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Cancer Screening and Genetics, An Issue of Surgical Clinics, E-Book

Cancer Screening and Genetics, An Issue of Surgical Clinics, E-Book

Christopher L. Wolfgang

(2015)

Additional Information

Abstract

Cancer Screening and Genetics is reviewed extensively in this important Surgical Clinics of North America issue. Articles include: Cancer Genetics and Implications for Clinical Management; Epigenetics and Cancer; Screening and Early Detection of Cancer: Successes and Failures; Screening for Lung Cancer; Screening for Breast Cancer; Viral Hepatitis and Hepatocellular Cancer: How Should Patients Be Screened?; Screening for Pancreatic Cancer:  Where Do We Stand?; Hereditary Colorectal Cancer: Genetics and Screening; Personalized Approach to Gastrointestinal  Cancers; Screening for Colorectal Cancer; Screening for Prostate Cancer: Why the Controversy?; Gastric Cancer: East versus West—Is screening and early detection the difference?; and more!

Table of Contents

Section Title Page Action Price
Front Cover Cover
Cancer Screeningand Genetics i
Copyright\r ii
Contributors iii
CONSULTING EDITOR iii
EDITOR iii
AUTHORS iii
Contents vii
Foreword: Cancer Screening and Genomics\r vii
Preface\r vii
Background vii
Cancer Genetics and Implications for Clinical Management\r vii
The Triple-Code Model for Pancreatic Cancer: Cross Talk Among Genetics, Epigenetics, and Nuclear Structure\r vii
Principles of Cancer Screening\r vii
Screening and Early Detection: Specific Diseases viii
Lung Cancer Screening\r viii
Colorectal Cancer Screening\r viii
Breast Cancer Screening\r viii
Screening for Viral Hepatitis and Hepatocellular Cancer \r viii
Prostate Cancer Screening and the Associated Controversy\r ix
Screening for Pancreatic Cancer\r ix
Screening and Early Detection of Gastric Cancer: East Versus West\r ix
Hereditary Colorectal Cancer: Genetics and Screening\r ix
Personalized Approaches to Gastrointestinal Cancers: Importance of Integrating Genomic Information to Guide Therapy\r x
SURGICAL CLINICS\rOF NORTH AMERICA\r xi
FORTHCOMING ISSUES xi
December 2015 xi
February 2016 xi
April 2016 xi
RECENT ISSUES xi
August 2015 xi
June 2015 xi
April 2015 xi
February 2015 xi
Foreword\r xiii
Preface xv
Cancer Genetics and Implications for Clinical Management 919
Key points 919
INTRODUCTION 920
UNDERSTANDING THE CANCER GENOME LANDSCAPE AND TRANSLATING ADVANCES FOR THERAPEUTIC GAIN 920
DRIVER VERSUS PASSENGER MUTATIONS 922
MUTATIONAL SIGNATURES IN CANCER 922
RATIONALE OF GENOTYPE-GUIDED MEDICINE 923
MANAGING TUMOR HETEROGENEITY AND RESISTANCE TO TARGETED THERAPY 925
ADVANCING MOLECULAR PHENOTYPE–GUIDED THERAPY IN PANCREATIC CANCER 926
INDIVIDUALIZED THERAPY INITIATIVES 928
INHERITED SUSCEPTIBILITY OF CANCER IN THE ERA OF NEXT-GENERATION SEQUENCING 928
EXCEPTIONAL RESPONDERS 929
SUMMARY 929
REFERENCES 930
The Triple-Code Model for Pancreatic Cancer 935
Key points 935
CROSS TALK BETWEEN GENETICS AND EPIGENETICS AS A PROMISING PARADIGM IN PANCREATOLOGY 937
MECHANISTIC BASIS OF EPIGENETICS: THE NUCLEOSOME 938
Sequence Specific Transcription Factors Function as Adaptor Proteins to Link DNA to Epigenetic Regulators 939
Nucleosome Remodeling Machines and Histone-Modifying Enzymes Work in Concert to Regulate Histone Marks 939
MARKING THE GENOME BY METHYLATION 941
EPIGENETIC REGULATION BY NONCODING RNAS 942
SHAPING GENE EXPRESSION THROUGH NUCLEAR ARCHITECTURE 944
EPIGENETICS OPENS A NEW ERA FOR PANCREATIC CANCER MARKERS AND NOVEL THERAPEUTIC MODALITIES 944
SUMMARY 945
REFERENCES 946
Principles of Cancer Screening 953
Key points 953
INTRODUCTION 953
PERFORMANCE CHARACTERISTICS OF SCREENING TESTS 954
MEASURES OF SCREENING BENEFIT 956
Population Measures 957
COMMON BIASES IN ASSESSING THE BENEFITS OF SCREENING 958
HARMS OF SCREENING 960
Overdiagnosis 960
COST-EFFECTIVENESS AND TARGETED SCREENING 961
Targeted Screening 962
CURRENT RECOMMENDED CANCER SCREENING TESTS IN NORTH AMERICA 964
REFERENCES 964
Lung Cancer Screening 967
Key points 967
INTRODUCTION 967
RISKS AND HARMS OF LUNG CANCER SCREENING 971
Radiation 971
Invasive Procedures 971
Anxiety and Stress 971
Overdiagnosis 971
Estimates of the Rate of Overdiagnosis in Lung Cancer Screening 972
PRACTICE OF LUNG CANCER SCREENING 972
Multidisciplinary Lung Cancer Screening Program 972
Eligibility for Lung Cancer Screening 972
Computed Tomography Protocol 973
Definition of Abnormal Results on Low-Dose Computed Tomography 973
Reporting and Communication 974
Evaluation of Abnormal Findings 975
Smoking Cessation 975
Education 975
SUMMARY 975
REFERENCES 975
Colorectal Cancer Screening 979
Key points 979
INTRODUCTION: EXTENT OF THE DISEASE 979
Risk Factors 980
SCREENING TECHNIQUES AND OPTIONS 980
Early Detection Versus Prevention 981
Stool Tests for Colorectal Cancer Screening 981
Guaiac-based fecal occult blood test 981
Fecal immunochemical test 981
Stool DNA tests 982
Structural Examinations of the Colon and Rectum 982
Flexible sigmoidoscopy 982
Colonoscopy 982
Computed tomographic colonography 982
Capsule colonoscopy 983
Double-contrast barium enema 983
Programmatic Versus Opportunistic Screening 983
Colorectal Cancer Screening Guidelines 983
CLINICAL OUTCOMES 984
Ongoing Research 985
COMPLICATIONS AND CONCERNS 985
SUMMARY 985
REFERENCES 986
Breast Cancer Screening 991
Key points 991
INTRODUCTION 991
Population Screening 991
Screening Mammography Recommendations 992
The Breast Cancer Screening Controversy 992
SCREENING TECHNIQUES AND OPTIONS 993
Clinical Breast Examination and Breast Self-examination 993
Mammography 994
Breast MRI 996
Screening Sonography 997
Gamma-Emitting Radioisotope Imaging 998
Other Modalities 999
PERSONALIZED BREAST CANCER SCREENING 999
Mammographic Density 1000
Enhanced Surveillance in Increased Risk Populations 1001
COMPLICATIONS AND CONCERNS 1001
SUMMARY 1003
REFERENCES 1003
Screening for Viral Hepatitis and Hepatocellular Cancer 1013
Key points 1013
SCREENING FOR HEPATITIS B VIRUS INFECTION 1013
SCREENING FOR HEPATITIS C VIRUS INFECTION 1015
DIAGNOSING OTHER VIRAL HEPATITIDES 1016
Hepatitis A 1016
Hepatitis D 1016
Hepatitis E 1017
Cytomegalovirus 1017
Epstein-Barr Virus 1017
Herpes Simplex Virus 1017
Varicella Zoster Virus 1018
SCREENING FOR HEPATOCELLULAR CARCINOMA 1018
WHEN TO OBTAIN A LIVER BIOPSY TO DIAGNOSE HEPATOCELLULAR CARCINOMA 1019
REFERENCES 1019
Prostate Cancer Screening and the Associated Controversy 1023
Key points 1023
INTRODUCTION 1023
Extent of Disease 1023
Natural History of Prostate Cancer 1023
Risk Factors 1024
SCREENING TECHNIQUES AND OPTIONS 1025
Prostate-Specific Antigen 1025
Impact of Prostate-Specific Antigen Screening on the Epidemiology of Prostate Cancer 1025
Limitations of Prostate-Specific Antigen 1027
CLINICAL OUTCOMES 1028
Prostate Cancer Screening Trials: Prostate, Lung, Colorectal, and Ovarian and European Randomized Study of Screening for Pr ... 1028
US Preventive Services Task Force 2012 Recommendation 1029
COMPLICATIONS AND CONCERNS 1029
Critique of the US Preventive Services Task Force Recommendation 1029
Impact of the US Preventive Services Task Force Recommendation 1031
Addressing the Concerns: Strategies to Prevent Overdiagnosis and Overtreatment 1032
Professional Organizations’ Recommendations 1033
Future Directions 1033
SUMMARY 1034
REFERENCES 1035
Screening for Pancreatic Cancer 1041
Key points 1041
INTRODUCTION 1041
HOW EARLY DOES PANCREATIC CANCER HAVE TO BE DETECTED FOR CURE? 1042
TARGET LESIONS 1042
WHO IS AT RISK OF DEVELOPING PANCREATIC CANCER? WHO SHOULD BE SCREENED? 1043
How Should Individuals at Risk Be Screened? 1046
HOW SHOULD SUSPECTED LESIONS BE MANAGED? 1048
REFERENCES 1048
Screening and Early Detection of Gastric Cancer 1053
Key points 1053
GASTRIC CANCER EPIDEMIOLOGY: MORTALITY, INCIDENCE BETWEEN EAST AND WEST 1053
RISK FACTORS 1056
Helicobacter pylori 1056
Diet and Smoking 1056
GASTRIC CANCER SCREENING EFFECT: EARLY DETECTION AND THE ASIAN EXPERIENCE 1057
Korea 1057
Japan 1057
Taiwan 1058
West 1059
DIFFERENCE OF TREATMENT STRATEGY 1059
GENETIC DISPARITY 1060
SUMMARY 1061
REFERENCES 1061
Hereditary Colorectal Cancer 1067
Key points 1067
INTRODUCTION 1068
LYNCH SYNDROME 1068
Clinical Features 1068
Genetic Defect 1070
Genetic Testing 1070
Management 1071
FAMILIAL ADENOMATOUS POLYPOSIS 1072
Clinical Features 1072
Genetic Defect 1073
Management 1074
Colorectum 1074
Upper gastrointestinal tract 1075
Desmoid tumors 1075
MUTYH-ASSOCIATED POLYPOSIS 1076
Clinical Features 1076
Genetic Defect 1076
Management 1077
SUMMARY 1077
ACKNOWLEDGMENTS 1078
REFERENCES 1078
Personalized Approaches to Gastrointestinal Cancers 1081
Key points 1081
INTRODUCTION 1081
Tumor Heterogeneity 1081
CURRENT CONCERNS AND LIMITATIONS OF DIAGNOSIS AND THERAPY 1083
PERSONALIZED TREATMENT OF PANCREATIC CANCERS 1085
PERSONALIZED TREATMENT OF GASTROINTESTINAL STROMAL TUMORS 1086
PERSONALIZED TREATMENT IN COLORECTAL CANCER 1087
PERSONALIZED TREATMENT IN GASTRIC CANCER 1088
PROGNOSIS 1089
Oncotype DX 1089
ColoPrint 1090
Circulating Tumor Cells 1090
SUMMARY 1090
REFERENCES 1091
Index 1095