Discussing Disease Progression and End-of-Life Decisions
July 1st 1999Few of us enjoy performing a task if we feel that we are not very good at it. Furthermore, the simpler the task appears to be, the more embarrassed we feel about our perceived lack of ability. As a result, we tend to avoid the whole situation
Chemotherapy Combination Shows Efficacy in Hormone-Refractory Prostate Cancer
July 1st 1999Docetaxel (Taxotere) combined with estramustine phosphate (Emcyt) and low-dose hydrocortisone appears to be a promising treatment for men with hormone-refractory prostate cancer, according to the results of a phase II trial conducted
Moderate-Dose External Radiation Plus Implants Increase Survival in Cervical Cancer
July 1st 1999Standard radiation therapy for patients with latestage cervical cancer (stage IIIB) should be adjusted so that each patient receives moderate doses of external-beam radiation therapy plus radioactive implants, according to a study led by Dr. Mark
Cigarette Consumption in Oregon Declines After Implementation of Comprehensive Prevention Program
July 1st 1999In November 1996, residents of Oregon approved a $0.30 increase in the cigarette tax (to $0.68 per pack). The measure stipulated that 10% of the additional tax revenue be allocated to the Oregon Health Division to develop and implement a
Breast Cancer Survivors Under 50 Years Old Are at High Risk for Ovarian Cancer
July 1st 1999Some factors that lead to the development of breast cancer are similar to those responsible for the development of ovarian cancer, say the authors of a new study. Consequently, women who survive breast cancer, especially those under the age of
Photodynamic Therapy Effective for Swallowing Problems
July 1st 1999Photodynamic therapy (PDT) relieves swallowing problems associated with esophageal cancer in the majority of patients treated, according to a study conducted from November 1996 to June 1998 at the University of Pittsburgh Cancer Institute.
Novel Gene Therapy to Clear Blood Clots in Leg Arteries
July 1st 1999Stanford researchers have devised a novel approach for delivering a clot-busting gene to blocked leg arteries in animals, effectively restoring blood flow to the damaged vessels, according to a new study presented at the 24th scientific meeting of
Bills Would Require Private Insurers to Pay for Cancer Screening
July 1st 1999Members of Congress are trying to assure coverage of cancer screening tests under private insurance plans that Congress equired Medicare to cover as part of the 1997 Balanced Budget Act. Reps. Carolyn Maloney (D-N.Y.) and
Women Who Smoke Menthol Cigarettes Have Greater Nicotine Exposure
July 1st 1999New research shows that women who smoke menthol cigarettes may be more likely to inhale deeper and potentially inhale more nicotine than do smokers of nonmenthol cigarettes. The study also showed that menthol cigarette smokers tend to have
Weekly Blood Monitoring Unnecessary During Radiation Therapy for Prostate Cancer
July 1st 1999Discontinuing the practice of drawing blood every week from patients undergoing radiation therapy for prostate cancer can save time and money without jeopardizing the patient’s care, a new study has found.
Possible Interactions Between Dietary Antioxidants and Chemotherapy
July 1st 1999The use of alternative therapies in combination with cytotoxic chemotherapy is a potentially important clinical issue. Most patients assume that alternative therapies are harmless since they are “not drugs” and, thus, do not have an established
Total-Body Irradiation for Bone Marrow Transplantation
July 1st 1999Total-body irradiation (TBI), when given as part of bone marrow transplantation (BMT), works by enhancing immune suppression and by exerting a tumoricidal effect. The modality has been made less toxic because of new approaches to
Malignant Mesothelioma of the Pleural Space
July 1st 1999The article by Drs. Grondin and Sugarbaker discussing the clinical management of malignant pleural mesothelioma provides an excellent overview but also highlights many of the controversies surrounding the diagnosis and treatment of this difficult
Possible Interactions Between Dietary Antioxidants and Chemotherapy
July 1st 1999The use of alternative therapies among cancer patients has increased dramatically since the 1970s. A recent review of published surveys found that anywhere from 7% to 64% of adult cancer patients were using such therapies.[1] Preliminary
Malignant Mesothelioma of the Pleural Space
July 1st 1999Grondin and Sugarbaker provide an excellent, thorough review of malignant pleural mesotheliomas. Nearly 3,000 new mesotheliomas will be diagnosed in the United States this year. On the positive side, epidemiologists estimate that workplace
Oxaliplatin and UFT/Oral Calcium Folinate for Advanced Colorectal Carcinoma
July 1st 1999Oxaliplatin is a unique platinum compound with single-agent activity in both chemotherapy-naïve colorectal cancer patients and patients who progressed on 5-fluorouracil (5-FU). The combination of oxaliplatin and 5-FU
Epirubicin, Cisplatin, Oral UFT, and Calcium Folinate in Advanced Gastric Carcinoma
UFT (uracil and tegafur in a 4:1 molar ratio) plus calcium folinate treatment has favorable activity and tolerable toxicity in patients with advanced gastric carcinoma. High response rates have been reported in patients with
Possible Interactions Between Dietary Antioxidants and Chemotherapy
July 1st 1999Many patients treat themselves with oral antioxidants and other alternative therapies during chemotherapy, frequently without advising their conventional health care provider. No definitive studies have demonstrated
Combination Therapy for Advanced Breast Cancer: Cyclophosphamide, Doxorubicin, UFT, and Tamoxifen
We evaluated combination therapy for advanced and recurrent breast cancer with cyclophosphamide (Cytoxan), doxorubicin (Adriamycin), uracil and tegafur (UFT), and tamoxifen (Nolvadex) (CAUT), designed as
Gemcitabine and UFT Plus Oral Calcium Folinate: Phase I Study
July 1st 1999Gemcitabine (Gemzar) (2-deoxy-2,2-difluorocytidine) is a new antimetabolite being increasingly used in the treatment of solid tumors. It is an analog of deoxycytidine and cytosine arabinoside (Ara-C) (Figure 1) that has shown significant activity
Preoperative UFT and Calcium Folinate and Radiotherapy in Rectal Cancer
Protracted infusions of 5-fluorouracil (5-FU) combined with pelvic radiotherapy have been associated with improved survival and decreased local and distant metastases in the adjuvant therapy of rectal cancer. However,
UFT Plus Calcium Folinate vs 5-FU Plus Calcium Folinate in Colon Cancer
Adjuvant chemotherapy has been shown to alter the natural history of resected colon cancer. Two regimens (5-fluorouracil [5-FU] plus calcium folinate and 5-FU plus levamisole [Ergamisol]) have been found to prolong