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News for Patients from the Journal of Clinical Oncology

Below are summaries of research advances in clinical oncology. The information presented in Cancer Advances is the same information the American Society of Clinical Oncology (ASCO) provides to cancer physicians, in consumer terms.

Cancer Advances: Study Finds Association Between Hepatitis B and Pancreatic Cancer
September 29, 2008

A new study has shown that evidence of hepatitis B infection was twice as common in people with pancreatic cancer than in healthy controls. This study is the first to report an association between past exposure to the hepatitis B virus and pancreatic cancer, but researchers cautioned that more studies are necessary to evaluate the nature of the link.


Cancer Advances: BRCA Mutations Among Asian-American Women May Be More Common than Predicted
September 8, 2008

Researchers from the U.S. and Canada found that two computer models widely used to determine who should undergo genetic testing for BRCA mutations underpredicted mutation frequency in Asian-American women by 50 percent.


Cancer Advances: Zoledronic Acid Prevents Bone Loss in Premenopausal Women Undergoing Chemotherapy for Breast Cancer
August 18, 2008

A Phase III study published in the Journal of Clinical Oncology found that zoledronic acid (Zometa) can prevent bone loss in premenopausal women followed for 12 months undergoing chemotherapy after surgery for early-stage breast cancer. This is the first study to evaluate the use of the drug in premenopausal women with breast cancer, though previous studies have shown similar drugs prevent bone loss during and after chemotherapy in this group.


Cancer Advances: Suicide Risk among People with Cancer
August 11, 2008

Three new studies being published in the Journal of Clinical Oncology (JCO) describe concerning trends suggesting that patients with cancer are more likely to commit suicide or to contemplate taking their own lives, compared with the general population.


Cancer Advances: Significant Proportion of Husbands Told that Wife's Cancer Was Incurable Late or Not at All, According to Swedish Study
July 8, 2008

A study conducted in Sweden found that more than 40 percent of widowers in that country whose wives had died from cancer four or five years earlier reported they were either never told that their spouse’s cancer was incurable, or they heard this information during the last week of her life. Eighty-six percent of widowers believed next-of-kin should be told immediately when a wife’s cancer is incurable, including 71 percent of the men who said they did not recall being told this information. The study, which is the largest to explore this topic, was published online in the Journal of Clinical Oncology.


Cancer Advances: Women 80 and Older Benefit from Mammography, but Few Are Screened
April 21, 2008

In the first study to assess mammography in women 80 and older, researchers found that having regular mammograms significantly decreases the risk of being diagnosed with late-stage breast cancer, but only about one-fifth of women in this age group receive them regularly. The study, which was published in the Journal of Clinical Oncology, also showed that each mammogram that was performed in these older women was assocated with a further reduction in the risk of being diagnosed with late-stage disease.


Cancer Advances: Letrozole Reduces Risk of Breast Cancer Recurrence and Metastasis Even If Started Years after Tamoxifen
March 10, 2008

A multicenter phase III clinical trial has reported that the drug letrozole cuts the risk of breast cancer recurrence and spread by more than 60 percent in postmenopausal women with early-stage disease who completed five years of tamoxifen therapy one to seven years earlier. The study was published in the Journal of Clinical Oncology (JCO).


Cancer Advances: Extent of Cancer Risk Reduction through Ovary Removal Depends on BRCA Mutation Type
February 11, 2008

In a new study, researchers have shown that the extent of cancer risk reduction resulting from the procedure varies according to the type of genetic mutation women have. The researchers, from Memorial Sloan-Kettering Cancer Center, University of Pennsylvania and nine other institutions, found that women with mutations in the BRCA2 gene have nearly twice the reduction in breast cancer risk following the surgery compared to women with BRCA1 mutations. The study was published in the Journal of Clinical Oncology (JCO).


Cancer Advances: Just Four Months of Hormone Therapy Can Delay Prostate Cancer Growth by Up to Eight Years with Fewer Side Effects
January 2, 2008

Researchers have found that just four months of hormonal therapy before and with standard external beam radiation therapy slowed cancer growth—especially the development of bone metastases— by as much as eight years, and increased survival in older men with potentially aggressive (“high-risk”) prostate cancer. The study was published in the Journal of Clinical Oncology (JCO).


Cancer Advances: Ashkenazi Ovarian Cancer Patients with BRCA Mutations Live Longer Than Those with Normal Gene
January 1, 2008
While women who have mutations in the BRCA1 or BRCA2 genes are more likely to develop breast and ovarian cancer, a new study finds they may be more able to survive ovarian cancer.  Israeli investigators have found that Ashkenazi Jewish women with ovarian cancer who have mutations in the BRCA1 or BRCA2 genes lived longer than Ashkenazi Jewish ovarian cancer patients without these mutations. The study was published in the Journal of Clinical Oncology (JCO).

Cancer Advances: More Women Are Choosing Double Mastectomy Even When Breast Cancer Is Confined to a Single Breast
October 22, 2007

A new study reports a 150 percent increase between 1998 and 2003 in American women opting to have both breasts removed when cancer has been found in only one breast-a procedure called "contralateral prophylactic mastectomy (CPM)." This is the first study to examine this issue on a national level. The study was published in the Journal of Clinical Oncology (JCO).


Cancer Advances: Exercise and Yoga Can Improve Quality of Life and Physical Fitness in Women with Early-Stage Breast Cancer
September 4, 2007

Two studies report that exercise and yoga can help maintain and in some cases improve quality of life in women with early-stage breast cancer. Both studies were published in the Journal of Clinical Oncology (JCO).


Cancer Advances: Partners of Cancer Survivors at Risk for Depression, Other Quality of Life Issues Over the Long Term
April 6, 2007

A new study shows that partners of cancer survivors suffer many of the same stresses as cancer survivors themselves, but receive less care and attention for them. The results of the study, which examined long-term quality of life issues for the partners of patients who received blood and marrow transplants (BMT) as part of their cancer treatment, are being published online April 10 in the Journal of Clinical Oncology (JCO).

Cancer Advances: Recent Declines in Breast Cancer Death Rates Greatest in Women Under 70 and Women with Estrogen-Sensitive Tumors
April 2, 2007

A new study shows that recent declines in breast cancer death rates have been most significant among women with estrogen receptor (ER)-positive tumors and women younger than 70. The results of the study are being published online April 2 in the Journal of Clinical Oncology (JCO).

Cancer Advances: Racial Differences Seen in Male Breast Cancer Survival
March 20, 2007

A new study shows that among men treated for breast cancer, African-American men are less likely to survive than white men. The results of the study are being published in the March 20 issue of the Journal of Clinical Oncology (JCO).

Cancer Advances: Studies Show Trastuzumab (Herceptin) Is Cost Effective When Used After Surgery for Early HER2-Positive Breast Cancer
February 16, 2007

Two studies have found that the use of trastuzumab (Herceptin), in combination with standard chemotherapy following surgery for early stage HER2-positive breast cancer, is cost effective, despite the high price of the drug. However, an accompanying editorial cautions against using these findings to justify a high price for trastuzumab. Trastuzumab has been in use as a treatment for advanced breast cancer since 1998, and in 2006 was shown to increase survival in women with early-stage breast cancer. Adjuvant trastuzumab costs $50,000 - $65,000 for a one-year course of treatment. Both studies and the editorial are being published online February 16 in the Journal of Clinical Oncology (JCO).

Cancer Advances: Studies Shed Light on Spiritual Needs of Cancer Patients, Complementary and Alternative Medicine Use Among Trial Participants
February 8, 2007

Two new studies shed light on important issues in the care of advanced cancer patients-one study finds that many of these patients feel their spiritual support needs are not being met, while the other shows that many patients use biologically based complementary and alternative medicine (vitamins, minerals, and herbal preparations and other dietary supplements).

Cancer Advances: Childhood Leukemia and Brain Tumor Survivors at Increased Risk of Stroke Later in Life
November 6, 2006

A new study shows that long-term survivors of childhood leukemia and brain tumors are at increased risk of stroke well after their cancer treatment has ended, and that this risk is higher among those who were treated with a particular type of radiation therapy.

Cancer Advances: Study Suggests Women May Safely Wait Up to Three Months Before Starting Chemotherapy After Early-Stage Breast Cancer Surgery
October 2, 2006

In an analysis of more than 2,500 patient records, Canadian researchers have found that it appears to be safe for women with early-stage breast cancer to wait up to 12 weeks after surgery to begin chemotherapy. However, they also reported for the first time that a delay of more than 12 weeks can increase the risk of breast cancer recurrence and reduce overall survival, compared with starting treatment within 12 weeks of surgery.

Cancer Advances: Radiation to the Left Side of the Chest and Trastuzumab (Herceptin) Associated With Heart Problems in Some Breast Cancer Patients
August 14, 2006

Two new studies have shown that therapies commonly used to treat women with breast cancer may cause heart disease or impair heart function, particularly in women who have other risk factors for heart disease or cardiac problems before treatment begins. The findings will be published online August 14 in the Journal of Clinical Oncology.
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