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No More Biopsies – MRI Recommended for Prostate Cancer Screening

No More Biopsies - MRI Recommended for Prostate Cancer Screening
No More Biopsies – MRI Recommended for Prostate Cancer Screening

The collaborative efforts of a multi-institutional study published by JAMA Oncology is changing prostate cancer treatment protocols. Potential prostate cancer patients may no longer need to line up for biopsies. Instead, MRI-based prediction models are offering a new risk assessment option.

Bye-Bye Biopsy
In the study, researchers from the National Cancer Institute, University of Chicago, and University of Alabama at Birmingham found evidence that the inclusion of an MRI for prostate cancer patients can be used as a biomarker to decrease unnecessary biopsies. It was also determined that the MRIs helped maintain a high rate of diagnoses for clinically significant prostate cancers.

Hello MRI
Based on the data collected, the research points to MRI-based models as further offering the benefit of lower false-positive rates than the baseline model. This means 18% fewer men would be subject to unnecessary biopsies subsequent to false-positive diagnosis.

Next Destination: Improved Cancer Treatment
Co-Author of the study, UAB Department of Urology Assistant Professor and UAB Comprehensive Cancer Center Associate Scientist Soroush Rais-Bahrami, M.D., points to the data’s far-reaching implications. The imaging biomarker is expected to optimize patient selection, as well as allow for the more accurate determination of risk factors and stratification.

What’s more, it will provide physicians with the opportunity to potentially reduce prostate cancer morbidity by enabling a more timely and accurate diagnosis, and thus a faster, more individualized treatment response for prostate cancer treatment patients.

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Cancer Research, Cancer Treatment, News

Prostate Screening Using PSA Tests Appears to Miss Many Aggressive Cancers

Prostate Screening Using PSA Tests Appears to Miss Many Aggressive Cancers
Prostate Screening Using PSA Tests Appears to Miss Many Aggressive Cancers

The healthcare community has long promoted early detection as one of the keys to successful cancer treatment. In the UK, where prostate cancer is the second most common cause of cancer death in men, experts are referring to the corresponding PSA test as a “blunt tool” that has no life-saving benefit.

The Merits and Drawbacks of PSA Testing

A PSA test measures a specific protein in the blood that increases when cancer cells are present. Any man over the age of 50 in the UK can currently request a PSA test from his general practitioner.

In response to a debate about whether or not the country’s National Health Service should institute a national prostate cancer screening program, Cancer Research UK funded a study to evaluate the effectiveness of PSA testing. Subjects included 400,000 men between the ages of 50 and 69.

Results showed that death rates among men in the group were identical, regardless of whether or not they received a PSA test. The screening failed to detect several cases of aggressive prostate cancer while causing unnecessary stress by flagging benign tumors.

Should Men Undergo Prostate Cancer Screening?

Dr. Emma Turner, a member of the research team, stated the need for more accurate testing that would facilitate early prostate cancer treatment. In the meantime, Heather Blake of Prostate Cancer UK suggests that men over 50 discuss the pros and cons with their GP before opting for a PSA test.

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Alternative Cancer Treatment, Cancer Research, Immunotherapy for Cancer, News, Uncategorized

New Swedish Study Shows Selenium-containing Enzyme May Combat Cancer

New Swedish Study Shows Selenium-containing Enzyme May Combat Cancer
New Swedish Study Shows Selenium-containing Enzyme May Combat Cancer

One of the challenges of cancer treatment research is distinguishing between effects on healthy cells and tumor cells. Scientists in Sweden have been focusing on inhibiting a chemical that is beneficial to human health but also promotes the growth of cancer.

The Connection Between Selenium Intake and Cancer

Selenium is a chemical element with a Recommended Dietary Allowance determined by the Food and Drug Administration. An enzyme known as TrxR1 contains selenium, which supports cell growth and protects them from oxidative stress. Raised levels of TrxR1 are also associated with occurrences of cancer, although the causes are not yet understood.

While TrxR1 inhibitors are available, a research team at Karolinska Institutet in Sweden analyzed nearly 400,000 molecules looking for new and more specific versions. Their search turned up three molecules, which the scientists used to treat more than 60 types of cancer cells under laboratory conditions.

Treating Cancer While Sparing Healthy Cells

Healthy cells proved to be far less vulnerable to the TrxR1 inhibitors. Team leader Professor Elias Arner explained that the difference may be caused by cancer cells having a greater vulnerability to oxidative stress than normal cells.

Cisplatin, melfalan and some of the other cancer drugs currently in use contain TrxR1 inhibitors, although not the ones that were the focus of this study. It’s unclear whether the TrxR1 inhibition factor plays a role in the effectiveness of the drugs, but researchers will continue investigating these new molecules as cancer treatments.

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Alternative Cancer Treatment, Cancer Research, Cancer Treatment, Immunotherapy, Immunotherapy for Cancer, Uncategorized

Immunotherapy is Changing Cancer Treatment Again in Exciting New Ways

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Immunotherapy is Changing Cancer Treatment Again in Exciting New Ways
Immunotherapy is Changing Cancer Treatment Again in Exciting New Ways

If you think you’ve been hearing the term “immunotherapy” a lot lately, it’s not your imagination. Scientists consider this growing form of cancer treatment to be a game-changer on a par with the polio vaccine and organ transplants.

Researchers Commit to Immunotherapy

The University of Pittsburgh Medical Center, one of the top-rated health enterprises in the U.S., recently demonstrated their major commitment to immunotherapy research. Earlier this year, they announced plans for a $200 million Immune and Transplant Therapy facility to open in 2020.

UPMC’s newest center will focus on researching treatments to disrupt cancer growth as well as reduce the need for immune-suppressing drugs with transplant patients. Dr. Robert Ferris, director of UPMC’s Hillman Cancer Center, referred to the facility as “swinging for the fences.”

How Immunotherapy Works

Immunotherapy cancer treatments fall into one of two categories:

– Checkpoint modulator drugs trigger the body’s own immune cells to attack and destroy cancer cells.

– Cell therapies, such as the recently approved CAR-T therapy, involve harvesting a patient’s T-cells and programming them to fight cancer cells, at which point they are reinfused back into the patient’s system.

Dr. Sandip Patel of the University of California San Diego called immunotherapy a “paradigm shift” in cancer treatment. According to Patel, when immunotherapy is effective, it can lead to a patient’s cancer going into remission for years.

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Cancer Research, News, Uncategorized

Common Acid Reflux Drug May Increase Stomach Cancer Risks

Common Acid Reflux Drug Make Increase Stomach Cancer Risks
Common Acid Reflux Drug Make Increase Stomach Cancer Risks

Acid reflux is a relatively common condition that affects a number of people worldwide. Evidence from recent studies suggests that one of the more widely-used acid reflux treatments may increase the risk of stomach cancer.

H. Pylori and Stomach Cancer

Around the globe, stomach cancer is the fifth most common cancer causing the third highest number of cancer-related deaths. H. pylori, a bacterium found in two-thirds of the world’s population, is a major cause of ulcers and a significant risk for stomach cancer.

A 2016 review revealed an association between long-term use of proton pump inhibitors (PPI), a frequently prescribed treatment for acid reflux, and increased risk of cancer. Scientists remained uncertain because the review failed to distinguish between H. pylori and H. pylori-negative participants.

Can Acid Reflux Treatment Increase Stomach Cancer Risk?

In 2017, researchers at the University of Hong Kong set out to find some clarity on the issue. The team separated the study group into PPI users and those using another acid reflux drug known as H2 blockers.

Nearly 64,000 participants began with a seven-day course of triple therapy, which involves use of a PPI with two antibiotics to eradicate H. pylori. Results showed that, even in the absence of H. pylori, PPI usage more than doubled risk of stomach cancer while usage of H2 blockers demonstrated no increased risk.

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Breast Cancer, Cancer Research, News, Uncategorized

MSK1 Protein Research May Answer Why Some Breast Cancer Stays Dormant

MSK1 Protein Research May Answer Why Some Breast Cancer Stays Dormant
MSK1 Protein Research May Answer Why Some Breast Cancer Stays Dormant

Scientists have long been puzzled by the process of metastasis in breast cancer and what causes the cells to lie dormant. A recent study revealed valuable information that can pay off with more effective breast cancer treatment.

Understanding Latency in Breast Cancer Metastases

Researchers at the Institute for Research in Biomedicine (IRB) in Barcelona set out to study estrogen-positive (ER+) breast tumors that feature long periods of asymptomatic latency. This type accounts for 80 percent of breast cancer cases.

The Barcelona team identified a protein kinase called MSK1 as the primary regulator of dormant metastases. After examining clinical samples from patients, the researchers determined that ER+ breast cancer tumors that don’t express MSK1 tend to suffer earlier relapse, while those that do express MSK1 experience later metastases.

Breakthrough in Breast Cancer Treatment

Head researcher Roger Gormis explained that little was previously known about why breast cancer metastasis time varies from one patient to another. Study results also showed that suppressing MSK1 causes faster-growing cancer cells that have a greater chance of metastasizing.

Benefits of the study are two-fold:

– Doctors may be better able to identify patients who are more likely to relapse and adjust treatment protocol.

– Scientists may be able to develop a treatment that mimics the role of MSK1, thereby keeping metastasis dormant for as long as possible.

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