the for detail going to be find it here. repos every weekend on d w. the no matter what ails you, google your symptoms and the results will often be cancer. so when in doubt, get off the internet and consultant doctor instead preferably right away, because if it is cancer, an early diagnosis gives you the best chances of a full recovery. new targeted therapies are extremely effective that combating many types of cancer people with but 9 tumors now have reason for hope to find out how cancer develop. so now to live your best life despite tumors,

funding in good shape the your body is a construction site. your whole life long, its building blocks the sales are in a constant process of renewal. every day your body replaces 330000000000 defense. specialized stem cells ensure a fresh supply found in almost every organ in the body. they're capable of reproducing new cells as needed. some need replacing on an almost daily basis. for example, the mucosa cells and the god or the blood cells others live for months or even years. what these new shows should look like is written in the stem cells in

a but sometimes these assembly instructions get damaged by u. v. light, air pollutants, attractions food, inflammation, or viruses. some changes in the dna are congenital and the older we get, the more likely errors are to occur. when shows are reproduced, the assembly instructions are simply copied, mistakes included producing faulty building blocks. then for example, the stem cells in bone marrow might only produced effective white blood cells. the skin cells could start multiplying uncontrollably or mute codes of cells and the good could triggered the formation of polyps or tumors. these cell masses can be benign, but tumors that all malignant keep on growing and in doing so,

destroys surrounding tissue cells that break away from the original tumor and form new tumors and other organs or to choose are called my test disease. in the worst case scenario, they can cause a total breakdown. still, your body isn't defenseless. the ceiling system conduct security checks to detect invaders and not just the viruses or bacteria. it can wait out defective building blocks to steal cancer cells are crafty, add up lots of tricks to avoid detection. these include disguising themselves as regular cells or suppressing the immune response to come back malignant tumors. new early detection methods and cancer therapies are constantly being developed. yet despite all the progress made

there still much to be learned about the causes and development of cancer, and for those affected the diagnosis, often march the start of a long battle to keep the bodies construction site up and running. getting the right diagnosis. it isn't always easy to take skin cancer, for example. as we age our skin, just more lesions. regular skin cancer screenings can detect whether skin cells are showing abnormal growth and forming tumors. but getting an appointment with a dermatologist can take a while. and in some countries it costs a lot to so wouldn't it be great if you could conduct your own screening at home?

there's already an app for that. the dangerous or harmless. this mobile is being checked using a skin cancer detection app. it's easy to use. take photos, fill out the questionnaire, fits and and wait for a doctor to respond. like monte anson, doing a tom which is to analyze the screen, changes for an app provider, along with the photos. the questionnaire provides vital information. they split the lines, the small looks quite normal. so 1st of all, i can assure the patient that there's no acute need for action. but there's no absolute certainty that everything's fine. and i wouldn't want to say it is based on photos like these. that's when he gets off when so you recommend that the patient come in some time for an on site skin cancer screening and all but then you can examine it using reflected like microscopy engine larger nicholas. next month's free course. i said, there are dr based apps and algorithm based ones, which on the use of artificial intelligence to assess skin lesions and your eyes

increasingly playing a role in diagnosing skin. cancer like here at the german cancer research center where they're developing a reflected light microscope with a built in camera. but algorithm based apps still have major weaknesses, says a researcher teachers blink. i go with most of the algorithm based apps get tripped up by little changes to the image and select for example, when the contrast or lighting or color is different, how it's less on us and, and when the composition of the image is altered or when the model is photographed from a different angles on or not like it was in the apps training data. then inaccuracies occur. we can always kind of the market for cancer screening apps is large. german consumer organization rated 17 of them. what stood out most, some by one ap didn't recognize the malignant melanoma in certain circumstances that could prove fatal if you don't go and see

a doctor. and that's what the app should have recommended, and we'll see the biggest differences where between the algorithm based apps, their performance range from good to just the adequate. whereas the doctor based apps, well rank good. just satisfactory. that not all apps make accurate assessment is something that to him i started back, god knows all too well his falsity diagnosed him with non melanoma skin cancer as the worst as a top. it's a basal cell carcinoma, non melanoma skin cancer, and of course i was shock below it said based on the images provided by suspect the diagnosis is a so cell carcinoma. the most common form of skin cancer to use before your colleagues to form from hold to fix a nerve to you had his dermatologist marching yonce and take a look. dr. young's and calmed his fears rather than skin cancer, he diagnosed eczema that cleared up with help from a height of cortisone cream. assuming that if you only look at the photo and the

patient tells you that he's been monitoring this spawn for 6 months and that it's been there for over a year and then you might think that could be based on so carcinoma. monday. when you look at the case history with the patient has stated that it's been there for one to 2 days. there are dermatitis runs in the family. he's always had skin troubles and then that diagnosis doesn't fit at all us. and that's the problem. many things look the same businesses, but it's emily to additional info and sometimes a physical examination that you might reach the right diagnosis or much often pass before and a sense of that listing. the goals are comp doctor cheaters. blinker develop germany's for skin screening app in 2019 to be approved. it has to meet the german medical association. strict criteria have kid on my back then because it was a model project i recruited the best doctors here in the heidelberg region for the skin cancer detection at partisan today. big companies looked at the cheapest

dermatologist because they want to turn a profit boy and need money for advertising to. of course, that's a problem. so jobs may be helpful, but can take the place of a comprehensive examination by a doctor. and i'm folks should know you as the patient are taking the photos, but you're not an expert. meaning that if you don't photograph the relevant spot, the applicant evaluated, and i'm just getting cancer in particular, often appears in places you wouldn't expense on like malignant melanoma on the soles of the feet. have so much fun, if you don't photograph them stuff that won't be assessed or something just in time shuts down. what many people don't know if malignant melanoma isn't recognized in time, it can quickly metastasize to diagnose skin cancer early. you should visit a dermatologist regularly along with a personal medical consultation computer assisted examination methods can help diagnose potential cancer's like very small. it's a symmetrical appearance means there's a higher risk it's cancerous,

or did somebody outside the site, we now have 2 possibilities. i'd recommend that we look at it again in 3 to 6 months. for now, i don't see any acute need to act. alternatively, we could freeze it super officially and simply remove it, and then examined it microscopically is to wait or to remove the suspicious mole. that's a decision, no apt can make for you. breast cancer is the most commonly diagnosed form of cancer in women worldwide. while it can occur any time from puberty onwards, older women are at an increased risk. in 2020 to 2300000 women were affected. 670000 of them died from the disease. but things to great leaps and medical research. more women are surviving

breast cancer than ever before. it's been television. i'm a pretty sensitive cry baby and i was really scared. after her diagnosis, a special test helped katherine vandal decide to undergo came of therapy to make sure her cancer wouldn't come back. catherine, bundle can still remember how everything started. in april 2022, she noticed something wasn't right and went to see her gynecologist a mammogram and a biopsy confirmed her fears. she had breast cancer, but the diagnosis was just the 1st challenge. sufficient ext vehicles have a come when i got the diagnosis. i started googling to see whether i should have an impact to me or has my breast removed entirely quench or do you do what i had to start? it was very, very hard to sort it all out. does. oh, and so often because these days there are many ways to fight breast cancer,

making the course of treatment almost as individual as the women themselves. so after her diagnosis, katherine dental found herself confronted with a myriad of methods and terms. the operation radio therapy, kimble's therapy and she hormones, therapy, antibodies therapy and many more assess and causing cough. there's chaos in your brain. now, the one thing was clear to me, i didn't want to trust in just one dr. i'm ops photography. ready so she got some 2nd opinions, including from maggie bonnie's pilot kosky at the university hospital in lou back. the doctor knows how confusing the terminology can be, but she also knows that the chances of survival and recovery have improved dramatically. thanks to the number of therapies, that's how the much has been done. progress and the treatment of breast cancer has been breathtaking. the most important developments have certainly been the targeted

therapy. since every tumor is different, cancer treatments are now as targeted and individual as possible. it's no longer primarily about the location and size of the tumor but rather what kind of cells it's made of. ready in the, on the 2 we've learned to characterize tumor, so it's better to get to know them better and have found targeted ways of approaching them. the advantage is that the therapy is very effective while having minimal side effects. because the therapy reaches the tumor cells directly. the university hospitals gynecologist and radiologist consult about every woman and every tumor at a tumor conference. then they make an individual retailer treatment plan on katherine vandals. the 1st step was an operation. although the tumor was in an inconvenient place maggie bonnie's color kosky was able to save catherine's breast . that's because surgical techniques have also improved in recent years. this noise

is that what's new is we can treat a large tumor or one that's in an inconvenient spot without removing the breast instead be performed on co plastic surgery. which means we use techniques from us. but its plastic surgery which we naturally adapt to remove the boomer, was a good safety, largest and intensive after the operation tissue from catherine vandals tumor was examined. the biopsy had already revealed various important characteristics of her tumor. now the pathologist can analyze it for certain proteins and genetic mutations in certain tumors. these prognostic or gene expression tests can help to predict the course of a disease. if i'm busy, until now we weren't so good a gauging whether a patient needed chemo therapy or not. based on these tests, we can better assess what a patient's prognosis is. and if she needs to have chemo. based on her test results catch when dental opted to have chemo therapy. no such tests was

available to car in my field when she was diagnosed with breast cancer. 17 years ago. back then she underwent the full course of treatment for chemo therapy, followed by an operation and radio therapy. then came the shock, her breast cancer had spread and she had long the task to cease. that's why not just yeah, of course, that topped it all to put it mildly, looks on it because the consequences were already clear. the tumor was so large that the long couldn't be safe most uh, clinton monday, the windshield height. one of her lungs had to be surgically removed in the years that followed. she receive groundbreaking drugs that kept the cancer at bay not much on the floor back then. her cancer, which was already quite advanced, could be very well treated through the 1st developments in the field of antibody therapy, combined with chemo therapy, to 100000 content, and then half, and then a combination drug help give her 14 years and remission. and a very good license here, like his work 5 by his own vehicle,

just leave him go out practically a miracle. so now karen meyer volk has more of a task to seize, but doctors are helping her fights. these gross was new medications known as antibody drug conjugates company. i'm just panel an antibody drug conduct. it consists of a monoclonal antibody that's linked to a small molecule talks, and the antibodies job is to recognize the structure of the cancer cell and talk on it together. the antibody and the small molecule toxin penetrate the tumor cell, releasing the targeted anti cancer therapy design to destroy the effectiveness of these medications as far surpassed doctors expectations. the option of visor surprising leads instead of 15 percent around 75 percent of the

patients profited from this therapy. so it actually demonstrate the multiplication of the effect with relatively moderate side effects. unlike with chemotherapy, every 3 weeks car in my or vogue is given an infusion. there's a 50 to 60 percent chance that her body will respond to the therapy. this is a sound like i'd say it's one of my last chances. i see it that way. oh my god, but i'm willing to fight and, and put up with all the side effects will cut everything that goes along with it. and coffee after deciding to have chemo, catherine vandal also had to deal with the frequent side effects, nausea, weakness, and hair loss. but she completed her treatment and feel certain she made the right choice. right now she's tumor free and do use the future with optimism. the thing

that helps her, most of all getting lots of exercise is negative. i notice that it does me good. and i know that exercise greatly lower is the risk of cancer coming back. now i'm to say that's why i always try to stay a step ahead of cancers, but fast one and 4 people worldwide will develop cancer during the course of their life times. the biggest risk factor is aging. that's why in countries with aging populations, the lifetime risk could be even higher. but cancer can strike anyone, even those who are young and fit, and competitive athletes are no exception. this cancer spell the end of an athletic career, not necessarily the new german competence center for a competitive sports and cancer in cologne helps athletes hoping to make a sport and come back. felix pittman is back on the track. he is fond

memories of winning the german championship title in the 800 meters 2 years ago, his greatest victory to date. but a big shock followed a mandatory doping test revealed signs of testicular cancer renovation. that was done with when it's something you don't expect at 1st i was overwhelmed by the whole situation. i mean, you know, but then i was able to talk about it fairly quickly and often with a lot of people and felt emotionally supported of the fund would. so i could start looking to the future relatively fast, and that got me through it, including the chemo therapy that following for most the good, having after his tour was removed. felix pitman wanted to start running again, but wasn't sure if he should during his cancer treatment, the new german competence center for competitive sports and cancer was founded to help in cases like his. it's headed by sports medicine specialist, nor adults,

once a competitive athlete herself. here the goal is to bring together all our expertise . we have the university hospital cologne as a top mancha logical center. so we can bring top doctors to the table along with the athletes, care team, and experts from the sports university cologne, who have decades of experience in caring for competitive athletes. we ourselves can contribute our expertise in the area of blanco, logical training and exercise therapy. and this complete package can be individually tailored to suit each path lead to the university hospital. cologne is receiving more and more requests from sports organizations. it's new competent center aims to become the place for athletes with cancer around 60 patients are now being treated here. in the early 19, eighties, cancer patients were generally prescribed convalescence in rest, to give their bodies the best possible pre conditions for healing. i know it's only

fairly recently the patients have been encouraged to exercise. and so now it's one of the most important colors in supportive therapy to help a cancer patient manage the side effects during treatment. and so that once or twice a returned to in athletic career isn't always possible. sometimes the cancer can't be cured. felix whitman was being treated by nor results even before the new competence center opened. his story shows how oncology and sports science can work together. petition which we have done for sure. i now have to think and plan long term. right now, i'm focused on the 2028, a lympics in los angeles. so in that of course, it won't be easy to plan the next 4 years right away. yeah, that was done next year. i hope i can already get back to my previous level and show what i've achieved in the last 2 years. yeah. and then all my hard work will bear fruit, the philadelphia a place to talking. but in the 2 years since his diagnosis,

felix bittman has fought his way back, the competent center for competitive sports and cancer games to help more athletes get the or careers back on track. but not every kind of uncontrolled cell growth or tumor is cancerous. the 9 tumors don't form metastases, so they're not life threatening. in theory, life could go on almost like normal. so those effected still have to deal with their disorders. a young woman from cologne makes her tumor, a source of strength and positivity. photos of males kind of, she doesn't cause me pain and gives me the feeling on making progress with every kilometer. i feel i'm growing somehow is 32 years ago. a diagnosis turned andy summers life upside down. a tumor was growing and her foot instead of giving

up handy, ran with it, setting herself the goal of doing a marathon discovery stab. i'm well aware that it's a pretty awful disease, but it's more fluid has to be amputated at some point in months than i'm willing to accept that. and just because it's only my foot, but it's not my head as this has been called. and the summer has done sports all her life. she's drawn up a bucket list full of the things she wants to accomplish. now, more than ever since the discovery of the tumor, which he lovingly called fluffy for flipper, i've a via just because slippers are cool. i wanted to talk to you that said check my flipper fellows from my doctors, but it didn't look good. dolls. running long distances with a tumor in your foot might sound strange, but not to doctor, nor results from the competent center for competitive sports and cancer. the use of evenings to repeat the goal of the exercise therapy, especially with the tumor like this that's affecting the joint capsule excuse to come back, joint stiffness and stylish type and capable. so in this case that it's being

physically active is really important piece to sign. um, so like i don't have to as long as the patient stays healthy and pain free, it's even possible to run a marathon. and my tongue to allow from the tumor has been 9, so it's not life threatening. but if she doesn't find a therapy that works, andy's football gets differ and stiffer until it has to be amputated. chemo therapy would help, but andy tried that, had to break off the treatment when and even vocal and on the side effects were depression and insomnia. shopping. i think once i didn't sleep for 5 night straight stuff, rank is this puts my face, became this shape and form i was another person somehow. as i mentioned to me, she hopes scientists will soon develop a gentler form of therapy. when andy was diagnosed her mother, claudia learned all she could about this. we're disorder shocked by the diagnosis. once i kept running through her head on her face to say, why didn't i get it?

for like instead of my child, that's why it is such a young person who's in the time of her life, i didn't really think of a sporty bought place. have to suffer such a blow on flock from them. but and these positivity, even in tough times, boys, her family spirits the talent, she has a talent for doing things where she'll say stuff kids, i'll spend the day in munich if i be me, it's been tough and go river surfing and ride that waves. so and then i have a happy daughter against andy summers. motto is be thankful for what your body can do and enjoy life for as long as you can. she hopes that then you mentioned that the if someone who receives this diagnosis, here's the words. it will affect you for the rest of your life. of us say realize that it doesn't all have to be negative. so if it can give you a lot of thankfulness experts

then we're thing cool that you stayed with us all the way to the end. take care and see you again. next time pod can good shape, bye for now. the

reason the topics that i'm leaving, the time we talk about private data isn't helping to slide crime social media censorship because uh digital networks world notice. so what are the biggest challenges we'll talk about that the for the fremont california, this home in northern germany, my grandmother emigrated to presume at the age of price as well. i know making that

fine to the account. i come from you on the display and work as a journalist on germany, where my ancestors emigrated from. would like to take you on a journey through 200 years of german immigration and then you get a film dialing maya. oh, the vain. in see minutes on d. w, the easiest on the rounded oak trees and they use by day by night and over the full season natives grace

adapt his living see to europe of trees. gold. jenny reset on d. w. so you don't feel the same way you expect and want different things from life than your parents . i just want to pursue what that's my saw on fired or you think you kid is 2 different risk, irresponsible, unreasonable, or portentous nonsense. i wonder what's under the doctor? is there an alternative plan? we've done everything to prevent, of course that nothing works. so in the clouds, it's time. you're

a sweet thing for us. and then when generation now on the team to ministry. this kind of fun, i feel like there's the free this is dw news lie from berlin, a man plows the car into a crowd of christmas markets in germany. for people are now confirmed dead and scores injured. following the car, i'm going attack it a christmas market in the german city of mazda parts. this aspect of 50 year old saudi doctor is in police custody. german chancellor. luff shoulds is expected to arrive in the city shortly. the

marietta evans dean, welcome german.