Fundamentals of Cancer Detection, Treatment, and Prevention

Fundamentals of Cancer Detection, Treatment, and Prevention
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Fundamentals of Cancer Detection, Treatment, and Prevention The professional guide to cancer diagnosis and therapy for researchers and clinicians In Fundamentals of Cancer Detection, Treatment, and Prevention, distinguished researcher Surya K. De delivers a concise and authoritative guide to cancer treatment, diagnosis, and prevention. The book offers a comprehensive overview of cancer in humans, from its causes, symptoms, and diagnosis to the variety of treatment options available today. Intuitively organized by cancer type, this guide provides concise information on risk factors, diagnosis, and treatment options for all commonly encountered tumors, including surgery, radiation therapy, chemotherapy, and immunotherapy. All US FDA-approved drugs—like small molecules, peptides, monoclonal antibodies, whole antibodies, gene therapy, antibody-drug conjugates, and cell therapies—are considered, and information about their generic and brand names, clinical uses, and mechanisms of action is presented. Readers will also find: A thorough overview of human cancers, including cancer risk factors and possible preventions Comprehensive explorations of bladder, blood, brain, and spinal cord cancers Practical discussions of breast, colorectal, cervical, kidney, and liver cancer In-depth examinations of lung, skin, ovarian, vaginal, vulvar, pancreatic, and prostate cancers, as well as mesothelioma Perfect for pharmaceutical chemists, oncologists, pharmacologists, and medicinal chemists, Fundamentals of Cancer Detection, Treatment, and Prevention is an indispensable guide for professional researchers, whether they are working in the clinic or the pharmaceutical industry.

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Surya K. De. Fundamentals of Cancer Detection, Treatment, and Prevention

Table of Contents

List of Illustrations

Guide

Pages

Fundamentals of Cancer Detection, Treatment, and Prevention

Medical Advice Disclaimer

Preface

About the Book

About the Author

Common Abbreviations and Acronyms

List of Acronyms of Cancer Organizations

Further Reading

1 An Overview of Cancer. 1.1 Introduction

1.2 Cancer Statistics

1.3 Differences Between Normal Cells and Cancer Cells

1.4 Types of Cancer

1.4.1 Carcinomas

1.4.2 Sarcomas

1.4.3 Leukemias

1.4.4 Lymphomas

1.5 The Role of Genes and Chromosomes

1.6 Genetic Mutations

1.6.1 Acquired Mutations

1.6.2 Germline Mutations

1.7 Genes Connected to Cancer

1.7.1 Tumor Suppressor Genes

1.7.2 Oncogenes

1.7.3 DNA Repair Genes

1.8 Tumors and Metastasis

1.9 Hereditary Cancer Risk

1.10 Cancer Screening and Diagnosis

1.10.1 Colon Cancer

1.10.2 Lung Cancer

1.10.3 Breast/Cervical/Ovarian/Endometrial Cancers

1.10.4 Prostate Cancer

1.10.5 Liver Cancer

1.10.6 Skin Cancer

1.11 Cancer Treatment Options

1.11.1 Surgery

1.11.2 Radiation Therapy

1.11.3 Chemotherapy

1.11.4 Targeted Therapy

1.11.5 Immunotherapy

1.11.6 Hormone Therapy

1.11.7 Stem Cell Transplant

1.11.8 Precision Medicine

References

2 Cancer Risk Factors and Prevention. 2.1 Introduction

2.2 Hormones

2.3 Immunosuppression and Infectious Agents

2.4 Chronic, Long‐term, DNA‐damaging Inflammation

2.5 Being Overweight/Obese

2.6 Eating to Win

2.6.1 Vegetables

2.6.2 Fruits

2.6.3 Grains

2.6.4 Proteins

2.6.5 Bread

2.6.6 Cereal

2.6.7 Dairy

2.6.8 Snacks

2.6.9 Beverages

2.6.10 Spices

2.7 Role of Sugar and Artificial Sweeteners on Cancer

2.8 Role of Certain Foods and Drinks on Cancer

2.8.1 Processed Meat and Fish

2.8.2 Alcohol

2.9 Role of Smoking or Tobacco Use on Cancer

2.10 Role of Radiation on Cancer

2.11 Role of Sunlight and UV Radiation on Cancer

2.12 Role of Radon on Cancer

2.13 Known Human Carcinogens. 2.13.1 Arsenic, Coal Tar, Coal‐tar Pitch, Diesel, Asbestos, Formaldehyde, and Air Pollutants

2.13.2 Certain Types of Plastic

2.13.3 Acrylamide

2.14 Possible Human Carcinogens

2.15 Guidelines for Early Detection of Cancer

References

Further Reading

3 Bladder Cancer. 3.1 Introduction

3.2 Genes Associated with Bladder Cancer

3.3 Types of Bladder Cancer

3.4 Symptoms of Bladder Cancer

3.5 Diagnosis

3.6 Methods of Treatment

3.6.1 Surgical Transurethral Resection of Bladder Tumor (TURBT)

3.6.2 Radiation Therapy

3.6.3 Photodynamic Therapy

3.6.4 Chemotherapy

3.6.5 Targeted Therapy

3.6.6 Immunotherapy

3.7 Treatment Regimens

3.8 Risk Factors/Possible Prevention

References

4 Cancers of the Blood. 4.1 Introduction

4.2 Genes Associated with Blood Cancer

4.3 Types of Blood Cancers

4.4 Blood Cancer Symptoms

4.5 Diagnosis

4.6 Methods of Treatment

4.6.1 Stem Cell Transplantation

4.6.2 Targeted Radiation Therapy

4.6.3 Chemotherapy

4.6.4 Targeted Drug Therapy

4.7 List of Drugs for Different Types of Blood Cancers

4.7.1 Drugs for Acute Lymphoblastic Leukemia

4.7.2 Drugs for Acute Myeloid Leukemia (AML)

4.7.3 Drugs for Chronic Lymphocytic Leukemia

4.7.4 Drugs for Chronic Myelogenous Leukemia (CML)

4.7.5 Drugs for Hairy Cell Leukemia

4.7.6 Drug(s) for Mast Cell Leukemia

4.7.7 Drug(s) for Meningeal Leukemia

4.7.8 Drugs for Hodgkin Lymphoma

4.7.9 Drugs for Non‐Hodgkin Lymphoma

4.7.10 Drugs for Multiple Myeloma and Other Plasma Cell Neoplasms

4.8 Leukemia Treatment regimens. 4.8.1 Treatment Regimens for Acute Lymphocytic (Lymphoblastic) Leukemia (ALL)

Linker‐4 Drug Regimens. Induction Therapy

Consolidation Therapy. Treatment A: Cycles 1, 3, 5, and 7

Treatment B: Cycles 2, 4, 6, and 8

Treatment C: Cycle 9

Maintenance Therapy

CNS Prophylaxis

Larson 5‐drug Regimen (CALGB 8811 regimen)

Consolidation Therapy (early intensification weeks 5–12)

Interim Maintenance and CNS Prophylaxis (weeks 13–25)

Late Intensification (weeks 26–33)

Prolonged Maintenance

Hyper‐CVAD ± Rituximab Regimen

CNS Prophylaxis

Clofarabine + Etoposide + Cyclophosphamide

Single‐Agent Regimens. Blinatumomab

Clofarabine

Dasatinib (Philadelphia chromosome‐positive ALL)

Imatinib (for Ph + ALL)

Intuzumab

Nelarabine (for Ph + ALL)

Nilotinib (for Ph + ALL)

Ponatinib (for Ph + ALL)

Liposomal Vincristine Sulfate

4.8.2 Acute Myeloid (or Myelogenous) Leukemia (AML) Treatment Regimens. Induction Therapy. Cytarabine + Daunorubicin 91

Dual‐Drug Liposomal Encapsulation of Cytarabine and Daunorubicin

Cytarabine + Daunorubicin + Gemtuzumab Ozogamicin

Cytarabine + Idarubicin [94]

Cytarabine + Clofarabine

Cytarabine + Daunorubicin + Midostaurin

Post‐Remission Therapy Regimens. Cytarabine + Daunorubicin

Dual‐Drug Liposomal Encapsulation of Cytarabine and Daunorubicin

High‐Dose Cytarabine

Cytarabine + Idarubicin

Cytarabine + Midostaurin

Regimens for Relapsed or Refractory Disease. Etoposide + Cytarabine + Mitoxantrone [105]

Cladribine + Cytarabine + Mitoxantrone + Filgrastim [106]

Glasdegib + Cytarabine

Venetoclax + Azacitidine (for isocitrate dehydrogenase 2 (IDH2) mutation)

Venetoclax + Decitabine

Azacitidine + Sorafenib [for FLT3 mutation]

Single‐Agent Regimens for AML. Enasidenib (for IDH‐2 positive AML)

Ivosidenib (IDH1‐mutated relapsed or refractory AML)

Gilteritinib (FLT3‐positive AML)

Azacitidine

Gemtuzumab ozogamicin (CD33‐positive AML)

Arsenic trioxide (for acute promyelocytic leukemia only)

Clofarabine

Sorafenib (for FLT3 mutated AML)

Decitabine

4.8.3 Chronic Lymphocytic Leukemia Treatment Regimens. Single‐Agent Regimens. Acalabrutinib

Alemtuzumab

Bendamustine

Chlorambucil

Duvelisib

Fludarabine

Ibrutinib

Lenalidomide

Ofatumumab

Rituximab

Venetoclax

Obinutuzumab

Cladribine

Combination Regimens. Bendamustine + Rituximab

Obinutuzumab + Chlorambucil

Ofatumumab + Chlorambucil

Chlorambucil + Prednisone

Chlorambucil + Rituximab

Cyclophosphamide + Fludarabine

Fludarabine + Rituximab

Idelalisib + Rituximab

Ibrutinib + Rituximab

Venetoclax + Rituximab

Venetoclax + Obinutuzumab

CVP

FCR

PCR

4.8.4 Chronic Myeloid Leukemia (CML) Treatment Regimens. Single‐Agent Regimens. Bosutinib

Dasatinib

Imatinib

Nilotinib

Omacetaxine

Ponatinib

Asciminib

Radotinib

Danusertib

Tozasertib

Ruxolitinib + Nilotinib

Lonafarnib + Imatinib

Tipifarnib + Imatinib

Interferon α‐2a + Cytarabine

4.8.5 Hairy Cell Leukemia Treatment Regimens. Cladribine

Interferon α‐2b

Pentostatin

Moxetumomab pasudotox‐tdfk

Vemurafenib + Rituximab

4.9 Hodgkin's Lymphoma Treatment Regimens. Single‐Agent Regimens. Bendamustine

Brentuximab Vedotin

Everolimus

Gemcitabine

Lenalidomide

Nivolumab

Pembrolizumab

Rituximab

Combination Regimens. Doxorubicin + Bleomycin + Vinblastine + Dacarbazine (ABVD)

Brentuximab + Doxorubicin + Vinblastine + Dacarbazine

MOPP

C‐MOPP

Stanford V

EVAP

Carmustine + Cytarabine + Etoposide + Melphalan (Mini‐BEAM)

GVD. Gemcitabine + Vinorelbine + Pegylated liposomal doxorubicin (Doxil)

Cyclophosphamide + Vincristine + Prednisone (CVP)

Cyclophosphamide + Doxorubicin + Vincristine + Prednisone (CHOP) ± Rituximab

Gemcitabine + Carboplatin + Dexamethasone ± Rituximab

Dexamethasone + Cytarabine + Cisplatin (DHAP)

BEACOPP

Escalated BEACOPP

Mitoxantrone + Ifosfamide + Mesna + Etoposide (MINE)

Ifosfamide + Carboplatin + Etoposide

4.10 Non‐Hodgkin's Lymphoma Treatment Regimens

Single‐Agent Regimens. Bendamustine

Belinostat (Peripheral T‐Cell Lymphoma)

Brentuximab Vedotin

Bortezomib (Mantle Cell Lymphoma/Peripheral T‐Cell Lymphoma)

Ibrutinib

Lenalidomide

Rituximab

Romidespin (Peripheral T‐Cell Lymphoma)

Pralatrexate (Peripheral T‐Cell Lymphoma)

Vorinostat (Peripheral T‐Cell Lymphoma)

Acalabrutinib (Mantle Cell Lymphoma)

Cyclosporine (Peripheral T‐Cell Lymphoma)

Zanubrutinib (Mantle Cell Lymphoma)

Copanlisib

Duvelisib

Umbralisib

Axicabtagene Ciloleucel

Tazemetostat

Tisagenlecleucel

Alemtuzumab (Anti‐CD52 Monoclonal Antibody for Peripheral T‐Cell Lymphoma)

Gemcitabine (for Peripheral T‐Cell Lymphoma)

Selinexor

Combination Regimens

Bendamustine + Obinutuzumab

Bendamustine + Rituximab

Lenalidomide + Rituximab

CVP

CHOP

R‐CHOP

R‐mini‐CHOP

R‐CHOP 14

EPOCH

EPOCH + Rituximab

Ifosfamide + Carboplatin + Etoposide (ICE)

Rituximab + Ifosfamide + Carboplatin + Etoposide (RICE)

Fludarabine + Cyclophosphamide

Fludarabine + Cyclophosphamide + Rituximab (FCR)

DHAP (Salvage Therapy)

DHAP + Rituximab (Salvage Therapy)

ESHAP (Salvage Therapy)

ESHAP + Rituximab (Salvage Therapy)

MINE

MINE + Rituximab

Mini‐BEAM

Gemcitabine + Vonorelbine (GV)

Gemcitabine + Dexamethasone + Cisplatin (GDP)

Gemcitabine + Methylprednisolone + Cisplatin (GEM‐P)

Rituximab + Gemcitabine + Oxaliplatin (R+GEMOX)

Ifosfamide + Etoposide + Cytarabine + Dexamethasone (IVAD)

Polatuzumab Vedotin + Rituximab + Bendamustine

4.11 Cutaneous T‐Cell Lymphoma Treatment Regimens. Belinostat

Gemcitabine

Romidespin

Mogamulizumab‐kpkc

Vorinostat

Bortezomib

Alemtuzumab

Brentuximab Vedotin

Pegylated Liposomal Doxorubicin

Bexarotene

4.12 Primary CNS Lymphoma Treatment Regimens. High‐Dose Methotrexate

High‐Dose Cytarabine

Topotecan

Temozolomide

Ibrutinib

Nivolumab

Rituximab

Thiotepa

Lenalidomide

Lenalidomide + Rituximab

4.13 Multiple Myeloma Treatment Regimen. Single‐Agent Regimens. Bendamustine

Belantamab Mafodotin‐blmf

Bortezomib

Carfilzomib

Darutumumab

Lenalidomide

Ixazomib

Melphalan

Pomalidomide

Combination Regimens

Bortezomib + Dexamethasone

Bortezomib + Liposomal Doxorubicin

Lenalidomide + Dexamethasone

Carfilzomib + Dexamethasone

Pomalidomide + Dexamethasone

Ixazomib + Dexamethasone

Thalidomide + Dexamethasone

Selinexor + Dexamethasone

Panobinostat + Carfilzomib

Lenalidomide + Bortezomib + Dexamethasone (RVD)

Bortezomib + Cyclophosphamide + Dexamethasone (BCD)

Bortezomib + Doxorubicin + Dexamethasone

Ixazomib + Lenalidomide + Dexamethasone

Carfilzomib + Lenalidomide + Dexamethasone (CRD)

Bortezomib + Thalidomide + Dexamethasone

Isatuximab + Pomalidomide + Dexamethasone

Daratumumab + Bortezomib + Dexamethasone

Daratumumab + Lenalidomide + Dexamethasone

Elotuzumab + Lenalidomide + Dexamethasone

Bendamustine + Bortezomib + Dexamethasone

Bendamustine + Lenalidomide + Dexamethasone

Elotuzumab + Bortezomib + Dexamethasone

Pomalidomide + Bortezomib + Dexamethasone

Pomalidomide + Carfilzomib + Dexamethasone

Cyclophosphamide + Lenalidomide + Dexamethasone

Panobinostat + Bortezomib + Dexamethasone

Pomalidomide + Cyclophosphamide + Dexamethasone

Melphalan + Prednisone + Thalidomide (MPT)

Melphalan + Prednisone + Lenalidomide (MPL)

Vincristine + Doxorubicin + Dexamethasone (VAD)

Bortezomib + Melphalan + Prednisone

Daratumumab + Bortezomib + Thalidomide + Dexamethasone

Dexamethasone + Thalidomide + Cisplatin + Doxorubicin + Cyclophosphamide + Etoposide + Bortezomib (VTD‐PACE)

Dexamethasone + Cyclophosphamide + Etoposide + Cisplatin (DCEP)

Dexamethasone + Cyclophosphamide + Vincristine + Doxorubicin (CVAD)

4.14 Risk Factors and Possible Preventions

References

5 Brain and Spinal Cord Tumors. 5.1 Introduction

5.2 Genes Associated with Brain Cancer

5.3 Types of Primary Brain Tumors for Adults

5.3.1 Astrocytoma

5.3.2 Oligodendroglioma

5.3.3 Meningioma

5.4 Types of Brain Cancer for Children

5.4.1 Medulloblastoma

5.4.2 Grade I or II Astrocytoma

5.4.3 Ependymoma

5.4.4 Brainstem Glioma

5.5 Brain Tumor Symptoms

5.6 Diagnosis

5.6.1 Neurological Exam

5.6.2 Imaging Tests

5.6.3 Biopsy

5.7 Methods of Treatment

5.7.1 Surgery

5.7.2 Radiation Therapy

5.7.3 Radiosurgery

5.7.4 Chemotherapy

5.7.5 Targeted Drug Therapy

5.8 Treatment Regimens

Single‐Agent Regimens

Carboplatin

Carmustine

Cyclophosphamide

Etoposide

Irinotecan

Lomustine

Procarbazine

Temozolomide

Systemic Therapy for Intracranial and Spinal Ependymoma

Temozolomide

5.9 Post‐Treatment Rehabilitation

5.10 Risk Factors/Possible Preventions

References

6 Breast Cancer. 6.1 Introduction

6.2 Genes Associated with Breast Cancer (Pathophysiology)

6.3 Describing Breast Cancer

6.4 Breast Cancer Symptoms

6.5 Diagnosis

6.5.1 Breast Examination

6.5.2 Imaging Tests

6.5.3 Biopsy

6.6 Methods of Treatment

6.6.1 Surgery

6.6.1.1 Lumpectomy

6.6.1.2 Mastectomy

6.6.1.3 Sentinel Node Biopsy

6.6.1.4 Axillary Lymph Node Dissection

6.6.1.5 Reconstruction

6.6.2 Radiation Therapy

6.6.3 Chemotherapy

6.6.4 Hormone‐Blocking Therapy

6.6.5 Targeted Therapy

6.6.6 Immunotherapy

6.6.7 Abbreviations for a Chemotherapy Combination Used to Treat Breast Cancer. AC

AT

AC ± T with or without Taxol or Taxotere

CAF

CMF

FEC

TAC

6.6.8 Drugs to Prevent Breast Cancer

6.7 Drugs for Breast Cancer in Men

6.8 Treatment Regimens

6.8.1 Preoperative/Adjuvant Therapy Regimens for HER2‐Negative Breast Cancer. AC

AC→T (AC followed by Paclitaxel)

AC→T (weekly) (AC followed by weekly Paclitaxel)

AC→Docetaxel (AC followed by Docetaxel)

AC→Docetaxel (AC followed by Docetaxel weekly)

TC

TAC

CAF (FAC)

Cyclophosphamide + Methotrexate + 5‐Fluorouracil (CMF)

Epirubicin + CMF

EC

5‐Fluorouracil + Epirubicin + Cyclophosphamide (FEC)

FEC + Docetaxel

Capecitabine

Olaparib

Paclitaxel + Carboplatin

Dose‐Dense Regimens for HER2‐negative Disease. AC→T (Dose‐dense AC followed by Paclitaxel)

Doxorubicin + Paclitaxel + Cyclophosphamide

AC→Docetaxel (Dose‐dense AC followed by Docetaxel)

6.8.2 Preoperative/Adjuvant Therapy Regimens for HER2‐Positive Breast Cancer. AC→T + Trastuzumab (AC followed by Paclitaxel + Trastuzumab)

AC→T + Trastuzumab (Dose‐dense AC followed by Paclitaxel + Trastuzumab)

Paclitaxel + Trastuzumab

AC followed by Paclitaxel + Trastuzumab + Pertuzumab

Docetaxel + Trastuzumab + 5‐Fluorouracil + Epirubicin + Cyclophosphamide

Docetaxel + Pertuzumab + Trastuzumab

TCH

TCH + Pertuzumab

Neratinib

Ado‐trastuzumab Emtansine

6.8.3 Systemic Therapy for ER‐ and/or PR‐Positive Recurrent or Stage IV (M1) Disease: HER2‐Negative and Postmenopausal or Premenopausal Receiving Ovarian Ablation or Suppression. Abemaciclib + Anastrozole

Abemaciclib + Exemestane

Abemaciclib + Fulvestrant

Abemaciclib + Letrozole

Fulvestrant + Anastrozole

Fulvestrant + Letrozole

Palbociclib + Anastrozole

Palbociclib + Exemestane

Palbociclib + Fulvestrant

Palbociclib + Letrozole

Ribociclib + Anastrozole

Ribociclib + Exemestane

Ribociclib + Fulvestrant

Ribociclib + Letrozole

Alpelisib + Fulvestrant

Everolimus + Exemestane

Everolimus + Fulvestrant

Everolimus + Tamoxifen

Abemaciclib

Exemestane

Fulvestrant

Letrozole

Megestrol

Tamoxifen

Toremifene

Estradiol

6.8.4 Systemic Therapy Regimens for Recurrent/Unresectable/Advanced/Metastatic Stage IV Breast Cancer: Regimens for HER2‐Negative Disease. AC

AT

EC

Gemcitabine + Paclitaxel (GT)

Capecitabine + Docetaxel

Capecitabine + Ixabepilone

Capecitabine + Paclitaxel

Carboplatin + Paclitaxel

Paclitaxel + Bevacizumab

Atezolizumab + Albumin‐Bound Paclitaxel

Docetaxel + Doxorubicin

Doxorubicin liposomal + Docetaxel

CEF

CMF

FEC‐75

FEC‐50

Albumin‐bound paclitaxel

Cyclophosphamide

Docetaxel

Doxorubicin

Doxorubicin liposome

Eribulin

Gemcitabine

Ixabepilone

Paclitaxel

Vinorelbine

6.8.5 Systemic Therapy for ER‐ and/or PR‐Positive Recurrent or Stage IV (M1) Disease: Regimens for HER2‐Positive Postmenopausal or Premenopausal Receiving Ovarian Ablation or Suppression. Trastuzumab + Anastrozole

Trastuzumab + Letrozole

Trastuzumab + Tamoxifen

Everolimus + Exemestane

Palbociclib + Letrozole

Palbociclib + Fulvestrant

Ribociclib + Fulvestrant

Abemaciclib + Anastrozole

Abemaciclib + Exemestane

Abemaciclib + Fulvestrant

Abemaciclib + Letrozole

Exemestane + Lapatinib

Letrozole + Lapatinib

Goserelin + Anastrozole + Zoledronic acid

Goserelin + Tamoxifen + Zoledronic acid

Abemaciclib

Anastrozole

Exemestane

Fulvestrant

Letrozole

Megestrol

Tamoxifen

Toremifene

6.8.6 Systemic Therapy Regimens for Recurrent/Unresectable/Advanced/Metastatic Stage IV Breast Cancer: Regimens for HER2‐Positive Disease. Trastuzumab + Capecitabine

Trastuzumab + Gemcitabine

Trastuzumab + Docetaxel

Trastuzumab + Paclitaxel

Trastuzumab + Lapatinib

Trastuzumab + Navelbine

Trastuzumab + Carboplatin

Trastuzumab + Cisplatin

Trastuzumab + Cyclophosphamide

Trastuzumab + Eribulin

Trastuzumab + Vinorelbine

Capecitabine + Lapatinib

Capecitabine + Neratinib

Docetaxel + Trastuzumab + Pertuzumab

Pertuzumab + Trastuzumab + Paclitaxel

Paclitaxel + Carboplatin + Trastuzumab

Carboplatin + Docetaxel + Trastuzumab

Tucatinib + Trastuzumab + Capecitabine

Gemcitabine + Carboplatin + Trastuzumab

Margetuximab‐cmkb + Capecitabine

Margetuximab‐cmkb + Eribulin

Margetuximab‐cmkb + Gemcitabine

Margetuximab‐cmkb + Vinorelbine

Ado‐trastuzumab Emtansine

Capecitabine

Entrectinib (NTRK gene fusion‐positive)

Larotrectinib (NTRK gene fusion‐positive)

Olaparib

Pembrolizumab

Sacituzumab govitecan‐hziy

Talazoparib

Trastuzumab

Fam‐Trastuzumab Deruxtecan‐nxki

Ado‐trastuzumab emtansine

6.9 Risk Factors/Possible Preventions

References

7 Colorectal Cancer. 7.1 Introduction

7.2 Genes Associated with Colorectal Cancer

7.3 Colorectal Cancer Symptoms

7.4 Stages

7.5 Diagnosis

7.6 Methods of Treatment

7.6.1 Surgery

7.6.2 Radiation Therapy

7.6.3 Chemotherapy

7.6.4 Targeted Therapy

7.6.5 Immunotherapy

7.7 Drugs to Anal Cancer

7.8 Drugs to Prevent Anal Cancer

7.8.1 Treatment Regimens for Colorectal Cancer: Adjuvant/Advanced/Metastatic Disease. Single‐Agent Regimens. Capecitabine

Cetuximab (KRAS/NRAS/BRAF wild‐type gene)

5‐Fluorouracil

Irinotecan

Larotrectinib (NTRK gene fusion‐positive)

Entrectinib (NTRK gene fusion‐positive)

Nivolumab

Pembrolizumab

Panitumumab

Regorafenib

Fam‐trastuzumab deruxtecan‐nxki

Dostarlimab‐gxly

7.8.2 Systemic Therapy for Advanced or Metastatic Disease. Combination Regimens. Leucovorin + 5‐Fluorouracil (weekly schedule low dose)

Leucovorin + 5‐Fluorouracil (weekly schedule high dose)

Capecitabine + Oxaliplatin (XELOX)

Cetuximab + Bevacizumab

Capecitabine + Mitomycin‐C

Encorafenib + Cetuximab (BRAF V600E mutation positive)

Nivolumab + Ipilimumab

Trifluridine + Tipiracil (TAS‐102, Lonsurf)

Irinotecan + Bevacizumab

Irinotecan + Cetuximab

Irinotecan + Panitumumab

FOLFOX

Oxaliplatin + 5‐Fluorouracil + Leucovorin (FOLFOX4)

Oxaliplatin + 5‐Fluorouracil + Leucovorin (FOLFOX6)

Oxaliplatin + 5‐Fluorouracil + Leucovorin (m‐FOLFOX6)

Oxaliplatin + 5‐Fluorouracil + Leucovorin (FOLFOX7)

mFOLFOX6 + Bevacizumab

mFOLFOX6 + Cetuximab

FOLFOX4 + Panitumumab

Trastuzumab + Lapatinib (HER2‐positive KRAS codon 12/13 wild‐type)

Trastuzumab + Pertuzumab (HER2‐positive, mutations in KRAS, BRAF wild‐type, PIK3CA)

Capecitabine + Oxaliplatin + Bevacizumab

5‐Fluorouracil + Leucovorin + Bevacizumab

FOLFOXIRI

FOLFOXIRI

FOLFOXIRI + Bevacizumab

FOLFOXIRI + Cetuximab (mutation of genes in KRAS/NRAS/BRAF wild‐type)

FOLFOXIRI + Panitumumab (KRAS codon 61, HRAS, NRAS, and BRAF V600E mutations)

Irinotecan + 5‐Fluorouracil + Leucovorin (FOLFIRI)

Irinotecan + 5‐Fluorouracil + Leucovorin + Bevacizumab (FOLFIRI + Bevacizumab)

Irinotecan + 5‐Fluorouracil + Leucovorin + Cetuximab (FOLFIRI + Cetuximab) (mutation of genes in KRAS/NRAS/BRAF wild‐type)

Irinotecan + 5‐Fluorouracil + Leucovorin + Panitumumab (FOLFIRI + Panitumumab) (KRAS/NRAS/BRAF wild‐type only)

Irinotecan + 5‐Fluorouracil + Leucovorin + Ziv‐aflibercept (FOLFIRI + Ziv‐aflibercept)

Irinotecan + 5‐Fluorouracil + Leucovorin + Ramucirumab (FOLFIRI + Ramucirumab)

Cetuximab + Irinotecan + Vemurafenib

Irinotecan + Panitumumab + Vemurafenib

Irinotecan + Capecitabine + Bevacizumab (XELIRI +Bevacizumab)

Binimetinib + Encorafenib + Cetuximab

7.8.3 Treatment Regimens for Anal Cancer: Regimens for Localized Stage. 5‐Fluorouracil + Mitomycin‐C + Radiation Therapy

Capecitabine + Mitomycin‐C + Radiation Therapy

5‐Fluorouracil + Cisplatin + Radiation Therapy

Capecitabine + Oxaliplatin + Radiation therapy

7.8.4 Treatment Regimens for Anal Cancer: Metastatic Stage. 5‐Fluorouracil + Cisplatin

Carboplatin + Paclitaxel

mFOLFOX6

FOLCIS (5‐Fluorouracil Continuous Infusion/Leucovorin/Cisplatin)

DCF

Nivolumab

Pembrolizumab

7.9 Risk Factors/Possible Preventions

References

8 Cervical Cancer. 8.1 Introduction

8.2 Causes of Cervical Cancer

8.3 Symptoms of Cervical Cancer

8.4 Diagnosis

8.5 Methods of Treatment

8.5.1 Surgery

8.5.2 Radiation Therapy

8.5.3 Chemotherapy

8.5.4 Targeted Therapy

8.5.5 Immunotherapy

8.6 Vaccines to Prevent Cervical Cancer

8.7 Treatment Regimens: Systemic Therapy for Recurrent or Metastatic Cervical Cancer. Single‐Agent Regimens. Bevacizumab

Cisplatin

Carboplatin

Docetaxel

Gemcitabine

Irinotecan

Paclitaxel

Albumin‐bound Paclitaxel

Pembrolizumab

Pemetrexed

Topotecan

Vinorelbine

Cisplatin + Radiation Therapy

Combination Regimens. Cisplatin + 5‐ Fluorouracil

Cisplatin + Irinotecan

Cisplatin + Paclitaxel

Cisplatin + Topotecan

Cisplatin + Pemetrexed

Cisplatin + Vinorelbine

Carboplatin + Docetaxel

Paclitaxel + Topotecan

5‐Fluorouracil + Leucovorin

Cisplatin + Paclitaxel + Bevacizumab

Paclitaxel + Topotecan + Bevacizumab

Carboplatin + Paclitaxel + Bevacizumab

8.8 Risk Factors/Possible Preventions

References

9 Kidney Cancer. 9.1 Introduction

9.2 Genes Associated with Kidney Cancer

9.3 Types of Kidney Cancer

9.4 Kidney Cancer Symptoms

9.5 Diagnosis

9.5.1 Urine Tests

9.5.2 Blood Tests

9.5.3 Biopsy

9.5.4 Intravenous Pyelogram

9.5.5 Ultrasound

9.5.6 Computed Tomography Scan

9.5.7 Magnetic Resonance Imaging

9.5.8 Renal Arteriogram

9.6 Kidney Cancer Stages

9.7 Methods of Treatment

9.7.1 Simple Nephrectomy

9.7.2 Partial Nephrectomy

9.7.3 Radical Nephrectomy

9.7.4 Radiofrequency Ablation

9.7.5 Arterial Embolization

9.7.6 Cryotherapy

9.7.7 Radiation Therapy

9.7.8 Chemotherapy

9.7.9 Targeted Drug Therapy

9.7.10 Immunotherapy

9.7.11 Complementary or Alternative Treatment

9.7.12 Drugs for Upper Tract Urothelial Cancer

9.7.13 Drugs for Wilms' Tumor and Other Childhood Kidney Cancers

9.8 Treatment Regimens

Metastatic/ Relapse or Stage IV Therapy

Axitinib

Cabozantinib

Everolimus

Nivolumab

Aldesleukin (IL‐2)

Interferon α‐2a

Temsirolimus

Pazopanib

Sorafenib

Sunitinib

Bevacizumab

9.9 Risk Factors/Possible Preventions

References

10 Liver (Hepatocellular) Cancer. 10.1 Introduction

10.2 Gene Associated with Liver Cancer and Role of Hepatitis Infection

10.3 Liver Cancer Symptoms

10.4 Diagnosis

10.5 Methods of Treatment

10.5.1 Surgery

10.5.2 Liver Transplant

10.5.3 Ablation Therapies

10.5.4 Embolization

10.5.5 Radiation Therapy

10.5.6 Chemotherapy

10.5.7 Targeted Therapy

10.5.8 Immunotherapy

10.6 Treatment Regimens

10.7 Liver (Hepatocellular) Cancer Risk Factors/Possible Preventions

References

11 Lung Cancer. 11.1 Introduction

11.2 Genes Associated with Lung Cancer

11.3 Types of Lung Cancer

11.4 Symptoms of Lung Cancer

11.5 Diagnosis. 11.5.1 Imaging Tests

11.5.2 Sputum Cytology

11.5.3 Tissue Biopsy

11.6 Methods of Treatment

11.6.1 Surgery

11.6.2 Radiation Therapy

11.6.3 Chemotherapy

11.6.4 Targeted Drug Therapy

11.6.5 Immunotherapy

11.6.6 Drugs by Types of Lung Cancer

11.6.6.1 Drugs for Non‐Small Cell Lung Cancer

11.6.6.2 Drugs for Small Cell Lung Cancer

11.7 Treatment Regimens. 11.7.1 Treatment Regimens for Non‐Small Cell Lung Cancer. Systemic Therapy for Advanced or Metastatic Disease. Single‐agent Regimens. Afatinib

Alectinib

Atezolizumab

Brigatinib

Capmatinib

Cetuximab

Ceritinib

Crizotinib

Docetaxel

Dacomitinib

Durvalumab

Entrectinib (for NTRK gene fusion positive tumors)

Erlotinib (for EGFR mutation positive tumors)

Etoposide

Gefitinib

Gemcitabine

Irinotecan

Lorlatinib

Larotrectinib (for NTRK gene fusion positive tumors)

Nivolumab

Paclitaxel

Nab‐paclitaxel

Osimertinib (EGFR T790M mutation‐positive tumors)

Pemetrexed

Pembrolizumab

Pralsetinib (RET fusion‐positive tumors)

Selpercatinib (RET fusion‐positive tumors)

Sunitinib

Topotecan

Vinorelbine

Cemiplimab

Sotorasib (KRAS G12C mutation‐positive tumors)

Combination Regimens. Docetaxel + Cisplatin

Etoposide + Cisplatin

Gemcitabine + Cisplatin

Cisplatin + Paclitaxel

Cisplatin + Pemetrexed

Cisplatin + Vinblastine

Cisplatin + Vinorelbine

Docetaxel + Carboplatin

Gemcitabine + Carboplatin

Paclitaxel + Carboplatin

Carboplatin + Albumin‐Bound Paclitaxel (Nab‐Paclitaxel)

Carboplatin + Vinorelbine

Docetaxel + Ramucirumab

Dabrafenib + Trametinib

Erlotinib + Ramucirumab

Ipilimumab + Nivolumab

Cisplatin + Cetuximab + Vinorelbine

Carboplatin + Paclitaxel + Bevacizumab

Carboplatin + Paclitaxel + Pembrolizumab

Carboplatin + Nab‐Paclitaxel + Pembrolizumab

Cisplatin + Gemcitabine + Bevacizumab

Cisplatin + Gemcitabine + Necitumumab

Cisplatin + Etoposide + Docetaxel

Cisplatin + Pemetrexed + Pembrolizumab

Carboplatin + Pemetrexed + Bevacizumab

Carboplatin + Pemetrexed + Pembrolizumab

Atezolizumab + Paclitaxel + Carboplatin

Atezolizumab + Bevacizumab + Paclitaxel + Carboplatin

11.7.2 Treatment Regimens for Small Cell Lung Cancer. Single‐agent Regimens. Docetaxel

Etoposide

Gemcitabine

Irinotecan

Lurbinectedin

Nivolumab

Paclitaxel

Pembrolizumab

Topotecan

Vinorelbine

Ifosfamide

Temozolomide

Combination Regimens. Cisplatin + Etoposide

Carboplatin + Etoposide

Carboplatin + Irinotecan

Cisplatin + Irinotecan

Topotecan + Cisplatin

Carboplatin + Paclitaxel

Nivolumab + Ipilimumab

Cyclophosphamide + Doxorubicin + Vincristine

Cyclophosphamide + Doxorubicin + Etoposide

Carboplatin + Paclitaxel + Etoposide

Atezolizumab + Carboplatin + Etoposide

Durvalumab + Carboplatin + Etoposide

11.8 Risk Factors and Possible Preventions

References

12 Melanoma (Skin Cancer) 12.1 Introduction

12.2 Genes Associated with Melanoma

12.3 Types of Melanoma

12.3.1 Superficial Spreading Melanoma

12.3.2 Nodular Melanoma

12.3.3 Lentigo Maligna Melanoma

12.3.4 Acral Lentiginous Melanoma

12.4 Stages of Malignant Melanoma

12.5 Symptoms of Melanoma Cancer

12.6 Diagnosis

12.6.1 Asymmetric

12.6.2 Border

12.6.3 Color

12.6.4 Diameter

12.6.5 Evolving

12.7 Methods of Treatment

12.7.1 Surgery

12.7.2 Radiation

12.7.3 Chemotherapy

12.7.4 Targeted Therapy

12.7.5 Immunotherapy

12.7.6 Photodynamic Therapy

12.8 Drugs for Other Types of Skin Cancer

12.8.1 Drugs for Basal Cell Carcinoma

12.8.2 Drugs for Cutaneous Squamous Cell Carcinoma

12.8.3 Drugs for Merkel Cell Carcinoma

12.8.4 Drugs for Kaposi Sarcoma

12.9 Treatment Regimens

Adjuvant Therapy. Single‐agent Regimens. Interferon alfa‐2b

Ipilimumab

Nivolumab

Peg‐interferon alfa‐2b

Pembrolizumab

Combination Regimens. Dabrafenib + Trametinib

Systemic Therapy for Advanced or Unresectable or Metastatic Melanoma. Single‐agent Regimens

Systemic Therapy for Advanced or Unresectable or Metastatic Melanoma. Combination Regimens. Cobimetinib + Vemurafenib

Dabrafenib + Trametinib

Encorafenib + Binimetinib

Nivolumab + Ipilimumab

Temozolomide + Thalidomide

Interferon alfa‐2b + Dacarbazine

Atezolizumab + Cobimetinib + Vemurafenib

Dacarbazine + Carmustine + Cisplatin

Carboplatin + Paclitaxel

12.10 Melanoma Risk Factors

12.11 Possible Prevention

12.11.1 Sun Protection Tips

12.11.2 What about Vitamin D?

References

13 Mesothelioma. 13.1 Introduction

13.2 Genes Associated with Mesothelioma

13.3 Types of Mesothelioma Cancers

13.4 Mesothelioma Cancer Symptoms

13.4.1 Symptoms for Pleural Mesothelioma

13.4.2 Symptoms for Peritoneal Mesothelioma

13.4.3 Symptoms for Pericardial Mesothelioma

13.4.4 Symptoms for Testicular Mesothelioma

13.5 Diagnosis

13.6 Methods of Treatment

13.6.1 Surgery

13.6.2 Radiation Therapy

13.6.3 Chemotherapy

13.6.4 Targeted Therapy

13.6.5 Immunotherapy

13.7 Treatment Regimens. Single‐agent Regimens for Systemic Therapy. Gemcitabine

Nivolumab

Pemetrexed

Pembrolizumab

Vinorelbine

Combination Regimens. Doxorubicin + Cisplatin

Gemcitabine + Cisplatin

Pemetrexed + Cisplatin

Pemetrexed + Carboplatin

Gemcitabine + Carboplatin

Gemcitabine + Vinorelbine

Gemcitabine + Pemetrexed + Gemcitabine

Nivolumab + Ipilimumab

CAP

13.8 Possible Prevention

13.9 Occupational Exposure Prevention. 13.9.1 Employer Responsibilities

13.9.2 Employee Responsibilities

13.10 Household Exposure Prevention

References

14 Ovarian, Vaginal, and Vulvar Cancer. 14.1 Introduction

14.2 Genes Associated with Ovarian, Vaginal, and Vulvar Cancer

14.3 Symptoms of Ovarian, Vaginal, and Vulvar Cancer

14.4 Diagnosis

14.5 Methods of Treatment

14.5.1 Surgery

14.5.2 Radiation Therapy

14.5.3 Chemotherapy

14.5.4 Hormone Therapy

14.5.5 Targeted Therapy

14.6 Drugs for Vaginal Cancer

14.7 Drugs to Prevent Vaginal Cancer

14.8 Drugs to Treat Vulvar Cancer

14.9 Drugs to Prevent Vulvar Cancer

14.10 Treatment Regimens

Single‐agent Regimens. Altretamine

Bevacizumab

Capecitabine

Liposomal doxorubicin

Docetaxel

Etoposide

Gemcitabine

Ixabepilone

Paclitaxel

Nanoparticle albumin‐bound paclitaxel

Pemetrexed

Topotecan

Vinorelbine

Olaparib

Niraparib

Rucaparib

Cisplatin

Carboplatin

Doxorubicin

Cyclophosphamide

Ifosfamide

Melphalan

Irinotecan

Oxaliplatin

Pazopanib

Hormonal Therapy. Anastrozole

Exemestane

Letrozole

Leuprolide Acetate

Megestrol Acetate

Tamoxifen

Combination Regimens. Carboplatin + Cyclophosphamide

Cisplatin + Cyclophosphamide

Paclitaxel + Cisplatin

Paclitaxel + Carboplatin

Docetaxel + Carboplatin

Carboplatin + Liposomal Doxorubicin

Carboplatin + Ifosfamide

Gemcitabine + Liposomal Doxorubicin

Gemcitabine + Cisplatin

Gemcitabine + Carboplatin

Pemetrexed + Carboplatin

Olaparib + Bevacizumab

Carboplatin + Bevacizumab

Paclitaxel + Carboplatin + Bevacizumab

VAC

VeIP

JEB

VIP (Etoposide + Ifosfamide + Cisplatin)

Cisplatin + Ifosfamide

Paclitaxel + Ifosfamide

Oxaliplatin + Capecitabine

Oxaliplatin + Capecitabine + Bevacizumab

Gemcitabine + Carboplatin + Bevacizumab

Topotecan + Sorafenib

14.10.1 Treatment Regimens for Germ Cell Ovarian Cancer. BEP

14.11 Risk Factors/Possible Preventions

References

15 Pancreatic Cancer. 15.1 Introduction

15.2 Genes Associated with Pancreatic Cancer

15.3 Symptoms of Pancreatic Cancer

15.4 Diagnosis

15.5 Methods of Treatment

15.5.1 Surgery

15.5.2 Radiation Therapy

15.5.3 Chemotherapy

15.5.4 Targeted Therapy

15.5.5 Immunotherapy

15.5.6 Drugs for Gastroenteropancreatic Neuroendocrine Tumors

15.6 Treatment Regimens for Pancreatic Cancer. Adjuvant Therapy. Single‐agent Regimens. 5‐Fluorouracil + Leucovorin

Gemcitabine

Combination Regimens. Gemcitabine + Capecitabine

FOLFIRINOX

Systemic Therapy for Locally Advanced/Recurrent/Metastatic Disease. Single‐agent Regimens. Capecitabine

Gemcitabine

Olaparib

5‐fluorouracil

Entrectinib (NTRK gene fusion‐positive)

Larotrectinib (NTRK gene fusion‐positive)

Pembrolizumab

Combination Regimens. Capecitabine + Gemcitabine

Capecitabine + Erlotinib

Gemcitabine + Erlotinib

Gemcitabine + Oxaliplatin

Gemcitabine + Albumin‐bound Paclitaxel

Liposomal Irinotecan + Leucovorin + 5‐Fluorouracil

FOLFIRINOX

Gemcitabine + Cisplatin

15.7 Risk Factors and Possible Preventions

References

16 Prostate Cancer. 16.1 Introduction

16.2 Genes Associated with Prostate Cancer

16.3 Symptoms of Prostate Cancer

16.4 Diagnosis

16.5 Methods of Treatment

16.5.1 Surgery

16.5.2 Radiation Therapy

16.5.3 Cryotherapy

16.5.4 Chemotherapy

16.5.5 Targeted Therapy

16.5.6 Immunotherapy

16.5.7 Hormone Therapy

16.6 Treatment Regimens. Single‐agent Regimens. Goserelin

Histrelin

Apalutamide

Bicalutamide

Aminoglutethimide

Darolutamide

Enzalutamide

Degarelix

Docetaxel

Estramustine

Flutamide

Leuprolide

Nilutamide

Prednisone

Olaparib

Rucaparib

Triptorelin

Paclitaxel

Sipuleucel‐T

Relugolix

Combination Regimens. Abiraterone + Prednisone

Cabizataxel + Prednisone

Docetaxel + Prednisone

Mitoxantrone + Prednisone

Estramustine + Etoposide

Estramustine + Vinblastine

Paclitaxel + Estramustine

Docetaxel + Estramustine

Docetaxel + Leuprolide

Flutamide + Goserelin

Flutamide + Leuprolide

Docetaxel + Prednisone + Bevacizumab

Abiraterone + Methylprednisolone

Etoposide + Carboplatin

Etoposide + Cisplatin

Docetaxel + Carboplatin

16.7 Risk Factors/Possible Preventions

References

17 Stomach (Gastric) Cancer. 17.1 Introduction

17.2 Genes Associated with Stomach Cancer

17.3 Symptoms of Stomach Cancer

17.4 Stages of Stomach Cancer

17.5 Diagnosis

17.6 Methods of Treatment

17.6.1 Surgery

17.6.2 Endoluminal Stent Placement

17.6.3 Endoluminal Laser Therapy

17.6.4 Gastrojejunostomy

17.7 Radiation Therapy

17.8 Chemotherapy

17.9 Targeted Medications

17.10 Immunotherapy

17.11 Treatment Regimens for Stomach Cancer

Preoperative Chemoradiotherapy Regimens

Oxaliplatin + Capecitabine

Cisplatin + 5‐Fluorouracil

Cisplatin + Capecitabine

Paclitaxel + 5‐Fluorouracil

Paclitaxel + Carboplatin

Perioperative Chemoradiotherapy Regimens. FLOT

Oxaliplatin + Leucovorin + 5‐Fluorouracil

Cisplatin + 5‐Fluorouracil

Capecitabine + Oxaliplatin

5‐Fluorouracil + Leucovorin

Epirubicin + Cisplatin + 5‐Fluorouracil

Postoperative Chemoradiotherapy Regimens. Oxaliplatin + Leucovorin + 5‐Fluorouracil

Oxaliplatin + Capecitabine

Nivolumab

Capecitabine

Leucovorin + 5‐Fluorouracil

Systemic Therapy Regimens for Unresectable/Locally Advanced/Recurrent/Metastatic Disease Stage. Single‐agent Regimens. 5‐Fluorouracil

Docetaxel

Irinotecan

Paclitaxel

Pembrolizumab

Ramucirumab

TAS‐102

5‐Fluorouracil + Leucovorin

Capecitabine

Entrectinib (for NTRK gene fusion‐positive tumors)

Larotrectinib (for NTRK gene fusion‐positive tumors)

Trastuzumab

Trastuzumab Deruxtecan

Combination Regimens. Cisplatin + 5‐Fluorouracil

Capecitabine + Cisplatin

Paclitaxel + Cisplatin

Docetaxel + Cisplatin

Irinotecan + Cisplatin

Paclitaxel + Ramucirumab

Paclitaxel + Carboplatin

Docetaxel + Irinotecan

DCF

ECF

ECX

EOF

EOX

FLO

FOLFOX

Capecitabine + Cisplatin + Trastuzumab

5‐Fluorouracil + Cisplatin + Trastuzumab

Oxaliplatin + Capecitabine

Margetuximab + Pembrolizumab

Regorafenib + Nivolumab

17.12 Risk Factors

17.12.1 Certain Medical Conditions

17.12.2 Smoking

17.12.3 Helicobacter Pylori Infection

17.12.4 Family History

17.12.5 Foods Containing Aflatoxins

17.12.6 Diet

17.12.7 Age

17.12.8 Gender

17.12.9 Previous or Existing Cancers

17.12.10 Some Surgical Procedures

17.13 Possible Preventions

References

18 Thyroid Cancer. 18.1 Introduction

18.2 Genes Associated with Thyroid Cancer

18.3 Types of Thyroid Cancer

18.3.1 Papillary Thyroid Cancer

18.3.2 Follicular Thyroid Cancer

18.3.3 Medullary Cancer

18.3.4 Anaplastic Thyroid Cancer

18.4 Thyroid Cancer Symptoms

18.5 Diagnosis

18.6 Staging of Thyroid Cancer

18.6.1 Papillary or Follicular Thyroid Cancer Patients under the Age of 45

18.6.2 Papillary or Follicular Thyroid Cancer Patient Aged 45 Years and Older

18.6.3 Medullary Thyroid Cancer

18.6.4 Anaplastic Thyroid Cancer

18.7 Methods of Treatment

18.7.1 Surgery

18.7.2 Radioactive Iodine Ablation

18.7.3 External Beam Radiation

18.7.4 Thyroid Hormone Therapy

18.7.5 Chemotherapy

18.7.6 Targeted Therapy

18.8 Treatment Regimens. Single‐Agent Regimens. Axitinib

Cabozantinib (for Medullary Thyroid Cancer)

Dabrafenib (BRAF‐positive)

Doxorubicin

Entrectinib (patients with NTRK gene fusion‐positive tumors)

Larotrectinib (patients with NTRK gene fusion‐positive tumors)

Lenvatinib

Pazopanib

Pralsetinib (RET fusion positive)

Selpercatinib (RET fusion positive)

Sorafenib

Sunitinib

Vandetanib (for Medullary Thyroid Cancer)

Paclitaxel

Pembrolizumab

Combination Regimens. Cisplatin + Doxorubicin

Docetaxel + Doxorubicin

Paclitaxel + Carboplatin

Dabrafenib + Trametinib (patients with BRAF V600E mutation positive)

18.9 Possible Preventions

References

19 Endometrial Cancer. 19.1 Introduction

19.2 Genes Associated with Endometrial Cancer

19.3 Symptoms

19.4 Endometrial Cancer Diagnosis

19.4.1 Internal Pelvic Exam

19.4.2 Pap Test (also called Pap Smear)

19.4.3 Endometrial Biopsy

19.4.4 Dilation and Curettage (Also Called D&C)

19.4.5 Transvaginal Ultrasound

19.5 Stages

19.6 Methods of Treatment

19.6.1 Surgery

19.6.1.1 Hysterectomy

19.6.1.2 Salpingo‐oophorectomy

19.6.1.3 Pelvic Lymph Node Dissection

19.6.1.4 Para‐aortic Lymphadenectomy

19.6.1.5 Laparoscopic Lymph Node Sampling

19.6.1.6 Sentinel Lymph Node Mapping

19.6.2 Radiation Therapy

19.6.2.1 External Radiation Therapy

19.6.2.2 Internal Radiation Therapy

19.6.3 Chemotherapy

19.6.4 Targeted Therapy

19.6.5 Immunotherapy

19.6.6 Hormone Therapy

19.7 Treatment Regimens. Systemic Therapy Regimens for Recurrent, Metastatic, or High‐Risk Endometrial Carcinoma. Single‐Agent Regimens. Bevacizumab

Cisplatin

Carboplatin

Docetaxel

Doxorubicin

Liposomal Doxorubicin

Ifosfamide

Megestrol acetate

Paclitaxel

Albumin‐bound Paclitaxel

Pembrolizumab

Temsirolimus

Topotecan

Tamoxifen

Dostarlimab‐gxly (for microsatellite instability–high condition and DNA mismatch repair–deficiency tumors (MSI‐H/dMMR))

Combination Regimens. Doxorubicin + Cyclophosphamide

Doxorubicin + Cisplatin

Cisplatin + Ifosfamide (for carcinosarcoma)

Paclitaxel + Ifosfamide

Carboplatin + Paclitaxel

Carboplatin + Docetaxel

Gemcitabine + Docetaxel

Lenvatinib + Pembrolizumab

Everolimus + Letrozole

Cisplatin + Doxorubicin + Paclitaxel

CAP

Paclitaxel + Carboplatin + Bevacizumab

19.8 Risk Factors of Endometrial Cancer

19.9 Prevention

References

20 Penile Cancer. 20.1 Introduction

20.2 Symptoms of Penile Cancer

20.3 Penile Cancer Diagnosis

20.3.1 Biopsy

20.3.2 Imaging Tests

20.4 Methods of Penile Cancer Treatment

20.4.1 Surgery

20.4.1.1 Circumcision

20.4.1.2 Other Surgical Procedures

20.4.2 Local Treatments (Other than Surgery) for Penile Cancer. 20.4.2.1 Laser Ablation

20.4.2.2 Cryosurgery/Cryotherapy

20.4.2.3 Photodynamic Therapy (PDT)

20.4.3 Radiation Therapy

20.4.4 Chemotherapy

20.4.4.1 Topical Chemotherapy

20.4.4.2 Systemic Chemotherapy

20.5 Treatment Regimens for Penile Cancer. Neoadjuvant Chemotherapy. Paclitaxel + Ifosfamide + Cisplatin (TIP)

VBM

Adjuvant Chemotherapy. DCF

Metastatic/Unresectable/Advanced Disease. BMP

Cisplatin + 5‐fluorouracil

Cisplatin + Irinotecan

Paclitaxel + Cisplatin + 5‐Fluorouracil

TIP

Single‐Agent Regimens. Paclitaxel

Panitumumab

Cetuximab

20.6 Risk Factors of Penile Cancer

20.7 Penile Cancer Prevention

References

21 Testicular Cancer. 21.1 Introduction

21.2 Symptoms of Testicular Cancer

21.3 Diagnosis

21.3.1 Ultrasound

21.3.2 A Physical Exam and Medical History

21.3.3 Blood Tests for Tumor Markers

21.3.3.1 Biopsy

21.3.4 CT Scan and X‐ray

21.4 Methods of Treatment

21.4.1 Surgical Treatment

21.4.2 Radiation Therapy

21.4.3 Chemotherapy

21.5 Treatment Regimens for Testicular Cancer

Regimens for Metastatic Germ Cell Tumors. Carboplatin

Etoposide

Cisplatin + Etoposide

BEP (or PEB)

Pembrolizumab (for MSI‐H/dMMR tumors or TMB‐H tumors)

PVB

VeIP

VIP (salvage therapy)

TIP (Salvage therapy)

Paclitaxel + Gemcitabine

Gemcitabine + Oxaliplatin

Gemcitabine + Paclitaxel + Oxaliplatin

21.6 Risk Factors

21.6.1 An Undescended Testicle

21.6.2 Family History of Testicular Cancer

21.6.3 HIV Infection

21.6.4 Race

21.6.5 Infertility

21.6.6 Certain Activities

21.6.7 Reducing Exposure to Chemical Toxins

21.7 Prevention

21.8 Self‐Exam of Testicular Cancer

References

Index. a

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WILEY END USER LICENSE AGREEMENT

Отрывок из книги

Surya K. De

Readers of this book understand and acknowledge that they should always seek the advice of their physician or other qualified healthcare provider with any questions or concerns regarding their health. Readers further understand and acknowledge that the contents of this book should never cause them to disregard or delay seeking professional medical advice related to treatment or standard of care, inasmuch as the information presented is not intended to be a substitute for professional medical opinions.

.....

As mentioned earlier, cancer starts when gene mutations interfere with the normal, orderly process of cell division. Cells begin to grow uncontrollably without stopping, sometimes forming a mass of tissue called a tumor. Tumors can be cancerous or benign. As previously mentioned, a cancerous tumor is malignant, meaning it can grow large and extend to other locations of the body. A benign tumor can become larger over a period of time, but will not spread to other parts of the body.

Metastasis is the medical term for cancer that appears in a different organ than where it originated from. When this occurs, scientists say the cancer has metastasized. Other terms referring to metastasis are metastatic cancer and stage 4 cancer. Some types of cancer do not form a tumor, including leukemias, most types of lymphoma, and myeloma.

.....

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