What does cure mean in cancer? When can we call a cancer curable?
My thoughts in this article apply to all cancers. ascopost.com/issues/july-10…
@ASCOPost @ASCO #MedTwitter #Myeloma
My thoughts in this article apply to all cancers. ascopost.com/issues/july-10…
@ASCOPost @ASCO #MedTwitter #Myeloma
For those interested in more please read @DeVitaDoctor book "The Death of Cancer".
He cured advanced Hodgkin lymphoma. He first defines when he would use the word cure: you give finite duration of therapy, stop all therapy, and 5 years later the cancer doesn't comes back.
He cured advanced Hodgkin lymphoma. He first defines when he would use the word cure: you give finite duration of therapy, stop all therapy, and 5 years later the cancer doesn't comes back.
In myeloma treatment is continuous from the beginning.
What happens if you just do that they did in Hodgkin lymphoma. Finite therapy (induction plus transplant) and stop? Even in exceptional responders relapses occur steadily over time. nature.com/articles/s4140…
What happens if you just do that they did in Hodgkin lymphoma. Finite therapy (induction plus transplant) and stop? Even in exceptional responders relapses occur steadily over time. nature.com/articles/s4140…
If you have a treatment like Gleevec, then ongoing therapy year after year after year is ok. (except that it's expensive!)
We don't need to cure, because control seems quite good and gives close to or similar life span.
But we call it what it is. And continue to pursue cure.
We don't need to cure, because control seems quite good and gives close to or similar life span.
But we call it what it is. And continue to pursue cure.
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