European Stars and Stripes (Newspaper) - May 17, 1994, Darmstadt, Hesse                                Al h e a  v 8,- s c  n c e a a v a cancer most. A Quot. Quot a. A a a a. A a. A a a common tumor in Young men by Don Colburn the Washington Post Philadelphia Phillies first baseman John Kruk who had surgery for testicular cancer in March offers a classic example of the bad news Good news nature of the disease. While the diagnosis sounds grim testicular tutors Are one of the most treatable forms of cancer and Kruk has the most common and curable Type caught Early. And As he demonstrated it s a something the truly determined can Bounce Back from quickly. _ Kruk 33, was expected to be out of the Phillies lineup until mid May but fooled just about everyone by playing m the phils Home opener on april 11, just six hours after undergoing his 16th cancer radiation treatment. More importantly his statistical chances of Long term survival exceed 90 percent. Kruk s prognosis was favourable because computerized a Ray scans of his Chest Abdomen and Pelvis taken after doctors removed his right testicle indicated that the cancer had no spread. J cancer of the testes the egg shaped glands suspended in the scrotum that secrete male hormones and produce sperm is relatively rare. But because cancer tends to be a disease of old age and testicular cancer strikes mainly Young men it is the most common tumor in men Between the Ages of 15 and 40. Quot fortunately it s a relatively rare tumor Quot said Edward p. Gelmann chief of Haematology oncology at Georgetown University medical Center in Washington and a specialist in urologic malignancies. Quot it s also very  about 6,800 new cases will be diagnosed this year according to american cancer society estimates based on data compiled by the National cancer Institute. About 325 americans a year die of the disease. For unknown reasons it is about four times More common in Whites than in Blacks. Testicular cancer is one of the Success stories of cancer treatment. Overall a survival rates have risen steadily since the 19g0sof those diagnosed in the. Mid and late 1950s, 93 percent survived at least five years. Recurrences John Kruk bounced Back from cancer surgery with three hits in his dramatic return to the Phillies lineup. After five years Are unusual. Not All kinds of testicular cancer however have the same High rate of cure. For example one of the rarer forms called choriocarcinoma is highly malignant and has a Low five year. Survival rate. Most testicular cancers originate in the cells that produce sperm. They Are there s been a revolution in the treatment of testicular cancer with chemotherapy. We re saving patients you  have believed possible 20 years  a Nicholas l constantinople Washington urologist divided into two a rain types Semi Noma and Nons Minoma germ Ceil tutors. The most common form of testicular cancer a which is also the most easily treated a is a Semi Noma confined to one testicle the kind of cancer that Kruk  in chemotherapy during the past two decades have boosted survival rates dramatically for patients with other forms of testicular cancer a including those that have spread beyond the testicle. A Quot there s been a revolution in the treatment of testicular cancer with chemotherapy Quot said Nicholas l. Constantinople a urologist in private practice in Washington. Quot we re saving patients you would t have believed possible 20 years  the first sign of testicle cancer is usually a pea sized Lump. Men Between the Ages of 20 and 50 Are advised to Check themselves once a month for swelling or lumps in the Testicles. Often the Lump is painless. A hard Lump or irregularity in the Testicles should be checked immediately by a doctor since cancer can spread even while the original growth is Small. Many lumps turn out to be harmless fluid filled cysts but if a nodule shows lip on an ultrasound scan As solid and cancerous it requires treatment As soon As possible Quot the danger is that you could lose a Chance to cure the patient if you Don t remove the testicle right away Quot constantinople said. The first step in treatment of testicular cancer is almost always surgery. The entire cancerous testicle is removed through an incision in the Groin because dissecting it or taking it out through the scrotum might risk. Spreading the cancer cells. The other testicle is left intact except in rare cases where it too is cancerous. Removal of a testicle a an operation called Orchidectomy a usually has no lasting Side effects. It dues not cause hormonal changes or harm sexual a function or Fertility. To your health Medicine and kids sore Knees and teens by Modena Wilson and Alain Jefe the Baltimore Sun a in Church i noticed that the infant next to us slept throughout the service. His Mother explained his behaviour by saying she had Given him a drugstore cold Medicine. Is it Safe. A a a a a a a. A. A a a. Let us say at the outset that we re hard pressed to think of any occasion except for a necessary medical procedure when a child should be artificially sedated. Cold medicines Are usually combinations of several drugs meant to control the symptoms of a cold. They May contain a decongestant an Antihistamine and something to suppress cough. To make the drugs into a liquid for children the manufacturer May add alcohol. One or More of the ingredients May cause drowsiness. But you can t rely on it children May become Overly excited instead just because you can buy medicines without a prescription does not necessarily mean they Are  cold Medicine labels specify that a physician should be consulted before Medicine is Given to Young children. We never recommend cold medicines for Young infants. Q i my 12-year-old son plays a lot of sports. Now he complains a lot about the front of his left knee hurting even though he never injured . Of we suspect your son has a condition called Osgood Schlatter disease although what is occurring hardly qualifies As a  t during Early puberty Bones and Muscles begin to grow rapidly. Asa result there occurs a relative loss of flexibility of muscle. This coupled with extensive use of Muscles from a full sports schedule results in an overuse injury of muscle in which tiny a Micro tears Quot appear in muscle fibres at the Point where they insert onto Bone. In some cases the Bony attachment itself can be slightly damaged. Typically the Bony Knob on the front of the leg about one Inch or so below the knee Cap becomes enlarged and tender. / to. Treatment consists of avoiding sports that aggravate the pain icing the tender area and using non steroidal anti inflammation medications such As ibuprofen. Once the pain has decreased a program of gently stretching and strengthening of the Muscles of the front of the thigh will also help. Return to athletics should be avoided until your son can play pain free. There Are a number of overuse injuries such As this that occur during periods of rapid growth. Gentle muscle stretching and conditioning Wilt help to prevent them. Young athletes often try to minimize the pain from these overuse injuries. Doing so May result in a longer rehabilitation period. Although these conditions Are More common in Young men they can occur in Young female athletes As Well. A or Modena Wilson and or Alain to of work a Iho Johns  c.l.ikjfon�?T5center a. A ,. Tuesday May 17, 1994 the stars and stripes a a 15