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OHSU Cancer Institute researchers find many stomach cancer patients are not gertting best therapy
May 30, 2008New data shows majority of patients with stomach cancer are not benefiting from a major study showing chemotherapy and radiation prolong life after surgery
PORTLAND, Ore. - New findings from Oregon Health & Science University Cancer Institute show significant numbers of patients nationwide who are not getting the recommended therapy after surgery to remove stomach cancer.
"We were surprised to learn that there are still many patients who are not receiving the gold standard of chemotherapy and radiation after surgery - despite compelling clinical data available since 2001. However, it is encouraging to see there has been a significant increase in the use of chemo-radiotherapy since it became the standard of care," said Kristian Enestvedt, M.D., principal investigator, Department of Surgery, OHSU School of Medicine, OHSU Cancer Institute.
One million people die of stomach cancer worldwide each year.
This study by Enestvedt and his colleagues will be presented Sunday, June 1, at 8 a.m. during the annual American Association of Clinical Oncology conference in Chicago.
In 2001 a seminal study showed that using chemotherapy and radiation, also called chemo radiotherapy, after gastric cancer surgery increased survival. Other studies have also recommended that at least 15 lymph nodes should be removed with gastric resection surgery. But little data has existed until now about whether this recommended practice was being followed.
For this study, 313 patient cases were gleaned from a state-wide cancer registry. The chemo/radiation therapy was used only 14.2 percent of the time before 2001 versus, and 33.3 percent after that date.
"That still leaves almost 67 percent of cases left in which patients did not get the appropriate - and potentially life-extending - therapy. We found that there was a five-month survival advantage for patients who received chemo radiotherapy," Enestvedt said.
Also, researchers found that only 35 percent of patients had at least 15 nodes removed to check for cancer. The number of lymph nodes removed, however, did not affect survival.
"What patients should know is that they should routinely ask their physicians if their treatment plan includes the latest clinical trial data that pertains to their particular situation," said Charles Thomas, M.D., co-author, chairman and professor of radiation medicine, OHSU School of Medicine, OHSU Cancer Institute member.
Oregon Health & Science University
One million people die of stomach cancer worldwide each year.
This study by Enestvedt and his colleagues will be presented Sunday, June 1, at 8 a.m. during the annual American Association of Clinical Oncology conference in Chicago.
In 2001 a seminal study showed that using chemotherapy and radiation, also called chemo radiotherapy, after gastric cancer surgery increased survival. Other studies have also recommended that at least 15 lymph nodes should be removed with gastric resection surgery. But little data has existed until now about whether this recommended practice was being followed.
For this study, 313 patient cases were gleaned from a state-wide cancer registry. The chemo/radiation therapy was used only 14.2 percent of the time before 2001 versus, and 33.3 percent after that date.
"That still leaves almost 67 percent of cases left in which patients did not get the appropriate - and potentially life-extending - therapy. We found that there was a five-month survival advantage for patients who received chemo radiotherapy," Enestvedt said.
Also, researchers found that only 35 percent of patients had at least 15 nodes removed to check for cancer. The number of lymph nodes removed, however, did not affect survival.
"What patients should know is that they should routinely ask their physicians if their treatment plan includes the latest clinical trial data that pertains to their particular situation," said Charles Thomas, M.D., co-author, chairman and professor of radiation medicine, OHSU School of Medicine, OHSU Cancer Institute member.
Oregon Health & Science University
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100 Q&A About Gastric Cancer (100 Questions & Answers about . . .) (100 Questions and Answers) by Manish A. Shah (Author) About 21,700 Americans are diagnosed with stomach cancer each year and it occurs most often in people in their 60s and 70s. Whether you're a newly diagnosed patient with gastric cancer or a friend or relative of someone with cancer, this book offers help. This book is an invaluable resource for anyone coping with the physical and emotional turmoil of this disease. The author Dr. Shah is from Memorial Sloan-Kettering Cancer Center, one of the few National Cancer Institute-designated cancer centers with a specific program in treating cancers of the upper gastrointestinal tract and has made many of the major advances in the treatment of these diseases. |
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Cure Gastric (Stomach) Cancer Long Sleeve T-shirt Large White by Shop Zeus |
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Stomach Cancer Unit 7 Drain (Primary Contributor) | |
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Classic Cancer Films DVD: 1940s - 1960s Lung, Stomach, & Skin Cancer And Tumors Awareness & Prevention Films Cancer awareness did not begin until the mid-20th century. This is a special compilation of cancer-related films from the 1940s, 50s & 60s. Skin cancer, stomach cancer, lung cancer and more is covered. This DVD has 6 great films and over 110 minutes of rare video about the history of cancer. Table Of Contents: (1) At the End of the Rainbow (1946) - This is a film about ultra-violet light and its health benefits. However, the footage is startling because it shows lots of people (and a baby!) being exposed, sans protection, to the harmful lights being touted as life savers. This exposure has been shown to give skin cancer since the making of this film - 24 minutes (2) Cancer (1940s) - This early cancer information film talks about many of the warning signs and treatment options for cancer.... |
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Stomach Cancer Awareness Ribbon Mouse Pad by MyHeritageWear.com The Stomach Cancer Ribbon proudly displayed on a mouse pad. There is no better way to achieve awareness for the meaning of the Stomach Cancer Ribbon than to display it on your mouse pad for everyone to see. The mouse pad measures at 9.25 x 7.75, it is machine washable, and the colors will not fade or run. Start gaining awareness today by presenting your Stomach Cancer Ribbon mouse pad at work or at home. It is certain to keep your mouse rolling in style all while gaining support and awareness! |
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