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May 2, 1997     Cape Gazette
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May 2, 1997

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84- CAPE GAZETTE, Friday, May, z'--May mr ......  ........... New dev00 lopments offer new hope in cancer care By Kerry £ester New developments in prostate, bladder and kidney cancers are showing promise. Gene therapy, early detection and radiation strategies are in the forefront of urological cancer treatments. R.U. Hosmane, M.D., a Lewes urologist, recently attended the American Urological Associa- tion's convention in New Orleans, where he joined 20,000 urology specialists to learn the latest strategies in detecting and treating urological cancers. Hosmane said the keynote speaker, Richard Klausner, M.D., director of the National Cancer In- stitute, said "the greatest break- through this century was breaking the genetic code." Breaking the cancer genetic code, he said, is leading toward new clinical applications in cancer detection and treatment. Finding genetic markers and developing gene therapy hold particular promise. Within two or three years, esti- mated Hosmane, the clinical ap- plications, or new technology, could reach the Cape Region. "That's very preliminary," he said, but he said early indications are that the research is sound. Kidney cancer may be the can- cer tt will soonest be impacted by the genetic technology. "The gene therapy is being used in- creasingly for advanced disease," said Hosmane. "There are trials going on now." Bladder cancer is seeing im- provement in the treatment area. 'Where are new drugs on the hori- zon that are being used success- fully for the advanced disease," said Hosmane. The chemothera- py drugs can be local or systemic. Is a PSA necessary? Prostate cancer was the topic for many of the seminars during the convention. Whether to use a blood test forearly prostate cancer detection fuels debates on an in- ternational level, but most physi- cians share excitement about new treatment strategies. "The controversy goes on for the PSA," said Hosmane. He said that physicians at the conference debated when patients should have prostate-specific antigen (PSA) testing. TAKE AN gxo_s'E Bsa All people who exercise regu- larly should take one to two days a week off to rest from their smmu- ous exe|cise program. Our body needs this time to recover. Submaud by S,,n Caae, P rapy, rS-#lll. The American Cancer Society, he said, still maintains the test is best given to men age 50 and old- er, or to men 40 and older if they have strong family histories of prostate cancer. "The articles from Europe and Scandinavia think maybe we're doing more harm," said Hosmane. "The contro- versy is, 'are we saving lives or not?'" Often, he said, prostate cancer is so slow growing that HOgMANE men live for many years and the cancer isn't what ultimately kills them. "Some Medicare is refusing to pay [for some PSA tests]," said Hosmane. "Some carriers are not giving routine screenings." The controversy continues, he said, but as a practitioner, he subscribes to the American Cancer Society's recommendations. "I feel that we should detect early," said Hosmane. The early detection often helps patients avoid I.atment complications, he said. "We are advising, as with the American Cancer Society and the American Urological Associa- tion, to get them at 50, or if there's a family history, 40." "Not every man who has an ele- vated PSA has prostate cancer," said Hosmane. "We have to do a biopsy to prove it." Elevated PSA results, he said, can be caused by the aging process, infection, or a circulation disturbance, The PSA is just a starting point to determine whether a man has prostate cancer. Hosmane said that another reason he supports the American Cancer Society's position on when to give the PSAs is because it helps determine whether or not a man needs a biopsy. Treatment improving Treatment for prostate cancer has not greatly changed in recent years, although some strategies have become more refined. For younger men, said Hosmane, "surgery is still the best option." The surgical techniques are bet- ter, he said, so nerve salvage "continues to "unprove." Through more modern surgical techniques,  nerves impacting impotency and I you/ted ' H, m your hearing checied tecenl Now is a good time to come in for a free hearing t and hearing aid check-up HEARING AID ASSOCIATES 93@1471 Millsboro - 2 miles N. of RL 24 on . 30 6 miles S. of Rt. 9 on Fit. 30 muscles impacting continence are better able to be spared or less damaged. The side effects of sexual dys- function or incontinence are re- duced. "And they're discovering new techniques to retain the conti- nence," said Hosmane. Most techniques, he said, are already available at Bcebe Medical Cen- ter. "In older people, it's radiation or hormonal therapy," said Hos- mane. Hormonal therapy, he ex- plained, is used before a radiation course of treatment. Research is positive on using short courses of Continued on page 35 SAVE 20-50% MEN'8, LADIES'.& Ll)8 SHOES FmST 9UAmY morwzr A neou Featurlr Sebago • Dockdes • Keds • K-b'wtss • Trotters • Eastland • Sperry Top-ider • Tretorn - Etonic • New 13oJance • MIA- Clarks of England • Wwmn • R.eebok • P.odqort • Grasshoppe nest select/on from over zs, ooo pn,/n'steck. lis lae N 9-14. M 6 I/2-14, W 6 I/2-14. WW 8-13. Women's es: N 0.10, M 6-II. W6-10 C]dnna's 10-3 sad Boys lies 31/2-6 -- I.,OC&TIONS -- item. LAmes  Reeimth Beach. !} Rou 1 8t West Virginia Ave. (4 st:reet8 nm'th of MD IJo on ocemt ,dde) lmdcbIsisad, Dg 302-539..4599 m Announces Delbert J. Kwan, M.D. has joined the practice for expanded urological services, including: • Female Urological Problems • Kidney Stones including Lithotripsy • . Prostate Problems • Diagnosis 8 Treatment of Cancers in the Urinary Tract • Male Sexual Dysfunction • Children's Urological Problems • Urinary Incontinence L" • Male Sterilization • Disorders of Male Reproduction including Infertility i  rl ’ r vr- rrrrT !!r'I11]]lPT'lIIIT]TTTTrTI]1rTIITrTI!I'TITIII-]I]TI .....