Categories for Cancer

A case study on the acute leukemia of lilly a cancer fighter Essay

A case study on the acute leukemia of lilly a cancer fighter Essay

Six months after her 30th birthday, Lilly was diagnosed with acute Leukemia. She and her husband, Jake, have no children together. She has been relatively healthy most of her life, despite suffering from minor medical mishaps. Lilly’s socioeconomic factor is that she is a middle class, a Caucasian woman who was a top ranking salesperson for a cosmetic company.

While the case study has no mentioned specific issues, Lilly has hinted past confrontations with her parents. Lilly has been evasive about all aspects of her life that occurred before she came to the clinic.

The social worker intern mentioned that Lilly gave up a baby in her early 20’s. Despite the closeness with the social worker intern through the physical and emotional upheavals, her defenses surrounding her past would not budge.  Through the case study, the social worker realized that Lilly’s mental health deteriorated when she lost her ability to speak due to sores in her mouth. The social worker believed that because Lily was a sales representative, losing her ability to speak negatively affected her sense of self-worth.

To have that taken away from her, as the intern suggested, is an attack on her ego functioning and can deplete her mental stability in fighting this illness.

However, the salient aspects that the intern failed to address is the correlation of emotional distress and the fighting spirit on the survival time for people combating life-threatening illnesses like cancer. Due to Lilly’s socioeconomic background and support of her parents, she was able to pay for her treatments and sustain economic stability despite her health deterioration.

After the reading the case, I have several questions: was different modalities of treatments other than ego psychology that could have helped her?  Would expose her parents to relaxation training or stress management have helped alleviate some of Lilly’s anxieties? Why would Lilly keep her past so hidden, and more specifically, why wouldn’t she discuss giving her baby away for adoption?  Would there be different ways of conducting interviews with her in times when she was more relaxed?

The narrator of this article articulates the typical issues that any cancer patient faces: death, dying, health, family dynamics, physical changes in appearance, and resentment towards others and projection. The intern discussed common experiences from other patients to help normalize what Lilly was going through. For example, when Lilly said she felt like she was hallucinating, the intern informed her that this was common when receiving a morphine drip. The intern seems very helpless at times. She mentions in her transcript that she feels sad and even guilty for being healthy when talking to sick patient. I feel like this social worker is risking the overwhelming need to figure everything out for Lilly, such as digging up the past and figuring out ways to repair her relationships. Her health decline, Lilly’s emotional functioning is not an optimal state and I feel that Lilly just wanted focus on the future. However, I find myself intrigued at what Lilly has to say in coming to terms with what has happened to her life and what choices she could’ve done differently. I believe there might be something in her past that Lilly is afraid to confront. I don’t believe Lilly felt marginalization due to her race, class or economic background. I believe the mere fact that this social worker intern is alive, healthy and autonomous could create tension in the relationship. For example, Lilly wants to be home with Jake and her cat, but she is forced to stay in the hospital while this social worker intern has the luxury to go back home and rest in her bed, free from the medical tubes, the chemo, and loss of bodily function.

I am a first generation Ecuadorean-American who is also a cancer survivor. I come from a lower-middle-class economic background and my parents did not even finish grade school. They do not know how to communicate in English. I hold privilege in the fact that I am 14 years in remission with cancer that I struggled with combating for 1-½ years.

The implications of my sociocultural location in my identity as a first-generation cancer survivor with the lack of resources can help me understand the implications that it might have in my treatment with this client. Due to my class, race and economic background, I am marginalized from Lilly. On the other hand, she is from a middle class, held an influential position and had supportive parents that knew the language.  These differentials can cause a clash of cultures. On one hand, I am marginalized because I didn’t have the same opportunity in my treatment and care as Lilly did. Some of which were unethical such as translating my whole treatment process to my parents from Spanish to English and telling my parents as an 8-year-old, “I have cancer”.

Yet, I am still here and cancer-free. My identity as a first-generation cancer survivor with the lack of resources could have implications in my treatment with this client. I am aware of my role as a social work intern to not influence economic privileges in the assessment. My case writing would have to focus on her mental health and provide a support system with which I am familiar with as well. My hope is despite our many differences, I would have been a support system for her because the communal understanding of the initial feeling after prognosis, the physical changes, the sickness after chemotherapy, the reactions to medications, the dynamic changes in parents due to being “sick” and having the utter realization of oblivion is  something that is out of your control.

With the dynamic of being cancer-free and dealing with a cancer patient, I am afraid of holding the privilege over Lilly because I have beaten cancer and so far, it hasn’t come back. Although it is not a socio-cultural aspect, it is part of my identity. The word “cancer survivor” will always play a role in how I interact with people as well as being Latina, born from illegal immigrants of South America. With this fact in mind, I think to have someone that was 14 years in remission would’ve given Lilly a glimmer of hope in those moments when the alienation the person feels when they experience cancer and how little they have in common with their healthier loved ones.

The cultural differences such as being Hispanic and White could play a role in how we interact with one another. It is a cultural thing to become “too caring” for someone that is sick. I witnessed it with how my family has taken care of me and I have witnessed it in my time at the Domestic Violence Crisis Center.

I realized that it could’ve been something that Lilly needed but it would’ve triggered a complexity in the relationship with transference and countertransference that would’ve been something to be addressed to my supervisor. I feel that I would’ve grown attached and cared for her too much as I would’ve seen a version of myself in her in a nurturing way.  However, I think having someone understand on a more intimate level of the medical terminology and the cancer treatment process would’ve made a world of a difference on the alienation she felt at times between her family and friends.

I feel at the stage of the treatment Lilly’s anxiety when she was in the ICU and facing her fears about the irrevocable reality that she might not get better. The fact that she survived those two weeks was a miracle, yet she didn’t see it as a triumph but a truth that this is going to be her reality from now on. This experience of death, dying and the inevitable decline in death is the juxtaposition to my story of recovery and health. I would experience great sadness and anxiety if she were to die in my stay as a social worker intern and would have to have self-awareness with my identity as a “cancer survivor” and not a “cancer-statistic”.  Nevertheless, my cultural way to nurture the sick, care for the helpless and communication can be helpful in this situation. I believe that our social locations of class, race and economic boundaries are diminished when we are both bonded by same harsh reality.

The truth is, when it comes to cancer, it doesn’t judge of identities or race. I do believe class and economic factors place a role in treatment. However, handling my case with Lilly, I would acknowledge our differences yet manage to find similarities in our situations. We are both women, who even though at different ages, have a self-esteem issue when it comes to losing our hair. Women identify feminity with their hair and even as an 8-year-old; being bald was a harsh reality of my illness. I resonated with Lilly when she felt disgusted when she looked at the mirror and her baldness. I understand the feeling.

Although I did not have the luxury of having my parents pay for my insurance, I did have a support system at the time and it helped with the treatment process. I feel like our differences are profound: I was an 8-year-old, Ecuadorean, lower-income, first-generation cancer fighter and Lilly was a 30-year-old, middle-class, American, cancer fighter.

The differences are striking when we tell our stories yet the treatment process is still the same across all boards. The conversations that would have would be reassurance, installation of hope and not just by words but by actually being “living proof” that there is a chance. Lilly talked about that 50% chance of fighting the disease with the bone marrow transplant.  I had a similar prognosis after my first chemotherapy. Our conversation would have been so profound. I would have given her hope by just being there.

New Vaccine against Cervical Cancer Essay

New Vaccine against Cervical Cancer Essay

According to the American cancer society, in the year 2008, “about 11,070 cases of invasive cervical cancer will be diagnosed in the United States.” (American Cancer Society). Close to a third of these women will succumb to cervical cancer making it to be one of the leading in cancer deaths. This indicates the magnanimity of the problem facing the society today, a problem that has become costly to address. An announcement made by experts in 2004 on the possible invention of a vaccine to prevent cervical cancer was treated with glee and huge expectations.

Human Papillomavirus (HPV) vaccine is aimed at the strains of the Papillomavirus that leads to cervical cancer. The raging controversy when this vaccine is mentioned is the insistence by the health experts that it can only be effective in women if it is introduced at a young age of below thirteen. The position of this paper, in spite of the recognition and appreciation of the gravity of cervical cancer, is that the HPV vaccine should not be given to young girls as it will create an impression that it is appropriate to engage in premarital sex.

            Vaccination against cervical cancer has become a sensitive issue with possible political ramifications to legislators that are likely to support its being mandatory. Most of the informed criticism being leveled on the vaccine centers on its inappropriateness when it is carried out against young girls. It is important to note that the raging opposition against the vaccine does not centre on its ability to prevent cervical cancer but at the perception and the image it is likely to send to the young, sexually and emotionally vulnerable girls (Gilham & Matthews 48)

Gardasil and Cervarix are such vaccines that are currently deeply embroiled in this controversy. Gardasil is a product of Merck that seeks to protect women from four strains of cervical cancer. These strains are 6.11, 16, and 18. For it to be effective, it has to be given to a person in a period stretching to 6 months. A total of three injections are carried out.

Cervarix is a product of GlaxoSmithKline but its approval is still under consideration by the Food and Drugs Authority. Unlike Gardasil, it protects a woman against two strains only of Human Papillomavirus. These are 16 and 18. It is also carried out in three injections spanning over a period of six months. One important point to note here is that the efficiency of these two drugs as far as protecting women against the various HPV types is yet to be fully ascertained.

This is because of the existence of a high number of strains of HPV. This means that a third of all cervical cancer cases cannot be prevented. However, it is vital to point out that Gardasil has so far been approved by the FDA for being effective in arresting any infection on the strains that it targets (Lowy and Schiller 13).

The argument being made by those that advocate for its mandatory vaccination on young girls is on the basis of the fact that it can only be functional if given to women before they began engaging in sexual activities. According to the FDA, it is licensed for use by women between the age 9 and 26. There is an undeniable logic in this. A vaccine is preventative and not curative.

There are tentative reports on studies that indicate the possible manufacturing of drugs that will be effective even to women infected with HPV. However, the ones that have raised controversy are only effective to women that have not had any sexual contacts. It is hence undeniable that there is enough ground for this vaccination to be given to girls at a tender age; however this does not mean that it should be made mandatory on young girls even before the age of puberty (Elit and Froese 26).

Although fully understanding the benefits of such a vaccination and the possible averting of a cervical  cancer related deaths, it is crucial to investigate the kind of perception that legislators would be sending to the young people by making it mandatory for school going girls to have cervical cancer vaccines. At the age of 12, girls are in their formative stage and on the verge of becoming sexually developed and mature.

Between the age of 9 and 25, they are likely to be tempted to engage in premarital sex not recognizing the risks that that they face from the immense sexually transmitted diseases. A vaccine against cancer given, at such a tender age, will send the wrong image that it is okay to engage in such activities. Rather than making it mandatory to have the vaccine carried out on all young girls, a more inexpensive campaign should be carried out to propagate for abstinence as the best strategy of avoiding HPV.

            In these days of incurable diseases such as HIV/AIDS, the abstinence debate has been taken a notch higher and abstinence campaign groups have been formed reaching out the young people wide and far. The insistence by some policy makers and the drug manufacturing companies on the mandatory need to carry out the vaccinations is likely to sound a death knell to such campaigns. According to Rob Stein “Conservative groups say they welcome the vaccine as an important public health tool but oppose making it mandatory.” (AO3) This is a popular stand that is being echoed over time even as the Texas Governor issued the executive order making it mandatory to all school girls from sixth grade.

            Taking a look at the raging debate of anti cancer vaccine would reveal the intensity of the criticism that stand over the order. On February 2, 2007 Texas Governor, Rick Perry went against the legislature and issued an executive order PP65 that would have made it compulsory for all six grade girls  to undergo a vaccination against Human Papillomavirus.

In issuing the order, Perry managed to circumvent the possible opposition such a bill would be facing from members of legislature and the immense lobbying by conservative rights groups. The order would have required that from September this year, all females commencing sixth grade will have to get a Gardasil jab. By sixth grade, the governor is focusing on girls of a tender age between 11 and 12.

Perry has come out clearly in support of the vaccine saying that the issuing of the order was prompted by understanding of the economic benefits that it stands to bring. He said that, ‘the HPV vaccine provides with an incredible opportunity to effectively target and prevent cervical cancer.” (USA TODAY)

            An analysis of the order brings out a number of controversial issues that point a finger against the vaccine. According to the pro-family groups, the executive order usurped the role and the powers of the legislature. This is a move that immediately prompted a bill in the legislature that has sought to rescind the order. It is important to note that by issuing the order, he has also usurped the role of the parents in deciding what is right for their children.

            The financial implications of Perry’s executive order also need to be analyzed. Gardasil emerges as an expensive vaccine costing over three hundred dollars. This would be an expensive venture by a state that wishes to make it mandatory for girls to have the vaccine.

            When the issue of Perry’s executive order is raised, there are a number of factors that are brought to the surface as likely to have contributed to the issuing of the executive order.  This however is not to undermine the importance of the vaccine and the benefits that such an executive order can reap. There have been connections that have been drawn between the Texas governor and the Gardasil manufacturers, Merck. Importantly, Merck is said to have contributed 6000 dollars to his campaigns. The drug campaign chief lobbyist was Perry’s chief of staff. This may be a non pertinent issue but it is a strong indicator of the influence wielded by the drug manufactures.

Another issue that would come up to discredit the order is the cost of distributing the vaccine to the school girls in Texas. Taking a look at the provision of health services in Texas paints a grim picture. Texas is among the states in the United States that has the highest rate of people not under any medical insurance cover. Governor Perry’s Executive Order may have been a positive move of curbing the spread of cervical cancer but it would have been appropriate if the resources that could have catered for the vaccination be channeled towards the provision of basic health to children outside the insurance cover.

A look at the above also brings an important issue on the table in regard to the vaccine. The role that the manufacturing companies play in influencing important and sensitive policies also needs to be analyzed. Merck, Gardasil manufacturer, has spent huge amount of money in lobbying for the passage of state laws that would make it mandatory to have schoolgirls between the age of 11 and 12 be vaccinated against HPV. It would not be an ill advised move to regard big pharmaceutical companies with suspicion in regard to pushing for a policy that would increase their sales.

Though not to disregard important role that Merck is playing in the fight against cervical cancer, it would not be inappropriate to note that Merck’s move was driven by financial and economic considerations. Merck owns the patent and the rights to exclusively produce and distribute Gardasil, the only vaccine mandated by FDA to prevent cervical cancer.

With such exclusive rights and monopoly, there is an understanding that should the government make it mandatory to vaccinate all schoolgirls in their sixth grade, Merck stands to reap huge profits. It hence would not be farfetched and off the mark to argue that Merck’s move to lobby and urge the government to legislate on the vaccine was not driven by health considerations but purely by the desire and the need to increase their sales.

The National Vaccine Information Centre has also managed to bring out an important point in its criticism of the vaccine. National Vaccine Information Center is a non profit oriented body that has invested heavily on informing and educating the public on the negative sides of vaccinations. The organization noted that Gardasil injections may have adverse effects that may require medical attention. This also brings an important point in the criticism of the vaccine. The vaccine has only been in the market for only a few months, a short period of time to judge the impact that it could have on the bid to curb cervical cancer.

Judicial Watch, a non governmental organization purporting to check government corruption sued the United States Food and Drugs Administration (FDA) for licensing the use of a vaccine whose side effects and other impacts have not been thoroughly established. Judicial Watch claims that there have been “1824 reports of adverse reactions to the vaccination for the Human Papillomavirus (HPV)” it further claims that there have been so far eight deaths that have been directly attributed to the vaccine (Judicial Watch).

It is essential to appreciate the efforts played by the Food and Drug Administration, but it would be imprudent not to criticize any move that would make it mandatory to vaccine school girls, understanding the risks that this could be putting them into. The adverse effects revealed by health experts in regard to the vaccine are a powerful indicator that there is a need to be either halt the vaccine or regulate it.

There are a number of criticisms that have been leveled against the vaccine especially centering on its said efficiency. The proponents of the HPV vaccine claim that the vaccine has ability to 100 percent curb over 70 % incidents of cervical cancer. There is still a knowledge gap that exists in this. Experts opposed to the vaccine have brought up important points that cannot be ignored.

One of the points made is that it is not possible to establish whether there will develop a new strain of HPV that will be resistant to the vaccine. The compatibility of the vaccine to other immunizations has also not been established. Key to note here is that the effectiveness of the HPV vaccine has not been appropriately established. The argument that stands in this is that that the vaccine was not fully tested on the young girls and that the tests conducted on the adults were assumed to apply to the young girls’ scenario.

            Proponents of the vaccine insist that there are no conducted studies on the claim that the vaccine can in any way lead to the increase in promiscuous behaviors in the vaccinated girls. Though this is an argument that may hold some water, it is important to note that there is no study that has been conducted proving otherwise.

It has to be understood that making it mandatory for sixth grade to be vaccinated will create a false notion that they are secure and are protected from other sexually transmitted diseases. This is a likely scenario considering the haste with which the vaccine has been carried out disregarding the need for adequate education and the need to emphasize on the importance of abstinence.

Works Cited

Rob Stein. Cervical Cancer Vaccine Gets Injected With a Social Issue

Some Fear a Shot For Teens Could Encourage Sex. Washington Post. October 31, 2005; Page A03. Retrieved on June 2, 2008 from washingtonpost.com    http://www.washingtonpost.com/wpdyn/content/article/2005/10/30/AR2005103000747.html

USA TODAY .Texas governor orders anti-cancer vaccine for schoolgirls

Updated 2/2/2007. Retrieved on June 2, 2008 from http://www.usatoday.com/news/health/2007-02-02-texas_x.htm

Judicial Watch. Judicial Watch Uncovers New FDA Records Detailing Deaths in 1,824 Adverse Reaction Reports Related to HPV Vaccine. 2007. Retrieved on June 2, 2008 from http://www.judicialwatch.org/6428.shtml

Peto, J; C Gilham, O Fletcher, FE Matthews. The cervical cancer epidemic that screening has prevented in the UK.”. Lancet 364 . 2004; 49-56

Lowy and Schiller .Prophylactic human papillomavirus vaccines. Journal of Clinical Investigation . 116 (5);2006 , 7 -16

American Cancer Society .Detailed Guide: Cervical Cancer

What Are the Key Statistics About Cervical Cancer? Retrieved on June 2, 2008 from http://www.cancer.org/docroot/CRI/content/CRI_2_4_1X_What_are_the_key_statistics_for_cervical_cancer_8.asp

Laurie Elit, and Jean Chamberlain Froese. Women’s Health in the Majority World: Issues and Initiatives. Nova Publishers. 2007; 23- 34

 

Endometrial Cance Essay

Endometrial Cance Essay

This cancer mainly has the supported information of how it happens, where it happens in the body, how can it be treated, and who to turn to when one needs help. Endometrial cancer is found in the endometrium, which is the lining of the uterus. The endometrium is found in a woman’s pelvic area and is where a fetus grows until birth. Endometrial cancer occurs when cells of the endometrium begin to grow and multiply without the control mechanisms that normally limit their growth.

As the cells grow, they form a tumor. (“Endometrial Cancer – PubMed Health. , 2012) The exact cause of endometrial cancer is unknown, but there are many risk factors that lead to what causes it to grow rapidly, killing off thousands of women each year. Endometrial cancer is usually found in women in between the ages of 50 and 60. Women, who are obese, fifty pounds over their ideal weight, are ten times greater at risk than women that are not obese.

Body fat produces estrogen and the higher level of estrogen are believed to increase the risk of cancer. This is believed because women with excess fat have higher levels of estrogen.

Women that have not been pregnant are at three times higher risk. Women who have their periods before the age of twelve are at an increased risk because early puberty increases the number of years that the endometrium is exposed to higher levels of estrogens. (“Endometrial Cancer – PubMed Health. “, 2012). A woman who goes through menopause after the age of fifty-two, which is called late menopause, actually increases the number of years that the endometrium is exposed to estrogen. To all cancers there are symptoms that may be long term or short term.

In endometrial cancer, the most common symptoms are abnormal bleeding from the vagina. (Cervical Cancer, 2013). Abnormal bleeding happens during menopause, which makes it harder to determine if something is wrong. During menopause, the menstrual period should become shorter, and the frequency should become farther apart. If there were to be any uncommon bleeding, it should be reported to a physician. Pelvic pain, swelling or lumps in the pelvic area, and weight loss are symptoms that are less common and would indicate advanced cancer.

The staging system that is used for endometrial cancer was developed by the international Federation of Gynecology and Obstetrics. Staging is used to classify the cancer based on how extent the disease is. In endometrial cancer, staging is mostly based on how far the main tumor has spread. There are four stages as follows: Stage I: The tumor is limited to the upper part of the uterus and has not spread to the surrounding lymph nodes or other organs. Stage IA: Tumor limited to the endometrium or less than one half of the myometrium.

Stage IB: Invasion equal to or more than one half the myometrium (middle layer of the uterine wall) Stage II: Invasion of the cervical stroma but does not extend beyond the uterus (strong supportive connective tissues of the cervix) Stage IIIA: Invasion of the serosa (outermost layer of the myometrium) and/or the adnexa (the ovaries or fallopian tubes) Stage IIIB: Invasion of the vagina and/or parametrical involvement Stage IIIC1: Cancer has spread to the pelvic lymph nodes but not to distant organs Stage IIIC2: Cancer has spread to the par aortic lymph nodes with or without positive pelvic lymph nodes but not too distant organs Stage IV: The cancer has spread to the inside of the bladder or the rectum and/or to the inguinal lymph nodes and/or to the bones or distant organs outside the pelvis, such as the lungs. Stage IVA: Tumor invasion of the bladder, the bowel mucosa, or both Stage IVB: Metastasis to distant organs, including intra-abdominal metastasis, and/or inguinal lymph nodes (“Endometrial Cancer – PubMed Health. “, 2012). There are treatments for endometrial cancer, but it depends on the stage of the cancer. There is an initial surgery that has to be done, which involves removing the entire uterus and cervix, fallopian tubes, and ovaries. After this surgery is done staging is determined.

After the staging is determined, only then will there be a treatment by a physician. Surgery is the main form of treatment for endometrial cancer, but there are other options. There is radiation therapy, but this is used for stages two, three, and four. It is given to kill any cancer cells remaining in the body. Chemotherapy is another option and drugs are used to kill cancer cells. The advantage of this option is that the chemicals can attack cancer cells anywhere in the body. The disadvantage of this option is that the side effects include nausea, hair loss, fatigue, anemia, infections, and damage to organs like the kidneys. This therapy is mainly used for advanced endometrial cancer. (“Endometrial Cancer – PubMed Health. , 2012). The last option would be hormone therapy, which uses hormones to fight cancer cells. This is only used in advanced and metastatic endometrial cancer. If endometrial cancer is determined, there should be foods in the individual’s diet to avoid. Many women with this condition can improve their symptoms by just controlling their diet. When this diet is created, the main goal is to eliminate foods that increase stimulated estrogen, prostaglandins. There are ten foods to avoid following an endometriosis diet. The first food to avoid is sugar. Sugar can produce an acidic environment within the body, which produces more pain of endometriosis.

Wheat should be avoided because it contains phytic acid, which aggravates symptoms. Soy products contain phytic acid and irritate the digestive system and reduce mineral absorption. Caffeine increase estrogen levels and estrogen triggers endometriosis flare ups. When you consume more than two cups of coffee a day, estrogen levels are caused to rise. Alcohol should be avoided because vitamin B from the liver is being destroyed. The liver is needed to clear out the excess estrogen to control the cancer. Dairy products, mostly milk and cheese, should be avoided because they aggravate the symptoms also. Red meat contains growth hormones that include estrogen, so this should also be avoided.

Saturated fats and oils are high in fatty acids that stimulate production of hormone levels. Foods like butter, margarine, lard, organ meats, and fried foods are high in saturated fats and oils. Another group of food that should be avoided is refined carbohydrates. This includes white bread, pasta, flour, pastry, cakes, etc. These should be avoided because most of their natural nutrients are removed, which leads to increase endometriosis symptoms. The last groups of food that should be avoided are additives and preservatives. This includes processed, frozen, and pre-packaged foods. (Nutrition Facts, 2012) There are not many alternatives for this type of cancer.

This is said because there is strictly surgery that has to be done before anything else can happen. This surgery then leads to the treatment for the individual that has the cancer. (“Endometrial Cancer – PubMed Health. “, 2012) In every cancer, you have a statically breakdown of how many people have survived or died from a certain type of cancer. My statically breakdown is involved mostly with women, because no man can get the cancer. Endometrial cancer is usually diagnosed at an early stage. “The one year survival rate is about 92%. The five year survival rate for this cancer that has not spread is 95%. If the cancer has spread to distant organs, the five year survival rate drops to 23%.

Survival rates for African American women are 10% lower than that of white females for every stage” (ncbi. nlm. nih. gov). In conclusion, most women who have endometrial cancer are cured. There are many women who die from the emotional part of obtaining the cancer. Many women would feel anxious and depressed. There are many support and counseling groups that are concerned with the individual’s feelings. Friends and family members should be very supportive and the individual that has obtained the cancer should not be hesitant to bring the topic up to close friends or family. It is amazing how many people are helped through their cancer by just talking out the worries or concerns they may have.

My opinion about endometrial cancer is that it should not be taken as a joke. This is something serious that affects 200,000 women each year from their day to day life. I never knew this cancer existed until I conducted research for an original cancer. This cancer is something that will affect many people in the future if prevention actions are not taken. References “Endometrial Cancer – PubMed Health. ” Web. 07 Jan. 2012. <http://www. ncbi. nlm. nih. gov/pubmedhealth/pmh0001908/>. “Endometrial Cancer Staging – EMedicineHealth: Symptoms, Prognosis, Treatment and Risk Factors by. ” Endometrial Cancer. Web. 07 Jan. 2012. <http://www. emedicinehealth. com/endometrial_cancer/article_em. htm>. Endometrial Cancer Treatment after Surgery. ” UpToDate Inc. Web. 07 Jan. 2012. <http://www. uptodate. com/contents/patient-information-endometrial-cancer-treatment-after-surgery>. “Endometriosis Diet – Foods to Avoid | Relieve Endometriosis. ” Endometriosis Explained | Relieve Endometriosis. Web. 07 Jan. 2012. <http://relieveendometriosis. com/foods-to-avoid-on-an-endometriosis-diet/>. ·, Media Flow. “Endometriosis. ” Alternative Surgery. Web. 07 Jan. 2012. <http://www. alternativesurgery. com/education/endometriosis/>. “Self Nutrition Data” Know what you eat. Web. 21 March. 2012. <http://nutritiondata. self. com/>