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Tag: Bladder cancer

  • ‘We call it ‘the pretzel’: First-of-its-kind bladder cancer treatment now in use in Maryland – WTOP News

    An innovative new treatment option for bladder cancer, recently approved by the U.S. Food and Drug Administration, has been performed for the first time in Maryland.

    An innovative new treatment option for bladder cancer, recently approved by the U.S. Food and Drug Administration, has been performed for the first time in Maryland.

    Dr. Heather Chalfin, a urologic oncologist and surgeon at Frederick Health, recently administered Maryland’s first gemcitabine intravesical system, under the brand name Inlexzo, which was approved by the FDA in September.

    “We call it ‘the pretzel,’ because it’s a device that curls up like a pretzel shape in someone’s bladder and releases chemotherapy over three weeks,” Chalfin told WTOP.

    Until now, patients with bladder cancer that has not invaded the bladder muscle, but are unresponsive to immunotherapy called Bacillus Calmette-Guerin (oftentimes abbreviated BCG) — and have chosen not to have or are unable to have bladder removal surgery — have been treated with chemotherapy.

    “The problem with that is patients can only spend about an hour with that chemotherapy in their bladder in our office,” Chalfin said.

    With Inlexzo, made by Johnson & Johnson, the device remains in the bladder for three weeks per treatment cycle, for up to 14 cycles.

    “And then they come back and we swap it out for a new ‘pretzel,’ as opposed to just having that chemotherapy active for only an hour inside the bladder,” Chalfin said.

    In the SunRISe-1 clinical trial, 82%  of patients had no signs of cancer after treatment. Fifty-one percent of the patients stayed cancer-free for at least one year, while long-term survival data on the new device is still being gathered.

    How ‘the pretzel’ works

    Chalfin said the intravesical drug releasing system begins as a straight, springy device.

    “The way we get it in is very similar to how we put in a urine catheter for many other situations, so it’s a very minimally invasive procedure,” Chalfin said.

    Once the Inlexzo has been inserted, “A good way to think about is if you think about a Slinky — if you pull on a Slinky, it becomes straight, but then when you release it, it curls back up into a Slinky,” she said.

    Every three weeks, the Inlexzo is replaced with another one.

    “It’s a simple procedure that bladder cancer patients are already having regularly, which is called a cystoscopy, or a camera in the bladder,” Chalfin said.

    The procedure is done in the office, and patients go home the same day, Chalfin said.

    According to Frederick Health, 9,471 new cases of bladder cancer are diagnosed each year. The National Cancer Institute projects there will be almost 85,000 new bladder cancer diagnoses and approximately 17,420 deaths from bladder cancer in the U.S. in 2025, making it the sixth most common cancer in the U.S.

    In addition to Inlexzo, Frederick Health is using blue-light cystoscopy technology, which enhances the visibility of certain bladder tumors that may have been missed with a traditional white light cystoscopy. The advancement improves detection rates, especially for early-stage or hard-to-see cancers.

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    Neal Augenstein

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  • Deion Sanders will undergo a procedure related to blood clots, plans to coach Colorado this weekend

    Colorado coach Deion Sanders will undergo a procedure later Tuesday that’s related to his blood clots, with the hope of being back at practice the next day and on the sideline this weekend against Iowa State.The surgery is called an aspiration thrombectomy, which involves the left popliteal — located behind the knee — and tibial arteries. Sanders said it may take several hours.He gave the medical update at the end of his weekly news conference, saying, “I cannot wait to get past this hurdle.” He added it’s hereditary and “has nothing to do with me working at the level I’m trying to compete at.”The 58-year-old coach was in pain during a 35-21 loss at TCU last Saturday, alternating between sitting and limping along the sideline with his leg throbbing. He didn’t wear a shoe on his left foot in the second half and after the game said he was “hurting like crazy.””I’m going to be all right,” said Sanders, whose Buffaloes (2-4, 0-3 Big 12) host No. 22 Iowa State (5-1, 2-1) on Saturday. “Prayerfully, I’ll be right back tomorrow because I don’t miss practice. I don’t plan on doing such.”Sanders dealt with blood clot issues while at Jackson State in 2021, with doctors amputating two of the toes on his left foot. He also skipped a Pac-12 media day session in 2023 following a procedure to remove a blood clot from his right leg and another to straighten toes on his left foot.On Tuesday, his good friend and longtime NFL cornerback Adam “Pacman” Jones attended the media session as a show of support. Sanders appreciates all the texts and phone calls from people expressing their concern over his health.”I’ve got a lot of well-wishes, of people talking about: ‘You need to slow down. You need to take a break,’” Sanders said. “There’s nothing that I could’ve done to stop what’s transpiring. Nothing that I could’ve taken or something that I’m just not abiding by. It is what it is.”Sanders spent time away from the team over the summer after being diagnosed with an aggressive form of bladder cancer. He revealed details of his treatment, which involved doctors reconstructing a section of his intestine to function as a bladder. He frequently needs to use the restroom, so the school introduced a portable sideline bathroom for him during games that’s sponsored by Depend underwear.”I trust God with all my heart and all my soul and all my mind,” Sanders said Tuesday. “I’m going to go in there (surgery), and I’m going to get some of the best sleep in the world for, I think, four hours, the surgery is going to be.”I’ve never been high a day in my life. I’ve never drank, smoked or anything. But when I get those surgeries, I am there on time.”The Buffaloes are 15-16 since Sanders took over as their coach leading into the 2023 season. They’re trying to get on track this season as they replace quarterback Shedeur Sanders and Heisman Trophy winner Travis Hunter.They’ve lost two games in a row.”The reason I’m still excited about this team that just finished practicing is because I don’t feel like we’ve gotten our butt kicked,” Sanders said. “I feel like we’ve just wrapped it up and given (games) to them. That’s frustrating. But also there’s hope in that. That we see where we’re messing up at, we see where the faults are and we’ve got to fix that. So there’s truly optimism.”I’m not saying we’re a great football team, but we’re not a bad football team. We’re better than we’re playing.”

    Colorado coach Deion Sanders will undergo a procedure later Tuesday that’s related to his blood clots, with the hope of being back at practice the next day and on the sideline this weekend against Iowa State.

    The surgery is called an aspiration thrombectomy, which involves the left popliteal — located behind the knee — and tibial arteries. Sanders said it may take several hours.

    He gave the medical update at the end of his weekly news conference, saying, “I cannot wait to get past this hurdle.” He added it’s hereditary and “has nothing to do with me working at the level I’m trying to compete at.”

    The 58-year-old coach was in pain during a 35-21 loss at TCU last Saturday, alternating between sitting and limping along the sideline with his leg throbbing. He didn’t wear a shoe on his left foot in the second half and after the game said he was “hurting like crazy.”

    “I’m going to be all right,” said Sanders, whose Buffaloes (2-4, 0-3 Big 12) host No. 22 Iowa State (5-1, 2-1) on Saturday. “Prayerfully, I’ll be right back tomorrow because I don’t miss practice. I don’t plan on doing such.”

    Sanders dealt with blood clot issues while at Jackson State in 2021, with doctors amputating two of the toes on his left foot. He also skipped a Pac-12 media day session in 2023 following a procedure to remove a blood clot from his right leg and another to straighten toes on his left foot.

    On Tuesday, his good friend and longtime NFL cornerback Adam “Pacman” Jones attended the media session as a show of support. Sanders appreciates all the texts and phone calls from people expressing their concern over his health.

    “I’ve got a lot of well-wishes, of people talking about: ‘You need to slow down. You need to take a break,’” Sanders said. “There’s nothing that I could’ve done to stop what’s transpiring. Nothing that I could’ve taken or something that I’m just not abiding by. It is what it is.”

    Sanders spent time away from the team over the summer after being diagnosed with an aggressive form of bladder cancer. He revealed details of his treatment, which involved doctors reconstructing a section of his intestine to function as a bladder. He frequently needs to use the restroom, so the school introduced a portable sideline bathroom for him during games that’s sponsored by Depend underwear.

    “I trust God with all my heart and all my soul and all my mind,” Sanders said Tuesday. “I’m going to go in there (surgery), and I’m going to get some of the best sleep in the world for, I think, four hours, the surgery is going to be.

    “I’ve never been high a day in my life. I’ve never drank, smoked or anything. But when I get those surgeries, I am there on time.”

    The Buffaloes are 15-16 since Sanders took over as their coach leading into the 2023 season. They’re trying to get on track this season as they replace quarterback Shedeur Sanders and Heisman Trophy winner Travis Hunter.

    They’ve lost two games in a row.

    “The reason I’m still excited about this team that just finished practicing is because I don’t feel like we’ve gotten our butt kicked,” Sanders said. “I feel like we’ve just wrapped it up and given (games) to them. That’s frustrating. But also there’s hope in that. That we see where we’re messing up at, we see where the faults are and we’ve got to fix that. So there’s truly optimism.

    “I’m not saying we’re a great football team, but we’re not a bad football team. We’re better than we’re playing.”

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  • Eating to Downregulate a Gene for Metastatic Cancer  | NutritionFacts.org

    Women with breast cancer should include the “liberal culinary use of cruciferous vegetables.”

    Both the Women’s Intervention Nutrition Study and the Women’s Health Initiative study showed that women randomized to a lower-fat diet enjoyed improved breast cancer survival. However, in the Women’s Healthy Eating and Living Study, women with breast cancer were also randomized to drop their fat intake down to 15 to 20 percent of calories, yet there was no difference in breast cancer relapse or death after seven years.

    Any time there’s an unexpected result, you must question whether the participants actually followed through with study instructions. For instance, if you randomized people to stop smoking and they ended up with the same lung cancer rates as those in the group who weren’t instructed to quit, one likely explanation is that the group told to stop smoking didn’t actually stop. In the Women’s Healthy Eating and Living Study, both the dietary intervention group and the control group started out at about 30 percent of calories from fat. Then, the diet group was told to lower their fat intake to 15 to 20 percent of calories. By the end of the study, they had in fact gone from 28.5 percent fat to 28.9 percent fat, as you can see below and at 1:16 in my video The Food That Can Downregulate a Metastatic Cancer Gene. They didn’t even reduce their fat intake. No wonder they didn’t experience any breast cancer benefit. 

    When you put together all the trials on the effect of lower-fat diets on breast cancer survival, even including that flawed study, you see a reduced risk of breast cancer relapse and a reduced risk of death. In conclusion, going on a low-fat diet after a breast cancer diagnosis “can improve breast cancer survival by reducing the risk of recurrence.” We may now know why: by targeting metastasis-initiating cancer cells through the fat receptor CD36.

    We know that the cancer-spreading receptor is upregulated by saturated fat. Is there anything in our diet that can downregulate it? Broccoli.

    Broccoli appears to decrease CD36 expression by as much as 35 percent (in mice). Of all fruits and vegetables, cruciferous vegetables like broccoli were the only ones associated with significantly less total risk of cancer and not just getting cancer in the first place, as you can see here and at 2:19 in my video.

    Those with bladder cancer who eat broccoli also appear to live longer than those who don’t, and those with lung cancer who eat more cruciferous veggies appear to survive longer, too.

    For example, as you can see below and at 2:45 in my video, one year out, about 75 percent of lung cancer patients eating more than one serving of cruciferous vegetables a day were still alive (the top line in red), whereas, by then, most who had been getting less than half a serving a day had already died from their cancer (the bottom line in green).

    Ovarian cancer, too. Intake of cruciferous vegetables “significantly favored survival,” whereas “a survival disadvantage was shown for meats.” Milk also appeared to double the risk of dying. Below and at 3:21 in my video are the survival graphs. Eight years out, about 40 percent of ovarian cancer patients who averaged meat or milk every day were deceased (the boldest line, on the bottom), compared to only about 20 percent who had meat or milk only a few times a week at most (the faintest line, on the top). 

    Now, it could be that the fat and cholesterol in meat increased circulating estrogen levels, or it could be because of meat’s growth hormones or all its carcinogens. And galactose, the sugar naturally found in milk, may be directly toxic to the ovary. Dairy has all its hormones, too. However, the lowering of risk with broccoli and the increasing of risk with meat and dairy are also consistent with the CD36 mechanism of cancer spread.

    Researchers put it to the test in patients with advanced pancreatic cancer who were given pulverized broccoli sprouts or a placebo. The average death rate was lower in the broccoli sprout group compared to the placebo group. After a month, 18 percent of the placebo group had died, but none in the broccoli group. By three months, another 25 percent of the placebo group had died, but still not a single death in the broccoli group. And by six months, 43 percent of the remaining patients in the placebo group were deceased, along with the first 25 percent of the broccoli group. Unfortunately, even though the capsules for both groups looked the same, “true blinding was not possible,” and the patients knew which group they were in “because the pulverized broccoli sprouts could be easily distinguished from the methylcellulose [placebo] through their characteristic smell and taste.” So, we can’t discount the placebo effect. What’s more, the study participants weren’t properly randomized “because many of the patients refused to participate unless they were placed into the [active] treatment group.” That’s understandable, but it makes for a less rigorous result. A little broccoli can’t hurt, though, and it may help. It’s the lack of downsides of broccoli consumption that leads to “Advising Women Undergoing Treatment for Breast Cancer” to include the “liberal culinary use of cruciferous vegetables,” for example.

    It’s the same for reducing saturated fat. The title of an editorial in a journal of the National Cancer Institute asked: “Is It Time to Give Breast Cancer Patients a Prescription for a Low-Fat Diet?” “Although counseling women to consume a healthy diet after breast cancer diagnosis is certainly warranted for general health, the existing data still fall a bit short of proving this will help reduce the risk of breast cancer recurrence and mortality.” But what do we have to lose? After all, it’s still certainly warranted for general health.

    Michael Greger M.D. FACLM

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  • Tap, Filtered, or Bottled Water?  | NutritionFacts.org

    Tap, Filtered, or Bottled Water?  | NutritionFacts.org

    There are disinfection byproducts in tap water. What happened when Brita, PUR, ZeroWater, and refrigerator water filters were put to the test? 

    Though many distrust the safety of tap water, a study of 35 brands of bottled water did not find them to be necessarily safer, cleaner, or of a higher quality than water straight out of the faucet. How much is that saying, though? Two studies published in the 1970s “changed forever the earlier perspective that drinking water safety was only about waterborne disease.” In fact, it was our fight against microbial contaminants that led to a new kind of contamination—in the form of disinfection byproducts.  

    The two landmark papers in 1974 solved the mystery of the source of chloroform in drinking water: We met the enemy, and he is us. The chlorination of drinking water—“disinfection [that] is crucial for maintaining the microbiological safety of water”—was interacting with natural organic matter from the water’s source and creating chlorinated compounds that can not only result in off-flavors and smells but also pose a potential public health risk. More than 600 disinfection byproducts have been identified so far. 

    After decades of research into the matter, it appears that the life-long ingestion of chlorinated drinking water results in “clear excess risk” for bladder cancer. There is also some evidence of increased risk of certain types of birth defects, but most of the concern has focused on the bladder cancer link. Forty years of exposure may increase your odds of bladder cancer by 27 percent. The Environmental Protection Agency estimated that 2 to 17 percent of bladder cancer cases in the United States are due to these disinfection byproducts in drinking water. However, this assumes the link is one of cause and effect, which has yet to be firmly established. 

    The best way to reduce risk is to treat the cause. Countries could prevent the formation of disinfection byproducts in the first place through the better initial removal of source water’s “natural organic matter” (what my grandmother would have called schmutz). Some countries in Europe, such as Switzerland, the Netherlands, Austria, and Germany, have newer, well-maintained drinking water systems that can distribute tap water free from residual disinfectants, but the cost to upgrade the infrastructure of even a small city in the United States could run in the tens of millions of dollars. As the tragedy in Flint, Michigan, revealed, we seem to have trouble keeping even frank toxins out of the tap. 

    Nearly 40 percent of Americans use some sort of water purification device. I look at the comparisons of these devices in my video Is It Best to Drink Tap, Filtered, or Bottled Water?. Tap water from Tucson, Arizona, was pitted head-to-head against two of the most common purification approaches—pour-through pitchers and refrigerator filters. As you can see in the graph below and at 2:53 in my video, both fridge filters (GE and Whirlpool) did similarly well, removing more than 96 percent of trace organic contaminants, and edging out the three pitcher filters. ZeroWater caught 93 percent, and PUR pitchers got 84 percent. By the time the filters needed to be replaced, Brita was only catching 50 percent. A similar discrepancy was found between filters from PUR and Brita tested specifically against disinfection byproducts. They both started out about the same at the beginning, but by the end of the filter’s life, PUR appeared to do better, as you can see below and at 3:15 in my video. Reverse osmosis systems can work even better, but the cost, water waste, and loss of trace minerals don’t seem worth it.  

    As you can see below and at 3:40 in my video, the annual cost for purifying your water with a pitcher or fridge filter was calculated to be about the same, at only around a penny per cup—with the exception of the ZeroWater brand, which is up to four times more expensive. 

    I always figured the “change by” dates on filters were just company scams to get you to buy more replacements, but I was wrong. Because I drink filtered water mostly just for taste, I used to wait until the water started tasting funky. Bad idea. Not only do the filters eventually lose some of their removal capacity, but bacterial growth can build up inside them, resulting in your “filtered” water having higher bacterial counts than water straight out of the tap. You’d be actually making your water dirtier rather than cleaner, so it is important to replace filters regularly. 

    As an aside, I used to think the same about the advice to change your toothbrush every three months. Which Big Brush executive thought that one up? But, no, I was wrong again. Toothbrushes can build up biofilms of tooth decay bacteria or become breeding grounds for bacteria to flume into the air with each toilet flush before going back into our mouths. Fun fact: A single flush can spew up “millions of bacteria into the atmosphere” that can settle on your nice, moist toothbrush. The good news is that rather than buying new brushes, you can disinfect the head of your toothbrush with as little as a ten-minute soak in white vinegar or, even more frugally, vinegar diluted by half with water.  

    Hydration is important. See related videos below for more information. 

    Avoiding waterborne pollutants if possible is also important. See my videos Lead in Drinking Water and Friday Favorites: Benefits of Turmeric for Arsenic Exposure. 

    How Many Glasses of Water Should We Drink a Day? Watch the video to find out. 

    Michael Greger M.D. FACLM

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  • Terry Bradshaw says he’s been treated for 2 kinds of cancer

    Terry Bradshaw says he’s been treated for 2 kinds of cancer

    Hall of Fame quarterback Terry Bradshaw said Sunday he has been treated for two forms of cancer in the past year.

    Bradshaw said on “Fox NFL Sunday” that he was diagnosed with bladder cancer late last year and was treated at Yale University Medical Center, including surgery.

    “As of today, I am bladder cancer free,” Bradshaw said.

    The 74-year-old then said he found a tumor in his neck earlier this year and it turned out to be a Merkel cell tumor, a rare form of malignant skin cancer. He was treated at the MD Anderson Cancer Center in Houston.

    “Folks, I may not look my old self, but I feel like my old self,” Bradshaw said. “I’m cancer free, I’m feeling great.”

    Bradshaw played his entire career (1970-83) with the Pittsburgh Steelers and won four Super Bowls.

    ———

    More AP NFL: https://apnews.com/hub/nfl and https://twitter.com/AP—NFL

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