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Expert Point of View: Charles Vogel, MD, Larry Norton, MD, and Andrew D. Seidman, MD

A number of breast cancer specialists commented on the value of the Southwest Oncology Group (SWOG) 0221 data. Charles Vogel, MD, Professor of Medicine at the University of Miami Health System, commented after the presentation, “This is a potentially important abstract because of the wide variety...

breast cancer

Head-to-Head Matchup Shows Adjuvant Taxane Schedules Equally Effective  

In the treatment of early breast cancer, outcomes are equivalent whether paclitaxel is delivered weekly or every 2 weeks, though the weekly schedule may be better tolerated, according to the results of a phase III trial presented at the 2013 ASCO Annual Meeting.1 “The progression-free survival...

Expert Point of View: Toni K. Choueiri, MD

Formal discussant of the RECORD-3 trial, Toni K. Choueiri, MD, Associate Professor of Medicine at Harvard Medical School and Director of the Kidney Cancer Center at Dana-Farber Cancer Institute, Boston, said that the focus of the research concerns how to move forward in the treatment of metastatic...

kidney cancer

First-line Sunitinib Followed by Everolimus Remains Standard Sequence in Metastatic Renal Cell Carcinoma 

With the approval of a number of different drugs for the treatment of metastatic renal cell carcinoma, a major issue is how to sequence these drugs to optimize outcome. A large, randomized phase II study called RECORD-3 shows that the standard sequence of the multitargeted tyrosine kinase inhibitor ...

Expert Point of View: Carsten Bokemeyer, MD

Carsten Bokemeyer, MD, Professor of Internal Medicine at the University Medical Center Hamburg, Germany, formally discussed the paper by Fizazi et al at the ASCO Annual Meeting. “This is a positive trial. The progression-free survival, the primary endpoint, showed a 10% improvement, though,...

solid tumors

Dose-dense Chemotherapy Improves Outcomes in Poor-prognosis Germ Cell Tumors 

For poor-prognosis patients with germ-cell tumors, dose intensification of chemotherapy based on slow decline of tumor markers can increase progression-free survival, according to the first randomized trial of a “personalized” treatment strategy for this tumor.1 At the 2013 ASCO Annual Meeting,...

Expert Point of View: Anthony V. D'Amico, MD, PhD

“No one likes to give long-term hormonal therapy. I am optimistic that we can give shorter-term androgen deprivation therapy, but I am not sure I can state that with certainty today,” said Anthony V. D’Amico, MD, PhD, Professor of Radiation Oncology at Harvard Medical School and Chief of...

prostate cancer

Shorter Duration of Hormone Therapy Feasible in Localized High-risk Prostate Cancer 

Men with localized high-risk prostate cancer treated with adjuvant radiotherapy had similar overall and disease-free survival when treated with 18 months of androgen deprivation therapy vs 36 months of androgen deprivation therapy, the current standard of care in this setting. These results were...

Expert Point of View: Michael A. Carducci, MD

With the high rate of [prostate-specific antigen (PSA)] decline, the study of enzalutamide ­(Xtandi) reported by Dr. Smith and colleagues appears to be a positive study,” said formal discussant ­Michael A. ­Carducci, MD, AEGON Professor in Prostate Cancer Research at the Sidney Kimmel Comprehensive ...

prostate cancer

Enzalutamide Monotherapy Highly Active in Patients with Prostate Cancer Who Have Had No Prior Hormone Therapy 

Enzalutamide (Xtandi) monotherapy induced striking declines in prostate-specific antigen (PSA) in a majority of patients with hormone-naive prostate cancer in a phase II trial, and this oral agent appears to have little effect on bone mineral density. If these findings are confirmed in a phase III...

lymphoma

Why Is Stem Cell Transplant So Underused in Follicular Lymphoma?

Follicular lymphoma is the second most common subtype of non-Hodgkin lymphoma (NHL) in the United States. Of the nearly 70,000 new cases of NHL anticipated in 2013,1 approximately 7,000 to 13,000 (10%–19%) will be follicular lymphoma, by recent estimates.2-5 For many years, the median overall...

geriatric oncology

Top Five Things Oncologists Need to Know about Cancer in Older Adults 

A workforce shortage of geriatricians and other health professionals certified in caring for older patients with cancer is colliding with the aging of the population and the increasing number of older Americans with cancer. After describing factors contributing to these dual challenges, Arti...

Expert Point of View: Hedy Lee Kindler, MD

Hedy Lee Kindler, MD, Associate Professor of Medicine at the University of Chicago, the invited discussant of three of these presentations, emphasized the persistent lethality of advanced pancreatic cancer. She predicted that within this decade, pancreatic cancer will become the second leading...

pancreatic cancer

Some Successes, Some Failures Reported in Research and Treatment of Pancreatic Cancer 

The challenge of treating pancreatic cancer inched forward with studies reported at the 2013 ASCO Annual Meeting, though some important studies proved disappointing. Nab-paclitaxel Improves Overall Survival In treatment-naive metastatic patients, the addition of nanoparticle albumin-bound...

lymphoma

Déjà Vu Redux: Lessons from the SWOG-8516 Study in Aggressive Lymphomas

Joseph M. Connors, MD, authored a commentary in the June 25 issue of The ASCO Post inspired by a recent New England Journal of Medicine publication on dose-adjusted EPOCH-R chemotherapy (etoposide, prednisone, vincristine, cyclophosphamide, doxorubicin, and rituximab) for primary mediastinal B-cell ...

prostate cancer

Seeking Clarity on the PSA Story

My feature interview in the August 15, 2012, issue of The ASCO Post, entitled “Rethinking the Role of PSA Screening in Public Health”1 drew swift reaction from well-known figures in the prostate cancer field. The subsequent Letters to the Editor, three in all, constituted a two-pronged attack. They ...

head and neck cancer

Support Group Offers Resources for Patients with Oral/Head and Neck Cancer

I am the Outreach Administrator/Newsletter Editor at Support for People with Oral and Head and Neck Cancer (SPOHNC). SPOHNC is a national nonprofit organization involved in the development of support programs. As such, it can have an enormous positive impact on meeting the psychosocial needs of...

leukemia

ATRA and Arsenic Trioxide May Be Even Better Than ATRA and Chemotherapy in Treating Low-to-Intermediate Risk Acute Promyelocytic Leukemia 

All-trans retinoic acid (ATRA) plus arsenic trioxide bested the already high remission rates achieved by ATRA with chemotherapy, the standard of care for acute promyelocytic leukemia, in a phase III multicenter trial among patients with low-to-intermediate risk acute promyelocytic leukemia....

sarcoma

Ridaforolimus Delayed Tumor Progression in Patients with Previously Treated Metastatic Sarcoma  

“Ridaforolimus delayed tumor progression to a small statistically significant degree in patients with metastatic sarcoma who experienced benefit with prior chemotherapy,” according to results of an international phase III trial. The large randomized placebo-controlled phase III trial evaluated the...

skin cancer

Anti-PD-1 Antibody Lambrolizumab Produces Durable Responses with Low Toxicity in Patients with Advanced Melanoma  

Lambrolizumab produced a high rate of sustained tumor regression when tested among 135 patients with advanced melanoma in a multi-institutional, international, phase I expansion study reported in The New England Journal of Medicine. At a median follow-up of 11 months, responses were durable in the...

prostate cancer

Androgen Deprivation Therapy Associated with Increased Risk of Acute Kidney Injury  

The use of androgen deprivation therapy was significantly associated with an increased risk of acute kidney injury among men with newly diagnosed nonmetastatic prostate cancer, according to a study published in JAMA. The study was motivated by the increasing use of androgen deprivation therapy in...

breast cancer

For Women ≥ 70 Years with Early Breast Cancer, Adding Radiotherapy to Lumpectomy and Tamoxifen Does Not Increase Survival 

Long-term follow-up of Cancer and Leukemia Group B (CALGB) trial 9343 confirmed and extended 5-year results that in women age ≥ 70 years with clinical stage I, estrogen receptor (ER)-positive breast cancer treated with lumpectomy followed by tamoxifen, “irradiation adds no significant benefit in...

breast cancer

Cisplatin plus Cetuximab vs Cisplatin Alone in Patients with Metastatic Triple-negative Breast Cancer

Adding cetuximab (Erbitux) to cisplatin doubled the overall response rate and appeared to prolong progression-free and overall survival in a randomized phase II study among patients with metastatic triple-negative breast cancer. Although the trial did not meet its primary endpoint of overall...

breast cancer

Women with Primary Breast Cancer Diagnosed During Pregnancy Have Overall Survival Similar to Nonpregnant Patients 

Results from an international collaborative study showed that women with primary breast cancer diagnosed during pregnancy had overall survival similar to nonpregnant patients. Reporting their findings in the Journal of Clinical Oncology, the authors concluded: “This information is important when...

gynecologic cancers
survivorship

I Overcame Cervical Cancer but Not Its Long-term Effects 

In 1979, when I was just 35 years old, I started experiencing abnormal vaginal bleeding and lower back pain. When a Pap test came back normal, the gynecologist I saw said not to worry about anything, that I was fine. But I wasn’t fine. My symptoms quickly escalated, and I sought the opinion of...

lymphoma

Pig Diagnosed With Lymphoma and Treated at Cornell University Hospital for Animals 

Doctors at Cornell University Hospital for Animals in Ithaca, New York, reported what they believe may be the first case of a pig being treated for lymphoma. The animal was described as a 730-pound black-and-white Hampshire pig that was diagnosed with presumptive B-cell lymphoma. The 4-year-old...

issues in oncology

Making the Science of Cancer Understandable to a Broad Audience 

An educator and scientist for over 30 years, David Sadava, PhD, became interested in the science of cancer while on sabbatical from Claremont Colleges, where he was teaching courses in molecular biology and biotechnology, and went to the City of Hope Medical Center in Duarte, California, to study...

global cancer care

Nazarbayev University Selects Pittsburgh School of Medicine as Strategic Partner to Establish Medical School in Kazakhstan

The University of Pittsburgh School of Medicine has been chosen to guide the Republic of Kazakhstan’s Nazarbayev University as it establishes its own medical school, which aims to educate physician-scientists to become the nation’s next leaders in health care, medical education and biomedical...

SIDEBAR: Key Features of Melanoma: ABCDE 

Assymetry Border irregularity Color variability Diameter greater than 6 mm Evolution or change in appearance

SIDEBAR: A Hot Season for Skin Cancer News, So Expect More Questions  

An “alarming difference” in survival outcomes between young, non-Hispanic white males and females with primary invasive melanoma (see accompanying article) is one of several skin cancer–related study findings in the news this summer. Other studies have concerned the rising rates of melanoma among...

SIDEBAR: NCAA Athletes as 'SUNSPORT' Ambassadors  

Consistent use of sunscreen is one of the key messages of SUNSPORT (Stanford University Network for Sun Protection, Organization, Research, and Teamwork). The program is geared towards reducing sun exposure among students playing in National Collegiate Athletics Association (NCAA) sports. “The...

skin cancer

'Alarming Difference' in Survival Outcomes for Young White Men with Melanoma 

An “alarming difference” in survival outcomes between young, non-Hispanic white males and females with primary invasive melanoma “highlights the urgent need for both behavioral interventions to promote early detection strategies in young men and further investigation of the biological basis for the ...

breast cancer

Tomosynthesis Plus Digital Mammography Reduces Breast Cancer Screening Recall Rate Compared to Mammography Alone

The addition of tomosynthesis to standard digital mammography resulted in a 30% reduction in overall recall rates among women being screened for breast cancer, according to a new study published online in Radiology.1 The results demonstrate that digital tomosynthesis is an effective tool in...

Cedars-Sinai Names Award Recipient in Gifted Scholars Program

Cedars-Sinai in Los Angeles, California, recently named Christine R. Carico the 2013 recipient of the Medical Center’s Pauletta and Denzel Washington Family Gifted Scholars Program in Neuroscience award. Ms. Carico will spend the next year researching brain disorders like the one that took the life ...

lymphoma

Dr. Joseph Bertino's Breakthrough Work in Methotrexate Resistance Led to Understanding Why Cancer Drugs Work or Fail 

Looking over his 5 decades in clinical oncology and research, ­Joseph R. Bertino, MD, says his greatest professional satisfaction comes from seeing his former students and oncology fellows go on to achieve great success in their own medical and research careers. It is a fitting sentiment since Dr....

Oncology Meetings

August Hematology and Medical Oncology Best PracticesAugust 15-22 • Arlington, VirginiaFor more information: www.gwumc.edu/cehp/hemoncbestpractices/ Best of ASCO® Los AngelesAugust 16-17 • Los Angeles, CaliforniaFor more information: boa.asco.org ISEH – Society for Hematology and Stem Cells 42nd...

Cedars-Sinai Medical Physicist Honored by American Association of Physicists in Medicine

Benedick Fraass, PhD, FAAPM, FASTRO, FACR, has received the William D. Coolidge Award from the American Association of Physicists in Medicine for his distinguished career achievements in medical physics, including his pioneering work in radiation oncology.    “The William D. Coolidge Award credits...

Richard I. Fisher, MD, Named President and CEO of Fox Chase Cancer Center

Richard I. Fisher, MD, has been appointed President and Chief Executive Officer of Fox Chase Cancer Center in Philadelphia. Dr. Fisher will also hold the title of Cancer Center Director of Fox Chase, serving as the Principal Investigator on the Cancer Center Support Grant from the National Cancer...

supportive care

FDA Issues Warning on Rare but Serious Skin Reactions with Acetaminophen

The FDA recently issued a warning that acetaminophen has been associated with a risk of rare but serious skin reactions.  These skin reactions, known as Stevens-Johnson Syndrome, toxic epidermal necrolysis, and acute generalized exanthematous pustulosis, can be fatal.  Serious Adverse Reactions FDA ...

hematologic malignancies

Leukemia & Lymphoma Society Appoints New Administrative Officer

The Leukemia & Lymphoma Society recently announced the appointment of Rosemarie Loffredo as its new Chief Administrative Officer and Chief Financial Officer. In this newly created role, Ms. ­Loffredo will help ensure the Society achieves the goals of its long-range strategic plan. She will lead ...

integrative oncology

10th International Conference of the Society for Integrative Oncology Will Explore Translational Science Topics

This October for 3 full days (October 20–22) in Vancouver, Canada, oncologists, scientists, and other oncology health professionals will gather for the Society for Integrative Oncology Annual Meeting. This year’s conference theme is Translational Science in Integrative Oncology: From Bedside, to...

Johns Hopkins Kimmel Cancer Center Announces New Leadership Appointment

Michael A. Carducci, MD, Professor of Oncology and Urology at the Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins in Baltimore was recently selected as Associate Director for Clinical Research.  In this role, Dr. Carducci will facilitate clinical research activities as well as oversee...

issues in oncology

NIH Commits $24 Million Annually for Big Data Centers of Excellence

The National Institutes of Health will fund up to $24 million per year for 4 years to establish six to eight investigator-initiated Big Data to Knowledge Centers of Excellence. The centers will improve the ability of the research community to use increasingly large and complex datasets through the...

survivorship

Living and Working with Cancer 

The most recent figures from the National Cancer Institute put the number of cancer survivors in the United States at nearly 14 million—by 2022, that number is expected to top 18 million. And for the vast majority of those survivors—more than 80%—returning to work after treatment is a top priority...

integrative oncology

Western Science Catching Up with Traditional Chinese Medicine 

Since the National Institutes of Health Consensus Statement in 1997 concluded that the evidence to date suggests acupuncture is effective in the treatment of chemotherapy-induced nausea and vomiting,1 numerous additional indications for its use in relieving symptoms related to cancer or its...

integrative oncology

Acupuncture May Reduce Arm Lymphedema in Patients with Breast Cancer 

Integrative Oncology is guest edited by Barrie R. Cassileth, MS, PhD, Chief of the Integrative Medicine Service and Laurance S. Rockefeller Chair in Integrative Medicine at Memorial Sloan-Kettering Cancer Center, New York. The Integrative Medicine Service at Memorial Sloan-Kettering Cancer Center...

prostate cancer

David Penson, MD, MPH, Receives $2 Million Research Award to Study Prostate Cancer  

David Penson, MD, MPH, Professor of Urologic Surgery, Vanderbilt University Medical Center, Nashville, has received a $2 million research award from the Patient-Centered Outcomes Research Institute to study localized prostate cancer. Dr. Penson is also Director of the Vanderbilt Center for Surgical ...

SIDEBAR: Key Issues in Joint Commission Statement by American Psychosocial Oncology Society,  Association of Oncology Social Work, and Oncology Nursing Society 

It is imperative that [Commission on Cancer]-accredited programs adopt a universal definition of distress. We concur with the National Comprehensive Cancer Network definition of distress as an “unpleasant emotional experience of a psychological (cognitive, behavioral, emotional), social, and/or...

supportive care

Professional Societies Endorse 2015 Standard for Cancer Center Accreditation by Commission on Cancer 

In 2015, the American College of Surgeons (ACoS) Commission on Cancer (CoC) will require cancer centers to implement screening programs for psychosocial distress as a new criterion for accreditation. The American Psychosocial Oncology Society (APOS) recently announced recommendations to support a...

issues in oncology

Adolescents, Young Adults with Cancer Often Challenged By Unmet Needs Following Treatment 

About 70,000 adolescents and young adults (AYAs) between the ages of 15 and 39 are diagnosed with cancer each year, and in the past 30 years, there has been little or no improvement in survival in this population. In addition to the disease itself, they face many other challenges: reentry into...

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