How genetic testing, precision medicine impact breast cancer treatment choices

Doctor holding X-ray film and woman in pink braAs cancer treatment focuses more and more on precision medicine and as genetic testing becomes more commonly available, what does it mean for patients as they consider their treatment options?

In a commentary published in the Journal of the American Medical Association, researchers suggest that we must improve how genetic information is used to make breast cancer treatment decisions. The paper is authored by Steven Katz, M.D., M.P.H., Monica Morrow, M.D., and Allison Kurian, M.D., from the Cancer Surveillance and Outcomes Research Team, a multidisciplinary group of investigators at the forefront of understanding how women make decisions about breast cancer treatment. mCancerPartner talked with Dr. Katz about these issues. Continue reading

Stop leftover fatigue: cooking healthy for one or two

cooking healthyThere are many life events that may result in having to cook for fewer people than you are used to. If you do not adjust your recipes you could end up eating leftovers three or four times in a row. Others might find themselves eating out more often or choosing more convenience foods as an alternative. But these convenience foods tend to be high in fat, sodium and sugar and don’t typically include enough fruits, vegetables and whole grains, which have been proven to reduce cancer risk, as well as the risk of other chronic diseases.

Following are tips for easy meals that don’t leave you with days of leftovers or mountains of dishes to clean up.

Supplement with fruits, vegetables and whole grains

When using prepared foods, don’t take them as they are, but add the healthful ingredients that may be missing:

  • Canned soup: Add sautéed vegetables, frozen mixed vegetables, or canned, rinsed beans to increase the anti-cancer rich ingredients.
  • Boxed pasta or pasta sauce: Add sautéed or frozen vegetables to decrease the fat and calories per serving. Add canned beans, chicken or tuna, or frozen, thawed shrimp for added protein without additional effort.
  • Deli items: Add canned tuna and chopped vegetables to pasta salad or add vegetables or beans to other sides such as potato salad, coleslaw or rice dishes.
  • Baked chicken: complement with a salad and baked potato cooked quickly in the microwave. Top with low-fat cheese for a complete meal.
  • Frozen pizza: make it gourmet by adding several different sautéed or roasted vegetables, or canned pineapple.
  • Rice, barley, quinoa or other whole grains: After cooking, add pine nuts, dried fruit, grated or chopped vegetables, seeds or herbs to bring it from average to superb.
  • Canned beans: Just fill a tortilla with drained or fat-free refried beans, vegetables and salsa for an easy, no cook burrito.
  • Salad mix: top with nuts, seeds or hardboiled egg whites, dried or fresh fruit, and chopped or grated vegetables for a meal that packs a protein, nutrient and fiber-rich punch.

Enlist friends

Consider shopping and cooking with friends. A whole cabbage may be too much for you to eat in a week but perfect when split with a friend. Or you can take turns cooking or share leftovers for more variety and less effort.

Consider snacking

A few healthful snacks can substitute for a bigger meal. Focus on whole fruit or cut-up vegetables with nuts, yogurt, cottage cheese, low-fat cheese, or whole grain bread or crackers with hummus dip or peanut butter.

Lastly, don’t discount making bigger batches of foods that will freeze well such as soups, casseroles and breads. These can be frozen in single or double serving portions to use on busy or low-energy days, instead of resorting to takeout or pre-packaged food that is higher in sodium and fat.

Take the next step:

  • Spruce up your menus with these delicious, healthful recipes from our cancer nutritionists.

Continue reading about healthy eating and cancer prevention:

U-M CCC dietitians NEWRegistered dietitians who are specially trained in the field of oncology nutrition provide cancer nutrition services at the Comprehensive Cancer Center. They focus on assessing the individual dietary and nutrition needs of each patient and providing practical, scientifically sound assistance.



Cancer-center-informal-vertical-sig-150x150The University of Michigan Comprehensive Cancer Center’s 1,000 doctors, nurses, care givers and researchers are united by one thought: to deliver the highest quality, compassionate care while working to conquer cancer through innovation and collaboration. The center is among the top-ranked national cancer programs, and #1 in Michigan according to U.S. News & World Report. Our multidisciplinary clinics offer one-stop access to teams of specialists for personalized treatment plans, part of the ideal patient care experience. Patients also benefit through access to promising new cancer therapies.

My health information on line, anytime????

Yes. Get secure access to your UMHS health information 24/7

My U of M health informationDid you know that with a few easy steps, you can get secure access to your U-M health information online? Click on or search My U of M Health. Either will take you to the website where you can set up a free portal, or page that is secure and just for you.

Once you have created your own secure account, you can start accessing the portal’s many features:

Contacting your doctor

Email your doctor about any issues you may be having or to ask a specific question. Do not use the portal for urgent medical matters. For urgent matters, please call 911 or your doctor’s office immediately.

Other medical features

  • Request to have your prescriptions renewed
  • Make appointments
  • View health summary notes

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You’re invited to a garden party celebrating women’s health!

women's healthThe Community Outreach Program of the U-M Comprehensive Cancer Center has teamed up with the Ann Arbor chapter of The Links, Inc., for a Garden Party celebrating women’s health. This free event takes place Sunday, July 19 from 2:30-4:30 p.m. at the Matthaei Botanical Gardens in Ann Arbor.

Guest speakers include:

  • Sofia Merajver, M.D., Ph.D., of the U-M Breast and Ovarian Risk Evaluation Clinic
  • Aisha Langford, Ph.D., MPH, who will speak on cancer prevention
  • Colleen Greene, senior wellness coordinator at MHealthy, who will speak on what physical activity can do for you.

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Sexual function after prostate cancer treatment: don’t be afraid to ask!

sexual function after prostate cancerWhether patients undergo surgery, hormonal therapy, or radiation therapy as active treatment of prostate cancer, all can have treatment-related sexual side effects. As many as 20% to 80% of men can expect to experience some disruptions to their usual sexual function after prostate cancer treatment, which can include changes in sex drive, erections or orgasms.

The good news is these changes to a man’s sex life, while common, can be managed with the appropriate education and resources. Men should expect that their sexual function will be affected. They will have to make some accommodations in their sexual experiences and relationships but no one has to give up their sex life as a condition of managing prostate cancer. Continue reading

Breast density and breast cancer risk

breast density

In Michigan, a new law went into effect on June 1 requiring that mammography service providers inform patients if they have dense breast tissue on screening mammography. Michigan is the 23rd state to enact a law like this. So what exactly is breast density and what does it mean if you have dense breasts?

We talked to Renee Pinsky, M.D., an assistant professor of radiology at the University of Michigan whose specialty is breast imaging. Dr. Pinsky was involved in helping to shape Michigan’s dense breast notification law.

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