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breast cancer

Study Reveals Long-Term Benefits With Prone Hypofractionated Radiation Therapy and a Concurrent Boost in Early-Stage Breast Cancer

Prone accelerated intensity-modulated radiation therapy with a concomitant boost produced excellent local tumor control and cosmesis while sparing normal tissues in women with early-stage breast cancer, according to the 5-year study results reported by Osa et al in the International Journal of...

pancreatic cancer

Priming Pancreatic Cancer Cells With a Vaccine May Allow Them to Respond to Immunotherapy

Pancreatic ductal adenocarcinoma is considered a “nonimmunogenic” neoplasm and does not typically respond to immunotherapy, in part due to a complex tumor microenvironment that provides a formidable barrier to immune infiltration and function. A new study by Lutz et al has found that by ...

gynecologic cancers
issues in oncology

Study Identifies Two Proteins as Markers of Response to Neoadjuvant Chemotherapy for Ovarian Cancer

A study by researchers from Danbury Hospital Biomedical Research Institute in Connecticut has found that patients with ovarian cancer who relapse shortly after neoadjuvant chemotherapy to shrink their tumor prior to surgery have high levels of expression of HGF and c-Met proteins. The...

lung cancer
issues in oncology

NLST Analysis: Lung Screening–Detected Abnormalities Other Than Cancer Result in Smoking Cessation

In a study reported in the Journal of the National Cancer Institute, Tammemägi et al assessed smoking cessation rates among participants undergoing chest x-ray or computed tomography (CT) screening for lung cancer in the National Lung Screening Trial (NLST). Among patients without a subsequent ...

survivorship

Survivors of Childhood Cancers Experience Frequent Hospitalizations Years After Cancer Treatment

Childhood and adolescent cancer survivors often face ongoing health problems that require frequent and long hospital stays many years after their cancer diagnosis and treatment, according to a new study by Kirchhoff et al published in Cancer Epidemiology, Biomarkers & Prevention. Survivors of...

breast cancer

Initial Treatment of Ductal Carcinoma in Situ May Affect Subsequent Treatment of Tumor Recurrences After Surgery

The use of radiotherapy for the index ductal carcinoma in situ (DCIS) may affect subsequent treatment of tumor recurrences and complications after breast-conserving surgery, reported Greenberg et al in the Annals of Surgical Oncology. Based on the results of this retrospective cohort study, the...

breast cancer

Early Change in Chemotherapy Based on Elevated Circulating Tumor Cells Does Not Improve Outcome in Metastatic Breast Cancer

Elevated circulating tumor cells are associated with poor prognosis in metastatic breast cancer. In the phase III Southwest Oncology Group (SWOG) S0500 trial reported in the Journal of Clinical Oncology, Smerage et al assessed whether changing chemotherapy after one cycle of first-line treatment in ...

breast cancer

Adjuvant! Online Performs Poorly in Older Patients With Breast Cancer in Dutch Study

In a Dutch population-based study reported in The Lancet Oncology, de Glas et al found that the Adjuvant! Online prediction tool performed poorly in older patients with early-stage breast cancer, significantly overestimating or underestimating overall survival depending on comorbidity...

leukemia
issues in oncology

Ibrutinib Resistance Mutations Identified in CLL Patients

Ibrutinib is an irreversible inhibitor of Bruton’s tyrosine kinase that was recently approved for treatment of chronic lymphocytic leukemia (CLL) patients who have received at least one prior therapy. A small proportion of CLL patients have been observed to relapse during ibrutinib treatment, ...

leukemia

ASCO 2014: Ibrutinib Significantly Delays Disease Progression and Extends Survival in Relapsed CLL

Early findings from the phase III RESONATE study indicate that ibrutinib (Imbruvica) produces durable tumor responses and marked improvement in survival over standard ofatumumab (Arzerra) for patients with relapsed chronic lymphocytic leukemia (CLL). “With ibrutinib, about 80% of patients...

pancreatic cancer

Central Pancreatectomy for Low-Grade Neoplasms Results in 'Excellent' Pancreatic Function but Substantial Morbidity

The availability of cross-sectional imaging has resulted in increased diagnosis of low-grade pancreatic neoplasms and use of central pancreatectomy as an alternative to standard resection for such lesions. In a French single-center experience reported in JAMA Surgery, Goudard et al found that...

The Cancer Community Mourns the Passing of Selma Schimmel

The cancer community is mourning the death of Selma Schimmel who passed away on May 21, 2014, from malignant psoas syndrome, a complication of ovarian cancer. Ms. Schimmel died at Providence Tarzana Medical Center near her home in Los Angeles, California. She was 59. A tireless and fierce advocate ...

prostate cancer
issues in oncology

Study Reveals More Than One-Third of Patients With ‘Low-Risk’ Prostate Cancer on Conventional Biopsy Have More Aggressive Tumors on Targeted Biopsy

According to a new study by researchers at the University of California, Los Angeles, selection of men for active surveillance for prostate cancer should be based not on conventional biopsy, but on a new, imaging-guided targeted prostate biopsy. The new biopsy method is now a routine part of the...

hepatobiliary cancer

Insulin-Like Growth Factor-1 Score Improves Assessment of Prognosis in Hepatocellular Carcinoma

In a study reported in the Journal of the National Cancer Institute, Kaseb et al developed a plasma insulin-like growth factor 1 (IGF-1)–based score for hepatic reserve in hepatocellular carcinoma and compared its predictive ability with that of the Child-Turcotte-Pugh (CTP) score in two...

hepatobiliary cancer

Tumor Factors Associated With Poorer Overall Survival in Patients With Intrahepatic Cholangiocarcinoma Undergoing Curative Intent Surgery

There are limited data on outcomes after surgery for intrahepatic cholangiocarcinoma. In a systematic review and meta-analysis reported in JAMA Surgery, Mavros et al found that tumor characteristics are the primary predictors of survival after curative intent surgery, indicating the need for...

leukemia

Good Prognosis for High-Risk Ph-Negative ALL With Chemotherapy After Early Cytologic Response and Low Minimal Residual Disease Level on Flow Cytometry

In a Spanish trial (PETHEMA ALL-AR-03) reported in the Journal of Clinical Oncology, Ribera et al found high disease-free and overall survival rates with delayed consolidation and maintenance chemotherapy in high-risk Philadelphia chromosome–negative acute lymphoblastic leukemia (ALL)...

lung cancer
issues in oncology

Poor Quality of Life Does Not Predict Low Survival Rates in High-Risk Lung Cancer Patients Undergoing Surgery

Quality of life is rarely reported in surgical publications, yet it can be an important metric that can be of use to physicians and patients when making treatment decisions. Prior studies of average-risk patients undergoing lobectomy suggested that low baseline quality-of-life scores predict worse...

prostate cancer

Computational Model Can Predict Therapy Outcomes in Prostate Cancer With Bone Metastasis

Active prostate cancer cells in the bone environment can disrupt the bone remodeling process, promoting a “vicious cycle” of extensive bone destruction and formation that yields nutrients allowing prostate cancer cells to grow. To simulate this complex biologic process, researchers have ...

gynecologic cancers

Human Papillomavirus Vaccine Proves Effective in Women With HIV

Women infected with HIV are disproportionally affected by human papillomavirus (HPV)-related anogenital disease, particularly with increased immunosuppression. In a clinical study of 319 HIV-infected women in the United States, Brazil, and South Africa, researchers assessed the immunogenicity and...

head and neck cancer
supportive care

Doxepin Rinse Reduces Radiotherapy-Associated Oral Mucositis Pain in Patients With Head and Neck Cancer

In a phase III double-blind crossover trial (North Central Cancer Treatment Group [NCCTG] N09C6, Alliance for Clinical Trials in Oncology cooperative group) reported in the Journal of Clinical Oncology, Leenstra et al found that oral doxepin hydrochloride rinse significantly reduced...

breast cancer

Use of Intraoperative Frozen Section Margin Assessment May Decrease Reoperations in Breast Cancer Patients Undergoing Lumpectomy

In female patients undergoing breast cancer lumpectomies, intraoperative frozen section margin assessment has been shown to decrease overall reoperation rates, according to the results of a study reported by Boughey et al in the journal Surgery. This finding may lead to lower health-care costs, a...

colorectal cancer
issues in oncology

FDA Panel Endorses Stool-Based DNA Colon Cancer Test

The U.S. Food and Drug Administration’s (FDA) committee of genetic experts has determined that Cologuard, a stool-based DNA, noninvasive screening test for colorectal cancer, has demonstrated safety, effectiveness, and a favorable risk-benefit profile. The FDA is now considering the...

cns cancers

Pemetrexed and Gemcitabine Show Promise Against Aggressive Childhood Brain Tumor

The quest to improve survival of children with a high-risk brain tumor has led investigators at St. Jude Children's Research Hospital to two drugs already used to treat adults with breast, pancreatic, lung, and other cancers. The study by Morfouace at al was published today in Cancer Cell....

leukemia

Phase II Study Suggests Benefit of Adding Rituximab to Chlorambucil in First-Line Treatment for Chronic Lymphocytic Leukemia

In a UK phase II study reported in the Journal of Clinical Oncology, Hillmen et al assessed the safety and activity of adding rituximab (Rituxan) to chlorambucil (Leukeran) in first-line treatment of chronic lymphocytic leukemia (CLL). Such a regimen may be an alternative to fludarabine-based...

breast cancer

Obesity and Diabetes Have Adverse Effects on Outcomes Across Breast Tumor Types, Should Be Taken Into Account When Planning Treatment

Both obesity and diabetes have adverse effects on outcomes in breast cancer patients who receive neoadjuvant chemotherapy, according to research presented at the 9th European Breast Cancer Conference. Although a high body mass index (BMI) is known to have a negative impact on cancer development and ...

colorectal cancer
issues in oncology

Report Shows More Screening Has Led to a 30% Drop in Colon Cancer Rates

Findings from a report by Siegel et al of the American Cancer Society (ACS) show that the rate at which people are diagnosed with colorectal cancer in the United States has dropped by 30% in the last 10 years among people aged 50 years and older. The researchers say the decline in incidence is due...

gynecologic cancers
issues in oncology

FDA Advisory Committee Unanimously Recommends HPV Test as Primary Screening Tool for Detection of Women at High Risk for Cervical Cancer

The U.S. Food and Drug Administration (FDA) Microbiology Devices Panel of the Medical Devices Advisory Committee has recommended unanimously that the benefits of the cobas human papillomavirus (HPV) test outweigh the risks as a first-line primary screening tool to assess the risk of cervical cancer ...

colorectal cancer

Higher Macrophage Inhibitory Cytokine-1 Levels Associated With Increased Risk of Colorectal Cancer

It is known that chronic inflammation plays a role in the development of colorectal cancer. In a study reported in the Journal of the National Cancer Institute, Mehta et al evaluated the association of the novel plasma inflammatory biomarker macrophage inhibitory cytokine-1 (MIC-1; growth...

prostate cancer

High Bone Biomarker Levels Linked to Preferential Survival Benefit of Atrasentan in Castration-Resistant Prostate Cancer With Skeletal Metastases

Although elevated markers of bone turnover are associated with poor survival in castration-resistant prostate cancer, the association of these markers with outcome in the setting of bone-targeted therapy is uncertain. In a study reported in the Journal of the National Cancer Institute, Lara et al...

gynecologic cancers
gynecologic cancers

Same Progression-Free Survival, Better Quality of Life With Lower-Dose Weekly vs Every-3-Week Carboplatin/Paclitaxel in Advanced Ovarian Cancer

In an open-label phase III trial (MITO-7) reported in The Lancet Oncology, Pignata et al found that while a lower-dose weekly carboplatin/paclitaxel regimen did not improve progression-free survival compared with standard every-3-week carboplatin/paclitaxel as first-line treatment of advanced...

solid tumors
prostate cancer

Robotic-Assisted Prostate Surgery May Offer Better Cancer Control Than Open Radical Prostatectomy

An observational study from UCLA’s Jonsson Comprehensive Cancer Center comparing robotic-assisted surgery to traditional surgery for prostate cancer found that patients who had robotic surgery had fewer instances of cancer cells remaining after surgery and less need of additional cancer...

head and neck cancer

Patients With Oropharyngeal Cancer Report Decreased Quality of Voice and Speech After Treatment

Patients with oropharyngeal cancer treated with combined chemotherapy and radiation therapy reported a decrease in their voice and speech quality for up to 1 year after the completion of treatment, according to research presented today at the 2014 Multidisciplinary Head and Neck Cancer Symposium....

leukemia

Leukemia & Lymphoma Society Applauds FDA's Approval of Ibrutinib for CLL

In response to FDA's approval earlier this week of ibrutinib (Imbruvica) to treat patients with chronic lymphocytic leukemia (CLL) who had received at least one prior therapy, The Leukemia & Lymphoma Society (LLS) issued the following statement: "After the FDA designated ibrutinib as a...

colorectal cancer

Blacks, Hispanics, Older Americans Not Benefiting Equally From Improvements in Colon Cancer Treatment

While new and better treatments have improved the odds of survival for patients diagnosed with late-stage colorectal cancer, that progress has been largely confined to non-Hispanic whites and Asians and those under age 65, according to a new study published in Cancer Causes and Control. Sineshaw et ...

issues in oncology
pancreatic cancer

Researchers Identify Biomarker for Noncancerous Pancreatic Cysts

Researchers at the Indiana University School of Medicine have discovered a highly accurate, noninvasive test to identify benign pancreatic cysts, which could spare patients the cost and risk of surveillance or potentially dangerous surgical intervention. The findings are reported in the Journal of...

issues in oncology
gynecologic cancers
issues in oncology

MicroRNA-181a Shows Promise as a Biomarker for Late-Stage Ovarian Cancer

In patients with late-stage epithelial ovarian cancer, high levels of microRNA-181a may be predictive of chemotherapy resistance and disease progression, according to the results of a study reported by Parikh et al in Nature Communications. Thus, microRNA-181a may serve as a biomarker for prognosis ...

gynecologic cancers

Promising Effects of High-Dose Parenteral Ascorbate in Ovarian Cancer

Oral ascorbate, or vitamin C, has been shown to be ineffective in cancer clinical trials. However, recent studies have indicated that millimolar concentrations of ascorbate achieved in blood and tissue with intravenous dosing is associated with cancer cell killing without harm to normal tissue. In...

issues in oncology

PTX3 Haplotype in Donors Increases Risk of Invasive Aspergillosis in Stem Cell Transplantation

In a study reported in The New England Journal of Medicine, Cunha et al found that receipt of a stem cell transplant from donors with a homozygous haplotype (h2/h2, G-A/G-A) in PTX3, the gene encoding the soluble pattern-recognition receptor pentraxin 3 (PTX3), is associated with significantly...

breast cancer

Adjuvant Chemotherapy for Isolated Locoregional Recurrence of Breast Cancer Associated With Significantly Better Disease-Free and Overall Survival

Isolated locoregional recurrence of breast cancer is associated with high risk of distant metastasis and death. In the CALOR trial reported in The Lancet Oncology, Aebi et al found that adjuvant chemotherapy after complete resection improves disease-free survival in patients with isolated...

kidney cancer

Cytoreductive Nephrectomy Improves Survival in Metastatic Renal Cell Carcinoma Patients With Longer Life Expectancy

Prior to the advent of targeted therapy, cytoreductive nephrectomy was associated with a 6-month improvement in overall survival in metastatic renal cell carcinoma. With the development of new and better targeted therapies for metastatic renal cell carcinoma, the appropriate use of cytoreductive...

New Society Launched for Advanced Practitioners in Hematology and Oncology

The Advanced Practitioner Society for Hematology and Oncology (APSHO) announced its launch as a new organization focused on meeting the unique educational and professional needs of the advanced practitioner in hematology and oncology. The formation of the Society was made public January 26, 2014,...

breast cancer

New Findings Contradict Current Understanding of How to Manage Breast Biopsy Abnormalities

A long-term follow-up study by Hartmann et al of patients with two types of breast tissue abnormalities—atypical ductal hyperplasia and atypical lobular hyperplasia—suggests that both abnormalities have the same potential to advance to breast cancer. The findings could help improve...

lung cancer

Study Reports Success in Targeted Therapy for Lung Adenocarcinoma

The most common genetic subtype of lung cancer, which has long defied treatment with targeted therapies, has had its growth halted by a combination of two already-in-use drugs in laboratory and animal studies, setting the stage for clinical trials of the drugs in patients. The study, published in...

breast cancer

New Mathematical Model Helps Predict Tumor Evolution and Treatment Effectiveness

A study by Almendro et al analyzed breast cancer tumors before and after treatment for important characteristics, including chromosome copy number, the presence or absence of certain protein markers, and their proliferative capacity. The scientists then used the data to develop computational models ...

colorectal cancer

Intensive Follow-up Increases Surgical Treatment of Recurrence With Curative Intent in Colorectal Cancer

In a study (FACS trial) reported in JAMA, Primrose et al compared outcomes with intensive follow-up with carcinoembryonic antigen measurement (CEA), computed tomography (CT), both, or minimum follow-up after curative surgery for primary colorectal cancer. Intensive strategies resulted in a...

colorectal cancer

Irinotecan Drug-Eluting Beads Improve Outcomes in Colorectal Cancer Patients With Liver Metastases

Irinotecan drug-eluting beads given simultaneously with FOLFOX (leucovorin, fluorouracil, oxaliplatin) and bevacizumab (Avastin) in patients with unresectable liver metastasis from colorectal cancer improved response rates, increased resectability and prolonged hepatic progression-free survival in...

leukemia

Superior Progression-Free Survival With Obinutuzumab/Chlorambucil vs Rituximab/Chlorambucil in Previously Untreated CLL With Coexisting Conditions

Obinutuzumab (Gazyva) is a glycoengineered type 2 anti-CD20 antibody that appears to exhibit increased activity against chronic lymphocytic leukemia cells (CLL), with increased antibody-dependent cellular cytotoxicity and reduced complement-dependent cytotoxicity, compared with rituximab (Rituxan). ...

colorectal cancer
issues in oncology

Known Lung Cancer Oncogenes ALK and ROS1 May Also Drive Certain Colorectal Tumors

ALK and ROS1 gene rearrangements, which are known to drive subsets of lung cancer, appear to be present in some colorectal cancers as well, according to the results of a study published in Molecular Cancer Research. The findings by Aisner et al suggest that therapies used to target these two...

skin cancer

Imiquimod 5% Cream Inferior to Surgical Excision in Nodular and Superficial Basal Cell Carcinoma

In a noninferiority trial (SINS) reported in The Lancet Oncology, Bath-Hextall et al compared imiquimod 5% cream vs surgical excision for nodular and superficial basal cell carcinomas. Imiquimod cream was found to be inferior to surgical excision, but it may have a role in treatment of low-risk...

skin cancer
issues in oncology

Novel BRAF Fusions Identified in 'Pan-Negative' Melanomas

A study by Sosman et al has identified two novel BRAF fusions in melanomas previously considered to be negative for molecular targets. In addition, these “pan-negative” melanomas were found to be sensitive to MEK inhibitors. According to the study, BRAF fusions define a new molecular...

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