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palliative care
issues in oncology
issues in oncology
palliative care

Study Shows Palliative Chemotherapy in Patients With End-Stage Cancer Did Not Improve Quality of Life and May Be Harmful

Although palliative chemotherapy is used to improve quality of life for patients with end-stage cancer, a study evaluating its use found that palliative chemotherapy did not improve quality of life near death for patients with a moderate or poor performance status and that it worsened quality of...

colorectal cancer
issues in oncology

Study Finds One-Third of Colorectal Cancers Diagnosed Before Age 35 Are Hereditary

Although the prevalence of genetic risk factors, such as Lynch syndrome and familial adenomatous polyposis, has been studied in the general population of individuals with colorectal cancer, patients diagnosed as adolescents and young adults are not well represented in colorectal cancer studies. A...

palliative care
issues in oncology
palliative care

Aggressive Cancer Treatment Near End of Life Persists, Despite Rise in Advance Planning Efforts

In a review of nearly 2,000 surveys with people whose loved ones died of cancer, researchers led by Johns Hopkins School of Medicine experts said they found a 40% increase over a 12-year period in the number of patients with cancer who participated in one form of advance care...

issues in oncology
palliative care

Many Teens and Young Adults With Cancer Use Aggressive End-of-Life Measures

More than two-thirds of adolescents and young adults dying of cancer utilized one or more aggressive interventions in the last month of life, according to a retrospective study from researchers at Dana-Farber/Boston Children's Cancer and Blood Disorders Center and Kaiser Permanente Southern...

pancreatic cancer
prostate cancer

Study Identifies Mechanism Fueling Growth of Pancreatic and Prostate Cancer Cells

UCLA Jonsson Cancer Center scientists have identified a new mechanism that delivers a key substance that fuels the growth of pancreatic and prostate cancer cells, a finding that offers new hope in the fight against two of the deadliest forms of the disease. Their findings were published by...

breast cancer
issues in oncology

Successful Preservation of Fertility After Aromatase Inhibitor Treatment and Ovarian Stimulation in Women With Breast Cancer

In a study reported in the Journal of Clinical Oncology, Oktay et al found that fertility could be preserved in women with breast cancer via embryo freezing after concurrent aromatase inhibitor treatment and ovarian stimulation. In the study, 131 women with stage ≤ III breast cancer underwent...

breast cancer
issues in oncology

Combining MRI With Near-Infrared Spectral Tomography Increases Specificity in Breast Imaging

By combining two modalities of imaging, investigators from Norris Cotton Cancer Center at Dartmouth, led by Keith Paulsen, PhD, and collaborators from Xijing Hospital in Xian, China, demonstrated that a dual breast exam using magnetic resonance imaging (MRI) and near-infrared spectral tomography is ...

lung cancer
issues in oncology

Smoking Cessation Near Time of Lung Cancer Diagnosis May Improve Survival

Tobacco cessation provided a significant survival benefit for patients with lung cancer who quit smoking shortly before or after diagnosis, despite the severity of the disease. Results of this Roswell Park Cancer Institute–led study were published by Dobson Amato et al in the Journal of...

lung cancer

Stereotactic Body Radiotherapy Yields Similar Outcomes in Patients With Biopsy-Proven vs Radiographically Diagnosed Early-Stage NSCLC

In patients with early-stage non–small cell lung cancer (NSCLC) treated with stereotactic body radiotherapy, outcomes were similar between patients with biopsy-proven lesions and those with radiographically diagnosed disease, according to a study by Fischer-Valuck et al in Tumori Journal....

breast cancer
survivorship

Study Finds Breast Cancer Survivors Gain More Weight Than Cancer-Free Women

A prospective study examining weight gain in breast cancer survivors compared with cancer-free women from a familial risk cohort has found that, overall, breast cancer survivors gained significantly more weight than cancer-free women of the same age and menopausal status. According to the study...

breast cancer

Disparities in Use of Breast-Conserving Therapy for Early-Stage Breast Cancer

In a study using National Cancer Data Base data reported in JAMA Surgery, Lautner et al identified several factors associated with the use of breast-conserving therapy in women with early-stage breast cancer, including older age, higher education and income, private insurance, treatment at an...

breast cancer
issues in oncology

Diagnosis of Additional Small Breast Cancers Suggests Screening Mammography May Lead to Overdiagnosis

A study of screening mammography across U.S. counties found that “the clearest result of mammography screening is the diagnosis of additional small cancers” but without a “concomitant decline in the detection of larger cancers, which might explain the absence of any significant...

gynecologic cancers
gynecologic cancers

Addition of Bevacizumab to Standard Chemotherapy Does Not Improve Overall Survival in Newly Diagnosed Ovarian Cancer

Final overall survival results of the phase III ICON7 trial reported in The Lancet Oncology by Oza et al indicate no significant increase with the addition of bevacizumab (Avastin) to standard chemotherapy in women with newly diagnosed ovarian cancer. However, overall survival benefit of...

issues in oncology
cns cancers

Early Study Suggests Which Glioblastoma Patients May Benefit From Dasatinib

Clinicians testing the drug dasatinib (Sprycel), approved for several blood cancers, had hoped it would slow the aggressive growth of the deadly brain cancer glioblastoma; however, clinical trials to date have not found any benefit. Researchers at Mayo Clinic, who conducted one of those clinical...

issues in oncology
breast cancer
issues in oncology
issues in oncology

Study Finds More Selective Ordering of Breast Biomarker Tests Could Save Millions in Health-Care Dollars

A review of medical records for almost 200 patients with breast cancer suggests that more selective use of biomarker testing for such patients has the potential to save millions of dollars in health-care spending without compromising care, according to Johns Hopkins researchers. Specifically,...

gynecologic cancers

ASCO Endorses ASTRO Guideline on Radiation Therapy After Surgery for Endometrial Cancer

The American Society of Clinical Oncology (ASCO) issued an endorsement of the American Society for Radiation Oncology (ASTRO) clinical practice guideline on postoperative radiation therapy for women with endometrial (uterine) cancer. The endorsement was published by Meyer et al in the Journal of...

skin cancer

Phosphodiesterase Type 5 Inhibitors for Erectile Dysfunction Associated With Risk of Melanoma

In a study in Swedish men reported in JAMA, Loeb et al found a statistically significant increase in risk of malignant melanoma in those using oral phosphodiesterase type 5 (PDE5) inhibitors for erectile dysfunction. However, risk was not significantly elevated in men filling multiple PDE5...

issues in oncology
skin cancer
issues in oncology

Mapping Genetic Mutations in Cutaneous Melanoma

Researchers have a significantly better understanding of the genetic alterations found in cutaneous melanoma as part of a multi-institution, international effort of The Cancer Genome Atlas (TCGA). The study, published in Cell, refined and revealed new molecular subgroups of patients who could...

lung cancer

Postoperative Radiation Therapy May Improve Overall Survival in Incompletely Resected Stage II or III NSCLC

In a National Cancer Data Base analysis reported in the Journal of Clinical Oncology, Wang et al found that postoperative radiation therapy has been declining in use in recent years but is associated with improved overall survival in patients with incompletely resected stage II or III...

supportive care

MASCC/ISOO 2015: Phase III Study of Single-Dose Fosaprepitant Dimeglumine in Prevention of Chemotherapy-Induced Nausea and Vomiting

Researchers from Merck presented results from a phase III study investigating the safety and efficacy of single-dose fosaprepitant dimeglumine (Emend) for injection, a neurokinin-1 receptor antagonist, in combination with other antivomiting medicines, for the prevention of chemotherapy-induced...

breast cancer

Better Outcome With Paclitaxel vs Nab-Paclitaxel or Ixabepilone Plus Bevacizumab in First-Line Treatment of Advanced Breast Cancer

In the phase III CALGB 40502/NCCTG N063H/Alliance trial reported in the Journal of Clinical Oncology, Rugo et al found that outcomes in first-line treatment for advanced breast cancer were better with weekly paclitaxel plus bevacizumab (Avastin) compared with weekly nanoparticle albumin-bound...

issues in oncology
issues in oncology

MASCC/ISOO 2015: Data Show Disconnect Between Clinician and Patient Perceptions of Treatment-Induced Nausea and Vomiting

Researchers from Norgine B.V. presented new data highlighting a perceptual gap between health-care professionals and patients in terms of the incidence and impact on patients’ daily life of chemotherapy- and radiotherapy-induced nausea and vomiting (CINV/RINV) at the joint Multinational...

palliative care
colorectal cancer
head and neck cancer

Development of New Blood Vessels Not Essential to Growth of Lymph Node Metastases

While the use of antiangiogenesis drugs that block the growth of new blood vessels can improve the treatment of some cancers, clinical trials of their ability to prevent the development of new metastases have failed. Now a study from the Massachusetts General Hospital (MGH) Cancer Center may have...

issues in oncology
colorectal cancer
issues in oncology

New Biomarkers Might Help Personalize Metastatic Colorectal Cancer Treatment

Metastatic colorectal cancer patients have improved survival rates when they respond to the first line of chemotherapy their doctors recommend. To better predict how patients will respond to chemotherapeutic agents before they begin treatment, researchers at University of California (UC) San Diego...

breast cancer
issues in oncology

Four-Gene Model Predicts Response to Aromatase Inhibitor Therapy for Breast Cancer

As reported in the Journal of Clinical Oncology, Turnbull et al identified a four-gene predictive model of response to aromatase inhibitor therapy that was highly predictive of response on the basis of pretreatment and 2-week on-treatment measurements. The classifier was a significant predictor of...

skin cancer

Citrus Fruit Consumption May Be Linked to An Increased Risk of Melanoma

A large population-based prospective analysis of the consumption of psoralen-rich citrus products and the risk of malignant melanoma has found that the melanoma risk was 36% higher in people who consumed citrus fruit or juice at least 1.6 times daily compared with those who consumed it less than...

prostate cancer
issues in oncology
issues in oncology

Study Finds Significant Drop in New Prostate Cancer Diagnoses

A new study led by Vanderbilt University Medical Center investigators found new diagnoses of prostate cancer in the United States declined 28% in the year following the draft recommendation from the U.S. Preventive Services Task Force (USPSTF) against routine prostate-specific antigen (PSA)...

hematologic malignancies
leukemia
issues in oncology

Importance of Establishing Definitions to Increase Survival After Blood/Marrow Transplant

Blood and marrow transplantation is a potentially curative treatment for patients with leukemia or other life-threating blood diseases. With a goal of increasing survival rates, a research team led by Roswell Park Cancer Institute (RPCI) investigators verified patient outcome data submitted by more ...

prostate cancer

Statin Use at Start of Androgen-Deprivation Therapy Increases Time to Progression During Androgen-Deprivation Therapy in Prostate Cancer

Statin use has been associated with improved outcome in prostate cancer. In a study reported in JAMA Oncology, Harshman et al found that statin use at the time of initiation of androgen-deprivation therapy was associated with prolonged time to progression during androgen-deprivation therapy in men...

issues in oncology
issues in oncology
cost of care

ASCO Publishes Conceptual Framework to Assess the Value of New Cancer Treatment Options

In a press conference today, ASCO detailed the contents of the initial version of a conceptual framework for assessing the value of new cancer treatment options based on the treatment’s clinical benefit, side effects, and cost. Other important measures, such as quality of life and...

kidney cancer

Increased Use of Nephron-Sparing Surgery in Older Patients With Small Kidney Cancers

In a study reported in JAMA Surgery, Huang et al found that use of nephron-sparing surgery has more than doubled since 2001 among older patients with small kidney cancers. Use of nonsurgical approaches has remained stable. Study Details The study involved Surveillance, Epidemiology, and End...

issues in oncology
prostate cancer
issues in oncology
issues in oncology

Whole-Exome Sequencing Identifies Biologically Informative Alterations in the Majority of Metastatic Cancers

In a study reported in JAMA Oncology, Beltran et al found that whole-exome sequencing of metastatic and treatment-resistant cancers revealed biologically informative alterations in the majority of cases. Although treatment recommendations could be made in the majority of cases, treatment was guided ...

breast cancer
issues in oncology

Prenatal DDT Exposure Tied to Nearly Fourfold Increase in Breast Cancer Risk

Women who were exposed to higher levels of the pesticide DDT in utero were nearly four times more likely to be diagnosed with breast cancer as adults than women who were exposed to lower levels before birth, according to a study published by Cohn et al in the Journal of Clinical Endocrinology & ...

pancreatic cancer
survivorship

National Cancer Database Analysis Identifies Characteristics of 10-Year Survivors of Pancreatic Ductal Adenocarcinoma

In an analysis reported in JAMA Surgery, Paniccia et al identified patient and treatment characteristics that were associated with survival of at least 10 years after diagnosis of invasive pancreatic ductal adenocarcinoma, including lower positive lymph node ratio, receipt of adjuvant chemotherapy, ...

breast cancer
issues in oncology
issues in oncology
issues in oncology

Large Survival Disparity Within 2 Years of Diagnosis for Black vs White Women With ER-Positive Breast Cancer

In a study assessing factors in racial/ethnic survival disparities in breast cancer reported in the Journal of Clinical Oncology, Warner et al found that black women with estrogen receptor (ER)-positive breast cancer were significantly more likely to die from the disease within the first 2 years of ...

cns cancers
issues in oncology

Assay Permits Rapid Molecular Characterization of Glioma

As reported in JAMA Oncology, Shankar et al developed a rapid genotyping assay to detect single nucleotide variants in telomerase reverse transcriptase (TERT) promoter and isocitrate dehydrogenase 1 (IDH1) genes that may assist in intraoperative decisions to perform definitive neurosurgical...

leukemia
lymphoma
survivorship

Long-Term Follow-Up Suggests No Detrimental Survival Effect of Dexrazoxane in Pediatric Patients With Leukemia or Lymphoma

In an analysis of Children’s Oncology Group (COG) trials reported in the Journal of Clinical Oncology, Chow et al found that dexrazoxane use did not appear to be associated with poorer survival among pediatric patients with leukemia or lymphoma in long-term follow-up. Study Details The...

issues in oncology
cns cancers
issues in oncology

Multicenter Study Redefines Brain Tumor Diagnosis and Treatment 


Scientists at multiple institutions have found a new way of classifying brain cancers that could very well change how the illness is diagnosed and treated. The study, a project of The Cancer Genome Atlas, found striking molecular differences between various forms of gliomas by looking at the makeup ...

sarcoma
sarcoma

Addition of Interferon Alfa-2b to MAP Does Not Meet Event-Free Survival Objective in Osteosarcoma With Good Response to Preoperative MAP

In the phase III EURAMOS-1 trial reported in the Journal of Clinical Oncology, Bielack et al found that the addition of postoperative pegylated interferon alfa-2b (Pegintron, Sylatron) to MAP (methotrexate, doxorubicin, and cisplatin) in patients with osteosarcoma showing good histologic response...

supportive care
issues in oncology

Need for Mental Health Services for Parents Who Lose a Child to Cancer

In a study reported in the Journal of Clinical Oncology, Lichtenthal et al found that parents who have lost a child to cancer report wanting and frequently using mental health services, although barriers to seeking care exist and retention in care is suboptimal. Study Details The cross-sectional...

health-care policy
issues in oncology
issues in oncology

Analysis Shows Advantage for Picture-Based vs Text-Based Warnings on Cigarette Packs

Pictures illustrating the dangers of cigarette smoking were more effective at strengthening people’s intentions to quit smoking than text warnings, a University of North Carolina at Chapel Hill analysis of multiple research studies has found. These findings were published by Noar et al in...

cns cancers

ASCO 2015: Glioblastoma Poliovirus Therapy Works Best at a Low Dosage

A modified poliovirus therapy that is showing activity in patients with glioblastoma works best at a low dosage, according to the research team at Duke’s Preston Robert Tisch Brain Tumor Center. The dosage findings for the first 20 patients in the phase 1 trial were presented June 1 at the...

hepatobiliary cancer
issues in oncology

Livers Donated After Cardiac Death Are Safe to Use in Liver Cancer Patients

In the largest study of its kind, transplant physicians at Mayo Clinic in Florida have found that liver cancer patients have similar beneficial outcomes whether using organs donated by patients after cardiac death or brain death. The study was recently published by Croome et al in the American...

breast cancer

Swedish Study Identifies Predictors of Discontinuing Adjuvant Hormone Therapy for Breast Cancer

In a Swedish study reported in the Journal of Clinical Oncology, He et al identified numerous predictors of discontinuation of adjuvant hormone therapy in patients with breast cancer. Study Details The study involved 3,395 women diagnosed with breast cancer between 2005 and 2008 in Stockholm who...

gynecologic cancers
issues in oncology

Risk Algorithm Using Serial CA-125 Measurements Increases the Number of Screen-Detected Ovarian Cancers

As reported in the Journal of Clinical Oncology by Menon et al, findings in the United Kingdom Collaborative Trial of Ovarian Cancer Screening indicate that the number of screen-detected ovarian cancers is doubled by using the risk of ovarian cancer algorithm (ROCA) with serial CA-125 measurements...

prostate cancer

Men With Asthma Less Likely to Develop Lethal Prostate Cancer

A recent analysis of a large observational study has revealed that men with a history of asthma are less likely than those without it to develop lethal prostate cancer, researchers at Johns Hopkins reported. These findings were published by Platz et al in the International Journal of Cancer....

lung cancer

Bronchial Gene-Expression Classifier Improves Bronchoscopy Performance in Diagnosing Lung Cancer

In a study reported in The New England Journal of Medicine, Silvestri et al of the AEGIS study team found that use of a bronchial airway gene-expression classifier improved the diagnostic performance of bronchoscopy in patients being evaluated for suspected lung cancer. Study Details The study...

issues in oncology

ASCO 2015: First Version of CancerLinQ™ Data Analytics Platform Debuts at Annual Meeting

ASCO’s wholly owned nonprofit subsidiary, CancerLinQ LLC, provided the first demonstration of its groundbreaking health information technology platform at the 2015 ASCO Annual Meeting in Chicago. Beginning May 30, demonstrations of the CancerLinQ platform’s initial components were...

breast cancer

ASCO 2015: Novel Targeted Drug Palbociclib Slows Progression of Hormone Receptor–Positive Breast Cancer

Results from the phase III registration study PALOMA-3 show that adding the investigational targeted agent palbociclib (Ibrance) to the standard hormonal therapy fulvestrant (Faslodex) more than doubled the duration of disease control, delaying disease progression by roughly 5 months in women with...

breast cancer

ASCO 2015: Anastrozole Offers Higher Breast Cancer–Free Interval Rates Than Tamoxifen Following Lumpectomy and Radiation for DCIS

A phase III trial comparing 5 years of tamoxifen vs 5 years of the aromatase inhibitor anastrozole for postmenopausal women treated for ductal carcinoma in situ (DCIS) found 10-year breast cancer–free interval rates were higher in the anastrozole group than in the tamoxifen group (93.5% vs...

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