George vs. The Dragon

Source: ESPN.com Author: Rick Reilly DAY 17: Tuesday, March 9, 7:30 a.m. -- Denver Nuggets coach George Karl pops in his mouthpiece and puts on his helmet and braces himself for a brutal 15 minutes, but this isn't football. This is cancer radiation. We're at Denver's Swedish Medical Center. The helmet is actually a white, hard-mesh mask that fits to every contour of Karl's big bucket head. It has red crosses all over it, like a hockey goalie's. He lays his 283 pounds on the table and the technicians clamp the mask on hard. How Karl breathes I'll never know. They secure his limbs and ask him to hold a blue plastic donut so no part of him moves. He looks like Hannibal Lecter about to get fried. "It makes you a little claustrophobic," the 58-year-old coach tries to say through the mask. "But what are you gonna do? Leave?" Coaching the wildly talented but wildly uneven Nuggets is hard enough, let alone doing it with throat and neck cancer, but that's what Karl is trying to do. Everybody tells him it's not possible, and today, maybe he's starting to believe them. With only three of his torturous six weeks of treatment done, and the inside of his mouth looking like he just took 100 bites out of a lava-hot pizza slice, and his head throbbing and his eyes hollow, Karl looks like a guy who should be on a stretcher, not an NBA bench. "George, this is only going [...]

2010-03-18T09:51:54-07:00March, 2010|Oral Cancer News|

Office-based ultrasound-guided FNA found to be superior in diagnosing head and neck lesions

Source: American Academy of Otolaryngology Author: Jessica Mikulski Office-based, surgeon-performed, ultrasound-guided, fine needle aspiration (FNA) of head and neck lesions yields a statistically significant higher diagnostic rate compared to the standard palpation technique, indicates new research in the March 2010 issue of Otolaryngology - Head and Neck Surgery. FNA is a diagnostic procedure used to investigate superficial lumps or masses. In this technique, a thin, hollow needle is inserted into a mass to extract cells for examination. FNA biopsies are a safe minor surgical procedure. Often, a major surgical (excisional or open) biopsy can be avoided by performing a needle aspiration biopsy instead. FNA biopsies in the head and neck have also proven to be an invaluable tool in establishing the diagnosis of lesions and masses from a broad range of sites, including the thyroid, salivary glands, and lymph nodes. The efficacy of ultrasound-guided FNA has been well documented in many areas of the body, leading to its acceptance as the standard of care among radiologists and many cytopathologists. However, while the utility of ultrasound in the head and neck is widely appreciated and employed by the radiology community, clinicians in the United States have not embraced office-based ultrasound. The study authors sought to provide additional evidence and support for this procedure in order to ensure appropriate use by the clinical community. In this randomized, controlled trial of 81 adults, researchers divided participants into two groups, using either ultrasound-guided or traditional palpation-guided FNA to evaluate an identified head and neck mass. [...]

2010-03-11T18:54:05-07:00March, 2010|Oral Cancer News|

Introducing OraRisk HPV salivary diagnostic test by OralDNA Labs

Source: RDHmag Author: Staff NASHVILLE, Tennessee--OralDNA Labs , a leader in advancing wellness in dentistry through salivary diagnostics and a subsidiary of Quest Diagnostics, recently introduced a OraRisk HPV test. The test is a noninvasive, screening tool to identify the type(s) of oral human papillomavirus (also called HPV). Oral HPV is a mucosal viral infection that is a known risk factor for oral, head, and neck cancers. High-risk types of HPV that persist present an increased risk for cancers in these regions. This test will provide the dental clinician with the ability to establish risk for HPV-related cancers of the oral, head, and neck regions, and determine appropriate referral and monitoring conditions. Squamous cell carcinoma of the head and neck, which can be found in the oral cavity, tongue, tonsils, oropharynx, and larynx, affects approximately 40,000 individuals in the United States each year. The most common symptoms of SCCHN include sore throat, earache, hoarseness--and often--enlarged lymph nodes in the neck. Early detection of oral HPV presents an important opportunity to detect those at risk for these types of cancers before symptoms appear. According to OralDNA Labs' Medical Director Ronald C. McGlennen, MD, "The availability of the OraRisksm HPV test marks an important and timely advance in oral diagnostics, because the at-risk profile for oral cancer is rapidly changing." The use of tobacco and heavy alcohol consumption has traditionally been considered to be the primary risk factor for SCCHN, but an alarming number of new cases are being diagnosed each year [...]

2010-03-05T21:50:15-07:00March, 2010|Oral Cancer News|

Roger Ebert’s story inspiring local cancer survivors

Source: News Channel 9 Author: Kevin Sims Tuesday on the Oprah Winfrey Show, movie critic Roger Ebert is talking about his battle with oral cancer.  That's a fight many folks here in the Tennessee Valley face everyday.  And now there's a support group specifically for those survivors. Five days a week, Jeanna Richelson is an engineer at Sisken Steel.  365 days a year, she's an oral cancer survivor.  "They found it in the base of my tongue.  I had surgery and spent nine days in the hospital," says Richelson.  "I had a feeding tube, I was a mess." What a difference a decade makes.  Nearly ten years after her diagnosis, Jeanna is cancer-free and is spear-heading that support group for others.  "I'm meeting people who are young mothers in their 20's who have oral cancer and they've never smoked," says Richelson.  "It used to be the old man's smoking disease but not anymore."  When she started her support group last summer, one person showed up for the first meeting.  Now they're up to twenty. That's why she says it's so important for celebrities like Roger Ebert to tell their stories.  At times, even though she's happily married, Richelson felt like she had nowhere to turn.  Now she wears her battle scars proudly.  Like the one on her right arm where doctors transplanted a muscle to her tongue.  "There are some (victims) that are newly diagnosed and they can see that we have survived it no matter how difficult it is," says Richelson. The hard parts aren't all behind [...]

2010-03-05T07:34:53-07:00March, 2010|Oral Cancer News|

“Snus causes cancer” – health institute

Source: thelocal.se Author: Staff Swedish snus causes cancer and increases the risk of death from heart disease, according to the National Institute of Public Health. The warning, which will concern many Swedes who have turned to snus as a healthier nicotine alternative to smoking, is based on the institute's analysis of epidemiological and experimental studies carried out by the Karolinska Institutein recent years. Certain studies indicate that snus can also increase the risk of high blood pressure and diabetes, and that children could be born prematurely if mothers use snus during pregnancy. However, the Institute of Public Health said in its report that there is not yet enough evidence to be certain of the effect on births. The institute said that its analysis showed that using snus increased the risk of cancer of the pancreas and of the mouth. But there are no research results suggesting that it causes other forms of cancer. And while there is no evidence to suggest that using snus actually increases the risk of developing heart disease, it is clear that it does increase the risk of death for a person affected, for example, by a heart attack. The details of how much snus is dangerous are not yet known, said Göran Pershagen, professor at the Institute of Environmental Medicine at Karolinska. "There's not enough evidence to say how much the risk increases. But it is clear that snus is not unhazardous - pancreatic cancer is a relatively common form of cancer with a very poor survival rate," he [...]

2010-03-01T12:07:28-07:00March, 2010|Oral Cancer News|

Efficacy of the ViziLite System in the identification of oral lesions

Source: Sciencedirect Author: Esther S. Oh DDS and Daniel M. Laskin DDS, MS Purpose Early detection of oral cancer is crucial in improving survival rate. To improve early detection, the use of a dilute acetic acid rinse and observation under a chemiluminescent light (ViziLite; Zila Pharmaceuticals, Phoenix, AZ) has been recommended. However, to date, the contributions of the individual components of the system have not been studied. The present study was done to investigate the efficacy of the individual components of the ViziLite system in providing improved visualization of early oral mucosal lesions. Patients and Methods A total of 100 patients, 39 males and 61 females, age 18 to 93 years (mean age, 44 years), who presented to the Virginia Commonwealth University School of Dentistry for dental screening were examined. There were 58 Caucasians, 29 African-Americans, 5 Hispanics, 6 Asians, and 2 of mixed ethnicity. Thirty-five patients smoked, 53 used alcohol, and 25 both smoked and drank. After written consent, the oral cavity was examined under incandescent light for soft tissue abnormalities. After 1-minute rinse with 1% acetic acid, the mouth was re-examined for additional mucosal abnormalities. Then, the mouth was examined once again using the ViziLite system’s chemiluminescent light. Any lesions detected by these 3 examinations that were clinically undiagnosable were brush biopsied (Oral CDx) for determination of cellular representation. Results In the original examination of the 100 patients, 57 clinically diagnosable benign lesions (eg, linea alba, leukoedema) and 29 clinically undiagnosable lesions were detected. After the rinse, 6 [...]

2010-03-01T18:45:46-07:00February, 2010|Oral Cancer News|

Roger Ebert: the essential man

Source: Esquire Magazine Author: Chris Jones It has been nearly four years since Roger Ebert lost his lower jaw and his ability to speak. Now television's most famous movie critic is rarely seen and never heard, but his words have never stopped. For the 281st time in the last ten months Roger Ebert is sitting down to watch a movie in the Lake Street Screening Room, on the sixteenth floor of what used to pass for a skyscraper in the Loop. Ebert's been coming to it for nearly thirty years, along with the rest of Chicago's increasingly venerable collection of movie critics. More than a dozen of them are here this afternoon, sitting together in the dark. Some of them look as though they plan on camping out, with their coats, blankets, lunches, and laptops spread out on the seats around them. The critics might watch three or four movies in a single day, and they have rules and rituals along with their lunches to make it through. The small, fabric-walled room has forty-nine purple seats in it; Ebert always occupies the aisle seat in the last row, closest to the door. His wife, Chaz, in her capacity as vice-president of the Ebert Company, sits two seats over, closer to the middle, next to a little table. She's sitting there now, drinking from a tall paper cup. Michael Phillips, Ebert's bearded, bespectacled replacement on At the Movies, is on the other side of the room, one row down. The guy who [...]

2010-02-23T12:40:29-07:00February, 2010|Oral Cancer News|

Oral cancer’s toll, cruel

Source: CNN Author: Madison Park (CNN) -- It brought a tough, All-Star NBA coach to tears this week. And it stilled the voice of a famous film critic. Head and neck cancers are rare, but known to be severe -- they can strip away a person's voice, distort the face and rob the basic abilities to eat, drink and swallow. The cancer can be so disfiguring, some patients seldom appear in public. In a tear-filled press conference this week, Denver Nuggets coach George Karl announced he has a type of neck and throat cancer. Karl said he will continue to coach, but will miss some games and practices. His type of cancer -- a squamous cell tumor found on his right tonsil -- is the most common and expected to be treatable with radiation and chemotherapy. Also this week, Esquire profiled film critic Roger Ebert, who also had a head and neck cancer. He suffered complications from surgery to treat the cancer that had spread to the salivary gland. The magazine published a full-page photo of the film critic, who no longer has a lower jaw. Ebert spent little time feeling sorry for himself: "If we think we have physical imperfections, obsessing about them is only destructive. Low self-esteem involves imagining the worst that other people can think about you. That means they're living upstairs in the rent-free room," he wrote on his blog after the photo published. While Ebert cannot speak, he continues to lambaste bad movies online. Head and neck [...]

2010-02-20T22:24:38-07:00February, 2010|Oral Cancer News|

Nuggets’ coach again fighting cancer- this time of the throat

Source: ESPN Author: Ric Bucher Denver Nuggets coach George Karl informed his team Tuesday afternoon that he is in another fight for his life with cancer. Karl, who had been cancer-free since prostate surgery in July 2005, discovered a worrisome lump on his neck about six weeks ago. A biopsy determined that it was "very treatable and curable" form of neck and throat cancer, Karl said, but it will still require an intense program of radiation and chemotherapy that will probably force him to miss some regular-season games. "Cancer is a vicious opponent," he said. "Even the ones that are treatable, you never get a 100-percent guaranteed contract." Treatment will consist of 35 sessions over the next six weeks, for what the Nuggets Web site called squamous cell head/neck cancer. The sessions are expected to leave his throat extremely raw, requiring him to be fed through his stomach in the final weeks. "Keeping up your nutrition is a big part of the challenge," he said. While the condition is treatable, his doctor, Jacques Saari, said Karl faces a taxing treatment regimen. He said the chemotherapy was intended to make the cancerous cells in Karl's body more susceptible to the effects of radiation. Then, he said, "The idea is to really hit it hard with radiation therapy." But the radiation, to be administered continuously for five days a week for the next six weeks, will take a physical toll on Karl, especially during the latter portion of treatment, Saari said. "Coach [...]

2010-02-17T15:41:54-07:00February, 2010|Oral Cancer News|

Smokers take their last legal puffs in Virginia restaurants

Source: Washington Post Author: Sandhya Somashekhar It was a gentlemen's protest: Scores of cigar-smokers filed into an upscale steakhouse in Reston on Monday night to light up their stogies over cocktails and beef Wellington and lament that the smoking police had finally come to, of all places, Virginia. Four hundred years after John Rolfe planted the nation's first commercial tobacco in Virginia, and decades after state leaders paid homage to the crop by carving its leaves into the ceiling of the old state Senate chamber, smoking officially becomes illegal Tuesday in the state's 17,500 bars and restaurants. Although the suit-and-tie crowd at Morton's exuded a sort of "Mad Men" cool, it wasn't entirely hard to see why some might have been glad this day has finally come. A fragrant, heavy haze rose as 150 regulars worked their way through the four cigars included with a meal organized as a last hurrah for Virginia smokers. "I've always said, if there's a state that would never pass a smoking ban, it's Virginia," said Manassas resident Ed Bennett, leaning on the polished wooden bar with a cocktail cigar in his right hand. "I lost a lot of bets on that one." Morton's wasn't the only restaurant marking the occasion with a bit of celebratory nostalgia. At Jimmy's Old Town Tavern in Herndon, a Camel rep handed out free cigarettes, and customers were treated to an airing of an old Winston TV ad featuring Fred and Barney from "The Flintstones." Owner Jimmy Cirrito sold [...]

2009-12-01T16:52:14-07:00December, 2009|Oral Cancer News|
Go to Top