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Moffitt Momentum | Moffitt Cancer Center Newsletter InsideMoffitt.com


Moffitt Momentum

Table of Contents




Trilogy™ System Arrives At Moffitt

Radiation Oncology Expands Its Services

With the arrival of new radiation therapy equipment, Moffitt Cancer Center is taking cancer treatment to the next level. The Varian Trilogy™ unit is the latest technology available in radiation therapy for cancer. For more information on radiation therapy, click here.

The goal of radiation therapy is to focus high-energy radiation beams into the body to destroy cancer cells while minimizing the effects on healthy tissue. Radiation therapy can be delivered internally by placing radioactive sources inside the body (such as radioactive seeds, often called brachytherapy) or by using a linear accelerator to deliver high-energy X-rays to the tumor, a procedure called external-beam radiation therapy.

"The Trilogy is a culmination of 30 years of development. The radiotherapy system combines the capabilities of other external beam radiation technologies all in one state-of-the-art machine", says Barry Asch, Department Administrator, Radiation Oncology, at Moffitt. "No other machine can do that right now."

South Expansion Provides More Radiation Oncology Space
Two new Trilogy units have been installed in the expanded Radiation Oncology section of the South Expansion at Moffitt. In addition to expanded space for Radiation Oncology, the recently opened South Expansion includes more clinic space for Moffitt’s Blood & Marrow Transplant Program, new patient beds and a three-story office building.

Types of Radiation Treatment
There are various types of radiation therapy treatments (also called modalities.) These include the following.

  • Three-Dimensional Computerized Radiation Therapy (3D CRT)
  • Four-Dimensional Computerized Radiation Therapy (4D CRT)
  • Intensity Modulated Radiation Therapy (IMRT)
  • Image-Guided Radiation Therapy (IGRT) on state-of-the-art TomoTherapy units
  • Stereotactic Radiosurgery (SRS)
  • Stereotactic Radiotherapy (SRT)
  • Intracavity Brachytherapy
  • Accelerated Partial Breast Irradiation 
  • Radiolabeled Monoclonal Antibody Therapy of Lymphoma
Many tumors can be treated with radiation. Some tumors, however, should not undergo radiation treatment depending upon the sensitivity of organs to radiation and the proximity of organs or certain body parts near the cancerous area. One of the benefits of the Trilogy technology is its ability to come close to critical structures. Other benefits include the ability to provide a high dose within a shorter time frame.

Team of Specialists Is Required
Radiation Oncology is a focused treatment modality for many cancers; its physician specialists complement each of the disease-focused programs by providing consultation and expertise in this treatment option. Moffitt’s Radiation Oncology Program is made up of a full team of people that includes:

  • Radiation Oncologists (physicians who specialize in treating patients with radiation therapy)
  • Nurse Practitioners
  • Registered Nurses
  • Medical Assistants
  • Radiation Therapists
  • Dosimetrists
  • Medical Physicists
  • Dietitians
  • Social Workers
  • Patient Service Representatives (PSR)
The physicians within the program provide tumor-specific expertise in the treatment of all tumor/organ sites.

Radiation Oncology Research
The Radiation Oncology Program is actively involved in cancer control research and participates as a full member institution of the Radiation Therapy Oncology Group (RTOG) and has many national protocols open for enrollment at Moffitt. Moffitt radiation oncologists have designed various other investigator-initiated clinical trials.

Patient Testimonial:

John Freeman, Pancreatic Cancer survivor

John Freeman: Pancreatic Cancer survivor
There were no symptoms – just a little non-specific middle back pain. I thought I must have stretched wrong at the gym or twisted my back while on a ladder. The first doctor’s exam turned up nothing. A month later, when I asked the doctor to please check again, a slight flinch during an abdominal hands-on exam sent the medical complex in motion.

 A quickly ordered CT scan revealed a mass on my pancreas with possible involvement of the spleen, large intestine and left kidney. Things were moving fast now. One week later, I was taken to the operating room with orders for a biopsy of the pancreas and resection as deemed appropriate by the surgeon. The surgeon determined the disease to be widespread, malignant and inoperable. Two masses were found, the spleen was involved and many local lymph nodes appeared malignant.

When I awoke, I was given the diagnosis of stage IV metastatic pancreatic cancer. “There is no cure. You have anywhere from six to 18 months to live. Do you have a will? Is there any place you want to visit? Go now. We’ll try to make you comfortable.” Simply put, I didn’t like this diagnosis and neither I nor my family was going to buy it. I just didn’t believe it. Life isn’t that simple, and I’m not leaving here that easily. There has to be a medicine, a surgery or a radiation treatment for pancreatic cancer.

There has to be some breakthrough experimental drug that simply has not been announced. What do you mean there is no cure? It was time to find the best medical center with the brightest doctors who share my drive to beat this disease. Following intensive research, desperate discussions and professional referrals, we landed with two of the best centers in the world: M. D. Anderson Cancer Center at the University of Texas and Moffitt Cancer Center in Tampa. M. D. Anderson was chosen to manage my disease at a high level, and Moffitt was chosen to actively treat all facets of my disease on an immediate basis. Physicians from both centers are in close communication, and I am confident that the plan of care is second to none.

The positive, can-do attitude from the Moffitt staff is something that cannot be taught. The culture is pervasive and natural. Everyone is actively engaged in fighting cancer; everyone knows the mission. Doctors take time to discuss exactly how a given therapy works, what the side effects are and what new drugs are on the horizon. Nurses take time to get to know the family, to track down a prescription or to swap cookie recipes. With this level of human engagement and real caring, there is no way that we cannot be successful.

Pancreatic cancer is largely unknown by the general public and, as a result, research receives limited funding. The federal government’s National Cancer Institute and Florida’s state Legislature typically provide broad, albeit limited, support for all cancer research and cancer centers in general. Drug companies may provide funding via in-kind services, staff sponsorship, sharing of data and gratis medications.

Continued increased funding from all of these sources and community philanthropy are necessary to beat this disease and to give more pancreatic cancer patients hope. By building new laboratories, increasing staff, finding novel partnerships and focusing Moffitt’s brilliant minds, we’ve established locally a world-class center that will improve the lives of all cancer patients.

As I visit the Gastrointestinal Clinic, the Infusion Center and the laboratories, I know I am getting the best care available today. As I speak with the doctors and walk past the Vincent A. Stabile Research Building and the Moffitt Research Center, I know to expect even greater care tomorrow. My family is looking forward to the day when my pancreatic cancer is just a footnote in an otherwise full, productive life.

Hear John Freeman’s testimony in person at the Magnolia Ball on Saturday, April 25, at A La Carte Event Pavilion in Tampa. For ticket information, please contact the Moffitt Foundation at 813-745-4860.

If you are interested in sharing your cancer story, e-mail Moffitt.Momentum@moffitt.org.


Cancer Treatment Quiz:

The correct answer is "surgery, chemotherapy and radiation therapy."


Cancer Answers Q&A: The Facts About Radiation Therapy

Q: What is radiation therapy, and when is it used?

A: Radiation therapy – also called  radiotherapy, irradiation, or X-ray therapy – uses high-energy particles or waves, such as X-rays, gamma rays, electron beams or protons, to destroy or damage cancer cells. Radiation therapy is commonly used to treat certain types of cancer, including cancers of the head and neck, bladder, lung and Hodgkin disease. Treatment with radiation has helped thousands of people become free of cancer. There are various types of radiation therapy, and the treatment can be given alone or in combination with surgery or chemotherapy.

Q: Should a person follow a special diet while on radiation therapy?

A:Because the body uses a lot of energy to heal during radiation therapy it is important to eat enough calories and protein to maintain the same weight during this time. Ask your doctor or nurse if you need a special diet while you are getting radiation therapy. You might also find it helpful to speak with a dietitian.

Q: What symptoms should a person who has been on radiation therapy look for?

A: If you have undergone radiation therapy, pay attention to changes in your body and let your doctor or nurse know if you have any of the following changes.

  • A pain that does not go away
  • New lumps, bumps, swellings, rashes, bruises or bleeding
  • Appetite changes, nausea, vomiting, diarrhea or constipation
  • Weight loss that you cannot explain
  • A fever, cough or hoarseness that does not go away
  • Any other symptoms that worry you

If you have a cancer question that you’d like answered, please call Cancer Answers at 1-888-MOFFITT or write to us at canceranswers@moffitt.org. Your submission may be published in a future issue!


Symptom Checker: Fatigue

According to the American Cancer Society, fatigue is extreme tiredness that does not get better with rest. It may be an important symptom as cancer grows. (Fatigue may occur early, however, in cancers like leukemia. A person also may experience fatigue if the cancer is causing blood loss, which can happen with some colon or stomach cancers.)

In addition to fatigue, you should watch for certain other common symptoms and signs which could suggest cancer. Again, there may be other causes for each of these, but it is important to see a doctor about them as soon as possible.

Moffitt Morsels – Healthy Recipes For Healthy Living

Warm Bulgur Salad with Chicken:

Ingredients:

1/2 cup bulgur wheat
1-1/2 cups fresh broccoli florets
1/3 cup chopped fresh parsley
1/4 cup minced red onion
1/4 cup finely chopped fresh mint, cilantro or parsley
1 tsp. fresh lemon juice
1 Tbsp. extra virgin olive oil
Salt and freshly ground black pepper to taste
1 skinless cooked chicken breast (6 oz.), cut into thin strips

Instructions:

In medium saucepan, cook bulgur according to package directions.

Meanwhile, microwave broccoli florets in bowl with small amount of water until just barely tender, about 1-1/2 to 2 minutes. Carefully transfer broccoli to sieve or colander and let drain.

In small bowl, whisk together lemon juice and oil.

In large bowl, place cooked hot bulgur. Lightly toss with fork to separate kernels. With fork, mix in parsley, onion and mint (or other fresh herb). While tossing mixture lightly with fork, drizzle in juice-oil mixture. Add salt and pepper to taste.

Divide salad between two plates. Top each with half the chicken.

Nutritional Information:

Makes 2 servings. Per serving: 274 calories, 9 g fat (1.5 g saturated fat), 31 g carbohydrate, 19 g protein, 8 g dietary fiber, 57 mg sodium.
Snow Peas with Cashews:

Snow Peas with Cashews
Ingredients:

1 tsp. canola oil
1 tsp. dried orange peel
3 cups snow peas, rinsed and drained
Salt and freshly ground black pepper, to taste
1-2 Tbsp. toasted cashew nuts, finely chopped

Instructions:

In nonstick skillet, heat oil.  Add orange peel and cook over low heat for 2 minutes.
Add snow peas and salt and pepper, to taste.  Turn heat to medium.  Stirring constantly, cook 3 to 4 minutes or until snow peas are bright green and crunchy. Sprinkle with cashews and serve.

Nutritional Information:

Makes 4 servings. Per serving: 66 calories, 2 g total fat (<1 g saturated fat), 8 g carbohydrate, 4 g protein, 3 g dietary fiber, 5 mg sodium.

Shortcake Biscuits with Berries:
Shortcake Biscuits with Berries
Ingredients:

Canola oil spray
1-1/2 cups unbleached white flour
1/2 cup whole wheat or whole-wheat pastry flour
1/2 tsp. salt
4 tsp. baking powder
3 to 4 Tbsp. sugar for the biscuits, plus more for the berries, according to taste
2 Tbsp. butter, softened
4 Tbsp. canola oil
1 cup fat-free (skim) milk
1 lb. fresh strawberries
1 pt. fresh blueberries or 2 cups frozen
1/4 cup orange juice
1-1/2 cups vanilla frozen yogurt, softened slightly (optional)

Instructions:

Preheat oven to 425 degrees. Spray a nonstick cookie sheet with oil spray. Set aside.

Hull strawberries and slice into a bowl. Add fresh blueberries, if using. Mix in orange juice and sugar to taste. Set aside 30 to 60 minutes. (If using frozen blueberries that are defrosted, stir in just before assembling shortcakes.)

In a medium bowl, mix together the flour, salt, baking powder and sugar. Use a pastry blender or a fork to cut the butter and oil into the flour mixture until it resembles coarse meal. Add the milk all at once. Stir until it is just incorporated and there are no lumps.

Form 8 biscuits by dropping well-rounded quarter cups onto the cookie sheet. Bake 15 to 20 minutes or until biscuits are done. (Use a toothpick to test centers). Cool on a wire rack.

Use a serrated knife to gently slice off the top third of each biscuit. Top with some berries and juice. Lay the top third of the biscuit on berries. Top with more berries and juice. Place remaining berries around each biscuit. Garnish with frozen yogurt, if using, and serve.

Nutritional Information:

Makes 8 servings. Per serving: 270 calories, 11 g total fat (2 g saturated fat), 41 g carbohydrate, 5 g protein, 4 g dietary fiber, 405 mg sodium.




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