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Survivorship 4: Endocrine Issues and Sexual Health after Cancer

Course Overview

About two-thirds of cancer survivors have at least one late effect of cancer treatment. A late effect is a side effect that transpires months or even years after a cancer diagnosis because of related treatments, such as chemotherapy, radiotherapy, and surgery. Because cancer survivors are living longer after cancer treatment than in the past, early diagnosis, assessment, and proper follow-up care for late effects of treatment are important components of surveillance for cancer survivors. Late effects can include endocrine problems and sexual dysfunction. The "Cancer Survivorship 4" course focuses on basic assessment, education, and interventions for endocrine-related issues and sexual dysfunction.

     Course Overview: Español

Lectures

Sai-Ching Yeung, M.D., Ph.D.
Endocrine Issues in Cancer Survivors, Part 1   Top of Page
 
Presenter: Sai-Ching "Jim" Yeung, M.D., Ph.D.
Professor, Department of General Internal Medicine, Ambulatory Treatment and Emergency Care
 

Summary:Cancer treatment can damage the endocrine system, resulting in a variety of thyroid, adrenal gland, hypothalamic, and pituitary issues. "Some chemotherapy can cause hypothyroidism, but the evidence is not so clear compared to the impact of radiation," says Sai-Ching "Jim" Yeung, M.D., Professor of General Internal Medicine in the Department of General Internal Medicine, Ambulatory Treatment and Emergency Care at The University of Texas MD Anderson Cancer Center. In his lecture, "Endocrine Issues in Cancer Survivors, Part 1", Dr. Yeung describes common endocrine-related issues experienced by cancer survivors, assesses a study that best illustrates the time course of development of hypothyroidism after radiotherapy, addresses common long-term complications of radiotherapy, and states how fungal and thyroid infections can play a role in adrenal insufficiency.

     Summary and Learning Objectives: Español

Sai-Ching Yeung, M.D., Ph.D.
Endocrine Issues in Cancer Survivors, Part 2   Top of Page
 
Presenter: Sai-Ching "Jim" Yeung, M.D., Ph.D.
Professor, Department of General Internal Medicine, Ambulatory Treatment and Emergency Care
 

Summary: Long-term survivors of cancer, especially childhood cancer, have an increased risk of diabetes and obesity. Sai-Ching "Jim" Yeung, M.D., Professor of General Internal Medicine in the Department of General Internal Medicine, Ambulatory Treatment and Emergency Care at The University of Texas MD Anderson Cancer Center, says "There is no clear data to guide a clinical management of type 2 diabetes in cancer patients and obesity…diet and lifestyle changes are fundamental." In his lecture, "Endocrine Issues in Cancer Survivors, Part 2", Dr. Yeung reviews recent data and key studies to show how some pharmacotherapies and anti-insulin resistance medications for diabetes may be beneficial for cancer patients. He also discusses pharmacotherapy and surgery for obesity.

     Summary and Learning Objectives: Español

Leslie R. Schover, Ph.D
Sexual Health after Cancer   Top of Page
 
Presenter: Leslie R. Schover, Ph.D.
Professor, Department of Behavioral Science
 

Summary: Sexual dysfunction is one of the most persistent consequences of cancer treatment. Sexual dysfunction affects about 70% of prostate cancer survivors, at least half of men who have colorectal or bladder cancer, and about a third of men who receive bone marrow transplants. "Sexual dysfunction can have a really negative impact on quality of life and relationships, and oncologists need to help patients make informed choices about their cancer treatment and about the symptoms they have afterwards," says Leslie Schover, Ph.D., Professor of Behavioral Science at The University of Texas MD Anderson Cancer Center. In her lecture, "Sexual Health after Cancer", Dr. Schover describes the prevalence and severity of cancer-related sexual dysfunction in men and women, how medical and psychosocial treatments can prevent or ameliorate postcancer sexual dysfunction, and the basic structure of a multidisciplinary program to treat cancer-related sexual dysfunction in men and women.

     Summary and Learning Objectives: Español

 

 

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