{"title":"Guidelines on Lifestyle Changes and Breast Cancer-where are we up to and how does this Apply to Black Women with Breast Cancer.","authors":"Sarah D Adomah, Susanne Cruickshank","doi":"10.1007/s11912-025-01691-1","DOIUrl":"https://doi.org/10.1007/s11912-025-01691-1","url":null,"abstract":"<p><strong>Purpose of review: </strong>Breast cancer remains a significant health concern globally, with lifestyle factors playing a crucial role in its prevention and management. This paper aims to summarize the current lifestyle guidelines for breast cancer for consistency and consensus of best practice and to explore their specific implications for Black women with breast cancer.</p><p><strong>Recent findings: </strong>There has been a growing body of data from both observational studies and some randomised controlled trials showing the relationship between diet, physical activity, body weight and cancer risk and outcomes. These has led to established national and international guidelines emphasizing the importance of lifestyle advice for survivors in reducing breast cancer risk and a drive for healthcare professionals to guide practice. However, the application and impact of these guidelines can vary across different populations, including Black women, who face unique challenges and disparities in breast cancer outcomes. Breast cancer survivors can benefit from counselling about lifestyle changes across the continuum from diagnosis, treatment through to survivorship. Guidelines recommending these changes for breast cancer survivors have been developed to guide healthcare professionals for consistency and best practice. Culturally sensitive approaches and targeted strategies are crucial to effectively reduce breast cancer disparities and improve survival rates in this population.</p>","PeriodicalId":10861,"journal":{"name":"Current Oncology Reports","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144511662","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Hereditary Hematopoietic Malignancies: Considerations for Optimizing Diagnosis and Management.","authors":"Amy M Trottier, Lea Cunningham, Lucy A Godley","doi":"10.1007/s11912-025-01699-7","DOIUrl":"https://doi.org/10.1007/s11912-025-01699-7","url":null,"abstract":"","PeriodicalId":10861,"journal":{"name":"Current Oncology Reports","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144495064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Circulating Biomarkers in Sarcoma.","authors":"Taylor P Williams, Valerie P Grignol","doi":"10.1007/s11912-025-01692-0","DOIUrl":"https://doi.org/10.1007/s11912-025-01692-0","url":null,"abstract":"<p><strong>Purpose of review: </strong>Biomarkers to evaluate, diagnose, and monitor cancer treatment can provide critical adjunct information to standard methods of cancer detection and monitoring. With over 100 different histologic subtypes, sarcomas are a group of tumors with a critical need for easily retrievable circulating biomarkers. This review presents the current progress in the field. We describe the myriad types of biomarkers, highlight the modalities of testing, and explore the clinical utility of specific biomarkers.</p><p><strong>Recent findings: </strong>Genomic circulating biomarkers include circulating tumor DNA and micro-RNA. Genomic expressions for different histologic subtypes of sarcoma are highlighted in this review. We also explore different oncogenes, their respective proteins, extracellular vesicles, and dysregulated metabolites as investigational circulating biomarkers for diagnostic and prognostic purposes. Soft tissue sarcomas are a category of cancers that lack a clinically validated circulating biomarker, and this review presents the ongoing research efforts to establish a genomic, proteomic, or metabolic biomarker.</p>","PeriodicalId":10861,"journal":{"name":"Current Oncology Reports","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144316076","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Artificial Intelligence and Decision-Making in Oncology: A Review of Ethical, Legal, and Informed Consent Challenges.","authors":"Eliza-Maria Froicu, Ioana Creangă-Murariu, Vlad-Adrian Afrăsânie, Bogdan Gafton, Teodora Alexa-Stratulat, Lucian Miron, Diana Maria Pușcașu, Vladimir Poroch, Gema Bacoanu, Iulian Radu, Mihai-Vasile Marinca","doi":"10.1007/s11912-025-01698-8","DOIUrl":"https://doi.org/10.1007/s11912-025-01698-8","url":null,"abstract":"<p><strong>Purpose of review: </strong>Artificial Intelligence (AI) integration in oncology is transforming therapeutic decision-making by providing clinical decision support. AI may improve treatment precision, but it raises ethical, legal, and informed consent issues. This review examines these paramount AI implementation issues in cancer care. This systematic review followed the PRISMA 2020 guidelines and was prospectively registered in the PROSPERO (CRD420251046482) database. A comprehensive literature search was conducted in PubMed, Embase, and the Cochrane CENTRAL Library to identify studies published between January 2015 and May 2025. AI-supported oncology therapeutic decision-making studies with ethical, legal, or informed consent implications were eligible.</p><p><strong>Recent findings: </strong>Fifteen studies met the inclusion criteria. AI applications were found to support treatment recommendations, personalize drug dosing, and improve adherence and patient management. Despite these benefits, the review highlighted key concerns, including algorithmic transparency, unclear accountability in AI-guided decisions, data privacy, and gaps in patient understanding of AI's role in their care. AI has the potential to enhance oncological care, but ethical and legal issues must be addressed for safe and equitable implementation. Emphasis should be placed on developing robust informed consent models, mitigating algorithmic bias, and establishing clear legal accountability. Future research must establish ethical frameworks and regulatory mechanisms to protect patient autonomy and responsibly integrate AI into oncology.</p>","PeriodicalId":10861,"journal":{"name":"Current Oncology Reports","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144316075","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Harshitha Dudipala, Mai Dabbas, Kshitij Pandit, Sarika D Gurnani, Rana R McKay
{"title":"Defining the Role of Postoperative Radio-Hormone Therapy in Prostate Cancer.","authors":"Harshitha Dudipala, Mai Dabbas, Kshitij Pandit, Sarika D Gurnani, Rana R McKay","doi":"10.1007/s11912-025-01694-y","DOIUrl":"https://doi.org/10.1007/s11912-025-01694-y","url":null,"abstract":"<p><strong>Purpose of review: </strong>Postoperative radio-hormone therapy plays a significant role in management of prostate cancer after radical prostatectomy (RP), particularly in efforts to reduce biochemical recurrence (BCR), distant metastasis, and improve overall survival. BCR rates can be upwards of 50-70% at 5 years, highlighting the need for optimized risk stratification and consideration of multimodal treatment approaches. The purpose of this review is to highlight evidence-based treatment recommendations, and call attention to the importance of personalized therapeutic strategies after RP.</p><p><strong>Recent findings: </strong>Both radiotherapy (RT) and ADT have been shown to optimize survival outcomes and to reduce disease progression in patients with persistent PSA, pathologic lymph-node positive disease, and adverse pathology. Early salvage RT (SRT) is typically a preferred treatment approach as it allows for treatment intensification only when clinically indicated, avoiding unnecessary radiation in men who may never recur. ADT is often added to external beam radiation therapy (EBRT) to enhance treatment efficacy, particularly in patients with high-risk features, though in selected lower-risk scenarios, radiation alone may be sufficient. Short-term ADT is appropriate for low-intermediate risk patients and long-term is appropriate for patients with advanced pathological features or nodal involvement. For certain high-risk pathologic findings, such as positive surgical margins and seminal vesicle invasion (T3b), adjuvant RT (aRT) may be indicated to optimize disease control. Overall, radio-hormone therapy plays a significant role in the postoperative setting by reducing the risk of recurrence and disease progression, and improving survival outcomes. There are several well-validated tools that may offer personalized risk assessments to identify which patients may most benefit from adjuvant or salvage therapies. Finally, the optimal use of such therapies continues to be investigated with ongoing trials.</p>","PeriodicalId":10861,"journal":{"name":"Current Oncology Reports","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144282805","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Humaira Sarfraz, Fatima Tuz Zahra, Utsav Joshi, Tracey O'Connor
{"title":"Addressing the Needs of Breast Cancer Survivors.","authors":"Humaira Sarfraz, Fatima Tuz Zahra, Utsav Joshi, Tracey O'Connor","doi":"10.1007/s11912-025-01687-x","DOIUrl":"https://doi.org/10.1007/s11912-025-01687-x","url":null,"abstract":"<p><strong>Introduction: </strong>Breast cancer survivors experience unique treatment-related side effects that have long-standing and life-altering implications. These remain a challenging aspect both in terms of diagnosis and management for these patients.</p><p><strong>Objective: </strong>This article is a review of the latest key literature in the management of common side effects of treatment in breast cancer survivors namely infertility, vasomotor symptoms, sexual dysfunction, peripheral neuropathy, lymphedema, musculoskeletal symptoms, anthracycline-related cardiotoxicity, secondary malignancies, role of ctDNA, lifestyle modifications, strategies to maintain bone mineral density and addressing fear of cancer recurrence.</p><p><strong>Results: </strong>Recent research in the field has led to novel advancements for survivors planning a family, pharmacotherapeutic options for hot flashes, overcoming barriers such as adherence to therapy and management of long-term side effects, and a incorporating a multimodal approach to improve sexual health in women, neuropathy, musculoskeletal issues and lymphedema. There have been significant strides in the understanding and management of issues in breast cancer survivors. The increasing awareness and multimodal approach will continue to improve outcomes for survivors.</p>","PeriodicalId":10861,"journal":{"name":"Current Oncology Reports","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144282804","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Saahil Chadha, Durga V Sritharan, Thomas Hager, Rahul D'Souza, Sanjay Aneja
{"title":"Emerging Trends in Artificial Intelligence in Neuro-Oncology.","authors":"Saahil Chadha, Durga V Sritharan, Thomas Hager, Rahul D'Souza, Sanjay Aneja","doi":"10.1007/s11912-025-01688-w","DOIUrl":"https://doi.org/10.1007/s11912-025-01688-w","url":null,"abstract":"<p><strong>Purpose of review: </strong>This article explores the evolving role of artificial intelligence (AI) in neuro-oncology, highlighting its potential to enhance diagnostic accuracy, predict patient outcomes, optimize treatment planning, and streamline clinical workflows.</p><p><strong>Recent findings: </strong>AI applications have led to significant advancements in automated tumor segmentation, molecular classification, risk stratification, treatment response evaluation, and computational pathology. AI-driven innovations have also accelerated drug discovery and leveraged natural language processing to generate structured clinical reports and extract actionable insights from unstructured data. AI has transformative potential in neuro-oncology; however, challenges like data quality, model generalizability, and clinical integration persist. Overcoming these barriers may involve new computational techniques and hardware efficiencies, as well as raising awareness, fostering interdisciplinary education, and expanding access to AI-driven tools.</p>","PeriodicalId":10861,"journal":{"name":"Current Oncology Reports","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144274331","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Vasilios Kafetzopoulos, Maria Pittaka, Georgios Ioannidis, Ivi Moniem
{"title":"Chronic Fatigue in Cancer Survivorship: Psychiatry Versus Oncology or Psychiatry with Oncology?","authors":"Vasilios Kafetzopoulos, Maria Pittaka, Georgios Ioannidis, Ivi Moniem","doi":"10.1007/s11912-025-01697-9","DOIUrl":"https://doi.org/10.1007/s11912-025-01697-9","url":null,"abstract":"<p><strong>Purpose of review: </strong>Cancer-related fatigue (CRF) is a prevalent and debilitating symptom among breast cancer survivors with a significant adverse impact on quality of life. This comprehensive review synthesizes the current understanding of CRF's complex pathophysiology, including the interplay of inflammatory, neuroendocrine, and psychosocial mechanisms, and evaluates diverse intervention strategies.</p><p><strong>Recent findings: </strong>Non-pharmacologic approaches (e.g., structured exercise, cognitive-behavioural therapy, mindfulness) have the strongest evidence for alleviating CRF and are emphasized as first-line treatments in oncology guidelines (e.g., ASCO, NCCN, ESMO). In contrast, pharmacologic options such as psychostimulants or bupropion show only modest benefits, with mixed efficacy and notable side effects, underscoring their limited role. Comparing oncology-focused guidelines with those for myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) which are psychiatry-focused highlight key differences in management approaches and the need for a unified, multidisciplinary framework across specialties. Modern multidisciplinary, individualized survivorship care, integrating oncologic, psychosocial, and rehabilitative strategies call for adoption of updated, integrated clinical guidelines to optimally address CRF. By consolidating evidence and expert recommendations, this review aims to inform and enhance the clinical management of CRF and improve survivorship outcomes for breast cancer survivors.</p>","PeriodicalId":10861,"journal":{"name":"Current Oncology Reports","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144265453","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Chloe Chose, Guston Zervoudakis, Thomas Karadimas, Thien Huong Huynh, Sean Lapp, Jonathan Henning, Ashley Lamba, David Joyce, Odion Binitie, Hakob Kocharyan, Vaiva Gustainyte, Mustafa Al-Roubaie, Alexander Lazarides
{"title":"Minimally Invasive Treatment Strategies for Metastatic Disease of the Skeleton: Current Concepts.","authors":"Chloe Chose, Guston Zervoudakis, Thomas Karadimas, Thien Huong Huynh, Sean Lapp, Jonathan Henning, Ashley Lamba, David Joyce, Odion Binitie, Hakob Kocharyan, Vaiva Gustainyte, Mustafa Al-Roubaie, Alexander Lazarides","doi":"10.1007/s11912-025-01696-w","DOIUrl":"https://doi.org/10.1007/s11912-025-01696-w","url":null,"abstract":"","PeriodicalId":10861,"journal":{"name":"Current Oncology Reports","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144265454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ilaria Caturegli, Elizabeth J Lilley, Mark Fairweather, Jiping Wang, Chandrajit P Raut
{"title":"Retroperitoneal Sarcoma (RPS): A Systematic Review.","authors":"Ilaria Caturegli, Elizabeth J Lilley, Mark Fairweather, Jiping Wang, Chandrajit P Raut","doi":"10.1007/s11912-025-01690-2","DOIUrl":"https://doi.org/10.1007/s11912-025-01690-2","url":null,"abstract":"<p><p>Retroperitoneal sarcomas (RPS) are a group of rare malignancies with many histologic types. Surgery is the hallmark of curative therapy for non-metastatic disease with the extent of resection depending on the histology. RECENT FINDINGS: Neoadjuvant therapies have limited response and efficacy in RPS; however, the benefit, regimen, and timing depend on histology. Innovative therapeutics are emerging and may prove promising. PURPOSE OF REVIEW: This review discusses the work-up, management, and advances in the field of retroperitoneal sarcoma.</p>","PeriodicalId":10861,"journal":{"name":"Current Oncology Reports","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144215196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}