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breast cancer

Male Breast Cancer Differs from Breast Cancer in Women, but Little Data Informs Treatment

Although a rare occurrence, men do get breast cancer, and when they do, it has a distinct biology from that of female breast cancer. About 90% of cases most closely resemble postmenopausal female invasive ductal carcinoma, and 10% are ductal carcinoma in situ (DCIS), which accounts for 25% of...

solid tumors

510(k) Clearance Granted for OncoTrac

Translational Sciences Corporation announced that it has received FDA 510(k) clearance for commercialization of its OncoTrac medical imaging software. OncoTrac is designed for efficient quantitative assessment of treatment response of metastatic tumors including those of the breast, lung,...

hematologic malignancies

FDA Approves First Drug to Treat Myelofibrosis

The FDA has approved ruxolitinib (Jakafi), the first drug approved to specifically treat patients with the bone marrow disease myelofibrosis. Myelofibrosis is a disease in which the bone marrow is replaced by scar tissue resulting in blood cells being made in organs such as the liver and the...

Journal of Oncology Practice Explores Use of Palliative Care in Practice

A recent issue of the Journal of Oncology Practice features a special series of articles on palliative care and end-of-life issues in the oncology practice setting. Articles explore the integration of palliative care services in ambulatory settings, unique delivery mechanisms for palliative care,...

Clinical Cancer Advances 2011: ASCO’s Report on Progress Against Cancer

This year marks the 40th anniversary ofthe National Cancer Act and places a more prominent focus on how much progress against cancer has been made over the past 4 decades. In the past year alone, significant advances have been made in cancer prevention and screening, hard-to-treat cancers, and...

Help Your Patients Understand the Significant Research from 2011

Direct your patients to www.cancer.net/podcasts to learn about the 2011 Clinical Cancer Advances. In a special podcast, patients can hear about this year’s most important advances in clinical cancer research and what these advances mean for their treatment and care. ■ © 2011. American Society of...

2012 GU Cancers Symposium to Reflect the Field’s Focus on Personalized Cancer Care

The 2012 Genitourinary Cancers Symposium, to be held in San Francisco February 2–4, will feature some exciting advancements in the field that center on personalized cancer care. “The major cancer discussed at the meeting tends to be prostate cancer, and there hasn’t yet been a lot of specific...

ASCO Issues Blueprint for Transforming Cancer Research in the ‘Molecular Era’

On November 3, ASCO issued a new report that lays out ASCO’s vision for transforming clinical and translational research to deliver more effective and personalized cancer therapies faster. The report, Accelerating Progress Against Cancer: ASCO’s Blueprint for Transforming Clinical and Translational ...

ASCO Helps Survivors Transition into Life after Treatment with New Booklet

Progress against cancer has helped save or extend the lives of millions of patients. Thanks to advances in medical research, there are about 12 million cancer survivors today in the United States. For patients transitioning back into everyday life after surgery, chemotherapy, radiation therapy, or...

Medical Students Can Now Be ASCO Members, Thanks to an Intern Who Pressed

ASCO has just added a membership category for medical students, spurred on by—you guessed it—a medical student. Daniel G. Stover, MD, knew he wanted to go into oncology from very early on. But when he contacted ASCO to join as an intern, having just graduated from Vanderbilt School of Medicine, he...

global cancer care

Lessons from a Northern Neighbor: A Conversation with Joseph M. Connors, MD

Policy analysts searching for a better understanding of health-care models often compare the cancer delivery systems of Canada and the United States. The ASCO Post recently spoke with Joseph M. Connors, MD, Clinical Professor and Director of the BC Cancer Agency’s Centre for Lymphoid Cancer,...

bladder cancer

Neutrophil/Lymphocyte Ratio Can Upstage Patients with Bladder Cancer

A sizable proportion of bladder cancer patients who would benefit from neoadjuvant chemotherapy are not receiving it, researchers from the University of Wisconsin School of Medicine and Public Health, Madison, concluded. Their conclusion was based on their assessment of the neutrophil/lymphocyte...

skin cancer

Gathering Data Point to Potential Advantages of Vismodegib in Basal Cell Carcinoma and Other Advanced Cancers

Vismodegib is a small-molecule, orally active hedgehog pathway inhibitor that has shown considerable promise in treating basal cell carcinoma and is currently being evaluated alone and in combination in early-phase trials in medulloblastoma and a long list of other cancers.1 Owing to its...

Expert Point of View: Benefit of Panitumumab Seen Primarily in Patients with Recurrent or Metastatic Head and Neck Cancer and HPV-negative Tumors

Discussing the presentation, Jean Bourhis, MD, PhD, of the Institut Gustave Roussy in Villejuif, France, said that while HPV has become a major prognostic factor in locally advanced head and neck cancer, its prognostic value in recurrent and metastatic disease is less clear. “The role of HPV in...

head and neck cancer

Benefit of Panitumumab Seen Primarily in Patients with Recurrent or Metastatic Head and Neck Cancer and HPV-negative Tumors

The addition of panitumumab (Vectibix) to chemotherapy improved overall and progression-free survival in patients with recurrent or metastatic squamous cell carcinoma of the head and neck, but its benefit was limited to patients whose tumors were negative for the human papillomavirus (HPV).1 The...

lung cancer
gynecologic cancers
colorectal cancer
hepatobiliary cancer

Important Briefs from the 2011 European Multidisciplinary Cancer Congress

Nearly 16,000 people from 16 countries attended this year’s European Multidisciplinary Cancer Congress, held recently in Stockholm. The ASCO Post has featured several key reports from the meeting and will offer further coverage in upcoming issues. Additional noteworthy studies presented at the...

ASH Honors Janet Rowley, MD, and Brian Druker, MD

The American Society of Hematology (ASH) recognized Janet Rowley, MD, of the University of Chicago Medical Center, and Brian Druker, MD, of Oregon Health & Science University with the 2011 Ernest Beutler Lecture and Prize for their significant advances in the diagnosis and treatment of chronic...

lymphoma

How Should We Treat Nodular Lymphocyte-predominant Hodgkin Lymphoma?

At the 2011 Pan-Pacific Lymphoma Conference in Kauai, Hawaii, Andreas Engert, MD, Chairman of the German Hodgkin Lymphoma Study Group (GHSG) and Professor of Medicine at the University Hospital of Cologne, Germany, discussed the treatment of nodular lymphocyte-predominant Hodgkin lymphoma (NLPHL),...

leukemia

New Drug Approved to Treat Acute Lymphoblastic Leukemia

The FDA has approved asparaginase Erwinia chrysanthemi (Erwinaze) to treat patients with acute lymphoblastic leukemia who have developed hypersensitivity to Escherichia coli–derived asparaginase (Elspar) and pegaspargase (Oncaspar). Acute lymphoblastic leukemia is the most commonly diagnosed...

2011 in Review: Oncology Drugs/Indications Newly Approved by FDA

At press time, the FDA had granted approval for the following new agents and indications for cancer treatment in 2011. Asparaginase Erwinia chrysanthemi (Erwinaze) as a component of a multiagent chemotherapeutic regimen for the treatment of acute lymphoblastic leukemia in patients who have...

SIDEBAR: Adding Trastuzumab to Adjuvant Chemotherapy

Adding trastuzumab (Herceptin) to adjuvant chemotherapy significantly improved disease-free survival of patients with resected stage I to III invasive HER2-positive breast cancer in the phase III North Central Cancer Treatment Group (NCCTG) N9831 trial. There was also a trend toward a further...

breast cancer

Optimizing HER2-directed Therapy in the Clinic

Seminal research in the treatment of HER2-positive breast cancer has been led by Edith A. Perez, MD, the Serene M. and Frances C. Durling Professor of Medicine at the Mayo Clinic, Jacksonville, Florida. The ASCO Post asked Dr. Perez to share her approach to HER2-directed therapy. Testing...

prostate cancer

Prostate Cancer Screening Reconsidered

Prostate cancer is the most prevalent nonskin cancer in men. An estimated 16% of men are diagnosed with prostate cancer, yet only 3% of men die from it.1 Unlike other cancers, prostate cancer is associated with a prolonged lead-time, meaning it can take anywhere from 5 to 12 years to become...

issues in oncology
health-care policy

A Conversation with Ezekiel J. Emanuel, MD, PhD

Last September, Ezekiel J. Emanuel, MD, PhD, a leading scholar in bioethics and health-care policy, was named the Diane v.S. Levy and Robert M. Levy University Professor and Vice Provost for Global Initiatives at the University of Pennsylvania in Philadelphia. His appointment will be shared between ...

breast cancer
issues in oncology

Breast Cancer Experts Voice Opinion and Express ‘Disappointment’ over FDA Decision

Gabriel N. Hortobagyi, MD, Chair of Medical Breast Oncology at The University of Texas MD Anderson Cancer Center, Houston, said he was “disappointed but not surprised” at the FDA decision to withdraw the bevacizumab (Avastin) indication in breast cancer. “Once the FDA put this in the hands of ODAC, ...

breast cancer
issues in oncology

FDA Announces Bevacizumab Decision: Agency Will Revoke Breast Cancer Indication

On November 18, FDA Commissioner Margaret A. Hamburg, MD, said she is revoking the agency’s approval of the breast cancer indication for bevacizumab (Avastin) after concluding that the drug has not been shown to be safe and effective for that use. Bevacizumab will remain on the market as an...

colorectal cancer

Humor Is Helping Me Survive Cancer

Despite a strong family history of colon cancer—all five of my mother’s siblings had colon cancer, and my mother died of the disease 10 years ago—when some flecks of blood started showing up on my toilet tissue in early 2005, I figured it was from hemorrhoids. At 38, I was a marathon runner and in...

SIDEBAR: Expect Questions from Your Patients

“The message” of a meta-analysis of 17 randomized trials of breast-conserving surgery with or without radiation, “should be that the benefits of radiation are not temporary, that it provides an increased chance of cure,” Thomas A. Buchholz, MD, told The ASCO Post. The meta-analysis was conducted by ...

breast cancer

Benefits of Radiation after Breast-conserving Surgery Cut Risk of Recurrence in Half

In the News focuses on media reports that your patients may have questions about at their next visit. This continuing column will provide summaries of articles in the popular press that may prompt such questions, as well as comments from colleagues in the field. “After breast-conserving surgery,...

issues in oncology

MD Anderson Cancer Center’s New President Has a Bold Vision

On September 1, 2011, Ronald A. DePinho, MD, became only the fourth President in the 70-year history of The University of Texas MD Anderson Cancer Center in Houston. Dr. DePinho spent the previous 14 years as head of Dana-Farber’s Belfer Institute for Applied Cancer Science. In a recent interview...

issues in oncology

The Newly Diagnosed Patient with Cancer and Access to Care

A study presented at the 2011 ASCO Annual Meeting raised concerns that newly diagnosed cancer patients are having trouble seeing an oncologist. Interviews with several cancer centers and community practices, however, suggest that the process runs smoothly, for the most part. Majority of Patients...

skin cancer

Physician-based Screening Leads to the Detection of Thinner Melanomas with More Favorable Prognosis

Physician-based screening leads to detection of thinner melanomas that were less likely to have negative prognostic attributes such as ulceration and dermal mitosis, according to a retrospective review of patient records and biopsy logs from 394 patients diagnosed with cutaneous melanoma. The...

gastrointestinal cancer

Adjuvant Chemotherapy with S-1 Improves Survival in Stage II/III Gastric Cancer

Postoperative adjuvant therapy with the oral fluoropyrimidine derivative S-1 improved overall survival and relapse-free survival in patients with stage II or III gastric cancer who had D2 gastrectomy. Five-year survival rates in the phase III study were 71.7% for patients in the S-1 group vs 61.1%...

lymphoma

Intensified Chemotherapy with R-ACVBP Improves Survival in Younger Patients with Diffuse B-cell Lymphoma

Compared with standard R-CHOP (rituximab [Rituxan], doxorubicin, cyclophosphamide, vincristine, and prednisone), intensified immunochemotherapy with R-ACVBP (dose-intensive rituximab, doxorubicin, cyclophosphamide, vindesine [not available in U.S.], bleomycin, and prednisone) significantly improves ...

Help Your Patients Start Off Healthy in 2012

The beginning of a new year is an opportunity for a fresh start for many, including people with cancer. To help your patients set and achieve their health and wellness goals, direct them to Cancer.Net (www.cancer.net), ASCO’s patient website, where they can learn about seven steps for a healthier...

SIDEBAR: About the Nachman Award

Plans call for the first James B. Nachman ASCO Junior Faculty Award in Pediatric Oncology to be awarded at the 2012 ASCO Annual Meeting. The award will be given each year to a junior faculty member who submits the highest-scoring abstract in pediatric oncology for the ASCO Annual Meeting, as...

ASCO President Michael P. Link, MD, Joins Colleagues in Honoring a Friend and Touching the Future through Philanthropy

As an active member of ASCO, and as a leader of the Society in recent years, ASCO President Michael P. Link, MD, has a long history of giving to the Society-affiliated Conquer Cancer Foundation. “Our family has always felt that it’s a good thing to support,” he said. “The Foundation supports...

Young Investigator Award Renamed to Honor ASCO Founder Jane C. Wright, MD

At the 2011 Annual Meeting, the Conquer Cancer Foundation renamed one of its annual awards to honor the legacy of one of ASCO’s groundbreaking founders. The Jane C. Wright, MD, Young Investigator Award (YIA) recognizes Dr. Wright’s leadership at ASCO, her contributions to the field of oncology, and ...

Weekly Online Polls Help Define Key Concerns of ASCO Members

ASCO members now have the opportunity to help the Society gather information and opinions about important cancer policy issues. ASCO in Action, ASCO’s revamped policy news website (http://ascoaction.asco.org), features weekly polls designed to gauge the views of ASCO members on a variety of topics ...

Conquer Cancer Foundation Programs for Medical Students and Residents Support Diversity in Oncology Workforce

The Conquer Cancer Foundation funds two programs, the Medical Student Rotation (MSR) and the Resident Travel Award (RTA), to facilitate the recruitment and retention of individuals from populations underrepresented in medicine to cancer careers, with a special focus on the development of clinical...

Michael C. Perry, MD, 1945–2011

Michael C. Perry, MD, a renowned cancer clinician, educator, researcher, and administrator at the University of Missouri, Columbia, for more than 35 years, passed away October 23, 2011, after a long and courageous battle with polycystic kidney disease and cancer. He was 66. Dr. Perry served as...

head and neck cancer

New Indication for Cetuximab in Squamous Cell Carcinoma of the Head and Neck

In the Clinic provides overviews of novel oncology agents, addressing indications, mechanisms, administration recommendations, safety profiles, and other essential information needed for the appropriate clinical use of these drugs. Cetuximab (Erbitux) was recently approved by the FDA for use in...

SIDEBAR: ‘Can’t Stomach Cancer’ Seeks to Jump-start Research, Raise Awareness

In April 2008, Debbie Zelman was 40 years old. The mother of three young children, married to a physician, and a practicing attorney with her own firm, she began to experience a strange sensation upon swallowing food. She was told that this was due to stress, but a few months later, she became very ...

gastrointestinal cancer

Gastric Cancer Is on the Rise: Screening and Education Are Vital

Gastric cancer is diagnosed in nearly 1 million people globally each year and is responsible for 740,000 deaths, making it the second leading cause of cancer death in the world. According to the American Cancer Society, more than 21,000 people in the United States were diagnosed with gastric...

lymphoma

Update on Novel Treatments for Peripheral T-cell Lymphoma

At the recent Pan-Pacific Lymphoma Conference in Kauai, Hawaii, Julie M. Vose, MD, from the University of Nebraska Medical Center, Omaha, discussed novel treatments for peripheral T-cell lymphoma (PTCL). PTCL is a heterogeneous group of aggressive T-cell/natural killer (NK) cell non-Hodgkin...

lung cancer

Advances in Lung Cancer Treatment Show Incremental Benefits, but Room for Improvement Remains

Newer therapies for the treatment of non–small cell lung cancer (NSCLC) and small cell lung cancer (SCLC) were discussed at the Chemotherapy Foundation Symposium. More inroads have been made in improving outcomes for patients with NSCLC than for those with SCLC, but there is still room for...

Expert Point of View: Highlights of Bladder Cancer Research Include Novel Agents and New Approach to Identifying Biomarkers

Although bladder cancer is among the most chemosensitive of the solid tumors, and a large proportion of patients will achieve objective tumor regressions on first-line therapy with conventional chemotherapeutic regimens, response durations are relatively short and outcomes with existing second-line ...

bladder cancer

Highlights of Bladder Cancer Research Include Novel Agents and New Approach to Identifying Biomarkers

It is an exciting time for researchers involved in developing new therapies for bladder cancer. More agents are in clinical development, drugs with novel mechanisms and novel trial designs are being implemented, and functional collaboration is occurring in the field, according to Noah Hahn, MD,...

breast cancer

CLEOPATRA Trial Finds Dual HER2 Blockade Improves Progression-free Survival in Advanced Breast Cancer

Women with HER2-positive advanced breast cancer are much less likely to have disease progression or die when two agents are used instead of one to target the HER2 signaling pathway, investigators for the international phase III CLEOPATRA trial found. The 808 women studied were randomly assigned to...

lung cancer

Presurgical Gemcitabine/Cisplatin Improves Survival in Lung Cancer

Preoperative gemcitabine plus cisplatin had a statistically significant impact on outcomes among patients with stage IIB/IIIA non–small-cell lung cancer in a phase III randomized study comparing surgery alone or surgery plus preoperative chemotherapy. The 3-year progression-free survival rates were ...

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