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Abramson Cancer CenterNCI CANCERLIT® Search: Paranasal Sinus and Nasal Cavity Cancer - May 2002
National Cancer Institute®
Last Modified: May 1, 2002
Table of Contents
1
UI - 11914950
AU - Scheer M; Drebber U; Kubler A; Zoller JE
TI -
[The monthly interesting case No. 52. Plexiform ameloblastoma of the
maxillary sinus]
SO - Laryngorhinootologie 2002 Feb;81(2):122-5
AD - Klinik und Poliklinik fur Zahnarztliche Chirurgie und fur Mund-, Kiefer-
und Gesichtschirurgie, Universitat zu Koln. m.scheer@uni-koeln-de
2
UI - 11914946
AU - Issing PR; Hemmanouil I; Wilkens L; Karstens H; Lenarz T
TI -
[Long term results in adenoidcystic carcinoma]
SO - Laryngorhinootologie 2002 Feb;81(2):98-105
AD - Klinik fur Hals-Nasen-Ohrenheilkunde, Medizinische Hochschule Hannover.
issing@hno.mh-hannover.de
BACKGROUND: Due to the discreet initial symptoms and the locally
aggressive infiltration with perineural spread the adenoidcystic
carcinoma (ACC) presents a special diagnostical and therapeutical
challenge. PATIENTS:: In a retrospective study the forms of 54 patients
were analysed, whose average age was 55.5 (24 - 77) years. RESULTS: The
sex ratio showed a slight female preponderance with 57 % to 43 %. The
major salivary glands were affected in 26 cases. The exact distribution
of the ACC was: parotid gland (n = 18), submandibular gland (n = 8),
oral cavity (n = 10), paranasal sinuses (n = 11), nasopharynx (n = 4)
and larynx (n = 3). The most common symptoms were a tumor-related
swelling and pain which persisted for a duration of several months after
final diagnosis could be established. Facial palsy was observed in 4
patients. Histological examination revealed a tubular subtype in 4
cases, in 28 cases a cribriforme and in 12 cases a solid subtype. No
definitive differentiation was possible in 10 specimens. The skull base
was infiltrated in 16 patients. Except one patient all 54 underwent
surgical therapy. Postoperative radiotherapy was additionally given in
25 cases which was combined with a chemotherapy in 6 patients.
Nevertheless ACC recurred in 60 % of our patients. Lymphnode metastases
were observed in 13 patients after a latency of 3.3 years in average,
but predominantly pulmonary metastases as distant spread developed in 18
patients after 5.8 years significantly later. The overall survival rate
was 84.38 % after 2 years, 75.90 % after 5 years, 50.49 % after 10 years
and 20.11 % after 20 years. Male sex, infiltration of the skull base and
histological evidence of perineural and perivascular spread proved to be
statistically significant factors for an unfavourable prognosis.
CONCLUSIONS: Due to the uncommon biological behaviour with a slow growth
on the one hand side and an aggressive local invasion on the other hand
side the ACC can be regarded as a challenging malignant disease for the
clinician whose adequate therapy does not allow any standardized regime.
The tendency for recurrence even after a period clinically free of
symptoms makes a life long follow-up mandatory.
3
UI - 11771047
AU - Yoskovitch A; Frenkiel S; Franco E; Coutlee F; Nachtigal D; Rochon L
TI -
Analysis of human papillomavirus in schneiderian papillomas as compared
to chronic sinusitis and normal nasal mucosa.
SO - J Otolaryngol 2001 Jun;30(3):167-72
AD - Department of Otolaryngology, Sir Mortimer B. Davis-Jewish General
Hospital, McGill University, Montreal, Quebec.
Schneiderian papillomas (SPs) are tumours arising from the surface
epithelium (schneiderian epithelium) of the nasal cavity and paranasal
sinuses. Evidence points toward a viral etiology, specifically human
papillomavirus (HPV). Although substantial data indicate HPV as a likely
etiology, little is known about the role of HPV in benign nasal
pathologies or in normal nasal mucosa. The objective of this study was
to characterize the relationship between HPV and SP, chronic sinusitis
(CS), and normal nasal mucosa. A case-control study was undertaken,
matching patients with SP to patients with CS. Patients with normal
nasal mucosa served as a control group. All patients had their tissues
analyzed for the presence of various HPV subtypes using line blot assay.
A total of 168 patients were identified (74 SP, 74 CS, 20 control). Of
these, 70 (41.7%) had detectable deoxyribonucleic acid and 9 of 70
(12.9%) had detectable HPV of subtypes 6, 11, and 16. None had
detectable HPV type 18. Significant differences were detected in the
presence of HPV in the CS, SP, and control groups, as well as in the
presence of low- versus high-risk subtypes among investigation and
control groups. Significant differences exist in HPV infectivity among
SP, benign nasal pathologies such as CS, and normal nasal mucosa. Human
papillomavirus plays an important role, at least in part, in the
development of SP, with types 6, 11, and 16 being more pivotal than
other types. Line blot assay is a useful technique in identifying HPV in
SP.
4
UI - 11904043
AU - Johnson D; Tan L
TI -
Intraparenchymal tension pneumatocele complicating frontal sinus
osteoma: case report.
SO - Neurosurgery 2002 Apr;50(4):878-9; discussion 880
AD - Department of Neurosurgery, Gold Coast Hospital, Southport, Queensland,
Australia. doctordave73@hotmail.com
OBJECTIVE AND IMPORTANCE: A relatively rare condition of
intraparenchymal tension pneumatocele secondary to a frontal sinus
osteoma eroding posteriorly and breaching dura mater is described. The
scanty body of literature on this subject is briefly summarized, and the
importance of this condition as a result of its life-threatening but
readily treatable intracranial mass effect is outlined. CLINICAL
PRESENTATION: The patient presented with acute deterioration in
conscious state and lateralizing signs from the mass effect of gas under
tension. Two weeks earlier, he had experienced vague and subtle changes
in personality noticeable only to his family. INTERVENTION: The patient
was cured by a frontal craniotomy, partial excision of the osteoma, and
suture repair of the dural defect after evacuation of the pressurized
air cavity. CONCLUSION: This rare condition should be urgently treated
in the event of acute deterioration. To prevent a life-threatening
situation from arising, elective surgery should be considered for
patients known to have air sinus osteomas that are at risk of erosion
into the cranial cavity.
5
UI - 11950664
AU - Chen CC; Hsu L; Hecht JL; Janecka I
TI -
Bimaxillary chondrosarcoma: clinical, radiologic, and histologic
correlation.
SO - AJNR Am J Neuroradiol 2002 Apr;23(4):667-70
AD - Department of Neurosurgery, Massachusetts General Hospital, Boston, MA,
USA.
In this report, we describe an unusual case of chondrosarcoma that
involved the entire bimaxillary and nasal skeleton. The pathogenesis,
correlation of histopathology with radiology, and management of
chondrosarcoma are reviewed.
6
UI - 11966793
AU - Carucci JA; Kolenik SA 3rd; Leffell DJ
TI -
Human cadaveric allograft for repair of nasal defects after extirpation
of Basal cell carcinoma by Mohs micrographic surgery.
SO - Dermatol Surg 2002 Apr;28(4):340-3
AD - Department of Mohs Micrographic and Dermatologic Surgery, Weil Medical
College, Cornell University, New York, New York, USA.
BACKGROUND: Immediate reconstruction after removal of skin cancer by
Mohs micrographic surgery (MMS) may not be feasible in patients
unwilling or unable to undergo an extensive procedure. Human cadaveric
allograft (HCA) may offer a useful alternative to granulation.
OBJECTIVE: To examine the usefulness of HCA in resurfacing nasal defects
after extirpation of basal cell carcinoma (BCC) by MMS. METHODS: Case
histories of seven patients treated with HCA were reviewed with respect
to primary skin cancer histology, defect size, medical status, healing
time, and cosmesis. RESULTS: Five of seven tumors were infiltrative
BCCs. Defects ranged from 2.7 to 20 cm2. Average healing times for
wounds with and without exposed cartilage were 42 and 35 days,
respectively. There were no wound infections. Hypergranulation tissue
was noted in three patients and had no effect on cosmesis, which was
adequate in five patients and poor in two patients. CONCLUSION: HCA may
be a useful alternative to granulation following MMS for treatment of
skin cancers involving the nose.
7
UI - 11859210
AU - Jeng YM; Sung MT; Fang CL; Huang HY; Mao TL; Cheng W; Hsiao CH
TI -
Sinonasal undifferentiated carcinoma and nasopharyngeal-type
undifferentiated carcinoma: two clinically, biologically, and
histopathologically distinct entities.
SO - Am J Surg Pathol 2002 Mar;26(3):371-6
AD - Department of Pathology, National Taiwan University Hospital, Taipei,
Taiwan.
Sinonasal undifferentiated carcinoma (SNUC) is a rare aggressive
neoplasm arising in the nasal cavity and paranasal sinuses. Primary
sinonasal nasopharyngeal-type undifferentiated carcinoma (PSNPC) is an
even rarer tumor that has not been adequately reported. Both tumors have
been reported to be associated with Epstein-Barr virus (EBV). We studied
the clinicopathologic features and EBV status of 36 SNUC and 13 PSNPC
patients from Taiwan, an EBV endemic area. The median age of SNUC
patients was 53 years (range 20-76 years), with a male/female ratio of
approximately 2:1. Five patients had histories of previous
nasopharyngeal carcinoma treated with irradiation 6-26 years earlier.
The most common locations were nasal cavity and ethmoid sinus. Orbital
and intracranial invasion and distant metastasis were frequent findings.
The median survival was 10 months. All 36 tumors were negative for
EBER-1 by in situ hybridization. The median age of PSNPC patients was 58
years (range 36-75 years), with a male/female ratio of approximately
2:1. The most common location is nasal cavity. Eight patients achieved
disease-free survival. Eight tumors had the morphology of
lymphoepithelioma, whereas significant inflammatory infiltrate was not
detected in the other five tumors. All 13 tumors were positive for
EBER-1 by in situ hybridization. Because of the difference in the
relation with EBV, prognosis, and response to radiotherapy, SNUC and
PSNPC should be considered as two entirely different entities. The most
important criteria for PSNPC are vesicular nuclei, syncytial pattern,
spindle cells, and absence of necrosis.
8
UI - 11893980
AU - Fusconi M; Magliulo G; Rocca CD; Marcotullio D; Suriano M; de Vincentiis
TI -
M
Leiomyosarcoma of the sinonasal tract: a case report and literature
review.
SO - Am J Otolaryngol 2002 Mar-Apr;23(2):108-11
AD - ENT Department, "La Sapienza" University, Rome, Italy.
Leiomyosarcoma of the paranasal sinuses is uncommon and has an
aggressive clinical behavior. Only 28 cases have been described in the
literature, and, of these, only 3 patients treated with surgery had a
disease-free survival. In this report, we describe the clinical history
of a 57-year-old woman with a leiomyosarcoma of the paranasal sinuses
successfully treated with a combination of surgery, radiation therapy,
and chemotherapy. We obtained a total response with ifosfamide,
doxorubicin, dacarbazine, and epirubicin. This case report emphasizes
the possibility of treating this aggressive tumor with chemotherapy in
accordance with the same therapy used in the treatment of uterine
leiomyosarcomas. Copyright 2002, Elsevier Science (USA). All rights
reserved.)
9
UI - 11900583
AU - Omeroglu A; Petruzzelli GJ; Husain AN; Ciesla MC
TI -
Pathologic quiz case. A sinonasal mass in a 79-year-old African American
woman.
SO - Arch Pathol Lab Med 2002 Apr;126(4):493-4
AD - Department of Pathology, Loyola University Medical Center, Maywood, IL,
USA.
10
UI - 11798962
AU - Yong W; Zheng W; Zhang Y
TI -
[Clinical characteristics and treatment of midline nasal and nasal type
NK/T cell lymphoma]
SO - Zhonghua Yi Xue Za Zhi 2001 Jul 10;81(13):773-5
AD - Clinical Oncology School, Peking University, Beijing 100036, China.
OBJECTIVE: To study the clinical characteristics and treatment of
midline nasal and nasal type T/Nk cell non-Hodgkin lymphoma. METHODS: A
retrospective study was made on the clinical characteristics, treatment,
short-term effect, and two-year survival rate of 37 patients with
midline nasal and nasal type T/NK non-Hodgkin lymphoma. RESULTS: All of
the patients were primarily treated with 2 cycles of CHOP chemotherapy.
Ten of them were with good effect (common group). Then they were given 6
cycles of chemotherapy followed by focal radiotherapy and reached
complete remission (CM). The other 27 patients failed to reach partial
remission (PM) or even with their condition worsened after 2 cycles of
CHOP regimen and were included into the refractory group. Fourteen of
them received L-asparaginase-based salvage chemotherapy followed by
focal radiotherapy (L-ASP group), and salvage therapy without L-ASP and
followed by focal radiotherapy was given to the other 13 patients
(non-L-ASP group). Continuous fever, angioinvasive growth and necrotic
lesion could not be found among the patients in the common group. Their
international prognostic indexes (IPI) were 0 approximately 1. Seventy
percent of them were at the stages I or II. Continuous fever,
angioinvasive growth and necrotic lesion could be found in the patients
in refractory group. The IPIs among 85% of them were > 2, and 82% of
them were at the stages III and IV. The CR rate was 46% for all patients
as a whole, 100% for the common group, 26% for the refractory group (P <
0.005); and was 50% for the L-ASP group and 0% for the non-L-ASP group
(P < 0.005). The 2-year survival rate was 43% for all patients as a
whole, 100% for the common group, 20% for the refractory group (P <
0.005); and was 50.8% for the L-ASP group and 0% for the non-L-ASP group
(P < 0.005). CONCLUSION: Patients with midline nasal and nasal type T/NK
non-Hodgkin lymphoma can be treated primarily by CHOP regimen and local
radiotherapy. Refractory patients can be treated by salvage therapy
based on L-ASP chemotherapy with a rather good effect. The clinical
characteristics of most of the refractory patients include continuous
fever, angioinvasive growth, necrotic lesion, being at stage III and IV,
and with an IPI > 2.
11
UI - 11915613
AU - Hallacq P; Labrousse F; Roullet B; Orsel S; Bessede JP; Moreau JJ
TI -
[Adenoid cystic carcinomas invading the skull base. Apropos of 4 cases
and review of the literature]
SO - Neurochirurgie 2001 Dec;47(6):542-51
AD - Service de Neurochirurgie, CHU Dupuytren, 87042 Limoges.
paulhallacq@nomade.fr
Head and neck adenoid cystic carcinomas may invade the adjacent skull
base by bone lysis and/or by perinervous and perivascular spread within
the skull base foramina. Neurosurgical decision making is not well
defined regarding the extent of intracranial tumor component removal, as
neurosurgical expertise is limited for this peculiar type of tumors. The
issue is to decide whether a radical supposedly locally curative surgery
should be attempted, or if a large non disfigurating surgery is
mandatory, keeping in mind the frequency of local recurrences and of
distant metastases. Over a 13-year period, four adenoid cystic
carcinomas invading the skull base were operated on at our institution:
two tumors originated in the parotid gland, one in the sphenoid sinus,
and one in the ethmoid sinus. Surgical removal was total in one case,
subtotal in three cases. Post-operative irradiation was delivered in the
four patients (two neutron irradiation, two conventional). One patient
with advanced metastatic disease was submitted to chemotherapy. Three
patients died from local tumor progression and distant metastases within
three years after the intracranial tumor extension has been diagnosed.
The patient with an ethmoid tumor is still alive seven years after
surgery without any evidence of local tumor progression nor distant
metastases. Surgery remains the gold standard treatment for adenoid
cystic carcinomas invading the skull base. However, in our opinion a
large tumor removal, without or with bone osteotomies, but without
sacrifice of cranial nerves, cavernous sinus, internal carotid artery,
and of the orbit allows patient survival with an acceptable comfort and
absence of psychological distress due to disfigurating surgery nor
surgically induced neurological functional deficit. Post-operative
irradiation may sometimes stabilize locally the lesions. The place of
chemotherapy has, yet, to be determined.
12
UI - 11775396
AU - Feldweg AM; Horan RF
TI -
Aspirin treatment of patients with aspirin intolerance, asthma, and
nasal polyps.
SO - Allergy Asthma Proc 2001 Nov-Dec;22(6):377-82
AD - Harvard Medical School, Department of Medicine, Division of
Rheumatology, Immunology, and Allergy, Brigham and Women's Hospital,
Boston, Massachusetts, USA.
Patients with the triad of aspirin (ASA) intolerance, asthma, and nasal
polyps present a clinical challenge for the allergist because their
polyps generally are refractory to traditional treatments and their
asthmatic symptoms may become more difficult to control with time. These
patients can be desensitized and treated with ASA with subsequent
improvement in their nasal and respiratory symptoms. This article
describes one such individual and briefly reviews the literature
regarding this triad. The diagnosis of ASA intolerance, mechanistic
studies, a desensitization protocol, and new therapies are reviewed.
13
UI - 11987747
AU - al-Otieschan AT; Manohar MB; Gangopadhyay K; Tulbah A
TI -
Cellular schwannoma of the paranasal sinuses: initial report of a case.
SO - Ear Nose Throat J 2002 Apr;81(4):281-4
AD - Department of Otolaryngology-Head and Neck Surgery and Communication
Sciences, King Faisal Specialist Hospital and Research Centre, MBC 47,
P.O. Box 3354, Riyadh 11211, Saudi Arabia.
Cellular schwannomas are a benign variant of classic schwannomas. Their
histologic appearance closely mimics that of malignant peripheral
nerve-sheath tumors, which are high-grade sarcomas. In this article, we
describe what to our knowledge is the first reported case of a cellular
schwannoma of the paranasal sinuses and only the 33rd reported case of
any schwannoma at this site. We also discuss the histology and
management of cellular schwannomas and review the pertinent literature.
14
UI - 11884796
AU - Nakajima H; Imanishi N; Aiso S
TI -
Facial artery in the upper lip and nose: anatomy and a clinical
application.
SO - Plast Reconstr Surg 2002 Mar;109(3):855-61; discussion 862-3
AD - Department of Plastic and Reconstructive Surgery and the Department of
Anatomy, School of Medicine, Keio University, Shinanomacji 35,
Shinjuku-ku, Tokyo, 160-8582 Japan. nakajima@med.keio.ac.jp
Twenty-five facial arteries were examined radiographically in 19 fresh
cadavers that had been injected systemically with a lead oxide-gelatin
mixture. Major branches of the facial artery in the upper lip and nose
were investigated, and the anatomical variations were classified into
three types on the basis of the anatomy of the lateral nasal artery,
which was determined as an artery running toward the alar base. In 22
cases (88 percent), the facial artery bifurcated into the lateral nasal
artery and superior labial artery at the angle of the mouth. In two
cases (8 percent), the facial artery became an angular artery after
branching off into the superior labial artery and the lateral nasal
artery sequentially. In one case (4 percent), the facial artery became
an angular artery after branching off into the superior labial artery,
and the lateral nasal artery then branched off from the superior labial
artery. Branches from the lateral nasal and superior labial arteries
were observed stereographically. Vascular anastomoses between those
branches were created in the upper lip, columella base, and nasal tip,
and an intimate vascular network was formed. With a vascular network in
the mucosa of the upper lip, a bilobed upper-lip flap was created for a
clinical case with a full-thickness defect of the ala.
15
UI - 11989606
AU - Pignataro L; Peri A; Ottaviani F
TI -
Breast carcinoma metastatic to the ethmoid sinus: a case report.
SO - Tumori 2001 Nov-Dec;87(6):455-7
AD - Department of Otorhinolaryngology, Ospedale Maggiore (IRCCS), Milan,
Italy. lorenzo.pignataro@unimi.it
We report a rare case of breast carcinoma metastatic to the ethmoid
sinus. An 83-year-old female patient with an intraductal breast
carcinoma presented the first symptoms of metastasis to the paranasal
sinuses four years after radical mastectomy and axillary node
dissection. A review of the literature revealed that only three such
cases have been described so far. Symptoms and imaging results are not
specific and usually similar to those of primary neoplasms in this
region. This case underlines the importance of suspecting a metastasis
in patients with a history of malignancy.
16
UI - 11965417
AU - Fobe LP; Melo EC; Cannone LF; Fobe JL
TI -
[Surgery of frontal sinus osteoma]
SO - Arq Neuropsiquiatr 2002 Mar;60(1):101-5
AD - Hospital do Servidor Publico, SP, Brasil. lispessoa@yahoo.com
Frontal sinus osteomas are 57% of all paranasal sinus osteomas, with an
incidence of 00.1 to 3%. Surgical removal of the frontal sinus osteomas
is done in symptomatic patients. Asymptomatic patients can be managed
conservatively or submitted to surgery in spite of its location or
extension. Five patients having the diagnosis of frontal sinus osteoma
were operated on between 1995 and 1999. Medium age was 38.4 years (from
12 to 55 years), 3 male and 2 female. Symptoms occurred from 6 months to
3 years, average of 10.5 months. Four patients had previous headache and
one had epistaxis. All patients had standard radiological exams and
computed tomography with coronal and axial studies of paranasal sinus.
In two patients the diameter of the osteoma was larger than 3 cm and in
three smaller than 3 cm. The choice between coronal and supraciliar
approach was made according to esthetics, supraciliar approach was made
in only one bald patient even with the tumor being large and extending
to ethmoidal sinus. Any intra operative difficulty was related to the
choice of the approach. Naso-frontal ostium was not obstructed in intra
operative course. Minimal postoperative follow up was of two years.
Osteomas were radically removed in all patients with no recurrence or
residual tumor. Clinical findings, radiological exams and surgical
approaches are discussed. No postoperative complications occurred.
17
UI - 11907480
AU - Jensen AA; Young TL
TI -
Inferior oblique muscle palsy following maxillectomy for squamous cell
carcinoma.
SO - J AAPOS 2002 Feb;6(1):51-3
AD - University of Minnesota Academic Health Center, Department of
Ophthalmology, Philadelphia, PA 19104-4399, USA.
18
UI - 10971562
AU - Carlson-Sweet KL; Weigand DA; MacFarlane DF
TI -
Trichoid basal cell carcinoma found in a dilated pore on the nose.
SO - Dermatol Surg 2000 Sep;26(9):874-6
AD - Department of Dermatology, University of Oklahoma Health Sciences
Center, Oklahoma City, Oklahoma, USA.
A pore of Winer is a common, benign epidermal appendageal tumor arising
from a hair follicle. We present a case where routine removal of a pore
of Winer revealed the presence of a trichoid basal cell carcinoma. We
describe the history of these lesions, discuss clinical and histologic
differential diagnoses, and propose an explanation for the presence of
these tumor cells. No prior report of basal cell carcinoma within a pore
of Winer has been documented in the literature.
19
UI - 11096407
AU - Weigand DA; MacFarlane DF
TI -
Regarding trichoid basal cell carcinoma found in a dilated pore on the
nose.
SO - Dermatol Surg 2000 Nov;26(11):1084
20
UI - 11991260
AU - Lutz ME
TI -
Effective use of the glabella skin as a donor site for nasal tip grafts.
SO - Dermatol Surg 2002 Jan;28(1):101-2
AD - Department of Dermatology, Mayo Clinic, Jacksonville, Florida 32224,
USA. lutz.Michael@mayo.edu
21
UI - 11892390
AU - Chiz GI; Solov'eva MA
TI -
[Analysis of nasal and paranasal cancer in the Rostov region for 35
years: problems of early diagnosis]
SO - Vestn Otorinolaringol 2002;(1):31-3
The article contains information on 280 patients with nasal and
paranasal cancer of epithelial (85%) and non-epithelial genesis (15%);
on diagnosis, spread of the primary tumor, regional and distant
metastases; principles of patients grouping according to TNM staging;
analysis of causes of late diagnosis and misdiagnosis.
22
UI - 12018333
AU - Martinez-Manas RM; Rey MJ; Gaston F
TI -
Aggressive psammomatoid ossifying fibroma.
SO - Ann Otol Rhinol Laryngol 2002 May;111(5 Pt 1):466-8
AD - Department of Neurosurgery, Hospital Clinic i Provincial, University of
Barcelona, Spain.
The above citations and abstracts reflect those newly added to CANCERLIT for the month and topic listed in the title. The citations have been retrieved from CANCERLIT using a predefined search strategy of indexed subject terms. Although the search strategy has been refined as best as possible, citations may appear that are not directly related to the topic, and occasionally relevant references may be omitted.
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