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breast cancer

High-Volume Exercise Effectively Cuts Body Fat in Postmenopausal Woman, May Reduce Breast Cancer Risk

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. ...

lung cancer

No Benefit of Adding Gefitinib to Platinum-Based Doublet in EGFR-Mutant NSCLC After Progression on First-Line Gefitinib

In a phase III IMPRESS trial reported in The Lancet Oncology, Soria et al found no progression-free survival benefit of adding gefitinib (Iressa) to platinum-based doublet chemotherapy in patients with advanced EGFR-mutant non–small cell lung cancer (NSCLC) who had acquired resistance to...

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...

survivorship

Psychosocial and Neurocognitive Impairment in Adult Survivors of Adolescent and Young Adult Cancer

In an analysis from the Childhood Cancer Survivor Study reported in the Journal of Clinical Oncology, Prasad et al found evidence of impaired psychosocial and neurocognitive function among long-term cancer survivors diagnosed during adolescence and young adulthood. Risk of Impairment In the...

colorectal cancer

High-Dose Chemoradiotherapy and Watchful Waiting May Be Alternative to Surgery in Some Patients With Distal Rectal Cancer

In a Danish prospective observational study reported in The Lancet Oncology, Appelt et al found that high-dose chemoradiotherapy and watchful waiting may be an alternative to abdominoperineal resection in some patients with distal rectal cancer. Study Details In the study, 55 patients with...

cns cancers
gynecologic cancers
colorectal cancer
leukemia
lymphoma
skin cancer
gynecologic cancers
issues in oncology
issues in oncology
issues in oncology

Noninvasive Prenatal Testing May Also Detect Some Maternal Cancers

A study published by Bianchi et al in the Journal of the American Medical Association (JAMA) showed that genetic test results revealed by noninvasive prenatal testing for fetal chromosomal abnormalities may detect underlying conditions in the mother, including cancer. The study reports on a case...

lung cancer

Afatinib Improves Progression-Free Survival vs Erlotinib in Second-Line Treatment of Advanced Squamous Cell Carcinoma of the Lung

In the phase III LUX-Lung 8 trial reported in The Lancet Oncology, Soria et al found that the irreversible ErbB-family inhibitor afatinib (Gilotrif) significantly improved progression-free and overall survival vs the EGFR tyrosine kinase inhibitor erlotinib as second-line treatment in patients with ...

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...

lymphoma

Belinostat Active in Relapsed/Refractory Peripheral T-Cell Lymphoma

In the phase II BELIEF trial reported in the Journal of Clinical Oncology, O’Connor et al found that the pan–histone deacetylase inhibitor belinostat (Beleodaq) produced durable responses in patients with relapsed/refractory peripheral T-cell lymphoma. The study supported the U.S. Food...

prostate cancer
issues in oncology

DNA Repair Kinase Identified as Key Driver of Metastasis in Prostate Cancer

Researchers at Thomas Jefferson University reported finding a single molecule that appears to be the central regulator driving metastasis in prostate cancer. The study, published by Goodwin et al in Cancer Cell, offers a target for the development of a drug that could prevent metastasis in prostate ...

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

Meta-Analysis Indicates Benefit of Adjuvant Trastuzumab in Early HER2-Positive Breast Cancer With Small Tumors

In a meta-analysis reported in the Journal of Clinical Oncology, O’Sullivan et al found that adjuvant trastuzumab (Herceptin) was associated with a significant disease-free and overall survival benefit among patients with early HER2-positive hormone receptor–positive and hormone...

gynecologic cancers
gynecologic cancers

Extended-Field Intensity-Modulated Radiation Therapy for Cervical and Endometrial Cancers Does Not Increase Risk of Duodenal Toxicity

Women with cervical or endometrial cancer who require treatment to the para-aortic lymph nodes can safely receive extended-field intensity-modulated radiation therapy without increased risk of duodenal toxicity, according to a study by Xu et al in Practical Radiation Oncology. Extended-Field...

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...

lung cancer

FDA Approves Gefitinib for EGFR-Mutated Metastatic Non–Small Cell Lung Cancer

The U.S. Food and Drug Administration (FDA) has approved gefitinib (Iressa) for the treatment of patients with metastatic non–small cell lung cancer (NSCLC) whose tumors have epidermal growth factor receptor (EGFR) exon 19 deletions or exon 21 (L858R) substitution mutations as detected by an...

hematologic malignancies
lymphoma

Early Relapse of Follicular Lymphoma After R‑CHOP Associated With Increased Mortality

In an analysis from the National LymphoCare Study reported in the Journal of Clinical Oncology, Casulo et al found that disease progression within 2 years of diagnosis was associated with increased mortality risk after first-line R-CHOP (rituximab [Rituxan] plus cyclophosphamide, doxorubicin,...

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...

skin cancer

Pembrolizumab Increases Progression-Free Survival vs Chemotherapy in Ipilimumab-Refractory Advanced Melanoma

In the randomized phase II KEYNOTE-002 trial reported in The Lancet Oncology, Ribas et al found that treatment with the anti–PD-1 antibody pembrolizumab (Keytruda) prolonged progression-free survival vs investigator-choice chemotherapy in patients with advanced melanoma progressing on...

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,...

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...

palliative care
issues in oncology
multiple myeloma

Daratumumab Expanded Access Program Open to Eligible U.S. Patients With Heavily Pretreated Multiple Myeloma

Janssen Biotech, Inc, announced the opening of a daratumumab expanded access program for eligible U.S. patients. Daratumumab is an investigational human anti-CD38 monoclonal antibody being evaluated in clinical trials as a treatment for patients with multiple myeloma. The multicenter, open-label...

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...

supportive care
cost of care

Earlier Palliative Care Consultation Associated With Cost Savings

In a prospective cohort study reported in the Journal of Clinical Oncology, May et al found that earlier palliative care consultation for inpatients with advanced cancer was associated with lower total direct costs. Study Details The study included 969 patients with advanced cancer admitted to 5...

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...

palliative care
issues in oncology
issues in oncology

ESMO World GI 2015: Second-Line Cetuximab Active Beyond Progression in Metastatic Colorectal Cancer

Patients with metastatic colorectal cancer that are free of mutations in the KRAS, NRAS, BRAF, and PIK3CA genes showed a significant benefit from continuing antiepidermal growth factor receptor (EGFR) therapy beyond progression following first-line chemotherapy and an anti-EGFR monoclonal antibody. ...

palliative care
issues in oncology
colorectal cancer

ESMO World GI 2015: Studies Confirm Regorafenib Benefit in Pretreated Metastatic Colorectal Cancer

The phase IIIb CONSIGN trial has confirmed the benefit of regorafenib (Stivarga) in patients with previously treated metastatic colorectal cancer, researchers announced July 3 at the European Society for Medical Oncology World Congress on Gastrointestinal Cancer in Barcelona, Spain (Abstract...

cns cancers
issues in oncology

Molecular Classification of Glioma Based on IDH Mutation, 1p/19q Codeletion, and TERT Promoter Mutation Status

In a study reported in The New England Journal of Medicine, Eckel-Passow et al identified a molecular classification scheme for gliomas based on IDH mutation, codeletion of chromosome arms 1p and 19q (1p/19q codeletion), and TERT promoter mutation status. Molecular Classification The study...

pancreatic cancer

Dutch Study Indicates No Survival Benefit of Adding Metformin to Gemcitabine-Erlotinib in Advanced Pancreatic Cancer

In a Dutch phase II study reported in The Lancet Oncology, Kordes et al found that adding metformin to gemcitabine-erlotinib (Tarceva) did not improve overall survival in patients with advanced pancreatic cancer. Study Details In the double-blind study, 121 patients from four centers in the...

gynecologic cancers

Phase II Trial Shows Activity of mTOR Inhibitor Ridaforolimus in Advanced Endometrial Carcinoma

In a randomized phase II trial reported in the Journal of Clinical Oncology, Oza et al found that the mTOR inhibitor ridaforolimus was active in previously treated advanced endometrial carcinoma. Study Details In the open-label study, 130 patients with progressive disease after one or two lines...

breast cancer

Survival Benefit of Surgery Lower for Low-Grade vs Higher-Grade Ductal Carcinoma in Situ

In a population-based cohort study reported in JAMA Surgery, Sagara et al found that the breast cancer–specific survival benefit associated with surgery for low-grade ductal carcinoma in situ is lower than that associated with surgery for intermediate- or high-grade ductal carcinoma in situ. ...

palliative care
colorectal cancer

ESMO World GI 2015: Low Body Mass Index Associated With Poorer Survival in Metastatic Colorectal Cancer

Although being overweight with a high body mass index (BMI) has long been associated with a higher risk for colorectal cancer, thinner patients might not fare as well as previously expected after treatment for advanced cancer, according to a new study from Duke Medicine. The study, which was...

breast cancer
issues in oncology

Differences in Patient-Reported Outcomes but Not Global Quality of Life With Exemestane vs Tamoxifen in Early Breast Cancer With Ovarian Suppression

In a pooled analysis of the TEXT and SOFT trials reported in The Lancet Oncology, Bernhard et al found no difference in global quality of life with exemestane vs tamoxifen in women with early breast cancer undergoing ovarian suppression. The two agents were associated with differences in specific...

solid tumors

No Benefit of Adding CT to Basic Screening for Occult Cancer in Patients With Unprovoked Venous Thromboembolism

In a Canadian study reported in The New England Journal of Medicine, Carrier et al found that adding computed tomography (CT) of the abdomen and pelvis to basic screening did not improve detection of occult cancers in patients with a first episode of unprovoked venous thromboembolism. Venous...

breast cancer

Low Axillary Recurrence/Mortality Among Older Women With Node-Negative Breast Cancer Undergoing Breast-Conserving Surgery Without Sentinel Node Biopsy

In a single institution study reported in JAMA Surgery, Chung et al found a low axillary recurrence rate and low mortality among women with clinical T1–2N0 breast cancer aged ≥ 70 years who underwent breast-conserving surgery without sentinel node biopsy. Study Details The study involved ...

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...

kidney cancer
kidney cancer

Phase II Trial Indicates No Benefit of Sorafenib, Temsirolimus, or Bevacizumab Doublets vs Bevacizumab Alone in Advanced Renal Cell Carcinoma

In a randomized phase II trial (BEST; ECOG-ACRIN E2804) reported in the Journal of Clinical Oncology, Flaherty et al found that adding the VEGFR inhibitor sorafenib (Nexavar) or the mTOR inhibitor temsirolimus (Torisel) to the VEGF inhibitor bevacizumab (Avastin) or using sorafenib-temsirolimus in...

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...

lymphoma

Phase II Study Shows Activity of Aurora A Kinase Inhibitor Alisertib in Relapsed/Refractory Peripheral T-Cell Lymphoma

In a phase II Intergroup trial (SWOG 1108) reported in the Journal of Clinical Oncology, Barr et al found that the aurora A kinase inhibitor alisertib produced responses in patients with relapsed/refractory peripheral T-cell non-Hodgkin lymphoma. Aurora A kinase is upregulated in highly...

breast cancer

Adding Everolimus to First-Line Trastuzumab-Paclitaxel Does Not Increase Progression-Free Survival in HER2-Positive Breast Cancer

In the phase III BOLERO-1 trial, reported in The Lancet Oncology, Hurvitz et al found that the addition of the mTOR inhibitor everolimus (Afinitor) to trastuzumab (Herceptin)-paclitaxel did not significantly increase progression-free survival among patients with HER2-positive advanced breast...

health-care policy
hematologic malignancies
leukemia
issues in oncology
issues in oncology
cost of care

Study Finds Current Prices of Hematologic Cancer Drugs Are Not Justified

The costs associated with cancer drug prices have risen dramatically over the past 15 years, a trend concerning to many oncologists. In a new analysis, researchers at The University of Texas MD Anderson Cancer Center concluded that the majority of existing treatments for hematologic cancers are...

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)...

issues in oncology
issues in oncology

Cardio-Oncology Services May Improve Patient Care if More Widely Available

The impact of cancer treatments on cardiovascular health is an important consideration when treating cancer patients. However, many hospital training programs have no formal training or services in cardio-oncology, and a lack of national guidelines and a lack of funding are frequent barriers to...

hepatobiliary cancer

No Significant Overall Survival Benefit With Second-Line Ramucirumab After Sorafenib in Advanced Hepatocellular Carcinoma

In the phase III REACH trial reported in The Lancet Oncology, Zhu et al found that the anti-VEGFR2 monoclonal antibody ramucirumab (Cyramza) did not significantly improve overall survival vs placebo in patients with advanced hepatocellular carcinoma who had received first-line treatment with the...

lung cancer
issues in oncology

Study Finds Annual Low-Dose CT Screening Effective in Identifying Precancerous Lung Nodules

A large international prospective study investigating the safety and effectiveness of using annual low-dose computed tomography (CT) as a screening tool to monitor nonsolid lung nodules has found that CT was accurate in identifying nodules that were likely to become cancerous. The study also found...

breast cancer
issues in oncology

Early Menarche May Play a Role in Development of Aggressive Breast Cancer in African American Women

Early age at menarche could play a role in the disproportionate incidence of estrogen receptor–negative breast cancers diagnosed among African American women, according to a study published in the Journal of the National Cancer Institute. The study is a result of a multicenter collaborative...

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...

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