Table of Contents
Cover
Dedication
Title Page
Copyright
List of contributors
Preface
Acknowledgments
Part 1: Introduction
Chapter 1: Cardinal manifestations of cancer
The present
The future
Chapter 2: Biological hallmarks of cancer
Distilling the dauntingly complex manifestations of cancer
Acquired functional capabilities embody biological hallmarks of cancer
Aberrations that enable acquisition of the necessary functional capabilities
The histopathological complexity of cancer, manifested in tumor microenvironments (TMEs)
Therapeutic targeting (and cotargeting) of cancer hallmarks
References
Part 2: Tumor Biology
Chapter 3: Molecular biology, genomics, proteomics, and mouse models of human cancer
Overview: gene structure
General techniques
Gene expression: mRNA transcript analysis
Epigenetic regulation
Gene expression: protein analysis
Functional screens for the identification of therapeutic targets in cancer
Mouse models of human cancer
References
Chapter 4: Oncogenes
Discovery and identification of oncogenes
Mechanisms of oncogene activation
New markers from large-scale genomic analysis
Oncogenes in the initiation and progression of neoplasia
Oncogenes as target of new drugs
Summary and conclusions
References
Chapter 5: Tumor suppressor genes
Genetic basis for tumor development
Somatic cell genetic studies of tumorigenesis
Retinoblastoma: a paradigm for tumor suppressor gene function
References
Chapter 6: Epigenetic contributions to human cancer
Mechanisms involved in epigenetic regulation of gene expression
Altered DNA methylation and chromatin in cancer or the “cancer epigenome”
Clinical implications of altered DNA methylation in cancer
References
Chapter 7: Cancer genomics and evolution
Precis
Introduction
The history and methods of cancer genomics
Cancer genome landscapes
Cancer evolution
Cancer genomics and evolution in clinical practice: A case study in melanoma
Acknowledgments
Glossary
References
Chapter 8: Tumor biologyChromosomal aberrations in cancer
Introduction
Genetic consequences of genomic rearrangements
Chromosome nomenclature
Methods that complement karyotype analysis
Specific clonal disorders
References
Chapter 9: MicroRNA expression in cancer
Background
Biogenesis and production of microRNAs
MicroRNA deregulation in cancer
MicroRNA as biomarkers in cancer
MicroRNAs as noninvasive biomarkers in cancer
Selected miRNAs implicated in cancer
Therapeutic targeting and miRNA
Human applications for miRNAs
References
Chapter 10: Aberrant signaling pathways in cancer
Growth factor receptors with Tyr kinase activity
Aberrations affecting growth factor receptors in tumor cells
Signaling pathways of Tyr kinase receptors
Other signaling pathways aberrantly deregulated in cancer
Growth factor signaling and cancer therapy
Acknowledgments
References
Chapter 11: Differentiation therapy
Molecular mechanisms underlying differentiation blockage in cancer
Potential cancer cell differentiation-inducing agents
APL as a successful model of cancer differentiation therapy
Perspectives
Acknowledgments
References
Chapter 12: Cancer stem cells
Cancer stem cell hypothesis
EMT/MET and cancer stem cells
Signal transduction pathways in cancer stem cells and their therapeutic targeting
Clinical significance of cancer stem cells and future perspectives
References
Chapter 13: Cancer and cell death
Introduction
Pathways for cell death
Cell death resistance mechanisms used by cancers
Signal transduction pathway alterations in cancers—impact on cell death machinery
Cytotoxic chemotherapeutic oncology drugs
Cancer drug discovery by targeting the cell death machinery
Conclusions
List of abbreviations
References
Chapter 14: Cancer cell immortality: targeting telomerase
Telomerase: a universal target for cancer therapy
There are no telomere/telomerase-targeted drugs approved by the Food and Drug Administration (FDA)
Challenges for developing telomerase inhibitors
Overexpression of mutant hTERC and wild-type hTERC-targeted siRNA by lentiviral vectors are different types of gene therapy strategies for telomerase-targeted therapies
6-Thio-dG is a small molecule that is a telomerase-based telomere uncapping target that may overcome some of the problems with gene therapy
Acknowledgments
References
Chapter 15: Cancer metabolism
Malicious builders
From yeast to mammals—same means to different ends
Bad table manners of cancer cells
The traveling electrons
Warburg effect—how to play safe while looking sloppy
The cavalry arrives!—glutamine and anabolic metabolism
The nucleus smells what's cooking
From petty thieves to ringleaders—how cancer cells corrupt their neighbors
Cancer metabolism comes into the clinic
Conclusions
References
Chapter 16: Modeling therapy of late or early-stage metastatic disease in mice
Introduction
Conclusions
Acknowledgments
References
Chapter 17: Tumor angiogenesis
Tumor angiogenesis
Rationale for targeting tumor vasculature
Historic background
Biology of tumor angiogenesis
Regulators of angiogenesis
Therapeutic approaches to targeting tumor vasculature
Clinical advances in the use of antiangiogenic therapy
Lessons from clinical studies of antiangiogenic therapy and future directions
Concluding remarks
Acknowledgments
References
Part 3: Quantitative Oncology
Chapter 18: Cancer bioinformatics
References
Chapter 19: Systems biology and genomics
Introduction
Intrinsic systems biology and genomics in cancer
Tumor microenvironment
Conclusion
Acknowledgments
References
Chapter 20: Statistical innovations in cancer research
Preliminaries
Bayesian approach
Analysis issues
Principles of statistical design: decision analysis and factorial experiments
Adaptive designs of clinical trials
Acknowledgments
References
Chapter 21: Biomarker-based clinical trial design in the era of genomic medicine
Introduction: why we need new designs and analysis paradigms for biomarker-driven clinical trials
Phase II trials of molecularly targeted agents with companion diagnostics
Phase IIa basket and umbrella discovery trials
Phase III designs with a single binary biomarker
Phase II/III enrichment designs with multiple biomarkers
The new models of collaboration required by clinical trials of the “genomic era” and the challenges ahead
Conclusion
References
Chapter 22: Clinical informatics
Introduction
An oncology digital health information technology system
The mobile computing revolution
References
Part 4: Carcinogenesis
Chapter 23: Chemical carcinogenesis
Multistage carcinogenesis
Epigenetics and chemical carcinogenesis
miRNA's in chemical carcinogenesis
Gene–environment interactions and inter-individual variation
Carcinogen metabolism
DNA damage and repair
Mutator phenotype
Racial, gender, and socioeconomic disparities in chemical carcinogenesis
Chronic inflammation and cancer
Oncogenes and tumor suppressor genes
Precision medicine, molecular epidemiology, and prevention
Acknowledgments
References
Chapter 24: Endocrine and genetic bases of hormone-related cancers
Breast cancer
Endometrial cancer
Ovarian cancer
Prostate cancer
Genetic determinants
Conclusions
References
Chapter 25: Ionizing radiation
Development of radiation injury
Principal cellular and tissue effects of radiation
Chromosomal aberrations
DNA damage
General characteristics of radiation carcinogenesis
Genetic susceptibility to radiation-induced cancer
Human epidemiologic studies
Acknowledgments
References
Chapter 26: Ultraviolet radiation carcinogenesis
Epidemiology of skin cancer
Genetic factors in skin carcinogenesis
Diseases of DNA repair
Carcinogenesis
Acknowledgments
References
Chapter 27: Inflammation and cancer
Chronic inflammation and cancer
Inflammatory cells, the microenvironment, and cancer
Pro- and anti-inflammatory cytokines in cancer
Inflammation and tumorigenesis
Inflammation-dependent cancers—examples and treatment
References
Chapter 28: RNA tumor viruses
Classification
Structure
Viral genome and gene products
Genomic variation
Replication cycle
Mechanisms of oncogenesis
Oncogene capture
Insertional mutagenesis
Growth stimulation and two-step oncogenesis
Transactivation
Human immunodeficiency virus
Endogenous retroviruses
Retroviral vectors and gene therapy
Conclusions
References
Chapter 29: Herpesviruses
Properties of herpesviruses
EBV: an oncogenic human herpesvirus
KSHV and malignancies
References
Chapter 30: Papillomaviruses and cervical neoplasia
Definitions, HPV-target cells, and mechanisms of infection and transformation
HPV and human genital neoplasia
References
Chapter 31: Hepatitis viruses and hepatoma
Hepatitis and hepatoma
References
Chapter 32: Parasites
Schistosomiasis and cancer of the bladder
Epidemiologic aspects
Progression of bilharzial bladder cancer
Human papilloma virus
Metabolic observations during schistosomiasis
Apoptosis in schistosomal bladder cancer
Pathology of benign and preneoplastic schistosomal bladder lesions
Experimental data for BBC
Schistosomiasis and cancer of other sites
Evaluation of carcinogenicity of schistosomiasis
East Asian distomiasis
Malaria
Recent evidences
References
Part 5 : Epidemiology, Prevention and Detection
Chapter 33: The burden of cancer worldwide: current and future perspectives
Introduction
Definitions, data sources, and methods
Global cancer diversity
Global cancer transitions
Using descriptive epidemiology to inform cancer control policy
Acknowledgments
References
Chapter 34: Cancer epidemiology
Descriptive cancer statistics
Cancer health disparities
Emerging cancer risk factors
Genetic susceptibility
Emerging methods and technologies
Perspective and future direction
Summary
References
Chapter 35: Behavioral approaches to cancer prevention
Tobacco use
Energy balance: diet, physical activity, and body weight
Risk behaviors for skin cancer
References
Chapter 36: Diet and nutrition in the etiology and prevention of cancer
Methodologic issues in diet, nutrition, and cancer studies
Public health guidelines for cancer prevention
Summary of research efforts focusing on specific cancers
Current research
Survivorship: diet and nutritional guidance during and following cancer treatment
Prevention of cancer recurrences and long-term complication of therapy
References
Chapter 37: Chemoprevention of cancer
Biology of chemoprevention
Cancer risk modeling
Chemoprevention trials
Conclusions
References
Chapter 38: Cancer screening and early detection
Key criteria for screening
Evaluation of early detection programs
Breast cancer screening
Colorectal cancer
Cervical cancer
Prostate cancer
Lung cancer
Testicular cancer
Hepatocellular cancer
Endometrial cancer
Ovarian cancer
Melanoma and nonmelanoma skin cancer
Oral cancer
Conclusion
References
Part 6: Clinical Disciplines
Chapter 39: Nexgen pathology: predicting clinical course and targeting disease causation
From anatomic and clinical pathology to molecular and predictive integrated diagnostics
Molecular pathology
Bladder cancer as a model of molecular pathology classification
Systems pathology and predictive oncology
From treating symptomatology to treating disease causation
References
Chapter 40: Molecular diagnostics in cancer
Introduction
Current molecular biomarkers for predicting outcomes and therapy responsiveness
Molecular biomarkers for monitoring of cancer
Novel molecular biomarkers and platforms for their detection
Challenges in validation of novel molecular biomarkers
Recommendations
Conclusion
References
Chapter 41: Principles of imaging
Further reading
Chapter 42: Interventional radiology for the cancer patient
Hepatic vascular interventions
Considerations in hepatocellular carcinoma
Considerations in hepatic metastases
Genitourinary interventions
Thoracic interventions
Palliative therapy
Miscellaneous
References
Chapter 43: Principles of surgical oncology
The history of surgical oncology
Surgical oncology in the modern era
Components of surgical management in the care of the cancer patient
The future of surgical oncology
References
Chapter 44: Principles of radiation oncology
Introduction
General principles of radiotherapy in cancer treatment
Biologic impact of radiation therapy
Physical and clinical aspects of modern radiotherapy
Conclusions and future directions in radiotherapy
References
Chapter 45: Principles of medical oncology
Principles
Cancer therapeutics is evolving
References
Chapter 46: Palliative care and pain management
Palliative care
Whole patient assessment
Communication
Advance care planning
Symptom management
The terminal phase
Grief and bereavement
Hospice
References
Chapter 47: Principles of psycho-oncology
Introduction
Clinical management
Psychosocial interventions
Burnout in oncology
References
chapter 48: Principles of cancer rehabilitation medicine
Introduction
The rehabilitation team
Cancer of the brain
Spinal cord dysfunction
Cancer of the head and neck
Cancer of the breast
Cancer of the limbs
Conclusion
References
Chapter 49: Integrative oncology in cancer care
Introduction
Definitions
Utilization
Communication
The evidence
Educational resources
Integrative oncology in clinical practice
Conclusion
References
Chapter 50: Health services research
Introduction—what is health services research?
The significance of health services research in cancer
Disciplines within health services research
An overview of health services research study designs
Types of secondary data sources relevant to HSR in oncology
Statistical analyses in health services research
Different outcomes methods
Quality of care
HSR 2.0
Outcomes and endpoints
Comparative effectiveness research
References
Part 7 : Individualized Treatment
Chapter 51: Personalized medicine in oncology drug development
Introduction
Role of biomarkers and companion diagnostics in personalized medicine
Personalized immunotherapeutics
Conclusions
References
Part 8: Chemotherapy
Chapter 52: Preclinical and early clinical development of chemotherapeutic drugs, mechanism-based agents and biologics
Evolution of the discovery process
Special aspects developing protein-engineered compounds
Sources of compounds to evaluate against targets
Preparation of agents for clinical trials
Preparation of an IND (investigational new drug) application
Early clinical trials
Combination of agents in Phase I trials
Are Phase I clinical trials therapeutic?
Issues regarding Phase I trials in general
Future technologies likely to impact on Phase I trials
Appendix
References
Chapter 53: Tumor growth kinetics
Introduction
Some mysteries in cancer medicine
Polygenetic etiology of cancer
Molecular classification versus cancer stem cell concept
Cancer as a local versus systemic disease
Gompertzian growth
The kinetics of cellular proliferation
Assessing growth parameters
Growth fraction, death fraction, tumor size, and therapeutic response
The kinetics of chemotherapy response
The etiology of Gompertzian growth
The interrelationship of tumor self-seeding and tumor microenvironment
Conclusion
References
Chapter 54: Principles of dose, schedule, and combination therapy
Introduction
Dose
Factors influencing the dose effect
Schedule of drug administration
Combination chemotherapy
Molecular biology/targeted therapy
References
Chapter 55: Pharmacology
General attributes of the drug
General clinical pharmacology
Intrinsic factors
Extrinsic factors
General biopharmaceutics
Conclusions
Acknowledgments
References
Chapter 56: Folate antagonists
Historical overview
Mechanisms of action of MTX
Pharmacokinetics of MTX
Clinical application
Current uses for MTX in the treatment of neoplastic disease
Adverse effects
Resistance to antifolates
Strategies to overcome resistance to MTX using new (or older) antifols
Acknowledgments
References
Chapter 57: Pyrimidine and purine antimetabolites
Pyrimidine antimetabolites
Uracil antimetabolites
Cytosine antimetabolites
Purine antimetabolites
Guanine antimetabolites
Adenosine antimetabolites
References
Chapter 58: Alkylating agents and platinum antitumor compounds
Introduction
General mechanisms of cytotoxicity
Alkylating agents
Platinum antitumor compounds
Acknowledgments
References
Chapter 59: DNA topoisomerase targeting drugs
Introduction
Topoisomerase biology
Mechanisms of action
Topoisomerase I inhibitors
Top2 inhibitors
Pharmacogenomics
Perspectives
References
Chapter 60: Agents targeting microtubules and mitotic processes
Introduction
Microtubules as strategic targets against cancer
Microtubule structure and dynamics
Treadmilling and dynamic instability
Microtubules and mitosis
Regulating microtubule dynamics and functional diversity
Vinca alkaloids: Introduction and indications
Mechanism of action
Mechanisms of resistance
Pharmacology
Drug interactions
Toxicity
Administration, dose, and schedule
Taxanes: Introduction and indications
Clinical indications
Mechanisms of action
Mechanisms of resistance
Clinical pharmacology
Drug interactions
Toxicity
Administration, dose, and schedule
Other natural products that enhance tubulin polymerization
Ixabepilone and the epothilones
Clinical indications
Mechanism of action
Mechanisms of resistance
Clinical pharmacology
Drug interactions
Toxicity
Administration, dose, and schedule
Eribulin mesylate and natural products that enhance tubulin depolymerization
Eribulin mesylate
Clinical indications
Mechanism of action
Mechanism of resistance
Clinical pharmacology
Drug interactions
Toxicity
Administration, dose, and schedule
Targeting mitotic motor proteins and kinases
Antibody-drug conjugates carrying antimicrotubule drug payloads
References
Chapter 61: Endocrine therapy for hormone receptor-positive breast cancer
Biology of progestin production and action
Biology of estrogen production and action
Selective estrogen receptor modulators and antiestrogens
Aromatase inhibitors
Resistance to endocrine therapy
GnRH analogues and ovarian function preservation
Conclusion
References
Chapter 62: Drug resistance and its clinical circumvention
General mechanisms of resistance to single agents
General mechanisms of resistance to multiple agents
Potential clinical application of strategies to avert or overcome drug resistance
Conclusion and future directions
References
Part 9: Biological and Gene Therapy
Chapter 63: Cytokines, interferons, and hematopoietic growth factors
Interleukins
Interferons
Hematopoiesis and the role of growth factors
Future perspectives
Acknowledgment
References
Chapter 64: Monoclonal serotherapy
Introduction
Serotherapy for leukemia and lymphoma with unmodified monoclonal antibodies
Serotherapy for solid tumors with unmodified monoclonal antibodies
Immune checkpoint inhibitors
Barriers to treatment with unmodified monoclonal antibodies
Serotherapy with monoclonal antibody drug conjugates (ADCs)
Radioimmunotherapy of cancer
Therapy with targeted toxins
References
Chapter 65: Vaccines and immunostimulants
Targets for vaccine therapy
Types of vaccines
Non-specific immune stimulants
Vaccine clinical trials
Combination therapies
Mechanisms involved in vaccine activity
Immune monitoring
Paradigm shifts
Acknowledgments
References
Chapter 66: Cell-based cancer immunotherapy
Introduction
Conclusion
Acknowledgments
References
Chapter 67: Cancer immunotherapy
Immunosurveillance
Immunoediting
Immune tolerance
Early failures—lessons learnt
Mediators of immune escape
Noncell-autonomous suppression
Moving toward clinically effective immunotherapies
Adoptive cell therapy and the development of personalized immunotherapies
Generation of cellular therapy products
The role of lymphodepletion
Current position of adoptive T cell transfer
Promoting DC function
Directly promoting T cell function
Stimulatory antibodies to 4-1BB (CD137), OX40 (CD134), and GITR—accentuating the positive?
Stimulation through checkpoint blockade of CTLA-4 (CD152), PD-1 (CD279), PD-L1 (CD274)—eliminating the negative
Targeting T
reg
suppressive capacity
Cytokines—intercellular mediators of immunity
Combinatorial immunotherapeutics
Immunotherapy agents elicit different toxicities
Paradigm shift—from immune adjuvants to immunosupportive therapies?
References
Chapter 68: Cancer gene therapy
Introduction
Delivery of genetic material to target cells
Targets of gene therapy
Safety
Conclusion: How will cancer gene therapy enter clinical practice?
References
Chapter 69: Cancer nanotechnology
Introduction
Clinical stage cancer nanotechnologies
Recent advances in cancer nanotechnologies
Acknowledgments
References
Chapter 70: Hematopoietic cell transplantation
Methods of transplantation
Hematopoietic transplantation as treatment for malignancies
Donor selection
Selection of autologous or allogeneic transplantation
Pretransplant therapy
Complications of hematopoietic transplantation
Indications for hematopoietic transplantation
Future directions
References
Part 10: Special Populations
Chapter 71: Principles of pediatric oncology
Introduction and epidemiology
Renal tumors
Neuroblastoma
Pediatric bone tumors
Central nervous system tumors
Less-frequently encountered tumors
Late effects and quality of survivorship
Acknowledgments
References
Chapter 72: Cancer and pregnancy
Cancer and pregnancy epidemiology
Diagnosis and staging
Cancer treatment during pregnancy
Surgery
Radiation
Systemic therapy
Specific cancers
Acute and chronic leukemia
Transplacental malignancy and placental metastasis
Conclusion
References
Chapter 73: Cancer and aging
Life expectancy and aging
The biology of cancer and aging
Physiologic changes with aging
The frail older patient
Evaluation of the older patient: geriatric assessment
Comorbid medical conditions
Comprehensive geriatric assessment
Knowledge about older cancer patients: underrepresentation on clinical trials
Understanding barriers to clinical trial enrollment
Cancer screening in the elderly
Treatment tolerance of the older patient
Conclusions
References
Chapter 74: Disparities in cancer care
Introduction
The birth of a discipline
Defining health disparities
Factors measured
Population categorization
Relationships among population categories
Disparities in treatment patterns
Disparities in quality of care lead to disparities in prognosis and treatment
Genetic expression—race, ancestry, ethnicity, and culture
Population and genetic differences
Pharmacogenomics
US Government rules on minority inclusion in clinical trials
References
Chapter 75: Neoplasms in acquired immunodeficiency syndrome
Epidemiology
Kaposi sarcoma (KS)
Non-Hodgkin lymphoma (NHL)
Hodgkin lymphoma (HL)
Squamous cell neoplasia
Other non-AIDS defining cancers
References
Chapter 76: Cancer survivorship: new challenge in cancer medicine
Introduction
Cancer survivorship: a brief history
Magnitude of the problem
Providing survivorship care
Families and informal caregivers
Conclusion
References
Part 11: Disease Sites
Chapter 77: Primary and metastatic neoplasms of the brain in adults
Introduction
Epidemiology
Glioblastoma and anaplastic astrocytoma
Anaplastic gliomas
Low-grade gliomas and oligodendrogliomas
Ependymoma
Primary central nervous system lymphoma
Meningioma
Brain metastasis
Pathophysiology of the metastatic process
References
Chapter 78: Neoplasms of the eye
Introduction
Pediatric ophthalmic oncology: ocular diseases
Pediatric ophthalmic oncology: orbital diseases
Adult ophthalmic oncology: ocular diseases
Adult ophthalmic oncology: orbital diseases
References
Chapter 79: Neoplasms of the endocrine glands: pituitary neoplasms
Prolactin-secreting pituitary adenomas
Growth hormone-secreting pituitary adenomas
Adrenocorticotrophic hormone-secreting adenomas
Gonadotropin-secreting and nonsecretory pituitary adenomas
TSH-secreting pituitary adenomas
Conclusion
References
Chapter 80: Neoplasms of the thyroid
Historical perspective
Incidence and epidemiology—local and worldwide
Risk factors—genetic, behavioral, environmental
Prevention
Pathology
Pathogenesis and natural history
Screening
Diagnosis
TNM staging, classification
Prognostic factors
Multidisciplinary care
References
Chapter 81: Neoplasms of the adrenal cortex
Introduction
General
Evaluation and work-up
The role of a biopsy
Pathology
Management of ACC
Conclusion
References
Chapter 82: Tumors of the diffuse neuroendocrine and gastroenteropancreatic system
Epidemiology
The diffuse endocrine system
Histology and staging of neuroendocrine tumors
Clinical features of tumors of the DES
Gastrointestinal neuroendocrine tumors (GI-NETs)
Pancreatic net (PNET) (islet-cell tumors)
Therapy for GEP-NET
MEN syndromes
MEN-2 syndromes
Pheochromocytoma
References
Chapter 83: Neoplasms of the head and neck
Introduction
Descriptive epidemiology
Pathologic assessment and biology
Anatomy
Diagnosis and staging
General principles of treatment
Oral premalignancy
Overview of natural history and treatment by site
Radiation therapy
Systemic therapy
References
Chapter 84: Cancer of the lung
Etiology and epidemiology
Molecular pathogenesis
Molecular abnormalities in premalignancy
Pathology of lung cancer
Clinical manifestations
Diagnostic and staging techniques
Therapy for NSCLC
Therapy for SCLC
Conclusions and future prospects
References
Chapter 85: Malignant pleural mesothelioma
Incidence and epidemiology
Diagnosing and staging the patient with possible mesothelioma
Surgical diagnosis and staging in mesothelioma
Treatment
Conclusion
References
Chapter 86: Thymomas and thymic tumors
Introduction
Incidence and epidemiology
Anatomic pathogenesis
Pathology of thymic epithelial neoplasms
Staging systems for thymomas
TNM staging project—ITMIG/IASLC
Clinical features of thymomas
Therapy
Conclusion
References
Chapter 87: Tumors of the heart and great vessels
Introduction
Clinical features
Diagnostic evaluation
Cardiac tumors
Tumors of the great vessels
References
Chapter 88: Primary germ cell tumors of the thorax
Benign teratomas of the mediastinum
Malignant GCT
Pretreatment evaluation and staging
Treatment of seminoma
Treatment of nonseminomatous GCT
References
Chapter 89: Neoplasms of the esophagus
Historical perspectives
Anatomy and histology
Etiology
Epidemiology
Treatment overview
Diagnosis
Pretreatment assessment
Staging evaluation
Presentation
Therapy
Palliative therapy of esophageal obstruction
References
Chapter 90: Carcinoma of the stomach
Incidence and epidemiology
Risk factors
Pathology
Pathogenesis and natural history
Screening
Diagnosis
TNM stage classification
Multidisciplinary care
Unmet needs and future directions
Conclusions
References
Chapter 91: Primary neoplasms of the liver
Hepatocellular carcinoma
Intrahepatic cholangiocarcinoma
Hepatic angiosarcoma
Epithelioid hemangioendothelioma
References
Chapter 92: Gallbladder and bile duct cancer
Gallbladder cancer
Bile duct cancer
Hilar bile duct cholangiocarcinoma
References
Chapter 93: Neoplasms of the exocrine pancreas
Introduction
Epidemiology
Etiologic factors
Prevention of pancreatic cancer
Pathology
Diagnostic evaluation
Treatment of localized, potentially resectable disease
Adjuvant (postoperative) therapy
Preoperative (neoadjuvant) therapy
Locally advanced pancreatic cancer
Novel approaches to chemoradiation
The role of systemic therapy in pancreatic cancer
Approach to the patient with metastatic disease
Future directions
References
Chapter 94: Neoplasms of the small intestine, vermiform appendix, and peritoneum and carcinoma of the colon and rectum
Tumors of the small intestine
Tumors of the appendix
Carcinoma of the colon and rectum
References
Chapter 95: Neoplasms of the anus
Gross anatomy
Epidemiology
Etiology
Pathology
Natural history
Diagnosis
Staging
Prognostic factors
Treatment for primary disease
Treatment of the HIV-positive patient
Treatment of anal margin cancer
Follow-up after treatment
Management of inguinal nodes
Residual or recurrent cancer
Treatment of metastatic disease
Other histologies
References
Chapter 96: Renal cell carcinoma
Introduction
Epidemiology
Clinical presentation
Pathology
Prognostic features
Treatment of localized RCC
Metastatic disease
Uncommon cancers of the kidney
Conclusion
References
Chapter 97: Urothelial cancer
Introduction and epidemiology
Pathobiology and molecular determinants
Clinical presentation
Investigation and staging
Prognosis
Management of non-muscle-invasive bladder cancer
Management of invasive bladder cancer
Metastatic bladder cancer
Uncommon histologic variants
Upper tract tumors
References
Chapter 98: Neoplasms of the prostate
Biology of prostate cancer
Early detection of prostate cancer
Staging of prostate cancer
Outcomes of treatment for early disease
Prostate cancer chemoprevention: Large trials
Algorithm for therapy: future directions
Locally advanced disease
Metastatic prostate cancer
Histologic variants
Clinical presentations
References
Chapter 99: Tumors of the penis and the urethra
Epidemiology and etiology
Diagnosis
Metastasis
Tumor staging
Surgical treatment
Tumor grade
Pelvic lymphadenectomy
Radiotherapy
Chemotherapy
Prognosis
Carcinoma of the urethra
References
Chapter 100: Testis cancer
Epidemiology
Pathology
Clinical presentation
Staging
Therapy
Therapy for disseminated disease
Treatment of good-risk disseminated germ cell tumors
Treatment of patients with “poor-risk” disseminated disease
High-dose chemotherapy as primary treatment of poor-risk disease
Postchemotherapy surgery
High-dose chemotherapy as initial salvage therapy
Treatment of multiply recurrent germ cell cancer
Special situations
Long-term toxicity of chemotherapy
Long-term toxicity of radiation therapy
Extragonadal germ cell tumors (EGCTs)
Unrecognized germ cell tumor syndrome
References
Chapter 101: Neoplasms of the vulva and vagina
Cancer of the vulva
Sentinel inguinal lymph node biopsy
Treatment
Invasive carcinomas of the vagina
Clear cell adenocarcinoma of the vagina
Rare vaginal tumors in young females
References
Chapter 102: Neoplasms of the cervix
Epidemiology
Histologic classification of epithelial tumors
Diagnosis and treatment of precancerous lesions
Diagnosis and treatment of invasive lesions patterns of spread
Radiation therapy
Current practice by disease stage
References
Chapter 103: Endometrial cancer
Epidemiology
Risk factors
Pathology
Prognostic factors
Treatment of primary disease
Treatment of recurrent disease
Biologic therapies
The future
References
Chapter 104: Epithelial ovarian, fallopian tube, and peritoneal cancer
Incidence, etiology, and epidemiology
Prevention
Genetic predisposition
Molecular, cellular, and clinical biology
Diagnosis
Screening
Staging
Prognosis
Treatment of early-stage epithelial cancer
Treatment of advanced stage epithelial cancer
Treatment of recurrent epithelial cancer
References
Chapter 105: Nonepithelial ovarian malignancies
Germ cell malignancies
Dysgerminomas
Immature teratoma
Endodermal sinus tumor
Embryonal carcinoma
Choriocarcinoma of the ovary
Polyembryoma
Mixed germ cell tumor
Sex-cord–stromal tumors
Granulosa-stromal cell tumors
Juvenile granulosa cell tumors
Sertoli–Leydig cell tumors
Uncommon ovarian cancers
Lipoid cell tumors
Sarcomas
Small cell carcinomas
Metastatic tumors
References
Chapter 106: Molar pregnancy and gestational trophoblastic neoplasia
Incidence
Risk factors
Histopathologic classification of GTN
Clinical presentation and diagnosis
Staging and risk assessment
Management of GTN
Management of low-risk GTN
Management of high-risk GTN, stages II and III
Management of stage IV GTN
Management of PSTT and ETT
Results of therapy
hCG follow-up and relapse
Quiescent GTN
Subsequent pregnancies
References
Chapter 107: Gynecologic sarcomas
Historical perspective
Incidence and epidemiology
Risk factors
Pathology
Endometrial stromal lesions
Molecular and genetic alterations
Patterns of spread
Clinical profile
Tumor biomarkers
Imaging studies
Diagnosis
TNM and FIGO staging classification
Prognostic factors and prognosis
Morcellation
LMS
ESS
Surgical treatment
Postsurgical therapy for gynecologic sarcomas
Radiation oncology
Chemotherapy
Combination chemotherapy
Adjuvant chemotherapy for limited disease
Hormone and biologic therapy
Mullerian adenosarcomas
Nonuterine gynecologic sarcomas
References
Chapter 108: Neoplasms of the breast
Epidemiology
Regulation of breast cancer growth
Pathology
Prognostic factors
Diagnosis and screening
Risk and prevention
Treatment of early-stage breast cancer
Treatment for advanced breast cancer
Symptom management and survivorship
References
Chapter 109: Malignant melanoma
Dermatologic principles in melanoma
Clinical presentation
Pathologic features
Clinicopathologic subtypes
Less-common subtypes
Genetics and molecular pathology
Surgical management of melanoma
The role of adjuvant therapy for stage II and III disease
Adjuvant radiation to the resected nodal basin
Uveal melanoma and rare melanomas of the eye
Biology and therapy of advanced melanoma
Melanoma metastatic to the brain
Tumor-infiltrating lymphocyte (TIL) therapy in melanoma
References
Chapter 110: Other skin cancers
Ultraviolet radiation in the pathogenesis of skin cancers
Tumors arising from the epidermis
Tumors arising from dermis
Tumors arising from appendages
Benign cutaneous tumors associated with cancer syndromes
Metastatic tumors to the skin
References
Chapter 111: Bone tumors
Introduction
Evaluation
Staging
Biopsy
Surgical margins
Limb salvage versus amputation
Operative management of metastatic carcinoma, myeloma, and lymphoma
Reconstructive alternatives
Radiotherapy for bone tumors
Medical management of bone tumors
Specific benign bone tumors
Primary bone sarcomas
Metastatic disease to bone
Myeloma
Bone lymphoma
Congenital syndromes
Polyostotic fibrous dysplasia, McCune–Albright syndrome, and Mazabraud's syndrome
Multiple osteochondromatosis
References
Chapter 112: Soft tissue sarcomas
Etiology
Screening
Clinical presentation, classification, and diagnosis
Staging and prognostic factors
Treatment of localized primary disease of the extremities
Treatment of locally advanced disease
Treatment of metastatic disease
Management of local recurrence
Gastrointestinal stromal tumors
Locally aggressive lesions: DFSPs, tenosynovial giant cell tumor (TGCT), perivascular epithelial cell tumor (PEComa) as targets for small molecule oral kinase inhibitors
Retroperitoneal sarcomas
Additional issues in STS management
Immunotherapy for STS
References
Chapter 113: The myelodysplastic syndrome
History
Classification
Etiology
Pathobiology
Establishing a diagnosis
Diagnostic dilemmas
Future directions
References
Chapter 114: Acute myeloid leukemia in adults: mast cell leukemia and other mast cell neoplasms
Introduction
Pathogenesis and etiology
Prognosis
Morphologic classification and clinical and laboratory correlates
AML with recurrent genetic abnormalities
AML not otherwise specified
Presenting signs and symptoms
Therapy: general overview
Induction therapy: general principles
Therapy of relapsed and refractory AML
Therapy of acute promyelocytic leukemia (APL)
Other supportive care and therapeutic approaches
Minimal residual disease (MRD)
Small-molecule inhibitors and other novel approaches
Complications
Central nervous system leukemia
Mast cell leukemia and other mast cell neoplasms
References
Chapter 115: Chronic myeloid leukemia
Historical perspective
Incidence and epidemiology
Risk factors
Pathology
Prognostic classification
Pathogenesis
Diagnosis
Staging and prognostic factors
Treatment
Treatment options after failure of prior TKI
Stem cell transplantation
Treatment recommendations in CML in 2015
Suvivorship and follow-up
Conclusion
References
Chapter 116: Acute lymphoblastic leukemia
Introduction
Epidemiology and etiology
Clinical presentation
Diagnosis of ALL
The therapy of ALL
Salvage therapy
Disease subtypes
Novel therapies
References
Chapter 117: Chronic lymphocytic leukemia
Chronic lymphocytic leukemia
Incidence and epidemiology
Diagnosis of CLL
Pathogenesis and causation
Immunobiology and immunophenotype of CLL cells
Clinical aspects
Clinical presentation
Natural history and terminal events
Clinical staging and other prognostic features
Criteria predictive of disease course in the low- and intermediate-risk groups
Major prognostic markers
Treatment
Psychosocial aspects of CLL
Unmet needs and future directions
Acknowledgments
References
Chapter 118: Hodgkin lymphoma
Introduction
History
Epidemiology and etiology
Immunologic abnormalities in patients
Pathology
Immunophenotype and biology
Staging
Principles of treatment in classical Hodgkin lymphoma
Special populations
Post-treatment surveillance
References
Chapter 119: Non-Hodgkin's lymphoma
Epidemiology and etiology
Pathology, immunobiology, and natural history of NHL
Gray zone lymphoma
Differential diagnosis and sites of disease at presentation
Staging and disease detection
Disease parameters that influence prognosis and assessment of disease response
Therapeutic approaches according to WHO classification
New therapeutic approaches for NHL
References
Chapter 120: Mycosis fungoides and Sézary syndrome
Historical perspective
Prognostic factors and biomarkers
Conclusions
References
Chapter 121: Plasma cell tumors
Multiple myeloma
Diagnostic criteria
Epidemiology
Clinical features
Laboratory features
Biology
Prognostic factors
Complications
Treatment
Relapsed disease
Future directions
Other plasma cell dyscrasias
Immunoglobulin M monoclonal gammopathy
Waldenström macroglobulinemia
Heavy-chain diseases
Amyloidosis
References
Chapter 122: Myeloproliferative neoplasms: essential thrombocythemia, primary myelofibrosis, and polycythemia vera
Essential thrombocythemia
Primary myelofibrosis
Polycythemia vera
References
Part 12: Management of Cancer Complications
Chapter 123: Neoplasms of unknown primary site
Pathologic evaluation
Clinical evaluation
Treatment
References
Chapter 124: Anorexia and cachexia
Introduction
Etiology and mechanisms
Treatment
Future directions and summary
References
Chapter 125: Antiemetic therapy
Overview
Pathophysiology of nausea and vomiting
Types of nausea and vomiting
Emetogenic chemotherapy
Classes of antiemetics
Recommendations for prevention and treatment of chemotherapy-induced emesis
Special situations
Conclusions
References
Chapter 126: Neurologic complications of cancer
Metastases
Cranial and peripheral nerve metastases
Nonmetastatic complications of cancer therapy
Cerebrovascular complications of cancer
Paraneoplastic neurologic syndromes
References
Chapter 127: Dermatologic complications of cancer chemotherapy
Drug hypersensitivity reactions
Targeted cancer therapeutics
Immunomodulators
Alopecia
Stomatitis
Nail reactions
Extravasation reactions
Pigmentary changes
Radiation-associated reactions
Acral reactions
Cutaneous eruption of lymphocyte recovery
References
Chapter 128: Skeletal complications
Introduction
Evaluation of a patient with bone lesions
Solitary lesions of bone
Options for treatment of skeletal lesions
Principles of pathologic fracture treatment
Intramedullary nailing
Plate and screw fixation
Arthroplasty
Megaprostheses
Treatment of periacetabular lesions
Resection without reconstruction
Spine lesions
Treatment of painful metastases and impending fractures
References
Chapter 129: Hematologic complications and blood bank support
Causes of pancytopenia
Abnormalities of red cells and red cell support
Leukopenia and white cell support
Thrombocytopenia and platelet support
Abnormalities in platelet function
Single- and multiple-donor platelets
Clinical and laboratory assessment of the effectiveness of platelet transfusion
Other therapeutic modalities
Effects of transfusion on the immune system
Transfusion-associated GVHD
Definition of those at risk
Strategies for prevention
Transfusion-related infectious diseases
Human immunodeficiency virus (HIV)
Human T-cell lymphotrophic virus type 1
Creutzfeldt–Jakob disease
Conclusion
References
Chapter 130: Coagulopathic complications of cancer patients
Physiology of normal hemostasis
Relationship of coagulation system, inflammation, and cancer
Microparticles
Bleeding disorders
Coagulation factor deficiencies
Drug effects (L-asparaginase)
Acute promyelocytic leukemia
Thrombotic complications
Anticancer effects of anticoagulation treatment
Heparin-induced thrombocytopenia (HIT)
Thrombotic microangiopathies
Arterial thrombosis and nonbacterial thrombotic endocarditis
Disseminated intravascular coagulation (DIC)
Drugs for treatment of bleeding and thrombotic disorders
References
Chapter 131: Urologic complications
Introduction
Urinary tract obstruction
Cystitis and nephritis
Diagnosis, treatment, and prevention of nephrotoxicity of cancer therapeutic agents
References
Chapter 132: Cardiac complications
Evaluation of the cardiovascular system in the cancer patient
Metastatic involvement of cardiac structures
Cardiac effects of mediator release, high output states, and infiltrative disorders in cancer patients
Cardiac dysrhythmia in the cancer patient
Cardiac complications of cancer treatment
References
Chapter 133: Respiratory complications
Malignant airway obstruction
Malignant pleural effusions
Postsurgical respiratory insufficiency
Chemotherapy-induced lung injury
Pulmonary complications of thoracic radiation: Radiation pneumonitis and fibrosis
Pulmonary complications of hematopoietic stem cell transplantation
Pneumonia
Venous thromboembolism
Pulmonary hypertension in the cancer patient
Sleep disorders in cancer patients
Pulmonary rehabilitation
Acute respiratory failure
References
Chapter 134: Gastrointestinal and hepatic complications in cancer patients
Esophageal disorders
Diarrhea
Colitis
Intestinal manifestations of graft-versus-host disease
Hepatic complications of cancer treatment
Other GI complications of cancer therapy
References
Chapter 135: Oral complications of cancer and their treatment
Pretreatment assessment
Oral complications of radiotherapy
Oral complications of chemotherapy
Oral complications associated with HSCT
References
Chapter 136: Gonadal complications
Historical background
Assessment of gonadal function after gonadotoxic therapy
Effects of cytotoxic chemotherapy on gonadal function
Fertility following high-dose chemotherapy
Effects of radiation therapy on gonadal function
Effects of targeted therapies on gonadal function
Protective measures
Outcomes of pregnancy
Psychosocial issues
References
Chapter 137: Sexual dysfunction
Historical perspective
Incidence and epidemiology—local and worldwide
Risk factors—premorbid sexual function, cancer treatments, and behavioral characteristics
Prevention—surgical, medical, behavioral
Screening
Diagnosis
Prognostic factors
Multidisciplinary care
Psychosocial factors and management
Survivorship and follow-up
Unmet needs, future directions, and conclusions
References
Chapter 138: Endocrine complications and paraneoplastic syndromes
Introduction
Endocrine complications
Endocrine paraneoplastic syndromes (“ectopic” hormone production)
References
Chapter 139: Infections in patients with cancer
Infections primarily associated with neutropenia
Infections primarily associated with impaired cellular and humoral immunity
Spectrum of infection
Fungal infections
Viral infections
Special situations
Perianal infections
Catheter-related infections
Therapy of infections in patients with neutropenia
Duration of therapy
Infection prevention
Antifungal and antiviral prophylaxis
Antimicrobial stewardship
Perspectives
References
Chapter 140: Oncologic emergencies
Introduction
Approach to acutely III cancer patients
Circulatory oncologic emergencies
Respiratory oncologic emergencies
Neurologic oncologic emergencies
Other oncologic emergencies
References
Part 13: The Future of Oncology
Chapter 141: A vision for twenty-first century healthcare
A vision for healthcare
Quantifying wellness and demystifying disease
The emergence of P4 medicine
The early stages
The book of life—four levels of biological information
Systems medicine: a tipping point
P4 medicine: a revolution in healthcare
P4 medicine: quantifying wellness and demystifying disease
A pilot wellness program
100,000 Person Wellness Project
Importance of data accessibility from the longitudinal 100K Wellness Project
Scaling up
Hundred Person Wellness Project
Hundred Pioneer pilot study results
Benefits of the 100,000 (100K) person and 107 Pioneer wellness studies for healthcare
How do we plan to proceed?
Systems medicine and cancer: a postscript
The democratization of wellness and healthcare
Acknowledgments
References
Index
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