Non-irritating foods to eat when you have mouth sores: what you can do about oral mucositis

Source: www.verywellhealth.com Author: Suzanne Dixon, MPH, RD The loss of appetite is common when undergoing cancer treatment, particularly if you get a common side effect called oral mucositis which causes mouth sores. To ensure proper nutrition to help you heal, you need to find non-irritating foods that you can eat even if you have mouth sores. This article explains why mouth sores occur in people undergoing cancer treatment. It also lists the types of food you can and cannot eat—as well as the way to eat—to better cope with treatment-induced oral mucositis. Over 40% of people undergoing certain cancer treatments will develop oral mucositis. It is most commonly associated with chemotherapy but can also occur with radiation therapy to the head or neck.1 Oral mucositis is an especially common occurrence when exposed to the chemotherapy drugs 5-fluorouracil (5-FU) or Evomela (melphalan). Other chemotherapy drugs can do the same.2 Treatment-induced oral mucositis is the result of the following processes: Whenever cells are damaged by chemotherapy or radiation, they release unstable atoms called free radicals. This, in turn, triggers the release of inflammatory chemicals called cytokines and metalloproteinase that break down a structural protein called collagen, causing tissues to thin and form ulcers. When this occurs in the mouth, natural bacteria quickly colonize the sores, causing infection, inflammation, and pain. The sores can often be extremely painful, making it difficult to eat, talk, and swallow. The sores may even extend into the esophagus that carries food from the mouth to the stomach. [...]

Merck’s Keytruda shores up head and neck case with first-line trial win

Author: Carly Helfand Source: www.fiercepharma.com Merck’s Keytruda may just be on its way to earlier use in head and neck cancer, an area where it once faced some questions. On Wednesday, the New Jersey drugmaker said that in a phase 3 trial in previously untreated patients, Keytruda topped a standard-of-care regimen that includes Eli Lilly’s Erbitux at extending overall survival in patients with tumors expressing a certain level of biomarker PD-L1. The data came from an interim analysis of the trial that also showed Keytruda hadn’t yet met the study’s other primary endpoint, which measures time to cancer progression. But overall survival is often considered the gold standard in cancer trials, and Merck will be taking the win in that department to regulators worldwide. Right now, Keytruda bears an approval in head and neck cancer but only in patients whose disease has worsened on or after chemo. And after snagging that conditional approval, last July it failed to prove that it could extend the lives of patients in that group. As analysts pointed out at the time, though, that miss was narrow, coming just shy of statistical significance. The FDA kept the approval in place, and now, Merck has the data to back it up. If Merck can win a new indication from the FDA, it could gain access to a patient pool that grows by about 63,000 U.S. cases per year. And that's a group Keytruda's rival, Bristol-Myers Squibb’s Opdivo, can't currently treat: Its approval only extends to previously [...]

Vital Signs: Human papillomavirus vaccine is cancer prevention

Author: Brenna Robertson Source: www.dailyprogress.com In a world of pandemics, vaccines, tests, and what feel like new threats to our health and safety every day, it is sometimes important to look back and review the basics of our personal health. This is particularly applicable when we think of infections that very easily spread from person to person. One such infection is the human papillomavirus (HPV). What is HPV? HPV, or human papillomavirus, is a group of more than 200 viruses, some of which can cause cancers, including cervical, oropharyngeal and anal cancer. About 75% of HPV-type viruses can cause warts or papillomas (non-cancerous tumors), while the other 25% affect mucosal areas such as the vagina, penis, anus and mouth. Although HPV causes more than 99% of cervical cancer cases, the CDC (Center for Disease Control and Prevention) states about 70% of oropharyngeal cancer is linked to HPV infections in the mouth and upper throat. Screening is important HPV impacts anyone of any gender, and anyone of any age can develop cancer after infection. It is so common, the CDC reports, that nearly everyone will get an HPV infection at some point in life. Because the virus can go undetected, it can put people at risk of developing cancer or unknowingly spreading the infection. The United States Preventive Services Task Force (USPSTF) recommends that women start pap screenings at age 21. Early detection of oropharyngeal cancer is possible with routine mouth and upper throat screenings, so individuals should talk to their [...]

2022-07-26T09:12:30-07:00July, 2022|Oral Cancer News|

‘Extremely Healthy’ Physical Trainer Thought His ‘Internal Bleeding’ Was Tonsillitis: It Turned Out To Be Cancer And He Had To Relearn Eating, Drinking

Author: Adam Kovac Source: www.survivornet.com An army veteran and personal trainer had to learn to eat and drink again after what he thought was tonsillitis turned out to be oral cancer in his tongue, tonsils and lymph nodes. Lee Webb, 52, told The Mirror he had avoided doctors for 20 years until summer 2021, when he was recovering from a bout with COVID-19. But when tonsillitis symptoms persisted, he said he realized something else was going on. “I had internal bleeds and I was taken to the hospital for that. It was my first time in the ambulance, first time touching base with the (National Health Service) after many, many years,” Webb said. “They told me to visit the ear, nose and throat department but I never received an appointment letter because it went to my old address. That just shows how long I didn’t see doctors. A few months later, around October, I had a second bout of what I thought was tonsillitis, but also I noticed a lump in my neck. That’s when I started being concerned.” While that lump appeared in October, 2021, Webb said his oral cancer diagnosis was delayed to February as the healthcare system was still struggling with the pandemic. “For over a month I tried to make an appointment with the GP,” he said. “All I heard was that the lines were broken. Keep trying. In January, I thought it was a third bout of this thing, but the lump was getting bigger. [...]

2022-07-22T09:43:25-07:00July, 2022|Oral Cancer News|

Can an Enlarged Tongue Be a Sign of Multiple Myeloma?

Author: Olga Askinazi, PhD Source: www.healthline.com Multiple myeloma is a cancer of plasma cells. A plasma cell is a special type of white blood cell in the bone marrow that, in healthy people, helps the immune system fight infections by making antibodies. If plasma cells start growing out of control, they form a cancerous tumor called multiple myeloma (MM). Although there’s no cure for MM, appropriate treatment can bring it into remission, which means having no or few symptoms of the disease. It can be challenging to recognize MM because its symptoms vary depending on the person. Initial stages of the disease often have no noticeable signs at all. One of the rare signs of MM is an enlarged (swollen) tongue. This condition only occurs with MM-related amyloidosis. This happens when cancer-causing plasma creates irregular antibodies that build up in your organs, in this case, your tongue. Multiple myeloma and tongue amyloidosis The term “amyloidosis” means a buildup of an abnormal protein (called amyloid) in your body. In the case of MM, amyloid buildup happens because cancerous plasma cells make abnormal antibodies. These antibodies can stick together and form clumps in your organs, most commonly: kidneys heart liver Amyloidosis is not very common. It happens in 10% to 15% of people with MM. What about tongue amyloidosis? This rare condition occurs when the antibody amyloid builds up in your tongue, making it large, swollen, and painful (macroglossia). Your tongue can sometimes look rippled around the edges. It’s more common in [...]

2022-07-21T09:35:28-07:00July, 2022|Oral Cancer News|

Diagnostic Utility of Cytokeratin 17 Expression in Oral Squamous Cell Carcinoma: A Review

Author: Ankita Gyanchandani, et all Source: www.cureus.com Abstract One of the most common oral malignancies is oral squamous cell carcinoma (OSCC). Although the prevalence of oral cancer varies worldwide, it is generally agreed that the oral cavity is a common anatomical site for cancer, depending primarily on the country (and even particular region in some countries) and gender of the patients. Finding diagnostic markers for OSCC is critical for early diagnosis and personalised treatment of patients. Because they are overexpressed in OSCC relative to normal mucosa, cytokeratins (CKs), intermediate filaments of the cytoskeletons, are possibilities for diagnostic markers of OSCC. CK17 should be targeted as a diagnostic marker for OSCC among the CKs, as multiple other CKs have been linked to the disease. This study aims to assess the immuno-histochemistry expression of CK17 and to investigate whether there is a link between CK17 and OSCC differentiation. Introduction & Background Oral cancer refers to a collection of tumours that can affect any part of the mouth, pharynx, or salivary glands. Oral squamous cell carcinoma (OSCC) is thought to account for more than 90% of all oral neoplasms [1]. Despite breakthroughs in therapeutic techniques, OSCC morbidity and mortality rates have remained relatively unchanged over the previous 30 years. Males have rates of 6.6/100,000 and 3.1/100,000 morbidity and mortality, respectively, whereas females have rates of 2.9/100,000 and 1.4/100,000. Oral cancer is also six times more likely to develop in alcohol drinkers than in non-drinkers [1]. The combination of tobacco and alcohol use constitutes [...]

2022-07-20T07:34:35-07:00July, 2022|Oral Cancer News|

Thousands of volunteers in the West Midlands join NHS trial to spot deadly cancers

Source: www.england.nhs.uk Author: staff Over 140,000 people, of which almost 18,500 are from the West Midlands, have volunteered to take part in the world’s largest trial of a blood test that can detect more than 50 types of cancer, as part of the latest National Health Service (NHS) drive to catch the disease when it is generally easiest to treat. In just one year since the NHS-Galleri trial began, volunteers from across the country have come forward to have a blood test at mobile clinics in convenient locations, including supermarket and leisure centre car parks and places of worship. Participants will now be invited to attend two further appointments, spaced roughly 12 months apart. The NHS Long Term Plan committed to increasing the proportion of cancers caught early, when they are easier to treat, from half to three in four. NHS ‘one stop shops’ have also already delivered 190,000 additional tests in the Midlands, including for cancer, since the rollout began, with seven community diagnostic centres (CDCs) in the West Midlands offering a range of diagnostic tests and other services closer to patients’ homes, often in the heart of local communities. More CDCs are also in development and will become operational over the next three years. This trial is part of radical NHS action to tackle cancer, that also includes the successful rollout of targeted lung trucks across the country, with thousands of people invited for checks every month in mobile vehicles, and hundreds of cancers diagnosed earlier. Initial research [...]

Study of novel drug combo in head and neck cancer closed after several patient deaths

Source: www.curetoday.com Author: Ryan McDonald MacroGenics Inc. recently announced that it discontinued a phase 2 trial investigating the safety and efficacy of a cancer treatment regimen consisting of enoblituzumab in combination with either retifanlimab or tebotelimab. The regimen was being investigated as a first-line treatment option in patients with recurrent or metastatic squamous cell carcinoma of the head and neck. The company announced that it stopped the trial after conducting an internal review of the safety data. Of the 62 patients treated in the study, seven died while enrolled on the trial. The deaths, according to a news release from MacroGenics may have been linked to hemorrhagic events, which is the loss of blood from a damaged blood vessel. These events, according to information from the Cleveland Clinic, can be minor or major. Some of the major events — such as bleeding in the brain — may lead to the occurrence of a stroke. Investigators assessed the deaths and attributed six of the seven to be associated with disease progression or unrelated to any of the study drugs. However, the investigators determined that one death may have been possibly related to study treatment. The number of deaths reported in the trial were higher than what has been previously reported in additional studies of this patient population, according to the release. The manufacturer noted that it informed the Food and Drug Administration of its decision and told investigators to discontinue enrolling any new patients onto the trial. The investigators, according to [...]

Viome scores FDA breakthrough label for cancer-screening, microbiome-sequencing AI platform

Source: www.fiercebiotech.com Author: Andrea Park The secret to enabling early cancer detection could be hidden in the microbiome, and, now, gut-testing startup Viome has the backing of the FDA to prove it. Viome was initially launched as a direct-to-consumer service that used an artificial intelligence-powered platform to sequence the RNA in an individual’s stool sample to produce insights into their overall health and provide accompanying diet and lifestyle recommendations. More recently, however, the startup has set its sights on using the technology to screen for cancer. In a study published last August, Viome researchers used the platform to analyze saliva samples from oral cancer patients and discovered biomarkers in the resulting analysis that were directly linked to cancer signatures. The diagnostic was able to spot early signs of oral cancer with a sensitivity of about 83%—and over 93% for stage 1 cancers—and a specificity of nearly 98%. As a result of that and other ongoing research, Viome’s saliva test has received the FDA’s breakthrough device designation for use in early screening for oral squamous cell carcinoma and oropharyngeal cancer, both of which are typically only diagnosed in a manual examination and are therefore often overlooked until their later stages. “Today’s standard of care to detect oral and throat cancer is severely outdated. Everyone relies on a primary care clinician to examine their mouths and look for lesions. This subjective and qualitative approach is a key reason why oral and throat cancer are detected at stage three or four, when many [...]

OmniPathology announces the launch of its oropharyngeal HPV PCR test

Source: www.globenewswire.com Author: press release OmniPathology, an independent, physician-owned and operated pathology lab, today announced the launch of a new oral test for human papillomavirus (HPV) that can cause cancer. The Oral HPV Test is a lab-developed test (LDT) performed on a Roche cobas® 6800 and 8800 high-throughput platforms. The Oral HPV Test detects 14 high-risk strains of HPV. It is performed via a throat swab submitted to OmniPathology, a CLIA-certified laboratory in Pasadena, for testing. Patients who test positive are advised to undergo a thorough examination by an ear, nose, and throat (ENT) doctor and may require close follow-up. Detection and removal of early oral and oropharyngeal premalignant lesions can help significantly reduce the risk of progression to cancer. This test will be offered to primary care and GYN physicians, LGBTQIA+ clinics, dentists, oral surgeons, and ENT practices across the country as part of routine examinations of patients. “Launching this oropharyngeal HPV test is an exciting milestone for OmniPathology, especially since this is an underserved area for diagnostic testing. As an organization led by science and driven by service, OmniPathology continues to offer state-of-the-art molecular testing that can impact patient care and enhance the quality of the services our physician clients offer to their patients,” said Mohammad Kamal M.D., founder and CEO of OmniPathology. “We continue to build our testing menu to target sexually transmitted infections and other viral diseases.” Oral HPV has no symptoms and is spread through skin-to-skin contact. Risk factors for oral HPV include oral sex, [...]

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