1/15/2007 Alberta, Canada Sheryl Ubelacker CBC News (www.cbcnews.ca) Doctors at the University of Alberta have pioneered a technique that gives most patients treated surgically for tongue cancer the one thing they want most besides survival - the ability to swallow and speak. Most tongue and other oral cancers are caused by smoking and drinking alcohol - a combination that multiplies the risk dramatically over smoking alone. About 900 Canadians are diagnosed with cancer of the tongue or tonsils each year. Standard surgery involves removing a patch of skin from the forearm to rebuild the base of the tongue after a tumour is removed. But that procedure alone doesn't usually provide enough bulk in the reconstructed tongue because followup radiation can shrink and scar the tissue, destroying the organ's pliability. The result is a reduced ability to speak and to swallow, the latter often leading to the need for a lifelong gastric feeding tube to maintain sufficient nourishment. To help protect the rebuilt tongue from the effects of radiation, Drs. Hadi Seikaly and Jeff Harris of the Edmonton university went a step farther, taking an additional paddle-shaped section of tissue from the forearm - a "jelly roll" of fat and connective tissue they have dubbed a beaver tail - to provide extra bulk. "When you do tongue cancer surgery and you take enough of the tongue, you have to rebuild it somehow so people can talk and swallow," said Seikaly, a head and neck surgeon who credits a team of specialists [...]

1/15/2007 web-based article staff Medical News Today (www.medicalnewstoday.com) While a newly marketed vaccine promises to drastically reduce human papilloma virus (HPV) infections, the major cause of cervical cancer, a new discovery by University of California, Berkeley, researchers could some day help the millions of people already infected and at constant risk of genital warts and cancer. One study found that 75 percent of sexually active men and women under 50 have, or have had, an HPV infection, while 10,000 women annually develop cervical cancer, more than 90 percent of which is caused by HPV. Four thousand women die of cervical cancer each year. Once infected, it's difficult to rid oneself of the virus because it hides as a latent DNA in cells of the epithelial tissue, such as skin and the lining of the vagina and cervix, and spreads as these cells divide. The UC Berkeley team created a protein fragment, or peptide, that successfully prevents the virus from hitching a ride on a cell's chromosomes as the cell divides. If such a peptide - or more likely, a drug that mimics the action of the peptide - works in the body, it would effectively stop the virus from spreading or generating warts, which can progress to cancer. "We're optimistic that this will work generally for many different genetic variants of human papilloma virus, though it's too early to say how many of the genotypes of this virus will respond," said Michael Botchan, professor of molecular and cell biology and [...]

1/14/2007 Taichung, Taiwan SA Liu et al. Otolaryngol Head Neck Surg, January 1, 2007; 136(1): 112-8 Objective: The aim of this study was to investigate whether the recurrence interval influenced the survival of oral cavity squamous cell carcinoma patients after relapse. Study Design and Setting: Retrospective charts were reviewed at a medical center. Methods: We retrospectively reviewed 1687 chart records of oral cancer patients. Statistical methods included descriptive statistics, bivariate analyses, Kaplan-Meier survival analyses, and Cox proportional hazard models for investigating the relationship between the recurrence interval and survival of oral cancer patients after relapse. Results: Local recurrence rate was 31.3 percent. Kaplan-Meier survival analyses showed the 5-year overall survival after recurrence was 31.56 percent. Cox proportional hazard model revealed that those with recurrence interval less than 18 months tended to have a higher probability of death than those with recurrence interval greater than or equal to 18 months (relative risk, 1.743; 95% confidence interval, 1.298-2.358). Conclusion: The interval from initial treatment to recurrence is an independent prognostic factor for oral squamous cell carcinoma patients. Those with a shorter disease-free interval tend to have a less favorable outcome. Authors: SA Liu, YK Wong, JC Lin, CK Poon, KC Tung, and WC Tsai Authors' affiliation: Department of Otolaryngology, Taichung Veterans General Hospital, Taichung, Taiwan; Department of Veterinary Medicine, National Chung Hsing University, Taichung, Taiwa

1/13/2008 Los Angeles, CA Bruce Goldman LA Times (www.latimes.com) An experimental brain tumor vaccine coaxes the immune system to attack diseased cells only. Trials on other cancers may follow. Cancer patients and physicians are always looking for therapies free of side effects. But the standard treatments available to them -- chemotherapy and radiation -- typically work via a shotgun approach, indiscriminately killing all rapidly dividing cells whether they're cancerous or not. A long-held notion that the immune response might, in some practical manner, be harnessed to target cancer cells while sparing the rest is now being put to the test. An experimental vaccine is now in multi-center, late-stage trials for treatment of glioblastoma, the most common brain cancer in adults. If the therapy lives up to its promise, it could potentially be used for other cancers as well. Glioblastoma, which strikes more than 10,000 adults per year in the United States, is a particularly aggressive form of brain cancer: Only one-half of patients survive for one year, even after radiation treatment and surgery to remove as much of the tumor as possible. The recent introduction of temozolomide, a chemotherapeutic drug, to the arsenal has added barely two months of survival to patients' lives. Normally, we think of vaccines as prevention measures that enable our immune systems to pounce on bacteria or viruses the minute they strike. In this case, however, the new vaccine -- which goes by the experimental name CDX-110 -- is designed to kick-start an immune assault on [...]

1/12/2007 Houston, TX Christi Myers abc13.com Imagine getting a breast cancer test at your dentist's office. And the test can find cancer before it can be seen on a mammogram. That test is now here, invented by a Houston dental researcher. All patients have to do is chew some gum. And when they chew long enough, the study patients spit into a cup. And from that sample, Dr. Charles Streckfus, a professor at UT dental branch, can tell if they may have early breast cancer. "You would be able to detect it a lot earlier and a lot smaller and you would be able to save untold numbers of lives," said Dr. Charles Streckfus, DDS. The research dentist at UT dental branch spent 10 years looking at a protein called her2 in saliva and found that it can predict breast cancer at stage zero. "We were able to detect those cancers smaller than the size of a pea," said Dr. Streckfus. Imagine going to the dentist and catching breast cancer in a saliva test before it's detectable on a mammogram, when it's virtually curable. "It's so exciting what we're doing with saliva," said Dr. Catherine Flaitz, DDS, Dean at UT dental branch. "It's not only breast cancer, but a number of other diseases and what we're seeing is we can pick up these proteins and these cancer signals very, very early." The researcher has 20,000 spit samples stored in freezers at temperatures of 77 degrees below zero. He is doing [...]

1/12/2007 Taichung, Taiwan KY Yang et al. Laryngoscope, January 1, 2007; 117(1): 92-5 Objectives: Because most screening was done by dentists, the purpose of this prospective cohort study was to evaluate the effectiveness of oral visual screening by otolaryngologists. In addition, we wanted to determine which group of enrolled patients was at potential risk of contracting oral cancer. Methods: All male patients age > or =18 years who visited our clinic received oral mucosal screening. Basic data, including personal habits, were also obtained. A multivariate logistic regression model was devised to determine relevant risk factors for developing oral cancer. Results: A total of 5,825 patients were enrolled in this study. Positive findings were found in 226 patients (3.9%). One hundred seventy-two patients received biopsy and 131 patients were proven to have oral cancer (sensitivity rate: 76.2%). The results showed that those who smoked, consumed alcohol, and chewed betel quid on a regular basis were most likely to contract oral cancer (odds ratio = 49.81, 95% confidence interval = 29.38-84.42). Conclusions: The otolaryngologists involved in this study successfully performed the oral screening. The sensitivity and specificity rates were both satisfactory. We suggest that those who are habitual cigarette smokers, alcohol consumers, and betel quid chewers should receive oral mucosal screening regularly so that potential oral cancer can be detected as early as possible. Authors: KY Yang, RS Jiang, JY Shiao, CC Wang, CP Wang, KL Liang, CW Twu, and SA Liu Authors' affiliation: Department of Otolaryngology, Taichung Veterans General Hospital, Taichung, [...]

1/11/2007 New York, NY staff Forbes (www.forbes.com) Acquired genetic changes appear to be linked to the development of some head and neck cancers, new research suggests. U.S. scientists said they've discovered five genetic alterations in tissue surrounding head and neck cancer tumors that are associated with a tumor's aggressiveness. They also found three genetic changes that were associated with a tumor's size and ability to spread. "We found genetic alterations in the innocent-looking cells around head and neck cancers," said the study's lead author, Dr. Charis Eng, chairwoman and director of the Genomic Medicine Institute at the Cleveland Clinic Foundation in Ohio. "Why and how these changes occur, we don't know." Each year, about 31,000 Americans are diagnosed with head and neck cancer and about 7,400 die from the disease, according to background information in the study. While progress has been made in treatment, half of all people who develop this form of cancer will eventually die from it, reports the study. About 85 percent of people who develop head and neck cancers are tobacco users, according to the National Cancer Institute (NCI). Alcohol use is also an important risk factor for this disease, and people who use both tobacco and alcohol have the greatest risk, according to the NCI. To get a better understanding of how these cancers develop, researchers from the Cleveland Clinic and Case Western Reserve University examined cells from 122 head and neck cancer tumors and from surrounding tissue. All of the tissue samples came from [...]

1/10/2007 Berkeley, CA staff AScribe (newswire.ascribe.org) The active ingredient in a drug currently being tested to treat rheumatoid arthritis might also one day serve as an effective means of treating one of the deadliest forms of breast cancer. Researchers with the U.S. Department of Energy's Lawrence Berkeley National Laboratory (Berkeley Lab) have demonstrated that inhibiting the activity of the protease enzyme known as TACE can deprive tumor cells of a key factor needed for their proliferation. TACE is strongly present in a form of breast cancer which responds poorly to current therapies. "We have shown that inhibition of the TACE protease in breast cancer cells blocks the shedding of two critical growth factor proteins and results in an inhibition of a key signaling pathway that controls cell division," said Paraic Kenny, a post-doctoral cell biologist with the research group of Mina Bissell in Berkeley Lab's Life Sciences Division. "Based on analysis of cells grown in three-dimensional cultures, the inhibition of this protease results in the reversion of the malignant phenotype of these breast cancer cells and switches their behavior back to a phenotype very reminiscent of non-malignant breast epithelial cells." Kenny is the co-author along with Bissell of a paper published in the /Journal of Clinical Investigation/ entitled: Targeting TACE-Dependent EGFR-ligand Shedding in Breast Cancer. This paper presents the latest experimental results from an on-going investigation led by Bissell into the ecology of tumors. It has long been Bissell's contention that "no tumor is an island." Tumor cells, she maintains, [...]

1/10/2007 Salem, OR staff Statesman Journal (www.statesmanjournal.com) With anti-smoking laws taking hold in many states, R.J. Reynolds has been test marketing a “spitless” tobacco called Camel Snus in two cities — Portland and Austin, Texas. Snus tobacco, long popular in Sweden and Norway, is steam-pasteurized, not fermented like most U.S. chewing tobacco, so users do not have to spit out the juices. The small pouches, sold in tins of 20, come in three flavors: regular, spice and frost. R.J. Reynolds spokesman David Howard said the company picked Portland and Austin to get feedback from adult tobacco consumers, and were not chosen because of their heavy concentration of young people. Health officials in Oregon are skeptical. "I see it as a young adult marketing strategy, and we have a lot of hip young adults in this city," said Cathryn Cushing, a specialist with the state’s Tobacco Prevention and Education Program. And "if it appeals to a 22-year-old, I think you can assume it will appeal to a 16-year-old. Because what do 16-year-olds want to be? Twenty-two." Howard declined to say how many adult tobacco consumers have tried Camel Snus, or how long the sales test, which started in summer, will run. "The test market will go on until we feel that we have gotten enough learning." One Portland snus user is Jesse Thompson, who says his goal is to quit all tobacco products. The bartender said he doesn’t like chewing tobacco because it’s messy and you have to spit all the [...]

1/9/2007 Baltimore, MD Maura L. Gillison Journal of Clinical Oncology, Vol 24, No 36 (December 20), 2006: pp. 5623-5625 Oropharyngeal squamous cell carcinomas are etiologically heterogeneous, with one subset attributable primarily to human papillomavirus (HPV) infection and another to alcohol and tobacco use. These subsets are clinically and molecularly distinct, and these distinctions extend to patient prognosis.1 In this issue of the Journal of Clinical Oncology, Licitra et al2 report that patients with HPV DNA–positive oropharyngeal cancers have an approximately 60% reduction in 5-year mortality when compared with patients with HPV-negative tumors, who have a considerably worse prognosis. These data corroborate several previous single-institutional, retrospective analyses that reported similarly improved disease-specific and overall survival in HPV-positive patients.3-8 Retrospective analyses, such as those performed in this study, must be interpreted with caution because of limited quality of retrospectively collected data, sample size constraints, and the potential for residual confounding. However, in a prospective, population-based, observational study, the association between HPV status and prognosis strengthened after adjustment for potential confounders.9 Indeed, tumor HPV status was as important to patient prognosis as tumor stage. Therefore, the association between tumor HPV status and prognosis is now sufficiently strong and consistent such that its impact on clinical research involving head and neck cancer patients must be considered. As for any cancer prognostic biomarker with potential clinical utility, research involving HPV tumor status is strongly dependent on the performance of the assay used for HPV detection as well as the definition of a positive test.10 Classification [...]