Title: The Beacon : News from the UF Shands Cancer Center
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 Material Information
Title: The Beacon : News from the UF Shands Cancer Center
Physical Description: Serial
Language: English
Creator: UF Shands Cancer Center
Publisher: UF Shands Cancer Center
Place of Publication: Gainesville, Fla.
Publication Date: Fall 2005
Copyright Date: 2005
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Bibliographic ID: UF00096143
Volume ID: VID00001
Source Institution: University of Florida
Holding Location: University of Florida
Rights Management: All rights reserved by the source institution and holding location.

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B

News from the UF Shands Cancer Center








research advances lead
'.to improved patient care
pages 4-5


cutting edge therapy
comes to Florida
page 2




faces of hope
Background image: The UF Cancer and Genetics page 6
Research Building opening spring 2006.



































breast concerns


(352) 265-7070. That's it Nc ",, ... ..
mail No, "Please hold No complicated I ... ,
gate to speak to a living, breathing human bei one call
and you are talking to a dedicated breast coordi who will
manage all aspects of your breast-care needs
The Breast Center at the University of Florida Shands
Cancer Center understands that the "high-anxiety" period when
a patient first becomes suspicious to when a treatment plan is
established is something that should happen quickly for the
patients' physical and mental well being "We try to shorten that
critical time between identifying the problem and getting the
patient seen by our physicians," said Gigi Moore-Higgs, coordina
tor for the Breast Center The coordinator is the focal point for a
multidisciplinary team approach that allows for a seamless transi
tion between diagnosis, treatment, and follow-up care "We make
sure patients have timely appointments for their next step, and
we track them to help coordinate their visits to maximize their
time We try to make this as close to a one-stop shop as possible,
so the patient isn't bouncing around from one service one day to
a different service the next With many of the patients traveling
from several hours away, the Breast Center compresses the "high
anxiety" time so the patient can see various disciplines on the
same day
The coordinator is part of a multidisciplinary conference
held on a weekly basis This meeting brings together the patholo
gist, radiation oncologists, radiologists, surgeons, social workers,
a genetic counselor, and hematology/oncology staff The multidis
ciplinary approach has several advantages for the patient


S I _. of knowledge and opinions among team mem-
bers ensures that the best possible treatment plan is developed
for each patient
SNew technologies and treatments are communicated between
experts This results in the patient having access to a full array
of recent technological advances, new therapies, treatment
services, and clinical research trials
j Consensus recommendations Our team approach avoids bias
in treatment recommendations while allowing for careful selec
tion of patients for breast conserving therapy
In addition to the Gainesville location, The Breast Health
Center at Shands Jacksonville offers advanced diagnostic care in
a warm, welcoming environment "Fundamentally you just try to
plan something that is absolutely designed for that specific
patient," says Shahla Masood, M D professor and associate chair
of pathology at the UF Health Science Center in Jacksonville "It's
done in a confidential, comfortable manner, with people who real
ly have the understanding of the science and psychology of breast
cancer All these things revolve around my single message, that
the more educated we all become about the latest scientific infor
nation and the more we understand the psychology of the disease
as a whole and become a patient advocate as a physician, the bet
ter we are going to serve our patients To make an appointment
at the Jacksonville location, please call (904) 244-9400
When health concerns are involved and time is a factor this
can be an extremely frustrating moment to wait for answers The
UF Shands Cancer Center understands your concerns and we
have a solution


The Breast Center at the
University of Florida
Shands Cancer Center

Our services include:

A Diagnosis of breast cancer,
including cutting-edge
outpatient diagnostic tests

A Evaluation of worrisome
breast pain, lumps, or
suspicious mammograms

A Evaluation and treatment of
conditions associated with
previous treatments

A Access to plastic surgeons
offering the most advanced
procedures

A Long-term, follow-up care, in
consultation with a woman's
primary care physician, her
local oncologist, and local
hospital

A Genetic counseling and
testing for genetic changes
that are known to increase a
woman's risk of developing
breast and/or ovarian cancer

A Consultation and treatment
by reproductive specialists
about preserving fertility
during cancer treatment, and
the need for alternatives to
hormone replacement

A Counseling for women with
children to help them talk to
their children about cancer

A Nutrition counseling

A Educational programs,
seminars, and support groups


"The Breast Center has improved the Lives of our patients.

The patients normally have to jump through so many hoops

and it would never happen in a timely way if it weren't for

Gigi (Moore-Higgs, coordinator of the Breast Center)."

Dr. Edward Copeland, Edward R. Woodward Professor, Department of Surgery, UF College of Medicine


TheBeacon i FALL 2005












director's welcome


FLORIDA'S FIRST NATION'S FOURTH
Proton beam cancer treatment facility scheduled to open Summer 2006.


I am pleased to welcome you to the first issue
of The Beacon! Its purpose is to tell the story of
the University of FLorida Shands Cancer Center, to
keep you informed of our ongoing research, and to
assist you in finding information.
Our objective at the University of FLorida
Shands Cancer Center is two-fold: to find a cure for
cancer, and to improve the lives of patients and
families affected by this disease. With the many
new insights we are gaining about the genetic and
molecular causes of cancer, the opportunities for
finding new cancer treatments over the next
decade are incredible. Advances are constantly
being made in the treatment and prevention of
cancer advancements which motivate us to step
up our efforts even more. More than ever, our
focus is on research that translates directly to
improved patient care and clinical applicability.
I am especially excited by our collaborative
research efforts spurred on by the development of
two new cancer treatment and research facilities.
The UF Cancer and Genetics Research Building is
scheduled for completion in the spring of 2006 and
the proton beam facility will open in the summer
of 2006 (see pgs. 2-3 for related stories). These
facilities will bring the Latest treatments to the
southeast and enable physicians and researchers to
work in partnerships that directly benefit patients.
The pursuit for a cure is ongoing, but progress
is undeniable. Survival rates are improving, and
patients are experiencing an improved quality of
Life while under treatment. Surgeries are Less radi-
cal and therapies have been developed that allow
for more effective treatment with fewer negative
side effects. With your generous support, we are
redefining the boundaries of cancer research.
Together, we are working to make cancer a disease
of the past.





W. Stratford May Jr., M.D., Ph.D.
Director, UF Shands Cancer Center


S. . ..... I. -lorida takes a giant leap forward
I ,I I .. .. of Florida College of Medicines
I.. I states first proton beam cancer
I ..... i ,,1 I cated on the campus of the
I I I, ,l. medical center
II .. ... .eatment involves delivering tightly
focused doses of electrically charged particles called
protons to destroy tumors, with little or no harm to


front of the tumor or beyond it," said Dr Nancy
Mendenhall, chairwoman of the department of radia
tion oncology at UF "The dose distribution from pro
ton beams can be shaped to conform three-dimen
sionally to the size and shape of the tumor, and to
avoid normal structures "That makes it possible to
deliver high doses of radiation to the target site with
out damaging healthy tissues "


Proton beam therapy delivers very tightly defined doses of radiation to destroy
tumors, with Little or no damage to adjacent healthy tissues.


nearby healthy tissues The method has the potential
to increase cure rates while reducing complications,
thereby I. ... advantages over conventional thera
py With proton beam therapy, the radiation oncolo
gist can accurately focus the radiation dose on the
targeted tumor with sub-millimeter precision
"Protons deposit most of their energy at the end of
their desired path releasing very little energy in


The facility, designed to treat as many as 200
patients per day, will be only the fourth of its kind in
the nation, and will offer what many agree is the best
therapy available today for selected patients with
localized cancerous tumors In addition to providing
proton therapy, the facility will include a full range of
state-of-the-art conventional radiation therapy
options as well as a clinic, and space tor research


Proton Beam Therapy: How does it work?


Proton beam therapy enables the radiation dose to
be targeted on the tumor. In contrast to conventional
radiation therapy, protons are easier to focus, so there
is much Less risk for damage to nearby healthy tissue.
Protons give out their energy in a burst on the
defined target and very Little damage occurs as the
protons pass through healthy tissue prior to reaching
the tumor. No damage occurs to tissues and organs
behind the tumor because the protons have already
expended their energy.
Less healthy tissue is exposed to radiation so doses
can be increased. "That's the beauty of proton therapy,"
said Dr. Nancy Mendenhall, chairwoman of the depart-
ment of radiation oncology. "Because we don't have to
worry about the toxicity with protons, we can increase
the dose and increase the probability of curing the
patient." The bottom Line proton beam therapy
offers patients a better chance for a cure and a better
chance of avoiding radiation's negative side effects.
Top: An x-ray beam deposits maximum energy within
the bony structure of the hips. Bottom: Proton beams
deposit maximum energy within the tumor of the
prostate gland, minimizing radiation to normal
structures.


TheBeacon I FALL 2005


PROTCN KAM




















Spring 2006:





s part of Floridas premier academic medical institution, the UF Shands
Cancer Center is poised to make a huge impact on cancer research with the
development of the UF Cancer and Genetics Research Building The facility,
scheduled to open in the Spring of 2006, will unite much of the university's cancer and genet
ics research under one roof The 280,000-square-foot-building will house the university's
Genetics Institute, the UF Shands Cancer Center, the Interdisciplinary Center for
Biotechnology Research, and the C A Pound
Human Identification Laboratory
Dr W Stratford May Jr, director of the UF
Shands Cancer Center, says approximately 40
scientists and 300 support personnel will work
in the cancer research laboratories "This build
ing will provide an environment suited to team-
work among cancer, genetics and biotechnology
researchers," said Dr May
September 17, 2004 The center facilities help promote the principle
of translational research This form of research is
characterized by improved communication among
specialized research scientists and physicians It is
vital that cutting-edge research arrives to doctors
in a useable format It is also crucial that inform
tion gathered by physicians get to researchers By
locating it next to the Jerry and Judith Davis
Clinical Cancer Center, the outpatient unit of the
UF Hands Cancer Center, this state of heart
November 16, 2004 facility will help foster the interdisciplinary corn
munication that is needed to bring the latest
advances from the laboratory to the patient
Many important advances in prevention, early
detection and treatment already are occurring
right here in the UF Shands Cancer Center The
UF Cancer and Genetics Research Building is
one large step toward the goal of National
Cancer Institute (NCI) designation This desig
Station will attract leading researchers from
June 15, 2005
around the world and result in collaborative
research that translates directly into further
improvements in patient care
"The greatest scientific riddles from curing
cancer to preserving biodiversity to making gene
S. therapy work arc unlikely to BC so lived by sci
dentists in a single discipline," said Win Phillips,
S UF's vice president for research The collabora
S Ltive environment of the UF Cancer and Genetics
Artist's Rendering Research Building will surely speed the process
of discovery and, ultimately, save lives



"This buiLding wiLL provide an environment

suited to teamwork among cancer,

genetics and biotechnoLogy researchers."

Dr. W. Stratford May Jr.


Jacksonville couple


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Group forms to test new cancer drugs in children




UF physicians are partnering with eight other academic medical centers in a national consortium aimed at testing new cancer therapies in children who
fail to respond to traditional treatments

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Team approach

provides comprehensive

care for cancer patients


I..o1le Alilerncai- ciie each .eai trio lu. ng cancer than from breast, prostate and colorec-
tal cancer, c.ombroin .ccoi.intingr j tor 28 percent of all cancer deaths, approximately
1 :-..-0 ne,", c.as .e it tl.ung cancer, i,.".l ha e been diagnosed in 2004 and more than 160,400

Americans will cdie from the condition, according to the American Cancer Society.

"Lung cancer is a very aggressive disease The five-year survival rate for lung cancer patients is only 15 percent," explained Harry D'Agostino, MD ,
University of Florida College of Medicine assistant professor of surgery at Shands Jacksonville "Early detection of lung cancer is critical Unfortunately
many people aren't diagnosed, and therefore are left untreated, until the cancer is in a later stage "
Shands Jacksonville and the UF College of Medicine started Jacksonville's first multidisciplinary thoracic oncology program in 2002 TOPS is a pro
gram where UF physicians provide a comprehensive approach to the diagnosis and treatment of patients with lung cancer and other abnormal thoracic
growths Patients with esophageal cancer, mesothelioma and metastatic tumors of the chest also receive treatment through the program
"The process of referring a patient from one specialist to another outside of a coordinated program can take weeks and even months, leaving some
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TheBeacon I FALL 2005












Ingrid truly 'Lives' for Gator football


The Florida Gators' stirring
32-29 victory over arch-rival
Florida State in 1997 did
more than boost Florida's
national title hopes The inspi
rational win also convinced
Ingrid Allred, a 1981 UF edu-
cation graduate, to return to
her beloved alma mater to bat
tle the deadly cancer that was
ravaging her body
"I watched the Gators beat
FSU from my hospital bed (in
Daytona Beach) and decided,
Hey, I'm a fighting' Gator, I
need to get to Shands (at
UF)," explained Allred, a Palm
Coast, Fla, housewife and
mother of a school-aged
daughter
Team allegiance may not
be the best way to choose a
hospital, but you can't argue
with results At the UF
Shands Cancer Center, Allred
was diagnosed with non


Hodgkin's lymphoma, a fast
spreading cancer of lymph
tissue in the body immune
system UF oncologist James
Lynch, M D gave her the
grim news that, with
chemotherapy, she probably
had about two years to live
Surprisingly, the potent drug
therapy sent Allred's cancer
into remission, enabling UF
oncologists to perform a new
stem-cell transplant tech
unique that gave her a chance
for a longer life The trans
plant replenished her bone
marrow with mature, healthy
stem cells needed to produce
the full supply of blood and
immune system cells, which
had been obliterated by the
chemotherapy Allred
returned the following year to
have a recurring tumor surgi
call removed, but she's been
free of cancer ever since


The avid Gator fan now
celebrates two birthdays
every year She has one party
on her real birthday (Oct 13)
and also celebrates another
special day "May 5th is my
new birthday," Allred said
proudly "That's when I got
my stem cells back that gave
me a new life "


WHEN SHOULD YOU GET TESTED?


Testicular: monthly self-exams STARTING AT
AGE 15 (the most common cancer in men age
15 to 34).

Colon/Rectal: BEGINNING AT AGE 50, consult
with your doctor for a variety of testing options.

Prostate: men with multiple relatives diagnosed
with prostate cancer should begin testing AT
AGE 40. Men with no family history should be
tested annually, BEGINNING AT AGE 50.


Breast: monthly breast self-exams AT AGE 20
with annual mammograms AT AGE 40.


Cervical: women should begin screening within
3 years of onset of sexual activity, or NO LATER
THAN 21. BEGINNING AT AGE 30, screenings
may become less frequent depending on the
individual's course of care. Women 70 years of
age or older may choose to stop having cervical
screenings depending on their physician's
advice for their situation.
Endometrial (Uterine): report any unexpected
bleeding or spotting to your doctor.
Colon/Rectal: BEGINNING AT AGE 50, consult
with your doctor for a variety of testing options.


Skin: watch for irregularities by remembering the ABCD rule (see p. 7 for more information).


NOTE: not all physicians agree on the best timing for screenings and there is controversy over
which procedures are best. Ask your health care provider which screenings are right for you.


STell Us


SWhat

S) You Think



This is our initial effort to bring you the
news and events happening here at the UF
Shands Cancer Center. We welcome your
feedback as we seek to make The Beacon an
informative and useful resource for our
supporters. If you or a friend would Like to
be added to the mailing List, please Let us
know by contacting us at (352) 265-8097.
You may also request a copy by visiting the
website at www.ufscc.ufl.edu and clicking
on the "Join our MaiLing List" option under
the "Make a Gift" Link.


The Beacon I FALL 2005









UF Shands Cancer Center partners with other

Florida centers to fight cancer


In an effort to address the state's cancer concerns The
Florida Dialogue on Cancer (FDOC) was founded in
2002 "It is a statewide coalition of diverse groups who are
speaking with one voice to help increase cancer research L
capacity and relieve disparity issues for those with cancer," F
W Stratford May Jr, director of the UF Shands Cancer Center SH
said "Every Floridian deserves knowing that their cancer reses, I I
cancer caregivers are doing what it takes to ensure that new di ... I
made that lead to new treatments and preventative measures f< i


RSITY OF
LORIDA
LINDS C ANC ER CENTB


suffer from cancer'

The central goat of the Florida Dialogue on Cancer is to

position Florida as a center of excellence in

cancer research.
One way the FDOC is tackling cancer in Florida is through recognizing the importance of clinical trials to
advancing the fight against this disease, the FDOC is committed to educating and connecting Florida cancer
patients to available clinical trials throughout the state Clinical trials provide patients with an opportunity to
receive the highest quality of care available to fight their disease while also developing new treatments for cancer
A website and toll-free number allows patients to confidentially submit details about their diagnosis and match
themselves to appropriate clinical trials in the state
This is the only statewide information and matching senrice of its kind in the country and it ensures that cancer
patients, their families and healthcare providers are just a mouse click (wwwFloridaCancerTrials comn) or phone
call (1-800-584-9976) away from learning more about treatment options in Florida
Clearly, the fight against cancer is a complex process, yet we can help ensure hope for tomorrow by working
together to make this state a center of excellence in cancer research The UF Shands Cancer Center is a proud
partner in this collaboration for finding a cure


GatorSHADE


UF program teaches children about cancer prevention


U university of Florida faculty members have
used their school's mascot to teach young
children about the importance of sun
protection
The GatorSHADE program was developed to edu-
cate Florida's children and their parents about skin
cancer and encourage them to make appropriate
lifestyle changes to prevent the disease
"Skin cancer has become the No 1 cancer found in
the United States today, and Florida has one of the
nation's highest incidences of the disease," said pri
mary founder Carol Reed Ash, Ed D R N FA A N,
Eminent Scholar, Kirbo Endowed Chair in oncology
nursing and associate director at UF Shands Cancer


Center "Yet skin cancer is one of the most easily
detected and curable forms of cancer if treated early"
The website, www.gatorshade.ufl.edu, contains
interactive games and learning tools designed to make
skin cancer education fun and easy, and the curricular
tools allow teachers and counselors to easily integrate
GatorSHADE principles into their learning plans
"Education is no longer confined to books and lec
tures, and today's children utilize the Internet to learn
about important issues We felt a website would be
the best way to communicate and share our program
The "Reach the Beach" game allows kids to flip a
virtual coin, take a turn answering a skin cancer ques-
tion, and advance through colored footsteps in the
sand Whoever answers the most questions correctly
will "reach the beach" first Also included are a cross
word puzzle, word search and even a science experi
ment involving the sun The video, which features teen
newscasters reporting about sun safety, has been made
available in web format so that children may watch
one segment at a time
Dr Ash and her colleagues hope that the new Web
site will assist both parents and educators in teaching
children about the importance of sun protection and
making sure the practice lasts a lifetime The curricu-
lum has already proven to raise awareness in more
than 1,100 elementary school students


New initiative aims to raise
$150 million for UF faculty
support and research
UF President Bernie Machen announced a pLan designed
to increase the number of faculty and strengthen research
dollars. The UF Faculty Challenge intends to raise $150
million to meet the demands of educating FLorida's growing
population and make UF one of the nation's premier research
universities.
"In order for the University of FLorida to reach its poten-
tial, we must find ways to do a better job of supporting our
faculty," Machen says. "The purpose of this initiative is to
build an endowment to provide for competitive salaries, so
the university can attract and retain the best and brightest
faculty and give them the tools they need to excel."
Your gift can help bring the Latest discoveries to UF and
help find answers to problems facing people around the
world. Private gifts in this fund will be used to create endow-
ments for professorships, Lectureships, and provide funding
for research. Gifts to the challenge of $100,000 or more
may be eligible for state matching funds. For every gift of
$1 million or more, Machen has pledged to add $250,000 as
funds are available.

For more information, please visit
www.uff.uf. edu/FacultyCh a[enge
or call (352) 265-8097.




When to consult a doctor
If you notice any unusual mole or skin growth,
contact your physician. The danger signs of malig-
nant melanoma can be remembered by using the
following A-B-C-D:


TheBeacon I FALL 2005


Asymmetry
melanomas are often
uneven in shape


Border
jagged rather than smooth


Snl]


*AM S- Color
mixed shades of tan,
:4 brown, and black



Diameter
'... larger than a pencil eraser















































S UNIVERSITY OF
. FLORIDA
HANDS CANCER CENTER
P.O. Box 103560
Gainesville, FL 32601


The UF Shands Cancer Center web site,
www.ufscc.ufl.edu, is a gateway to a
wealth of information on cancer
related topics. The site
provides information on ,,
the latest research, clinical
trials, support resources, clinical services avail-
able, and much more in an easy to read format.


Non-Profit Organization
US. Postage
PAID
Permit No. 94
Gainesville FL




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