Large Thyroid Nodules Linked to High Malignancy Risk

Elsevier Global Medical News Author - MG Sullivan PARIS (EGMN) - Patients with a non-decisive fine-needle aspiration for large non-diagnostic thyroid nodules or lesions of undetermined significance should be considered for surgery because more than half of these large nodules can be malignant. In a review of 156 patients with non-decisive fine-needle aspirations (FNAs), nodule size was a major determinant in surgical referral, Dr. Susana Mascarell said at the International Thyroid Congress. "Nodules of this size were associated with a malignancy rate of up to 60%," said Dr. Mascarell of the John H. Stroger Jr. Hospital of Cook County, Chicago. FNA is considered the main diagnostic tool in deciding which patient to refer to surgery. "However," Dr. Mascarell said, "the FNA results may not be helpful when the cytology specimen is non-diagnostic or qualifies as a follicular lesion of undetermined significance - both classifications that are part of the new six-level FNA classification system suggested by the National Cancer Institute." When an FNA comes back as non-decisive on such specimens, the clinician must choose between surgery and clinical follow-up as the next step. Unfortunately, said Dr. Mascarell, there are no hard-and-fast rules about which management path to choose. Molecular markers are becoming more important in the decision, but can't be relied upon in every patient, she said. "When these markers are present in high concentrations, they are up to 99% accurate in identifying malignant nodules and so are a very helpful tool. But only 40% of nodules are positive for [...]

2010-10-26T13:38:00-07:00October, 2010|Oral Cancer News|

Poll reveals patients are not mouth cancer-savvy

Source: Dentistry.co.uk Author: Staff The public are oblivious to signs of mouth cancer. A poll, commissioned to coincide with November's Mouth Cancer Action Month, reveals that one person in 10 claimed not to have even heard of the condition. Despite the much-publicised news of the battle actor Michael Douglas is currently having with advanced throat cancer, the survey, conducted by the British Dental Health Foundation and Denplan. oll reveals an alarming lack of awareness about the causes and symptoms of one of the UK's fastest growing cancers. The poll of more than 1,000 people suggests that there is only limited knowledge and understanding of this potentially deadly disease. Chief executive of the Foundation, Dr Nigel Carter, says: “After recent high profile coverage of the Michael Douglas case it is staggering to see that some people still have no awareness at all of the condition. 'The public need to be aware of the risk factors and whether they are in a high risk group and how they can self-examine or who they can turn to if they're concerned.' The results of the survey reveal that it is the older members of the public who are most aware of mouth cancer, with more than 96% of those interviewed saying that they had heard of it. Dr Carter adds: 'This sounds good as the majority of cases occur in the over 50s but now more young people are being diagnosed with mouth cancer it is important that everyone is aware of the problem. [...]

2010-10-26T12:37:32-07:00October, 2010|Oral Cancer News|

The Most Deadly HPVs in the World

Source: WebMD News Author: Daniel DeNoon Cervical Cancer-Causing Viruses ID'd in Worldwide Study Oct. 19, 2010 – Two human papillomavirus types included in HPV vaccines cause 71% of cervical cancers -- but there are six other cervical cancer-causing HPVs, an international study finds. Led by Spanish researcher Silvia de Sanjose, MD, the effort analyzed 22,661 tissue samples from 14,249 women from 38 countries in six continents. Researchers looked for any of the 118 known types of HPV. The samples included 10,575 cases of invasive cervical cancer -- for women, the second most common cancer in the world. HPV is believed to cause nearly all cervical cancers. Although the study detected HPV in only 85% of cervical cancers, de Sanjose and colleagues suggest that various problems (such as DNA degradation in samples) led researchers to miss HPV in the remaining 15% of cases. There are currently two HPV vaccines: Cervarix from GlaxoSmithKline and Gardasil from Merck. Both protect against HPV types 16 and 18; Gardasil also protects against the genital wart-causing HPV strains 6 and 11. The new study strongly supports use of these vaccines, as HPV 16 and HPV 18 account for 71% of invasive cervical cancers. HPV 16, HPV 18, and HPV 45 are found in 94% of cervical adenocarcinomas. HPV types 18 and 45 are found in much younger women with invasive cervical cancer, suggesting that these viruses are particularly deadly. HPV 16 is also linked to cancer in younger women. In addition to HPV 16, 18, and [...]

2010-10-26T12:24:24-07:00October, 2010|Oral Cancer News|

Health Risks of Oral Sex- linked to Oral Cancer

Source: Women's Health Magazine Author: Alyssa Giacobbe Long known to cause cervical cancer, the pervasive but often silent human papillomavirus (HPV) has been finding its way into women's mouths Mische Eddins, 37, awoke with a head cold. Or what seemed like one anyway. Postnasal drip. Sore throat. Swollen lymph nodes. No biggie—it was the fall of 2007, and a seasonal bug was winding its way through Seattle. "I had just been bragging to my friends about how I'd managed to avoid getting sick," she says. "But I was healthy, so it all passed quickly." Everything, that is, except a swollen node on the left side of her neck, which, months later, hadn't gone away. Christmastime came, and the little bump was still there. Sans appointment, Mische walked into her doctor's office and left with a script for antibiotics. No improvement. She then bounced from M.D. to M.D., and finally, six months after that seemingly innocuous head cold, she had a PET/CT scan. The results were a total shock: Mische had stage III oral cancer, and the disease had spread from her tonsil to her lymph nodes. Within hours, her docs had scheduled a tonsillectomy and were talking about chemo and radiation. Someone suggested she prepare a will. "I was floored," she says. "A will?" A professional singer, Mische exercised almost every day, ate a mostly organic diet, didn't booze heavily, and never smoked as an adult. Even her doctors were stymied. Searching for answers, one physician tested Mische's cancer cells [...]

2010-10-26T10:04:27-07:00October, 2010|Oral Cancer News|

Experts say oral cancer on the rise in younger people

Source: www.clickondetroit.com Author: staff It was the winter of 2002 when then-34-year-old Kelley Fish of Grosse Pointe Park, Mich., first spotted the lump that would change her life. "I was looking in the mirror, and I thought 'what the heck is that?' It was certainly visible," said Fish. Fish went to the doctor, who thought it was an infection and prescribed antibiotics. But two months later, the lump was still there. "Then they went forward and sent me to an ear, nose and throat specialist and finally had the lump removed," said Fish. Fish said the tumor was the size of a large grape, and it was malignant. Fish was diagnosed with stage 4 oral cancer. "I was horrified," said Fish. "They say you should never get on the Internet. The statistics were not in my favor at that point." Experts said oral cancer includes cancers of the lips, tongue, cheeks, floor of the mouth, hard and soft palate, sinuses and throat. Stage four is the most advanced stage. Fish had surgery, 32 radiation treatments and three cycles of chemotherapy. The treatments left her fatigued and suffering multiple side effects. "It was hell, excuse my expression," said Fish. "I was unable to swallow after a period of time. I had burns, second- or third-degree burns, on my neck. It was the scariest moment or time in my life to say the least." Like most people, Fish had assumed oral cancer was something older men got, not 34-year-old women. "When I [...]

A shifting paradigm for patients with head and neck cancer: transoral robotic surgery (TORS)

Source: www.cancernetwork.com Author: Amy Y. Chen, MD, MPH, FACS This paper by Drs. Bhayani, Holsinger, and Lai describes a new approach to an old problem. Advances in the management of head and neck cancer over the past few decades have been made predominantly in the area of non-surgical therapy. Starting with the Veterans Affairs Cooperative Trial for laryngeal cancer in the early 1990’s,[1] advances in the administration of chemotherapy and radiation therapy have enabled patients to forego traditional extensive resections that compromised speech and swallowing function.[2] The advances in combined chemoradiation for advanced head and neck cancer have come with a detriment to some patients in survival and quality of life.[3] Effective treatment, but with decreased morbidity was needed. Robotic surgery is one treatment that, in combination with chemotherapy and radiation, as needed, is yielding comparable oncologic outcomes while preserving speech and swallowing function. The authors detail the history of robotic surgery well. In short, the current daVinci system functions as a master-slave robot, with the surgeon manipulating instruments connected by a cable network to the robotic cart. Three arms exist (one for the camera and two accommodate 8mm and 5mm instruments). The camera enables not only magnification but also three dimensional viewing of the surgical field. The advantage of using robotic arms is the ability to reach locations that were previously not reachable without a mandibulotomy and/ or pharyngotomy. Stage III and IV cancers of the head and neck consist of primary tumors of all sizes. The major determinant [...]

HPV causing “slow epidemic” of oral cancers

Source: www.medscape.com Author: Janis C. Kelly Human papillomavirus (HPV) is a risk factor for oropharyngeal squamous cell carcinoma (OSCC), and might account for the steady increase in OSCC incidence, even in subjects who do not smoke or consume alcohol, according to Swedish researchers. A review of recent studies, conducted by Trobjorn Ramqvist, MD, and Tina Dalianis, MD, PhD, and published online October 13 in Emerging Infectious Diseases, suggests that changes in sexual practices are behind the surge in OSCC cases linked to sexually transmitted HPV. The key factors appear to be multiple sex partners, starting sexual activity at a younger age, and increased oral sex. The data are startling. For example, from 1970 to 2002, tonsillar cancer (which is the most common OSCC) increased in Stockholm, Sweden, by 2.8-fold, and by 2006/07, 93% of all tonsillar cancers in that city were HPV-positive. Dr. Dalianis, who is professor of tumor virology and the head of the Department of Oncology–Pathology at Karolinska Institutet in Stockholm, told Medscape Medical News that "we realized that there was an increase in HPV-induced tonsillar cancer, but we did not realize it was so eminent until we separated the 2 groups (HPV-negative and -positive tonsillar cancer cases) the way we did." The most common OSCC is tonsillar cancer, followed by base of tongue cancer. Overall 5-year survival for OSCC is about 25%, and HPV-positive OSCC generally has better clinical outcomes than HPV-negative disease. Dr. Dalianis said that HPV (most commonly type 16) was found in 45% to [...]

Plant stem cells pave way for low-cost cancer drug

Source: sify.com Author: saff A new study has suggested that a well-known cancer drug could be produced cheaply and sustainably using stem cells derived from trees. University of Edinburgh researchers have isolated and grown stem cells from a yew tree whose bark is a natural source of the anticancer compound paclitaxel. The development could enable the compound to be produced on a commercial scale at low cost, with no harmful by-products. Scientists and engineers behind the development say the drug treatment - currently used on lung, ovarian, breast, head and neck cancer - could become cheaper and more widely available. Currently, an extract from yew tree bark is used to industrially manufacture the compound paclitaxel. However, this process is expensive, requires supplies of mature trees, and creates environmentally damaging by-products. Researchers claim that using stem cells-self-renewing tree cells which can be manipulated to produce large amounts of the active compound-would effectively create an abundant supply of the drug. Scientists behind the project have also cultured stem cells from other plants with medical applications, indicating that the technique could be used to manufacture other important pharmaceuticals besides paclitaxel. The study was published in Nature Biotechnology.

LED Dental Announces Sponsorship of Academy of General Dentistry

Sponsorship Will Focus on Oral Cancer Screening Using VELscope Technology LED Dental announced today a corporate sponsorship agreement with the Academy of General Dentistry (AGD), a professional association of more than 35,000 general dentists who are dedicated to professional excellence through the pursuit of continuing education (CE). This sponsorship from the maker of the VELscope Enhanced Oral Assessment system will provide AGD member dentists with a wide range of CE opportunities that focus on oral cancer and other oral disease screening topics through the end of 2011. According to Peter Whitehead, LED Dental founder and CEO, “We are proud to be associated with the AGD, whose members are to be commended for their ongoing commitment to providing the best oral health care possible to their parents.” He noted that oral cancer takes the life of one North American every hour of every day, and that dental practices are the first line of defense in detecting oral cancer and other oral disease in early stages. “Early detection can be the difference between life and death,” said Mr. Whitehead. “Dentists who regularly combine conventional oral cancer exams, involving visual inspection and palpation, with the two-minute VELscope exam greatly increase their odds of catching the disease in early and even pre-cancerous stages.” “The AGD is delighted to forge this partnership with LED Dental to increase our members’ knowledge of oral cancer, oral cancer research, and oral cancer screening techniques,” said AGD President Fares Elias, DDS, JD, FAGD. “With new cases of oral cancer [...]

PMI Labs lowers price of oral cancer brush biopsy test

Source: www.marketwire.com/ Author: press release PMI Labs is excited to announce that the price of OralAdvance™, the Company's innovative test designed to detect early stage oral cancer, is lowered by 35% as a result of the completion of the next generation quantitative cytology analysis platform, ClearCyte™. The redesigned and reengineered ClearCyte™ platform allows for faster processing time, increased scalability and improved overall performance. The per-slide scanning time of the machine has been reduced by more than 65% delivering a yearly scanning capacity of over 40,000 samples per device. PMI Labs is thrilled to pass on the savings to our customers in our ongoing effort to raise awareness for oral cancer screening. "With the increase of oral cancer cases among young adults, we hope that this initiative will provide more accessibility of OralAdvance™ to all Canadians; thus allowing health professionals to detect oral cancer in its early stages and provide care for a better chance of survival. Oral cancer screening should become a standard practice in dental offices nation-wide to save lives through early detection. We believe that our products, along with our oral cancer awareness campaign, SaveTheFace.org, will help achieve these goals," comments Dr. Bojana Turic, PMI Labs - President and CEO. OralAdvance™ is used by dentists to assess the cancerous potential of suspicious lesions in the oral cavity. Cells are collected from areas that look like they may be pre-cancer using OralAdvance™'s easy-to-use brush. These cells are then assessed at PMI Labs' Vancouver laboratory to determine whether they have [...]

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