• Issue

    Cancer Medicine: Volume 14, Issue 7

    April 2025

COVER IMAGE

Open Access

Cover Image

  • First Published: 13 May 2025
Cover Image Volume 14 Issue 7, 2025

The cover image is based on the article Detecting PI3K and TP53 Pathway Disruptions in Early-Onset Colorectal Cancer Among Hispanic/Latino Patients by Cecilia Monge et al., https://doi.org/10.1002/cam4.70791.

ISSUE INFORMATION

Open Access

Issue Information

  • First Published: 27 March 2025

REVIEW

Open Access

Bridging Cancer and COVID-19: The Complex Interplay of ACE2 and TMPRSS2

  • First Published: 27 March 2025
Bridging Cancer and COVID-19: The Complex Interplay of ACE2 and TMPRSS2

ACE2 and TMPRSS2 not only mediate SARS-CoV-2 infection may also be involved in cancer progression (such as affecting tumor proliferation, matastasis or immune infiltration), and they can be used as targets to treat cancer patients infected with SARS-CoV-2.

RESEARCH ARTICLE

Open Access

“We Were Still Left in the Back Field, Not Knowing”: Pediatric Cancer Patients and Parents Describe Obstacles to Prognostic Communication

  • First Published: 08 April 2025
“We Were Still Left in the Back Field, Not Knowing”: Pediatric Cancer Patients and Parents Describe Obstacles to Prognostic Communication

Patients with cancer and their families have important lessons to teach oncology clinicians about how to improve care. In this study, we asked pediatric patients and parents to reflect on how their doctors talked about prognosis to help us identify ways to improve this process. We learned that when patients and parents feel that the doctor did not discuss prognosis in a good way, it was usually due to (1) insufficient information, (2) overwhelming or contradictory information, and (3) absence of person-centered connection. These findings will help guide communication training and future research to improve communication.

REVIEW

Open Access

Characterization of the Pancreatic Neuroendocrine Neoplasm Immune Microenvironment

  • First Published: 27 March 2025
Characterization of the Pancreatic Neuroendocrine Neoplasm Immune Microenvironment

Enhancements in the creation of animal models that most accurately represent the aggressive types of pancreatic neuroendocrine neoplasms are necessary to create therapeutic protocols that combine immunotherapies with other medication classes to help patients with metastatic disease recover or respond to treatment more durably. Tumor microenvironment is thought to be essential to immunotherapy's effectiveness; nonetheless, assessing the immune microenvironment and its clinical ramifications remains difficult, particularly in neuroendocrine neoplasms.

RESEARCH ARTICLE

Open Access

Overall Survival With Palbociclib and Aromatase Inhibitor Versus Aromatase Inhibitor Alone in Older Patients With HR+/HER2− Metastatic Breast Cancer

  • First Published: 27 March 2025
Overall Survival With Palbociclib and Aromatase Inhibitor Versus Aromatase Inhibitor Alone in Older Patients With HR+/HER2− Metastatic Breast Cancer

This real-world study conducted with SEER-Medicare data of patients aged 65 years or older with de novo HR+/HER2– metastatic breast cancer found that treatment with palbociclib in combination with an aromatase inhibitor (AI) was associated with significantly prolonged overall survival compared with AI alone.

Open Access

Patterns of Clinical Trial Enrollment for Pediatric Patients With Hepatoblastoma and Wilms Tumor: A Report From the Children's Oncology Group

  • First Published: 27 March 2025
Patterns of Clinical Trial Enrollment for Pediatric Patients With Hepatoblastoma and Wilms Tumor: A Report From the Children's Oncology Group

Our study examines disparities in enrollment for pediatric oncology clinical trials, focusing on pediatric patients with hepatoblastoma and Wilms tumor. We found few disparities in trial enrollment, though young age at diagnosis was a statistically significant predictor for Wilms tumor cases.

Open Access

NEPA (Netupitant/Palonosetron) for the Prevention of Chemotherapy-Induced Nausea and Vomiting (CINV) in Patients Receiving Highly or Moderately Emetogenic Chemotherapy Who Experienced Breakthrough CINV in Cycle 1 of Chemotherapy: A Phase II Clinical Trial

  • First Published: 27 March 2025
NEPA (Netupitant/Palonosetron) for the Prevention of Chemotherapy-Induced Nausea and Vomiting (CINV) in Patients Receiving Highly or Moderately Emetogenic Chemotherapy Who Experienced Breakthrough CINV in Cycle 1 of Chemotherapy: A Phase II Clinical Trial

This study was designed to evaluate the use of NEPA (netupitant/palonosetron) plus dexamethasone with or without olanzapine for the prevention of CINV in the second cycle of chemotherapy for patients receiving highly (HEC) or moderately emetogenic chemotherapy (MEC) who developed breakthrough CINV in their first cycle despite guideline-directed prophylactic antiemetics. Of the 227 patients enrolled in Cycle 1, 100 patients (n = 37 HEC, 63 MEC) experienced breakthrough CINV and received the NEPA-based treatments in Cycle 2. The complete response (no emesis/no rescue use) rates during the overall (0–120 h) phase were 76% and 79% in the HEC and MEC groups, respectively, suggesting that NEPA with or without olanzapine is an effective approach for CINV prevention for patients receiving HEC or MEC who develop breakthrough CINV after their first course of chemotherapy.

RESEARCH ARTICLE

Open Access

The Impact of Carboplatin Dosing Design Using Adjusted Serum Creatinine on Carboplatin Plus Paclitaxel Therapy for Ovarian Cancer

  • First Published: 27 March 2025
The Impact of Carboplatin Dosing Design Using Adjusted Serum Creatinine on Carboplatin Plus Paclitaxel Therapy for Ovarian Cancer

This retrospective study aimed to assess the impact of adjusting serum creatinine (SCr) values when determining carboplatin (CBDCA) doses in ovarian cancer chemotherapy. Patients treated with CBDCA + paclitaxel (TC) were categorized based on the regimen they received (dose-dense TC or tri-weekly TC) and whether or not their SCr levels were adjusted. Our findings suggest that in patients receiving dose-dense TC, but not in those receiving tri-weekly TC, adjusting SCr did not compromise the dose intensity of total CBDCA and may contribute to maintaining dose intensity, highlighting potential benefits in reducing treatment modification and adverse events.

REVIEW

Open Access

Culture Is Key: Engaging Culturally and Linguistically Diverse Populations in Breast Cancer Screening in High Income Contexts: A Scoping Review

  • First Published: 28 March 2025
Culture Is Key: Engaging Culturally and Linguistically Diverse Populations in Breast Cancer Screening in High Income Contexts: A Scoping Review

Culturally and linguistically diverse populations have lower engagement and experience multiple challenges accessing breast screening services. Specific culturally appropriate, tailored, multi-component strategies are necessary to improve engagement in breast screening services for these populations.

RESEARCH ARTICLE

Open Access

Detecting PI3K and TP53 Pathway Disruptions in Early-Onset Colorectal Cancer Among Hispanic/Latino Patients

  • First Published: 01 April 2025
Detecting PI3K and TP53 Pathway Disruptions in Early-Onset Colorectal Cancer Among Hispanic/Latino Patients

This study identifies distinct PI3K and TP53 pathway disruptions in early-onset colorectal cancer among Hispanic/Latino patients, with findings suggesting a higher prevalence of PI3K alterations and potential differences in outcomes associated with TP53 disruptions compared to non-Hispanic Whites. While these results provide valuable insights into potential molecular drivers of disparities, further research is needed to fully understand their clinical implications. These findings may suggest new directions for precision medicine approaches aimed at addressing cancer health disparities and improving equity in colorectal cancer care.

Open Access

Optimizing the Follow-Up Interval After Successful Cold Knife Conization of CIN3: A 10-Year Retrospective Cohort Study

  • First Published: 29 March 2025
Optimizing the Follow-Up Interval After Successful Cold Knife Conization of CIN3: A 10-Year Retrospective Cohort Study

This retrospective cohort study followed up women who underwent CKC and had negative margins on conization for up to 10 years. The risk of residual or recurrent HSIL+ was higher in patients with HPV persistence for 12 months compared with HPV positive at 6 months after CKC. In patients with negative margins, extending the follow-up interval to 12 months may reduce the number of HPV tests and colposcopy referral rates while maintaining HSIL+ detection.

RESEARCH ARTICLE

Open Access

Phase II Study of Nivolumab and Ipilimumab for Treatment of Metastatic/Recurrent Adenoid Cystic Carcinoma (ACC) of all Anatomic Sites of Origin and Other Malignant Salivary Gland Tumors

  • First Published: 01 April 2025
Phase II Study of Nivolumab and Ipilimumab for Treatment of Metastatic/Recurrent Adenoid Cystic Carcinoma (ACC) of all Anatomic Sites of Origin and Other Malignant Salivary Gland Tumors

In patients with recurrent or metastatic adenoid cystic carcinoma (ACC) combination nivolumab with ipilimumab resulted in moderate disease control. Patients with non-ACC salivary gland carcinomas did not see responses to treatment.

Open Access

A Population-Based Study of Infectious Diseases Mortality Risk in Patients With Hematologic Malignancies 2000–2020

  • First Published: 01 April 2025
A Population-Based Study of Infectious Diseases Mortality Risk in Patients With Hematologic Malignancies 2000–2020

For hematologic malignancies, the infectious diseases mortality (IDM) rates were highest in the first 2 months after diagnosis and gradually declined thereafter. It is extremely important to identify patients at high risk of IDM and provide timely intervention to prevent early death from infections and improve prognosis.

RESEARCH ARTICLE

Open Access

Cancer Accumulation and Anticancer Activity of “CROX (Cluster Regulation of RUNX)” PIP in HER2-Positive Gastric Cancer Evaluated by Chicken Egg Cancer Model

  • First Published: 02 April 2025
Cancer Accumulation and Anticancer Activity of “CROX (Cluster Regulation of RUNX)” PIP in HER2-Positive Gastric Cancer Evaluated by Chicken Egg Cancer Model

Cancer accumulation and anticancer activity of “CROX (cluster regulation of RUNX)” PIP in HER2-positive gastric cancer evaluated by chicken egg cancer model.

RESEARCH ARTICLE

Open Access

Navigating Life With High-Grade Glioma: Experiences and Needs of Adolescents and Young Adults

  • First Published: 08 April 2025

Adolescents and young adults (AYAs) with high-grade glioma (HGG) face unique challenges at critical life stages, including disruptions to education, careers, relationships, and independence due to cognitive and physical impairments. This mixed-methods study, combining surveys and interviews, identified three key themes: managing the impact of symptoms on life goals, addressing social and relational challenges, and coping with identity loss and dependency. Findings highlight the need for tailored interventions and support programs to address the specific needs of AYAs with HGG.