Friday, March 28, 2008

Fwd: Visual scoring of atherosclerosis in chest computed tomography: findings among male construction workers.



---------- Forwarded message ----------
From: HubMed - asbestos cancer <rssfwd@rssfwd.com>
Date: Fri, Mar 28, 2008 at 3:16 PM
Subject: Visual scoring of atherosclerosis in chest computed tomography: findings among male construction workers.
To: mesothelioma77@gmail.com


[1]Acta Radiol. 2008 Apr; 49(3): 328-36
Hiltunen A, Kivisaari L, Leino-Arjas P, Vehmas T

BACKGROUND: Standard chest computed tomography (CT) examinations may contain valuable and underused information on atherosclerosis. PURPOSE: To study the retrospective scoring of chest atherosclerosis in CT studies performed for reasons other than cardiovascular. MATERIAL AND METHODS: Unenhanced CT images originally used for lung cancer screening of 505 male construction workers were retrospectively analyzed for chest atherosclerotic calcifications (coronary, aortic, and precervical artery origins). Findings were compared between those with a prediagnosed cardiovascular disease or diabetes (n = 180) and disease-free subjects (n = 325). RESULTS: Arterial calcifications (all) occurred among 96.6% of the subjects and coronary calcifications among 91.7%. The average total calcium score of the diseased subjects was 8.34 vs. 5.13 in the disease-free group (P

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Mesothelioma Diagnosis Info aGuide

Unlike lung cancer, there is no association between mesothelioma and smoking Malignancies involving mesothelial cells in these size cavities are known as malignant mesothelioma, which may be localized or diffuse. Its most basic site is the pleura (outer lining of the lungs and chest cavity), but it may also occur in the peritoneum (the lining of the abdominal cavity) or the pericardium (a sac that surrounds the heart).

 In this disease, malignant cells develop in the mesothelium, a protective lining that covers utmost of the size's internal organs.

 

Mesothelial cells normally line the body cavities, including the pleura, peritoneum, pericardium, and testis. Malignant mesothelioma has also been linked to curing radiation using thorium dioxide and zeolite, a silicate in the soil.

 

 

Other symptoms of peritoneal mesothelioma may include bowel obstruction, blood clotting abnormalities, anemia, and fever. Mesothelioma is diagnosed by pathological examination from a biopsy. This is the end of a skill that usually begins with symptoms that send top-notch people to the doctor: a fluid build-up around the lungs (pleural effusions), shortness of breath, suffering in the chest, or aches and or swelling in the abdomen. The X-ray may reveal pleural thickening commonly seen after asbestos exposure and increases suspicion of mesothelioma.  A history of exposure to asbestos may increase clinical suspicion for mesothelioma.

 

Symptoms of mesothelioma may not appear until 20 to 50 years after exposure to asbestos.  A physical examination is performed, followed by chest X-ray and often lung function tests. Shortness of breath, cough, and pain in the chest due to an accumulation of fluid in the pleural space are often symptoms of pleural mesothelioma.

 

 

Diagnosing mesothelioma is often difficult, because the symptoms are similar to those of a number of other conditions. Malignant mesothelioma is more absolute in men, with a male-to-female ratio of 3:1. Malignant mesothelioma is a rare type of cancer in which malignant cells are found in the sac lining the chest or abdomen. 

 

Exposure to airborne asbestos particles increases one's risk of developing malignant mesothelioma.

 Malignant mesothelioma is often just called simply Mesothelioma and is a aptitude of lung cancer that is quite rare. Perfectly malignant mesotheliomas set up complex karyotypes, with extensive aneuploidy and rearrangement of bunch chromosomes. It can also occur in children; however, these cases are not thought to be associated with asbestos exposure.

 Malignant mesothelioma has a peak incidence 35-45 years after asbestos exposure.

 

Utmost people with malignant mesothelioma require worked on jobs where they breathed asbestos. Mesothelioma is a finesse of cancer that is almost always caused by previous exposure to asbestos

 

There are now a number of cancer treatment options convenient to mesothelioma patients. Extrapleural pneumonectomy for selected patients with very early stage disease may succeed recurrence-free survival, but the impact it has on overall survival is unknownat this time. The covet of radiation curing in pleural mesothelioma has been shown to discharge pain in the majority of patients that are treated. But unfortunately, the duration of symptom control is short-lived. Surgical resection has been relied upon because radiation and chemotherapy let been ineffective undistorted treatments.

 

Extrapleural pneumonectomy is a more extensive procedure and has a higher mortality rate. Recently, the mortality rate has been lowered to 3.8%. It involves dissection of the parietal pleura; division of the pulmonary vessels; and en bloc resection of the lung, pleura, pericardium, and diaphragm followed by reconstruction. It provides the best local control because it removes the all-out pleural sac along with the lung parenchyma.

 With surgery alone, the recurrence rate is very high and super patients die after a few months. At least half the patients who allow local control with surgery make distant metastasis upon autopsy.

 

Ling Ling

 

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Fwd: Molecular and genetic changes in asbestos-related lung cancer.



---------- Forwarded message ----------
From: HubMed - asbestos cancer <rssfwd@rssfwd.com>
Date: Fri, Mar 28, 2008 at 3:16 PM
Subject: Molecular and genetic changes in asbestos-related lung cancer.
To: mesothelioma77@gmail.com


[1]Cancer Lett. 2008 Mar 23;
Nymark P, Wikman H, Hienonen-Kempas T, Anttila S

Asbestos-exposure is associated with an increased risk of lung cancer, one of the leading causes of cancer deaths worldwide. Asbestos is known to induce DNA and chromosomal damage as well as aberrations in signalling pathways, such as the MAPK and NF-kappaB cascades, crucial for cellular homeostasis. The alterations result from both indirect effects through e.g. reactive oxygen/nitrogen species and direct mechanical disturbances of cellular constituents. This review describes the current knowledge on genomic and pathway aberrations characterizing asbestos-related lung cancer. Specific asbestos-associated molecular signatures can assist the development of early biomarkers, molecular diagnosis, and molecular targeted treatments for asbestos-exposed lung cancer patients.



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Fwd: Phase II trial of pemetrexed and gemcitabine in chemotherapy-naive malignant pleural mesothelioma.



---------- Forwarded message ----------
From: HubMed - mesothelioma cancer <rssfwd@rssfwd.com>
Date: Fri, Mar 28, 2008 at 3:15 PM
Subject: Phase II trial of pemetrexed and gemcitabine in chemotherapy-naive malignant pleural mesothelioma.
To: mesothelioma77@gmail.com


[1]J Clin Oncol. 2008 Mar 20; 26(9): 1465-71
Jänne PA, Simon GR, Langer CJ, Taub RN, Dowlati A, Fidias P, Monberg M, Obasaju C, Kindler H

PURPOSE: Pemetrexed and gemcitabine have single-agent activity in malignant pleural mesothelioma (MPM). The combination of pemetrexed/gemcitabine has not previously been studied in MPM to our knowledge. PATIENTS AND METHODS: Patients with histologic or cytologic diagnosis of MPM were included. Cohort 1 received gemcitabine 1,250 mg/m(2) on days 1 and 8, with pemetrexed 500 mg/m(2) on day 8, and cohort 2 received gemcitabine 1,250 mg/m(2) on days 1 and 8, with pemetrexed 500 mg/m(2) on day 1. Cycles were repeated every 21 days; all patients were supplemented with folic acid and vitamin B(12) and received dexamethasone. RESULTS: One hundred eight patients (cohort 1, n = 56; cohort 2, n = 52) with pleural mesothelioma were enrolled. Among assessable patients, response rate was 26.0% in cohort 1 and 17.1% in cohort 2. Median time to disease progression was 4.34 months for cohort 1 and 7.43 months for cohort 2. Median survival was 8.08 months for cohort 1 (1-year survival = 31.14%) and 10.12 months for cohort 2 (1-year survival = 45.80%). In cohorts 1 and 2, incidence of grade 4 neutropenia was 25.0% and 29.4%, grade 4 thrombocytopenia was 14.3% and 3.9%, grade 3 or 4 anemia was 5.4% and 5.9%, and grade 3 or 4 fatigue was 23.2% and 15.7%, respectively. CONCLUSION: The combination of pemetrexed and gemcitabine resulted in moderate clinical activity in MPM. However, the median survival times are similar to those with single-agent pemetrexed and inferior to outcomes observed with cisplatin in combination with an antifolate.



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Fwd: Mechanisms and strategies to overcome chemotherapy resistance in metastatic breast cancer.



---------- Forwarded message ----------
From: HubMed - breast cancer <rssfwd@rssfwd.com>
Date: Fri, Mar 28, 2008 at 3:15 PM
Subject: Mechanisms and strategies to overcome chemotherapy resistance in metastatic breast cancer.
To: mesothelioma77@gmail.com


[1]Cancer Treat Rev. 2008 Mar 24;
Coley HM

Resistance to chemotherapeutic agents is a significant issue in the management of patients with breast cancer. Anthracyclines, although first used over 30 years ago, are still part of the standard chemotherapy for this disease. Subsequently, the taxanes heralded a new era in chemotherapy and have been used extensively in the treatment of metastatic breast cancer. Unfortunately, along with other constituents of combination chemotherapy for metastatic breast cancer such as cyclophosphamide, these agents become increasingly ineffective in progressive disease and tumours are then deemed to be drug resistant - frequently multidrug resistant. A number of processes have been identified that can underlie clinical drug resistance, and these largely stem from in vitro laboratory-based studies in human cancer cell lines. A large proportion of these studies have focused on multidrug resistance associated with resistance to natural product anticancer agents due to the presence of putative drug transporter proteins such as P-glycoprotein, MRP1, and BCRP. Other studies have highlighted mechanisms whereby breast cancer cells show resistance to chemotherapeutic agents by altered regulation of DNA repair processes, with many other factors influencing drug detoxification processes and altering drug targets. New developmental agents with improved specificity for tumour cells, such as trastuzumab, and those with low susceptibility to common tumour-resistance mechanisms, such as ixabepilone, have provided new hope for effective treatment of breast cancer. Ixabepilone is the first in a new class of neoplastics, the epothilones. With these developments in therapy, and the technology of gene expression profiling, the future holds more promise for the development of more effective treatment for metastatic breast cancer.



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Fwd: Colon Cancer Usually Preventable if Older People Just Step Up to Screening



---------- Forwarded message ----------
From: Search for lung cancer <rssfwd@rssfwd.com>
Date: Fri, Mar 28, 2008 at 3:15 PM
Subject: Colon Cancer Usually Preventable if Older People Just Step Up to Screening
To: mesothelioma77@gmail.com


Researchers working to make screening less invasive, more accurate By Nicole Fawcett Colon Polyp March 28, 2008 - Colon cancer screening is a tough sell.

Fri, 28 Mar 2008 18:04:35 GMT


Source: http://www.SeniorJournal.com/NEWS/Health/2008/8-03-28-ColonCancer.htm
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