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Tuesday, Mar 1 2022

Full Issue

Study Shows Overdiagnosis Of 1 In 7 Breast Cancer Cases

Research from Duke University shows the potential paradox in over-diagnosing small breast cancer tumors. Progress in treating multiple myeloma using new drugs from makers Johnson & Johnson, and Janssen and Legend Biotech is also reported.

One in seven women who are diagnosed with breast cancer after a mammogram with no previous symptoms are overdiagnosed and likely overtreated, according to a new estimate from researchers at Duke University. The new estimate published in the Annals of Internal Medicine on Monday provides doctors and their patients a closer estimate of how likely women will end up dying of other causes than their diagnosed breast tumors. (Gillespie, 2/28)

Catching cancer early in a mammogram can be life-saving 鈥 smaller tumors are聽 easier to remove surgically, and therapy often has a much greater effect. But paradoxically, breast cancer screening also sometimes picks up tumors that would have caused less harm if they鈥檇 remained hidden. These cases, known as 鈥渙verdiagnoses,鈥 may never go on to pose a threat to a patient鈥檚 health for a number of different reasons. A new study, published Monday in Annals of Internal Medicine, suggests they occur in 1 of 7 breast cancer cases detected during screening. That new estimate comes as a relief to breast cancer clinicians, who say that the study should reinforce the idea that the benefits of mammography generally outweigh its risks. Still, experts said, it doesn鈥檛 minimize the real danger of overdiagnosis or the need to effectively communicate the risks and benefits of screening to patients. (Chen, 2/28)

In cancer treatment news 鈥

U.S. drug regulators approved a new customized, cell-based treatment for blood cancer from Johnson & Johnson that is the first such therapy in the U.S. to be developed initially in China. The Food and Drug Administration on Monday cleared the therapy, named Carvykti, for the treatment of multiple myeloma in adult patients whose disease has worsened despite prior treatments with other drugs. (Loftus, 2/28)

The Food and Drug Administration on Monday聽approved a new CAR-T therapy for multiple myeloma, a move that could ease strain on limited supplies of potentially lifesaving cancer therapies. The treatment, called cilta-cel and developed by Janssen and Legend Biotech, involves taking immune cells from a patient鈥檚 own body and engineering them in a lab to fight a patient鈥檚 cancer. Since the first such treatment for multiple myeloma was approved last year, manufacturing challenges have severely hamstrung supply 鈥 leaving eligible patients waiting for weeks or months to receive the engineered cells. (Chen, 2/28)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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