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Gynecologic Oncology

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Articles

  • Detecting Lung Cancer by Screening Serology

    Among three distinct cohorts of lung cancer patients and matched controls (without tumor), the authors present data on the capacity for an assay that detects antibody to tumor-associated antigens to discriminate those with lung cancer and those without. Using a panel of six antigens, they found their assay to have sensitivity/specificity of approximately 40%/90%. If confirmed in an independent prospective study, such screening may be a very effective adjunct to imaging studies in the early recognition of lung cancer.
  • Salvage Chemotherapy for AML

    The optimal standard salvage therapy for relapsed or refractory AML remains undetermined. The authors retrospectively compared two regimens at a single institution: CLAG (cladribine, high-dose cytarabine, and G-CSF) with MEC (mitoxantrone, etoposide, and cytarabine). These observational data without adjustment suggest CLAG may be superior to MEC. Nevertheless, outcomes for relapsed or refractory AML remain poor and clinical trials should be entertained when available.
  • Pharmacology Watch

    Apixaban and rivaroxaban near approval for nonvalvular atrial fibrillation; fidaxomicin for C. difficile infections; guideline for intensive insulin therapy; and FDA Actions.
  • HPV Vaccination in Males: Is There Value?

    HPV infection is a major cause of morbidity in both genders. HPV vaccination (both bivalent and quadrivalent) has proved effective in girls and women, including those outside of the original age indications and those with prior sexual activity. Much less is known of vaccine efficacy in boys and men for the prevention of HPV-associated diseases.
  • Pharmacology Watch: Apixaban and Rivaroxaban Near Approval for Nonvalvular AF

    In this issue: Apixaban and rivaroxaban near approval for nonvalvular atrial fibrillation; fidaxomicin for C. difficile infections; guideline for intensive insulin therapy; and FDA Actions.
  • New Medical Treatment of Heavy Menstrual Bleeding

    After two pretreatment cycles, 196 patients with menorrhagia were randomized to tranexamic acid or placebo.
  • Effectiveness and Failure Rates of Oral Contraceptives

    Outcome data from 52,218 u.s. participants in the international Active Surveillance of Women Taking Oral Contraceptives (INAS) study were used to analyze contraceptive failure in association with typical use of oral contraceptive (OC) pills.
  • Cord Clamping

    It has been shown that delayed cord clamping after delivery will increase the blood volume of term and preterm neonates without any apparent downside complications, except for an inability to administer resuscitation to those who need it immediately.
  • Special Feature: IUDs on the Move

    A 25-year-old G3P1021 presents to clinic concerned that her intrauterine device (IUD) strings feel longer.
  • Clinical Briefs in Primary Care supplement