Take your health into your own hands

Take your health into your own hands

Take your health into your own hands

New blood test detects eight types of cancer

Diagnosing cancer can be complicated and involve unpleasant procedures such as mammograms and colonoscopies; in addition, tumors are often detected only when they have reached a certain size. Researchers are therefore working to find better, less invasive alternatives that can detect cancer earlier, when it is most treatable, through blood.

Now, researchers at the Cambridge Institute in Britain have developed a blood test-or “liquid biopsy” -that can detect eight different types of cancer, including breast cancer, ovarian cancer, skin cancer (basal cell carcinoma among the most common) and brain cancer. This is not the first blood test developed for cancer detection, but this one has the advantage of being relatively quick, as it does not involve the time-consuming genetic sequencing of the patient’s blood.

Instead, the new test works by tracking the carcinogenic Dna circulating in the blood based on its size. Tracking the Dna of a tumor is usually very difficult because it is immersed in a vastly larger amount of healthy Dna, but the British team identified that there are differences in the size of Dna fragments in cancer cells and those in healthy tissue and used them as a key to making the diagnosis. The finding was published in the journal Science Translational Medicine.

The researchers then conducted an experiment to see how effective the new method was in determining the presence of cancer and were able to detect colorectal, bile duct, ovarian, breast and skin cancer in 94 percent of the 68 patients tested. A slightly lower success rate was achieved for pancreatic, kidney and brain cancers, detecting cancer in 65 percent of the 57 patients tested.

The new test is obviously not perfect and also gave a false positive, mistakenly detecting cancer in a healthy patient. However, liquid biopsy is certainly promising, and as study coordinator Florent Mouliere told New Scientist, the blood test could easily be performed by commercial laboratories, meaning the transition from research lab to real life may not be too far away.

Mouliere F et al. Enhanced detection of circulating tumor DNA by fragment size analysis. Science Translational Medicine 07 Nov 2018: Vol. 10, Issue 466, eaat4921.

https://pixabay.com/en/medicine-withdrawals-nurses-3493688/

Whole grains help prevent liver cancer, according to a US study

An increased supply of whole grains and fiber is associated with a reduced risk of hepatocellular carcinoma, the most common form of liver cancer, according to a large observational study with a long follow-up, published in Jama Oncology and coordinated by Xuehong Zhang of Brigham and Women’s Hospital, affiliated with Harvard Medical School in Boston.

Experts have long suspected that diet may be an important risk factor for hepatocellular carcinoma, but until now scientific evidence had only been produced regarding the consumption of certain mushroom-contaminated foods and large amounts of alcohol. In this case, the researchers focused instead on whole grains and dietary fiber, which had already been associated a lower risk of obesity, type 2 diabetes, and nonalcoholic liver steatosis-all known predisposing factors for hepatocellular carcinoma.

The team conducted a cohort study of 125,455 people and examined their intakes of whole grains, their components (bran and germ), and dietary fiber, which are present not only in unrefined grains but also in fruits and vegetables. Study participants were asked to fill out questionnaires regarding their eating habits every two years, and to analyze the data, the researchers then divided the study subjects into tertiles based on their consumption levels of the foods considered.

During an average follow-up that lasted a full 24 years, 141 participants were affected by hepatocellular carcinoma.

Statistical analysis of the data showed that a higher intake of whole grains was significantly associated with a lower risk of this cancer.

“If our results are confirmed, increasing fiber consumption of whole grains could serve as a possible strategy for primary prevention of hepatocellular carcinoma,” Zhang said in an email to Medscape Medical News.

E Nicola McKeown, an expert in nutrition epidemiology from Tufts University in Boston, commented that the benefits of these foods go beyond preventing a specific cancer: “More studies will be needed to ascertain the impact on liver cancer of whole grains, but introducing more of them into one’s diet is a good strategy for improving overall health.”.

Thyroid cancer: detect it early to treat it better

“Prevention is better than cure” is the first golden rule of medicine. The second is “diagnose early to treat better.” Both apply regardless of clinical area, but they become particularly important in oncology, especially in the case of various types of cancer that, if caught early, can be completely eliminated and for those of more critical management that, detected in the bud, can be treated more effectively. Thyroid cancers are among them.

Let’s say right away that the thyroid cancers proper (i.e., differentiated thyroid carcinomas) are neoplasms fairly rare, corresponding to about 5 percent of all thyroid nodules, which, on the other hand, are very common, being able to be found in almost 50 percent of the population, but are often harmless or otherwise easy to manage.

According to the most recent report of the Italian Association of Cancer Registry (AIRTUM), there were more than 15,000 new diagnoses of thyroid cancer in 2017, and this number is expected to increase significantly by 2020, especially among women (more affected by thyroid disease in general than men).

This increase in the number of diagnoses should not be too alarming, as it is mainly related to an increased propensity for screening investigations (in particular, thyroid ultrasound) and not associated with increased mortality. From thyroid cancers, in fact, they are cured in more than 3 out of 4 cases, especially if they are promptly acted upon properly (usually with complete removal of the gland, followed by initiation of thyroid hormone replacement therapy).

To optimize the recognition, characterization, and management of differentiated thyroid carcinomas, Italy’s leading thyroid specialist associations have developed shared guidelines that will allow all patients to be cared for based on the best available scientific evidence. Which means, in essence, ensuring maximum chances of healing and survival for all, even more than is already being done today.

The new diagnostic-therapeutic guidelines will also help to better understand which nodules should be considered suspicious/dangerous and, therefore, monitored more assiduously or immediately treated and which, instead, can be followed up with more “relaxed” periodic ultrasound checks, for example, once every 1-2 years. This will avoid subjecting nodules to strenuous treatment that will most likely never give serious health problems.

The2018 Italian Guidelines for Nodular Pathology and Differentiated Thyroid Carcinoma.” have been jointly drafted by the Italian Thyroid Association (AIT), the Association of Medical Endocrinologists (AME), the Italian Society of Endocrinology (SIE), the Italian Association of Nuclear Physicians (AIMN), the Italian Unitary Society of Endocrine Surgery (SIUEC) and the Society of Anatomic Pathology and Cytological Diagnostics (SIAPEC) and will be officially presented in Rome on Oct. 28-29, at the 6th Thyroid UpToDate – Guidelines and clinical practice.

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6th Thyroid UpToDate – Guidelines and Clinical Practice (http://www.nordestcongressi.it/site/event/6-thyroid-uptodate-2018)

Pacini F et al. Italian consensus on diagnosis and treatment of differentiated thyroid cancer: joint statements of six Italian societies. Journal of Endocrinological Investigation 2018; https://doi.org/10.1007/s40618-018-0884-2

New test detects cervical cancer in 100% of cases

A new test to diagnose cervical cancer, developed by researchers at Queen Mary University of London, has shown a 100 percent success rate, significantly outperforming diagnostic tests that are currently used, such as the Pap test and Hpv test.

Hpv, also known as human papillomavirus, is responsible for the vast majority of cervical cancer cases worldwide and is transmitted primarily through sexual activity. There are over a hundred different types, and a small proportion of these are recognized causes of cancer.

The Pap test is the most traditional diagnostic test and involves taking a sample of cells from the cervix and examining them under a microscope; it can quickly and early detect the presence of changes, including those that may be due to cervical cancer. Even the current Hpv test consists of taking a small amount of cells from the cervix and detects the presence of the virus rather than the actual risk of developing cancer: it is more effective than the Pap test, but Hpv often does not cause any problems, so many women who test positive undergo completely unnecessary stress.

Neither method is 100% effective, however.

The test developed by the London researchers was put to the test in a randomized clinical trial conducted in Canada among 15,744 women aged 25-65 years, and the result was resoundingly positive, detecting all eight types of invasive cervical cancers that developed in women, while the Pap test detected only a quarter and the Hpv test half.

The results were published in theInternational Journal of Cancer, which specified that the new test makes use of knowledge about epigenetics: instead of analyzing changes in the genetic code, it focuses on the ways in which genes are expressed, that is, when they “turn on” instead of remaining inactive.

“This is a huge development,” said study coordinator Attila Lorincz, ” Not only are we amazed at the way this test detects cervical cancer, but it is the first time anyone has demonstrated the key role of epigenetics in the development of a major solid tumor.

Urological prevention: isn’t it men’s stuff?

When it comes to the prostate, many Italian men are aware of the risks and do not underestimate them in theory, but take little action to reduce them in practice through the most valuable and effective weapon available: urological prevention. Although the situation has improved from a few years ago, the picture that emerges from the recent survey conducted by SWG for the Italian League for the Fight against Cancer (LILT) indicates that still a large share of the male population is not paying enough attention to diseases that can affect the genitourinary system, starting with prostate cancer: the second most frequent malignancy among men after lung cancer.
Although the majority of Italian males (81%) know that prostate cancer is common (especially after age 50) and more than half (53%) fear it, in general there is modest knowledge about it (28%) and poor ability to recognize its characteristic manifestations (moreover, often late). In addition, only one in four men undergo an examination to check the status of the prostate gland, either on their own initiative or after experiencing some urinary symptoms.
“The fact that 80 percent of men have never visited a urologist,” commented Francesco Schittulli, LILT president, on the occasion of the presentation of the survey results, “is a worrying statistic, because it means that visits are only resorted to when pathologies are already manifest and overt, when instead it would be fundamental, especially over the age of 50, to make periodic check-ups, as mammography is for women. With the “Blue Path” campaign, in which many of our sections scattered throughout the country are involved in various initiatives, LILT intends to raise awareness among men about the importance of prevention and awareness of the risks, sometimes related even to small, often overlooked ailments, to keep away so many aggressive male health diseases.”
“Undergoing early detection examinations still remains a female prerogative,” added Marco Alloisio, president of LILT Milan, “even though 62 percent of men are aware that urological checkups are the main way to effective prevention. To paraphrase the title of the SWG research, “it is not a male thing” to take care of one’s health, even though data tell us that one in 9 men gets prostate cancer and testicular cancer is the most frequent male neoplasm among the under-50s. It is, therefore, important to strengthen and spread information campaigns aimed at the male audience as much as possible, so that the healthy habit of taking care of oneself will also spread to men, as it already does to women. There is also a need for further involvement of general practitioners: their persuasive power with patients is high and, with regard to male cancers, can make a difference in bringing men closer to checkups.”
In addition to protecting your physical health, undergoing periodic urological checkups allows you to avoid unnecessary anxiety about “suspicious” urinary symptoms, such as difficulty in releasing urine, poor stream, the need to go to the bathroom often, or some initial défaillance in sexual intercourse not necessarily related to simply advancing age. In most cases, these problems are related to the presence of benign prostatic hypertrophy (BPH): an annoying, but not serious and well manageable disorder, especially if treated from the onset. But sometimes, entirely similar symptoms can also be brought about by prostate cancer that is relatively advanced and/or located in the middle part of the gland.
Early detection of prostate disease is undemanding: to implement it, it is sufficient to perform PSA assay and a specialist urological examination once a year from the age of 50, or from the age of 40 if there have been cases of prostate cancer in one or more men in the same family.
For years, LILT has been engaged in male awareness activities through the “Blue Path” to spread the culture of prevention and early diagnosis to men as much as possible. Adopting proper lifestyles (not smoking, eating healthily, moderating alcohol consumption, engaging in physical activity, maintaining a normal body weight) has been shown to reduce the risk of becoming ill with malignancies, while undergoing periodic checkups allows us to catch any urological diseases in the bud for which there are effective and, often, decisive treatments if implemented early, avoiding the need for more challenging treatments with more variable outcomes.

Source: Italian League for the Fight Against Cancer – LILT(www.lilt.it/oldportal/pubblicazioneea2c.html?id=541&area=1160)

 

 

Breast cancer, mechanism causes metastasis unveiled

One of the most frequent forms of breast cancer, intraductal breast carcinoma (IDC) represents a commitment for Italian research to seek therapies tailored against carcinoma type.

This type of cancer in 30 percent of cases migrates from its site to affect other organs with metastasis , according to a molecular mechanism found and described in a study published in ‘Nature Materials’ by a team of researchers from the Firc Institute of the University of Milan , and supported by both Airc and the Cariplo Foundation and Miur

The Italian team’s result has made it possible to define a ‘mechanistic signature’ that could allow them to identify the types of neoplasms most at risk of producing metastases, so as to target them with ad hoc treatments.

Intraductal mammary carcinoma (IDC), according to the researchers, is 20% of the most prevalent type of cancer diagnoses, they explain, and is characterized by the occurrence of primary lesions within the mammary duct, which become immobilized due to severe compression by external tissue.

About 70% of the tumor remains ‘solid’ in situ, while the remainder can become fluid’ , managing to exit the breast.

Researcher Giorgio Scita, head of Ifom’s Cancer Cell Research Mechanisms Unit and full professor of General Pathology at State University explains that

“This characteristic makes this type of tumor an ideal model to study the relationship between state transition and the potential for metastasis.”

“Two years ago,” he recalls. we had found that Rab5A, a protein that regulates the ability of cells to internalize membranes and receptors, was surprisingly able to induce fluidization of a tissue of dense, packed epithelial cells. The action is reminiscent of that of a traffic warden who manages to make the congested traffic in our cities flow smoothly. What emerges from our laboratories today is that this motility, observed in a tumor model particularly sensitive to this factor, such as precisely intraductal breast carcinoma, is also associated with the ability of the tumor to modify the extracellular matrix and invade the surrounding tissue.”

We engineered mammary gland cells in such a way as to elevate the level of Rab5A protein, typically highly expressed in the most aggressive breast cancers – report Andrea Palamidessi, Chiara Malinverno and Emanuela Frittoli, the first authors of the work – Thus, we observed that this simple manipulation is sufficient to reawaken the motility of a cell population that had gone into solidification and to allow the acquisition of smooth, flowing collective movements.”.

“The connection between the process regulated by Rab5 and the transition from a more solid state to a more fluid state,” Scita continued. – was explored further using an experimental system consisting of tumor spheroids immersed in a collagen matrix that mimics the microenvironment that our body typically develops to limit tumor growth. Taking advantage of genetic engineering techniques, advanced microscopy and biophysics, tumor cells were observed live to monitor its mode of movement and its ability to modify the collagen fiber network in order to generate channels and escape routes through which to invade the rest of the body.”

“In particular, to study the dynamic characteristics of the tissue and at the same time the forces that the spheroids exert on the matrix in 3D, we developed innovative models and algorithms for the quantitative analysis of the captured footage- point out Fabio Giavazzi, a researcher at Milan State University, and Roberto Cerbino, a professor of applied physics at the university, who also co-signed with Scita the first paper on the Rab5A protein (2017) – Crucial was the use of fluorescent markers that were dispersed in the matrix. It is by following their fluctuations that we were able to obtain information about the tensile forces exerted by the tumor masses on the matrix itself.”.

Bladder cancer: how to prevent it?

Bladder cancer consists of the malignant transformation of the cells lining the inner surface of the bladder itself, i.e., the organ that collects urine filtered by the kidneys before being eliminated from the body.

Bladder cancer accounts for about 3 percent of all cancers and, in urology, is second only to prostate cancer.

It is most common between the ages of 60 and 70 and is three times more common in men than in women. At diagnosis, bladder cancer is superficial in 85 percent of cases, infiltrating in 15 percent. According to data from the Cancer Registry, there were an estimated 27,000 cases of bladder cancer in Italy in 2017, considering both infiltrating and superficial forms.

Read more.

Endometrial cancer: what is it?

The endometrial tumor is usually an endometrioid adenocarcinoma. It usually manifests as postmenopausal vaginal bleeding. Diagnosis is made by biopsy. Staging is surgical. Treatment requires hysterectomy, bilateral salpingo-oophorectomy, and, in high-risk patients, often pelvic and para-aortic lymphadenectomy. For advanced tumors, radiation therapy, hormone therapy or chemotherapy is usually indicated.

Read more.

Pancreatic cancer

The pancreas is an elongated glandular organ, about 18-20 cm long, located deep in the abdomen, between the stomach and the spine.

It is divided into three parts: the largest part is called the head and is in close contact with the duodenum, the middle part the body, and the thinnest part, which extends all the way to the spleen, is called the tail.

The pancreas produces several very important hormones including insulin and glucagon (which regulate blood sugar levels) and various enzymes (e.g., trypsin) that, transported by the pancreatic ducts into the intestines, contribute to the digestion and absorption of nutrients.

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Adrenal gland tumor

The adrenal glands, or adrenals, are two small glandular organs located above the upper pole of each kidney (hence their name, precisely sur-renal).

They have a triangular shape and are formed by several components.

The central part, called the medulla of the adrenal gland, produces two chemicals that have important functions in the central nervous system: adrenaline and noradrenaline. The outer part is called the cortical and produces steroid hormones, including aldosterone, which helps regulate blood pressure, cortisol, which is important in regulating blood sugar levels (blood sugar), some male (androgen) and female ( estrogen precursors) sex hormones.

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Pituitary gland tumor: how to treat it

The hypophysis, or pituitary gland, is a gland located inside the skull at its base. Although it is very small, comparable in size to a pea, it plays a crucial role because it is directly connected with a part of the brain called the hypothalamus and provides the link between the activities of the brain and those of the endocrine system for hormone production.

The pituitary gland is regulated by hormones produced by the hypothalamus and in turn produces hormones that influence the activity of other glands such as the thyroid, adrenal glands and gonads (ovaries and testes) called “target glands.” It is precisely because of this controlling function that it is also referred to asthe “master gland.”

Read more.

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NUTRITION AND DIET
 
NATURE, SPORTS, PLACES
 
CULTIVATING HEALTH
 
MENOPAUSE
 
MOM IN SHAPE
 
TRADITIONAL CHINESE MEDICINE
 
HEART SURGERY
 
MEDICINES AND MEDICAL DEVICES
 
PARENTING
 
THE CULTURE OF HEALTH
 
HEALTH UTILITIES
 
GENERAL MEDICINE
 
NATURAL MEDICINE, THERMAL
 
MIND AND BRAIN
 
NEUROVEGETATIVE DYSTONIA
 
WAYS OF BEING
 
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