Practice Points
Surgery or radiotherapy? How the pandemic provide an opening to gather the evidence that patients need
Head-to-head comparisons of the effectiveness of radiotherapy and surgery are not often – or easily – performed. Yet, for some types and stages of cancer, there is an increasingly apparent need for hard evidence about their comparative risks and benefits…
Improving outcomes in poor-prognosis cancers: novel approaches and strategic challenges
Recent decades have seen major advances in how we treat cancer, leading to significant improvements in survival rates. For example, women who are diagnosed with early-stage breast cancer today are 66% less likely to die from the disease within five…
Women, power and cancer in India
There is not a dull moment when Tulasi Singh is around. She makes sure that the women’s hall on the fifth floor of the Gadge Maharaj Dharamshala, a subsidised hostel for cancer patients close to the Tata Memorial Hospital in…
Safely pausing or stopping treatment: could this be the future for solid tumours?
The success of treatment cessation in chronic myeloid leukaemia (CML), outlined in an earlier Cancerworld feature, is opening the way for treatment breaks – or cessation with monitoring – to be considered in advanced solid tumours, including breast, kidney, colorectal,…
Keeping family hopes alive among African women treated for breast cancer
In Africa, women's infertility carries a heavy stigma; it becomes their label. Many end up feeling worthless, face harsh treatment from in-laws, abandonment by spouses, or relegation to polygamous marriages, as husbands take additional wives capable of bearing children. For…
Is yours a beach-ready body? Dietary tips to lower your risk of melanoma
“Did you remember to bring the sunscreen?” Public awareness of the need to protect against the risk of melanoma from excessive exposure to UV rays from the sun has risen dramatically over recent decades. ‘Bringing the sunscreen’ is now a…
Treatment-free remission: How today’s CML patients can aspire to a drug-free life
Around the start of the millennium, the therapeutic landscape for chronic myeloid leukaemia (CML), a rare type of blood cancer affecting the bone marrow and white blood cells, was transformed by the arrival of a revolutionary cancer drug. This was…
If the risk is very low, should we still call it ‘cancer’?
'Cancer’ is the weightiest of words. Jacky remembers the impact those two short syllables had when she was given her results after tests for breast cancer. “I went into this little room and they told me that I had cancer…
The Kenyan clinical research unit bringing precision cancer medicine to East Africa
Four years ago, clinical trials were little discussed in oncology circles in Kenya. In common with the rest of East Africa, there was no clinical research unit to study treatments for non-communicable diseases such as cancer. No cancer patient living…
Prevention messages: negotiating the tricky interface between medicine and popular culture
“Cigarettes are shit.” The slogan is neither creative nor informative, yet it had an impact beyond all expectations in Poland in 1994. These were the early days of post-communism: tobacco companies were making the most of the opportunities of the…