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Lewes, Delaware
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December 19, 1997     Cape Gazette
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December 19, 1997

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36 - CAPE GAZETTE, Friday, Ovarian cancer Continued from page 35 If the diagnosis of ovarian cancer is made, the doctor will categorize it as one of four stages: 1. Stage I is the earliest stage in which only the ovaries are involved. About two-thirds of these patients can look forward to a cure. 2. Stage II means that the cancer has spread from the ovaries for other parts of the pelvis. As with most cancers, once the disease starts to spread, survival rates decrease. In this case, about one- December 19 - December 25, 1997 involves the lymph nodes and/or other parts of the abdomen. Only about 13 percent of patients diag- nosed with Stage III cancer are cured. 4. The most advanced form is Stage IV, which has a very low survival rate - usually less than 5 percent. The overall 5-year sur- vival for all patients with ovarian cancer, regardless of stage, is about 30 percent. If you are diagnosed with ovari- an cancer, you have multiple treat- ment options: surgery, chemother- apy, radiation or a combination of all of these. parts of the body, the doctor will try to ensure that you are still able to have children if your are of child-bearing age. However, since ovarian cancer can spread rapidly, this is not always possible and your doctor's primary goal will always be to do what needs to be done to eradicate the cancer and prolong life, even when an early stage of cancer is confined to a single ovary. The primary operation for ovar- ian cancer is laparotomy. This is considered major surgery. Whether you receive chemotherapy or radiation therapy depends on the stage and the malignancy type that you have, and how your individual case is being managed. These forms of treatment are generally used after surgery to destroy any remaining cancerous tissue that might have been too small to have been detected during the operation. You are less likely to gel radia- tion therapy or chemotherapy if you have Stage I ovarian cancer. Because ovarian cancer gives so few warning signs, it is imperative that you get your annual checkup. Tkis is the best way, and possi- bly the only way, of discovering the disease while it isstill in the curable stage. Make sure you get a thorough pelvic examination every year and complete palpa- tion (examina- KILLEEN tion) of your ovaries. If you feel any reason for concern, please dis- cuss this with your doctor. Editor's note: Dr. Vincent Killeen is an obstetriciangynecol- ogist and president of Bayside Health Association, 645-4700. half of the patients diagnosed with ovarian cancer in Stage II will sur- vive after treatment. 3. Stage III is where most cases, unfortunately, are diagnosed, and it is at that point that the disease Diabetes law Continued from page 34 Treating diabetes and related illness costs $139 billion annual- ly. and it is the fourth-leading cause of death overall. More than 46,000 Delawareans have dia- betes. "And, I hear people talking about being borderline diabetic," Post said. "That's misleading. You are or you are not; and every- one needs to be educated about the seriousness, whether or not they are insulin dependent or can control their diabetes with diet and exercise. "And even these people can greatly benefit from services that should be covered uniformly by insurance. Diabetes education, including nutrition, is an effective tool for diabetics and their fami- lies; it should be looked at as an essential, just as medication and equipment." Post said that the ADA, includ- ing the state and county affiliates, focuses on education and increased awareness as well as on research and services. He and Wagner are asking all who use the services or attend educational events, such as Sugar Free Kids Family Camp or health fairs, to contact their elected officials and make them aware of their support ASSOCIATES IN Surgery is almost always the first step in treating ovarian can- cer because cancerous tissue must be removed. If the cancer is con- fined to the ovary and has not spread to the lymph nodes or other for HB 175. "Put simply, a bottle of insulin is a life support for a diabetic; it can be an alterna- tive to death," Post said. "Everyone who has other- wise full health coverage also should have the benefit of uniform cover- WAGNER age for diabetes, whether it means that they can afford the proper medication or receive nutrition information or education on the latest testing and monitoring equipment. "So many are effected that we are all effected in some way." For information on HB 175 or ADA programs in Delaware, call 684-8404 or 302-674-7 i 86. Rape Crisis CONTACT always available Rape Crisis CONTACT pro- vides counseling, hospital and police accompaniments, informa- tion and referrals for victims of sexual assault, their families and friends. Call 1-800-262-9800. MEDICINE, P.A. NANCY A. UNION, M.D. KEVIN E S. WALLACE, M.D. SUE ISAACS, EA.-C Internal Medicine Ages 16 and Older RENATA B. DIDYK, M.D. Internal Medicine with subspecialty in Endocrinology (diabetes, osteoporosis, thyroid, and other glandular disorders). 645-6644 119 W. Third Street, Lewes, DE Hours Monday-Friday by Appointment New Patients Welcome Also Accepting Principal Health Care AmeriHealth Blue Cross/Blue Shield I 00|nesx ,, % Take control of your health and appearance in 1998... ou can change your life with a little help from Rick's! Lose those holiday pounds with a safe, sane, and fun-filled exercise program conducted by a certified personal trainer. Stop by anytime for a no-pressure consultation. 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