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By Christin Melton

Articles by By Christin Melton

This year, most Americans have seen the value of their home drop faster than a lead weight. If you purchased your home in the last 10 years, during the housing boom, you will likely find that it is worth less today than what you paid for it%u2014and in some cases less than what you still owe.

In 2009, we covered several long-term studies investigating the use of aromatase inhibitors (AIs) alone or sequenced with tamoxifen. This includes the Intergroup Exemestane Study (IES), the TEAM trial, and the BIG 1-98 trial, all of which presented new or updated data at the 2009 SABCS in December.

For women with breast cancer, alcohol consumption and obesity herald a poorer prognosis. In one of only a few studies to evaluate the role of alcohol in breast cancer outcomes, researchers found that imbibing just half a drink per day���¢�¯�¿�½�¯�¿�½or 2 to 3 per week���¢�¯�¿�½�¯�¿�½raised the risk of breast cancer recurrence by 39%. In a second study involving ~19,000 women, body mass index (BMI) ���¢�¯�¿�½���¥25 increased the risk of distant metastasis by approximately 45%, study involving ~19,000 women, body mass index (BMI) ���¢�¯�¿�½���¥25 increased the risk of distant metastasis by approximately 45%.

As part of our ongoing coast-to-coast oncology coverage, our writers were live in Texas at the 32nd Annual San Antonio Breast Cancer Symposium (SABCS). Our special SABCS wrap-up delivers all the major breast cancer news�including data on MRI screening, bisphosphonates, and aromatase inhibitors�to oncologists unable to attend the event.

In another discovery that may help tailor the treatment of women with breast cancer, researchers from the Dana-Farber Women's Cancers Program determined that overexpression of the LAPTM4B and YWHAZ genes on chromosome 8q22, combined with amplification of other genes, conveys resistance to anthracyclines and increases the likelihood of metastatic recurrence.

A study presented at the 51st American Society of Hematology Meeting and Expedition reported that 5 days of palonosetron (Aloxi) was significantly more effective than ondansetron at preventing delayed chemotherapy-induced nausea and vomiting (CINV) in patients with acute myelogenous leukemia (AML).

The American Recovery and Reinvestment Act (ARRA) of 2009 designated $87 billion for state Medicaid programs, enacting major increases in federal matching rates. Despite the boost from ARRA, state budgets have been groaning under the weight of the economic downturn, with 29 of them planning to make Medicaid cuts in 2010.

The use of oral oncolytics is increasing, with 14 approved already and nearly one-quarter of the oncology pipeline consisting of oral therapies. Despite this, the Community Oncology Alliance (COA), a nonprofit organization that advocates for patients and providers in the community oncology setting, said many patients still have difficulty getting access`to targeted oral oncolytics.

A persistent concern about using marijuana for medical purposes has been the lack of clinical trials demonstrating marijuana's effectiveness in any of the conditions for which it is legally prescribed in many states. Now, a team of researchers from the University of California San Diego School of Medicine's Center for Medicinal Cannabis Research (CMCR) has presented a summary of studies to the California legislature that claims smoking marijuana relieves pain in several chronic illnesses.

To help address delays in nuclear imaging procedures caused by an isotope shortage that resulted when two Canadian reactors went offline in 2009, the Academy of Molecular Imaging and other professional societies urged CMS to grant coverage for the use of NaF-18 PET in diagnosing bone metastases in patients with cancer.

Results of a phase III multicenter, open-label study demonstrated that first-line treatment with a combination of cetuximab and a taxane/carboplatin (TC)significantly approved the overall response rate (ORR)and led to slight improvement in overall survival (OS). The study did not meet its primary endpoint of progression-free survival (PFS) as assessed by an independent radiologic review committee (IRCC).

The enactment of federal healthcare reform following a protracted, confrontational debate has left Americans bewildered and wondering, "What happens now?" Since you may soon be inundated with patient's questions, and might have a few of your own, OBTN cuts through the rhetoric, dissects the legislation, and tells you everything you need to know about the historic law and how it may affect your practice.

In the April issue of Hepatology, researchers from the University of Alberta in Edmonton, Canada, reported that administering sirolimus (Rapamune)after liver transplantation in patients with nonresectable hepatocellular carcinoma (HCC) significantly increased survival rates.

We interview hematologist Neal Weinreb, MD, director of the University Research Foundation for Lysosomal Storage Diseases and a researcher involved in studying Gaucher disease for more than 3 decades. Dr Weinreb talks about the risks of cancer in patients with type 1 Gaucher disease and why hematologists and oncologists need to know about this rare inherited disorder.

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