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"Our retrospective cohort study found that men diagnosed with breast cancer have a 16% higher risk of suffering a second cancer (not a spread of the original tumor) than the general male population. Data analyzed from the California Cancer Registry during the period 1988-2003 included 1,926 men aged 85 or younger diagnosed with a first primary breast cancer. These men are especially prone to developing a second primary breast, stomach and melanoma skin cancer. One possible explanation for the association between the first and second cancer include genetic mutations in the BRCA1 and BRCA2 genes. Male tumors related to BRCA1 and BRCA2 include breast, melanoma, stomach, prostate, colon and pancreatic cancer. Further, the particularly high risk for bilateral breast disease and the high risk among early onset cases are an indicator of a hereditary cancer syndrome. Other possible explanations for the associations include shared hormonal abnormalities, and shared lifestyle and environmental risk factors between the first and second cancer. Studying the occurrence of second primary cancers holds important implications for cancer etiology and preventive medicine. These results will have substantial medical implications for cancer patients as well as for relatives that are at risk of the disease. Medical interventions to address increased risk of second cancer include increased surveillance, chemoprevention, and prophylactic surgery." (Comment on paper: Satram-Hoang S et al.:"Risk of Second Primary Cancer in Men with Breast Cancer", Breast Cancer Res. 2007 Jan 25;9(1):R10)

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 "Hepatocellular carcinoma (HCC) is a malignant liver tumor that arises from hepatocytes and has a generally very poor prognosis with a 5-year survival rate of <5% in symptomatic patients. Therapeutic options for HCCs fall into 5 categories: surgical interventions (tumor resection and liver transplantation, LTx), percutaneous interventions (e.g., ethanol or acetic acid injection, radiofrequency thermal ablation), transarterial interventions (embolization, chemoperfusion or chemoembolization), radiation and drugs. A number of systemic chemotherapies, hormonal and other drugs have been evaluated in clinical trials. While most chemotherapeutic agents, tamoxifen and interferon-alpha have not been shown to be effective in randomized controlled clinical trials, based on previous reports a number of substances deserve further clinical evaluation in qualified clinical trials, e.g., gemcitabine, thymostimulin, pravastatin, thalidomide and megestrol acetate as well as several antiangiogenic small molecules, e.g., erlotinib, sorafenib, gefitinib, as well as antiangiogenic monoclonal antibodies, e.g., bevacizumab or cetuximab, Cox-2 inhibitors in combination with capecitabine, pamidronate and others. Based on promising data from a previous study (Kouroumalis A etal.Gut 1998; 42: 42-447), we explored the therapeutic efficacy of octreotide in a mulicenter, randomized, placebo-controlled trial including 120 patients with advanced multifocal HCC. The study revealed that octreotide alone is ineffective at this stage of the disease and should, therefore, not be given. Possibly, octreotide may be efficacious at an earlier stage of the disease and/ or in combination with other therapeutic strategies" (Comment on paper: Becker G, Allgaier HP, Olschewski M, Zähringer A and Blum HE; "Long-acting octreotide versus placebo for treatment of advanced HCC: a randomized controlled double-blind study", Hepatology. 2007 Jan;45(1):9-15. Hepatology 2007;45:9-15)

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