Word: breast
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...technique may reduce the number of lymph nodes surgeons need to remove to see if breast cancer has spread. Last week a report noted that by using a radioactive tracer, it's possible to pinpoint the few nodes most likely to harbor stray cancer cells --and biopsy just those instead of 20 or more. The advantages: less pain and lower risk of permanent arm swelling...
...Since 7:30 a.m., eight new young doctors have been pelted with a steady stream of questions from Magnus Ohman, the senior cardiologist, who is leading the group this morning: Which famous painter suffered from digoxin poisoning? (Van Gogh.) How does a chest X ray look when a breast implant leaks? (Trick question: it looks the same.) Which episode of ER fits the patient in 7206? The dazed residents protest that they have no time for television. "You've got to watch ER," Ohman lectures. "Patients come in and ask you about...
...tens of millions of specially designed cells begin finding their way, she hopes, to the very core of the thing she has struggled with for years. Strauss, 76, is a retired preschool teacher from Chapel Hill, N.C., just down the road from Duke. For five years she has battled breast and liver cancer. Chemotherapy gave her two years in remission. The new breast-cancer treatment tamoxifen provided two more. Another year was gained from another antiestrogen drug. Then doctors ran out of approved medications...
...sits meekly and unhappily before her doctor and her genetic counselor, as though a world of trouble had just descended upon her frail shoulders. And in fact it has. A Duke-administered genetic test has revealed she has an extremely high risk of having a recurrence of the breast cancer she had three years before. The test has shown that a gene mutation is likely to run in her family. Kristen, who is in her 40s, is here to talk about what that means and what she must do about it. She has insisted upon anonymity because of the shattering...
...test results, her case nonetheless shows how Duke is able to move its cutting-edge research quickly into the realm of patient care. Kristen's gene mutation was diagnosed in a Duke laboratory run by Andrew Futreal, a researcher who had a hand in the discovery of one breast cancer-susceptibility gene--known as BRCA1--and who co-discovered a second, BRCA2. Her doctor is Dirk Iglehart, a surgeon who also runs a large tumor biology laboratory. The genetic counselor, Shelly Clark, advises patients on the far-reaching effects of such lethal genes...