(NBC NEWS) With second cancers on the rise, doctors and patients are forced to come up with new ways to handle that second, third or fourth diagnosis.

Nearly 1 in 5 new cases in the U.S. now involve someone who has had the disease before.

Judith Bernstein of suburban Philadelphia is an extreme example. She has had eight types over the last two decades, all treated successfully. This doesn’t mean her cancer came back — they are entirely new cancer that started on their own.

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