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Risk of Second Primary Lung Cancer Remains High in Smokers
Conference Correspondent
TON - November/December 2014 Vol 7 No 6
Patients who are diagnosed with lung cancer but continue to smoke are at much higher risk of developing a secondary primary lung cancer (SPLC) compared with never smokers as well as those who have quit smoking, according to the largest analysis of its kind. “This study, which looked at the relationship between smoking history and developing a second lung cancer, adds to the evidence of the harmfulness of cigarette smoking. We presumed that never smokers would have a lower risk than current smokers, but we were encouraged to find that quitting smoking lowered the risk of SPLC and quitters had similar overall survival rates as never smokers,” said John Michael Boyle, MD, lead author, a radiation oncology resident at Duke Cancer Institute in Durham, North Carolina.
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Simple Blood Test to Predict Outcome
Conference Correspondent
TON - November/December 2014 Vol 7 No 6
Researchers reported that results of a simple blood test measuring VEGF-A and TGF-²1 can be used as predictive markers for response to treatment in patients with squamous cell esophageal cancer undergoing concurrent chemotherapy and radiation therapy (CCRT) followed by esophagectomy, or removal of part of the esophagus.
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Radiation Does Not Increase Lymphedema Risk
Conference Correspondent
TON - November/December 2014 Vol 7 No 6
Radiation therapy (RT) does not increase the risk of lymphedema in patients with node-negative breast cancer beyond that of surgery, according to a secondary analysis of the NSABP (National Surgical Adjuvant Breast and Bowel Project) B-32 trial. “These results should reassure breast cancer patients that radiation therapy to the level 1 axilla when radiating the whole breast does not contribute to lymphedema risk beyond surgery,” stated lead author Susan McCloskey, MD, of the David Geffen School of Medicine at the University of California Los Angeles. McCloskey added, “This analysis suggests that lymphedema should not be an impediment to women choosing breast-conservation surgery and radiation therapy.”
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Single Fraction Radiation for Bone Metastases
Conference Correspondent
TON - November/December 2014 Vol 7 No 6
A study based on patient-reported outcomes in a broad sample of cancer patients with bone metastases showed that single fraction radiation therapy (SFRT) was as effective as multiple fraction radiation therapy (MFRT) for alleviating pain and improving function and quality of life (QOL). This study has cost implications as well as implications for patient convenience, noted senior author Robert Olson, MD, a radiation oncologist at the British Columbia (BC) Cancer Agency Centre for the North, Canada. “We see variations in patterns of use of MFRT. No doubt some of the use of MFRT [in the United States] is driven by cost considerations,” he noted.
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Preserving Sexual Function in Patients With Prostate Cancer
By
Patrick McLaughlin, MD
Conference Correspondent
TON - November/December 2014 Vol 7 No 6
It may be possible to preserve sexual function in men with prostate cancer undergoing curative radiation therapy (RT) by using a vessel-sparing radiation technique, according to a 5-year follow-up of a group of men who underwent vessel-sparing radiation therapy in this setting. The study included 90 men diagnosed with prostate cancer; about 50% underwent external beam RT alone and 50% had the external beam RT plus brachytherapy. No patient received androgen deprivation therapy.
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Highlights From the American Society for Radiation Oncology 2014 Annual Meeting
By
Alice Goodman
Conference Correspondent
TON - November/December 2014 Vol 7 No 6
The annual meeting of the American Society for Radiation Oncology (ASTRO) took place in San Francisco, California, on September 14-17, 2014. The meeting draws more than 11,000 attendees, bringing together clinicians, scientists, and researchers from all oncology disciplines. ASTRO highlights how technology and biology advance the field of radiation oncology and improve outcomes and quality of life for patients. As ASTRO’s needs statement for the annual meeting points out, nearly two-thirds of the estimated 1.6 million people who will be diagnosed with cancer this year will receive radiation therapy—this makes it imperative that all members of the multidisciplinary team be aware of best practices. Below are summaries of some highlights from the meeting.
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Highlights of the 2014 Annual Meeting of the American Society of Clinical Oncology
By
Alice Goodman
Conference Correspondent
TON - September/October 2014 Vol 7 No 5
This year, the American Society of Clinical Oncology (ASCO) celebrates the 50th anniversary of its founding. ASCO’s 2014 annual meeting acknowledged the society’s role in the advances made against cancer and presented the latest research and educational information about prevention, detection, and treatment of cancer.
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Goserelin Preserves Ovarian Function in Premenopausal Women With Breast Cancer
Conference Correspondent
TON - September/October 2014 Vol 7 No 5
The addition of goserelin to chemotherapy was shown to preserve ovarian function, fertility, and the ability to have a successful pregnancy in premenopausal women with hormone receptor–negative (HR–) early breast cancer, according to results of the Prevention of Early Menopause Study (POEMS), an international Intergroup trial coordinated by the Southwest Oncology Group.
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Benefits of Weight Loss in Breast Cancer
Conference Correspondent
TON - September/October 2014 Vol 7 No 5
Two studies explored the beneficial effects of exercise and weight loss, one study in healthy women and another in breast cancer survivors.
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Loratadine and Bone Pain
Conference Correspondent
TON - September/October 2014 Vol 7 No 5
Pegfilgrastim, which mobilizes white blood cells that fight infection, is indicated by the US Food and Drug Administration for the treatment of cancer patients with nonmyeloid malignancies who are receiving anticancer drugs that are associated with clinically significant febrile neutropenia.
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