Dr. Tom Purcell, chief medical officer at Fred Hutch Cancer Center, discusses what the future of cancer care may hold in terms of monitoring recurrence and promoting health, as well as how Fred Hutch's streamlined cancer survivorship models help support patients.

Key takeaways:

• Fred Hutch is revamping its cancer survivorship model by embedding specialized survivorship groups directly within each disease division.

• Dedicated providers oversee the long-term care of patients who are no longer in active cancer treatment.

• The survivorship program focuses on improving overall quality of life by addressing the myriad personal and medical aspects of life after a cancer diagnosis

• Dr. Purcell wraps up a six-part podcast series on cancer survivorship. See fredhutch.org/news for other episodes

Dr. Jeremy Hollis talks with John Higgins about the two molecular mysteries that he solved on the way to earning his doctorate degree at Fred Hutch Cancer Center. His solution to the first case provided insight into the evolution of the human immune system and opened new possibilities for drugs and therapies when cell signaling goes awry. His solution to the second showed researchers a new way to trace the evolution of life's most ancient molecular machines when genomic sequences become unrecognizable using standard methods.

Takeaways:

• In just six years in the Basic Sciences Division, Jeremy Hollis recruited the help of colleagues in four Fred Hutch labs and published the results of both investigations in two scientific journals, even before anyone could officially call him Dr. Hollis.
• Solving the case of the Wonky Antenna for his doctoral thesis, Dr, Jeremy Hollis provided insight into the evolution of the human immune system and opened new possibilities for drugs and therapies when cell signaling goes awry.
• Solving the Case of the Vanishing Chaperone, Dr, Jeremy Hollis showed researchers a new way to trace the evolution of life's most ancient molecular machines when genomic sequences become unrecognizable using standard methods.

In this episode of Bench to Bedside and Beyond, Fred Hutch's Diane Mapes talks with clinical researcher and breast cancer oncologist Dr. Rachel Yung, co-director of the Breast and Ovarian Cancer Prevention Clinic at Fred Hutch, about hereditary cancer risk, genetic testing for hereditary cancers and ways to reduce your risk if you are told you have a pathogenic variant.

Key takeaways:

• Inherited cancers seen most often include breast, prostate and colorectal cancers.
• How BRCA1 and BRCA2-related risks compare with other genetic variants such as ATM and CHEK2.
• What happens after genetic testing, from counseling to specialized prevention and surveillance care.
• Options for reducing risk: earlier screening, imaging, medication, lifestyle changes and preventive surgery when appropriate.
• How a genetic variant can raise risk but does not guarantee cancer.
• How fertility, menopause and personal circumstances factor into prevention decisions.
• The difference between clinical genetic testing and direct-to-consumer results.
• What a variant of unknown significance means—and why people generally should not make medical decisions based on it alone.
• The overall takeaway is that genetic information can help people make informed, individualized choices with support from qualified clinicians and counselors.

Dr. Matthew Ross talks with John Higgins about the problems he has solved for Fred Hutch researchers using a donated 3D printer. Ross, the communications liaison for Fred Hutch Cancer Center's Basic Sciences Division, used the printer to fabricate small parts, make customized tools and create scale models of life's smallest molecular machines. Scientists and aspiring scientists can hold these models in their hands to see — and feel — their shape to infer their function.

Key takeaways

• Dr. Matthew Ross uses a donated 3D printer to make spare parts, customized tools and models of life's smallest molecular machines for teaching and learning.

• 3D printing helps the Basic Sciences Division maintain older, specialized equipment, saving money that can be reinvested in research.

• Scale models of proteins that researchers can hold in their hands provide tangible information about their structure, making the visual science of structural biology more accessible to someone with visual impairments.

• The side effects of cancer treatment can make having a healthy sex life challenging.
• For a long time, providers didn't commonly address issues such as low libido, vaginal dryness and painful intercourse. Many patients were embarrassed to bring it up, and providers didn't ask.
• Fred Hutch's new sexual health clinic was created to address these topics and normalize the conversation, recognizing that sexual health is an important part of survivorship and quality of life.
• The clinic provides comprehensive, individualized support including medication, sex therapy and pelvic-floor physical therapy.

John Higgins interviews Dr. Rashmi Mishra, a postdoctoral research fellow in the Hsieh Lab at Fred Hutch Cancer Center, about how aggressive prostate cancer shapeshifts from a form that is treatable with drugs to a more lethal form that is much less treatable. In a recent study, she and her colleagues found potential ways to reverse that trick, forcing tumor cells to shapeshift back into the more treatable form. Their discovery opens a new line of attack against aggressive prostate cancer, as well as breast cancer and possibly other cancers.

Key Takeaways:

• Prostate cancer comprises two main types of cells: luminal, which is more treatable with existing therapies and a more aggressive, lethal type called basal, which is much less treatable.

• A recent study by Dr. Rashmi Mishra, a postdoctoral research fellow in the Hsieh Lab at Fred Hutch Cancer Center, describes how prostate cancer shapeshifts from a luminal to a basal form to elude therapy without reprogramming its DNA.

• Mishra and her colleagues found potential ways to reverse that shapeshifting trick, forcing tumor cells to shapeshift back into the more treatable form.

• Their discovery opens a new line of attack against aggressive prostate cancer, as well as breast cancer and possibly other cancers.

In this episode of Bench to Bedside and Beyond, Bonnie Rochman talks to a bone marrow transplant survivor and the director of psychiatry at Fred Hutch.

Leukemia survivor and bone marrow transplant recipient Nicole Sandburg and Jesse Fann, MD, MPH, Medical Director, Psychiatry and Psychology, discuss the ways a cancer diagnosis can upend emotional health and how mental health services including mindfulness can help patients cope.

• Dealing with cancer can have profound emotional effects that outlast the treatment.
• Recovery requires more than physical healing.
• Cancer strengthens a person's self-advocacy skills.
• People dealing with cancer can help support their emotional well-being by staying active, eating healthy, socializing and getting outdoors.