smoking

High-risk sexual behavior alone may not increase risk for oropharyngeal cancer

Source: www.healio.com Author: Matthew Shinkle High-risk sexual behavior may not be the primary contributor to the development of oropharyngeal squamous cell carcinoma, according to data published in Cancers. Although patients with oropharyngeal squamous cell carcinoma appear more likely to self-report having their first sexual intercourse before age 18 years, study findings did not show an association between high-risk sexual behavior and the disease, researchers wrote. “The consistent absence of high-risk sexual behavior in the overwhelming majority of HPV-driven oropharyngeal squamous cell carcinomas stands against the argument of a lowered frequency of HPV-driven oropharyngeal squamous cell carcinoma in our cohort ... that would have lowered the chance to detect an impact on high-risk sexual behavior on the development of HPV-driven oropharyngeal squamous cell carcinoma,” Gunnar Wichmann, PhD, head of the ENT ResearchLab at University of Leipzig Medical Center, and colleagues wrote. Background and methodology Certain studies have provided evidence to establish a potential link between high-risk sexual behavior, the persistence of HPV DNA in saliva and the presence of oncogenic high-risk HPV subtypes in oropharyngeal squamous cell carcinoma. Researchers conducted a case-control study of patients with oropharyngeal squamous cell carcinoma and propensity score-matched unaffected controls from a large population-based German cohort study. The investigators interviewed patients and provided them with questionnaires on main risk factors — including age, sex, tobacco smoking and alcohol consumption — as well as logging information regarding sexual behavior categories. The study included 329 patients with head and neck squamous cell carcinoma, of whom 317 patients answered [...]

Oral Cancer Foundation News Team - A2023-07-30T06:12:27-07:00July, 2023|Oral Cancer News|

Smoking and HPV found to increase risk of head and neck cancer

Source: www.news-medical.net Author: Reviewed by Lily Ramsey, LLM Tobacco smoking and human papillomavirus (HPV) are both well-known risk factors for head and neck cancer, but there is ample evidence to show they can interact to increase still further the risk of contracting the disease, according to a study by scientists at the University of São Paulo (USP) in Brazil and the University of Chile. An article on the study is published in the International Journal of Molecular Sciences. The results of the study clarify aspects of the molecular mechanisms involved in head and neck cancer, paving the way for novel strategies of prevention and treatment, or other interventions that could benefit patients. Head and neck cancer is a group of cancers of the mouth, nose, sinuses, tonsils, throat and thyroid. It affected some 830,000 people worldwide in 2020, causing the death of more than 50%. In Brazil it caused almost 21,000 deaths in 2019, according to the most recent data from the National Cancer Institute (INCA). Historically speaking, its main causes have been alcohol, tobacco and poor oral hygiene, but in recent decades HPV has become a significant risk factor, especially for younger people and relatively well-off patients. Head and neck cancer is now one of the fastest-rising types of cancer associated with HPV in the world. "Instead of continuing to analyze smoking and HPV as oncogenic factors separately, we set out to focus on their possible interaction." Enrique Boccardo, penultimate author of the article and professor in the Department [...]

Oral Cancer Foundation News Team - A2023-07-04T11:44:15-07:00July, 2023|Oral Cancer News|

Why Big Tobacco’s attempts to rehabilitate its image are so dangerous

Source: theconversation.com Author: staff In September, Imperial Tobacco Canada, the Canadian subsidiary of British American Tobacco, was awarded the “Great Place to Work” certification, one of the leading authorities on workplace culture. Since then, Imperial Tobacco Canada representatives have met with graduate students across the country, including at the University of Toronto’s Rotman School of Management, York University’s Schulich School of Business and McGill University’s Desautels Faculty of Management, urging students to “come join us as we build a better tomorrow.” As of May 2022, Imperial Tobacco Canada was listed as a Presidents’ Circle Member on the University of Toronto website, to acknowledge their “vital financial support at the leadership level.” Despite Big Tobacco’s efforts to renormalize itself, we should all be very wary of engaging with the self-described “Bold, Fast, Empowered” corporate culture. Suppressing incriminating evidence British American Tobacco and other big tobacco companies have known about the clear links between smoking and a host of diseases, including cancer, since at least the 1950s. Despite this, they did not disclose their internal damning evidence. Instead, they aggressively undermined mounting scientific evidence of the public health risks associated with their products through a sophisticated array of deceitful strategies and tactics. These included funding dubious research, relying on allies that did not disclose their links to the industry, along with other forms of aggressive lobbying and marketing. Fast forward 70 years, and tobacco remains the leading cause of cancer worldwide today. Epidemiologist Prabhat Jha estimates that one death results from each [...]

Oral Cancer Foundation News Team - A2022-12-05T08:30:51-07:00December, 2022|Oral Cancer News|

Smoking behaviors often continued after treatment for head and neck squamous cell carcinoma

Source: www.oncologynurseadvisor.com Author: Vicki Moore, PhD Many patients with head and neck squamous cell carcinoma (HNSCC) who were daily smokers at the time of diagnosis continued smoking following treatment, according to study results reported in JAMA Otolaryngology-Head & Neck Surgery. The study was a prospective cohort analysis of patients treated at an academic tertiary care center from January 2009 through December 2017. Eligible patients had received a new diagnosis of HNSCC and were daily smokers at the time of diagnosis, with a habit of 5 cigarettes smoked per day for 5 or more years. The researchers performing the study collected demographic and clinical data for these patients, as well as data from patient reports of smoking-related behaviors. Those included in the study had 24 months of post-treatment follow-up data. A total of 89 smokers with HNSCC had completed follow-up and were included in the analysis. They had a mean age at enrollment of 60.1 years. Multiple racial and ethnic groups were represented in the study population. Approximately half of the patients had been treated with surgery (50.6%), while others received chemoradiotherapy (49.4%). The oropharynx was the primary tumor site in 39.3% of patients, compared with the larynx in 23.6% and the oral cavity in 22.5%. Patients had a mean smoking habit of 14.7±10.0 cigarettes smoked per day and a mean duration of 23.1±18.6 years of tobacco use. At 6 months after treatment, 58.4% of the patients continued smoking. The percentage of patients still smoking at 12 months was 52.8%, at [...]

Oral Cancer Foundation News Team - A2022-06-01T06:46:49-07:00June, 2022|Oral Cancer News|

Lung cancer screening for head and neck survivors?

Source: www.medpagetoday.com Author: Mike Bassett, Staff Writer, MedPage Today Head and neck cancer survivors are at an especially high risk for second primary lung cancers, a secondary analysis of the National Lung Screening Trial (NLST) suggested. After adjustment for various factors including pack-years of smoking, lung cancer incidence among NLST participants with a history of head and neck cancer was more than doubled compared to those without such a history, at 2,080 versus 609 cases per 100,000 person-years (adjusted rate ratio [RR] 2.54, 95% CI 1.63-3.95), reported John D. Cramer, MD, of Karmanos Cancer Institute in Detroit, and colleagues. According to the findings in JAMA Otolaryngology-Head & Neck Surgery, a non-significant trend toward improved overall survival was observed among those with a history of head and neck cancer who underwent low-dose CT (LDCT) in the trial rather than chest radiography (HR 0.79, 95% CI 0.42-1.52). As was a trend toward better detection of secondary lung cancer detection in those assigned to LDCT (RR 1.55, 95% CI 0.59-3.63). "The wide CIs, presumably due to the small sample size and number of outcome events, prevent definitive conclusions," noted Cramer and colleagues. Still, they argued, "these results support routine annual low-dose CT chest screening for lung cancer in HNC [head and neck cancer] survivors with prior significant tobacco use who are fit enough to undergo treatment with curative intent." In a commentary accompanying the study, Sean T. Massa, MD, of Louis University Hospital in St. Louis, and colleagues, also noted the small sample [...]

Oral Cancer Foundation News Team - A2021-11-01T15:16:43-07:00November, 2021|Oral Cancer News|

Patterns of care for incarcerated head and neck cancer patient receiving radiation: a single-center retrospective descriptive cohort study

Source: www.docwirenews.com Author: DocWire News Abstract: Purpose/Objective(s): United States (US) have the highest incarceration rate in the world. In the context of the US justice system, many inmates are older than 55 years of age and as such are at an increased risk of cancer development. Additionally, largely due to mass incarcerations, correctional control is associated with significant racial disparities, further layering the complexity of the prison population’s health. The purpose of this study was to describe patterns of care in incarcerated head and neck (H&N) cancer patients who received radiation treatment (RT) as a part of the management of their malignancy. Materials/Methods: Following IRB approval, a total of 44 charts of patients who were imprisoned for at least a part of their radiation treatment were manually reviewed. The variables extracted included demographic data (age, race, gender), vital status, tumor site, stage, social history, cancer history, RT purpose, RT plan details (start, end, duration, dose, fractionation, completion as prescribed, concurrent systemic treatment), weight loss, surveillance (loss to follow-up) and oncologic outcomes (tumor recurrence.) Data was summarized using descriptive statistics. Results: A total of 41/44 inmates were males (93%), 13/44 (29.5%) were African American. Median age at diagnosis was 49.5 years (range 27-68). A total of 21/44 tumors (47%) were oropharyngeal tumors, followed by 9 laryngeal tumors (20%). A total of 41 patients (93%) had a previous smoking history (median 20 pack years), and 30 (68%) had documented history of alcohol abuse. Most common treatment purpose was post-operative (47%) followed by [...]

Oral Cancer Foundation News Team - A2021-10-28T10:04:31-07:00October, 2021|Oral Cancer News|

Study explores the effect of graphic warning labels on cigarette packaging among US smokers

Source: www.news-medical.net Author: Reviewed by Emily Henderson, B.Sc Purchase a pack of cigarettes in Australia and be prepared to be accosted with graphic warning labels depicting the dangers of tobacco use - including images of gangrene of the foot, a newborn with a breathing tube and throat cancer. "Graphic warning labels are used in more than 120 countries to counter marketing that promotes cigarette smoking. We wanted to know what effect such cigarette packaging would have on United States smokers," said David Strong, professor at the Herbert Wertheim School of Public Health and Human Longevity Science at University of California San Diego. Graphic warning labels were mandated by the United States Congress in 2009 but implementation has been stopped pending the outcome of legal challenges to the law by the tobacco industry. In a paper published online in JAMA Network Open on Aug. 4, 2021, Strong and colleagues at UC San Diego Moores Cancer Center, California State University San Marcos, San Diego County Public Health Services, and San Diego State University, demonstrated that graphic warning labels are effective reminders of the negative health consequences of smoking. "Graphic warning labels caused daily smokers in the United States to perceive cigarettes to be less positive and it increased their concerns about the health effects of smoking on both themselves and their loved ones," said corresponding-author John P. Pierce, Distinguished Professor at the Herbert Wertheim School of Public Health. The study manufactured special cigarette packs that incorporated the graphic warning labels used on [...]

Oral Cancer Foundation News Team - A2021-08-07T05:25:01-07:00August, 2021|Oral Cancer News|

Shades of Big Tobacco: How (and why) Juul bought an entire issue of a scientific journal

Source: Salon Date: July 20th, 2021 Author: Jon Skolnik Facing the imminent threat of corporate death, the embattled e-cigarette maker Juul is pulling out all the stops in its fight to convince the Food and Drug Administration that its vaping products are more beneficial than harmful. If that sounds like a stretch, it probably is. Last month, Juul settled a $40 million lawsuit that accused the company of luring in teens to use its flavored vape products, allowing Juul to avoid the potential PR nightmare of a widely covered jury trial. Juul has also spent tens of millions in federal lobbying efforts over the past several years, presumably in an effort to block comprehensive regulations on the sale of e-cigarettes. But the most bizarre Juul news came two weeks ago, when the New York Times reported that the company had funded an entire issue of a scientific journal, in which every article presented evidence that vaping is a beneficial harm-reduction practice that can wean smokers off tobacco cigarettes. Last month, the American Journal of Health and Behavior (AJHB), a 44-year-old academic journal that has published many nationally recognized scholars, released a special edition specifically devoted to the question of whether e-cigarettes are harmful or helpful. The 219-page issue is unusual not just by virtue of its niche subject matter — e-cigarettes are a relatively new phenomenon in the field of health behavior — but also because its publication was bankrolled entirely by one source: Juul Labs. This fraught episode comes at an exceptionally tumultuous time for the vape maker. In early 2019, Juul, a company founded just four [...]

Charlotte Parker2021-07-20T13:15:56-07:00July, 2021|Oral Cancer News|

Head-and-neck surgeons buoyant about new, just-right robot

Source: newsroom.uw.edu Author: Brian Donohue You know how great it feels when someone makes a pie or cake just for you? University of Washington Medicine head and neck surgeons have been feeling that kind of love lately, and on Feb. 5 they shared the first slice, so to speak, with patient Steven Higley. Surgical assistants work near patient Steven Higley on Feb. 5. Lead surgeon Jeff Houlton is obscured by the robotics. The cake in this story is actually a da Vinci robotic-assist system built especially for head and neck procedures. It is easier to maneuver than the robotic device they’ve used for the past decade, which was designed for operations to the chest and abdomen. Higley underwent surgery to have a cancerous tonsil and part of his throat removed. Sitting at a console a few feet from the patient, Dr. Jeff Houlton manipulated the miniature surgical tools emanating from the robot’s single port, positioned just outside Higley’s open mouth. It was UW Medicine’s first trans-oral surgery with the new tool. “If you think about laparoscopic surgery in the belly area, robotics provides the advantage of multiple mechanical arms approaching from different angles,” Houlton said. “But it’s a challenge to have three robotic arms that all need to go through a patient’s mouth. With this machine, the three arms are designed to come through one garden hose-like entry port and then articulate out from there. “Pretty interesting, though, that in the past 10 years we built a nationally [...]

Oral Cancer Foundation News Team - A2021-02-12T18:43:12-07:00February, 2021|Oral Cancer News|

Is poor survivorship care driving high second-cancer risk?

Source: www.medscape.com Author: Kristin Jenkins In the United States, men and women who survive adult-onset cancers for at least 5 years are at significantly increased risk of developing and dying from new primary cancers, particularly those driven by smoking and obesity, a new study shows. "This was disturbing but at the same time provides tremendous opportunities for cancer prevention and control, not only to mitigate the subsequent cancer risk but also to minimize comorbidities," lead author Hyuna Sung, PhD, of the American Cancer Society in Atlanta, Georgia, told Medscape Medical News. "The importance of smoking cessation, weight control, physical activity, and other factors consonant with adoption of a healthy lifestyle should be consistently emphasized to cancer survivors," Sung said. Results from a retrospective analysis of the most recent Surveillance, Epidemiology, and End Results (SEER) data from a cohort of 1.5 million survivors of first primary cancers (FPCs) show that male survivors — excluding those with prostate cancer — had a 45% higher risk of dying from any subsequent primary cancer (SPC) compared with men in the general population without a history of cancer. Female survivors had a 33% higher risk of any SPC-related mortality, the study authors report in the Journal of the American Medical Association. A significant proportion of the total incidence and mortality from SPCs was made up of smoking- or obesity-associated SPCs, the analysis shows. "The risks of smoking-related SPCs were commonly elevated following many types of smoking-related FPCs, suggesting the role of smoking as a shared [...]

Oral Cancer Foundation News Team - A2020-12-30T11:53:06-07:00December, 2020|Oral Cancer News|