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Article Category: Highlights

Preventing Cancer with Wellstar’s Genetics Experts

Published on April 09, 2021

Last updated 02:18 PM April 09, 2021

Image of medical professional with test tubes

While Wellstar’s expert cancer specialists are well-equipped to help their patients fight cancer, they’re also dedicated to stopping cancer before it starts.

Part of preventing cancer is knowing your risk and taking action early. Wellstar’s Genetic Risk Assessment Program helps patients determine whether they may be at higher risk for some cancers.

At Wellstar, our focus is PeopleCare—personalized healthcare tailored just for you. For cancer care, that means taking a close look at what makes you unique—your distinct genetic makeup that sets you apart. Genetic counselors use a compassionate approach to guide patients and their families so they can make informed healthcare decisions.

“We are the busiest genetic counseling program in Georgia,” said Wellstar's Chief Cancer Officer, Dr. Michael Andrews. “Cancer care now is very genetically-based, and the specialists in our program can look for certain abnormalities and adapt treatments based on what they find.”

Halting Hereditary Cancers

Genetic mutations play a major role in about 5–10% of cancers. A patient with a family history of cancer who learns they have specific genetic mutations can partner with their provider to be more proactive, whether that involves screening, lifestyle changes or medical treatments. Taking a few proactive steps could prevent cancer, even if the patient’s genetics may put them at a higher risk.

Genetic testing can also benefit cancer patients and empower their whole families with important information. If a cancer patient learns they carry a mutation, it can help relatives decide if they could benefit from genetic testing. Also, people who have certain cancers and also have specific DNA sequences may benefit from targeted therapies.

Some possible signs of hereditary cancer include:

  • Unusually early age of cancer onset
  • Multiple primary cancers in a single patient
  • Cancer in paired organs (such as in cancer in both breasts)
  • Multi-generational cancers
  • Rare tumors
  • An unusual presentation, such as male breast cancer
  • Belonging to an ethnic group known to be at high risk for hereditary cancers
  • No environmental explanation for the cancer

Some gene mutations can increase your cancer risk, so if your provider finds that you are affected, they may recommend increased screenings and other precautions to monitor your health.

  • TP53: This gene produces a protein that slows down tumor growth. Mutations in this gene can cause Li-Fraumeni syndrome, which puts patients at an increased risk for developing some cancers.
  • BRCA1 and BRCA2: Mutations in these genes increase the risk of breast and ovarian cancer, as well as pancreatic cancer, prostate cancer and male breast cancer.
  • PTEN: This gene also stops tumor growth. Mutations in this gene are associated with Cowden syndrome, a disorder that increases the risk of breast, thyroid, endometrial and other forms of cancer.

Take charge of your health—and maybe help out a family member, too—by learning more about how your genetics could affect your cancer risk. Call (470) 793-7472 to book an appointment with a Wellstar Genetic Counselor. Both in-person and virtual visits are available. Learn more at wellstar.org/cancercare.

Genetic Risk Assessment Helps Prevent Cancer

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Michael Bryan Andrews Medical Genetics Cancer Care
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Highlights

Make Colon Health Your Habit

For many people, talking about colon health can be a little uncomfortable. However, medical issues don’t just go away if you ignore them.

Being proactive about your well-being with preventative care can help catch colorectal cancer or another serious condition early, often before it becomes a bigger problem.

Wellstar is committed to keeping your colon healthy with preventative screenings and expert care, so you can continue to live well.

Catch colon cancer early

Early detection is the best prevention, especially when it comes to colon cancer. If caught early, colorectal cancer has a survival rate of 91%.

“Colon cancer is the second most common cause of cancer death in the United States, so it’s very important that everyone gets screened,” said Wellstar Gastroenterologist Dr. Cameron Body. “For an average risk person, screenings should begin at age 45.”

Those with a higher risk or a family history of colorectal cancer may need to start screening sooner. Partner with your provider to create a personalized screening plan—and stick with it to stay ahead of the disease.

“Recently, colon cancer has been a major trending topic in public discourse, and it has been impacting younger individuals each year. It is important to start colon cancer screening at the age of 45 or sooner if you have a family history of colon cancer,” said Wellstar Gastroenterologist Dr. Shani Clay. “This is a preventable disease, so please speak with your primary care clinician or gastroenterologist to help get you screened. Colonoscopies can help prevent colon cancer, diagnose and help direct early treatment if you are diagnosed.”

The death rate for colon cancer in older adults has been decreasing for the past several decades due to screenings, according to the American Cancer Society. Screenings can identify polyps before they become cancerous and can catch cancer earlier when it is more easily treatable. However, in people under 55, death rates from colon cancer have been increasing by about 1% per year since the mid-2000s.

Why colonoscopies work

During a colonoscopy, a Wellstar gastroenterologist will view the inside of your colon and look for polyps or any other abnormal tissue that could be cancerous. This preventative testing is key to catching colorectal issues at the start.

“A colonoscopy is the gold standard when screening for colon cancer. The procedure itself is not painful, and we make sure you’re comfortable throughout the process,” Dr. Body said. “The goal is to do a high-quality exam with a good prep to find polyps when they’re small and get them removed to minimize the risk of them subsequently developing into cancer.”

Polyps take about five to 15 years to evolve into an invasive cancer, according to Dr. Carmen Klass, oncologist and hematologist with Northwest Georgia Oncology Centers, a care partner of Wellstar.

“If you have a colonoscopy every five to 10 years, they can remove the polyp and it will never be declared an invasive cancer,” Dr. Klass said. “In fact, if all Americans did their screening colonoscopies every five to 10 years, the death rate for colorectal cancer would drop by 50%.”

See how colorectal cancer screening saves lives.

Signs of colorectal cancer

  • Colon cancer is typically discovered when a patient has a colonoscopy, but it’s important to watch for these warning signs:
  • A change in your bowel habits, such as persistent diarrhea or constipation
  • Bloody stools or rectal bleeding
  • Abdominal discomfort, such as cramps, gas and pain
  • Feeling like you are unable to empty your bowels completely
  • Weakness or fatigue
  • Unexplained weight loss

If you experience any of these symptoms, contact your care team right away.

Colorectal cancer care at Wellstar

If you have been diagnosed with colorectal cancer, count on Wellstar for comprehensive, personalized care. Our specialists will work together with you to form a tailored treatment plan and offer support every step of the way.

“When a patient is diagnosed with cancer, we walk with them and guide them on this difficult journey,” Dr. Klass said, sharing how Wellstar provides compassionate care.

Wellstar offers medical expertise close to home, clinical trials and state-of-the-art surgical procedures to treat colorectal cancer. We also have a multidisciplinary gastrointestinal (GI) tumor board that diagnoses and creates treatment plans collaboratively.

Along with cancer surgeons, medical oncologists and other experts, our care team also includes nurse navigators, dietitians, social workers, psychologists, psychiatrists and counselors to provide complete care and support.

Learn how Wellstar cares for colorectal cancer.

Get answers with genetic testing

Whether you have been diagnosed with colorectal cancer or are concerned about the chance of developing it, genetic testing can help you understand your risk of getting the disease.

If your parent, sibling or child has had colorectal cancer, you are two to three times more likely to develop the condition compared with someone with no family history. Our genetic counselors can help determine how genetic testing could benefit you and your family.

“Wellstar offers support from genetic counselors to help keep other family members safe in the future,” Dr. Klass said.

Find out if genetic testing is right for you.

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Highlights

One-Stop Treatment Clinic for Patients with Thoracic Cancer

If you had to guess which cancer took the most lives in America, what would your guess be?

“Lung cancer is the No. 1 cancer killer in the U.S. for both women and men since 1986,” said Dr. Daniel Miller. Dr. Miller is the chief of thoracic surgery and the director of the Wellstar Georgia Cancer Center lung cancer screening program.

About 80% of lung cancer cases are associated with cigarette smoking, including secondhand smoke. Unfortunately, when symptoms begin showing, the cancer has already spread, making treatment very time-sensitive. When a patient is diagnosed, their care team typically includes not just one, but four doctors: a thoracic surgeon, an interventional pulmonologist, a medical oncologist and a radiation oncologist. There are many benefits to having a large care team, but a huge drawback can be the wait time between appointments with each doctor.

“When you have cancer, you want to be seen now and be treated now,” Dr. Miller said.

The speed of treatment time for patients is what inspired the creation of the Thoracic-Oncology NOW (New Oncology Workgroup) Clinic at Wellstar Georgia Cancer Center. The multidisciplinary clinic is staffed by specialized physicians in the treatment of thoracic malignancies. 

The clinic treats not just lung cancer, but also esophageal cancer, metastatic disease to the lungs and malignant pleural effusions.

“You’re cutting back on treatment time, waiting time, travel time and, more importantly, you have a group of doctors, rather than a doctor, who are talking about your care,” said Hematologist and Oncologist Dr. Girinda Raval.

The clinic operates on Wednesdays and acts as a one-stop shop for patients, saving their time and the time of their loved ones who join them for treatments. Patients also have access to Wellstar Georgia Cancer Center’s registered dietitians and social workers, along with a scheduler, financial personnel and medical assistants, creating one large care team ready to help them on their treatment journey.

“There is a degree of reassurance for the patient that there is a team who are all engrossed in caring for that patient,” Dr. Raval said.

To learn more about the Thoracic-Oncology NOW Clinic or make an appointment, call (706) 721-6744 for more information.

Keep reading
A friendly image of Kathy

PeopleCare

KathyCare

Kathy DeJoseph delights in making and giving away thousands of soft and cheerful hats to Wellstar cancer patients through a nonprofit she founded called Happy Caps. It’s all in the name of bringing a little light and comfort to people during a hard time.

Where did the idea come from? It started with Kathy’s own lung cancer diagnosis.

A commitment to yearly lung cancer screening

A cancer survivor for more than a decade, Kathy said regular lung cancer screenings were the key to her survival. With a long history of smoking and growing up around relatives who smoked, she decided to join an early detection lung cancer study at Wellstar.

Even though she felt fine and had no symptoms, committing to the study meant having an annual low-dose CT scan every year. After several years of clean scans with no signs of lung cancer, Kathy told a nurse that she was going to quit. But the nurse persuaded her to come in for another screening.

“Thank goodness she did,” Kathy said. “I was diagnosed the very next day.”

Quick and efficient treatment at the STAT Clinic

Being a part of the study and getting screened early allowed Kathy to move immediately to Wellstar Lung Cancer STAT Clinic at Wellstar Kennestone Regional Medical Center.

STAT stands for Specialty Teams and Treatment, highlighting the collaboration of multiple cancer experts. Together, they come to a consensus on a treatment plan and meet with the patient on the same day. This puts the patients at the center of their care plan, allowing them and their families to get immediate answers to questions, make decisions and start treatment faster.

“The biggest benefit for me with the way the STAT Clinic works is that I didn’t have to worry about whether the doctors had actually talked to each other,” Kathy said. “They’d come in one after another and tell me what they thought from their expertise.”

Immediate communication and mutual agreement among medical experts mean treatment plans are established and started faster, which is proven to improve long-term survival. On average, it takes 60 to 90 days from the time of diagnosis to treatment in the U.S. With the STAT Clinic at Wellstar, patients go from diagnosis to treatment in 14 to 20 days.

Kathy’s treatment started quickly—she had a lung biopsy the day after her STAT Clinic appointment and started chemotherapy a week later.

“I wasn’t as terrified for as long as most people are because I had answers within a short period of time,” Kathy remembered.

She had surgery once she completed chemotherapy. Throughout the process, she had the support of an entire cancer team, including a medical oncologist, a lung cancer surgeon, a pulmonologist and a nurse navigator.

Keep reading
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