Duke Raleigh Hospital

Spring 2014

Healthy Focus is a magazine published by Duke Raleigh Hospital filled with information to inspire healthy behaviors in the Raleigh, Wake County, and Greater Triangle community.

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Cancer Care From Cancer Care From A Big C diagnosis may not be preventable, but a few simple lifestyle changes can help reduce your risk. Duke cancer experts suggest some healthy habits that can make a big difference. SKIN CANCER "Take care of your body's largest organ: the skin. Use a daily moisturizer with an SPF of 15 or greater, covering ultraviolet [UV] A and B rays. If you plan to spend more than an hour in the sun, use a water-resistant product with SPF 30 or greater. Reapply frequently. "Also, look for warning signs in any mole or new growth on your body. Remember the ABCDEs: Asymmetric, irregular borders, changes in color, diameter of the lesion [larger than a pencil eraser] and evolving [changes in an existing lesion]." —Charles Woodard, MD, facial plastic & reconstructive surgery, Duke Otolaryngology of Raleigh HEAD AND NECK CANCER "The most common type of head and neck cancer, squamous cell cancer of the mouth, throat and voice box, is best prevented by abstaining from smoking, avoiding secondhand smoke and limiting alcohol consumption. Human papilloma virus [HPV], a sexually transmitted disease, can also lead to squamous cell cancer. Early detection is as important as prevention and a'ords the best treatment outcomes with the least side e'ects in terms of a'ecting cosmetic appearance and functions, such as speech, swallowing, taste and smell. "Thyroid cancer is a common cancer seen in the lower neck. Patients are at increased risk of developing thyroid cancer if a sibling or parent has had it or if the patient's lower neck has had exposure to radiation. Lumps in the thyroid gland are often felt by the patient or physician or are found 'incidentally' when CT or MRI scans are obtained for other reasons. "A patient should seek medical evaluation by an otolaryngologist or head and neck surgeon, if they experience hoarseness for longer than two weeks or have a lump in the area in front of the cheek [parotid gland], neck or thyroid gland for longer than two weeks. It is best to be seen before symptoms associated with the lump develop. These may include hoarseness, change in voice, di–culty swallowing, one-sided pain deep in the ear or a lump in the mouth that does not heal. These signs indicate a more advanced cancer." —Ray Esclamado, MD, FACS, chief, division of otolaryngology, head and neck surgery Head to Toe

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