Vim & Vigor - Winter 2019 - GMC - 50

"The best thing
to do is to learn
your risk factors,
common symptoms
and key preventive
steps for these
types of cancer."
-Debra Miller, MD

To Screen
or Not to Screen?

There isn't a cut-and-dried answer
as to why there are routine or
preventive screenings for some
cancers and not others.
Typically, organizations like the
American Cancer Society use scientific
studies to weigh the benefits and
potential risks of
each screening test.
They can determine
if a screening should
be recommended
to all adults-think
mammograms,
colonoscopies
and skin cancer
Debra Miller, MD,
checks-or if
an oncologist with
it should be
Northside Hospital
recommended only
to people with an above-average risk or
those showing symptoms.
Yet often by the time a person is
showing symptoms, it may be the
result of a more advanced stage of the
disease. Which begs the question: How

50

W IN TER 2 0 1 9

are you supposed to find cancer early
when there aren't any recommended
preventive screenings?
"The best thing to do," says Debra
Miller, MD, an oncologist with
Northside Hospital Cancer Institute,
"is to learn your risk factors, common
symptoms and key preventive steps for
these types of cancer."

Bladder Cancer

It's estimated that more than 80,000
new bladder cancer cases will be
diagnosed in 2019, which makes it
the sixth most common cancer in men
and women combined.
"Surprisingly, one of the biggest
risk factors for this type of cancer
is smoking," Dr. Miller says. "It
can increase your risk by two to
three times."
With that in mind, two of the most
important things you can do to prevent
bladder cancer are to quit smoking
and stay up to date with your primary
care provider. "Utilizing a resource like
smoking cessation can decrease your risk

of bladder cancer, as well as lung cancer
and heart disease," Dr. Miller says.
Plus, your routine visits with your
primary care provider will not only help
monitor for symptoms-such as blood
in the urine, irritation or discomfort
while urinating, blocked urine flow,
fatigue and loss of appetite-but
also give access to additional tests,
like a urinalysis, that can help in
early detection.

Endometrial Cancer

"Although endometrial cancer is more
than four times as common as cervical
cancer, there are still no routine
screening options available," Dr. Miller
says. This makes minimizing risk factors
and learning key symptoms a crucial
part of prevention.
"In terms of risk factors, one of the
biggest and most widespread amongst
all ages is nearly anything-conditions,
medication or otherwise-that impacts
hormone levels," she says. This can
include taking estrogen supplements
after menopause, using certain birth



Vim & Vigor - Winter 2019 - GMC

Table of Contents for the Digital Edition of Vim & Vigor - Winter 2019 - GMC

Contents
Vim & Vigor - Winter 2019 - GMC - Cover1
Vim & Vigor - Winter 2019 - GMC - Cover2
Vim & Vigor - Winter 2019 - GMC - Contents
Vim & Vigor - Winter 2019 - GMC - 2
Vim & Vigor - Winter 2019 - GMC - 3
Vim & Vigor - Winter 2019 - GMC - 4
Vim & Vigor - Winter 2019 - GMC - 5
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Vim & Vigor - Winter 2019 - GMC - 56
Vim & Vigor - Winter 2019 - GMC - Cover3
Vim & Vigor - Winter 2019 - GMC - Cover4
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