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Volume 26, Issue 2, February 2021

Editorial

Bruce A. Chabner and others
The Oncologist, Volume 26, Issue 2, February 2021, Page 89, https://doi.org/10.1002/onco.13677

The Editors of The Oncologist remark on recent national events and call for new strategies for the New Year.

Precision Medicine Clinic: Molecular Tumor Board

Nikolaos A. Trikalinos and others
The Oncologist, Volume 26, Issue 2, February 2021, Pages 90–96, https://doi.org/10.1002/onco.13525

This case report highlights the importance of molecular testing for optimal therapy of complex synchronous tumors and the need for communication between surgical and medical oncologists in cases of high microsatellite instability cancer.

Clinical Trial Results

Naohiro Okano and others
The Oncologist, Volume 26, Issue 2, February 2021, Pages 97–e201, https://doi.org/10.1002/onco.13547
Yuan Yuan and others
The Oncologist, Volume 26, Issue 2, February 2021, Pages 99–e217, https://doi.org/10.1002/onco.13583
Ruben S.A. Goedegebuure and others
The Oncologist, Volume 26, Issue 2, February 2021, Pages e218–e229, https://doi.org/10.1002/onco.13576
Bora Lim and others
The Oncologist, Volume 26, Issue 2, February 2021, Pages e230–e240, https://doi.org/10.1002/onco.13581

Breast Cancer

Madeline M. Cook and others
The Oncologist, Volume 26, Issue 2, February 2021, Pages 101–106, https://doi.org/10.1002/onco.13609

The clinical benefit of everolimus and exemestane in patients previously treated with a CDK4/6 inhibitor is unknown. This study used real‐world data to investigate survival outcomes in such cases.

Yi‐Zi Zheng and others
The Oncologist, Volume 26, Issue 2, February 2021, Pages e241–e250, https://doi.org/10.1002/onco.13567

Clinical outcomes are highly variable in patients with metastatic breast cancer. This article analyzes breast cancer‐specific mortality according to tumor size, stratified by lymph node metastasis in stage IV breast cancer, using the SEER cancer database.

Community Outreach

Shehara Mendis and others
The Oncologist, Volume 26, Issue 2, February 2021, Pages 107–114, https://doi.org/10.1002/onco.13534

Disparities in health care have come into sharp focus recently. This article assesses female representation in clinical trials and reports on the effect of policy changes to address underrepresentation and whether females were adequately represented within clinical trials that have recently led to FDA cancer drug approvals.

Endocrinology

Melissa G. Lechner and others
The Oncologist, Volume 26, Issue 2, February 2021, Pages e251–e260, https://doi.org/10.1634/theoncologist.2020-0306

This article evaluates recent revisions to the AJCC staging criteria for differentiated thyroid cancer.

Gastrointestinal Cancer

Taymeyah Al‐Toubah and others
The Oncologist, Volume 26, Issue 2, February 2021, Pages 115–119, https://doi.org/10.1002/onco.13611

There is increasing evidence that well‐differentiated neuroendocrine tumors can become highly aggressive over time. This article assesses FOLFOX activity in a population of heavily pretreated patients with rapidly progressive pancreatic neuroendocrine tumors.

Alberto Sobrero and others
The Oncologist, Volume 26, Issue 2, February 2021, Pages e261–e269, https://doi.org/10.1002/onco.13591

This article analyzes outcomes of patients with RAS‐wild‐type metastatic colorectal cancer who received cetuximab plus irinotecan versus irinotecan alone in the EPIC trial.

Genitourinary Cancer

Laura A. Sena and others
The Oncologist, Volume 26, Issue 2, February 2021, Pages e270–e278, https://doi.org/10.1002/onco.13601

Biomarkers of immune checkpoint inhibition sensitivity are needed. This article reports on genomic biomarkers that may predict response to anti‐PD1 therapy in prostate cancer.

Head and Neck Cancers

Harper L. Wilson and others
The Oncologist, Volume 26, Issue 2, February 2021, Pages e279–e289, https://doi.org/10.1002/onco.13573

This article reports on the genomic landscape of circulating tumor DNA in head and neck squamous cell carcinoma and analyzes its prognostic significance and potential contribution to precision oncology treatment strategies alone and in combination with tumor DNA analysis.

Health Outcomes and Economics of Cancer Care

Dong Ding and others
The Oncologist, Volume 26, Issue 2, February 2021, Pages e290–e297, https://doi.org/10.1002/ONCO.13522

This article examines the cost‐effectiveness of pembrolizumab plus axitinib versus sunitinib in advanced renal cell carcinoma, with the goal of proposing the most cost‐effective strategy with clinical benefit for first‐line therapy in this patient population.

Hematologic Malignancies

Mengyang Di and others
The Oncologist, Volume 26, Issue 2, February 2021, Pages 120–132, https://doi.org/10.1002/onco.13610

Diffuse large B‐cell lymphoma (DLBCL) is an aggressive but potentially curable cancer that mainly affects older individuals. This review presents recent advances in fitness stratification and therapy that have expanded curative options for older patients with DLBCL and future opportunities to improve outcomes in this population.

Pilar López‐Nieva and others
The Oncologist, Volume 26, Issue 2, February 2021, Pages e298–e305, https://doi.org/10.1002/onco.13595

Understanding the mechanism of γ‐secretase inhibitor (GSI)–induced cell death and the ability to accurately identify patients based on the activity of the pathway could improve the response to GSI therapy for the treatment of cancer. This article focuses on γ‐secretase inhibitors as a potential therapeutic target to treat T‐cell acute lymphoblastic leukemias and lymphomas.

Immuno-Oncology

Irene Tsung and others
The Oncologist, Volume 26, Issue 2, February 2021, Pages 133–138, https://doi.org/10.1002/onco.13539

This article focuses on the safety and efficacy of immune checkpoint inhibitors in solid organ transplant recipients with advanced head and neck cutaneous squamous cell carcinoma who have failed attempts at immunosuppression minimization, as well as prior surgical, radiation therapy, and other systemic therapies.

Lung Cancer

Sanjay Popat and others
The Oncologist, Volume 26, Issue 2, February 2021, Pages e306–e315, https://doi.org/10.1002/onco.13586

This article highlights the value of a multidisciplinary approach to diagnosis and staging, treatment decision making, and adverse event management in non‐small cell lung cancer.

Regulatory Issues: FDA

Mitchell S. Anscher and others
The Oncologist, Volume 26, Issue 2, February 2021, Pages 139–146, https://doi.org/10.1002/onco.13585

This article reviews the data and basis for FDA accelerated approval of rucaparib for the first‐line treatment of patients with deleterious BRCA‐mutated metastatic castrate‐resistant prostate cancer.

Symptom Management and Supportive Care

Zev M. Nakamura and others
The Oncologist, Volume 26, Issue 2, February 2021, Pages 147–156, https://doi.org/10.1002/onco.13528

Depression and anxiety are underrecognized and undermanaged in oncology practice. This article describes the severity of depression and anxiety and associated factors in women with early breast cancer undergoing chemotherapy.

Enrique Soto‐Perez‐de‐Celis and others
The Oncologist, Volume 26, Issue 2, February 2021, Pages 157–164, https://doi.org/10.1002/onco.13599

Patient navigation assists patients in overcoming barriers to care, but its use is under‐used in resource‐limited settings. This article examines whether a patient navigator‐led intervention could improve early access to multidisciplinary supportive and palliative care among Mexican patients with metastatic solid tumors.

Angelique Wong and others
The Oncologist, Volume 26, Issue 2, February 2021, Pages 165–171, https://doi.org/10.1002/onco.13619

The Edmonton Symptom Assessment Scale (ESAS) is a multidimensional assessment tool for self‐reporting of symptom intensity and developed for daily symptom assessment of palliative care patients. This study compared time requirements for self‐completed reports versus reports completed with assistance.

Mario E. Lacouture and others
The Oncologist, Volume 26, Issue 2, February 2021, Pages e316–e326, https://doi.org/10.1002/onco.13552

This review provides oncologists with an understanding of dermatologic adverse events related to the use of FGFR inhibitors and proposes guidelines for treatment.

Winfried H. Alsdorf and others
The Oncologist, Volume 26, Issue 2, February 2021, Pages e327–e332, https://doi.org/10.1002/onco.13603

Supportive measures are necessary to minimize the risk of side effects from high‐dose methotrexate (HD‐MTX) treatment. This article reports the findings of a study that investigated the implementation of a checklist for control of supportive care and a urine alkalinization protocol to optimize urine alkalinization.

Brief Communications

Kaustav P. Shah and others
The Oncologist, Volume 26, Issue 2, February 2021, Pages e333–e335, https://doi.org/10.1002/onco.13562

This article explores the need for more accurate clinical biomarkers to predict prognosis in patients with BRAF‐mutated melanoma, reporting a retrospective study of patients with metastatic melanoma treated with BRAF +/– MEK inhibitors.

Dario Marino and others
The Oncologist, Volume 26, Issue 2, February 2021, Pages e336–e337, https://doi.org/10.1002/onco.13563

The COVID‐19 pandemic has raised many questions in the oncohematological scientific community about risks associated with transplant procedures. This article reports two patient cases, focusing on the risks of performing high‐dose chemotherapy with autologous peripheral blood stem cell transplantation during the COVID‐19 pandemic weighed against the expected clinical benefit.

Mathias Brugel and others
The Oncologist, Volume 26, Issue 2, February 2021, Pages e338–e341, https://doi.org/10.1002/onco.13578

The COVID‐19 pandemic may have affected cancer management. This article evaluates the changes in oncological care pathways during the COVID‐19 crisis, based on results of the ONCOCARE‐COV study.

Harsha Moraliyage and others
The Oncologist, Volume 26, Issue 2, February 2021, Pages e342–e344, https://doi.org/10.1002/onco.13604

Oncology patients have been severely affected by the ongoing COVID‐19 pandemic that has caused disruption in the traditional health care setting. Although remote health technologies have addressed some of the medical needs, the emotional and mental well‐being of these patients remain underreported. This article reports the primary challenges experienced by cancer patients due to COVID‐19 lockdown measures.

Letters to the Editor

Davide Ippolito and others
The Oncologist, Volume 26, Issue 2, February 2021, Pages e345–e346, https://doi.org/10.1002/onco.13579

Only 500 cases of Erdheim‐Chester disease have been reported in the literature to date. To increase awareness of this rare disease, this letter to the editor describes the unusual case of a woman who was diagnosed with mixed histiocytosis: Erdheim‐Chester disease and Langerhans cell histiocytosis.

Paolo Pedrazzoli and others
The Oncologist, Volume 26, Issue 2, February 2021, Pages e347–e349, https://doi.org/10.1002/onco.13647

This letter to the editor describes the case of a patient with mediastinal germ cell tumor who developed COVID‐19 at the end of the first cycle of chemotherapy and continues the discussion on whether it is best to continue or delay administration of chemotherapy with an active COVID‐19 infection.

Lucia Nappi and others
The Oncologist, Volume 26, Issue 2, February 2021, Page e350, https://doi.org/10.1002/onco.13651

This letter to the editor responds to the question of whether delayed administration of chemotherapy in patients diagnosed with COVID‐19 is necessary and suggests the importance of evaluating each case carefully before the decision is made.

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