Wednesday, May 7, 2025

What I Wish I Knew

Last week I had the privilege to present at an online session of the Community Cares and ECHO Survivorship  Program.Joining me on the panel were two amazing advocates, a prostate cancer survivor,  Ralph Stowe and a breast cancer survivor, Yakima Deloach. The session began with a presentation by Dr S Manne on fear of recurrence.

Here is my response to a question we were asked.

What do you wish you knew then that you know now about your cancer experience?

This is a great question. For me  I wish I would have had a better idea of what to expect after treatment was over.  The nurses and my gyn oncs prepared me pretty well for what to expect after surgery and during chemotherapy treatment. But I felt like a rudderless ship after treatment ended.

·     They told me I would lose my hair in 14 days. I did. But losing your eye lashes and eyebrows and the hairs in nose took a bit longer.  No one told me just how long till hair other than what I call "peach fuzz" would grow in or when it would stop being so curly and go back to being straight like before treatment. 

·      I had neuropathy in my toes.  At times, I felt like someone was stabbing me in my toes. I learned to wear warm boots in the winter and shoes with rounded toe boxes. The neuropathy has stayed with me.

·      I was told I would be fatigued from the chemo but no one told me how long I would feel fatigued after finishing treatment. I went back to work 6 months after treatment and every day I got home I needed to take a nap. 

·      The hardest part though was that I found it hard to remember the names of things. I needed to describe an  object such as icicles by describing it - "water that is frozen and hangs off of gutters".  Or "white stuff you use to make a cake but not sweet" for flour.   I would write a blog post and leave blanks then come back later to fill in the words. Multitasking made remembering words and my chemo brain worse. 

 

I became impatient with myself that I wasn’t bouncing back quicker which leads to a second piece of advice I would give myself - be honest with myself and others. I needed to be honest about what I was feeling, emotionally and physically to get the help I needed.  I needed to be honest about being anxious or sad or fearful or vulnerable or tired or in pain or even happy to be here.  


 
If you are a cancer survivor what do you wish you knew? 
 
My next post will be a list of some of the Ovarian Cancer research being presented at ASCO this year. 
 
Dee
Every Day is a Blessing! 





Thursday, April 24, 2025

Cancer Research That Caught my Eye

Two emails, I received from the NCI this week contained studies that caught my eye.  

Aged and BRCA mutated stromal cells drive epithelial cell transformation

https://aacrjournals.org/cancerdiscovery/article/doi/10.1158/2159-8290.CD-24-0805/754132/Aged-and-BRCA-mutated-stromal-cells-drive 

https://www.cancer.gov/news-events/cancer-currents-blog/2025/ovarian-cancer-stic-high-risk-mscs?cid=eb_govdel

We now know that precancerous growths called serous tubal intraepithelial carcinoma (STIC) lesions in the fallopian tube lead to high grade serous ovarian cancer. This study found STIC lesions in the ovary develop with the aid of a specific type of stem cell called high-risk mesenchymal stem cells (MSCs). The MSCs are found in the stroma ( tissue ) under the STIC lesions. When researchers inserted MSC's and healthy fallopian tube tissue into mice the mice developed ovarian cancer. It appears from this study that there is involvement of MSCs in the development of ovarian cancer although more research will need to be done. 

Expanding Research on Dormant Cancer Cells Aims to Prevent Metastasis  
 
 
I often wonder why some people can go years after a cancer diagnosis and treatment before a recurrence occurs. Could it be that cells go dormant? Then what activates them to grow? This article looked at the latest dormant cancer cell research. Both of these studies used breast cancer mouse models.

The first study mentioned in the article discusses how breast cancer cells that migrated to the lungs stay dormant due to immune cells. Alveolar macrophages express transforming growth factor (TGF)-β2 and along with macrophage-cancer cell interactions via the TGF-βRIII receptor keep the cancer cells in a dormant state. ( https://pubmed.ncbi.nlm.nih.gov/39378878/). 

A second study used three mouse models. It was found that Natural killer (NK) cells was required to keep the breast cancer cells dormant. The dormant cells resemble cancer stem cells. (https://aacrjournals.org/cancerres/article/84/20/3337/749081/Natural-Killer-Cell-Regulation-of-Breast-Cancer

I know of ovarian cancer (OC) survivors who recurred more than 10 years after their initial diagnosis. It makes me wonder if there are dormant OC cells in the pelvis and abdomen long after treatment who are kept in check by immune cells. Could the work currently being done on the tumor microenvironment help us understand if there is an OC stem cell kept in check by our own immune system. 

 

Dee

Every Day is a Blessing!

 

 

 

Monday, March 17, 2025

From a Distance: SGO Annual Meeting 2025 - Ovarian Cancer Highlights

I was unable to attend the SGO Annual meeting this year due to a family commitment but I did follow along on X(Twitter).

To kept on top of the action, I followed SGO Social Media Ambassadors Social Media Ambassadors on X- @RiosDoriaMD , @nicoleflemingmd, @meddles28, and @ShannonWestin and others.

Here are some of their ovarian cancer research posts I found most interesting :

Trop-2 is a cell surface protein expressed by cancer cells 
ADC Antibody Drug Conjugate 
Stomatitis is inflammation of the mucous membranes of the mouth . 
58 patients in the study
 
GOG 3066/DENALI 
Azenosertib an enzyme inhibitor that binds to called Wee1 and disrupt cell reproduction. 
Cyclin E1 is a protein is encoded by the CCNE1 gene.

 

 GOG 3044
Afuresertib inhibitor of the serine/threonine protein kinase Akt (protein kinase B) . No significant difference in progression free or overall survival.

 


EWOC-1 was a study of three different chemotherapy regimens . Use of carboplatin alone was associated with poorer survival.

 

 Mirv MIRASOL Study of ocular events.

RAINFOL-01 study (NCT05579366)  

Rinatabart sesutecan (Rina-S) a novel folate receptor alpha (FRα)–targeted antibody-drug conjugate (ADC). The treatment in  heavily pretreated patients with platinum-resistant ovarian cancer  showed activity regardless of folate receptor alpha (FRα) expression level.

 Low Grade Serous Ovarian Cancer 

Combo of Avutometinib  a Ras-Raf-MEK-ERK signaling inhibitor and Defactinib is small molecule inhibtor of focal adhesion kinase (FAK) for KRAS + recurrent low grade OC.

Please let me know if I missed anything you felt was important for patients/ survivors. 

 I was happy to see ways that patient advocates, researchers and clinicians were able to   #MultiplyYourImpact

Thank you Dr Fader (@amandanfader)  for your leadership!  I look forward to your vision for the future,  Dr Karen Lu (@karenluMD) !

Dee

Every Day is a Blessing! 

Wednesday, January 1, 2025

Aspirations for 2025

Wishing you all a Happy and Health 2025

It's time once again to put together my list of what I aspire to do in 2025. 

  • Let's start off with something that has been on my list since 2014. Yes, Visiting Maine remains on my list. Maybe this year?
  • Amber is going to be 15 years old this year. I hope to continue to take her on those long walks.
  • I will continue to create art - watercolor in particular.
  • Exercise is on my list. I'll continue taking lessons and playing Pickleball and dancing in Jazzercise class.
  • As the #gyncsm chat on X/Twitter came to a close I started thinking more about the types of advocacy work I am involved with. My ovarian cancer experience, now twenty years old is valuable on some levels but is out of date in other areas. I have no experience with any of the new treatment options. So some activities - updating this blog with the latest ovarian cancer research news, reviewing cancer research grant applications and being a patient advocate advising clinical trials and mentoring other women diagnosed with ovarian cancer will continue.  Slowly, I will scale back other time commitments. I will finish the terms of my appointments on different committees but I will not accept new positions in 2025.
  • I look forward to spending more time with Nick, my children, their spouses, my grandsons and friends.

I think my word of the year will be SILENCE. The world is a noisy and busy place. I tend to be on the move a lot. So I'll make an effort to just be quiet - no TV, no social media, - just be. 

Dee 
Every Day is a Blessing!



Monday, December 30, 2024

Christmas Ornaments

This year our one large Christmas tree is filled with lights and ornaments, there is no ribbon, garland or tinsel to be found.  After many years of marriage, the ornaments represent memories through the years including older family ornaments,  hand-made ornaments from our children and grandchildren and ornaments from places we have visited.

My grandson was looking at the tree and asked if this ornament really was a bell. 

 

Yes, inside it is a tiny bead clapper. It makes a sweet sound. Like the bell in Its a Wonderful Life("When a bell rings an Angel gets its wings" fame. That bell ornament hung on my tree when I was growing up. 

Then I pointed to this ornament from my childhood. 

 

It is made from an egg shell that has ribbon, glitter and paper glued on it. My guess is that it is from the mid-1960's.  This is the last of its kind so it hangs high on the tree.

Then he found this ornament, holding a photo of our first pug, Kona. 

He looks a little smaller than my grandson's new black pug puppy who is pictured below waiting for a treat with his brother Walter and cousin Amber.

 

At times, looking at those older Christmas ornaments, decorations and Christmas dishes made me think of loved ones who are no longer here to share these memories with - my sister, dad, Aunt Dora and Nick's mom, dad and brother. Our family traditions -  such as  making my Aunt Dora's Christmas Love Knot cookies and hanging those old ornaments on the tree helps to keep their memories alive for all of us. 

Wishing my readers, JOY this holiday season! Thank you for letting me share my holiday with you.

Dee

Every Day is a Blessing !


Tuesday, December 10, 2024

Eleven Years of Supporting and Educating the Gynecologic Cancer Community

In 2013, Christina Lizaso and I founded the #gyncsm chat and community on Twitter/ X. This year, eleven years later, we made the difficult decision to cease hosting the #gyncsm chat. You can read more about our decision on the #gyncsm blog.  Our last chat will be Wednesday, December 11, 2024 at 8pm ET with special guest and long time #gyncsm chat supporter, Cervivor. 

 We have done so much - in addition to changing our logo through the years.


We held a total of 108 chats (including this December chat).  We covered many topics including risk factors, caregiving, parenting, working while being a cancer patient, personalized medicine, treatment side effects, how to work and communicate with your health care team and survivorship.  These chats were possible because of the many individuals, organizations and groups that supported us. 

We had support from gynecologic oncologists who volunteered their time to be our  health care moderators and others who joined the chat as guests sharing their expertise. We had researchers join us to talk about their research and new treatments available to women diagnosed with gynecologic cancers. We chatted multiple times about every gynecologic cancer including the more rare types such as vulvar, sarcomas, GTD and primary peritoneal cancer. We held two digital health fairs and invited cancer support organizations to share the resources they provide to cancer patients and their caregivers. We've talked to cancer health equity experts about how to best provide cancer health care to all women. We've had chats focused on the emotional impact of a cancer diagnosis, fear of recurrence and how to talk to your children and family about your diagnosis. We've talked with genetics counselors about hereditary cancers, genetic testing and mutations. We raised awareness of pelvic health, pre-habilitation and nurse navigators. We discussed types of advocacy from research advocacy to advocating for yourself or your loved one. We talked frequently about clinical trials from the types of trials to how to search for and enroll in a trial. Annually, we shared the latest research news from the ASCO and SGO annual meetings. And we can't forget about the insights gynecologic cancer patients provided to each other and to researchers during our chats.

Personally, I have been blessed to be part of the  #gyncsm chat. I am so grateful to have worked with Christina these past 11 years to bring support and education to the gyn cancer community. Working on the chat and sharing information has opened doors for me to expand my advocacy work. I not only meet some of the top gynecologic cancer researchers in the world but have had the opportunity to work with them. I've co-authored a book, presented at oncology meetings, and worked on SGO, ASCO and NCI committees. I also have had the opportunity to be a patient advocate on a number of clinical trials. And  I learned from the gyn cancer patients and caregivers in our community- what a courageous and motivated group. I am sad to see the chat end but so appreciate the opportunities provided to me by the chat. 

I will continue to share research information on X using the #gyncsm hashtag and our blog will remain active so that members can have access to the resources and chat transcripts. 

You can find me here and as womenofteal on X, , Facebook, Instagram, Threads and Bluesky. 

 

Dee

Every Day is a Blessing


Friday, October 11, 2024

A Teal Sister's Story - Pieces of Me, Perfectly Imperfect

I have know Kimberly Simmons-Emory for over 10 years. She is a fellow ovarian cancer survivor and amazing advocate. We met in person in 2017 and I knew she had a strong faith, loved her family and  generously gave of herself supporting other women through the Georgia Ovarian Cancer Alliance.  Recently, she published her memoir, Pieces of Me Perfectly Imperfect .


 

In her book, she shares details about her adoption, how she met her husband, found and met her sisters and faced the loss of people she loved. She poignantly shared what it felt like to be diagnosed with ovarian cancer at a young age and the friendships she formed with fellow survivors as a cancer survivor.  She highlighted her friendship with Benita, an ovarian cancer survivor. I smiled to myself as I read that section because I was blessed to have met Benita in person during a visit to Atlanta for a survivorship conference.  Kimberly did a marvelous job describing the caring Benita I knew.

I don't often read a book and underline sentences that touch me but if you picked up my autographed copy of the book you will find many underlined sections.  I hope these quotes will entice you to read  Pieces of Me Perfectly Imperfect.

"The requirement to love, protect, and guide is for the adoptive parents, other family members have a choice. In my case, I cannot recall being recognized as the "adopted" daughter ; I was Dot and Mitchell's daughter."

"We have well played tunes in our heart that make us dance to the beat, but we are occasionally interrupted because life plays its own songs."

"Sometimes we have been too hard on ourselves...We decline to see ourselves through God's eyes ...God abstracts the good, bad and ugly parts of our lives and renders every part good. "

"Change can not be controlled, but holding on to control can be changed."

"Love yields gratitude and forgiveness."

So you see this book was more than just Kim's story it offered glimpses of her faith, thoughts, emotions and advice. You will find the broken pieces of her life as well as the joys. You will see challenges, support and love. At the the back of the book you will find the  Treasured Traditions section, a place where Kimberly shares family recipes. I can't wait to try Thelma's Glorious Lemon Pound Cake.

On the book's website , Kimberly writes "I pray you will reevaluate those moments that crushed you and find beauty, courage, strength, and peace within the pieces". I hope everyone, not just cancer survivors will read this book and find the value in it that I did. 

Happy Birthday Kim and thank you for sharing yourself with all of us. 

Every Day is a Blessing!

Dee