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breast cancer

Breast Cancer Subtype Incidence in the United States for 2011

The current annual report of cancer statistics by the American Cancer Society, Centers for Disease Control and Prevention, National Cancer Institute, and North American Association of Central Cancer Registries includes a focus on breast cancer incidence by subtype using new national-level data. The ...

cns cancers
issues in oncology

Blood Thinners Safe for Cancer Patients With Brain Metastases

Cancer patients with brain metastases who develop blood clots may safely receive blood thinners without increased risk of dangerous bleeding, according to a study published by Donato et al in Blood. Cancer increases a patient’s risk of developing blood clots, and an anticoagulant is often...

issues in oncology
prostate cancer

Study Finds Prostate Cancer Survivors Who Maintained a Western Diet Had an Increased Risk of Death

A large study evaluating the relationship of dietary patterns with prostate cancer–specific and all-cause mortality among men diagnosed with nonmetastatic prostate cancer has found that the men who ate a Western-style diet of foods rich in processed meats, red meats, and high-fat dairy...

palliative care
pancreatic cancer
issues in oncology

Two Studies Highlight Benefit of Stereotactic Body Radiotherapy in Locally Advanced Pancreatic Cancer

Two studies from researchers at Johns Hopkins Kimmel Cancer Center add to preliminary evidence that high-dose radiation treatment, or stereotactic body radiotherapy, appears to be safe and as effective as standard radiation treatment for certain patients with locally advanced pancreatic cancer....

issues in oncology

ASCO 2015: African Americans Prone to Display Negative Perceptions of Cancer-Related Clinical Trials

African American patients have a disproportionately high rate of cancer and yet are less likely than Caucasian patients to participate in oncologic clinical trials that can significantly improve quality of life. Researchers from Fox Chase Cancer Center and Temple University explored the differences ...

colorectal cancer

Regorafenib Improves Overall Survival in Asian Patients With Previously Treated Metastatic Colorectal Cancer

In the phase III CONCUR trial reported in The Lancet Oncology, Li et al found that the multikinase inhibitor regorafenib (Stivarga) improved overall survival vs placebo in Asian patients with previously treated metastatic colorectal cancer. Regorafenib has been approved by the U.S. Food and Drug...

skin cancer

Hedgehog Inhibitor Sonidegib Active in Advanced Basal Cell Carcinoma

In the phase II BOLT trial reported in The Lancet Oncology, Migden et al found that the hedgehog pathway signaling inhibitor sonidegib produced responses in patients with locally advanced or metastatic basal cell carcinoma at 200-mg and 800-mg dose levels. The lower dose appeared to be associated...

prostate cancer
issues in oncology

AUA 2015: Studies Evaluate Effectiveness of Active Surveillance in Prostate Cancer Patients

Active surveillance has become a viable option for many men with low-risk prostate cancer who choose not to undergo active treatment such as surgery or radiotherapy. Four studies evaluating effectiveness, trends, and other considerations for active surveillance in managing prostate cancer were...

prostate cancer
issues in oncology

AUA 2015: New Studies Call for Smarter Approach to Prostate Cancer Screening

Prostate cancer is one of the most common cancers in American men, yet controversy over the utilization and frequency of prostate-specific antigen (PSA) screening methods remains, due to the overdiagnosis and overtreatment of men with low-grade, less-aggressive forms of the disease. At the 110th...

head and neck cancer

Updated Meta-Analysis Confirms Survival Benefit of Adding Chemotherapy to Radiotherapy in Nasopharyngeal Cancer

In an updated patient-level meta-analysis reported in The Lancet Oncology, Blanchard et al of the Meta-Analysis of Chemotherapy in Nasopharyngeal Carcinoma (MAC-NPC) collaborative group found that the addition of chemotherapy to radiotherapy improved overall survival in patients with nasopharyngeal ...

breast cancer
issues in oncology

Physical Activity Programs Produce Benefits in Patients Receiving Adjuvant Therapy for Breast Cancer

In the Dutch PACES trial reported in the Journal of Clinical Oncology, van Waart et al found that both a moderate/high-intensity supervised exercise program and a low-intensity home-based program provided benefits vs usual care in women undergoing adjuvant chemotherapy for breast cancer. Benefits,...

breast cancer
gynecologic cancers
colorectal cancer
gynecologic cancers
prostate cancer
issues in oncology

American College of Physicians Offers Advice on High-Value Screening in Five Cancers

To provide guidance on high-value cancer care screening strategies, the American College of Physicians (ACP) recently reviewed clinical guidelines issued by various medical organizations for screening strategies in five common cancers for asymptomatic, average-risk adults. The five cancers focused...

skin cancer

Poorer Melanoma-Specific Survival With Stage ≥ T2b Tumors With NRAS or BRAF Mutation

In a population-based study reported in JAMA Oncology, Thomas and colleagues found significantly poorer disease-specific survival among melanoma patients with stage ≥ T2b tumors with NRAS or BRAF mutation. Study Details The study included data from 912 U.S. or Australian patients in the...

colorectal cancer
solid tumors
issues in oncology
issues in oncology
issues in oncology

Study Finds Noninvasive Colon Cancer Screening May Be Promising for African Americans

In a first-of-its-kind clinical trial, physician-scientists at University Hospitals (UH) Case Medical Center, Seidman Cancer Center, and Case Western Reserve University School of Medicine found that a new, noninvasive technology for colon cancer screening is a promising alternative to colonoscopy...

breast cancer
issues in oncology

Breast Density Should Not Be the Only Criterion for Supplemental Breast Cancer Screening

A large prospective study investigating the association between dense breast tissue and the risk for interval breast cancer has found that breast density alone should not be the sole criterion for recommending supplemental breast imaging, because not all women with dense breasts have high interval...

gynecologic cancers
solid tumors
gynecologic cancers
head and neck cancer
issues in oncology

Nine-Valent HPV Vaccine Protects Against 80% of Cervical Cancers

The new nine-valent human papillomavirus (HPV) vaccine (Gardasil 9) can potentially prevent 80% of cervical cancers in the United States, if given to all 11- or 12-year-old children before they are exposed to the virus. Additionally, the new vaccine, which includes seven cancer-causing...

breast cancer
issues in oncology
issues in oncology

Study Shows Tomosynthesis Detects More Breast Cancers Than Traditional Mammography

One-view digital breast tomosynthesis detects 40% more breast cancers than two-view digital mammography does, according to a major screening study from Lund University in Sweden. The study’s results were published by Lång et al in European Radiology. This is the first large-scale study ...

lung cancer

Meta-Analysis Shows Increased Benefit of EGFR Tyrosine Kinase Inhibitors vs Chemotherapy in Subgroups of Patients With EGFR-Mutant NSCLC

In a meta-analysis reported in the Journal of Clinical Oncology, Lee et al found that increased progression-free survival benefit of EGFR tyrosine kinase inhibitor treatment vs chemotherapy was exhibited in patients with exon 19 deletion, never-smokers, and women. Study Details The meta-analysis...

issues in oncology

High Symptom Distress in Children With Advanced Cancer

As reported in the Journal of Clinical Oncology by Wolfe et al, the Pediatric Quality of Life and Evaluation of Symptoms Technology (PediQUEST) study found a high prevalence of disease symptoms in children with advanced cancer, with most symptoms being associated with high distress level. Study...

palliative care
prostate cancer

ASCO 2015: Adding Chemotherapy to Initial Therapy Improves Survival in Patients With Advanced, Hormone-Naive Prostate Cancer

The UK-led STAMPEDE trial found that adding docetaxel chemotherapy to standard hormone therapy markedly improved survival for men with newly diagnosed advanced prostate cancer not previously treated with hormone therapy (hormone-naive). Men who received docetaxel plus standard therapy lived on...

lymphoma

No Significant Difference in Outcome for ABVD Plus Radiotherapy vs Stanford V in Stage I or II Bulky Mediastinal Hodgkin Lymphoma

As reported in the Journal of Clinical Oncology by Advani et al, a subset analysis of the phase III North American Intergroup E2496 trial showed no significant difference in failure-free or overall survival between ABVD (doxorubicin, bleomycin, vinblastine, dacarbazine) plus radiotherapy vs the...

colorectal cancer

TAS-102 Significantly Improves Overall Survival in Patients With Metastatic Colorectal Cancer

A large, phase III international study of the oral agent TAS-102 in patients with heavily pretreated metastatic colorectal cancer has found that the therapy improved overall survival by 1.8 months and also delayed disease progression. TAS-102 had few side effects and was also effective in patients...

cns cancers
issues in oncology

Preclinical Study Points to Possible Treatment for Lethal Pediatric Brain Cancer

Using brain tumor samples collected from children in the United States and Europe, an international team of scientists found that the drug panobinostat (Farydak) and similar gene-regulating drugs may be effective at treating diffuse intrinsic pontine glioma (DIPG), an aggressive and lethal form of...

issues in oncology
issues in oncology
issues in oncology

At-Risk Patients Often Opt Out of Comprehensive Multiplex Cancer Screening

Some at-risk patients opted out of comprehensive cancer gene screening when presented with the opportunity to be tested for the presence of genes linked to various cancers, according to a recent study led by researchers at the Perelman School of Medicine at the University of Pennsylvania and the...

breast cancer
issues in oncology

CEP17 or TOP2A Aberrations Predict Benefit of Adjuvant Anthracycline-Based Chemotherapy in Breast Cancer

In a study reported in the Journal of Clinical Oncology, Bartlett et al found that the presence of duplication of chromosome 17 pericentromeric alpha satellite, measured by a centromere enumeration probe (CEP17), and TOP2A aberrations predicted benefit of anthracycline-based adjuvant therapy in...

lung cancer

Immune Checkpoint Inhibitor Nivolumab Active in Heavily Pretreated Advanced NSCLC

In a phase I cohort expansion trial reported in the Journal of Clinical Oncology, Gettinger et al found that monotherapy with the anti–programmed cell death protein 1 (PD-1) checkpoint inhibitor antibody nivolumab (Opdivo) produced durable responses and promising survival rates in patients...

breast cancer
issues in oncology

New Study Finds Racial Differences in Survival Among Men With Breast Cancer

A study by Sineshaw et al has found that black men with early-stage breast cancer who were younger than age 65 had a 76% higher risk of death than whites. However, the disparity was significantly reduced after adjusting for differences in insurance and income, suggesting the importance of...

lymphoma

UK Trial of PET-Directed Therapy Suggests That No Radiotherapy May Be an Option in PET-Negative Early-Stage Hodgkin Lymphoma

In a UK phase III RAPID trial reported in The New England Journal of Medicine, Radford et al compared no further treatment vs involved-field radiotherapy in patients with early-stage Hodgkin lymphoma who had negative positron emission tomography (PET) findings after 3 cycles of doxorubicin,...

breast cancer

Oophorectomy Is Associated With Significantly Reduced Breast Cancer Mortality in Patients With BRCA1 Mutation or Estrogen Receptor–Negative Disease

In a retrospective analysis reported in JAMA Oncology, Metcalfe et al found that oophorectomy in patients with early-stage breast cancer was associated with significantly improved breast cancer survival in women harboring a BRCA1 mutation and in those with estrogen receptor–negative...

lung cancer
issues in oncology

Long-Term Use of Statins May Reduce Risk of Lung Cancer Death

A large population-based British study of newly diagnosed patients with lung cancer has found that those who had prolonged use of statins, especially simvastatin, had a 19% reduction in lung cancer deaths. Among all patients, those who used statins in the year before their lung cancer diagnosis had ...

skin cancer

Anti–PD-1 Antibody Pembrolizumab Improves Progression-Free and Overall Survival vs Ipilimumab in Advanced Melanoma

In the phase III KEYNOTE-006 trial reported in The New England Journal of Medicine, Robert et al found that the anti–PD-1 antibody pembrolizumab (Keytruda) increased progression-free and overall survival compared with ipilimumab in patients with advanced melanoma. Study Details In this...

breast cancer
issues in oncology

Multigene Panel Testing Provides Broader Information About Breast Cancer Risk

For women with a family history of breast cancer, new multigene panel testing yields greater information about cancer risk while assessing deleterious BRCA1/2 mutations as accurately as BRCA testing alone, according to a study presented at the American Society of Breast Surgeons Annual Meeting....

palliative care
issues in oncology
palliative care

Surgical Interventions for Terminal Cancer Patients Remain Prevalent

The number of surgeries performed on terminally ill cancer patients has not dropped in recent years, despite more attention to the importance of less invasive care for these patients to relieve symptoms and improve quality of life. But new research from the University of California, Davis, also...

prostate cancer
issues in oncology

Enzalutamide Improves Patient-Reported Outcomes and Time to Skeletal-Related Event vs Placebo in PREVAIL Trial

The PREVAIL trial showed that enzalutamide (Xtandi) improved overall survival and progression-free survival vs placebo in asymptomatic/minimally symptomatic chemotherapy-naive patients with metastatic castration-resistant prostate cancer. In analyses reported in The Lancet Oncology, Loriot et al...

lymphoma
survivorship

Increased Lifetime Risk of Cardiovascular Disease for Patients Treated for Hodgkin Lymphoma as Adolescents or Adults

Survivors of Hodgkin lymphoma treated as adolescents or adults are at increased risk of cardiovascular disease throughout their lives, according to results of a retrospective cohort study of 2,524 Dutch patients followed for a median of 20 years. “Treating physicians and patients should be...

lung cancer

EGFR Inhibitor Rociletinib Active in EGFR T790M Mutation–Positive NSCLC Previously Treated With EGFR Inhibitors

In a phase I/II study reported in The New England Journal of Medicine, Sequist et al found that rociletinib—an EGFR inhibitor active in the presence and absence of the EGFR T790M mutation known to mediate resistance to available EGFR inhibitors—produced a high response rate in patients...

breast cancer

Nipple-Sparing Mastectomy as Safe as More Radical Procedures for Appropriate Patients

Mastectomies that preserve the nipple and an envelope of breast skin are as safe as more radical breast cancer operations for qualifying patient populations, according to one of the largest meta-analyses of studies involving women treated with this increasingly popular approach. Speaking at the...

colorectal cancer
issues in oncology
issues in oncology
issues in oncology

Collaboration Between Surgeons and Medical Oncologists Improves Outcomes for Patients With Stage III Colon Cancer

Collaboration between surgeons and medical oncologists specialists “is associated with lower mortality without increased cost among patients with stage III colon cancer,” according to a study by Hussain et al in the Journal of Oncology Practice. An increase from one to five in the...

gynecologic cancers
sarcoma

American College of Physicians Releases Best Practice Advice for Cervical Cancer Screening in Average-Risk Women

The American College of Physicians (ACP) released its clinical advice for cervical cancer screening in asymptomatic, average-risk women 21 years or older. Women at average risk are defined as those with no history of a precancerous lesion (cervical intraepithelial neoplasia grade 2 or a more severe ...

skin cancer

Addition of Nivolumab to Ipilimumab Improves Response Rate and Progression-Free Survival in Previously Untreated Advanced Melanoma

In a phase II study reported in The New England Journal of Medicine, Postow et al found that dual checkpoint inhibitor therapy with the anti–CTLA-4 antibody ipilimumab (Yervoy) and the anti–PD-1 monoclonal antibody nivolumab (Opdivo) produced greater response rates and prolonged...

lung cancer

AZD9291 Shows Durable Responses in Patients With EGFR-Positive Lung Cancers

A clinical trial of the EGFR inhibitor AZD9291 in patients with advanced non–small cell lung cancer (NSCLC) who had disease progression after previous treatment with EGFR tyrosine kinase inhibitors has found that the drug was highly active—achieving a 95% disease control rate—in...

lung cancer
issues in oncology
issues in oncology
issues in oncology

Two Studies Examine the Significant Postoperative Risk of Life-Threatening Blood Clots in Patients With Lung Cancer

New evidence suggests that patients with lung cancer who undergo surgery are at higher risk of developing venous thromboembolism, including deep-vein thrombosis and pulmonary embolism, than previously thought, with elevated risks of complications or death. When thromboemboli occur, they may be...

leukemia

Subgroup of Elderly Patients With Acute Myeloid Leukemia May Benefit From Initial Intensive Induction Chemotherapy

Initial intensive induction chemotherapy may be of benefit in a subgroup of newly diagnosed elderly patients with acute myeloid leukemia (AML), according to a study by Ross et al in Oncology Research. However, relapse rates remained high. Elderly patients with AML generally experience worse...

hepatobiliary cancer

Conditional Survival Estimates After Resection for Intrahepatic Cholangiocarcinoma

In a study reported in JAMA Surgery, Spolverato et al derived 3-year conditional survival estimates for patients in a multi-institutional database who underwent liver resection for intrahepatic cholangiocarcinoma. Among all patients, actuarial overall survival was 16% at 8 years, whereas 3-year...

gynecologic cancers
gynecologic cancers

Phase II Study Shows Addition of Pazopanib to Paclitaxel Improves Progression-Free Survival in Platinum-Resistant/Refractory Advanced Ovarian Cancer

In an Italian randomized phase II trial reported in The Lancet Oncology, Pignata et al found that the addition of the antiangiogenic multikinase inhibitor pazopanib (Votrient) to weekly paclitaxel significantly improved progression-free survival in patients with platinum-resistant/refractory...

hepatobiliary cancer
lymphoma
prostate cancer
kidney cancer

Cancer Rates Significantly Increased Among Patients With Hepatitis C

Results presented on April 24 at The International Liver Congress 2015 (Abstract O058) in Vienna, Austria, show that cancer rates in patients with the hepatitis C virus (HCV) were significantly increased compared to the non-HCV cohort. The researchers suggest an extrahepatic manifestation of HCV...

leukemia

Addition of Ofatumumab to Chlorambucil Increases Progression-Free Survival in Previously Untreated CLL Patients Who Are Not Candidates for Fludarabine

In the phase III COMPLEMENT 1 trial reported in The Lancet, Hillmen et al found that the addition of the anti-CD20 antibody ofatumumab (Arzerra) to chlorambucil (Leukeran) increased progression-free survival among patients with chronic lymphocytic leukemia (CLL) who were not considered candidates...

colorectal cancer

Addition of Ramucirumab to Second-Line FOLFIRI Improves Overall Survival in Metastatic Colorectal Cancer

In the phase III RAISE trial reported in The Lancet Oncology, Tabernero et al found that the addition of the antiangiogenic anti-VEGFR2 antibody ramucirumab (Cyramza) to second-line FOLFIRI (leucovorin, fluorouracil, irinotecan) improved overall survival in patients with metastatic colorectal...

FDA Announces Clinical Trial Endpoints for Approval of Non–Small Cell Lung Cancer Drugs

This week, the U.S. Food and Drug Administration (FDA) released its guidance for industry document Clinical Trial Endpoints for the Approval of Non–Small Cell Lung Cancer Drugs and Biologics, which allows companies to use several types of clinical trial endpoints, including overall survival...

breast cancer
issues in oncology

AACR 2015: Study Identifies a Frequent Genomic Alteration in Pleomorphic Invasive Lobular Carcinoma

Research from Rutgers Cancer Institute of New Jersey shows genomic profiling identifies mutations in a gene associated with a rare subset of breast cancer—mutations that cannot otherwise be identified with standard clinical analysis of cells and tissue. The findings, presented at the AACR...

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