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"It isn't fun." Eugene Bowen takes an understated approach to
explaining what it's like to have cancer. Since the 56-year-old Ansonia
resident was diagnosed with head and neck cancer in early 2005, he's taken
a crash course in how to live with - and fight - this disease.
Fortunately, he's also been able to take advantage of a series of cutting-edge
diagnostic and treatment tools that have been effective in combating his cancer
and putting him back on the road to recovery.
"My cancer was discovered by a fortunate accident," Bowen says. "Because I had
some periodontal disease, I saw my dentist
for checkups and cleanings three times a year. It was during one of these exams that a
little spot on my tongue, about the size of a cold sore, was found."
Concerned with the appearance of the spot, the dentist suggested a biopsy. Three days
later, Bowen was told he had a malignant tumor in his tongue.
Bowen's doctors and other caregivers at Saint Raphael's
Father Michael J. McGivney Center for Cancer Care had
at their disposal a range of up-to-the-minute imaging and treatment techniques. In addition
to administering powerful chemotherapy medications, his team was able to pinpoint the precise
location of his cancer through the use of a PET-CT
scanner, the first of its kind in southern Connecticut. By combining the PET scan's ability to
detect bodily changes related to metabolism with the CT scan's clear images of internal anatomy,
PET-CT enables doctors to precisely pinpoint the size, shape and location of a tumor.
In Bowen's case, the imaging indicated the cancer was confined to his tongue and a single
lymph node. "I had been afraid it might have spread to my jawbone," he says. "So I was pleased
to get the news it was still fairly localized."
Bowen's cancer was also treated with another new technology at the McGivney Center.
Intensity modulated radiation therapy (IMRT) allowed
doctors to send out powerful radiation beams from multiple angles that conformed themselves to
the exact shape of his tumor, thus protecting healthy surrounding tissue. The number of sessions
recommended varies from patient to patient; Bowen had 35, each lasting approximately 15 minutes.
Stereotactic radiosurgery is another effective head and
neck cancer treatment option.
"I wore a mask, molded to provide a unique fit for me, to help guide the radiation to
precisely the right location," he says. "The treatments were painless." Even the side effects
of Bowen's radiation were managed through new technology and pharmacological care. He did
experience some tooth loss, and had a feeding tube to channel food directly to his stomach
while the affected areas of his mouth healed. But he was able to prevent one of the more
uncomfortable consequences of radiation in the oral area. "Because radiation can affect the
salivary glands," Bowen says, "you can end up with a chronically dry mouth, but I was able
to enroll in a clinical trial of a medication
to protect the salivary glands during radiation, which prevented most of this problem."
Recently he began - in small steps - to eat normally again. "I'm really looking forward to
quality time at the dinner table!" he laughs.
Now through with his chemotherapy and
radiation, Bowen is still seen regularly by Saint
Raphael Radiation Oncologist Robert Sinha, M.D.
"His office - and all the staff at the McGivney Center - have been terrific," he says. "Very
responsive. When you have cancer, so many questions come up, some small and some large. I was
delighted at how responsive the staff is. Every time I called with a concern, the doctor responded
quickly and was generous with his time. I was never made to feel that I was bothering anyone,
or that they were in a hurry to move on to something else."
Bowen anticipates being back at his job as a construction supervisor soon. "In my treatment
at Saint Raphael's, I was helped by a lot of new technologies and medicines," Bowen says.
"But the best thing of all is that the people at the center are just remarkably kind. Even
the little things show how caring the center is, like the stained
glass effect on the ceiling that you can see while you're having your treatment. They really
look at cancer treatment from the perspective of the patient."
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