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For a malignant tumor to form, cancer cells must evade the immune system's attack. Numerous studies have already shown that cancer spreads particularly aggressively if there is an unfavorable balance between suppressing and active immune cells in the tumor microenvironment. “But we didn't...
As reported by Solin et al in Journal of Clinical Oncology, 12-year results from the ECOG-ACRIN E5194 trial indicate that among women with ductal carcinoma in situ (DCIS) with low-risk clinical and pathologic characteristics, surgical excision without radiation therapy was associated with...
In an analysis reported in the Journal of the National Cancer Institute, Ligibel et al found that body mass index (BMI) at diagnosis was independently prognostic for recurrence-free and overall survival in women with early-stage node-positive breast cancer who received doxorubicin,...
For younger women with early-stage, noninherited breast cancer on one side, a unilateral mastectomy leads to a slightly higher quality of life and lower costs over the next 20 years compared with contralateral prophylactic mastectomy, according to new study results presented at the 2015 Annual...
In a systematic review and network meta-analysis reported in JAMA Oncology, Fujii et al found that sequential anthracycline-cyclophosphamide and taxane (AC-T) appears to be the most effective adjuvant regimen in early-stage breast cancer in terms of association with overall survival and toxicity....
In a study reported in the Journal of Clinical Oncology, Keenan et al found that African American women with breast cancer had greater intratumor genetic heterogeneity, a higher frequency of TP53 mutation, and higher risk for basal tumors compared with white women, with the characteristics...
First results from the largest international comparison of the treatment of elderly patients with breast cancer have shown substantial differences in the use of surgery, hormone therapy, and chemotherapy among European countries. The European Registration of Cancer Care (EURECCA) study compared the ...
Young women undergoing chemotherapy for breast cancer may be more likely to remain fertile if they also receive hormonal treatment, according to new research (Abstract 1957) presented at the 2015 European Cancer Congress in Vienna, Austria, and published simultaneously by Lambertini et al in Annals ...
Although most patients with breast cancer are cured after treatment, in about one in five patients, the cancer will recur, returning either to the same place as the original tumor or metastasizing to other parts of the body. Now, researchers have taken an important step toward understanding why...
Overall survival data from a phase II study, reported in the Journal of Clinical Oncology by Ellis et al, suggest a benefit of first-line fulvestrant (Faslodex) vs anastrozole in postmenopausal women with estrogen receptor–positive advanced breast cancer. The study protocol was amended to...
Adjuvant radiation therapy may be omitted for elderly women with estrogen receptor–positive, early-stage breast cancer who receive hormone therapy. Limited data exist to guide treatment decision-making for elderly women with triple-negative breast cancer. As some findings thus far have shown...
A new retrospective analysis explored local recurrence rates for women with ductal carcinoma in situ (DCIS) treated between 1978 and 2010. In the research (Abstract 32) by Van Zee et al, to be presented September 25 at the 2015 Breast Cancer Symposium, in San Francisco, investigators evaluated a...
Women who are carriers of mutated BRCA genes are known to have a significantly higher risk for developing breast and ovarian cancers than those who do not have the mutations. A viewpoint published recently in JAMA Oncology by researchers at the University of California Los Angeles questioned...
The number of men with breast cancer who undergo surgery to remove the unaffected breast has risen sharply, according to a new report by the American Cancer Society and Dana-Farber Cancer Institute researchers. The report, published by Jemal et al in JAMA Surgery, is the first to identify the...
Obesity increases the risk for overall and breast cancer mortality and comorbidity. As reported in the Journal of Clinical Oncology by Rock et al, the Exercise and Nutrition to Enhance Recovery and Good Health for You (ENERGY) study has shown that a group-based behavioral intervention can produce...
A genetic test that helps predict whether some women’s breast cancer will recur might influence how chemotherapy is used, according to a study from Duke Medicine. The study found that low-risk patients who had the test appeared to opt for more treatment, and high-risk patients who were...
In a study assessing placebo effects reported in the Journal of Clinical Oncology, Mao et al found that sham electroacupuncture produced a greater reduction in hot flashes than placebo pills and gabapentin, with the greatest reduction being achieved with real electroacupuncture. Study Details In...
Women who are obese have a higher risk and a worse prognosis for breast cancer, but the reasons why remain unclear. A Cornell study published by Seo et al in Science Translational Medicine suggests that obesity changes the consistency of breast tissue in ways that predispose an individual to tumor...
Scientists have developed a blood test for breast cancer that may be able to identify which patients will suffer a relapse after treatment, months before tumors are visible on hospital scans. The test may uncover small numbers of residual cancer cells that have resisted therapy by detecting cancer...
Concerns about fertility kept one-third of young women with breast cancer surveyed in a recent study from taking tamoxifen, despite its known benefit in reducing the risk of breast cancer recurrence. In addition, the study found fertility concerns led one-quarter of women who started...
A study by researchers at Sweden's Karolinska Institutet is reportedly the first to suggest that cells in the tumor blood vessels contribute to a local environment that protects the cancer cells from tumor-killing immune cells. The results, published by Hong et al in the Journal of the...
Women who have inherited mutations in the BRCA1 or BRCA2 gene are more likely to develop breast cancer or ovarian cancer, especially at a younger age. Approximately 5% of women with breast cancer in the United States have mutations in BRCA1 or BRCA2, based on estimates in non-Hispanic white women. ...
The phase III NSABP B-40 (NRG Oncology) trial showed that the addition of bevacizumab (Avastin) to docetaxel-based neoadjuvant chemotherapy improved pathologic complete response rate, the primary endpoint, in patients with early HER2-negative breast cancer. In a report of secondary outcomes in The...
Adherence to aromatase inhibitor treatment for breast cancer declines over time. In a study reported in the Journal of the National Cancer Institute, Neuner et al found that introduction of generic aromatase inhibitors resulted in a reduction in decline in adherence among patients with breast...
Although mammographic screening leads to reductions in breast cancer mortality, some women experience psychosocial side effects and do not benefit from screening, according to a study by Bolejko et al investigating the prevalence and predictors of the psychosocial consequences of false-positive...
In a study reported in JAMA Oncology, Narod et al found that the risk of breast cancer mortality was elevated in some patients with ductal carcinoma in situ compared with the general population, with the risk being higher in younger vs older women and black vs white women. Approximately half of...
New software could speed up breast cancer diagnosis with 90% accuracy without the need for a specialist, according to research published by Dobbs et al in Breast Cancer Research. This method could improve breast cancer management, particularly in developing countries, where pathologists are not...
Multigene testing of women who tested negative for BRCA1 and BRCA2 found some of them harbored other harmful genetic mutations—most commonly, moderate-risk breast and ovarian cancer genes, as well as Lynch syndrome genes (which increase the risk of ovarian cancer)—according to an...
In women with breast cancer, taxane-based chemotherapy—docetaxel and paclitaxel—did not appear to increase the incidence of lymphedema, according to a study by Swaroop et al in Breast Cancer Research and Treatment. However, the investigators did note that adjuvant chemotherapy with...
A first-of-its-kind study published by Bradley Palmer et al in the Journal of Clinical Oncology found that music therapy lessened anxiety for women undergoing surgical breast biopsies for cancer diagnosis and treatment. The 2-year study, conducted at University Hospitals (UH) Seidman Cancer Center, ...
In an analysis reported in JAMA Oncology, Jagsi et al found that hypofractionation of whole-breast radiotherapy was associated with reduced acute toxicity compared with conventional fractionation. Study Details The study involved data on physician-assessed toxic effects and patient-reported...
Researchers have shown that magnetic resonance imaging (MRI) can detect the earliest signs of breast cancer recurrence and fast-growing tumors through detecting micrometastases, breakaway tumor cells with the potential to develop into dangerous secondary breast cancer tumors elsewhere in the body....
In an analysis reported in the Journal of Clinical Oncology, Park et al found that most of the improvement in breast cancer–specific mortality observed over time in the United States is not explained by tumor size or estrogen receptor status in women aged < 70 years, suggesting a major...
Chemotherapy prolongs life for older adults with most types of cancer, but for women with breast cancer over age 80, the chances of survival with chemotherapy alone are significantly lower than in younger patients, according to a study led by researchers from the University of Texas...
In a randomized trial reported in JAMA Oncology, Shaitelman et al found that hypofractionated whole-breast irradiation resulted in reduced short-term effects compared with conventional fractionation in women with stage 0 to II breast cancer undergoing breast-conserving surgery. Study Details In...
Duke University researchers found that packaging the widely used cancer drug paclitaxel into nanoparticles more than doubled the drug’s effectiveness in destroying tumors in preclinical models. Their findings were published by Bhattacharyya et al in Nature Communications. Paclitaxel has been ...
The 17-year follow-up in the UK Age trial, reported in The Lancet Oncology by Moss et al, indicated a reduction in breast cancer mortality during the first 10 years after diagnosis but not thereafter among women invited for annual mammography screening from age 40 to 49 years compared with...
As reported in the Journal of Clinical Oncology by Van Poznak et al, ASCO has issued a clinical practice guideline on the use of biomarkers to guide decisions on systemic therapy in women with metastatic breast cancer. The statement is based on an ASCO expert panel assessment of systematic reviews, ...
A new way to detect—and perhaps treat—one of the deadliest types of breast cancer may have been found. Led by researchers at Boston University School of Medicine (BUSM), the study was published by Papageorgis et al in Breast Cancer Research. A subset of the triple-negative breast...
In a BIG 1-98 trial analysis reported in the Journal of Clinical Oncology, Metzger Filho et al found that the benefit of adjuvant letrozole vs tamoxifen was greater in patients with lobular than ductal breast carcinoma. Study Details In the BIG 1-98 trial, postmenopausal women with hormone...
In a study reported in the Journal of the National Cancer Institute, Patel et al found that inflammatory cytokine levels were associated with poorer memory function in women with newly diagnosed breast cancer, with higher pretreatment levels of soluble tumor necrosis factor (TNF) receptor type ...
In a patient-level meta-analysis of randomized trials reported in The Lancet by the Early Breast Cancer Trialists’ Collaborative Group (EBCTCG), 5 years of aromatase inhibitor treatment significantly reduced the recurrence risk vs 5 years of tamoxifen therapy during the first 4 years and...
In a patient-level meta-analysis reported in The Lancet by the Early Breast Cancer Trialists’ Collaborative Group (EBCTCG), adjuvant bisphosphonate treatment in early breast cancer was associated with a reduced risk of bone recurrence and breast cancer mortality, with the benefit limited to...
In a randomized phase II trial (NSABP FB9) reported in Breast Cancer Research and Treatment, Abraham and colleagues found no improvement in pathologic complete response rate with neoadjuvant eribulin (Halavan) vs weekly paclitaxel followed by doxorubicin/cyclophosphamide in women with locally...
In a phase III trial (National Cancer Institute of Canada [NCIC] Clinical Trials Group MA.20) reported in The New England Journal of Medicine, Whelan et al found that the addition of regional nodal irradiation to whole-breast irradiation did not improve overall survival in women with node-positive...
In a phase III trial conducted by the European Organisation for Research and Treatment of Cancer (EORTC) Radiation Oncology and Breast Cancer Groups, the addition of regional nodal irradiation to whole-breast or thoracic-wall irradiation after surgery produced a marginal overall survival benefit...
In a study reported in the Journal of the National Cancer Institute, Carvajal-Hausdorf et al found that quantitative measurement of HER2 protein expression in intracellular and extracellular domains indicated improved disease-free survival with adjuvant trastuzumab (Herceptin) in breast cancer ...
In a study reported in JAMA Internal Medicine, Harding et al found that on the county level in the United States, mammography screening for breast cancer is associated with an increase in detection of small breast cancers but no reduction in breast cancer mortality. Study Details This ecologic...
Lapatinib plus trastuzumab improves outcomes vs lapatinib in heavily pretreated HER2-positive metastatic breast cancer. In the phase II TBCRC 003 study reported in the Journal of Clinical Oncology, Lin et al found that earlier use of lapatinib plus trastuzumab was active in HER2-positive metastatic ...
A study comparing the effects of moderate to vigorous aerobic exercise on body fat in inactive postmenopausal women has found that 300 minutes of vigorous exercise each week was superior in reducing total fat and other adiposity measures, especially in obese women, than shorter amounts of exercise. ...