Posts tagged ‘bladder cancer’


Our bladder cancer experts give patients more, and better, choices

July 1, 2015 | by

“With bladder cancer, the majority of patients that I see can be cured,” said urologist Kevin Chan, M.D., head of reconstructive urology at City of Hope. “The challenge is to get patients the same quality of life that they had before surgery.”

bladder cancer alternative

Bladder alternative allows bladder cancer patients to live a more normal life.

To meet this challenge, Chan and the urologic team at City of Hope ensure that bladder cancer patients who need a cystectomy, or bladder removal, are fully aware of their options. According to Chan, the majority of urologic surgeons will recommend only an “incontinent diversion,” in which the urine drains into an external bag.

But at City of Hope, 60 percent of patients receive “continent diversions” — either a neobladder or Indiana pouch—in which a section of intestine is used to create an internal reservoir. The neobladder allows patients to urinate out of their urethra, whereas the Indiana pouch results in a stoma on the abdomen that patients catheterize to empty.

“We spend an hour with each patient, explaining all three reconstructive procedures,” said Chan. “We go through the pros and cons of each one in that patient’s particular situation. And as long as it’s reasonable and makes sense from a cancer perspective, we will do everything we can to give them the reconstruction they want.” » Continue Reading


Cancer Insights: What I’ll be looking for in Chicago – an ASCO 2015 preview

May 27, 2015 | by

The American Society of Clinical Oncology (ASCO) is a U.S.-based organization that ties together oncology health care professionals (doctors, nurses and pharmacists) from around the world. The organization’s annual meeting represents a key forum in which scientific breakthroughs in oncology are unveiled. Attendance is nothing short of spectacular – last year, the meeting drew 34,000 attendees with just over half coming from outside of the U.S.

ASCO 2015: What's hot

ASCO 2015 preview: For a medical oncologist specializing in prostate, kidney and bladder cancer, the annual meeting of the nation’s top oncologists is a learning opportunity that can’t be missed. One of the most promising topics is about a clinical trial using gene therapy.

This year’s meeting begins Thursday in Chicago. After a busy clinic today, I’m going to hop on a red-eye and make my way there. As a medical oncologist focused on prostate, kidney and bladder cancer, I’ll be focused on the following research in particular:

1. “Gene therapy” for bladder cancer: The BOREALIS-1 trial: For years we have longed for new therapies for advanced bladder cancer. It’s been three decades since cisplatin (a standard chemotherapy agent) was introduced for the disease, and since that time, we’ve had virtually no effective drugs developed. This appears to be changing dramatically.

My friend and colleague Przemyslaw Twardowski, M.D., was involved in an international study evaluating a novel drug called apatorsen. Apatorsen represents a sort of “gene therapy” – a short strand of DNA that enters the cancer cell and shuts down its defense mechanisms. At this meeting, we will see data suggesting that when added to chemotherapy, apatorsen led to an impressive improvement in survival.

That data is a real glimmer of hope for patients with advanced bladder cancer. » Continue Reading


Bladder cancer patient has a mission: Cure metastatic bladder cancer

March 27, 2015 | by
Frank Di Bella, pictured with Sumanta Kumar Pal, M.D., raised more than $1.6 million for metastatic bladder cancer research led by Pal at City of Hope.

Frank Di Bella (right), pictured with Sumanta Kumar Pal, has already helped raise more than $1.6 million for metastatic bladder cancer research led by Pal at City of Hope.

Frank Di Bella, 70, is on a mission: Find a cure for metastatic bladder cancer.

It’s just possible he might.

Although Di Bella isn’t a world-renowned physician, cancer researcher or scientist, he knows how to make things happen. For more than 20 years, he served as chairman of annual fundraising galas on behalf of muscular dystrophy research, and he’s successfully raised more than $10 million toward that cause.

Now his attention is focused on his own disease: metastatic bladder cancer. The certified public accountant recently held a black-tie gala titled “Let’s Be Frank about Cancer” to help raise funds for City of Hope’s bladder cancer research, led by Sumanta Kumar Pal, M.D.

The gala was filled with distinguished leaders, such as Gov. Jerry Brown, and brought in more than $1.6 million for Pal’s research.

But for Di Bella, that’s just the start.

“I’m going to spend the rest of my life raising money to help City of Hope and Dr. Pal,” Di Bella said.

» Continue Reading


Cancer Insights: The dawn of precision medicine for cancer

March 17, 2015 | by

“Tonight, I’m launching a new precision medicine initiative to bring us closer to curing diseases like cancer.” These were the words of President Barack Obama on Jan. 20, 2015, during his State of the Union address. So what is precision medicine, and how close are we to making it a reality for patients?

Potential of precision medicine

Precision medicine is rapidly becoming a reality. With it comes an unprecedented potential to treat patients as the individuals they are.

Let’s begin with some definitions. Precision medicine entails two general tenets: (1) understanding the biology of an individual patient’s cancer, and (2) treating the patient according to this biology. When I was in medical school, both elements would have been perceived as a pipe dream. Now, they are slowly becoming a reality.

Comprehensive genetic tests that used to take days to weeks to run can now be done in minutes; these tests can point an oncologist toward specific medications that target proteins at the cancer cell surface, while sparing normal cells. In contrast to chemotherapy (which attacks cells indiscriminately), targeted therapies may potentially have fewer side effects. » Continue Reading


Meet our doctors: Surgeon Donald Hannoun on urology and bladder cancer

February 7, 2015 | by

The treatment of urologic cancers, including bladder cancer, is rapidly evolving. Here, urologic oncologic surgeon and kidney stone specialist Donald Hannoun, M.D., an assistant clinical professor in the Division of Urology and Urologic Oncology at City of Hope | Antelope Valley, explains the changes in his field, as well as his approach to medicine.

Urologist Donald Hannoun

Donald Hannoun shares his approach to urology and patient care.

Did someone or something from your early experience in life motivate you to go into medicine?

I’ve always loved working with people.  I couldn’t think of a more altruistic field than medicine. What motivated me to get into urology was my late grandfather’s struggle with bladder stones, which are hard masses of minerals in the bladder. He was completely miserable before his surgery, and was then transformed into a new man after having them removed. To see such immediate results made me seriously consider urology. Now, I treat all types of genitourinary cancers, including kidney, bladder, prostate and testicular cancer.

» Continue Reading


Cancer research 2015: T cell immunotherapy, targeted drugs and more

January 1, 2015 | by

Every year, researchers make gains in the understanding of cancer, and physicians make gains in the treatment of cancer. As a result, every year, more cancer patients survive their disease.

2015 in cancer research

In 2015, cancer research will move forward in ways both high-profile and little-heralded.

In those ways, 2015 will be no different. What will be different are the specific research discoveries and the specific advances in screening and treatment. We asked City of Hope experts to weigh in on the research and treatment advances they predict for the year to come.

Some of those advances will make headlines around the world – expect to hear much more about T cell therapy and targeted drug therapy – while some will garner attention largely among those affected by, or treating, the disease.

But all will have an impact. » Continue Reading


Bladder cancer 2015: Personalized medicine meets ‘molecular selection’

December 28, 2014 | by

Surgery for bladder cancer isn’t what it used to be; it’s better – much better. Advances in robotic surgeries have greatly improved both the options and the quality of life for people diagnosed with bladder cancer.

bladder cancer

City of Hope is leading several innovative studies in bladder cancer, with two of them focusing on what’s known as a molecular selection process.

These advances, which are constantly giving way to even newer ones, mean that the entire bladder doesn’t always have to be removed. When it does, not only can highly skilled surgeons sometimes create an artificial bladder, they can even create an internal reservoir (different from a bladder and known as an Indiana pouch) using the large intestine and part of the small intestine. Such alternatives are usually preferred  over the need for an external bag to collect the urine.

Much work remains, however, in the understanding of bladder cancer. Sumanta Pal, M.D., co-director of the Kidney Cancer Program at City of Hope, is leading several innovative studies in bladder cancer, with two of them focusing on what’s known as a molecular selection process. » Continue Reading


Bladder cancer patient and fitness instructor can still wear a bikini (w/VIDEO)

August 19, 2014 | by

Christine Crews isn’t only a fitness enthusiast, she’s also a personal trainer and fitness instructor. Being active defines her life. So when she was diagnosed with bladder cancer at age 30, she decided she absolutely couldn’t let the disease interfere with that lifestyle.

And it didn’t. For the next 15 years, Crews continued to run marathons, teach fitness classes and train 20 to 30 clients a week, all while fighting her bladder cancer with chemotherapy and periodic tumor removals.

By the age of 45, however, the cancer had spread to 80 percent of her bladder. She was told she would need a cystectomy, that is, the surgical removal of her bladder. » Continue Reading


With cancer, expertise matters – as these cancer patients know (w/VIDEO)

August 12, 2014 | by

A patient diagnosed with cancer – especially a rare, advanced or hard-to-treat cancer – needs specialized care from exceptionally skilled and highly trained experts. That kind of care saves lives, improves quality of life and keeps families whole.

That kind of care is best found at comprehensive cancer centers like City of Hope.

One of the top cancer hospitals for cancer in the United States, according to U.S.News & World Report’s annual rankings, City of Hope has also been awarded the highest level of accreditation from the American College of Surgeons Commission on Cancer and is listed on Becker’s Hospital Review’s 2014 list of “100 Hospitals and Health Systems With Great Oncology Programs.”

Further, recent research found that receiving cancer care at a comprehensive cancer center improves survival of patients with cancers of the breast, lung, liver, stomach, pancreas and oral tissues, among others.

The cancer patients in the video above don’t need to be convinced by such commendations or research, however. They were convinced by City of Hope itself.

Read more about them:

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Learn more about becoming a patient or getting a second opinion at City of Hope by visiting us online or by calling 800-826-HOPE (4673). City of Hope staff will explain what’s required for a consult at City of Hope and help you determine, before you come in, whether or not your insurance will pay for the appointment.


Bladder cancer patient finds he has an alternative to external device

July 9, 2014 | by

When Sheldon Querido, a retired manufacturer’s representative, was diagnosed with bladder cancer, his doctor told him that he’d need to have his bladder removed – and that he’d have to wear an external urine-collection bag for the rest of his life.

Neobladder

An artificial bladder, called a neobladder, enables patients to urinate normally, eliminating the need for an external bag and allowing patients to transition back to their normal life after surgery.

“My first response was ‘I don’t want to live like that,” Querido told ABC 7 in a recent interview. “That’s gonna be a terrible way to live.”

Querido simply couldn’t accept that collecting his urine externally was his only option. The Thousand Oaks resident and his wife decided to get a second opinion at City of Hope. There, they learned there was indeed another choice: an artificial bladder, called a neobladder, built by specialists at City of Hope. » Continue Reading