Hormone therapy, which is prescribed to women for relief of menopausal symptoms such hot flashes, night sweats and vaginal dryness, has recently seen a decline in popularity (and use) due to its link to an increased risk of breast and endometrial cancer. But City of Hope researchers have found that menopausal hormone therapy may actually lower the risk of B-cell non-Hodgkin lymphoma.
Sophia Wang, Ph.D., associate professor at City of Hope’s Division of Cancer Etiology and first author of this study, will present the findings at the American Association for Cancer Research (AACR) annual meeting on Monday, April 7.
“The connection between lymphomas and menopausal hormone therapy use hinges on understanding the disease’s biology and the window of susceptibility,” Wang said. “Hormone therapy is of interest because the loss of estrogen coupled with aging in women result in decreased immune function, which can elevate risk of non-Hodgkin lymphoma.”
For this study, Wang and her colleagues examined data from the Los Angeles Cancer Surveillance Program, comparing 685 postmenopausal women diagnosed with B-cell non-Hodgkin lymphoma to 685 postmenopausal women who did not have the disease and assessing their use of menopausal hormone therapy (either estrogen alone or estrogen with progestin, in either pill, patch, topical cream or injected forms). » Continue Reading
Myeloproliferative neoplasms can’t be narrowed down to a single cancer, but they can be described by a defining characteristic: too many blood cells. The diseases bring with them a host of frustrating, potentially life-altering symptoms, and management of the diseases and their symptoms is crucial.
An upcoming City of Hope event – offered by a group founded by, and for, cancer patients – could help. But first, more about myeloproliferative neoplasms, or MPNs.
The diseases, which include polycythemia vera, essential thrombocythemia and myelofibrosis, begin in the bone marrow and lead to an unhealthy abundance of white cells, red cells, platelets or even a combination of cell types. » Continue Reading
More than 18,000 researchers, clinicians, advocates and other professionals will convene at the 105th American Association for Cancer Research (AACR) annual meeting taking place in San Diego from April 5 to 9. With more than 6,000 findings being presented over this five-day period, the amount of information can seem overwhelming.
But all those posters, presentations and seminars serve a purpose, which is best summed up by the theme of this year’s meeting: “Harnessing Breakthroughs –Targeting Cures.”
“We are in the generation of personalized, precision medicine where we can learn a great deal about cancers,” said Steven T. Rosen, M.D., City of Hope’s Irell & Manella Cancer Center Director’s Distinguished Chair. “Conferences such as AACR’s annual meeting lead to true dialogue, exchange of information and collaboration. This not only benefits the scientists’ own research projects, but also leads to meaningful advances for treating, detecting and preventing cancers.”
Added Rosen, who is also City of Hope’s provost and chief scientific officer: “City of Hope investigators are well-represented at this year’s annual meeting. They have made significant contributions to our understanding of cancers. This includes furthering our knowledge of individual cancers’ epidemiology and etiology, developing novel therapies and enhancing survivorship.”
The findings and knowledge that City of Hope researchers are sharing at this year’s conference include: » Continue Reading
Cancer of the prostate is the No. 2 cancer killer of men, behind lung cancer, accounting for more than 29,000 deaths annually in this country. But because prostate cancer advances slowly, good prostate health and early detection can make all the difference.
Many prostate cancer tumors don’t require immediate treatment because they’re small, confined and slow-growing. For patients with these type of tumors, so-called “watchful waiting,” increasingly known as “active surveillance” may be the best course of action. In “active surveillance,” physicians closely monitor patients so they can identify early signs of disease progression and treat the cancer before it spreads outside the prostate.
Here, Philip G. Pearson, M.D., and David W. Rhodes, M.D., of City of Hope | Pasadena, provide simple strategies that can help men better understand this important gland. They also explain why active surveillance is becoming a more common prostate cancer management option. » Continue Reading
Despite advances made in detecting and treating nonsmall cell lung cancer, its prognosis remains grim. Even patients whose cancers are caught at their earliest stage have only a 50 percent chance of five-year survival. This poor prognosis is due in part to the cancer’s ability to resist treatment, rendering the chemotherapy ineffective.
However, a group of City of Hope researchers have identified and synthesized a novel compound — called COH-SR4 — that is effective against drug-resistant lung cancer. If its safety and efficacy pan out in future studies, COH-SR4 could play a vital role in treating lung cancers that no longer respond to first-line chemotherapy.
As the founder of the nonprofit hpvandme.ORG, Pamela Tom is committed to increasing awareness about the dangers of infection with the human papillomavirus (HPV). Here, as a guest blogger on Breakthoughs, she shares her experience with HPV – and also her interview with City of Hope’s Ellie Maghami, M.D., chief of head and neck surgery.
By Pamela Tom
It’s been nearly a year since actor Michael Douglas announced that he believed that his oral cancer was HPV-related. Headlines fade, but the epidemic continues to grow.
Did you know that the HPV head and neck cancers in the U.S. will surpass the number of cervical cancer cases by 2020? That’s what the American Society of Clinical Oncologists predicted in its 2011 study, yet the public is largely unaware of this growing epidemic.
You might think that’s unfortunate but that it’s unlikely that HPV oropharyngeal cancer would affect you or someone you know. Think again.
A growing number of middle-aged, nonsmoking men (as well as women) are being diagnosed with HPV cancer of the mouth, tonsils or throat. I know because they write to me at hpvandme.org, a nonprofit organization that’s building awareness about HPV infection and HPV throat cancer. I also know because my husband was one of them.
A year and a half ago, my husband, Jeff, said he was having difficulty swallowing and it felt like there was a lump in his throat. When our family doctor had no answers after three visits, I insisted that Jeff go to a head and neck specialist who immediately spotted a large tumor at the base of his tongue – a place that’s undetectable by an ordinary oral examination. » Continue Reading
Men with prostate cancer face tough choices: when, or even if, to treat their cancer; what procedure to use; and how to balance their chosen treatment with their quality of life. Now, a new multicenter clinical trial seeks to offer men another option – one that physicians hope will treat prostate cancers with fewer side effects.
As part of that trial, City of Hope has become the first center in the nation to perform a new procedure using a focused beam of ultrasound energy to “ablate” the prostate cancer. Traditional treatment approaches, such as surgery and radiation, are potentially very effective in treating prostate cancer – but some men are left facing incontinence or impotence. (Men with very slow-growing cancers may choose a “watch and wait” approach, monitoring the cancer and determining appropriate interventions if they become necessary.) » Continue Reading
People with what’s known as ALK-positive lung cancer usually develop resistance to crizotinib, the primary drug used to treat their disease. The drug’s limitations are all the more significant because its approval in 2011 was considered a crucial advance against this type of nonsmall cell lung cancer.
“This makes new therapies for ALK-positive lung cancer essential to improving and prolonging life for these patients,” said Karen L. Reckamp, M.D. , M.S., co-director of City of Hope’s Lung Cancer and Thoracic Oncology Program., in an interview with MedPage Today.
Those new therapies are on the way. A new study suggests that one drug in particular shows promise in the fight against this type of cancer. The study, published online this week in the New England Journal of Medicine(NEJM), included 122 patients with nonsmall cell lung cancer linked to a genetic mutation in the ALK gene. Of those, 83 had relapsed on crizotinib (Xalkori).
In the NEJM study, the new drug ceritinib was found effective among 56 percent of patients who had relapsed on crizotinib. It was found effective among 62 percent of those who hadn’t taken crizotinib. » Continue Reading
John Rossi has been studying HIV — and how to help patients beat it — almost as long as scientists have known about the virus. His expertise is globally recognized, and it recently helped net him a five-year, $3.3 million grant from the National Institutes of Health (NIH).
The grant extends the NIH’s funding of Rossi’s work to more than two decades; it will support his efforts to develop a practical way to deliver a gene therapy to HIV patients.
The gene therapy uses a form of RNA, a close genetic cousin to DNA, to stop the virus from hijacking and destroying the immune system’s infection-fighting T cells. In fact, Rossi, who holds the Lidow Family Research Chair and is chair of the Department of Molecular and Cellular Biology, and his City of Hope colleagues have already conducted the only clinical trial to test this therapeutic RNA in patients.
Up until now, this treatment approach, called RNAi-based therapy, has only been available to HIV-positive patients with lymphoma who were undergoing stem cell transplantation. The transplant regimen is a necessary part of the process.
“For the vast majority of HIV patients to benefit from RNAi-based therapies, we need to find another way to deliver it to them that doesn’t require transplantation,” Rossi said. » Continue Reading