Over the past few decades, doctors have noted a surprising trend in cancer of the tonsils and base of the tongue. Though oral cancer previously appeared predominantly in elderly patients with a history of tobacco and alcohol use, it's increasing in younger patients: 30- to 50-year-old nonsmokers with the human papillomavirus (HPV). Fortunately, the newer form of cancer tends to be less aggressive, and the latest approach to treating the tumors can avoid the debilitating consequences of open neck surgery or extensive radiation. Robotic surgery conducted through patients' mouths provides excellent results in removing squamous cell carcinoma at the back of the throat, especially in patients with HPV, a Mayo Clinic study published in the March issue of Mayo Clinic Proceedings found. "We were surprised that the cancer cure results were even better than the traditional treatments that we have been doing, but that is probably almost as much of a matter that these cancers are HPV-mediated for the most part, and they respond much better to treatment, " says author Eric Moore, M.
According to a study published on bmj.com, regular cervical screening can considerably increase a women's chance of surviving cervical cancer. The study, the first to estimate chances of surviving cervical cancer, was conducted by researchers from the Centre for Research and Development in GĂ vle and the Karolinska Institutet, Stockholm, Sweden. The team examined all 1, 230 women diagnosed with cervical cancer in the country between 1999 and 2001. The researchers set out to determine whether the detection of cervical cancer by screening produced better prognosis or just earlier diagnosis, without delaying the time of death. The team examined screen-detected cancers (those with an abnormal smear result 1-6 months prior to cancer diagnosis), as well as symptomatic cancers (all remaining cases).
The CDC's Advisory Committee on Immunization Practices (ACIP) now recommends routine HPV vaccination for males aged 11 to 12 years and catch-up vaccination for males aged 13 to 21. These are just two of the changes to the 2012 Recommended Adult Immunization Schedule published February 1 in Annals of Internal Medicine, the flagship journal of the American College of Physicians (ACP). In addition to the changes in the HPV vaccine, the ACIP now recommends vaccination against Hepatitis B for adults younger than age 60 who have diabetes, as soon as possible after diabetes is diagnosed. Hepatitis B vaccinations should also be given to adults with diabetes aged 60 years or older based on a patient's need for assisted blood glucose monitoring, likelihood of acquiring hepatitis B, and likelihood of immune response to vaccination.
A recent paper published in the The Lancet reviewed the management and treatment of gynaecological cancers during pregnancy - most common types being cervical and ovarian. The goal among such cases is to prolong and prevent termination of pregnancy, whilst also treating the cancer in the most effective way possible. The paper was by Professor Philippe Morice, Department of Gynecological Surgery, Institut Gustave Roussy, France, and colleagues. The authors said: "In early-stage cervical cancer during the first and at the beginning of the second trimester, the two main considerations for management of the patient are the tumour size (and stage) and nodal staging... In patients with a small tumour and without nodal spread, an intentional delay (with a careful clinical and radiological follow-up) to postpone treatment of the tumour until fetal maturity and delivery could be discussed.
As part of a revised standard published this week, the American Academy of Pediatrics says boys should be routinely vaccinated against the human papillomavirus (HPV), a common virus that is spread through sexual contact. Although there are dozens of types of HPV, vaccines can protect both male and females against some of the more common types that can lead to disease and cancer. Routine vaccination of boys against HPV will not only stop them giving the virus to girls and thereby help reduce their risk of cervical cancer, but it will also protect the boys themselves against certain other cancers that arise from becoming infected with HPV during oral and anal sex, says the doctors' group. The US Centers for Disease Control and Prevention (CDC) say it is important that people receive the HPV vaccine before they become sexually active.