Calling his initial months as director of the National Cancer Institute (NCI) "absolutely exhilarating," Andrew C. von Eschenbach, MD, described three interrelated themes that will guide his leadership of the Institute. The three, he said at a meeting of the National Cancer Advisory Board, are patient centricity, a more active leadership by NCI in the National Cancer Program, and collaborations and partnerships beyond the Institute’s usual sphere of activities.
"Simplistically stated, everything we do and consider is patient centered," Dr. von Eschenbach said. "The mission of the NCI is to eliminate the suffering and deaths from cancer. When we look at the incredible complexity of our agenda and the tremendous diversity of its components, it is extremely important that we look at all of them as means to the elimination of the disease."
A 70-year-old man with a history of localized prostate cancer treated with whole-pelvis radiation therapy with a boost to the prostate, in conjunction with androgen deprivation therapy 7 years prior, presented with lower back pain. A bone scan revealed an area of activity in the sacrum. What is the most likely diagnosis?
