Preventing and Managing Infections in Patients Receiving Nucleoside Analogs
August 1st 2000Nucleoside analogs have marked efficacy in indolent lymphoid malignancies, but the tradeoff is the challenge of preventing and treating infections in these patients, according to Susan O’Brien, MD, of M. D. Anderson Cancer Center, Houston. At
Clinical Status of Laparoscopic Bowel Surgery for GI Malignancy
August 1st 2000Laparoscopic surgery for colorectal malignancy is an important topic because of its potential advantages and its oncologic controversies. Drs. Wexner and Hwang have prepared a comprehensive review of the current status of laparoscopic colorectal surgery for malignancy. The relative merits of the new procedure are discussed from a number of perspectives, including the technical aspects of laparoscopic bowel resection, oncologic concerns, and experimental and theoretical effects on tumor growth and host immunity.
Culturally Specific Interventions Can Improve Cancer Screening Among Minorities
August 1st 2000Over the past decade, extensive research and promotion efforts have led to increased awareness and utilization of cancer prevention and screening methods. Many minority groups, however, have not benefited equally from these advances, and continue to have elevated cancer incidence or mortality rates compared with whites.
Current Issues in the Treatment of Resistant Bloodstream Infections
Bloodstream infections cause significant morbidity and mortality for patients with hematologic malignancy. Antimicrobial drugs are the most reliable currently available treatment for infection, but several issues must be
Current Treatments for Infection in Neutropenic Patients With Hematologic Malignancy
August 1st 2000Neutropenic patients with cancer are a heterogeneous group of patients who carry a variable risk for infection. When such patients present with fever, appropriate empiric antibiotic therapy is initiated and continued until
Routine 3D Treatment Planning: Opportunities, Challenges, and Hazards
August 1st 2000Three-dimensional (3D) treatment planning refers to the use of software and hardware tools to design and implement more accurate and conformal radiation therapy. This is a major advance in oncology that should lead to
Grim News From the 13th International AIDS Conference
July 31st 2000DURBAN, South Africa-Leading experts on HIV/AIDS gathered at the 13th International AIDS Conference, held for the first time in Africa, the continent most severely affected by the pandemic. Experts estimate that 70% of the 34 million people infected with HIV worldwide live in sub-Saharan Africa.
Phase I/II Study of Weekly Irinotecan and Paclitaxel in Patients With SCLC
July 2nd 2000This phase I/II nonrandomized, open-label study was designed to assess the safety and benefit of sequencing irinotecan (Camptosar, CPT-11) plus paclitaxel (Taxol) immediately after cisplatin (Platinol)/etoposide (VePesid,
Weekly Irinotecan and Concurrent Radiation Therapy for Stage III Unresectable NSCLC
In preclinical studies, the topoisomerase I inhibitor irinotecan (Camptosar, CPT-11) has demonstrated activity as a radiosensitizer, probably due to its ability to inhibit potentially lethal radiation damage repair. We conducted a
Automated Imaging Notification System Close to Fail-Safe
July 1st 2000WASHINGTON-One way to ensure that the right parties receive imaging study results and actually look at them is to make notification nearly fail-safe. A system in use at the Veterans Administration Medical Center, Asheville, NC, as well as other VAs, does exactly that, David M. Schuster, MD, staff radiologist at the hospital, said at the 100th annual meeting of the American Roentgen Ray Society.
Radioimmunotherapy Effective First-Line Treatment for Non-Hodgkin’s Lymphoma
July 1st 2000Radioimmunotherapy with iodine I-131 tositumomab (Bexxar) produced tumor shrinkage in 97% of previously untreated patients with advanced-stage, low-grade non-Hodgkin’s lymphoma, according to a recent study at the University of Michigan
First-Year Funding of Early Detection Research Network Complete
July 1st 2000BETHESDA, Md-The National Cancer Institute-sponsored Early Detection Research Network has issued 13 grants totaling $18 million to complete its first year of funding. Last fall, NCI awarded $8 million to set up the network’s initial operations-18 biomarker development laboratories. The new grants will finance the establishment of the program’s other three components: clinical and epidemiologic centers, biomarker validation laboratories, and a data management and coordinating center.
Gritty Antitobacco Ads and More From Legacy Foundation
July 1st 2000WASHINGTON-Few were aware of the American Legacy Foundation until last February when it televised and then temporarily pulled two antitobacco advertisements, one of which showed body bags being stacked outside the headquarters of Philip Morris.
Colonoscopy vs Sigmoidoscopy in Asymptomatic Women
July 1st 2000SAN DIEGO-In the VA Cooperative Study 380, screening colonoscopy found advanced adenomas in approximately 10% of asymptomatic veterans, and approximately 20% to 40% of those patients had no lesions within reach of a sigmoidoscope, depending on the insertion depth of the scope.
FDA’s Viewpoint on Approvals Needs to Be Heard: Dr. Pazdur
July 1st 2000ROCKVILLE, Md-Last September, medical oncologist Richard Pazdur, MD, became director of the Division of Oncologic Drug Products at the US Food and Drug Administration. Dr. Pazdur joined the FDA after 12 years on the faculty of the University of Texas M.D. Anderson Cancer Center, where his most recent position was professor of medicine and director of educational programs within the Division of Medicine.
Intergroup Study Finds Post-op Chemoradiation Should Be Standard Care in Most Gastric Cancers
July 1st 2000NEW YORK-Surgery plus postoperative radiation and chemotherapy should replace surgery alone as standard therapy for most patients with gastric cancer, according to data from Intergroup Study INT-0116. The results were presented at the ASCO meeting by John Macdonald, MD, of St. Vincent’s Cancer Center, New York.
High Compliance Rate Seen With Repeat Screening Sigmoidoscopy
July 1st 2000SAN DIEGO-Effective screening for colorectal cancer requires ongoing testing and follow-up. Robert E. Schoen, MD, MPH, of the University of Pittsburgh, reported that adherence with sigmoidoscopy is outstanding-about 86% of eligible subjects returned for a follow-up exam at 3 years. However, a negative experience with screening flexible sigmoidoscopy can keep patients from repeating the procedure. He discussed the findings at an American Gastroenterological Association research forum held during Digestive Disease Week.
New Report Lists 218 Known or Likely Human Carcinogens
July 1st 2000BETHESDA, Md-The number of substances “known” or “reasonably anticipated” to cause human cancer now stands at 218, according to the newly published Report on Carcinogens, 9th edition. The new number represents a total increase of 14 substances over the 8th edition. Sixteen substances were added to the previous list, and, for the first time, two were removed.
Paclitaxel Monotherapy in Advanced Urothelial Cancer
July 1st 2000In addition to the study reported by Friedland, another study of the use of paclitaxel in urothelial cancer was presented at ASCO. This study employed paclitaxel alone on a weekly schedule and showed it to be active in heavily pretreated, advanced urothelial cancers. It should be tested further in chemotherapy-naive patients, according to Catherine M. Broome, MD, of the Northern Virginia Oncology Group, Fairfax.