RF ablation linked to improved liver cancer survival

Source: www.medscape.com Author: David Douglas Pooled data from a review of randomized trials of percutaneous ablation therapies in hepatocellular carcinoma indicates that a radiofrequency (RF) approach offers a survival advantage, Korean researchers report in the February issue of Hepatology. Lead investigator Dr. Yun Ku Cho told Reuters Health, "Recent studies comparing RF ablation and percutaneous ethanol injection revealed no consistent survival benefit of RF ablation over percutaneous ethanol injection for patients with hepatocellular carcinoma." However, he explained, "By performing a systematic review and meta-analysis of randomized trials, we demonstrated that RF ablation showed an improved 3-year overall survival status for patients with small hepatocellular carcinomas, compared to percutaneous ethanol injection." Dr. Cho of Seoul Veterans Hospital and colleagues analyzed data from 4 trials involving 652 patients. The pooled results showed that RF ablation was in fact significantly superior to the ethanol technique, which was associated with an odds ratio for 3-year survival of 0.477. Nevertheless, the researchers point out that in these studies the number of patients involved was insufficient to determine initial tumor response, and there was "no real consensus regarding the definition of major adverse events. Therefore, quantitative analysis could not be performed for the local tumor progression or adverse events." Source: Hepatology 2009;49:453-459.

Pharmaceuticals, patents, publicity…and philanthropy?

Source: The Lancet, Volume 373, Issue 9665, Page 693, 28 February 2009 Author: editorial staff Tensions between provision of and payment for health care are familiar. Though doctors assume principal responsibility for patients' health, those who work for pharmaceutical companies view the patented medicines they design as key components of health care. Creative ways are continually found to make such drugs available to as many patients in high-income countries as possible, the profits contributing to future investment in development and leaving national drug budgets affordable, just. Yet, a few hours' flying away, patients in developing countries usually have no access to these very same patented drugs. GlaxoSmithKline (GSK) has grown in size and influence by successful drug development, timely takeovers, and shrewd management. Andrew Witty, who ascended to the vertiginous position of chief executive at GSK in the past year, has attracted attention by a surprising presentation at Harvard Medical School on Feb 13. He promises that GSK will now not only make its medicines available much more cheaply to patients in low-income countries, but also make a bolder commitment to research into neglected diseases. As one blogger puts it, “arise Sir Andrew Witty (or is it Saint Andrew?)”. Does this announcement mark a sea change in pharma's attitude to the provision of drugs in poor countries, or could it be more reminiscent of the zany hybrid vehicles that distract attention from car manufacturers' shamelessly polluting stock in trade? Witty's words were carefully weighed to cast a rosy glow around [...]

Genetic signatures of HPV-related and unrelated oropharyngeal carcinoma and their prognostic implications

Source: Clinical Cancer Research 15, 1779, March 1, 200 Author: Jens P. Klussmann et al. Purpose: Patients with human papillomavirus (HPV)-containing oropharyngeal squamous cell carcinomas (OSCC) have a better prognosis than patients with HPV-negative OSCC. This may be attributed to different genetic pathways promoting cancer. Experimental Design: We used comparative genomic hybridization to identify critical genetic changes in 60 selected OSCC, 28 of which were associated with HPV-16 as determined by HPV-specific PCR and fluorescence in situ hybridization analysis and positive p16INK4A immunostaining. The results were correlated with HPV status and clinical data from patients. Results: Two thirds of OSCC harbored gain at 3q26.3-qter irrespective of HPV status. In HPV-negative tumors this alteration was associated with advanced tumor stage (P = 0.013). In comparison with HPV-related OSCC, the HPV-negative tumors harbored: (a) a higher number of chromosomal alterations and amplifications (P = 0.03 and 0.039, respectively); (b) significantly more losses at 3p, 5q, 9p, 15q, and 18q, and gains/amplifications at 11q13 (P = 0.002, 0.03; <0.001, 0.02, 0.004, and 0.001, respectively); and (c) less often 16q losses and Xp gains (P = 0.02 and 0.03). Survival analysis revealed a significantly better disease-free survival for HPV-related OSCC (P = 0.02), whereas chromosome amplification was an unfavorable prognostic indicator for disease-free and overall survival (P = 0.01 and 0.05, respectively). Interestingly, 16q loss, predominantly identified in HPV-related OSCC, was a strong indicator of favorable outcome (overall survival, P = 0.008; disease-free survival, P = 0.01) and none of these patients had a [...]

Experts in government, public health, public policy and science outline blueprint for reducing death and disease from tobacco in the United States

Source: Bulletin Board of Oral Pathology Author: Dorothy Hatsukami et al. To further the goal of eliminating smoking as the number one cause of preventable disease and death in the U.S., twenty six of the nation's leading tobacco control researchers and policy experts today called for regulatory control of all tobacco products. They also called for policies that encourage current tobacco users to reduce their health risks by switching from the most to the least harmful nicotine-containing products. This group of experts, who have devoted their careers to reducing tobacco use, met in a two-year process they called The Strategic Dialogue on Tobacco Harm Reduction (the Dialogue). Their vision: a world in which virtually no one uses cigarettes. Dialogue participants concluded that realizing that vision would have a profound impact on reducing death and disease from tobacco use. The Dialogue process was led by Dorothy Hatsukami, Ph.D., director of the University of Minnesota's Tobacco Use Research Center and Masonic Cancer Center's Cancer Control and Prevention Programs, and Mitchell Zeller, a former associate commissioner of the U.S. Food and Drug Administration and currently a health policy expert with Pinney Associates. The Dialogue members' recommendations appear in the online version (posted February 25) of the peer-reviewed journal Tobacco Control. Their report recommends various ways to regulate tobacco products based on public health needs. It also recommends helping tobacco users who are unable or unwilling to quit to shift to the least harmful nicotine products. Prominent among the group's recommendations are: Regulation of [...]

Chinese e-cigs gain ground amid safety concerns

Source: apnews.myway.com Author: Audra Ang With its slim white body and glowing amber tip, it can easily pass as a regular cigarette. It even emits what look like curlicues of white smoke. The Ruyan V8, which produces a nicotine-infused mist absorbed directly into the lungs, is just one of a rapidly growing array of electronic cigarettes attracting attention in China, the U.S. and elsewhere - and the scrutiny of world health officials. Marketed as a healthier alternative to smoking and a potential way to kick the habit, the smokeless smokes have been distributed in swag bags at the British film awards and hawked at an international trade show. Because no burning is involved, makers say there's no hazardous cocktail of cancer-causing chemicals and gases like those produced by a regular cigarette. There's no secondhand smoke, so they can be used in places where cigarettes are banned, the makers say. Health authorities are questioning those claims. The World Health Organization issued a statement in September warning there was no evidence to back up contentions that e-cigarettes are a safe substitute for smoking or a way to help smokers quit. It also said companies should stop marketing them that way, especially since the product may undermine smoking prevention efforts because they look like the real thing and may lure nonsmokers, including children. "There is not sufficient evidence that (they) are safe products for human consumption," Timothy O'Leary, a communications officer at the WHO's Tobacco Free Initiative in Geneva, said this week. The [...]

2009-02-28T06:32:42-07:00February, 2009|Oral Cancer News|

VELscope System Called the World’s Leading Oral Cancer Screening System

Source: LED Dental Inc Writer: John Pohl WHITE ROCK, British Columbia—February 27, 2009—LED Dental Inc. claimed today that its VELscope system is used for more oral cancer examinations than any other adjunctive technology in the world. Impressive Milestones Passed According to Dr. Ralph Green, president and CEO of LED Dental's parent, LED Medical Diagnostics, "Since our mid-2006 launch, we have sold over 4,000 VELscope systems worldwide. Based on an independent survey of VELscope users, we estimate that these devices have been used to conduct over 4 million VELscope exams to date." Dr. Green added, "What's more, we estimate that over 3 million additional VELscope exams will be conducted in 2009 alone. Based on sales information reported by our leading competitor, it is clear that their product is currently being used for a much lower number of exams." Powerful Supporting Research The tissue fluorescence visualization technology platform on which the VELscope system is based is the culmination of over $50 million in research funded by the National Institutes of Health and other respected institutions and conducted by such leading organizations as the British Columbia Cancer Agency and the University of Texas's M.D. Anderson Cancer Center. Translating this highly sophisticated, breakthrough technology for use in an efficacious device to examine the oral mucosa was the brainchild of LED Dental and the British Columbia Cancer Agency. Launched in 2006 as the first tissue fluorescence device made commercially available to the dental community, the VELscope system revolutionized the dental practitioner's ability to visualize the oral mucosal [...]

2009-02-27T20:19:09-07:00February, 2009|OCF In The News, Oral Cancer News|

Current status and perspectives of brachytherapy for head and neck cancer

Source: Int J Clin Oncol, February 1, 2009; 14(1): 2-6 Author: H Shibuya Brachytherapy delivers a high radiation dose to a limited volume while sparing surrounding normal tissues. In head and neck cancer, severe soft-tissue damage and bone damage to the mandible has decreased markedly since the introduction of computer dosimetry and the use of spacers during treatment. For the curative treatment of head and neck cancer, the selection of brachytherapy sources from among the several linear and small permanent implant sources available, not only according to the tumor site but also according to the patient's physical and mental condition is important. Following the successful treatment of early head and neck cancer by brachytherapy, two major problems and one minor problem may confront the physician. The major problems are neck node metastasis and a second primary cancer of the respiratory tract or upper digestive tract, and the minor problem is radiation-induced cancer. Author's affilation: Department of Radiology, Tokyo Medical and Dental University Hospital, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8519, Japan

2009-02-27T09:56:47-07:00February, 2009|Oral Cancer News|

Drink a day increases cancer risk

Source: BBC News A glass of wine each evening is enough to increase your risk of developing cancer, women are being warned. Consuming just one drink a day causes an extra 7,000 cancer cases - mostly breast cancer - in UK women each year, Cancer Research UK scientists say. The risk goes up the more you drink, whether spirits, wine or beer, the data on over a million women suggests. Overall, alcohol is to blame for about 13% of breast, liver, rectum, mouth and throat cancers, the researchers say. They estimate that about 5,000 cases of breast cancer in the UK - 11% of the 45,000 cases diagnosed each year - can be attributed to women's consumption of alcohol. The study looked specifically at women who consumed low to moderate levels of alcohol - defined as three drinks a day or fewer. Over the seven years of the study, published in the Journal of the National Cancer Institute, a quarter of the 1.3 million women reported drinking no alcohol. Of those who did drink, virtually all consumed fewer than 21 drinks per week, and an average of 10g of alcohol per day, which is equivalent to just over one unit of alcohol found in half a pint of lager, a 125ml glass of wine or a single measure of spirits. Nearly 70,000 of the middle-aged women developed cancer and a pattern emerged with alcohol consumption. One too many? Consuming one drink a day increased the risk of all types of [...]

2009-02-26T15:40:18-07:00February, 2009|Oral Cancer News|

Calcium tied to lower cancer risk in older people

Source: www.gmanews.tv Author: staff A study in nearly half a million older men and women bolsters evidence that diets rich in calcium may help protect against some cancers. The benefits were mostly associated with foods high in calcium, rather than calcium tablets. Previous studies have produced conflicting results. The new research involved food questionnaires from participants and a follow-up check of records for cancer cases during the subsequent seven years. This research method is less rigorous than some previous but smaller studies. But because of its huge size — 492,810 people and more than 50,000 cancers — the new study presents powerful evidence favoring the idea that calcium may somehow keep cells from becoming cancerous, said University of North Carolina nutrition expert John Anderson, who was not involved in the study. The study was run jointly by the National Institutes of Health and AARP. The results appear in Monday's Archives of Internal Medicine. National Cancer Institute researcher Yikyung Park, the study's lead author, called the results strong but said more studies are needed to confirm the findings. Duke University nutrition researcher Denise Snyder said the results support the idea that food rather than supplements is the best source for nutrients. Participants were AARP members aged 50 to 71 who began the study in the mid-1990s. A total of 36,965 men and 16,605 women were later diagnosed with cancer. There were more than 10 different kinds of cancer, the most common being prostate, breast, lung and colorectal. Compared with people who [...]

2009-02-24T23:19:23-07:00February, 2009|Oral Cancer News|

More evidence links alcohol, cancer in women

Source: apnews.myway.com Author: staff A study of nearly 1.3 million British women offers yet more evidence that moderate alcohol consumption increases the risk of a handful of cancers. British researchers surveyed middle-aged women at breast cancer screening clinics about their drinking habits, and tracked their health for seven years. A quarter of the women reported no alcohol use. Nearly all the rest reported fewer than three drinks a day; the average was one drink a day. Researchers compared the lightest drinkers - two or fewer drinks a week - with people who drank more. Each extra drink per day increased the risk of breast, rectal and liver cancer, University of Oxford researchers reported Tuesday in the Journal of the National Cancer Institute. The type of alcohol - wine, beer or liquor - didn't matter. That supports earlier research, but the new wrinkle: Alcohol consumption was linked to esophageal and oral cancers only when smokers drank. Also, moderate drinkers actually had a lower risk of thyroid cancer, non-Hodgkin's lymphoma and renal cell cancer. For an individual woman, the overall alcohol risk is small. In developed countries, about 118 of every 1,000 women develop any of these cancers, and each extra daily drink added 11 breast cancers and four of the other types to that rate, the study found. But population-wide, 13 percent of those cancers in Britain may be attributable to alcohol, the researchers concluded. Moderate alcohol use has long been thought to be heart-healthy, something the new research doesn't address [...]

2009-02-24T23:14:27-07:00February, 2009|Oral Cancer News|
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