Intractable hemorrhagic cystitis is an uncommon but significant treatment complication of concurrent chemoradiation therapy for cervical cancer. Alum instillation is regarded as a safe and effective option for its treatment. This case presentation will discuss a patient who presented with postradiation cystitis and was treated with alum irrigation. The aim of this report is to offer alum irrigation as a management option for intractable hematuria.
Cancer Survivors

Introduction: Incidence of cancer morbidity and mortality in the Philippines continues to escalate despite the survival rate that much still need to be desired. Few were able to cross the bridge. Still the social processes surrounding cancer survivors’experiences has not been given much attention. Methods: A Grounded Theory was the design selected using in-depth, unstructured interview among ten (10) participants who were considered as cancer survivors. Purposive, snowball and theoretical sampling were used to recruit participants. Interviews were audiotaped or recorded and transcribed verbatim. Data analysis was guided by Creswell’s four major phases; open coding, axial coding, selective coding and visual portraying. Memoing, field notes, member checking, audit trail and validation were all integrated with the study to enhance trustworthiness of study findings. Results: Based from the participants’ story, the primary psychosocial process that emerged can be described as “transformational journey”. This core variable explains the complexity of the journey in the life of a cancer survivor. The researchers identified six (6) iterative phases namely: (1) seeking answers; (2) encountering burden; (3) will to survive; (4) exhausting measures to live; (5) becoming a victor and (6) transitioning. Conclusion The findings from this study elucidates that cancer patients who become victorious after battling the disease traverses a transformational journey that defies and changes their perspective at what life is. Healthcare provider should develop protocol on how to support and to assist patient as they battle through the challenges in the different stages of their journey.
Cancer Survivors ; Neoplasms ; Grounded Theory ; Data Analysis

PURPOSE: The partners of cancer patients commonly provide the needs of cancer patients along cancer trajectory except for patients with gynecological cancer. In developing countries including Indonesia, who have strong family bonding, the family of cancer patients are involved more intensely in providing cancer care. This situation may bring the cancer patients' families experience the burden and decrease their quality of life. Therefore, assessing the family's supportive needs are as important as patient supportive needs. There are more gynecological cancer survivors in Indonesia; however, little is recognized about partners' supportive needs due to lack of validated assessment tools to measure it. This study aimed to translate, culturally adapted and test the validity and reliability of the CaSPUN questionnaire among partner of Indonesia gynecological cancer patients. DESIGN: First, the procedures of forward-backward translation and modification of the CaSPUN were conducted to ensure cultural adaptation. Second, using convenience sampling with 295 partners of gynecological cancer patients, we tested the construct validity and internal consistency of the CaSPUN-Indonesia Version (CaSPUN-I). We conducted Exploratory Factor Analysis to explore the factor structure of CaSPUN-I and Cronbach Alpha to confirm internal consistency reliability. RESULTS: The CaSPUN were modified to make more understandable and culturally appropriate in the Indonesian context. Five factors were extracted from EFA in the CaSPUN-I with factor loadings of items between 0.41 and 0.85. The Cronbach's alpha coefficient for the CaSPUN-I ranged from 0.96-0.97. CONCLUSION: The CaSPUN Indonesia version presents acceptable validity and reliability for assessing supportive care needs among families of Indonesian gynecological cancer patients. The CaSPUN-I can be used by healthcare providers to assess and design the supportive care program for family of Indonesia gynecological cancer patients.
Cancer Survivors ; Needs Assessment ; Cross-Cultural Comparison ; Indonesia

A balanced dietary intake plays an important role in the prognosis of breast cancer and is one of the modifiable factors in preventing cancer recurrence. This study aims to determine the dietary intake among breast cancer survivors in East Coast of Peninsular Malaysia. A total of 125 breast cancer survivors, aged 37 to 72 years, with mean duration of survivorship of 6.1 ± 3.9 years were recruited from two main referral hospitals in Terengganu and Kelantan. Majority ofthe respondents were Malay (94.4%) with a mean BMI of 27.7 ± 5.07 kg/m², and were diagnosed with stage II cancer (66.0%). Dietary intake was estimated using a semi-quantitative food frequency questionnaire (FFQ). The results show that the mean daily intake of energy was 1764 ± 378 kcal/day, protein was 72.38 ± 33.6 g/day (16.5% of energy), carbohydrate was 243.0 ± 62.2 g/day (55% of energy) and fat was 55.8 ± 15.6 g/day (28% of energy). Overall, breast cancer survivors in this study had an adequate daily intake of vitamins and minerals according to Malaysian Recommended Nutrient Intakes (RNI) except for dietary fibre (10.6 ± 4.2 g/day), monounsaturated fatty acids (20.7 ± 5.7 g/day), polyunsaturated fatty acids (8.0 ± 2.2 g/day), calcium (561.0 ± 257.1 mg/day), iron (18.3 ± 7.2 mg/day) and potassium (1813.4 ± 531.1 mg/day) which was lower than the recommendation. Meanwhile, intake of sodium (2592 ± 1697 mg/day), protein (80.4 ± 33.6 g/day), saturated fatty acids (26.9 ± 14.2 g/day), vitamin B2 (1.9 ± 1.1 mg/day) and vitamin C (151.1 ± 149.3 mg/day) exceeded the recommendation by 135.0%, 139.0%, 166.9%, 154.6% and 152.0%, respectively. There was no significant difference in dietary intake between cancer survivors who were diagnosed in the past five years and those who were diagnosed more than five years ago (p>0.05) except for fat (p<0.001), saturated fatty acid (p=0.006), monounsaturated fatty acid (p=0.005) and polyunsaturated fatty acid (p=0.003). As a conclusion, breast cancer survivors in East Coast of Peninsular Malaysia had an adequate intake of most nutrients except for dietary fibre, monounsaturated fatty acids, polyunsaturated fatty acids, calcium, iron and potassium which was below the recommendation and sodium, protein, saturated fatty acids, vitamin B2, vitamin C which was above the recommendation. The intakes between long-term and short-term survivors were also comparable showing sustained dietary intake throughout survivorship.
Dietary intake ; nutrient ; breast cancer ; survivors ; food frequency questionnaire

PURPOSE: Screening for second primary cancer (SPC) is one of the key components to survivorship care. We aim to evaluate the oncologists' experience with SPCs and assess the current practice, perceived barriers, and recommendations related to SPC screening. MATERIALS AND METHODS: A nationwide survey was conducted with a representative sample of 496 Korean oncologists. A questionnaire based on the findings from our previous qualitative study was administered. RESULTS: More than three-fourths of oncologists (76.3%), who participated in the study, had experience with SPC patients. Over half of them (51.9%) stated that it was an embarrassing experience. While the current management practice for SPC varies, most oncologists (80.2%) agreed on the necessity in proactively providing information on SPC screening. A short consultation time (52.3%), lack of guidelines and evidence on SPC screening (47.7%), and patients' lack of knowledge about SPCs (45.1%) or SPC screening (41.4%) were most frequently reported as barriers to providing appropriate care for managing SPC. Oncologists recommended the development of specific screening programs or guidelines in accordance to the type of primary cancer (65.9%), the development of an internal system for SPC screening within the hospital (59.7%) or systematic connection with the national cancer screening program (44.3%), and education of oncologists (41.4%) as well as patients (48.9%) regarding SPC screening. CONCLUSION: Many oncologists reported the occurrence of SPC as an embarrassing experience. Given the variations in current practice and the lack of consensus, further studies are warranted to develop the optimal clinical strategy to provide SPC screening for cancer survivors.
Consensus ; Early Detection of Cancer ; Education ; Humans ; Mass Screening* ; Neoplasms, Second Primary* ; Survival Rate ; Survivors

PURPOSE: The aim of this study is to evaluate the clinicopathological features and treatment results of 49 cases of gastric stump cancer based on the classification proposed by the Korean Gastric Cancer Association. METHODS: A total of 49 patients with gastric stump cancer, who underwent operation from 1991 to 2000, were divided into three group: primary cancer (group I, n=20), remnant cancer (group II, n=15) and recurrent cancer (group III, n=14). The clinicopathological features and patient survivors in each groups were analyzed and compared with the primary upper one third cancer patients. RESULTS: The incidence of operated stump cancer was 0.8% (49/6, 445 cases) during the ten years. The male to female ratio was 3.9: 1 and mean age was 56.5 years (range 39~ 83 years). The resectability was 96% (47/49 cases) and curability was 73.4% (36/49 cases). There were 16 (80%), 1 (7%), 0 (0%) cases of benign primary disease and 4 (20%), 14 (93%), 14 (100%) cases of malignant primary disease in each group, respectively. The mean duration from primary disease to stump cancer was 21.7 years (10~40 years) in group I, 3.4 years (4 months~9 years 2 months) in group II and 3.4 years (1 year~7 years 5 months) in group III. The 5 year-survival rate was 45.1% in group I, 63.5% in group II and 0% in group III. But there was no statistic differences in 5 year-survival rates between stump cancer (33.0%) and primary cancer of the upper one third (30.9%). CONCLUSION: The condition of the primary disease, tumor location, duration of cancer development and tumor stage had statistical differences between the three groups. In the case of benign disease, the patients belonged in the high-risk group for the new development of gastric cancer following 20 years. Early detection of cancer in the remnant stomach by periodic follow up is important, especially in high-risk groups, and application of aggressive surgical treatment will improve patient survival.
Classification ; Early Detection of Cancer ; Female ; Gastric Stump* ; Humans ; Incidence ; Male ; Stomach Neoplasms* ; Survivors

Humans ; Female ; Prevalence ; Breast Neoplasms ; Cancer Survivors ; Non-alcoholic Fatty Liver Disease ; Liver

Cancer remains one of the leading causes of mortality worldwide and poses a major threat to public health. Cancer incidence and death rates have increased in most countries since 1990. Therefore, the importance of systematic measures within the public health system, such as special hospitals for cancer patients, has been emphasized. Korea has established a 10-year plan to treat cancer patients and has implemented national cancer control policies (the 10-Year Plan for National Cancer Control) over the past 20 years, and these policies have resulted in dramatic breakthroughs in cancer survival. However, by focusing on the visible outcomes of cancer control, these policies have not shown adequate results in terms of building an integrated support system to improve the quality of life of cancer survivors or terminal cancer patients. In the future, the government should strive to build a comprehensive cancer management system that incorporates multipurpose integrated support measures, such as multidisciplinary, palliative, and hospice care.
Cancer Care Facilities ; Hospice Care ; Hospitals, Special ; Humans ; Incidence ; Korea* ; Mortality ; Palliative Care ; Public Health ; Quality of Life ; Survivors

PURPOSE: The purpose of the study was to identify and compare the characteristics of cancer patients and cancer survivors. METHODS: This study used data from the Korea National and Health Nutrition Examination Survey (2010~2015), conducted by the Center for Disease Control and Prevention. This study included 455 cancer patients and 567 cancer survivors. The data were analyzed by descriptive statistics, t-tests, and χ2. RESULTS: Cancer survivors were less compliant compared to cancer patients in drinking frequency (χ2=13.12, p ≤.001), drinking volume (χ2=13.35, p=.001) and cancer screening tests (χ2=4.79, p=.029). Cancer patients showed higher body weight change compared to cancer survivors (χ2=7.37, p=.025). There was no difference in quality of life (QoL) between the two groups (t=1.38, p=.169). CONCLUSION: This study indicates that cancer survivors have poor living habits and no improvement in QoL compared to cancer patients. Oncology nurses should pay attention to cancer survivors compliance of living habits to prevent secondary cancer and to improve their QoL.
Body Weight Changes ; Centers for Disease Control and Prevention (U.S.) ; Compliance ; Drinking ; Early Detection of Cancer ; Health Behavior ; Humans ; Korea ; Quality of Life ; Survivors*

With the early detection of cancer and improvement in cancer therapy, the number of cancer survivors is rapidly increasing. This number is expected to reach 2 million by the end of 2019. Cancer survivors struggle with not only cancer-related health problems but also diverse acute and chronic diseases. These health issues make cancer survivorship more complex, and proper care coordination is necessary. This study aimed to summarize the definition of cancer experience and management of cancer survivors, specifically focused on gastric, colorectal, lung, breast, thyroid, prostate, and cervical cancers. Furthermore, it aimed to discuss the role of primary care in cancer survivorship and survivorship care models and the National Policy for Cancer Survivors and Future Challenges.
Breast ; Chronic Disease ; Early Detection of Cancer ; Health Promotion ; Humans ; Lung ; Primary Health Care ; Prostate ; Survival Rate ; Survivors ; Thyroid Gland