Although rare cancers don’t occur often, they can affect people of all ages and genders. Greater awareness of rare cancers may lead to earlier diagnosis and management, and potentially better survival rates. Consider these facts about soft tissue sarcomas, one type of rare cancer.Understanding Rare Cancers![]() Four facts to know about one type of rare cancer, soft tissue sarcomas(Family Features) Although rare cancers don’t occur often, they can affect people of all ages and genders. A rare cancer is defined as fewer than 15 new diagnoses per 100,000 people per year, according to the National Cancer Institute (NCI). Additionally, as noted by the American Cancer Society (ACS), the 5-year survival rate is lower for people diagnosed with a rare cancer than for people living with more common cancers. Greater awareness of rare cancers may lead to earlier diagnosis and management, and potentially better survival rates.
If you have recently been diagnosed with STS, it’s important to ask your doctor for more information about the specific sub-type you have. For example, if you received a diagnosis of undifferentiated sarcoma, ask your doctor for an integrase interactor-1 (INI1) test to see if you have a rare STS called epithelioid sarcoma (ES). (See sidebar for more on ES.)
Learning More About Epithelioid Sarcoma A rare type of STS, epithelioid sarcoma (ES) accounts for less than 1% of all STS, which themselves account for approximately 1% of all cancers, according to research published in “Archives of Pathology & Laboratory Medicine.” ES can present as a lump or sore on the skin. Notably, more than 90% of ES tumors do not express the INI1 protein, which when present acts to suppress tumor growth. INI1 loss plays an important role in the diagnosis of ES, according to researchers with “The American Journal of Surgical Pathology.” Data from the NCI indicates that approximately 150-200 people in the United States are diagnosed with ES each year. Research published in “The Journal of Clinical and Aesthetic Dermatology” found the disease often occurs in young adults in their 20s and 30s. Because most ES patients are adolescents and young adults, there is a gap in the unique psycho-social needs for this patient population, including resources for patients who miss school while undergoing treatments, as well as fertility considerations later in life. If you or someone you love is living with ES, you can find resources, information and the real-life perspective of an ES survivor at ESsentialsforES.com.
Content courtesy of Epizyme, Inc. Photo courtesy of Getty Images SOURCE:Epizyme
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It's easy to assume the worst when hearing about cancer, but with one type, there's good news. There has been a marked decrease in deaths from skin cancer. This can be attributed to many things, such as better research and tougher treatments. These are the reasons why a world without skin cancer is looking more likely
We Know a Lot About It
A higher survival rate for people with skin cancer wouldn't be possible if there hadn't been so much done to better understand this disease. Not only do we know how to treat it, but we also know how to prevent it. There are exams that people can get for irregularities on their bodies, such as moles. When skin cancer is detected earlier, the chances of survival are far greater. We're still a long way from understanding everything about it and how to cure it, but the progress thus far is considerable. If you're looking to enter the medical world, a career in dermatology will put you on the front lines of the fight against skin cancer.
New Treatments
A single-use method of curing skin cancer across the board doesn't exist, but there's a mix of different approaches that can help people and more to come with new research. If something has been caught early enough, it could be removed with freezing. There also are surgical options. Mohs surgery has been proven to be more effective on some cancers. With this surgery, a doctor methodically removes pieces of skin, stopping once there are no signs of cancer. Other sorts of treatment for skin cancer include chemotherapy and radiation treatment. There's also immunotherapy, which harnesses the power of your immune system. This type of treatment can be especially helpful for anyone who's dealing with an especially difficult case of skin cancer that isn't taking to previously discussed methods of treatment.
Awareness
Every May, Skin Cancer Awareness Month is commemorated. As with any other disease, awareness takes the stigma out of skin cancer while also helping those coping with it. You can do your part by giving money to skin cancer research, reading about this illness and speaking with people who have been diagnosed with it. Twenty percent of people can expect to be diagnosed with skin cancer by the time they turn 70, so awareness shouldn't be considered optional. Treating your skin right is the best way to fight skin cancer. This means using sunscreen constantly and avoiding harmful practices, like using tanning beds.
Although skin cancer hasn’t been completely eradicated yet, its days are numbers. Medical researchers are constantly discovering new and more effective ways to prevent and treat this disease. And as the research progresses, the number of cases will fall even further.
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There is little information available about epithelioid sarcoma. Patients, advocates, doctors and researchers across the United States are aiming to educate people about this ultra-rare cancer and the unmet need for an effective, tumor-specific treatment. Consider these facts about ES.
The Rarest of the Rare![]() What to know about a cancer you may not have heard of(Family Features) A woman celebrating her 40th birthday, a young boy starting second grade or a college grad about to begin his career. All three could develop a rare form of cancer known as epithelioid sarcoma (ES), a form of soft-tissue sarcoma. What are Soft-Tissue Sarcomas and What is Epithelioid Sarcoma? How Rare is Rare? According to the American Cancer Society, a rare cancer is defined as fewer than six new diagnoses per 100,000 people per year. ES is an ultra-rare cancer. According to available epidemiology and case reports, it is estimated about 600 people are properly diagnosed in the U.S. and Europe each year. What are the Most Common Types of ES and How Do They Impact Diagnosis?
Dealing with a Diagnosis? For people faced with a sarcoma diagnosis, it’s important to get a second opinion from a sarcoma specialist. These specialists have extensive knowledge of STS and can determine what form of sarcoma one may have, what stage it is and the best course of treatment. The specialist may confirm the diagnosis with a physical examination, a scan or a tissue sample (biopsy) of the area. It’s common to feel a range of emotions after a diagnosis of ES, according to Clear View Health Partners, including:
What Treatment Options are Available? For patients with early stage ES, many elect to have surgery to remove the tumor, which may precede or be followed by radiation therapy or chemotherapy treatment, according to the Journal of Clinical and Aesthetic Dermatology. If the cancer returns or spreads, a patient may undergo radiation therapy and chemotherapy. New treatment options are being studied through clinical research, which is why seeking a specialist in the field is important if one is faced with a diagnosis. As with many cancers, early detection is important and can increase survival or successful treatment. Typically, the distal form of ES is associated with more favorable survival rates than the proximal form. 4 Things to Do to Address ES Today 1. Don’t ignore your bumps and lumps, see a doctor as soon as possible. 2. Learn more about epithelioid sarcoma and its symptoms. 3. Seek a second opinion. 4. Find support if you’re faced with a diagnosis. ![]() An ES Diagnosis JourneyIn the spring of 2008, Maria Voermans’ 4-year-old daughter requested an “airplane ride,” and as Voermans lifted the young girl up with her legs, she had to make an “emergency landing” because of some sudden and significant pain in her upper right thigh. After a few months, the pain persisted. Voermans continued to jog and play sand volleyball, thinking nothing of it. At the recommendation of her primary care physician, she took some anti-inflammatories and tried to rest, which wasn’t easy to do as a single mother of two young children. Two more months went by and her leg caused increasing problems. She could feel something in her leg, but never considered it a “lump” because it was not visible on the outside. Voermans took matters into her own hands and visited a sports medicine orthopedic specialist for further testing. An MRI found a mass in her right leg and she was referred to one of the few musculoskeletal oncologists in Wisconsin, her home state. He ordered a biopsy, which on Voermans’ youngest daughter’s third birthday confirmed her worst fear: it was a rare form of cancer called proximal-type epithelioid sarcoma, and it was stage three. Her biggest concern was not living to experience future holidays, birthdays, graduations and other life milestones with her daughters. Voermans underwent chemotherapy, radiation therapy and had surgery to remove the tumor. As of July 2018, Voermans reports the cancer has not returned. Today, she’s a wellness coordinator supporting other people diagnosed with cancer who are undergoing treatment or post-treatment. She’s able to use her own cancer journey to provide empathy to others, and it’s brought satisfaction to the whole experience. Content courtesy of Epizyme, Inc. Photo courtesy of Getty Images (Doctor talking to man) SOURCE:Epizyme, Inc.
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