COULD ASPIRIN STOP THE SPREAD OF COLORECTAL CANCER?

The recent study, carried out at the Chirurgia Generale Unit in Padova, Italy, involved 238 patients who were treated for colorectal cancer between 2015 and 2019. Among these, 31 patients were regular aspirin users, taking a daily dose of 100 mg.

The findings were promising. Regular use of aspirin was linked to a reduction in nodal metastasis, which is the spread of cancer to lymph nodes, and an increase in tumour-infiltrating lymphocytes. These lymphocytes, including T and B cells, play a crucial role in recognising and destroying cancer cells.

Neoadjuvant Immunotherapy in Locally Advanced Mismatch Repair–Deficient Colon Cancer

In patients with locally advanced dMMR colon cancer, neoadjuvant nivolumab plus ipilimumab had an acceptable safety profile and led to a pathological response in a high proportion of patients. (Funded by Bristol Myers Squibb; NICHE-2 ClinicalTrials.gov number, NCT03026140.)

(Neoadjuvant chemotherapy is delivered before surgery with the goal of shrinking a tumor or stopping the spread of cancer to make surgery less invasive and more effective.)

(DMMR =deficient DNA mismatch repair)

https://www.nejm.org/doi/full/10.1056/NEJMoa2400634

‘Gamechanger’ drug that ‘melts away’ tumours could replace surgery for bowel cancer

A “gamechanger” immunotherapy drug that “melts away” tumours dramatically increases the chances of curing bowel cancer and may even replace the need for surgery, doctors have said.

Pembrolizumab targets and blocks a specific protein on the surface of immune cells that then seek out and destroy cancer cells.

In the trial, funded by Merck Sharp and Dohme and sponsored by University College London, researchers recruited 32 patients with stage two or three bowel cancer and a certain genetic profile (MMR deficient/MSI-High bowel cancer) from five hospitals in the UK.

About 15 percent of patients with stage two or three bowel cancer have this particular genetic makeup.

Patients were given nine weeks of pembrolizumab, also known as Keytruda, before surgery instead of the usual treatment of chemotherapy and surgery, then monitored over time.

Results show 59 percent of patients had no signs of cancer after treatment with pembrolizumab, with any cancer in the remaining 41 percent of patients removed during surgery.

Dr Marnix Jansen, a clinician scientist at the UCL Cancer Institute, said more work needed to be done to assess pembrolizumab before it could be considered standard treatment.

https://www.irishtimes.com/health/2024/06/02/gamechanger-drug-that-melts-away-tumours-could-replace-surgery-for-bowel-cancer-say-doctors/

Let’s learn about how to prevent endometrial cancer!

https://engage.esgo.org/…/endometrial-cancer…/

In this webinar aimed at patients and patient advocates, we’ll discuss:

The psychological burden of a diagnosis (M Papageorgiou 🇬🇷)

Medical risk factors (Dr A Stepanyan 🇦🇲)

Genetic risks & prevention (Dr H El Hajj 🇫🇷)

with our co-chairs as moderators: Prof P Morice 🇫🇷 & K Hulscher

Note time is CEST

Patterns of cytotoxic T-cell densities in immunogenic endometrial cancers reveal a potential mechanism for differences in immunotherapy efficacy

A new study in BMJ Oncology suggests that Lynch Syndrome patients may be more susceptible to immunotherapy than sporadic MMRd endometrial tumours.

Objective To explore the impact of molecular subtype in endometrial cancer (EC) on CD8+T cell densities. Furthermore, this work will test the assumption that all mismatch repair deficient (MMRd) tumours are immunologically similar which would enable current trial data to be generalised to all MMRd ECs.

Conclusion These data indicate that CD8+T cell numbers and distribution is not equal between MLH1-methylated and confirmed LS ECs. This is relevant when interpreting current trial data looking to the application of checkpoint inhibition treatments in MMRd cancers.

https://bmjoncology.bmj.com/content/3/1/e000320

Ovarian cancer: identifying and managing familial and genetic risk—summary of new NICE guidance

https://www.nice.org.uk/guidance/ng241

What you need to know

  • Men and people born with male reproductive organs have a genetic risk of carrying a pathogenic variant associated with ovarian cancer and other cancers 
  • If a person had a direct-to-consumer genetic test and is reported to have a pathogenic variant for which NHS testing is offered, liaise with a regional NHS genetics service to discuss whether referral is appropriate
  • Refer for genetic counselling and testing people who have a first or second degree relative diagnosed with ovarian cancer, those from high risk groups, anyone identified through cascade testing, or those diagnosed with ovarian cancer linked to pathogenic variants
  • For women, trans men, and non-binary people born with female reproductive organs who are at increased risk of ovarian cancer, risk reducing surgery that is age appropriate for their pathogenic variant or family history is the most effective way to reduce the risk of ovarian cancer

Discover Available Cancer Support Options in Your Local Community

This directory is designed to help Healthcare Professionals guide cancer patients, their families, and friends to local cancer support services.

It also serves as a valuable resource for individuals living with and beyond a cancer diagnosis, and their loved ones, to discover the available cancer support options.

To access the Directory of Community Cancer Support Centres and Services click https://www.hse.ie/eng/services/list/5/cancer/profinfo/survivorship-programme/nccp-directory-of-community-cancer-support-centres-and-services.pdf

Innovative eMERGE study aims to address historical health inequities

Collaborations like the eMERGE IV study can help show how diverse population screening, better communication of test results and integration of genetic information into health risk reports can improve our understanding of how to reduce health risks for all.

No guidelines exist for proactive genetic testing to understand overall health risks in otherwise healthy individuals with no family history of disease, so comprehensive risk assessments that include genetic testing aren’t yet standard practice for most healthcare practitioners.

https://blog.invitae.com/innovative-emerge-study-aims-to-address-historical-health-inequities-0a20fd9c3691

Understanding Cancer Ghosting: The Impact of Diagnosis on Relationships

Never heard of the term ‘cancer ghosting’? until you realise that a lot of your friends stop contacting you when you received your cancer diagnosis.

“I felt that people had so much to be getting on with in their own lives and when you’ve been given a cancer diagnosis, you need so much support and care that a lot of the time, people can’t give you that because of what’s going on in their own lives.”

“So when they ask how are you, you go, ah I’m grand and then you go indoors, close the doors and cry because we aren’t comfortable with our emotions either. So I guess we all have a role to play.

“People say don’t be afraid to ask for help and when people offer, you refuse. I’d say to anyone with any illness to ask for help and be specific. Ask them to do a school run or make dinner for the week, give them things to do.

“And most importantly to anyone whose friend has been diagnosed with cancer — send that text.”

https://www.irishexaminer.com/news/arid-41399758.html?fbclid=IwZXh0bgNhZW0CMTEAAR2IZ3lqE3cceBJia_8YQubtmK-HQsijf2q60sfwWB73Ifk7_EAMYAVwL_4_aem_AWsgv8g_4Oqmrj63tZ18kODYkAWqimsAo8gjw1l8ZQJhI4ErYYEvBs7qkTRUWMWi2kdFIK6nW7ZhGbT4Clmrt474

Genetic Cancer Support in Ireland: Advancements and Services

In an Ideal World we would have….

  • A central point to support people who are affected by Lynch Syndrome or other Genetic Cancer defects.
  • An integrated Cancer Genetics service.
  • An increased Genetics workforce.
  • A Genetics Testing center in Ireland.
  • A comprehensive IT system to Manage/Track and generally improve the collection/storage of relevant information.
  • Improved awareness by Public and Medics of Genetics.
  • A dedicated Pathway for people with a genetic cancer issue.
  • Improved support available to help in relaying a diagnosis to the wider family.
  • A national BioBank to improve/help research in this area.