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A Special Thank                      Breast Cancer... Breast Cancer... Breast Cancer...

                 You to the                  Cover Story: 2017: What Is New in Cancer Care?


             September 2017
                                             Continued from page 1               problem. Palbociclib is a drug that  block these checkpoints and have trans-
           Host of the South                 approaches. Midostaurin, a drug that  blocks CDK4 therefore diminishing the  formed the outcomes of many cancers.
                                             targets mutation FLT3 became the first  hormone resistance mechanism of breast  Over the past year, the FDA approved
           Florida Healthcare                drug approved for acute myeloid     cancer. Clinical trials demonstrated bet-  five new uses for immune checkpoint
                                             leukemia treatment after 20 years.
                                                                                 ter tumor control; therefore, it is
                                                                                                                      inhibitors: lung cancer, head and neck
                                             Inotuzumab ozogamicin is a novel treat-  approved by the FDA in combination  cancer, bladder cancer, kidney cancer
           Networking Group                  ment which is an antibody–drug conju-  with hormone therapy.             and Hodgkin lymphoma. Atezolizumab,
                                             gate that improves delivery of the drug  In other cancer types, new develop-  an immunotherapy, is the first new treat-
                                             into the cancer cell. This new drug may  ments also occurred. In kidney cancer,  ment for bladder cancer in 30 years.
                                             improve outcomes for older people with  cabozantinib is a drug that targets vascu-  Recently, the FDA approved first CAR-T
                                             recurrent acute lymphoblastic leukemia.  lar endothelial growth factor receptor  cell therapy (tisagenlecleucel) for acute
                                               Progress is also noted in non-small  and has been shown that it was more  lymphoblastic leukemia. These cells are
                                             cell lung cancers. In patients with ALK  effective compared to standard of care  genetically modified to include a new
                                             mutations alectinib treatment produced  patients with recurrent disease. In  gene that targets the cancer cell. This
                 MEMORIAL                    encouraging results in patients resistant  patients with glioma, which is a brain  development may be the beginning of a
                  HOSPITAL                   to first line therapy including those with  tumor, adding chemotherapy to radia-  new era.
                                             brain metastases.                   tion extended glioma survival. This    Relentless work to conquer cancer is
                  MIRAMAR                      Multiple myeloma is a cancer of plas-  study led to a change in the standard of  ongoing. Each year, our knowledge of
                                             ma cells, which are found in the blood  care for high-risk gliomas. In colon can-  cancer grows and many new treatments
                                             that produce antibodies to fight infec-  cer, studies have showed that patients  are being developed in an effort to
              For information about          tions. CD38 is a molecule that is   with advanced colorectal cancer with  improve the outlook for patients with
                                             expressed    on    plasma    cells.  left-side tumors of the colon survived  cancer.
               our next meeting of
                                             Daratumumab is a drug that targets  longer compared to right-side tumors.
                     SFHNG,                  CD38 and a study has shown that incor-  Now the clinicians have taken into
                                             poration of daratumumab to standard  account the location of the primary              Dr. Mehmet F. Hepgur is a
                    please email
                                             regimen reduced lower risk of cancer  tumor.                                Hematologist/Oncologist on staff at the
                     charles@                progression by 70%.                   Immune checkpoints such as PD-1 or  Comprehensive Cancer Center at Broward
                                               Hormone receptor–positive breast  CTLA-4 are usually exploited by the                 Health Medical Center.
             southfloridahospitalnews.com
                                             cancer is the most common type of   tumor to suppress that immune            Dr. Hepgur is also a Clinical Assistant
                                             breast cancer. Hormone therapy is the  response against tumor. In just a few  Professor for the Dept. of Internal Medicine
                                             standard of care but resistance is a huge  short years, immunotherapies mainly   at Nova Southeastern University.





              THE REGION’S MONTHLY NEWSPAPER FOR HEALTHCARE PROFESSIONALS & PHYSICIANS
                                                                                         High Risk Screening Program
                                                                                             at Jupiter Medical Center

                                                                                       Can Give Your Patients an Edge


                                                                                     in the Fight Against Breast Cancer
                                               Telemedicine                         While many women may know that      • A personal history or prior radiation

                                               and Telemetry                      breast cancer is the second-leading cause  therapy to the chest
                                                                                  of cancer death in women, they may not  • Known or suspected to carry the
                                                                                  know their own personal risk of devel-  BRCA 1 and/or BRCA2 gene mutations
                                                                                  oping the disease. Staffed by highly  The High Risk Breast Screening
                                                                                  trained physicians, genetic counselor  Program at Jupiter Medical Center helps
                                                                                  and nurse navigator, the High Risk   each patient understand the impact of
                                                                                  Breast Cancer Screening Program at   their family’s cancer history and provides
                                                                                  Jupiter Medical Center provides a wide  testing for patients who may have genet-
                                                                                  array of services to help your patients  ic risk factors.  In addition, Jupiter
                • On site and remote access to medical specialists                learn more about their risk factors and  Medical Center’s Margaret W. Niedland
                                                                                  develop a plan for breast care surveil-  Breast Center is equipped with state-of-
                  24-hour/day for high risk patients                              lance.                               the-art screening technologies to detect
                                                                                    We know that breast cancer, like many  breast cancer at the earliest possible
                • Real time feedback during physical therapy to monitor           other forms of cancer, can be treated  stage. From 3-D mammography with the
                  treatment regimens and responses                                most effectively when it is identified at  lowest radiation dose, to ultrasound
                                                                                  an early stage, which is why we recom-  breast imaging, bone density testing and
                • Faster interventions to reduce ER transfers, hospital           mend that women be proactive about   a specialized MRI with Caring Suite to
                                                                                  monitoring their breast health. Women
                                                                                                                       deliver soothing sights and sounds,
                 admissions and readmissions                                      who are positive for any of the following  Jupiter Medical Center will help you
                                                                                  risk factors should be especially proac-  monitor and manage your patient’s
                                                                                  tive:                                breast health. As an added benefit, the
                                                                                    • Two or more relatives from the same  Margaret W. Niedland Breast Center also
                                                                                  side of the family diagnosed with breast  offers a beautiful outdoor meditation
                                Award Winning Rehabilitation & Skilled Nursing Centers
                                                                                  cancer at any age                    garden to relax the body and mind.
                                                                                    • One relative diagnosed with breast  Knowledge is power when it comes to
                                                                                  cancer before age 50, or a relative with  preventing breast cancer. Jupiter Medical
                Available now at:
                                                                                  an ovarian cancer diagnosis at any age  Center’s High Risk Breast Screening
                                                                                    • A male relative with breast cancer  Program can help arm your patients with
                Arch Plaza | Aventura Plaza | Jackson Plaza | Ponce Plaza           • Any family history of breast or ovar-  more knowledge to keep them healthy.
                Sinai Plaza | South Pointe Plaza | University Plaza               ian cancer and of Ashkenazi Jewish
                                                                                  decent
                                                                                    • A personal history of breast cancer,  For more information, call Allison Kern,
                Learn more at plazahealth.org/telemedicine     not-for-profit 501(C)(3)  atypia or lobular carcinoma insitu  practice manager, at (561) 263-7597.



         20                       October 2017                                                            southfloridahospitalnews.com                                                                       South Florida Hospital News
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