Expertise of Genetic Counselors Clarified
July 1st 1998In his article, "Genetic Testing for Cancer Susceptibility: Challenges for Creators of Practice Guide-lines" [11(11A):171-176, 1997], Henry Greely, JD, provides a comprehensive review of the complex issues that patients consider when deciding
Jefferson Oncology Group Established to Enhance Clinical Trial Development
July 1st 1998The Jefferson Cancer Network of Thomas Jefferson University’s Kimmel Cancer Center recently established a cooperative program known as the Jefferson Oncology Group among its members. The purpose of this new cooperative program is to
New Gene Therapy Produces Marked Regression of Tumors in Animals
July 1st 1998Scientists at Ohio University Edison Biotechnology Institute have used a nonviral gene expression system, invented and patented by Ohio University several years ago, to eliminate human cancer cells in animals. The investigators reported achieving
Medical Treatment for Intractable Obesity in Pediatric Cancer Patients
July 1st 1998A potential treatment for hypothalamic obesity that often afflicts children who receive treatment for brain tumors or leukemia has been discovered by researchers at St. Jude Children’s Research Hospital. Many of these childhood cancer survivors die in
Eating More Vegetables and Fruits and Less Meat May Help Prevent Breast Cancer
July 1st 1998Women who adhere to a low-fat diet with plenty of vegetables and fruits may decrease their risk of developing breast cancer, according to a new study published in the May 1998 issue of The Journal of the American Dietetic Association. The study
Accurate Mammogram Reading More Likely Following Mammotome Biopsy, Study Indicates
July 1st 1998Mammotome biopsy causes significantly less internal breast scarring than open surgical biopsy and is less likely to interfere with a radiologist’s ability to read subsequent mammograms, according to a new study presented at the third annual
Update: HIV Counseling and Testing Using Rapid Tests--U.S., 1995
July 1st 1998Approximately 25 million persons each year in the United States are tested for antibody to human immunodeficiency virus (HIV). Publicly funded counseling and testing (CT) programs conduct approximately 2.5 million of these tests each year.
3D Structure of Tumor-Suppressor Protein Generated on the Computer
July 1st 1998Researchers at Ohio State University’s Comprehensive Cancer Center have determined the three-dimensional (3D) structure of the protein produced by the p16 tumor-suppressor gene. This protein normally prevents cells from dividing inappropriately.
Photography of the Cecum Should Accompany Colonoscopy, Say Researchers
July 1st 1998The best deterrent against colorectal cancer may be to photograph the cecum--where a significance incidence of colorectal cancer occurs--as a complement to performing colonoscopy, according to a study conducted in Allentown, Pennsylvania. The
ODAC Recommends Non-Small-Cell Lung Cancer Indication for Gemcitabine
July 1st 1998The FDA’s Oncologic Drugs Advisory Committee (ODAC) recommended that gemcitabine HCl (Gemzar) be approved both as a single agent and in combination with cisplatin (Platinol) for the treatment of locally advanced or metastatic non-small-cell
Axillary Dissection in Invasive Breast Cancer
July 1st 1998The article by Manjeet Chadha and Deborah Axelrod on routine axillary dissection in invasive breast cancer (11: 1463-1468, 1997) is a well-presented discussion of a timely subject. The authors make a good case that nodal disease (pN+) is no
Natural History and Treatment of Malignant Thymoma
July 1st 1998Cowen and colleagues provide a very good review of thymomas. Although thymomas are the most common of the anterior mediastinal tumors, these tumors as a group are relatively uncommon. The authors focus their discussion on the pathology, staging, and management of thymomas.
Epidemiology and Pathogenesis of AIDS-Related Lymphomas
July 1st 1998Dr. Aboulafia provides an accurate overview of the relationship between immunodeficiency and malignant lymphoma, the lymphoproliferative disorders that occur following solid organ transplantation, and the epidemiology and pathogenetic mechanisms possibly involved in acquired immunodeficiency syndrome (AIDS)-related lymphomagenesis.
Epidemiology and Pathogenesis of AIDS-Related Lymphomas
July 1st 1998Acquired immunodeficiency syndrome (AIDS)-related lymphoma is a complex disease process with a range of features that are distinct from both non-Hodgkin’s lymphoma (NHL) outside of the context of immunodeficiency and the lymphoproliferative disease seen in immunodeficiency unrelated to human immunodeficiency virus-1 (HIV-1). Dr. Aboulafia lucidly summarizes the issues contributing to the unique aspects of this disease.
Breakthrough Pain in Cancer Patients: Characteristics, Prevalence, and Treatment
July 1st 1998As indicated in this review by Patt and Ellison, the literature pertaining to the association between transitory acute pains and chronic cancer-related pain is limited and plagued by nomenclatural problems. Nonetheless, the clinical relevance of these so-called breakthrough pains is apparent to those who treat cancer patients.
Breakthrough Pain in Cancer Patients: Characteristics, Prevalence, and Treatment
July 1st 1998It is striking how often medical advances occur as a result of the recognition of something that, in retrospect, is obvious. Pain has always been a feared consequence of disease, particularly cancer. Only in the past decade, however, has the widespread undertreatment of pain and its impact on the quality of life of patient and family gained the attention of mainstream medical research. Rapid, simultaneous advances in basic neurobiology and clinical investigation have dramatically improved the clinician’s ability to diagnose and treat pain.
Breakthrough Pain in Cancer Patients: Characteristics, Prevalence, and Treatment
July 1st 1998"Breakthrough pain" is a common clinical term that has not been conclusively defined or described. Breakthrough pain is a transitory flare of pain experienced when baseline pain has been reduced to a mild or moderate level.
Epidemiology and Pathogenesis of AIDS-Related Lymphomas
July 1st 1998This review by Dr. Aboulafia presents aspects of the epidemiology of acquired immunodeficiency (AIDS)-related lymphomas and their pathogenesis. The author’s main focus is in the molecular area, and the summary of epidemiology is well known to those interested in this field.
New Multimedia Library Provides Clearinghouse for Cancer Patients
July 1st 1998According to the National Cancer Institute, an estimated 40% of people living today will develop cancer in their lifetime. In order to help provide cancer patients and their families with easy, affordable access to the information needed to make
Sentinel Lymphadenectomy: Accurate Histopathologic Staging of the Axilla
July 1st 1998We agree with the need to reexamine the routine use of axillary dissection in the management of breast cancer patients, as advocated by Manjeet Chadha and Deborah Axelrod, in their article, "Is Axillary Dissection Always Indicated in Invasive