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Cancer Ecology Notes

Cancer Ecology by Ken Pienta

Understanding cancer through the lens of ecology and evolution

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Latest Issues

Half a Cup of Tumor Can Kill You

Photo by Patrick Ho on Unsplash

In 2012, researchers asked 1,193 people receiving chemotherapy for metastatic lung or colorectal cancer a simple question: did they understand that the treatment was not at all likely to cure them? Sixty-nin...

5 days ago
26
20

An isotope ratio may tell you what happened, not just how much is there

Photo by Arash on Unsplash

Most blood tests in oncology measure how much of something is there. PSA, CA-125, lactate dehydrogenase and circulating tumor DNA are all concentrations. A concentration says how large a signal is. It usually can...

9 days ago
6

Why Your Oncologist Will Not Say You Are Cured

Photo by National Cancer Institute on Unsplash

Researchers at the Dana-Farber Cancer Institute surveyed their own oncology clinicians about a single word. Of the 117 responses analyzed, 81 percent said they were hesitant to tell a patient...

12 days ago
13

A resistant cancer cell may be held in check by where it sits

Photo by Marita Kavelashvili on Unsplash

Adaptive therapy is one of the more encouraging ideas to come out of evolutionary oncology. Instead of treating at the maximum tolerated dose until the cancer progresses, it treats, pauses and treat...

16 days ago
11

Screening Does Not Catch a Random Sample of Cancers

Photo by Arno Moller on Unsplash

Last week’s post explained one reason a screening statistic can improve without saving a single life: lead-time bias, which starts the survival clock earlier without moving the date of death. There is a sec...

19 days ago
6

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  • Cancer Ecology by Ken Pienta

    A physician - scientist at Johns Hopkins dedicated to understanding and eradicating cancer by utilizing eco-evolutionary principles.

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