Superselective intra-arterial chemoradiotherapy with docetaxel-nedaplatin for advanced oral cancer.

Source: PubMed.gov Cisplatin-based, superselective, intra-arterial chemotherapy concurrent with radiotherapy (SSIACRT) has gained wide acceptance as a common/curative treatment for advanced head and neck cancer. We combined nedaplatin (CDGP) with docetaxel (DOC) as a new combination in SSIACRT for advanced oral squamous cell carcinoma in 2003. Twenty-two patients with advanced oral cancer were treated by radiotherapy (66Gy) concurrent with superselective intra-arterial DOC (40mg/body) and CDGP (80mg/m(2)) infusion between 2003 and 2009. Complete response was achieved in 18 (81.8%) of the 22 patients. Of the 17 patients with positive neck disease, 16 (94%) were assessed as disease-free. The 5-year overall survival rate was 78.5%, and the major adverse effects were leukocytopenia and mucositis. Five patients (22.7%) developed distant metastases post-treatment. These results indicate that intra-arterial docetaxel-nedaplatin infusion concurrent with radiotherapy is efficacious for advanced oral cancer. The side effects are easily manageable, and the most important outcome of the treatment is the preservation of patients' quality of life (QOL) and improved prognosis.

2010-11-08T13:13:31-07:00November, 2010|Oral Cancer News|

UC cancer drug trials offer lone hope

Source: news.cincinnati.com Author: Peggy O'Farrell Two years ago this month, Pam Cain learned the bump on her tongue was really cancer. Last year, she learned the "bump" had spread to both lungs. "Last November, I was given two years if I only did chemo," she said. So she underwent radiation therapy. But the lesions on her lungs stayed put, and the cancer spread to one hip. So far, three chemotherapy combinations failed to kill her cancer. Now Cain, 32, of Union is hoping an experimental targeted therapy will knock out her cancer. She was the second patient in the United States to receive the experimental drug, and one of about five patients now enrolled in four clinical trials for new cancer therapies at the University of Cincinnati. The phase 1 trials are part of UC's effort to raise its profile for cancer treatment and research. Phase 1 trials are the earliest stage of testing new medications or medical devices on humans. They're designed to determine if a new treatment is safe, not whether it works. For patients like Cain, who have run out of tried-and-true options, it means being able to get cutting-edge treatments close to home. "This way, I didn't have to leave my kids," she said. "I didn't have to travel. I didn't have to go someplace where I didn't know anybody. And financially, it would have hurt." For the researchers and physicians who conduct the trials, it's an opportunity to help find the next wonder drug. Olivier [...]

2010-11-07T09:41:21-07:00November, 2010|Oral Cancer News|

Oropharyngeal cancer epidemic and human papillomavirus

Source: www.foodconsumer.org Authors: Torbjörn Ramqvist and Tina Dalianis Abstract A growing body of research shows that human papillomavirus (HPV) is a common and increasing cause of oropharyngeal squamous cell carcinoma (OSCC). Thus, the International Agency for Research against Cancer has acknowledged HPV as a risk factor for OSCC, in addition to smoking and alcohol consumption. Recently, in Finland, the United Kingdom, the Netherlands, the United States, and Sweden, incidence of OSCC has increased, and an increase in the proportion of HPV-positive tumors was noted. On the basis of these data and reports indicating that patients with HPV-positive cancer have their first sexual experience at a young age and have multiple partners, we postulate that increased incidence of OSCC in the United States and some countries in northern Europe is because of a new, primarily sexually transmitted HPV epidemic. We also suggest that individualized treatment modalities and preventive vaccination should be further explored. Study In many countries, vaccines against some human papillomavirus (HPV) types are now administered to girls and young women with the goal of protecting them against HPV-induced cervical cancer (1,2). The introduction of HPV vaccines has also drawn more attention to the fact that HPV is associated not only with cervical cancer and genital warts but also with other tumors, such as head neck and anogenital cancers (3). We focus on the role of HPV in the increased incidence of oropharyngeal squamous cell carcinoma (OSCC), the head and neck cancer in which HPV is most commonly found (4). [...]

2010-11-07T09:39:03-07:00November, 2010|Oral Cancer News|

Diagnosis for Michael Douglas highlights oral cancer risk

Source: www.dental-tribune.com Author: Fred Michmershuizen, DTA After it became known recently that the Academy Award winning actor Michael Douglas has been diagnosed with oral cancer, dental professionals around the world seized on an opportunity to urge members of the public to pay more attention to key risk factors and early warning signs of the disease. The Academy Award winner was diagnosed with a tumor in his throat, and he now faces an eight-week course of chemotherapy and radiotherapy. This high-profile case has brought oral cancers into the limelight, and oral health experts are keen to make the public more aware of the key risk factors and early warning signs. The British Dental Health Foundation is calling for more attention to be paid to mouth cancers. The foundation is advising the public to regularly check their mouths. Douglas quit smoking in 2006, after a long “half a pack a day” habit. Yet, according to the foundation, the possibility of developing oral cancer remains higher for ex-smokers than non-smokers for 20 years after quitting. Tobacco is considered to be the main cause of mouth cancer, with three in four cases being linked to smoking, according to the foundation. Drinking in excess is also a known factor, with those who both smoke and drink to excess being up 30 times more likely to be at risk. “It is crucial the public know about the risk factors and early symptoms as early detection can save lives,” said Dr. Nigel Carter, chief executive of the [...]

2010-11-07T08:29:37-07:00November, 2010|Oral Cancer News|

Oral Cancer screening draws hundreds

Volunteer prosthodontists and oral surgeons, in conjunction with UCF’s Department of Communication Sciences and Disorders and Pre-Dental Society, conducted hundreds of free oral cancer screenings during a Nov. 3 outreach event held near the Student Union. “Our students and the doctors screened approximately 400 students, staff and faculty over six hours,” said Bari Hoffman-Ruddy, associate professor of communication sciences and disorders. “This is a record for us and the American College of Prosthodontist’s annual screening program.” The ACP is particularly interested in targeting a younger population for screenings because of the association between human papillomavirus (HPV) infection and oral cancer. According to the ACP, 25 percent of those newly diagnosed with oral cancer have no traditional risk factors, such as the use of tobacco or alcohol. “Much of the literature suggests a strong association between transmission of HPV via oral sex, and this is a relatively new demographic with oral cancer,” said Dr. John Whitsitt, a prosthodontist and ACP member from Daytona Beach who volunteered at the event. Students and faculty members worked at tables outside a large bus devoted to the screenings. They shared information about risk factors associate with oral cancer and encouraged people to have a free screening performed by a volunteer specialist. Each screening took just a few minutes. As of 1 p.m., no cases of oral cancer had been detected, said Whitsitt, who was clearly pleased with the turnout. ”But it’s just so important to increase awareness about it.”

2010-11-07T08:23:09-07:00November, 2010|Oral Cancer News|

Oral cancer test’s value unproven

Source: Boston.com By: Neil Munshi The usual dental checkup goes something like this: lean back, open wide, avoid flinching, rinse, spit. But in addition to looking for cavities, dentists are increasingly checking for oral cancer, too - and not just by peering and probing. A relatively new screening tool allows dentists to better gauge whether a patient is in the early stages of oral cancer by looking at the mouth under a special light. But the test may be overused, and it's not yet clear whether it justifies its price tag. A review of studies of the devices published in this month's Journal of the American Dental Association concluded that for low-risk patients, there is "insufficient evidence to support or refute the use of visually based examination" devices, such as the ViziLite. Still, roughly 10 to 15 percent of the 100,000 practicing dentists in the United States offer ViziLite or a similar scan, which some credit with helping them better identify lesions in the mouth than simply looking with the naked eye. "Frankly, I've seen stuff I would normally just have glossed over and it doesn't hurt to take a second look . . . at something that might not normally be looked at - that might save somebody's life," said Dr. Anjum A. Ansari, a downtown Boston dentist, who charges her patients $80 for the service. Insurance has only covered the scan for one of her patients, Ansari said. That $80 is the test's only actual advantage, said Dr. [...]

2010-11-04T09:40:53-07:00November, 2010|Oral Cancer News|

Cancer diagnosis keeps Fioretti out of mayor’s race

An upbeat Ald. Robert Fioretti, 2nd, announced Tuesday he has cancer and will not run for mayor of Chicago, but will be running for re-election in his ward. "I'm not afraid of the fight, and although I couldn't expect this one, I'm going to give it all I've got," Fioretti said. Fioretti, 57, is a first-term alderman who has differed with Mayor Richard Daley on budget issues. He was the only alderman still expected to get into the race for mayor, at least until Sheriff Tom Dart's surprise announcement last week that he would not run. Because he was expected to run for mayor and not alderman, Fioretti could find himself facing competition in a re-election effort for his booming 2nd Ward, which includes part of the Loop and areas on the Near Southwest and Northwest Sides. Fioretti said he does not know who he will support in the mayoral elections, but that he has been contacted by four candidates in the past few days, some of whom have asked to meet with him. "I will be sitting down in the next couple of weeks with some of the candidates once they qualify or once they submit their petitions to be on the ballot," Fioretti said. Dr. Steven DeAngeles, Fioretti's doctor, said that the alderman has stage III cancer of the tonsils but that the prognosis for his recovery is good. The form of cancer is fairly rare, DeAngeles said, and may have been caused by genetic predisposition or environmental [...]

2010-11-03T10:03:34-07:00November, 2010|Oral Cancer News|

Survival of dental implants in irradiated head and neck cancer patients: a retrospective analysis

Source: HighWire, Stanford University By: A Buddula, DA Assad, TJ Salinas, YI Garces, JE Vloz and AL Weaver Purpose: To study the long-term survival of dental implants placed in irradiated bone in subjects who received radiation for head and neck cancer. Materials and Method: A retrospective chart review was conducted for all patients who received dental implants following radiation treatment for head and neck cancer between May 1, 1987 through July 1, 2008. Only patients irradiated with a radiation dose of 50?Gy or greater and those who received dental implants in the irradiated field after head and neck radiation were included in the study. The associations between implant survival and patient/implant characteristics were estimated by fitting univariate marginal Cox proportional hazards models. Results: A total of 48 patients who had prior head and neck radiation had 271 dental implants placed during May 1987 to July 2008. The estimated survival at 1, 5, and 10 years was 98.9%, 89.9%, and 72.3%, respectively. Implants placed in the maxilla were more likely to fail than implants placed in the mandible.There was also a tendency for implants placed in the posterior region to fail compared with those placed in the anterior region. Conclusion: Dental implants placed in irradiated bone have a greater risk for failure. Survival is significantly influenced by the location of the implant (maxilla or mandible, anterior or posterior).

2010-11-07T08:23:58-07:00November, 2010|Oral Cancer News|

Discovery may help scientists boost broccoli’s cancer-fighting power

Source: University of Illinois College of Agricultural, Consumer and Environmental Sciences URBANA – A University of Illinois study has shown for the first time that sulforaphane, the powerful cancer-fighting agent in broccoli, can be released from its parent compound by bacteria in the lower gut and absorbed into the body. "This discovery raises the possibility that we will be able to enhance the activity of these bacteria in the colon, increasing broccoli's cancer-preventive power," said Elizabeth Jeffery, a U of I professor of human nutrition. "It's also comforting because many people overcook their broccoli, unwittingly destroying the plant enzyme that gives us sulforaphane. Now we know the microbiota in our digestive tract can salvage some of this important cancer-preventive agent even if that happens," she said. Although scientists had long theorized that the intestinal microbiota could perform this trick, no one knew it for certain. Now Jeffery and U of I colleagues Michael Miller and Ren-Hau Lai have proved it by injecting glucoraphanin, the parent compound for sulforaphane, into the ligated lower gut of rats and demonstrating that sulforaphane is present in blood from the mesenteric vein, which flows from the gut to the liver. "The presence of sulforaphane in measurable amounts shows that it's being converted in the lower intestine and is available for absorption in the body," Jeffery said. The cecum, the part of the rat's lower gut into which the scientists infused the glucoraphanin, houses bacteria that aid in digestion and metabolism, similar to the human colon. [...]

2010-11-07T08:25:07-07:00November, 2010|Oral Cancer News|

Induction chemotherapy for head and neck cancer: recent data

Source: The Oncologist By: Everett E. Vokes The addition of chemotherapy to radiotherapy in the treatment of locally advanced squamous cell carcinoma of the head and neck (SCCHN) patients improves survival. Meta-analyses of randomized trials have indicated that the benefit of this approach is associated with the timing of chemotherapy administration. It has been demonstrated that the greatest survival benefit over locoregional treatment alone is seen with the concurrent administration of chemotherapy and radiotherapy. However, sequential chemotherapy administration, in the form of induction chemotherapy followed by radiotherapy or concurrent chemoradiotherapy, has been successful as a strategy for organ function preservation in patients with potentially resectable SCCHN. In addition, a meta-analysis of trials using platinum and 5-fluorouracil (PF)-containing induction regimens demonstrated a significant survival benefit for this approach over locoregional treatment alone in locally advanced disease. In recent years, the introduction of the taxanes into induction chemotherapy has provided physicians with more active regimens. The triplet combination induction regimen of docetaxel, cisplatin, and 5-fluorouracil has been shown to be more effective in prolonging survival than the doublet PF. Current trials are testing whether the addition of induction chemotherapy to standard concomitant chemoradiotherapy is superior to concomitant chemoradiotherapy alone.

2010-11-07T08:24:33-07:00November, 2010|Oral Cancer News|
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