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    Dealing With Cancer

    Can alternatives help?

    Improving Quality of Life

    When it comes to relieving pain, easing anxiety, and improving the quality of life of cancer patients, experts say, alternative therapies can make a big difference.

    "Cancer patients should be wary of any alternative therapy that offers a miracle cure," says White. "If we had a magic bullet, believe me, every cancer center in the country would be offering it. But even if we can't offer patients a cure, we can do more to provide them with the best quality of life. When patients choose to undergo chemotherapy or radiation, it's up to us to help ease the side effects. And complementary approaches can be remarkably useful."

    Barrie Cassileth, MD, who heads up the Integrative Medicine Outpatient Center at New York's Memorial Sloan-Kettering Cancer Center, agrees. "We know that many of these supportive techniques help patients," she says. "Probably the most broadly effective, safe, and helpful complementary therapy is massage. Other helpful approaches include mind-body techniques, such as progressive relaxation. Music therapy is also great as a way to help patients relax and relieve the inevitable tension they experience while fighting cancer." Cancer patients at Memorial Sloan-Kettering are also offered herbs like mint or ginger, which can help relieve chemotherapy-induced nausea.

    So far, most of the evidence for alternative approaches is still anecdotal: Patients simply report feeling better after trying them. Proponents believe that's reason enough to offer therapies that are safe and noninvasive.

    Fortunately, evidence from clinical trials is beginning to suggest that certain alternative techniques offer measurable benefits. At Stanford University Medical Center, psychiatrist David Spiegel, MD, has been testing the power of such mind-body techniques to improve quality of life. In a 1999 study of 111 patients with breast cancer reported in the June 1999 issue of the journal Psycho-oncology, Spiegel showed that patients taking part in support groups experienced a 40% decrease in their scores on a scale that measures mood disturbance.

    In Search of a Cure

    Can alternative approaches also help patients fight the disease? This question sparks fierce controversy. Hundreds of so-called "alternative" treatments for cancer are being hawked in health food stores and on the Internet -- treatments that have never been tested in human studies. Some, in fact, are still sold despite convincing evidence that they are worthless. Laetrile, for instance, which first became popular as an "underground" cancer drug in the 1950s, is making a comeback, much to the chagrin of scientists who point to convincing studies that it offers no benefit.

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