What You Need to Know About Lung Cancer Risk and Screening

What You Need to Know About Lung Cancer Risk and Screening

Lung cancer remains one of the leading causes of cancer-related deaths in the U.S., largely because it’s often found at a later stage. But the earlier it’s caught, the more treatment options there are. Understanding your personal risk and whether screening is right for you can be lifesaving.

Understanding Lung Cancer Risk

Lung cancer risk is influenced by a mix of lifestyle, environmental, and genetic factors. Here’s what to know:

  • Tobacco use is the biggest risk factor. Smoking cigarettes, cigars, or pipes damages lung tissue and significantly increases your risk over time. Even exposure to secondhand smoke can raise lung cancer risk.
  • Pack-year history (e.g., 1 pack a day for 20 years = 20 pack-years) is used to measure long-term exposure.
  • Former smokers are still at risk, especially within the first 15 years of quitting.
  • Secondhand smoke also increases risk, particularly with long-term exposure.
  • Environmental exposure to radon gas (a naturally occurring radioactive gas) is the second leading cause of lung cancer in the U.S.
  • Occupational exposure to substances like asbestos, arsenic, diesel exhaust, and silica dust can raise risk, especially in industries such as mining, construction, and manufacturing.
  • Radiation therapy to the chest, often for previous cancers (like breast or lymphoma), can slightly increase risk over time.
  • Family history of lung cancer may signal inherited genetic susceptibility.
  • Certain dietary supplements, like beta carotene taken in high doses by smokers or former smokers, have actually been shown to increase lung cancer risk.
  • Chronic lung conditions like COPD or pulmonary fibrosis can also elevate risk.

Having one or more of these risk factors doesn’t mean you will get cancer, but it does mean screening might be worth discussing with your doctor.

The Role of Screening in Lung Cancer

Lung cancer screening means finding disease before symptoms appear, when it’s most treatable. The only recommended test for early detection is low-dose computed tomography (LDCT), which uses lower levels of radiation than a standard CT scan to create detailed images of the lungs.

LDCT can detect small nodules or abnormalities before they grow or speed. The National Lung Screening Trial (NLST) showed that LDCT reduces lung cancer deaths by about 20% compared to chest X-rays.

Who Should Be Screened?

The U.S. Preventative Services Task Force recommends annual LDCT lung cancer screening if you meet all of the following:

  • You’re between 50 and 80 years old
  • You have a 20 pack-year or more smoking history
  • You currently smoke or quit within the last 15 years
  • You are in relatively good health and would be eligible for treatment if cancer is found

If you don’t meet all of these criteria, talk to your provider, especially if you have other risk factors, such as occupational or environmental exposures.

Benefits of LDCT Screening

  • Catches lung cancer at an early, more treatable stage
  • Reduces the risk of dying from lung cancer
  • Offers peace of mind when results are normal

The decision to screen should be made together with your care team, based on your full medical history and personal values.

Taking the Next Step

If you think you may qualify for lung cancer screening or you’re unsure, start by:

  1. Talking with your doctor about your smoking history and risk factors
  2. Requesting a risk assessment to see if LDCT is recommended
  3. Finding a high-quality screening center that follows national guidelines
  4. Making a quit plan. If you’re still smoking, stopping now can dramatically lower your risk
  5. Committing to yearly follow-up if screening is recommended

Even if you’ve quit smoking, your lungs deserve regular attention. Screening is about giving yourself the best chance at early detection and better outcomes.

The Bottom Line

Lung cancer screening isn’t right for everyone, but for those at higher risk, it could save your life. If you’re unsure, a simple conversation with your provider is a good first step. You don’t have to face your risk alone; your care team is here to help.

 

Pancreatic Cancer: Symptoms, Risk Factors, and Advances in Treatment

Pancreatic Cancer: Symptoms, Risk Factors, and Advances in Treatment

Pancreatic cancer is one of the most difficult cancers to detect and treat, but increased awareness, earlier diagnosis, and new treatment advances are giving patients more options than ever. Whether you are seeking information for yourself or someone you love, it helps to understand the signs, risks, and developments in care.

Why Pancreatic Cancer is Often Diagnosed Late

The pancreas is located deep in the abdomen behind the stomach and plays a key role in digestion and blood sugar regulation. Because of its location, pancreatic cancer rarely causes symptoms until it is more advanced.

Most cases are pancreatic adenocarcinoma, which begins in the cells lining the pancreatic ducts. Less common types include pancreatic neuroendocrine tumors.

Symptoms to Watch For

Symptoms of pancreatic cancer can be subtle or confused with other conditions. Common warning signs include:

  • Yellowing of the skin or eyes (jaundice)
  • Unexplained weight loss
  • Loss of appetite
  • Abdominal or back pain
  • Fatigue or weakness
  • Dark colored urine or itching
  • Greasy, light-colored, or foul-smelling stools
  • New-onset diabetes, particularly in older adults

If you experience any of these symptoms, especially if they persist, speak with your healthcare provider.

Who Is at Risk for Pancreatic Cancer?

Some risk factors for pancreatic cancer are outside of your control, while others can be reduced through lifestyle changes. Key risk factors include:

  • Age over 60
  • Smoking
  • Family history of pancreatic, breast, or ovarian cancer
  • Inherited gene mutations such as BRCA1, BRCA2, PALB2, or Lynch syndrome
  • Chronic pancreatitis
  • Type 2 diabetes, especially if recently diagnosed
  • Obesity
  • A diet high in red or processed meat and low in fruits and vegetables
  • Excessive alcohol use, especially when linked to chronic pancreatitis
  • Exposure to certain workplace chemicals used in metalworking and dry cleaning

If you have multiple risk factors, your doctor may recommend earlier monitoring or genetic counseling.

How Pancreatic Cancer is Diagnosed

Diagnosis typically starts after symptoms arise. Since there is no standard screening test for the general population, doctors rely on imaging and laboratory testing to evaluate symptoms. This may include:

  • CT or MRI scans to locate tumors
  • Endoscopic ultrasound (EUS) or ERCP to examine or biopsy the pancreas
  • CA 19-9 blood test, which may indicate cancer activity
  • Genetic and tumor testing to guide personalized treatment

Individuals with a strong family history may be candidates for high-risk surveillance programs.

Treatment Options and What’s New

Pancreatic cancer treatment depends on several factors including cancer stage, location, and a patient’s overall health. Options include:

  • Surgery such as the Whipple procedure when the cancer is caught early and localized
  • Chemotherapy either before or after surgery, or as a primary treatment
  • Radiation therapy to help shrink tumors or treat symptoms
  • Targeted therapy for patients with specific genetic mutations
  • Immunotherapy in select cases, such as tumors with mismatch repair deficiency or microsatellite instability

Recent advancements include:

  • Increased use of molecular profiling to guide treatment decisions
  • Access to clinical trials exploring new drug combinations and immunotherapy
  • Better imaging technology to identify cancer earlier and more accurately

Support Through Every Step

Pancreatic cancer is not just a physical challenge. Emotional, nutritional, and practical support are equally important. Patients and caregivers may benefit from nutrition guidance, palliative care to manage symptoms, genetic counseling, support groups or one-on-one emotional support, or survivorship planning.

We are committed to supporting every part of the journey, not just the medical treatment.

What You Can Do to Lower Risk

There is no guaranteed way to prevent pancreatic cancer, but you can reduce your risk by:

  • Not smoking
  • Maintaining a healthy weight
  • Eating more whole fruits, vegetables, and whole grains
  • Limiting red and processed meats
  • Avoiding excessive alcohol
  • Managing chronic conditions such as diabetes or pancreatitis

If you have a family history of pancreatic cancer, ask your doctor whether genetic counseling or early detection testing is right for you.

 

Health Literacy Month: Turning a Cancer Diagnosis into Clarity and Confidence

Health Literacy Month: Turning a Cancer Diagnosis into Clarity and Confidence

October is National Health Literacy Month, a reminder that quality cancer care isn’t only about treatments, but also about helping patients truly understand their diagnosis and options. Navigating a cancer diagnosis often involves learning unfamiliar medical terms, weighing complex treatment choices, and making difficult decisions under emotional stress. Clear, accessible communication can make the difference between confusion and confidence, empowering patients to take an active role in their care.

The Underestimated Importance of Health Literacy

Health literacy: the ability to access, understand, evaluate, and use healthcare information is critical for anyone facing a cancer diagnosis. Low health literacy has been linked to:

  • Poorer quality of life in cancer patients
  • Difficulty understanding and processing complex diagnosis and treatment information
  • Greater challenges participating in shared decision-making
  • Risks of miscommunication leading to errors in treatment adherence

In fact, research shows that patients with higher health literacy survive nearly nine months longer on average than those with lower literacy levels, across various cancers.

Common Barriers to Understanding

When someone hears “You have cancer,” the emotional impact alone can make everything hard to process. Beyond that, barriers include:

  • Complex medical jargon and densely written materials
  • Reading levels that exceed typical comprehension, many health documents are at a high school senior level or above
  • Sociodemographic challenges such as older age, limited education, low income, or limited English proficiency
  • Institutional gaps like rushed conversations and unclear handouts

These obstacles can leave patients confused and anxious when they most need clarity.

Why It Matters – Especially in Cancer Care

Patients with low health literacy are less likely to stick to screening schedules, understand treatment plans, or manage follow-up care effectively. Cancer diagnoses are emotionally intense, patients often must weigh surgery, chemotherapy, or radiation with little room for mistakes. Misunderstanding can lead to delayed treatment or poor adherence.

What You Can Do This Health Literacy Month

Whether you’re a patient, caregiver, or provider, here’s how to make communication count:

  • Ask questions: repeat them back in your own words to make sure everyone is clear.
  • Request plain-language explanations of your diagnosis, treatment options, and side effects.
  • Bring a trusted friend or family member to appointments to help take notes, ask questions, or offer support.

For providers: slow down, simplify your language, and confirm understanding through teach back.

Cancer is hard enough. Health literacy shouldn’t make it harder. This October, during Health Literacy Month, we want to help build bridges so that every person facing a cancer diagnosis can feel heard, understood, and empowered to act.

At Lowcountry Oncology Associates, we strive to provide clear, compassionate communication and support. If you or a loved one is navigating a cancer diagnosis, we’re here to walk every step with you.

Call us at 843-790-8280 to learn how we help patients understand and feel confident throughout their care journey.

 

 

 

 

Breast Cancer Awareness Month: Risk Factors, Screening, and Advances in Treatment

Breast Cancer Awareness Month: Risk Factors, Screening, and Advances in Treatment

October is Breast Cancer Awareness Month, a time to highlight the importance of prevention, screening, and treatment progress against one of the most common cancers affecting women. While breast cancer remains a serious health concern, advances in detection and therapy are giving patients more hope than ever before.

Understanding the Numbers

Breast cancer remains the most common cancer in women in the United States, except for skin cancers. Approximately 1 in 8 women will develop the disease during their lifetime. While these statistics may seem concerning, there’s reason for hope: when detected early, the 5-year survival rate for localized breast cancer is nearly 99%. This highlights the critical importance of awareness, screening, and early detection.

Key Risk Factors to Know

Some risks cannot be changed, while others can be managed through lifestyle choices.

Inherent Risk Factors

  • Age – risk increases with age, especially after 50
  • Gender – women are at much higher risk than men
  • Family history of breast or ovarian cancer
  • Genetic mutations – BRCA1 or BRCA2 are the most well known
  • Personal history of breast cancer or certain benign breast conditions
  • Dense breast tissue
  • Previous chest radiation therapy
  • Early menstruation (before age 12) or late menopause (after age 55)

Modifiable Risk Factors

  • Alcohol consumption – even moderate drinking increases risk
  • Obesity, specifically after menopause
  • Lack of physical activity
  • Certain types of hormone replacement therapy
  • Smoking
  • High fat diet
  • Low fruit and vegetable intake
  • Reproductive factors – having no pregnancies or first pregnancies after the age of 30

Having risk factors does not guarantee a diagnosis but understanding them helps guide screening and lifestyle decisions.

Current Screening Guidelines: The Power of Early Detection

Early detection saves lives, and screening recommendations have evolved based on the latest research and evidence.

National Guidelines

According to the National Comprehensive Cancer Network recommends women start annual mammograms at age 40 as long as the woman is in good health and has a life expectancy of 10 years or more.

High Risk Individuals

Women with a strong family history, BRCA mutations, or prior chest radiation may need earlier and more frequent screening, sometimes starting in their 20s-30s. Additional imaging such as MRI may be recommended.

Self-Awareness

Knowing how your breasts normally look and feel remains an important tool. Report changes such as new lumps, swelling, nipple discharge, or skin dimpling to your healthcare provider right away.

Advances in Breast Cancer Treatment

Treatment is becoming more personalized, precise, and effective thanks to medical innovation.

  1. Immunotherapy: drugs like pembrolizumab (Keytruda) have changed the outlook for triple-negative breast cancer (TNBC). These immune checkpoint inhibitor treatments help the patient’s own immune system recognize and attack cancer cells more effectively.
  2. Antibody-Drug Conjugates (ADCs): new therapies, including Trodelvy, deliver chemotherapy directly to cancer cells while sparing healthy tissue. Combined with Keytruda, Trodelvy has recently shown a 35% reduction in disease progression risk in advanced TNBC.
  3. Targeted Therapies: Targeted therapies, including CDK4/6 inhibitors, HER2-directed drugs, and PARP inhibitors, are improving outcomes for many patients with specific tumor profiles.
  4. Surgical and Radiation Advances:
    1. Oncoplastic surgery allows cancer removal with immediate reconstruction
    2. Sentinel node biopsy reduces the need for extensive lymph removal
    3. Hypofractionated radiation delivers therapy in fewer sessions with equal effectiveness
  5. Neoadjuvant Therapy: treatments given before surgery can shrink tumors, allow less invasive surgery, and guide therapy choices.

Taking Action: What You Can Do

  • Stay current with screening recommendations for your age and risk level
  • Maintain a healthy lifestyle – stay active, keep a healthy weight, and limit alcohol
  • Know your family history and ask if genetic testing may be appropriate
  • Be aware of changes in your breasts and speak with your provider if something seems unusual
  • Don’t skip screenings – early detection saves lives

Questions to Ask Your Healthcare Provider:

  • Am I at higher-than-average risk for breast cancer?
  • When should I start screening, and how often?
  • Would I benefit from genetic counseling?
  • What symptoms should prompt me to call your office?

A Message of Hope

Today, more people are surviving breast cancer and living well during and after treatment. Clinical trials, precision medicine, and supportive care continue to improve outcomes.

At Lowcountry Oncology Associates, we are committed to providing compassionate, comprehensive breast cancer care. Whether you’re due for your first mammogram, concerned about symptoms, or seeking advanced treatment, our team is here to guide and support you.

This Breast Cancer Awareness Month, take charge of your health, schedule your screening, know your risk, and share the importance of early detection with loved ones.

To schedule an appointment or learn more about our services, please contact our office at (843)790-8280 or visit www.lowcountryoncology.com. We’re here to support you on your health journey.

Understanding Ovarian & Uterine Cancer: What Every Woman Should Know

Understanding Ovarian & Uterine Cancer: What Every Woman Should Know

Ovarian and uterine cancer are two of the most common types of gynecologic cancers, and they often don’t receive the attention they deserve. These cancers affect thousands of women each year, which is why we believe it’s important to raise awareness this month about the symptoms, risks, and importance of early detection.

Whether you’re learning for yourself or someone you love, here’s what you need to know.

Let’s Start with the Basics: What Are Ovarian and Uterine Cancers?

Both cancers begin in the reproductive organs, but differ in how they develop and present.

Ovarian cancer starts in the ovaries or nearby tissues like the fallopian tubes or peritoneum. It’s often called a “silent” cancer because early symptoms can be vague or mistaken for other conditions.

Uterine cancer, also known as endometrial cancer, begins in the lining of the uterus. It’s the most common gynecologic cancer in the U.S.

Know the Warning Signs

Paying attention to your body is key, especially when symptoms are persistent or unusual.

Common symptoms of ovarian cancer can include:

  • Vaginal bleeding or discharge that is unusual for you
  • Bloating or abdominal swelling
  • Pelvic or abdominal pain
  • Feeling full quickly when eating
  • Changes in urinary frequency and/or bowel habits
  • Back pain and fatigue

Uterine cancer symptoms may include:

  • Abnormal vaginal bleeding (especially after menopause)
  • Vaginal discharge that is unusual for you
  • Pelvic pain or pressure
  • Pain during intercourse

These symptoms don’t always mean cancer, but they should never be ignored.

There is no routine screening test for ovarian cancer, which makes symptom awareness more crucial. Diagnosis may involve pelvic exams, imaging (ultrasound or CT), blood tests like CA-125, or biopsy.

Uterine cancer is often detected early due to abnormal bleeding. Diagnosis may involve an endometrial biopsy, transvaginal ultrasound, or dilation and curettage (D&C).

Who is at Risk?

While any woman can be affected, certain factors may increase the risk for these cancers:

  • Age: most cases occur in women over 50
  • Family history: especially of ovarian, breast, or colorectal cancer
  • Inherited genetic mutations: such as BRCA1/BRCA2 or Lynch syndrome
  • Hormone-related factors: early menstruation, late menopause, or hormone replacement therapy
  • Obesity and related health conditions: particularly in uterine cancer

Treatment and Support: You’re Not Alone

Both cancers are treatable, especially if caught early. Treatment often involves a combination of:

  • Surgery
    • Hysterectomy: removal of the uterus. It may also include removal of the cervix, ovaries, or fallopian tubes. After a hysterectomy, a woman can no longer get pregnant.
    • Oophorectomy: removal of one or both ovaries. Often used to both treat and prevent ovarian cancer. Removing both ovaries causes immediate menopause.
  • Radiation therapy
  • Chemotherapy
  • Hormone or targeted therapy, depending on the cancer type and stage (typically for more advanced cases)

Care plans are always tailored to each woman’s needs, talk to your primary care or OBGYN about what treatment options could best serve you.

Be Your Own Advocate

Understanding your body, knowing your risks, and speaking up about symptoms are powerful tools in protecting your health. If something feels off, don’t wait. Talk to your doctor; we are here to help.

Whether you are facing a diagnosis, supporting a loved one, or simply educating yourself, awareness matters.