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Oncology review☆

barb55's picture
barb55
Posts: 91
Joined: Jan 2009

I just got the transcript of the "Management of women with uterine papillary serous cancer: A Society of
Gynecologic Oncology (SGO) review" 2009. I haven't gotten through it yet it is pretty long and technical. Since we all know how limitied info on UPSC is I thought many of you might be interested, but I am not sure how to post it. Can someone help?
Barb

lindaprocopio's picture
lindaprocopio
Posts: 2022
Joined: Oct 2008

Is the download a PDF file? If so, I have software that should enable me to 'lift' the text just as if it were a Word document. Would you like to email it to me and I can try and convert it to a format that can be posted? (lindapro@ptd.net)

Or is it just really long? I don't think there is any way to attach anything here.

lindaprocopio's picture
lindaprocopio
Posts: 2022
Joined: Oct 2008

I wouldn't want to get a 100-page fax, but if it isn't more than a dozen pages, if you faxed the paper copies to me, I could scan it as a PDF and ReadIris it to convert it to Word. (I have lots of tech gizmos since I work out of my home.) My fax # is 570-648-9912.

One thought before we do this, particularly on Barb's purchased report. Is it copyright protected? We don't want to get into trouble posting a report that is only available for a price elsewhere. Any idea if we can legally post it? I'd love to read it. How expensive was it to purchase, Barb?

california_artist
Posts: 850
Joined: Jan 2009

Pat, could you re-email that to me?
My old email is no longer accessible.
New one
madisonraygallery@yahoo.com

cookie1948
Posts: 79
Joined: Feb 2009

Patricia,
How long is the report that you can email to me? My email address is lansnes@ca.rr.com
I would like to see this report for stage1 UPSC as my mom has that. thanks so very much.
Cookie :)

barb55's picture
barb55
Posts: 91
Joined: Jan 2009

The transcript costs $31.50 through science direct. It is protected and yes, I would like to avoid breaking any law by posting it. I've been out of town and still haven't read through it all. Any thoughts folks?
Barb

deanna14
Posts: 733
Joined: Oct 2008

I think you should (when you have time), read through it and maybe just post on here a synopsis. Like just share the pertinent stuff. I am sure it is really long and probably a lot of stuff wordy technical stuff in it. I definately don't think you should post it on here! I am good with whatever you decide. You have provided us with the link to purchase the document if we want to. I certainly appreciate that. I may check with my doctor to make sure he is aware the information is available. Thanks Barb.

MoeKay
Posts: 63
Joined: Feb 2004

If you live near a medical school, the journal Gynecologic Oncology would be available in hard copy in the medical school library. You can discuss the library's copying policies and fees with a research librarian. I recall making a copy of journal articles for my informational and educational purposes for a dime a page after my endometrial cancer diagnosis in 1999.

Another option would be to contact the corresponding author on the first page of the journal, which provides his name and email address, and explain the situation. He may be willing to make educational copies available to other UPSC cancer survivors.

Good luck!

MoeKay

lindaprocopio's picture
lindaprocopio
Posts: 2022
Joined: Oct 2008

I read the 12-page article, and will share my notes. There were many mortality and survival statistics, but I will not share those as the data was extrapolated from all published scientific study results from January 1966 to May 2009, and factoring in those old stats really skews the results downward, in my opinion. But there was some good information in this article:

UPSC women are typically:
older and thinner than other endometrial cancer patients,
& less likely to have hormonal risk factors than other endometrial; cancer patients;
& more likely to have BRCA gene;
More likely to have taken Tamoxifen if they had breast cancer prior to UPSC;
More likely to have P53 mutation; and
& more likely to have HER-2/neu gene amplification. The HER-2 predicts a poorer prognosis, but does open up the possibility of targeted molecular therapies.

Treatment protocols for ovarian serous cancer should be looked at for UPSC recurrences. Adriamycin, cytoxan, & cisplatin bought an average 7 months of remission for recurrent OVARIAN serous cancer women.

Current 'gold standard' for recurrent UPSC:
1.) surgery to reduce residual disease to less than 2 CM.
2.) TAP (paciltaxel + cisplatin + doxorubicin
3.) tumor-directed radiation
This 'gold standard' does not increase recurrence-free survival, but DOES increase progression free survival by 8.3 months. It has a high rate of neurotoxicity.

Sandwiched radiation has been shown to be statistically better than radiation-then-chemo, or chemo-then-radiation.

UPSC women with CA-125s greater than 35 BEFORE surgery have 3.7 times greater risk of cancer-related death than those with CA-125s under 35 before surgery. (Good news for those of you who have always had low CA-125s. Not so good for us that had tp bring our CA-125s down with chemo.)

Indicators in addition to CA-125s that could/should be looked at in the future for UPSC include serum markers like HE4 (a soluble mesothelin-related peptide) and YKL-40 (a secreted glycolprotein).

Herceptin has not yet been studied for UPSC women with HER2, but looks promising.

The article recommended an 'international rare cancer cooperative network' study of UPSC.

deanna14
Posts: 733
Joined: Oct 2008

I knew we could count on your research skills, Linda. Thanks for the synopsis of the article. You are the best.

Thanks so much Barb for purchasing and sharing the article!

Ro10's picture
Ro10
Posts: 1390
Joined: Jan 2009

I always appreciate you research summaries. let's hope we don't have a reoccurence very soon. You are such an inspirtation to all of us. Thanks again. In peace and caring. HUGS to you.

Gunhild's picture
Gunhild
Posts: 37
Joined: Jul 2009

Thanks for your help with this document. You have great skill at summarizing. I live in a rural area with few resources locally and appreciate this group.

daisy366's picture
daisy366
Posts: 1493
Joined: Mar 2009

THANK YOU, Linda,

Appreciate your work!!! I don't like the CA 125 news!!!

Mary Ann

linda66
Posts: 3
Joined: Jun 2009

Barb, thanks for letting us all know about the review and Linda, thanks for your summary!

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