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New drug combination for advanced breast cancer delays disease progression

The trial enrolled 118 post-menopausal women with metastatic hormone-receptor-positive breast cancer whose cancer continued to progress after being treated with an aromatase inhibitor. The study, based on work done by Doris Germain of Mt. Sinai Hospital, found that the combination of the drugs bortezomib and fulvestrant — versus fulvestrant alone — doubled the rate of survival at 12 months and reduced the chance of cancer progression overall. Bortezomib, used most commonly in treating multiple myeloma, is a proteasome inhibitor that prevents cancer cells from clearing toxic material…

Testing for drug-resistant bacteria before prostate biopsy can reduce infections — ScienceDaily

For patients undergoing transrectal ultrasound (TRUS)-guided biopsies, Ciprofloxacin may not be the best prophylactic option to use for patients colonized with Ciprofloxacin-resistant E. coli. “Aware of the increasing number of resistant strains of E. coli, our urologic physicians sought to decrease the number of post-biopsy infections and readmissions by conducting cultures on patient fecal samples to identify antibiotic-resistant strains before the biopsy is done, and the results were used to make the best antibiotic choice for prophylaxis,” said Leonard Mermel, D.O., medical director of the department of epidemiology and infection control at Rhode Island Hospital…

Increased use of hypofractionated whole-breast irradiation for patients with early-stage breast cancer — ScienceDaily

An analysis of randomized trials demonstrated that patients with early-stage breast cancer who are treated with breast-conserving surgery and adjuvant whole-breast irradiation have improved survival and a lower risk of tumor recurrence compared to patients who are not treated with radiation therapy. Patients are commonly treated with CF-WBI; however, several recent randomized trials[2-5] have confirmed that patients treated with HF-WBI have similar disease-free and overall survival rates as those treated with CF-WBI. CF-WBI delivers a total dose of 45-50 Gy in 25-28 daily fractions of 1.8-2.0 Gy over five to six weeks, while HF-WBI uses a shorter treatment course and a lower total dose and number of fractions, delivering a total dose of 39-42.5 Gy in 13-16 daily fractions of 2.5-3.2 Gy over three to five weeks. This study, “Adoption of Hypofractionated Whole-Breast Irradiation for Early-Stage Breast Cancer: A National Cancer Data Base Analysis,” is a retrospective review of 113,267 early-stage breast cancer patients in the National Cancer Data Base (NCDB) from 2004 to 2011 who were treated with radiation therapy and were eligible to receive HF-WBI, and examines the use of HF-WBI compared to CF-WBI and the factors, including facility type and patient’s distance from the radiation treatment center, that influenced which type of WBI the patient received. …

Platinum agent combination treatment for triple-negative breast cancer well tolerated in phase II clinical trial — ScienceDaily

Triple-negative breast cancer is characterized by the absence of estrogen and progesterone receptors and the HER2/neu protein in breast cancer cells. That in itself presents a challenge in treating the disease, as it does not respond to hormonal- or HER2-targeted therapies that provide for positive outcomes in other subtypes of breast cancer. Triple-negative breast cancers are often deficient in DNA repair and other specific cellular pathways that make them susceptible to DNA damage. There is growing evidence that suggests platinum-based agents may offer improved outcomes in treating the subset of triple-negative breast cancer because of their specificity for causing DNA damage…

Improved treatment for cancer patients: Topical steroid cream — ScienceDaily

Radiotherapy uses X-rays to destroy cancer cells but this can often lead to a severe skin reaction involving redness, pain and blistering similar to sunburn. The trial of this cream — mometasone furoate–was so successful that the patients in the research will now be offered this instead of the existing treatment. Breast cancer patients were recruited from hospitals all over the North West for the trial, based at the Rosemere Cancer Centre at the Royal Preston Hospital. …

Metal test could help diagnose breast cancer early — ScienceDaily

In a world-first the researchers were able to show that changes in the isotopic composition of zinc, which can be detected in a person’s breast tissue, could make it possible to identify a ‘biomarker’ (a measurable indicator) of early breast cancer. A report of the research by the Oxford University-led team, which included researchers from Imperial College London and the Natural History Museum, London, is published in the Royal Society of Chemistry journal Metallomics. …

Genes that cause pancreatic cancer identified by new tool: Screening system in mice spots cancerous changes invisible to sequencing

The technique works by introducing sections of DNA called piggyBac transposons into the mouse genome. Transposons jump around within the genome, reinserting themselves at random and causing a different mutation in each cell of the mouse. This triggers cancer development, and tracking the transposon�s fingerprints in the tumours allows discovery of the affected cancer-causing genes. The PiggyBac tool was engineered for the first time to allow cancer induction in individual tissues within the mouse, and the method can now be used to study any type of cancer. …

First gene associated with familial glioma identified

“It is widely thought amongst the clinical community that there is no association between family history and development of glioma. Because we know very little about the contributing genetic factors, when cases occur in two or more family members, it is viewed as coincidental,” said Dr…

Experience counts with radiation therapy for head and neck cancer, study shows

Published in the Journal of Clinical Oncology with an accompanying editorial, the study compared survival and other outcomes in 470 patients treated with radiation therapy at 101 treatment centers through a clinical trial held from 2002 to 2005. The trial was sponsored by the National Cancer Institute and organized by the Radiation Therapy Oncology Group (RTOG). The findings indicated that patients treated at the less-experienced centers were more likely to have cancer recurrence (62 percent versus 42 percent at five years) and had poorer overall survival compared with those at the highly-experienced centers (51 percent versus 69 percent five-year survival, respectively)…

Smoking still causes large proportion of cancer deaths in the United States

More than 30 years ago, a groundbreaking analysis by famed British researchers, Richard Doll and Richard Peto, calculated that 30 percent of all cancer deaths in the United States were caused by smoking. Since that time, no new estimate of this percentage has been published in the scientific literature. …