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June 2021 Newsletter | Toronto
 
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 - June is Cancer Survivor Month -
Survivor Spotlight – Maxa Millman

Colon Cancer Survivor
 
Q: Tell us a little bit about yourself
A: I was born and raised in Toronto. I graduated from York University and took a Post Graduate Diploma in Marketing.  I met my husband over 20 years ago and we were married in 2003.  We have two beautiful girls.  I was fortunate to be able to stay home and raise my children. Before Covid hit, I started an apparel company called Colour Riot which allows me to tap into my creative side.  I also love to exercise and read.

Q: When did you notice signs that something wasn't right with your health?
A: I didn’t really have any alarming symptoms that made me think something was wrong other then maybe some slight gastrointestinal abnormalities.  I was actually very active.  I had taken my Yoga Teacher Training and was working out 3-4x a week at Orange Theory.  When I look back at that time, I realize now that I was always tired.  I attributed this to my workouts and didn’t really think anything of it. Closer to the time I was diagnosed, I experienced bad cramping.  Again, I didn’t think this was abnormal as I was most likely hormonal given my age.
 
Q: When were you diagnosed?
A: I was experiencing severe cramps and went to the hospital.  I was diagnosed with diverticulitis and was sent home with antibiotics.  A couple hours later, I heard a pop (similar to when my water broke) and had extreme severe pain.  My bowel had perforated.  The on-call doctor brought in a specialist who told my husband that the perforation may have been caused by a tumor.  The doctor felt I was strong enough to heal on my own from the perforation.  It was risky and was a difficult decision for my husband to make, but I am thankful that he chose not to operate because the outcome may have been much worse. This happened Feb 12, 2018.

Q: What was your initial reaction to your diagnosis?
A: I had to wait a couple months after my bowel perforated before the doctor was able to perform a colonoscopy in order to determine what was going on with me.  I intuitively knew something wasn’t right at that point and felt like a ticking time bomb so when I found out that it was a tumor, and a couple days later that it was cancerous, I wasn’t surprised.

Q: What type of cancer did/do you have?
A: I HAD colon cancer.

Q: How soon did you tell family and friends?
A: Right away.

Q: What was your treatment like?
A: It was terrible! I had to have 5 weeks of chemo/radiation.  They were worried the tumor would cause a blockage, so I had an emergency ileostomy.  I was allergic to the chemo pill I was supposed to take with the radiation, so I needed to get a port and use an infuser.  That's a bottle that holds chemo and is attached to you 24 hours a day.  I was hospitalized for a couple weeks. Was severely dehydrated and had to self-infuse myself with saline at home daily for a month until everything was under control.  I had my surgery in November of 2019.  After I healed from surgery, I had 8 rounds of chemotherapy. One round consisted of one day in the clinic, and three days with the infuser at home. My ileostomy was reversed in 2020.

Q: How did you keep your spirits up amidst treatment?
A: I was very fortunate to have an amazing and very supportive husband, family and group of friends who lifted my spirits every day and helped with my kids.  I knew that I would survive this.  My team of doctors were amazing and my surgeon in particular was a ninja. I never worried once.

Q: How has having had cancer impacted your life?
A: Cancer made obvious changes to my body.  It gave me scars, radiation tattoos and muscle spasms. I have constant follow ups and scans and what they call “chemo brain.”  I mostly worry that my children are at a higher risk (I don’t worry about cancer coming back), cancer hasn’t impacted my life too significantly.  My cancer was a difficult period in my life that is now over.  I survived and I am thankful for that every day.

Q: What have you learned from having cancer?
A: I learned a lot about perspective.  I learned to enjoy every day because you never know what is going to happen tomorrow.  I learned how strong and resilient I am and to not sweat the small stuff.  I learned that I am in control of my reactions and can choose to look at the glass as half empty and feel sorry for myself or choose to be a good role model for my kids and push through with a smile on my face. I learned to ask and accept help from others, which is a big one for me. I learned that my husband is the best partner, advocate, daddy and caretaker out there.  Most importantly, I learned and felt how much I am loved. 
In Memory of Dr. Bella Kaufman

Dr. Bella Kaufman, Director of the Breast Oncology Institute, as well as President of Sheba Comprehensive Cancer Center at the Sheba Medical Center Israel, passed away last week after a courageous battle with cancer.  Dr. Kaufman was also founder of the Israeli Consortium for Hereditary Breast Cancer and a prominent figure in breast cancer and BRCA research communities across the globe. She was formerly Secretary of the Israeli Breast Group and most recently a member of the Israeli Cancer Association’s research and steering committees. She has published more than 125 papers and presented at dozens of scientific meetings around the world.  She will be greatly missed.
IN THE NEWS

Structural Approach to Cancer

 

This year, more than 60,000 adults in the United States will be diagnosed with pancreatic cancer and, statistically, as few as 10 percent will survive five years after diagnosis, according to the American Cancer Society.

Because pancreatic cancer is hidden deep within the body and often symptomless, it’s frequently diagnosed after the disease has progressed too far for surgical intervention or has spread throughout the body. Research indicates that earlier detection of pancreatic tumors could quadruple survival rates; however, no validated and reliable tests for early detection of pancreatic cancer currently exist. 

Now, Harvard Medical School researchers at Beth Israel Deaconess Medical Center have successfully created the first 3D organoid models of the pancreas from human stem cells.

Unlike previous platforms for studying pancreatic cancer, this first-of-its-kind organoid model includes both the acinar and ductal structures that play a critical role in the majority of pancreatic cancers.

Read More

Israeli study suggests method to reduce dangers of cancer-causing protein

 

Israeli scientists say they have made a discovery that could pave the way to neutralizing dangers posed by the cancer-causing protein BRD4.

When this protein becomes overactive due to a malfunction in the body, genes that cause various cancers become over-stimulated. But boosting the production of a particular enzyme in the body could well reduce the risk it poses, according to a new study by Prof. Dan Levy, a biologist at Ben Gurion University. For years scientists have hypothesized that the SETD6 regulates BRD4 activity, but there has been limited understanding of the relationship.

Now, after lab experiments on human cells that originate from breast cancer patients, Levy has published a paper in the peer-reviewed journal Science Advances giving the clearest explanation yet of how the enzyme impacts the protein.


 

Read More

Israeli AI solution beneficial to early detection of certain lung cancer, study finds

 

Research published in American Journal of Respiratory and Critical Care Medicine indicates model from Medial EarlySign is able to detect non-small cell lung cancer with 40.3% sensitivity and 95% specificity.

Israeli biotech firm Medial EarlySign, which develops artificial intelligence (AI)-based clinical data solutions for early detection and prevention of high-burden diseases, announced this week the publication of new research impacting the early diagnosis of non-small cell lung cancer (NSCLC).

The peer-reviewed retrospective data study, "Machine Learning for Early Lung Cancer Identification Using Routine Clinical and Laboratory Data," was published in the American Journal of Respiratory and Critical Care Medicine.

Together with researchers from Kaiser Permanente Southern California, the Department of Health Systems Science from Kaiser Permanente Bernard J. Tyson School of Medicine, and the Department of Health Sciences, Brock University, St. Catharines, ON, Canada, study authors found that EarlySign's machine-learning model was more accurate for early diagnosis of NSCLC than either standard eligibility criteria for screening or the modified PLCOm2012, demonstrating the potential to help prevent lung cancer deaths through early detection.


Read More

Scientist Snapshot 
Avi-Hai Hovav

Avi-Hai Hovav, PhD
Associate Professor, Faculty of Dental Medicine
Hadassah Ein-Kerem Medical School, Hebrew University of Jerusalem 
Area of Focus:
IMMUNOLOGY AND IMMUNOTHERAPY, A SHIFT IN EPITHELIAL ANTIGEN-PRESENTING CELLS DRIVES ORAL SQUAMOUS CELL CARCINOMA

Dr. Avi-Hai Hovav received his Bachelor of Science degree in Life Sciences from the Hebrew University in 1997 and continued there in the Department of Microbiology until 2004 when he received his PhD. Following that he conducted his postdoctoral research at Harvard University in Boston, MA, for three years.

Following his training he joined the faculty of Hebrew University in 2008 as an independent investigator focusing his early research on a key question for immunologists seeking to develop new vaccines; namely, how the immune system recognizes attacks on the body by such pathogens as bacteria and viruses. These early studies focused on a specific subpopulation of immune cells, dendritic cells, that are key in this process. This work let to the important discovery that different biological molecules used in the preparation of vaccines can have a significant effect on the ability of the vaccine to be recognized by the immune system and in that manner affect the outcome of vaccination. These findings were published in a series of research papers in prestigious scientific journals.

In 2013 Dr. Hovav joined the Faculty of Dental Medicine where his studies were amongst the first to characterize a distinct subset of immune cells in the mouth. This effort is of great potential importance because the mouth serves as an entry point for all sorts of potentially dangerous disease-causing agents. In the proposed work, Dr. Hovav will continue these studies seeking to understand how disease-causing microbes are recognized by the immune system in the mouth and how changes that occur during that process can lead to decreased immune protection and promote carcinogenesis with the mouth.

Oral squamous cell carcinoma (OSCC) is frequently diagnosed at late stage, which is detrimental to the patients due to its high mortality and morbidity rates. Early detection is therefore a major challenge in efforts to fight OSCC. Studying such carcinogen-induced early shift in oral epithelial APCs should increase our understanding regarding OSCC and will facilitate the elucidation of novel predictive strategies for recognizing premalignancy and its transformation into oral carcinoma.

Dr. Hovav is an active teacher in the Dental Faculty and has received many awards for excellence in this work, including in 2017 the Michael Milken Prize for Excellence in Teaching. He is a member of several important University Committees including the Research Committee, the Infrastructure Committee, and the DMD Thesis Committee. He is a member of the Immunology Peer Review Committee for the Israel Science Foundation and has served as an external reviewer for many international journals including the Journal of Clinical Investigation and the Journal of Immunology. He is an author of more than 45 scientific publications in the research literature.

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