• Issue

    Cancer Medicine: Volume 11, Issue 2

    295-552
    January 2022

ISSUE INFORMATION

Open Access

Issue Information

  • Pages: 295-296
  • First Published: 05 January 2022

CLINICAL CANCER RESEARCH

RESEARCH ARTICLES

Open Access

Simulation modeling of breast cancer endocrine therapy duration by patient and tumor characteristics

  • Pages: 297-307
  • First Published: 16 December 2021
Simulation modeling of breast cancer endocrine therapy duration by patient and tumor characteristics

Simulation modeling was used to evaluate extended endocrine therapy for women with hormone receptor-positive non-metastatic breast cancer. Results indicate that extension of endocrine therapy from 5 to 10 years modestly improves life years in some groups but adverse events may outweigh benefits.

Open Access

Muscle weakness as an additional criterion for grading sarcopenia-related prognosis in patients with cancer

  • Pages: 308-316
  • First Published: 10 December 2021

Low muscle strength has been pointed out as a key characteristic of sarcopenia, but the prognostic significance of muscle function next to reduced skeletal muscle mass (SMM) in patients with cancer has been scantily investigated. Muscle weakness was found to be a more powerful predictor of survival than SMM and should be considered as additional key feature of sarcopenia in patients with cancer.

Open Access

Sarcopenia predicts an adverse prognosis in patients with combined hepatocellular carcinoma and cholangiocarcinoma after surgery

  • Pages: 317-331
  • First Published: 05 December 2021
Sarcopenia predicts an adverse prognosis in patients with combined hepatocellular carcinoma and cholangiocarcinoma after surgery

Sarcopenia, defined by the PMI, which was objective and easy to measure, was an independent and stable adverse prognostic factor in cHCC-CC patients after surgery. Nomogram based on sarcopenia and clinicopathological characteristics might aid high-risk patient identification and clinical decisions.

Open Access

What if the future of HER2-positive breast cancer patients was written in miRNAs? An exploratory analysis from NeoALTTO study

  • Pages: 332-339
  • First Published: 17 December 2021
What if the future of HER2-positive breast cancer patients was written in miRNAs? An exploratory analysis from NeoALTTO study

Despite the improved pathological complete response rate in HER2-positive breast cancer patients with neoadjuvant dual HER2 blockade, it would be desirable to identify patients exquisitely responsive to single agent trastuzumab to minimize or avoid overtreatment. Herein, by analyzing baseline tissue microRNA (miRNA) profile in the trastuzumab arm of NeoALTTO study, we identified a two-miRNA predictive signature and a prognostic signature associated to event-free survival. Analyses of primary tumor tissue miRNAs hold the potential of a parsimonious tool to identify patients with differential clinical outcomes after trastuzumab based neoadjuvant therapy.

Open Access

Phase 1 trial of ADI-PEG 20 and liposomal doxorubicin in patients with metastatic solid tumors

  • Pages: 340-347
  • First Published: 28 November 2021
Phase 1 trial of ADI-PEG 20 and liposomal doxorubicin in patients with metastatic solid tumors

This combination therapy with ADI-PEG 20 and Doxil had a reversible and manageable toxicity profile, and patients tolerated the treatment. Tumor shrinkage and prolonged duration of therapy were observed in several patients.

Open Access

Better effect of intrapleural perfusion with hyperthermic chemotherapy by video-assisted thoracoscopic surgery for malignant pleural effusion treatment compared to normothermic chemoperfusion of the pleural cavity

  • Pages: 348-357
  • First Published: 01 December 2021
Better effect of intrapleural perfusion with hyperthermic chemotherapy by video-assisted thoracoscopic surgery for malignant pleural effusion treatment compared to normothermic chemoperfusion of the pleural cavity

There have been some reports on the efficacy of intrapleural perfusion with hyperthermic chemotherapy (IPHC) in the treatment of malignant pleural effusion (MPE), but few studies put emphasis on IPHC under video-assisted thoracoscopic surgery (VATS) and the efficacy of different treatment regimens. This study aims to explore the curative effect of IPHC under VATS and normothermic chemoperfusion of the pleural cavity (NCPC) in the treatment of MPE, and to provide clinical experience for MPE.

Open Access

Filanesib plus bortezomib and dexamethasone in relapsed/refractory t(11;14) and 1q21 gain multiple myeloma

  • Pages: 358-370
  • First Published: 17 December 2021
Filanesib plus bortezomib and dexamethasone in relapsed/refractory t(11;14) and 1q21 gain multiple myeloma

We report on the final analysis of the phase 1 trial of filanesib, bortezomib, and dexamethasone in relapsed/refractory multiple myeloma. Among patients receiving therapeutic doses of the study drugs, overall response rate was 39% with median duration of response of 14.1 months and median progression-free survival of 8.0 months. The combination continues to show safety and encouraging activity in this population, particularly in those patients with 1q21 gain and t(11;14).

Open Access

Levetiracetam as a sensitizer of concurrent chemoradiotherapy in newly diagnosed glioblastoma: An open-label phase 2 study

  • Pages: 371-379
  • First Published: 30 November 2021
Levetiracetam as a sensitizer of concurrent chemoradiotherapy in newly diagnosed glioblastoma: An open-label phase 2 study

Patients aged less than 65 years exhibited better outcomes with levetiracetam. Patients with unmethylated MGMT promoter possibly have greater benefits from levetiracetam.

Open Access

Examining the association between oncology drug clinical benefit and the time to public reimbursement

  • Pages: 380-391
  • First Published: 01 December 2021
Examining the association between oncology drug clinical benefit and the time to public reimbursement

This article examined if oncology drug indications with high clinical benefit, as measured by the American Society of Clinical Oncology Value Framework (ASCO-VF) and European Society for Medical Oncology Magnitude of Clinical Benefit Scale (ESMO-MCBS), received public reimbursement status faster than those with lower clinical benefit from the time of pan-Canadian Oncology Drug Review (pCODR) recommendation. It was found that oncology drug indications with high clinical benefit were not significantly associated with shorter time to public reimbursement. These findings suggest the need to implement a transparent system of prioritization to ensure quicker access to oncology drugs with the greatest benefits.

Open Access

Construction and validation of a prognostic nomogram for anal squamous cell carcinoma

  • Pages: 392-405
  • First Published: 01 December 2021
Construction and validation of a prognostic nomogram for anal squamous cell carcinoma

First, from the SEER database, we identified the prognostic factors for anal squamous cell carcinoma (ASCC) patients and develop a nomogram to better predict the prognosis of ASCC patients. Secondly, through comparison, our predictive model is a further improvement of traditional AJCC staging system based on patient’s demographic and clinicopathological features not only in survival prediction, but also in clinical utility.

Open Access

PD-L1 expression is associated with the spontaneous regression of patients with methotrexate-associated lymphoproliferative disorders

  • Pages: 417-432
  • First Published: 29 November 2021
PD-L1 expression is associated with the spontaneous regression of patients with methotrexate-associated lymphoproliferative disorders

Patients with classic Hodgkin lymphoma (CHL)-type methotrexate-associated lymphoproliferative disorder (MTX-LPD) with high programmed cell death-ligand 1 (PD-L1) expression tended to have exacerbations and relapses after MTX discontinuation. Our study suggests that the PD-1/PD-L1 pathway may be involved in refractoriness to MTX discontinuation in CHL-type MTX-LPD.

Open Access

The prognostic value of TPM1–4 in hepatocellular carcinoma

  • Pages: 433-446
  • First Published: 30 November 2021
The prognostic value of TPM1–4 in hepatocellular carcinoma

Our study detected the expression of TPM1–4 was all significantly upregulated in hepatocellular carcinoma (HCC), suggesting TPM1–4 may serve as an important role in HCC development. High TPM3 expression was found to be associated with poor overall survival, and TPM3 may be independent prognostic factor for HCC.

CANCER BIOLOGY

REVIEW

Open Access

Barrett's esophagus: The pathomorphological and molecular genetic keystones of neoplastic progression

  • Pages: 447-478
  • First Published: 06 December 2021
Barrett's esophagus: The pathomorphological and molecular genetic keystones of neoplastic progression

Several important keystone genetic events occur during carcinogenesis in the distal esophagus. These processes should be diagnosed during routine evaluation of patients with Barrett's esophagus to prevent disease progression and malignization. The aforementioned genetic aberrations are detected as early as 2 years before diagnosis of esophageal carcinoma.

RESEARCH ARTICLES

Open Access

Cancer-associated stroma reveals prognostic biomarkers and novel insights into the tumour microenvironment of colorectal cancer and colorectal liver metastases

  • Pages: 492-506
  • First Published: 07 December 2021
Cancer-associated stroma reveals prognostic biomarkers and novel insights into the tumour microenvironment of colorectal cancer and colorectal liver metastases

Cancer-associated stroma (CAS) is emerging as a key determinant of metastasis in colorectal cancer (CRC), however, little is known about CAS in colorectal liver metastases (CRLM). This study used a large cohort of paired primary CRC and CRLM in a case–control design to examine the transcriptome of the CAS. The key finding was that the only significant difference between patients who developed liver metastases versus those that had long-term disease-free survival was found in their CAS transcriptome. These data also identified a number of novel targetable stromal genes and pathways that defined poor prognosis CRC and the CAS of CRLM.

CANCER PREVENTION

RESEARCH ARTICLES

Open Access

Incidence and relative risk of metachronous second primary cancers for 16 cancer sites, Osaka, Japan, 2000–2015: Population-based analysis

  • Pages: 507-519
  • First Published: 29 November 2021
Incidence and relative risk of metachronous second primary cancers for 16 cancer sites, Osaka, Japan, 2000–2015: Population-based analysis

During 2000–2015, 5.8% of cancer survivors in Osaka, Japan, developed metachronous second primary cancers (SPCs) within 10 years of first diagnosis. Cancer survivors were at 1.38 times (male) and 1.44 times (female) higher risks of developing SPCs compared to the general population. Coordinated efforts of survivorship care through risk-based care planning, surveillance, and lifestyle-changing interventions are warranted.

Open Access

A screening assistance system for cervical cytology of squamous cell atypia based on a two-step combined CNN algorithm with label smoothing

  • Pages: 520-529
  • First Published: 28 November 2021
A screening assistance system for cervical cytology of squamous cell atypia based on a two-step combined CNN algorithm with label smoothing

Through two different types of CNNs, we were able to exclusively detect and determine atypical cell clusters with high sensitivity. The deep learning approach was also extremely useful for cervical Pap Smears with diverse images.

Open Access

Defining comprehensive biomarker-related testing and treatment practices for advanced non-small-cell lung cancer: Results of a survey of U.S. oncologists

  • Pages: 530-538
  • First Published: 17 December 2021
Defining comprehensive biomarker-related testing and treatment practices for advanced non-small-cell lung cancer: Results of a survey of U.S. oncologists

U.S. oncologists who typically waited ≥3 weeks for biomarker test results were more likely to defer initiating treatment for patients with advanced non-small-cell lung cancer until results were reviewed. Treatment decision-making based on biomarker test results was associated with practice setting and physician specialization and years of experience. Frequency that oncologist’s concern about delaying treatment is a reason for not testing, by years since oncology training completed.

BIOINFORMATICS

RESEARCH ARTICLES

Open Access

Long noncoding RNAs to predict postoperative recurrence in bladder cancer and to develop a new molecular classification system

  • Pages: 539-552
  • First Published: 24 November 2021

Reliable molecular markers are much needed for early prediction of recurrence in patients with muscle-invasive bladder cancer (MIBC). It's the first time to build an lncRNA signature to improve recurrence prediction and for lncRNA-based molecular classification of MIBC, which can be used to guide clinical treatment and provide precision therapy.