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Treatment Resistant Cancers02:56

Treatment Resistant Cancers

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Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...
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Immunotherapy is a treatment that boosts or manipulates the immune system to fight diseases, including cancer. For instance, by stimulating an immune response through vaccinations against viruses that cause cancers, like hepatitis B virus and human papillomavirus, these diseases can be prevented. Nonetheless, some cancer cells can avoid the immune system due to their rapid mutation and division. The immune response to many cancers involves three phases: elimination, equilibrium, and escape.
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Systemic Treatments in Soft Tissue Sarcomas.

H Hatcher1, C Benson2, T Ajithkumar1

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|May 30, 2017
PubMed
Summary

Systemic treatment for adult soft tissue sarcoma is evolving. While its use before surgery (neoadjuvant) is experimental and after surgery (adjuvant) inconclusive, chemotherapy can be considered individually for advanced or metastatic cases.

Keywords:
Soft tissue sarcomasystemic therapytargeted agents

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Area of Science:

  • Oncology
  • Medical treatment of soft tissue sarcoma

Background:

  • Systematic treatment for adult-type soft tissue sarcoma is undergoing significant evolution.
  • The application of systemic therapy in the neoadjuvant and adjuvant settings for soft tissue sarcoma requires further investigation.
  • Current data on adjuvant chemotherapy efficacy remain inconclusive, necessitating careful consideration in clinical practice.

Purpose of the Study:

  • To review the evolving landscape of systemic treatment for adult-type soft tissue sarcoma.
  • To discuss the current evidence and clinical considerations for neoadjuvant and adjuvant chemotherapy.
  • To highlight the established role of systemic therapy in advanced and metastatic disease management.

Main Methods:

  • Review of current literature and clinical practice guidelines regarding systemic therapy for soft tissue sarcoma.
  • Analysis of the experimental role of neoadjuvant chemotherapy.
  • Evaluation of inconclusive data on adjuvant chemotherapy.

Main Results:

  • Neoadjuvant chemotherapy for soft tissue sarcoma is currently considered experimental.
  • Data supporting the use of adjuvant chemotherapy in soft tissue sarcoma are inconclusive.
  • Systemic therapy is well-established for locally advanced and metastatic soft tissue sarcoma.

Conclusions:

  • Neoadjuvant and adjuvant chemotherapy for soft tissue sarcoma should be considered on an individual basis following multidisciplinary team discussion.
  • Histology-based treatment approaches are under active investigation for systemic therapy in soft tissue sarcoma.
  • Ongoing research is crucial for refining treatment strategies in soft tissue sarcoma management.