SMJ articles in the category "Cancer"
Original Article
Objectively Measured Physical Activity and All-Cause Mortality Among Cancer Survivors: National Prospective Cohort Study
Objective: The understanding of the effects of physical activity on all-cause mortality among cancer survivors is limited. We attempted to draw a relation between physical activity and survival among those with a diagnosis of cancer.Methods: Data from the 2003–2006 National Health and Nutrition Examination Survey was used, with follow-up through…
Review Article
A Social-Ecological Review of Cancer Disparities in Kentucky
Cancer continuously ranks among the top 10 leading causes of death in the United States. The burden of cancer is particularly elevated in the Commonwealth of Kentucky and its 54-county Appalachian region, where cancer is the leading cause of death. Kentucky’s high rates of cancer have been attributed to a…
Original Article
Disparities in Cancer Survivorship Indicators in the Deep South Based on BRFSS Data: Recommendations for Survivorship Care Plans
Objectives: The purpose of this investigation was to describe cancer survivorship based on the Behavioral Risk Factor Surveillance System (BRFSS) cancer survivorship modules in Alabama, Georgia, and Mississippi, conducted in 2012 and 2014, and to investigate disparities across the US Deep South region. Methods: The optional BRFSS cancer survivorship module…
Original Article
Reasons for Chemotherapy Refusal or Acceptance in Older Adults With Cancer
Objectives: The majority of Americans diagnosed as having cancer are older than 65 years. They are, however, less likely than younger patients to receive chemotherapy. Our study aimed to better understand the specific reasons for acceptance or refusal of chemotherapy in older adults with cancer. Methods: An anonymous cross-sectional survey…
Original Article
All-Cancers Mortality Rates Approaching Diseases of the Heart Mortality Rates as Leading Cause of Death in Texas
Objectives Diseases of the heart and malignant neoplasms (all-cancers) are the leading causes of death in the United States. The gap between the two has been closing in recent years. To assess the gap status in Texas and to establish a baseline to support evaluation efforts for the Cancer Prevention…
Review
Protean Manifestations of Vitamin D Deficiency, Part 1: The Epidemic of Deficiency
Abstract: Just when vitamin deficiencies were thought to be a “thing of the past” a new vitamin deficiency-that of vitamin D has developed over the past 20 years. Vitamin D works like a hormone being produced primarily in one organ (the kidney) before circulating through the bloodstream to multiple organs…
Spirituality/Medicine Interface Project
Understanding the Role of Religion in Cancer Care in Appalachia
Religion and spirituality may influence outcomes in cancer prevention and therapy and contribute to cancer disparities in deeply religious communities like the Appalachian region of the United States. Finding a method to bridge this division is essential to reduce cancer health disparities in this population. Religious beliefs may lead patients…
Spirituality/Medicine Interface Project
Spirituality and Pediatric Cancer
Spiritual beliefs are an important source of comfort and support to many cancer patients and their families, but they may play a particularly large role when the patient is a child. Parents facing a child’s serious illness and possible death, and children themselves trying to make sense of illness, suffering,…
CME Topic
Carcinoid Tumors of the Gastrointestinal Tract
Abstract:The gastrointestinal tract is the largest neuroendocrine system in the body. Carcinoid tumors are amine precursor uptake decarboxylase (APUD) omas that arise from enterochromaffin cells throughout the gut. These tumors secrete discrete bioactive substances producing characteristic immunohistochemical patterns. Most tumors are asymptomatic and detected at late stages. Hepatic metastases are…
CME Topic
Cutaneous Metastasis of Breast Carcinoma Presenting as Alopecia Neoplastica
Abstract:Alopecia neoplastica is defined as hair loss secondary to a visceral malignancy that has metastasized to the scalp. We describe a woman with adenocarcinoma of the breast who developed alopecia neoplastica while receiving antineoplastic therapy. Alopecia neoplastica has been observed in 25 women. Breast cancer was the primary malignancy in…
Expired CME Article
Systemic Sclerosis and Malignancy: A Review of the Literature
Malignancy is associated with systemic sclerosis in between 3.6 and 10.7% of patients diagnosed with systemic sclerosis. The diagnosis of systemic sclerosis may occur before, concurrent with, or after the diagnosis of malignancy. All published reports of malignancy with systemic sclerosis are reviewed. Lung cancer is the most frequent type…
Original Article
Surgical Oncology in the Community Hospital: Can It Be Done Safely?
Background: Many studies have documented the fact that outcomes and survival are improved when major surgical oncology cases are performed at high-volume centers. Consolidation of such cases in tertiary centers, however, is often not possible or practical, due to a number of factors. Methods: A retrospective review was performed of…
Case Report
Coincidental Consort Clear Cell Cutaneous Carcinom: Facial Squamous Cell Carcinoma In Situ Containing Human Papillomavirus and Cancer Cells with Clear Cytoplasm in an Octogenarian Couple
Clear cell squamous cell carcinoma in situ, also referred to as pagetoid or clear cell Bowen disease, is a rare pathologic variant of this neoplasm. It is characterized by neoplastic cells with clear or pale cytoplasm. An octogenarian husband and wife concurrently developed new facial skin lesions which demonstrated squamous…
Review Article
Trigeminal Trophic Syndrome
Ulceration of the nose may be inadvertently induced by the patient. Although trigeminal trophic syndrome is an uncommon cause of chronic ulcers, healthcare providers should consider the possibility of this disorder when encountering a patient with nasal ulcerations. Trigeminal trophic syndrome most commonly occurs in older women following therapy for…
Review Article
An Updated Review of the Literature: Risk Factors for Bladder Cancer with Focus on Occupational Exposures
Workplace exposures account for 5 to 25% of all bladder cancer cases. A critical review of the literature between 1938 and 2004 was performed, with a focus on occupational exposures. Occupational exposure to bladder carcinogens, particularly to β-naphthylamine occur in a number of industries, including aromatic amine manufacture, rubber and…
Original Article
Total Thyroidectomy for the Treatment of Thyroid Diseases in an Endemic Area
Introduction: Thyroidectomy is a common operation with very low mortality and an acceptable morbidity rate. Total thyroidectomy has become the predominant type of surgery used today for the treatment of thyroid diseases. In this retrospective study, we analyzed the complications of thyroid surgery according to the operative technique used in…
Case Report
Pleomorphic Basal Cell Carcinoma: Case Reports and Review
Pleomorphic basal cell carcinoma is a pathologic variant of basal cell carcinoma characterized by the presence of atypical-appearing, mononuclear or multinucleated giant cells. Including our 3 patients, a total of 52 pleomorphic basal cell carcinomas have been described in 48 individuals. The tumors usually present as a nodule on the…
Original Article
Metastatic Spine Tumors
Cancer is the second leading cause of death in the United States, and vertebral body metastases often occur in systemic malignancy. Metastatic spinal tumors may present with pain or neurologic deficit, or may be detected during screening examinations in patients with known malignancy. Management of spinal metastases remains controversial. The…