyed.

 

 

July is Bladder Cancer Awareness Month

July is Bladder Cancer Awareness Month.

Bladder cancer is the 5th most common cancer in Canada.  It is the 4th most common among men and 12th most common cancer among women. It is estimated that approximately 9,000 Canadians are diagnosed with bladder cancer each year.

The Bladder

The bladder is part of the urinary system. It is a hollow organ in the pelvis that stores urine before it is eliminated from the body.

The bladder wall is made up of 3 main layers:

  1. The urothelium is the inner lining of the bladder. It is made up of urothelial cells. The urothelium is also called the transitional epithelium.
  2. The lamina propria (also called the submucosa) is the thin layer of connective tissue that surrounds the urothelium. It contains blood vessels, nerves and glands.
  3. The muscularis propria is the thick, outer muscle layer of the bladder. It is made up of 3 layers of smooth muscle.

Common Symptoms of Bladder Cancer

  • Pelvic Pain
  • Back Pain
  • Pain while urinating
  • Frequent urinating but only small amounts at a time
  • Blood in urine

Possible Causes of Bladder Cancer

Although one cannot conclude with absolute certainty the cause of bladder cancer, the following factors have been linked to the disease:

  • Smoking and other tobacco use
  • Exposure to chemicals
  • Radiation exposure
  • Dehydration
  • Parasitic infections

Tips for Preventing Bladder Cancer

There are obvious things that you can do to help prevent bladder cancer when some of the possible causes are known.  They include the cessation of  smoking and limiting exposure to radiation and chemicals.

Drinking lots of water encourages frequent urination.  This helps you to get rid of harmful chemicals that can build up in your bladder.

Added to this eating a diet rich in fruits and vegetables lowers your risk for many types of cancer including bladder cancer.

References:

https://bladdercancercanada.org/en/bladder-cancer-facts/

https://www.drugs.com/mcd/bladder-cancer

http://www.cancer.ca/en/cancer-information/cancer-type/bladder/bladder-cancer/the-bladder/?region=on

https://www.webmd.com/cancer/bladder-cancer/understanding-bladder-cancer-prevention

https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(05)67077-8/fulltext

 

 

3 Common Characteristics of Cancer Survivors

June is Cancer Survivor Awareness Month.  Battles are being won as the war against cancer continues.

  • Over 60% of Canadians diagnosed with cancer are expected to survive for 5 years or more after a cancer diagnosis (Canadian Cancer Society)⠀

 

  • Cancer death rates have been declining since 1988 among men, and since the mid-1990s among women (Government of Canada, Canadian Cancer Statistics)⠀

  • Cancer mortality rates are decreasing more than 2% per year for lung, colorectal, prostate and oral cancers in males; breast and ovarian cancers in females; and Hodgkin disease and non-Hodgkin lymphoma, stomach cancer, and larynx cancer in males and females (Government of Canada, Canadian Caner Statistics)⠀

My unique vantage of being both a cancer survivor and a professional working with cancer patients has offered me the opportunity to bear witness to some common threads that weave many survivors together.

Although not exhaustive, I feel that these are the most constant traits of cancer survivors that I see.

3 Common Characteristics of a Cancer Survivor

1. A resolve to make necessary changes in diet and lifestyle

cancer survivorsMany cancer survivors change their diet to include whole, plant-based foods and eliminate processed, pro-inflammatory foods because they understanding that what they eat can either enhance health or detract from it.

Supplements to support health are often included along with dietary changes.

The importance of proper sleep, exercise and mindfulness is appreciated and strived for within the lives of many cancer survivors.

2. A willingness to take active participation in determining their cancer protocolunderstanding

Most cancer survivors have asked questions, considered many avenues of care and have taken an active role in determining the cancer protocol that feels right for them.  Many cancer survivors have taken an integrative approach to their care including modalities such as yoga and meditation in to their cancer protocol.

3. A belief that their body can heal

Survivors tend to have a strong belief that given the proper tools their bodies can overcome and heal from cancer.  Once established, a common trait of survivors is the firm belief that their protocol will be successful.

Life after a cancer diagnosis is different.  As with any profound event we experience, cancer resets the framework for us moving forward.  But we do.  We move forward.

We are survivors.

cancer survivors

 

References:

https://www.canada.ca/en/public-health/services/chronic-diseases/cancer/canadian-cancer-statistics.html

http://www.cancer.ca