MSI Press Blog

  You always hear about Stage 4 cancer...the scary stuff. Sometimes Stage 3. Rarely the other stages of cancer . Stage 4 is when we learned about Carl 's Cancer of Unknown Primary ; we hoped...while there really was no hope. What about Stage 1, though? Our neighbor just learned of a Stage 1 diagnosis, and her first response is to run away, ignore it, and, alternatively, to panic and tremble. So, I asked AI how should she respond? Here is what I got in response: While it's definitely concerning, stage 1 cancer is considered early-stage and highly treatable . The prognosis is generally very good, and many people go on to live healthy lives after treatment. Treatment options for stage 1 cancer typically include: Surgery : This is often the first line of treatment to remove the tumor. Depending on the type of cancer, a lumpectomy (removal of the tumor) or a more extensive surgery might be recommended. Radiation Therapy : This may be used after surgery to eliminate any remaining ca...

  Earlier, Cancer Diary reported on the death of Kirstie Alley due to colon cancer. Now another well-known person has died from it: Pelé.  Carl Leaver , MSI Press typesetter and co-founder, died of Cancer of Unknown Primary ; however, his oncologist suspected that it started as colon cancer (though, typical of CUP, the colon was clean by the time CUP was diagnosed at advanced Stage 4). Carl had skipped his colonoscopy, not with a great deal of thought but just because he did not want to be bothered with it at the time. Advice to everyone: be bothered with it! Read about the symptoms of colon cancer and issues of colonoscopies HERE . There is also a good deal of information about colon cancer at Carl's Cancer Compendium (cancers are listed alphabetically). Click HERE for more Cancer Diary posts. Click HERE for more posts about colon cancer. Blog editor's note: As a memorial to Carl, and simply because it is truly needed, MSI Press is now hosting a web page,  Carl's ...

  Carl did not die of colon cancer. He might have had it, but his colon was clean by the time tests were undertaken to find his primary. They never did. The died of cancer of unknown primary (CUP), but there are theories that say that CUP results when very strong immune systems knock out the primary, which then escapes to other organs. In Carl's case, five other organs were under siege, but the oncologist always felt that the cancer had started in the GI tract though it could not be seen there by the time Carl was diagnosed. Carl also did not have a colonoscopy. His perception of it as unpleasant, and his imagination of it as just too uncomfortable, especially the preparation, kept her from scheduling it -- likely to his eternal detriment. That given and said, I was fascinated to find a wonderful little article about how to make it all more tolerable. Short, illustrated, helpful. Read it HERE . For other Cancer Diary posts, click  HERE . Blog editor's note: As a memorial to Ca...

  May is Skin Cancer Awareness Month. That gains attention close to home. I just had stitches removed from skin cancer surgery (last week).  According to my surgeon, skin cancer can take the form of melanoma , basal cell carcinoma , or squamous cell carcinoma . Of the three, melanoma is more dangerous because it spreads easily and quickly. Squamous cell carcinoma and basal cell carcinoma can usually be excised.  Both my late husband and I have experienced squamous cell carcinoma. For him, it appeared like a little horn on his forehead. It was easily excised and left no scar. Mine was more insidious. An "age spot" appeared out of nowhere, then grew, then changed shape, then because pussy, bled, and itched. The Skin Institute did not believe it was cancerous, but I insisted on an early biopsy -- and I was right. When something appears to be very wrong, it usually is very wrong, and the patient is still his or her own best advocate. We were fortunate. With squamous cell carc...

(Carl, returning from chemotherapy, getting out of car and onto chair lift)   An inescapable decision--and a potentially life-changing one--can be whether or not to provide chemotherapy at advanced stage 4 of cancer. Chemotherapy given when a cancer is incurable (and side effects are minimal, manageable, or acceptable) is called palliative chemotherapy .  As with nearly anything medical or existential, there are pros and cons.  On the PRO side are the intents (if actually realized) shrink the cancer reduce the symptoms (e.g., pain) improve quality of life prolong life On the CON side are the peripheral aspects uncomfortable and/or disconcerting side effects (the same that accompany any chemotherapy: nausea; neuropathy; in the case of some compounds, hair loss) "end of life" chemotherapy can feel like grasping at straws, especially when/if the intents are not all met or met at all (an emotional side effect of depressions, desperation, anger--it depends upon the person) dif...

  Aging brings many questions about medical care, and colonoscopies are no exception. When should you start them? When should you stop? The answers aren’t as straightforward as you might think, especially when family history, anesthesia risks, and individual health concerns come into play. When to Start and Why? For most people, the recommended age to begin screening for colorectal cancer is 45 (lowered from 50 in recent years due to increasing cases in younger adults). However, if you have a strong family history—like my siblings and I, who all have had pre-cancerous polyps found at each colonoscopy—you may need to start even earlier. Doctors recommend earlier and more frequent screenings if you have: A family history of colorectal cancer or pre-cancerous polyps Certain genetic conditions like Lynch Syndrome A history of inflammatory bowel disease (Crohn’s or ulcerative colitis) When to Stop and Why? Many doctors advise stopping colonoscopies at 75 —but is that t...

  A somber topic today indeed, but an important one. One that was so completely new to us when Carl was dying from cancer that not only did we not know what to expect, leaving us feeling lost and helpless, but also we had no idea even what questions to ask and where to search for answers, leaving us feeling depressed and fearful. I think that may not be completely uncommon. Here is a clinical description of dying from cancer: Dying from cancer is a process that involves  changes in body function and loss of control over bodily functions .  Some of the common signs that your body is preparing to die are  disorientation, incontinence, rattling breaths, extreme weakness, less interest in food, trouble swallowing, and muscle jerking . These signs are caused by the cancer spreading to different organs and systems, and the body shutting down. Frankly, these signs are pretty scary and disconcerting when you do not expect them and do not know how to interpret them -- let alo...