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Homepage | Women's Health

Elastrography Can Instantly Identify Breast Cancer

MSNBC.com reports that experimental ultrasound technology called elastography has been very successful in early trials at locating cancer. Elastrography is able to instantly indicate whether a breast lump is cancer or a benign lesion.
An experimental ultrasound technique that measures how easily breast lumps compress and bounce back could enable doctors to determine instantly whether a woman has cancer or not without doing a biopsy.

In a small study of 80 women, the technique -- called "elastography" -- distinguished harmless lumps from malignant ones with nearly 100 percent accuracy.

If the results hold up in a larger study, elastography could save thousands of women from the waiting, cost, discomfort and anxiety of a biopsy, in which cells are removed from the breast -- sometimes with a needle, sometimes with a scalpel -- and examined under a microscope.
The article says that of the 1 million biopses performed on breast lump each year about 80% of them turn out to be benign. This causes women a great deal of stess and fear and wastes a lot of time and money simply because today's technology is not perfect.
"There's a lot of anxiety, a lot of stress, a lot of fear involved" with biopsies, said Susan Brown, manager of health education for the Susan G. Komen Breast Cancer Foundation. "And there's the cost of leaving work to make a second appointment. If this can be done instead of a biopsy, there would be a real cost reduction."
Here's how Jonathan Ophir, one of the pioneers of the test, explains the technology.
To explain elastography, Ophir likens the body to a box-spring mattress, but "a crazy mattress made out of millions of small springs and each one is a little different. Each is moving around at a different rate, depending on their individual stiffness." Cancerous tumors are like stiff springs. Normal tissue and benign lesions compress more easily.
The article cited some doctors that believe elastrography will be used in the future but that biopses will probably continue both for legal reasons and because doctors don't want to miss diagnosing a possible cancerous tumor. You can read more about elastrograhy on elastrography.com.

Posted on December 8, 2006
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Consumer Reports Says Pregnant Women Should Avoid Canned Tuna

CBS News reports that Consumer Reports is recommending pregnant women avoid all canned tuna because of the high levels of mercury it contains.
Recommendations published in the magazine Consumer Reports this week urge women to avoid eating any canned tuna while pregnant because of uncertainties about the risk of mercury contamination to developing fetuses.

The recommendations are stricter than the federal government's advice issued two years ago. Then, the FDA advised women and young children to limit — but not avoid — consumption of canned tuna because of contamination.

But the magazine's experts say women should avoid the popular item altogether because of FDA data showing that some canned tuna may have higher mercury levels than once thought.

"What we did is take a closer look at the data," says Urvashi Rangan, Ph.D., a toxicologist and a senior scientist at Consumer Reports.
The FDA has advised pregnant women to eat no more than 6 ounces of white tuna (albacore) per week to minimize mercury risks. However, Consumer Reports says that light tuna carries a similar mercury risk.
But the Consumer Reports analysis of the FDA's data shows that 6% of cans of light tuna contained at least as much mercury as white tuna, also known as albacore. It wasn't enough to skew the average beyond white tuna, but enough to warrant concern for pregnant women, Rangan says.

"We're not telling you not to eat tuna. But for pregnant women in particular where you are talking about potential fetal exposure - and it's an avoidable risk - we're saying go ahead and take some extra measures to reduce your Hg [mercury] exposure at all costs," she tells WebMD.
Mercury does occur naturally in the ocean but pollution has increased the amount of mercury in the ocean.

Posted on June 6, 2006
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New Bill Would Gut Women's Healthcare Coverage

The Media Cynic reports on the new HIMMAA bill that would allow health insurance companies to drop coverage for several women's health procedures and health needs. The Media Cynic says the bill will override state law protections that require health insurance companies to continue covering women's healthcare items and procedures including annual cervical cancer exams and contraception. The bill also requires women to go to a primary care doctor first and not directly to an ob/gyn. The Cynic explains why passing this bill would be a huge mistake.
The arrogance of these lawmakers is simply breathtaking. Women have fought for years for these protections, such as not being forced to change doctors mid-pregnancy just because her doctor is dropped from her insurance plan. If insurance doesn't cover screenings for routine cervical cancer exams, many women won't have them. Most women use their OB/GYN as their primary doctor, relying her to get the correct care and screenings for everything from cancer to osteoporosis: women will have to go to another gateway doctor first before they can get to their OB/GYN under most insurance plans. And the law is so broadly written that many more procedures won't be required to be covered.
The Senate should not pass this awful and unfair bill.

Posted on March 13, 2006
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Experimental Vaccine Prevents Cervical Cancer

USA Today reports that an experimental new vaccine has been developed that protects against cervical cancer. The vaccine targets specific types of the the human papillomavirus (HPV.
Scientists are reporting Friday that the vaccine was 100% effective in preventing cervical cancer and precancerous changes tied to two types of a common sexually transmitted virus.

"It's a very impressive finding," Christopher Crum, director of women's and perinatology pathology at the Brigham and Women's Hospital in Boston, said Thursday.
Cervical cancer is expected to kill 3,710 in 2005 so this is a very significant development in the battle against cancer. Both Merck and GlaxoSmithKline are working on cervical cancer vaccines. It will be interesting to whether any other cancers turn out to be caused by viruses in the future.

Posted on October 6, 2005
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