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Volume 25, Issue 5, May 2020

Commentaries

Kelsey L. Corrigan and others
The Oncologist, Volume 25, Issue 5, May 2020, Pages 361–363, https://doi.org/10.1634/theoncologist.2019-0853

HIV treatment is complex and has changed since the early years of the epidemic, especially as relates to treatment options for patients with cancer. This article focuses on disparities in cancer treatment care for people living with HIV.

Humberto Choi and Nathan A. Pennell
The Oncologist, Volume 25, Issue 5, May 2020, Pages 364–365, https://doi.org/10.1634/theoncologist.2020-0149

Despite ample evidence of benefit, adoption of lung cancer screening efforts remains low. This commentary focuses on current efforts to improve awareness of the benefits of lung cancer screening and the available screening programs.

Massimo Di Maio and others
The Oncologist, Volume 25, Issue 5, May 2020, Pages e746–e752, https://doi.org/10.1634/theoncologist.2019-0647

The analysis of real‐world evidence to answer clinical and policy‐relevant questions in the field of oncology has gained increased interest in recent years. This article highlights the strengths and weaknesses of the use of real‐world evidence in cancer care.

Immune-Related Adverse Events

Amir H. Ameri and others
The Oncologist, Volume 25, Issue 5, May 2020, Pages 366–368, https://doi.org/10.1634/theoncologist.2019-0796

Immune checkpoint blockade immunotherapy has revolutionized cancer treatment but is associated with dermatologic adverse events. This brief report highlights hypertrophic lichen planus with histological features diagnosed as squamous cell carcinoma on biopsy, featuring two successfully treated patients.

Miruna Grecea and others
The Oncologist, Volume 25, Issue 5, May 2020, Pages 369–374, https://doi.org/10.1634/theoncologist.2019-0671

Hyperprogressive disease, an unexpected acceleration of cancer evolution after starting immunotherapy, has been reported with PD‐1/PD‐L1 blockade treatment. This case report describes a patient diagnosed with metastatic urothelial carcinoma who developed a rapid tumor growth after anti‐PD‐L1 combination treatment.

Shaheen Khan and others
The Oncologist, Volume 25, Issue 5, May 2020, Pages e753–e757, https://doi.org/10.1634/theoncologist.2019-0666

Autoantibody analysis may provide insight into the mechanism, nature, and timing of immune‐related adverse events. This case report describes a case of immune checkpoint inhibitor‐induced late‐onset Raynaud's‐like phenomenon in a patient receiving combination immunotherapy.

Precision Medicine Clinic: Molecular Tumor Board

Wei Zhang and others
The Oncologist, Volume 25, Issue 5, May 2020, Pages 375–379, https://doi.org/10.1634/theoncologist.2019-0498

This case report is the first to show the clinical benefits of olaparib treatment in a patient with gallbladder carcinoma harboring an ATM‐inactivating mutation.

Clinical Trial Results

Sakti Chakrabarti and others
The Oncologist, Volume 25, Issue 5, May 2020, Pages 380–e763, https://doi.org/10.1634/theoncologist.2019-0874
Chongkai Wang and others
The Oncologist, Volume 25, Issue 5, May 2020, Pages 382–e776, https://doi.org/10.1634/theoncologist.2019-0924

Breast Cancer

Mirelle Lagendijk and others
The Oncologist, Volume 25, Issue 5, May 2020, Pages 384–390, https://doi.org/10.1634/theoncologist.2019-0355

The focus of this article is on the role of patient‐reported outcomes in advancing toward value‐based breast cancer care in the context of locoregional therapy, with attention to the work of the International Consortium of Health Outcome Measures, which defines a standard set of value‐based patient‐centered outcomes for breast cancer for international use.

Henry G. Kaplan and others
The Oncologist, Volume 25, Issue 5, May 2020, Pages 391–397, https://doi.org/10.1634/theoncologist.2019-0099

This review summarizes the effect of various breast cancer therapies and related patient factors on the incidence of treatment‐induced myelodysplasia and acute myelogenous leukemia.

Community Outreach

Derek Raghavan and others
The Oncologist, Volume 25, Issue 5, May 2020, Pages e777–e781, https://doi.org/10.1634/theoncologist.2019-0802

The BodyTom CT is the first mobile screening unit in the U.S., designed to improve access to lung cancer screening for underserved patient groups. This article reports results of the initial pilot study using this first‐of‐its‐kind mobile low‐dose whole body CT screening unit. Twelve cases of lung cancer were found in 550 smokers (including 6 early stage).

Endocrinology

Bernice L. Huang and others
The Oncologist, Volume 25, Issue 5, May 2020, Pages 398–403, https://doi.org/10.1634/theoncologist.2019-0362

To avoid overtreatment of thyroid nodules, it is important to accurately distinguish benign from malignant nodules. An important diagnostic tool is ultrasonography. This article compares the performance of the two most popular ultrasound malignancy risk stratification systems.

Ming‐Huang Chen and others
The Oncologist, Volume 25, Issue 5, May 2020, Pages e782–e788, https://doi.org/10.1634/theoncologist.2019-0490

This article reports on the efficacy and safety of TLC388 in a second‐line setting for patients with poorly differentiated neuroendocrine carcinomas.

Krupa R. Patel and others
The Oncologist, Volume 25, Issue 5, May 2020, Pages e789–e797, https://doi.org/10.1634/theoncologist.2019-0520

With advancements in neuroimaging, transsphenoidal resection approaches, and stereotactic radiosurgery, the landscape for the diagnosis and management of pituitary metastasis has evolved over the past decade. This article reports the largest study of pituitary metastasis diagnosed and treated at a single institution, retrospectively assessing the clinical features and the effect of various treatment approaches on survival outcomes.

Gastrointestinal Cancer

Mohamed E. Salem and others
The Oncologist, Volume 25, Issue 5, May 2020, Pages 404–413, https://doi.org/10.1634/theoncologist.2019-0552

This article explores the molecular makeup of left‐sided and right‐sided colorectal cancers in populations aged 40 years.

Walid L. Shaib and others
The Oncologist, Volume 25, Issue 5, May 2020, Pages 414–421, https://doi.org/10.1634/theoncologist.2019-0558

In this report, circulating tumor DNA (ctDNA) through next‐generation sequencing from patients with a diagnosis of appendiceal cancer across various histological subtypes was evaluated. The aim was to confirm the feasibility of next‐generation sequencing using ctDNA in low‐grade mucinous appendiceal cancer and to characterize common alterations in the genomic profile, with the goal of identifying molecular alterations leading to the identification of potential actionable targets and combinations.

A. Bapsi Chakravarthy and others
The Oncologist, Volume 25, Issue 5, May 2020, Pages e798–e807, https://doi.org/10.1634/theoncologist.2019-0437

Despite advances in the treatment of rectal cancer, the risk of distant metastases and poor quality of life remain a challenge. Trial E5204 was designed to test whether the addition of bevacizumab to mFOLFOX6, following neoadjuvant chemoradiation and definitive surgery, could improve overall survival in patients with stage II/III adenocarcinoma of the rectum.

Suneel D. Kamath and others
The Oncologist, Volume 25, Issue 5, May 2020, Pages e808–e815, https://doi.org/10.1634/theoncologist.2019-0473

Treatment of pancreatic ductal adenocarcinoma remains challenging because of its advanced presentation and resistance to chemotherapy and immunotherapy. This article reports results of a clinical trial of CTLA‐4 blockade with ipilimumab in combination with gemcitabine in patients with advanced pancreatic cancer, including maximum tolerated doses for the combination, safety data, and the antitumor activity observed in this trial.

Genitourinary Cancer

Marie‐France Savard and others
The Oncologist, Volume 25, Issue 5, May 2020, Pages 422–430, https://doi.org/10.1634/theoncologist.2019-0605

This article reports real‐world data on patients with metastatic renal cell carcinoma treated with first‐line sunitinib to provide benchmarks on clinical outcomes by IMDC prognostic risk group.

Hematologic Malignancies

Gabriele Reinartz and others
The Oncologist, Volume 25, Issue 5, May 2020, Pages e816–e832, https://doi.org/10.1634/theoncologist.2019-0783

This article reports the details of radiation therapy in the therapeutic multimodality approach for treatment of patients with intestinal lymphoma.

Lung Cancer

Thomas J. Roberts and others
The Oncologist, Volume 25, Issue 5, May 2020, Pages 431–437, https://doi.org/10.1634/theoncologist.2019-0519

This descriptive study summarizes the experiences during the first 6 years of the Pulmonary Nodule and Lung Cancer Screening Clinic at Massachusetts General Hospital and describes the effect of an integrated, multidisciplinary approach on patient care.

Yutao Liu and others
The Oncologist, Volume 25, Issue 5, May 2020, Pages e833–e842, https://doi.org/10.1634/theoncologist.2019-0391

Alternative treatment strategies are needed to improve prognosis for patients with small‐cell lung cancer. This article evaluates the feasibility of single‐agent apatinib as a treatment option for patients with extensive‐stage small‐cell lung cancer.

Melanoma and Cutaneous Malignancies

Aleksi Suo and others
The Oncologist, Volume 25, Issue 5, May 2020, Pages 438–446, https://doi.org/10.1634/theoncologist.2019-0674

Real world patient data on efficacy, side‐effects, and clinical predictors of outcomes are lacking for immune checkpoint inhibitors. This multicenter population‐based study investigated the incidence of immune‐related adverse events and how the adverse events related to patient outcomes.

Neuro-Oncology

Megan R. D'Andrea and others
The Oncologist, Volume 25, Issue 5, May 2020, Pages 447–453, https://doi.org/10.1634/theoncologist.2019-0306

A better understanding of clinical outcomes of patients with biliary tract cancer who develop brain metastases. This article expands on the existing literature by describing outcomes for patients who developed brain metastases from biliary tract cancer within the context of the genomic era.

Symptom Management and Supportive Care

Carole Bouleuc and others
The Oncologist, Volume 25, Issue 5, May 2020, Pages e843–e851, https://doi.org/10.1634/theoncologist.2019-0856

Malnutrition impairs clinical outcome in patients with advanced cancer. This study compared parenteral nutrition with oral feeding for malnourished patients with advanced cancer and functional gastrointestinal tract.

Rhys I. Beaudry and others
The Oncologist, Volume 25, Issue 5, May 2020, Pages e852–e860, https://doi.org/10.1634/theoncologist.2019-0777

Women with a history of breast cancer are at a greater risk for cardiovascular disease. This article reports on the relationship between anthracycline chemotherapy and peak oxygen consumption in breast cancer survivors.

Ana Fernández‐Cruz and others
The Oncologist, Volume 25, Issue 5, May 2020, Pages e861–e869, https://doi.org/10.1634/theoncologist.2019-0031

Pneumonia is a complication in patients admitted to oncology wards, but data on incidence, etiology, and prognosis is lacking. This articles reports on characteristics of nonventilator‐associated pneumonia in hospitalized patients with solid tumors.

Brief Communications

Shunjun Jiang and others
The Oncologist, Volume 25, Issue 5, May 2020, Pages e870–e874, https://doi.org/10.1634/theoncologist.2019-0838

Anlotinib, a novel multi‐targeted tyrosine kinase inhibitor, has a broad spectrum of inhibitory action on tumor angiogenesis. This article reports results of a phase III trial that explored whether anlotinib is effective for intracranial lesions in advanced non‐small cell lung cancer and evaluated the effect of anlotinib in managing brain metastases and its brain‐associated toxicities.

Letters to the Editor

Osman Köstek and Tarık Demir
The Oncologist, Volume 25, Issue 5, May 2020, Page e875, https://doi.org/10.1634/theoncologist.2019-1005

This letter to the editor presents possible limitations of the study reported by Bilen et al., which might have affected the reported results.

Mehmet Asim Bilen and others
The Oncologist, Volume 25, Issue 5, May 2020, Page e876, https://doi.org/10.1634/theoncologist.2020-0059

Bilen et al. respond to the letter by Köstek and Demir, agreeing that a deeper understanding of new biomarkers to evaluate immunotherapy outcome is necessary.

Corrigendum

Olatunji B. Alese and others
The Oncologist, Volume 25, Issue 5, May 2020, Page e877, https://doi.org/10.1634/theoncologist.2020-0135

Erratum

Robert T. McCormack and Daniel F. Hayes
The Oncologist, Volume 25, Issue 5, May 2020, Page e878, https://doi.org/10.1634/theoncologist.2020-0217
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