head and neck cancer – Page 20

Fluoroscopically guided balloon dilation for pharyngoesophageal stricture after radiation therapy in patients with head and neck cancer

Source: AJR 2010; 194:1131-1136 Authors: Hong-Tao Hu et al. Objective: The purpose of this article is to assess the safety and long-term efficacy of fluoroscopically guided balloon dilation for pharyngoesophageal strictures after radiation therapy in patients with head and neck cancers. Materials and methods: From April 1997 to February 2009, fluoroscopically guided balloon dilation was performed in 17 patients with pharyngoesophageal strictures caused by radiation therapy. Technical success, clinical success (decrease of at least one grade in dysphagia score and good contrast passage on 1-month follow-up esophagogram), recurrence of dysphagia, and complications related to the procedure were retrospectively evaluated. Results: All 17 patients underwent 41 balloon dilation procedures, with each patient undergoing one to seven procedures (mean, 2.4 procedures). The technical success rate was 100%, and clinical success was achieved in 64.7% (11/17) of the patients. Five patients (29.4%) showed no recurrence of dysphagia after one session of balloon dilation. Of 12 patients (70.6%) with recurrence of dysphagia, 10 underwent repeat balloon dilation and two underwent gastrostomy after the first session of balloon dilation. The maximum balloon diameters were 15 mm (n = 22), 20 mm (n = 16), and 25 mm (n = 3). As minor complications, three cases of type 1 esophageal rupture occurred in two patients (11.8%). There were no major complications. Conclusion: Although the recurrence rate was high with repeat balloon dilation, fluoroscopically guided balloon dilation seems to be a simple and safe primary treatment technique for pharyngoesophageal stricture due to radiation therapy in patients with [...]

Oral Cancer Foundation News Team - A2010-03-23T18:17:56-07:00March, 2010|Oral Cancer News|

George vs. The Dragon

Source: ESPN.com Author: Rick Reilly DAY 17: Tuesday, March 9, 7:30 a.m. -- Denver Nuggets coach George Karl pops in his mouthpiece and puts on his helmet and braces himself for a brutal 15 minutes, but this isn't football. This is cancer radiation. We're at Denver's Swedish Medical Center. The helmet is actually a white, hard-mesh mask that fits to every contour of Karl's big bucket head. It has red crosses all over it, like a hockey goalie's. He lays his 283 pounds on the table and the technicians clamp the mask on hard. How Karl breathes I'll never know. They secure his limbs and ask him to hold a blue plastic donut so no part of him moves. He looks like Hannibal Lecter about to get fried. "It makes you a little claustrophobic," the 58-year-old coach tries to say through the mask. "But what are you gonna do? Leave?" Coaching the wildly talented but wildly uneven Nuggets is hard enough, let alone doing it with throat and neck cancer, but that's what Karl is trying to do. Everybody tells him it's not possible, and today, maybe he's starting to believe them. With only three of his torturous six weeks of treatment done, and the inside of his mouth looking like he just took 100 bites out of a lava-hot pizza slice, and his head throbbing and his eyes hollow, Karl looks like a guy who should be on a stretcher, not an NBA bench. "George, this is only going [...]

Charlotte Parker2010-03-18T09:51:54-07:00March, 2010|Oral Cancer News|

Introducing OraRisk HPV salivary diagnostic test by OralDNA Labs

Source: RDHmag Author: Staff NASHVILLE, Tennessee--OralDNA Labs , a leader in advancing wellness in dentistry through salivary diagnostics and a subsidiary of Quest Diagnostics, recently introduced a OraRisk HPV test. The test is a noninvasive, screening tool to identify the type(s) of oral human papillomavirus (also called HPV). Oral HPV is a mucosal viral infection that is a known risk factor for oral, head, and neck cancers. High-risk types of HPV that persist present an increased risk for cancers in these regions. This test will provide the dental clinician with the ability to establish risk for HPV-related cancers of the oral, head, and neck regions, and determine appropriate referral and monitoring conditions. Squamous cell carcinoma of the head and neck, which can be found in the oral cavity, tongue, tonsils, oropharynx, and larynx, affects approximately 40,000 individuals in the United States each year. The most common symptoms of SCCHN include sore throat, earache, hoarseness--and often--enlarged lymph nodes in the neck. Early detection of oral HPV presents an important opportunity to detect those at risk for these types of cancers before symptoms appear. According to OralDNA Labs' Medical Director Ronald C. McGlennen, MD, "The availability of the OraRisksm HPV test marks an important and timely advance in oral diagnostics, because the at-risk profile for oral cancer is rapidly changing." The use of tobacco and heavy alcohol consumption has traditionally been considered to be the primary risk factor for SCCHN, but an alarming number of new cases are being diagnosed each year [...]

Charlotte Parker2010-03-05T21:50:15-07:00March, 2010|Oral Cancer News|

Roger Ebert: the essential man

Source: Esquire Magazine Author: Chris Jones It has been nearly four years since Roger Ebert lost his lower jaw and his ability to speak. Now television's most famous movie critic is rarely seen and never heard, but his words have never stopped. For the 281st time in the last ten months Roger Ebert is sitting down to watch a movie in the Lake Street Screening Room, on the sixteenth floor of what used to pass for a skyscraper in the Loop. Ebert's been coming to it for nearly thirty years, along with the rest of Chicago's increasingly venerable collection of movie critics. More than a dozen of them are here this afternoon, sitting together in the dark. Some of them look as though they plan on camping out, with their coats, blankets, lunches, and laptops spread out on the seats around them. The critics might watch three or four movies in a single day, and they have rules and rituals along with their lunches to make it through. The small, fabric-walled room has forty-nine purple seats in it; Ebert always occupies the aisle seat in the last row, closest to the door. His wife, Chaz, in her capacity as vice-president of the Ebert Company, sits two seats over, closer to the middle, next to a little table. She's sitting there now, drinking from a tall paper cup. Michael Phillips, Ebert's bearded, bespectacled replacement on At the Movies, is on the other side of the room, one row down. The guy who [...]

Charlotte Parker2010-02-23T12:40:29-07:00February, 2010|Oral Cancer News|

Serum prognostic markers in head and neck cancer

Source: Clincancerres François Meyer1, Élodie Samson1,2, Pierre Douville1, Thierry Duchesne2, Geoffrey Liu3 and Isabelle Bairati1 Authors' Affiliations:1Laval University Cancer Research Center and 2Département de Mathématiques et Statistique, Laval University, Quebec, Quebec and 3Medical Biophysics Department, Ontario Cancer Institute/Princess Margaret Hospital, Toronto, Ontario, Canada Corresponding Author:François Meyer, Cancer Research Center, Laval University, CHUQ, HDQ, 11, Cote Du Palais, Quebec, Quebec, G1R 2J6 Canada. Phone: 418-525-4444-15581; Fax: 1-418-691-2970; E-mail: [email protected]. Abstract Purpose: Recognized prognostic factors do not adequately predict outcomes of head and neck cancer (HNC) patients after their initial treatment. We identified from the literature nine potential serum prognostic markers and assessed whether they improve outcome prediction. Experimental Design: A pretreatment serum sample was obtained from 527 of the 540 HNC patients who participated in a randomized controlled trial. During follow-up, 115 had a HNC recurrence, 110 had a second primary cancer (SPC), and 216 died. We measured nine potential serum prognostic markers: prolactin, soluble interleukin-2 (IL-2) receptor-α, vascular endothelial growth factor, IL-6, squamous cell carcinoma antigen, free β-human choriogonadotropin, insulin-like growth factor-I, insulin-like growth factor binding protein-3, and soluble epidermal growth factor receptor. Cox regression was used to identify a reference predictive model for (a) HNC recurrence, (b) SPC incidence, and (c) overall mortality. Each serum marker was added in turn to these reference models to determine by the likelihood ratio test whether it significantly improved outcome prediction. We controlled for the false discovery rate that results from multiple testing. Results: IL-6 was the only serum marker that significantly improved outcome prediction. Higher [...]

Charlotte Parker2010-01-29T19:47:27-07:00January, 2010|Oral Cancer News|

HPV, is it running rampant?

Source: WebMD Author: Bill Hendrick Jan. 14, 2010 -- Cancer-causing human papillomavirus (HPV) spreads readily and quickly among partners in new sexual relationships, new research indicates. Scientists at McGill University, reporting in the journal Epidemiology, say they detected the virus in 64% of couples who reported engaging in vaginal sex for a median of 3.9 months. In 41% of 263 college couples studied, both partners had the same type of HPV, a surprising finding “far more frequent than [the 11%] expected by chance” even though the virus is the most common sexually transmitted infection, the authors write. “[D]etection of the same type in persons initiating a sex relationship would be rare given type-specific prevalence rates,” says the study, whose lead author is Ann N. Burchell, PhD, of the division of cancer epidemiology, departments of oncology and epidemiology and biostatistics at McGill University in Montreal. Along with colleagues from the University of Montreal, Burchell and Eduardo Franco, DrPH, MPH, director of McGill’s Cancer Epidemiology Unit, analyzed self-reported data from partners of 263 couples. The women, college students between 18 and 24, enrolled in the study with their male partners. Women were sexually active with their male partners for no more than six months. Most used condoms, but 9% never used condoms. Self-collected vaginal swabs and clinician-collected swabs from the penis and scrotum were tested for 36 strains of HPV. Among 169 couples for whom at least one partner was infected, the scientists identified 583 type-specific HPV infections. Twenty-five percent of monogamous partners had the [...]

Charlotte Parker2010-01-15T19:49:41-07:00January, 2010|Oral Cancer News|

Adding chemo helps head, neck cancer patients

Source: HealthDayNews Author: Staff TUESDAY, Oct. 27 (HealthDay News) -- Combining chemotherapy with radiation treatment for patients with advanced head and neck cancer increases their event-free survival to 2.2 years from just one year with radiotherapy alone, finds a new study. According to the study authors, "events" include cancer recurrence, new tumors or death. British researchers looked at the 10-year outcomes of 966 patients with locally advanced head and neck cancer. Those who hadn't undergone surgery for their cancer were randomly assigned to one of four groups: radiotherapy alone (233 patients); two courses of simultaneous (SIM) chemotherapy given at the same time as radiotherapy (166 patients); two courses of chemotherapy after (subsequent -- SUB) completing radiotherapy (160 patients); or both SIM and SUB (154 patients). Patients who'd had surgery were randomly assigned to radiotherapy alone (135 patients) or SIM alone (118 patients). Overall, non-platinum-based chemotherapy given at the same time as radiotherapy reduced deaths and cancer recurrence in patients who hadn't undergone surgery, with acceptable toxicity. But patients who'd undergone surgery didn't benefit from this combined treatment. The researchers also found that chemotherapy given after radiotherapy was ineffective, didn't improve survival, and doubled the rate of toxicity. Among patients who didn't have surgery, median survival time was 2.6 years in the radiotherapy group, and 4.7 years, 2.3 years and 2.7 years, respectively, in patients who received SIM alone, SUB alone, and SIM plus SUB. Median event-free survival among patients who didn't have surgery was one year in the radiotherapy group, 2.2 years in [...]

Charlotte Parker2009-10-30T05:30:39-07:00October, 2009|Oral Cancer News|

BioVex Agrees SPA With the FDA for a Pivotal Phase III Study With OncoVEX (GM-CSF) in Head and Neck Cancer

Source: PR Newswire Author: Staff WOBURN, Mass., Sept. 15 /PRNewswire/ -- BioVex Inc, a biotechnology company developing clinical stage treatments for cancer and the prevention of infectious disease, announced today that the U.S. Food and Drug Administration (FDA) has approved the design of a single, pivotal, Phase III clinical trial evaluating its lead product, OncoVEX (GM-CSF), for the first-line treatment of patients with squamous cell cancer of the head and neck. The study is the second the Company has agreed with the FDA under the Special Protocol Assessment (SPA) procedure and highlights the broad potential utility of BioVex's first-in-class cancer destroying virus technology. The first SPA was in melanoma under which BioVex is currently conducting a pivotal Phase III trial. Patients with head and neck cancer often present with locally advanced, bulky disease that is too large, or too close, to vital organs to remove surgically. These patients typically undergo combination radiation and chemotherapy treatment, in some cases with additional surgery. Patients who present with tumor-containing lymph nodes are particularly difficult to treat and approximately half of these patients relapse within two years. Philip Astley-Sparke, President & CEO, for BioVex said: "The announcement of our second SPA governing a Phase III study demonstrates the breadth of the commercial opportunity with OncoVEX (GM-CSF). In addition to treating metastatic disease as is the intention in our ongoing Phase 3 study in melanoma, following multiple systemic responses in Phase II, OncoVEX (GM-CSF) also has considerable potential utility in treating discrete solid tumor masses [...]

Charlotte Parker2009-09-16T16:29:05-07:00September, 2009|Oral Cancer News|

Clinical and dosimetric factors associated with a prolonged feeding tube requirement in patients treated with chemoradiotherapy (CRT) for head and neck cancers

Source: Annals of Oncology, doi:10.1093/annonc/mdp268 Authors: A. S. Gokhale et al. Background: Patients treated with chemoradiotherapy (CRT) for head and neck cancers often require feeding tubes (FTs) due to toxicity. We sought to identify factors associated with a prolonged FT requirement. Patients and methods: We retrospectively reviewed 80 patients treated with CRT for head and neck cancers. The pharyngeal constrictors (PCs), supraglottic larynx (SGL), and glottic larynx (GL) were contoured and the mean radiation doses and the volumes of each receiving >40, 50, 60, and 70 Gy (V40, V50, V60, and V70) were determined. Results: A total of 33 of 80 patients required a FT either before or during the course of CRT. Fifteen patients required the FT for ≥6 months. On univariate analysis, significant factors associated with a prolonged FT requirement were mean PC dose, PC-V60, PC-V70, SGL dose, SGL-V70, and advanced T3–T4 disease. Multivariate analyses found both PC-V70 and T3-T4 disease as significant factors .The proportions of patients requiring a FT ≥6 months were 8% and 28% for treatment plans with PC-V70 <30% and ≥30%, respectively. Conclusions: Increased radiation dose to the PCs is associated with a higher risk of a prolonged FT need. Dose sparing of the PC muscles may reduce this risk. Authors: A. S. Gokhale1, B. T. McLaughlin2, J. C. Flickinger1, S. Beriwal1,*, D. E. Heron1, R. L. Ferris3, J. Johnson3, M. K. Gibson2, A. Argiris2 and R. P. Smith1 Authors' affiliatons: 1 Department of Radiation Oncology 2 Division of Hematology–Oncology, Department of Medicine 3 [...]

Oral Cancer Foundation News Team - A2009-07-15T13:03:53-07:00July, 2009|Oral Cancer News|

Use of Erbitux in head and neck cancer rejected by NICE

Source: Pharmafocus.com Author: Staff Erbitux has failed to win NICE approval for the treatment of head and neck cancer, due to doubts over its cost and clinical effectiveness compared to existing treatments. It was rejected under NICE's new scheme to make more end-of-life drugs available by extending the threshold at which they are considered cost-effective, making it an extra heavy blow for manufacturer Merck Serono. Chief executive Andrew Dillon defended NICE's decision, saying the alternative of approving the medicine for the health service was unviable. He added: "This would mean the NHS making significant funds available for a very expensive treatment which may or may not benefit individual patients. Those funds would not then be available for treating other conditions with greater and more certain benefits for other patients." Erbitux is a monoclonal antibody and one of a new class of cancer drugs which target genetic mutations that allow cancer cells to multiply, and are designed to bypass many of the unpleasant side-effects associated with traditional chemotherapy. Licensed also in colorectal cancer, in 2008 the drug made global sales of nearly $1.6 million in 2008, and is expected to reach sales of $3.4 million by 2014. In the latest appraisal, Erbitux was rejected as a treatment of recurrent and/or metastatic squamous cell cancer of the head and neck and NICE recommended against its use in combination with platinum-based chemotherapy in patients with this cancer. The appraisal committee were uncertain over the clinical effectiveness of the drug and the cost of [...]

Charlotte Parker2009-06-25T16:43:53-07:00June, 2009|Oral Cancer News|