Episode Transcript
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Speaker 2 (00:00):
Michael Jay here.
Speaker 1 (00:01):
It is a pleasure again to have an opportunity to
speak one of the speak with one of the experts
in cancer, uh and in cancer treatment. You know, October
is National Breast Cancer Awareness Month, so we've been dealing
with that cancer throughout the course of the year as
I'm involved with Saint Jude in Memphis, Tennessee. I was
(00:23):
just down there this past week catching up with some
of the biologists and researchers and doctors and uh, they
continue to make, you know, inroads into cancer.
Speaker 4 (00:34):
Uh.
Speaker 1 (00:34):
But but the treatment and maintaining lifestyle is what it
is all about. At the Maryland Proton Treatment Center. I'm
joined by doctor Tran who is a MD, pH d
Professor and Vice Chair for Research of Radiation Oncology at
the University of Maryland School of Medicine in addition to
(00:58):
working there at Maryland Proton t Treatment Center.
Speaker 2 (01:00):
Doctor, how are you doing today?
Speaker 3 (01:03):
I'm doing great. Thank you for having me.
Speaker 2 (01:04):
Mike, Well, it's great to have you. So.
Speaker 1 (01:07):
I know you deal with a lot of different types
of cancer and I mentioned you know, from from pediatric
cancer and a breast cancer, prostate cancer. I don't know
why it is, but it seems like in this area
of the country, everyone you know is impacted by cancer
in one way or another.
Speaker 4 (01:28):
Well, I mean, cancer is a disease of aging, and
aging is one of the most impactful factors in whether,
you know, some way will eventually develop cancer. So as frankly,
you know, as technology gets better, as medicine gets better,
(01:50):
we're all living longer and longer. So it's really no
surprise that cancer is becoming more prevalent. You know, aside
from heart disease, which is the number one killer in
the United States, cancer is the number two killer of Americans.
And as you mentioned, obviously this occurs more commonly in
(02:11):
older individuals, but uh, you know it does happen in children,
which you know you had mentioned Saint Juds. This is
a fantastic organization, Uh, and we need more research. I
think it's a great juxtaposition.
Speaker 3 (02:26):
Uh.
Speaker 4 (02:27):
Incidentally that you know, a few decades back, pediatric cancer
was a death sentence. And now with all the great research,
like through institutions like Saint Jude's, where clinicians and researchers
have been able to basically put almost every single patient
in the United States that is a pediatric cancer patient
(02:48):
they're almost every single one is put on some sort
of research or clinical protocol. And because of that emphasis,
because of that united research of front, we've been able
to make something that used to be a death sence
to where now we need to improve. We always need
to improve, but the majority of pediatric cancers are actually
(03:09):
curable now because of that unified research effort that you know,
most patients who have pediatric cancers are put on studies.
Speaker 3 (03:18):
I wish I.
Speaker 4 (03:18):
Could say, I wish I could say we're doing as
well in the adult cancers, which were not that being said,
We're never going to give up.
Speaker 3 (03:27):
We're trying our.
Speaker 4 (03:28):
Best, and you know, I'm here to talk to you
about some of those advancements.
Speaker 2 (03:32):
Let me ask you this.
Speaker 1 (03:33):
You bring up so many thoughts in my mind with
Saint Jude and how pediatric cancer compares to adult cancers.
Speaker 2 (03:42):
So you go back thirty forty years.
Speaker 1 (03:46):
And the survival rates for things like alll or various
leukemias were in the singles digital, it was dismal, it
was a death sence. It was it was single digits
in the nineteen fifties, sixty seventies, and here we are,
you know, fifty years later and in America, childhood or
(04:06):
pediatric cancer survival rates are at eighty percent on an
out Its amazing.
Speaker 3 (04:11):
Now, it just gives us so much hope. Right, we
can do the same for adult cancer.
Speaker 2 (04:16):
Right.
Speaker 1 (04:16):
So my question is, how does how does the research
or how does what we've learned for pediatric you know,
differ from the way you treat an adult cancer with
the Maryland Proton Treatment Center.
Speaker 3 (04:28):
Yeah.
Speaker 4 (04:29):
No, so, I you know, to comment, just very briefly,
I think it is like I was saying, that United
research effort, okay, from our pediatric hemon colleagues, that put
almost every patient, almost every patient still to this day,
is on some kind of study.
Speaker 3 (04:47):
We're learning from all these patients, right.
Speaker 4 (04:50):
And fortunately, pediatric cancers are a relatively small number of
cancer patients, fortunately, right, right.
Speaker 3 (04:58):
And we have learned a lot.
Speaker 4 (04:59):
I think we've learned a lot about the basic biology
from pediatric cancers. But again, and I can't stress us enough,
what we've learned is that if we work together and
we enroll more patients on clinical trials and research studies, we.
Speaker 2 (05:15):
Can learn more, gotcha.
Speaker 4 (05:17):
And again, you know, proton therapy is one of these
treatments we've had for a while that we still I
think can capitalize more upon, especially in the research realm.
Speaker 1 (05:29):
So we talk about about proton treatment and you guys
specifically use that for prostate cancer. Now, I've been told
that if a gentleman lives long enough, he's eventually going
to get prostate cancer. But the yes, is that true?
(05:50):
And is it true that the older that you get,
the less you know serious it is?
Speaker 4 (05:58):
Well, so I'll comment on So, prost cancer is the
most commonly diagnosed cancer in men other than skin cancer,
and it basically works out that one in eight men
will be diagnosed with prostate cancer during their lifetime. We
know that there's certain populations of Americans, particularly non Hispanic
black men, that have a higher incidence of prostate cancer. Okay,
(06:23):
back to what you were saying. Interestingly, an autopsy series
was performed on males of various ages, and basically, like
you said, if you live long enough, there's a high
chance you may have prostate cancer. Now, there's all different
flavors of prostate cancer. There's less aggressive, there's very aggressive,
and so we don't want the average non physician figuring
(06:46):
that out. I mean they have to talk to doctors
and make sure they determine what kind of prostate cancer
they have, whether it needs delayed treatment, could be even
what we call actors surveillance or really intense observation or
treatment right away, so that those are things that screening
is helpful. Current screening guidelines recommend that most men without
(07:07):
a family history should get a blood test when they're
age fifty. If you have a family history, then going earlier,
maybe when you're forty or forty five is appropriate per
current guidelines.
Speaker 1 (07:18):
So it is a blood test, and I know some
doctors like to do a little bit more digital task,
which I'm familiar with myself.
Speaker 2 (07:28):
I just had it. My doctor insists on doing that.
Speaker 3 (07:31):
Well, we all have to.
Speaker 4 (07:34):
We all have to do what we have to do
as we get older. Escapes oh you know this, you know.
But for the gentlemen on the airways, what we don't
realize is women go through a lot more than what
we do, starting from the age of like twenty, right,
So we just need to.
Speaker 2 (07:55):
Listen.
Speaker 1 (07:55):
It's not a big deal for anybody that's fearful of it.
It's a blood test and they check your PSA. Now,
the PSA number you certainly want as low as possible.
That is a protein that's produced by the prostate. You know,
is there a number that you look at as being,
(08:16):
you know, starting to get in the gray area.
Speaker 4 (08:18):
No, like you said, Michael, I mean, it's correlated to
your age, So the lower the better, and certainly if
you're younger, it should be well below one.
Speaker 2 (08:28):
Gotcha.
Speaker 4 (08:28):
But really the normal range is between zero and four.
But again I wouldn't put it on a patient to
realize the context of that result. Follow up with your
primary care doctor, fall up with a specialist. But in general, yes,
four or less, but if you're young, if you're fifty,
it really should be less than one.
Speaker 2 (08:49):
Now, for as we get older, that.
Speaker 4 (08:51):
Number will rise and again, but follow up with your physician.
Speaker 1 (08:56):
Now, listen, there are people getting diagnosed every day with something.
And if there's anybody listening who is going through this,
just found out or got a recent diagnosis of prostate cancer,
what can you tell me? What do they need to
know about treatment options with the Maryland Proton Treatment Center.
Speaker 4 (09:16):
Yeah, no, absolutely, So we're very lucky because there's been
a number of advances in cancer treatment, particularly prostate cancer treatment.
So you have a variety of treatments, including surgery, which
is one gold standard, but the other gold standard is radiation.
And one type of radiation that we're very lucky to
have in the mid Atlantic is we have a state
(09:37):
of the art proton Treatment Facility center right in West.
Speaker 2 (09:41):
Baltimore, Okay.
Speaker 4 (09:44):
And that treatment facility we treat all types of cancers,
not just prostate cancer. But at the Maryland Proton Treatment Center,
we have something known as protons, which is an advanced
form of radiation. That type of radiation targets cancerous tissues
with pinpoint accuracy. We know it to be just like
(10:05):
photon radiation or X ray radiation. It's very effective, it's
non invasive, ideal for localized solid tumors, near critical organs
like prostate cancer. And as I was mentoring before, you
know we can treat proton, we can use protons excuse me,
both an adult but also pediatric cancers. And it's just
(10:27):
an incredible tool we have in our cancer fighting toolbox
that allows patients to get past their diagnosis and get
treatment and get back to their lives more quickly.
Speaker 1 (10:39):
What is the best way for someone wondering about Maryland
Proton Treatment Center to get in touch with you and
to find out what you offer sure.
Speaker 4 (10:49):
You know, if you're you know, your listeners have a
diagnose of prostate cancer, other cancers. You know, we don't
just treat proton prostate cancer, excuse me. We treat pretty
much every type of cancer that arises. And those folks
who are interested can get more information at you know,
(11:09):
online at ask for protons dot com, or they certainly
can call us for consultation or any advice at four
to one zero three six nine five two zero zero.
Speaker 1 (11:19):
Speaking specifically of prostate cancer, what are symptoms or warning
signs that someone who has not been checked yet but
might be experiencing should be alerted to, you know, is
it a matter of you know, sure, go ahead.
Speaker 4 (11:37):
So so, fortunately we do have that PSA blood test,
so the vast majority of patients who get diagnosed don't
have any symptoms.
Speaker 3 (11:47):
And it's the same you know.
Speaker 4 (11:48):
The knowledge that we have right now is that most cancers,
if caught early enough, can be cured, whether that be
you know, even lung cancer, but certainly prostate colorectal. And
we have screening strategies for all the major four cancers.
And so I really urge you to go to your
primary care doctor or you're treating physician, and if you
(12:10):
are of the age that you should get screening. I
know it can be very scary. It can be scary,
but much better to deal with the problem when it's
small and we have all these great tools to treat
these localized cancers early and effectively with minimal toxicity, as
opposed to, like you said, in the old days, before
(12:30):
we had low dose spiral ct to screen for lung cancer,
before we had PSA to screen for prostate cancer, before
we had mammograms to screen for breast cancer, before we
had colonoscopies the screen for colorectal cancer. You're right, patients
would come into our offices with bad symptoms because their
cancers were large and god forbid, they had spread. And
(12:52):
that's a much bigger problem, a much tougher problem to
deal with. But most of the time patients don't have issues.
But I would say, if there's any issues with regards
to you know, the prostate region which is in the pelvis,
which is you know, if you have problems with urinating defecating.
Speaker 3 (13:12):
Pain, you should be seeing a physician.
Speaker 4 (13:15):
Anyway, it knock on wood hopefully and probably shouldn't be
prostate cancer. But that could be a presenting symptom. I
would say again, the vast majority come in with localized
curable cancers because of screening efforts.
Speaker 2 (13:31):
And I would also put this out there.
Speaker 1 (13:33):
If you know someone, you've got a spouse or somebody
else who for whatever reason is dragging their feet, you
got to make them go to the doctor. So many
guys are like, I don't need to go, and someone
listening might know that they're talking about something going on
that's not right, you know what I'm saying.
Speaker 3 (13:51):
I can't echo that enough.
Speaker 1 (13:52):
Yeah, you know, we get so hung up talking about.
Speaker 2 (13:58):
Our brains and our our oregons.
Speaker 1 (14:01):
You know, we're all the same, We are all human
beings and we all just need to keep things functioning
properly and working healthy.
Speaker 2 (14:09):
Right. So, uh, it's just about getting checked.
Speaker 1 (14:13):
And like you said, Doc, every every doctor I speak
with these days about cancer says virtually the same thing.
Speaker 2 (14:19):
Early detection saves lives.
Speaker 3 (14:22):
Absolutely.
Speaker 4 (14:24):
We have very good evidence for that, and we're living
in an era where you should just take advantage of it.
Speaker 1 (14:30):
Yep, Well, listen, I really appreciate your time. Thanks for
the heads up and and all the info. Doctor Tran
with the Maryland Proton Treatment Center. Give your website one
more time, some people can hit that up.
Speaker 4 (14:43):
Yeah, absolutely, it's ask for protons dot com.
Speaker 2 (14:47):
There you go.
Speaker 1 (14:48):
Thank you very much for joining us today, and I
hope that if there's somebody listening who's going through this,
it makes their life a little bit better. That's it
for the Michael J Podcast. This time I'm around. Make
sure you follow us and check in with me regularly
because you never know what you might learn next.