Linesthe Cancer Program of UNC-Chapel Hill & UNC Health Care Spring 2008 Cancer Survivorship: from Clinics N.C
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30928_UNC.qxp 5/2/2008 1:04 PM Page 2 UNC Linebcancererger Comprehensive Cancer Center LinesThe Cancer Program of UNC-Chapel Hill & UNC Health Care Spring 2008 Cancer Survivorship: From Clinics N.C. CANCER HOSPITAL to Communities, UNC is There LINEBERGER COMPREHENSIVE CANCER CENTER For many cancer patients, the end of active treatment creates address the needs of the growing number of cancer survivors. a lot of uncertainty. After long periods of regular treatments There are now about 12 million cancer survivors in the U.S.; and doctor visits, the routine changes. But concerns, about 300,000 North Carolinians are survivors. challenges and potential "In the past the focus health problems remain. has almost entirely "Some have described been on treatment it as being 'dropped off a and 'beating' the cliff,' " says Elizabeth cancer," explains Marci Sherwood, coordinator of Campbell, the Center's cancer survivorship principal investigator programs. "Their cancer and professor of may be treated, but the nutrition at UNC's cancer is still part of their School of Public Health. Profile: life. As healthcare "Our cancer survivors Nancy Raab-TTraub professionals, we can need programs and 4 facilitate this transition services to help them up ... from active treatment to deal with long-term surveillance by attending health issues including to the concerns of the possible late effects of patient and managing their cancer. They some of the ongoing are concerned about physical issues related to wellness issues such as cancer and cancer Dr. Paul Godley (left) and Elizabeth Sherwood (right) meet with patient Nathan Ladd healthy eating, exercise, treatment." during his visit to the survivorship clinic. weight control and Cancer survivors in quitting smoking in Nutrition Luncheon North Carolina will now receive this kind of wide-ranging order to prevent other chronic diseases. They also need post-treatment care. Earlier this year, the Lance Armstrong psycho-social support and may have issues and concerns 6 Foundation (LAF) invited the UNC Lineberger about employment, insurance, etc." line Comprehensive Cancer Center to join the LIVESTRONG The LIVESTRONG Survivorship Center of Excellence at Survivorship Center of Excellence Network. UNC Lineberger UNC Lineberger was formed with a five-year $1.5 million is now one of only eight centers in the nation designed to continued on page 3 Radiologists Bet on Simulations Ironically, a technology originally used to develop nuclear Harriet Farb weapons is now being used by radiation oncologists at UNC to deliver more accurate doses of radiation therapy. 7 Physicists working on the Manhattan project developed an algorithm relying on random sampling to calculate the chain The upper image shows the reaction in nuclear weapons. They called it a Monte Carlo Monte Carlo predictions of simulation, and it is now used to calculate how radiation radiation dose deposited in the deposits in human tissue. lung tumor and surrounding tissue. The color map indicates the "It's nice that it can now be used to heal the sick and cure expected accuracy of the cancer," says Dr. David Morris, assistant professor of radiation calculation, with the blue region inside oncology and director of the UNC CyberKnife® program. "It over the tumor indicating a makes it easier for us to know what dose we are actually calculation accuracy of 99% delivering, and it will likely make it easier for us to understand or better. Leaving A Legacy: and determine the risk for tumor control and treatment 7 The Wards complications." continued on page 5 the 30928_UNC.qxp 5/2/2008 1:04 PM Page 3 strategy projects, training opportunities and technologic advancements between our two institutions. This partnership will N.C. CANCER HOSPITAL director’s strengthen cancer research and care and LINEBERGER COMPREHENSIVE will help both universities and our CANCER CENTER Message patients. UNC Lineberger is designated a UCRF funds were leveraged by a Comprehensive Cancer Center by $9 million gift from Fred Eshelman to the the National Cancer Institute. In today's world When cancer patients and their UNC School of Pharmacy's programs in we are exposed to physicians are working together on drug discovery, nanotechnology and Cancer Lines is a tri-annual huge amounts of getting the best treatment, information is individualized therapy. This gift will publication of the UNC Lineberger information. How on center stage. But once the routine of accelerate discoveries that can be Comprehensive Cancer Center, does information seeing doctors and nurses is in the past, translated into effective therapies for The University of North Carolina shape medical how survivors get information is less cancer patients. School of Medicine at Chapel Hill. decision-making? clear. UNC's new survivorship clinic is The first wave of UCRF innovation Dr. H. Shelton Earp, III, Director Our researchers addressing this issue for patients at UNC grants in laboratory and clinical sciences Dr. Richard M. Goldberg, Associate are looking at and in communities across the state. have been awarded. These projects range Director questions about Having more information can help from unraveling the cause of nicotine Dr. Joseph S. Pagano, Director Emeritus how the amount, clinicians plan treatment more effectively. dependency to developing a new Dr. H. Shelton Earp, III Debbie Dibbert, Director of delivery method The Monte Carlo system, profiled in technology for assessing genetic change External Affairs and type of information people receive these pages, uses information from in breast cancer. Dianne G. Shaw, Director of impacts their care. What information supercomputers to improve the accuracy The goal of the UCRF is to expand our Communications/Executive Editor helps patients to make better medical of radiation doses, especially for patients information and advance our Margot Carmichael Lester, Writer decisions? Or clinicians to offer better with tumors near the lung. understanding of cancer. In its first year, Alyson Newman, Design & Layout therapies? Or survivors to know what Information is also helping UNC we have made progress toward that goal. tests and follow-up care they need? shape priorities and programs of the We thank the NC Legislature for their Please remove me from your Patients are asked to make critical University Cancer Research Fund vision in creating this fund and the mailing list decisions while under the enormous (UCRF). Through listening sessions in communities we have visited for their stress of a cancer diagnosis. This stress Greenville, Asheville, Wilmington and insights. We are mindful each day of can affect how well they absorb and Greensboro, we have received thoughtful North Carolina's enormous confidence Name process information. Cancer Lines reports and useful insights from patients, and trust in what we are doing. We are Please add the following to the on efforts by physicians and scientists at survivors, health care professionals and grateful for this opportunity to save lives Cancer Center’s mailing list. the UNC Decision Support Lab. These citizens about the cancer priorities in and reduce suffering from cancer, in Lineberger members work at the Sheps their communities. One more session in North Carolina and beyond. Center for Health Services Research and Charlotte is scheduled for May 20. • Name develop strategies and methods to help Regionally, UNC is joining forces with Address people make decisions about their cancer East Carolina University to increase the risk, screening and treatment. flow of ideas, clinical trials, prevention City, State, Zip UNC Lineberger Earp Receives UNC’s Thomas Jefferson Award Comprehensive Cancer Center Dr. Shelley Earp, UNC Lineberger director, faculty committee chooses the recipient. mentor and leader, citizen and colleague... CB# 7295 has been honored by his peers with the Chancellor James Moeser presented the true blue Tar Heel," Rimer said. School of Medicine 2008 Thomas Jefferson Award. The annual award at a meeting of the Faculty Council "Dr. Earp has strengthened this University of North Carolina award recognizes a UNC faculty member on April 25. Barbara K. Rimer, dean of the university not only through his own at Chapel Hill Chapel Hill, NC 27599-7295 who, through personal influence and School of Public Health and Alumni accomplishments, but by nurturing a (919) 966-5905 performance of duty in teaching, writing Distinguished Professor, wrote the citation culture of collaboration. Because of Dr. www.unclineberger.org and scholarship, has best exemplified the honoring Earp. Earp's efforts, there is better treatment today ideals and objectives of Thomas Jefferson. "A man of Jeffersonian breadth and for patients in North Carolina, and there UNC faculty members nominate candidates depth, Dr. Earp is an exemplary scientist will be much better prevention and Printed on Recycled Paper for the honor, which carries a cash prize; a and humanitarian, educator and healer, treatment tomorrow."• UNC-Chapel Hill, ECU Team Up pledge $9 million to support cancer research at on Cancer Care, Research the UNC School of Pharmacy if a matching gift The University of North Carolina's two medical could be found. schools and their cancer centers have signed a The board of North Carolina's University memorandum of understanding that creates a Cancer Research Fund accepted the challenge partnership to advance cancer research and bring and matched the gift, generating a total leading-edge treatment to North Carolinians. investment of $18 million over five years. The Officials at East Carolina University's Brody conduct collaborative research that benefits our funds will support the work of the UNC School School of Medicine and its Leo W. Jenkins Cancer citizens," said UNC President Erskine Bowles. of Pharmacy and UNC Lineberger Center, the University of North Carolina at Chapel "Working together, medical faculty and scientists Comprehensive Cancer Center researchers whose Hill's School of Medicine and its Lineberger at ECU and UNC at Chapel Hill can accomplish work focuses on genetics, individualized cancer Comprehensive Cancer Center and the UNC far more than they could individually.