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Journal of the National Cancer Institute


Antiretroviral therapy may prevent excess risk of some cancers in people with HIV

A study analyzed data from over 7,300 people infected with HIV and found that HAART treatment can lower the risk of Kaposi sarcoma and non-Hodgkin lymphoma. However, no significant reduction in risk was observed for other types of cancer. Smoking is a major risk factor for lung cancer among people with HIV.

SourceJournal of the National Cancer Institute·JournalJNCI Journal of the National Cancer Institute·DateMar 15, 2005

Other highlights in the March 16 JNCI

A new study found that racial and ethnic differences in breast cancer rates can be largely explained by the distribution of risk factors, except in African American women. Among those diagnosed with breast cancer, African American women are more likely to have advanced-stage disease, larger tumors, and estrogen receptor-negative disease.

SourceJournal of the National Cancer Institute·JournalJNCI Journal of the National Cancer Institute·DateMar 15, 2005

Risk of cardiac death after radiotherapy for breast cancer has declined, study finds

A study found that women with left-sided breast cancer had a higher risk of death from ischemic heart disease after radiation therapy, but this increased risk declined over time. Advances in radiation techniques have reduced the dose to the heart, resulting in lower mortality rates among women diagnosed with right-sided breast cancer.

SourceJournal of the National Cancer Institute·JournalJNCI Journal of the National Cancer Institute·DateMar 15, 2005

Study examines effect of managed care on quality of care for cancer patients

A study published in the Journal of the National Cancer Institute found that increases in managed care market share were not associated with improved quality of care for cancer patients, except for a specific blood test. The authors conclude that expansion of managed care may not improve quality of care for all patients.

SourceJournal of the National Cancer Institute·JournalJNCI Journal of the National Cancer Institute·DateFeb 15, 2005

Neoadjuvant and adjuvant systemic therapy for breast cancer give equivalent survival, study finds

A meta-analysis of nine randomized trials found no significant difference in death rates or disease progression between neoadjuvant and adjuvant systemic therapy. However, neoadjuvant therapy was associated with a higher risk of loco-regional disease recurrence when radiation therapy was used without surgery.

SourceJournal of the National Cancer Institute·JournalJNCI Journal of the National Cancer Institute·DateFeb 1, 2005

Other highlights in the February 2 JNCI

A recent study found that only 37% of patients with colorectal cancer received adequate lymph node evaluation, highlighting the need for improved surgical care and pathologic assessment. Additionally, research on non-Hodgkin lymphoma and obesity suggests no association between body mass index and overall risk of either disease.

SourceJournal of the National Cancer Institute·JournalJNCI Journal of the National Cancer Institute·DateFeb 1, 2005

Other highlights in the January 19 JNCI

A new study found that adding more types to the current HPV DNA test would detect relatively few additional cases of cervical cancer but lead to thousands of unnecessary exams for women without cancer. Meanwhile, esophageal adenocarcinoma has increased by sixfold over the last 25 years, with no clear explanation for the rise.

SourceJournal of the National Cancer Institute·JournalJNCI Journal of the National Cancer Institute·DateJan 18, 2005

Adding radiation therapy to chemotherapy improves survival in patients with high-risk breast cancer

The addition of locoregional radiation therapy significantly improved breast cancer survival and reduced mortality in high-risk patients. A 20-year follow-up study found that the regimen resulted in a 32% reduction in breast cancer mortality and a 27% reduction in overall mortality compared to chemotherapy alone.

SourceJournal of the National Cancer Institute·JournalJNCI Journal of the National Cancer Institute·DateJan 18, 2005

Study examines relationship of vitamin A pathway to breast tumor progression

Researchers found that reduced CRBP-I function compromises RAR activity, leading to loss of cell differentiation and tumor progression. The study suggests that somatic CRBP-I loss may contribute to breast cancer development and highlights the need for further research into vitamin A's role in cancer prevention.

SourceJournal of the National Cancer Institute·JournalJNCI Journal of the National Cancer Institute·DateJan 4, 2005

Researchers call for studies on role of BRCA1 mutations in chemotherapy response

BRCA1 mutations are found in only 5% of breast and ovarian cancers, but loss-of-function mutations can significantly increase cancer risk. Researchers review preclinical and clinical evidence to determine if BRCA1 function can predict chemotherapy response, highlighting the need for prospective studies.

SourceJournal of the National Cancer Institute·JournalJNCI Journal of the National Cancer Institute·DateNov 16, 2004

Other highlights in the November 17 JNCI

A new study suggests that increased selenium levels in the blood are associated with a lower risk of developing colorectal adenoma recurrence. The research pooled data from three randomized trials and found that participants in the highest quartile for blood selenium levels had a 34% decreased risk of developing a new adenoma.

SourceJournal of the National Cancer Institute·JournalJNCI Journal of the National Cancer Institute·DateNov 16, 2004

Other highlights in the October 20 JNCI

A new study found that high birth weight is associated with an increased risk of childhood acute lymphoblastic leukemia (ALL) but not acute myeloid leukemia (AML). Researchers used data from health registers in four Nordic countries to conduct a case-control study involving over 2,000 children with ALL or AML and their siblings. They a...

SourceJournal of the National Cancer Institute·JournalJNCI Journal of the National Cancer Institute·DateOct 19, 2004

Study examines reasons for late-stage breast cancers

A study found that late-stage breast cancer cases were often associated with an absence of screening, followed by absence of detection or a potential breakdown in follow-up care. Women from lower socioeconomic backgrounds and those without a family history of breast cancer were more likely to be in the absence-of-screening group.

SourceJournal of the National Cancer Institute·JournalJNCI Journal of the National Cancer Institute·DateOct 19, 2004

Chemotherapy, but not tamoxifen, associated with stroke risk after breast cancer treatment

A study found that chemotherapy, but not tamoxifen, is linked to an increased risk of stroke in breast cancer patients. Women who had not completed menopause and those with a history of hypertension or diabetes were more likely to experience a stroke. The researchers conclude that women can use tamoxifen without concern for stroke risk.

SourceJournal of the National Cancer Institute·JournalJNCI Journal of the National Cancer Institute·DateOct 19, 2004

Arylamine exposure related to bladder cancer risk

A case-control study of 300 bladder cancer patients and 300 control subjects found higher levels of arylamine-hemoglobin adducts in cancer patients than in control subjects. The findings suggest exposure to arylamines is a causal factor for most cases of bladder cancer in humans, with potential non-smoking-related sources identified.

SourceJournal of the National Cancer Institute·JournalJNCI Journal of the National Cancer Institute·DateOct 5, 2004

Study looks at quality of life five years after prostate cancer diagnosis

A new study found that prostate cancer treatment can significantly impact men's quality of life, with both radical prostatectomy and radiotherapy causing declines in sexual function, urinary incontinence, and bowel issues. The study, which followed over 1,100 men with clinically localized prostate cancer, suggests that the treatments d...

SourceJournal of the National Cancer Institute·JournalJNCI Journal of the National Cancer Institute·DateSep 14, 2004

Other highlights in the August 18 JNCI

A new study has identified five chromosomal regions that are likely to harbor prostate cancer susceptibility genes. The study found evidence of a gene on the long arm of chromosome 17 and four other regions that might hold susceptibility genes. Additionally, researchers have discovered that men who carry a specific mutation in the MIC-...

SourceJournal of the National Cancer Institute·JournalJNCI Journal of the National Cancer Institute·DateAug 17, 2004

Adjuvant chemotherapy for colon cancer offers no survival benefit after 10 years

A randomized clinical trial showed that adjuvant chemotherapy and immunotherapy for colon cancer patients offer no disease-free or overall survival benefits after 10 years. The improvements in 5-year survival rates observed in the past have disappeared over time, suggesting that newer chemotherapy regimens may be more effective.

SourceJournal of the National Cancer Institute·JournalJNCI Journal of the National Cancer Institute·DateAug 3, 2004

Study examines effects of state-mandated reimbursement for clinical trials

A study found that state-mandated reimbursement policies were associated with an increase in phase II clinical trial enrollment, but not overall or phase III enrollment. The authors suggest that knowledge and attitudes about trials held by physicians and patients play a greater role in participation than state mandates.

SourceJournal of the National Cancer Institute·JournalJNCI Journal of the National Cancer Institute·DateJul 20, 2004