Join the 200th Anniversary Celebration

Browse Hematology/Oncology General

Showing 1 to 20 of 6788 Articles

Sort By:

  • Correspondence

    To the Editor: Recently, on the basis of a case series involving six patients, Sykes et al. described the TEMPI syndrome, a novel multisystem disease defined by telangiectasias, erythrocytosis with elevated erythropoietin levels, monoclonal gammopathy, perinephric-fluid collections, and…

    • May 10, 2012
    • N Engl J Med 2012; 366:1843-1845
    • Free Full Text

    Telangiectasias, erythrocytosis, monoclonal gammopathy, perinephric-fluid collection, and intrapulmonary shunting are characteristic of the TEMPI syndrome. A case report documents improvement with bortezomib, a drug used in the treatment of myeloma.

  • Correspondence

    To the Editor: Within a 3-week period, two women, 46 and 48 years of age, presented with peripheral neuropathy and associated pancytopenia with macrocytic anemia. Clinical suspicion for pernicious anemia was high, but vitamin B12 levels were 1644 pg per milliliter (1228 pmol per liter) and 1321 pg…

    • May 3, 2012
    • N Engl J Med 2012; 366:1742-1743
    • Free Full Text

    To the Editor: Within a 3-week period, two women, 46 and 48 years of age, presented with peripheral neuropathy and associated pancytopenia with macrocytic anemia. Clinical suspicion for pernicious anemia was high, but vitamin B12 levels were 1644 pg per ...

  • Perspective

    One area of amazing recent medical advances has been childhood cancers, for which survival rates have quadrupled over the past four decades and now exceed 80%. This progress has been driven not only by the introduction of novel therapies but also by the remarkable level of patient and physician…

    • May 3, 2012
    • Gelijns A.C. and Gabriel S.E.
    • N Engl J Med 2012; 366:1659-1661

      To accelerate the pace and spread of scientific discovery, we must look beyond translation and integrate clinical research with medical practice, creating a patient-centered, science-driven health care enterprise. But there are barriers to doing so.

    • Case Records of the Massachusetts General Hospital

      Presentation of Case. Dr. Norifumi Kamo (Medicine): A 62-year-old man was admitted to this hospital because of paresthesias, weight loss, jaundice, and anemia. The patient had been well until approximately 2 months before admission, when numbness, tingling ("pins and needles"), and burning in his…

      • April 26, 2012
      • Puig A., Mino-Kenudson M., Dighe A.S.
      • N Engl J Med 2012; 366:1626-1633
      • CME

      A 62-year-old man was admitted to this hospital because of paresthesias, weight loss, jaundice, and anemia. Diagnostic test results were received.

    • Correspondence

      To the Editor: Telomeres protect the ends of chromosomes from erosion; telomerase ensures their integrity. We report a case of familial idiopathic pulmonary fibrosis and bone marrow failure associated with a mutation in telomerase reverse transcriptase (TERT). The patient was a 56-year-old lifelong…

      • April 19, 2012
      • N Engl J Med 2012; 366:1551-1553
      • Free Full Text

      The authors report on a family with a new mutation in telomerase associated with pulmonary fibrosis and bone marrow failure. What fraction of patients with idiopathic pulmonary fibrosis have telomerase defects has not been defined, but the association should be kept in mind.

    • Original Article

      A large body of evidence suggests high levels of distress and psychiatric symptoms among patients who receive a diagnosis of cancer.– Patients with cancer have been shown to be at increased risk for suicide– and cardiovascular events.– However, most results have been interpreted to be…

      • April 5, 2012
      • Fang F., Fall K., Mittleman M.A., et al.
      • N Engl J Med 2012; 366:1310-1318

        In this study of more than 6 million Swedes during 1991–2006, patients were at increased risk for suicide or death from cardiovascular causes after a diagnosis of cancer. Risks were especially high immediately after diagnosis and for cancers with a poor prognosis.

      • Case Records of the Massachusetts General Hospital

        Presentation of Case. A 67-year-old man was seen in the cancer center at this hospital because of a persistently elevated serum level of prostate-specific antigen (PSA). Seven and a half years earlier, the patient's serum level of PSA was elevated on routine testing at another institution (Table 1).…

        • March 22, 2012
        • Kaufman D.S., Zietman A.L., McDougal W.S., et al.
        • N Engl J Med 2012; 366:1143-1150
        • CME

        A 67-year-old man was seen in the cancer center of this hospital because of elevated prostate-specific antigen for 6 years. One of six transrectal prostate-biopsy specimens showed a tiny focus of well-differentiated adenocarcinoma. A diagnostic procedure was performed.

      • Editorial

        After 11 years of follow-up in the European Randomized Study of Screening for Prostate Cancer (ERSPC), Schröder et al. report in this issue of the Journal that there has been little change in the apparent benefit of screening men for levels of prostate-specific antigen (PSA), as compared with an…

        • March 15, 2012
        • Miller A.B.
        • N Engl J Med 2012; 366:1047-1048

          After 11 years of follow-up in the European Randomized Study of Screening for Prostate Cancer (ERSPC), Schröder et al.1 report in this issue of the Journal that there has been little change in the apparent benefit of screening men for levels of prostate-...

        • Original Article

          Screening for prostate cancer has remained controversial, despite results showing a significant reduction in the rate of death from prostate cancer (relative reduction, 20%) among men offered screening for prostate-specific antigen (PSA). The European Randomized Study of Screening for Prostate…

          • March 15, 2012
          • Schröder F.H., Hugosson J., Roobol M.J., et al.
          • N Engl J Med 2012; 366:981-990
          • CME

          The European Randomized Study of Screening for Prostate Cancer continues to show a 21% reduction in prostate-cancer mortality in the screening group, after 11 years of follow-up. The number of cancers that would need to be detected to prevent one prostate-cancer death is 37. Screening does not affect all-cause mortality.

        • Editorial

          In the past 10 years, the number of tools available to treat cancer has increased, as has our understanding of what makes some cancers tick. The standard old-time cancer treatments were largely predicated on attacking DNA, an approach fueled by the belief that tumor cells divide more rapidly than…

          • March 8, 2012
          • Longo D.L.
          • N Engl J Med 2012; 366:956-957

            In the past 10 years, the number of tools available to treat cancer has increased, as has our understanding of what makes some cancers tick. The standard old-time cancer treatments were largely predicated on attacking DNA, an approach fueled by the belief ...

          • Correspondence

            To the Editor: The remarkable association between somatic JAK2 mutations and Philadelphia chromosome–negative myeloproliferative neoplasms is well established. However, JAK2 mutations occur in heterogeneous disorders, and current evidence suggests that they are secondary events in both sporadic…

            • March 8, 2012
            • N Engl J Med 2012; 366:967-969
            • Free Full Text

            In a family with a germline mutation in JAK2, thrombocytosis was noted in five family members carrying the mutation and not in family members without the mutation. Baseline colony formation was unaffected, but the cells were hyperresponsive to granulocyte colony-stimulating factor.

          • Original Article

            Large-scale sequencing analyses of solid cancers have identified extensive heterogeneity between individual tumors.– Genetic intratumor heterogeneity has also been shown– and can contribute to treatment failure and drug resistance. Intratumor heterogeneity may have important consequences for…

            • March 8, 2012
            • Gerlinger M., Rowan A.J., Horswell S., et al.
            • N Engl J Med 2012; 366:883-892

              Genetic analysis was applied to different regions of renal-cell cancers. The lesions noted in the tumor were not found in every sample, and regions of the tumor had different gene-expression patterns. This suggests that extrapolation from results of a single biopsy may be problematic.

            • Perspective

              Out of curiosity, an impressionable woman in her 30s attends an integrative medicine exhibition; having recently had a child, she's been sleep-deprived and wants to investigate natural remedies. At the seminar, she wins a door prize — a blood test that promises to diagnose cancer. She was…

              • March 1, 2012
              • Srivastava R.
              • N Engl J Med 2012; 366:783-785

                A young woman wins a blood test at an integrative medicine seminar and is told she has circulating tumor cells, indicating advanced cancer, and requires a $6,000 course of IV vitamin C. Petrified, she is difficult to dissuade. What's a respectable oncologist to do?

              • Clinical Practice

                Foreword. This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the authors' clinical recommendations. Stage. A 53-year-old…

                • February 23, 2012
                • Le Cleach L. and Chosidow O.
                • N Engl J Med 2012; 366:723-732
                • CME
                • Full Text Audio

                Lichen planus, an inflammatory disease, tends to affect the skin and oral mucosa but may involve the nails, scalp, esophagus, and anogenital regions. Its various clinical presentations and treatment options are reviewed, including available data to guide management.

              • Review Article

                IgG4-related disease is a newly recognized fibroinflammatory condition characterized by tumefactive lesions, a dense lymphoplasmacytic infiltrate rich in IgG4-positive plasma cells, storiform fibrosis, and, often but not always, elevated serum IgG4 concentrations. The disease was not recognized as…

                • February 9, 2012
                • Stone J.H., Zen Y., Deshpande V.
                • N Engl J Med 2012; 366:539-551

                  A number of autoimmune diseases that affect diverse organ systems have recently been noted to be related to IgG4 autoantibodies. The authors review the spectrum of IgG4-related disease and the current status of diagnostic and management approaches.

                • Review Article

                  Iron-overload disorders are typically insidious, causing progressive and sometimes irreversible end-organ injury before clinical symptoms develop. With a high index of suspicion, however, the consequences of iron toxicity can be attenuated or prevented. Some iron-overload disorders are quite common…

                  • January 26, 2012
                  • Fleming R.E. and Ponka P.
                  • N Engl J Med 2012; 366:348-359
                  • CME

                  Iron is both essential and toxic. The authors review how the body absorbs, uses, and loses iron and explore both common and unusual causes of iron overload and treatment of the resulting disorders.

                • Clinical Implications of Basic Research

                  Genetic hemochromatosis is a prevalent iron-overload disease resulting from inadequate production of the iron-regulatory hormone hepcidin. Recently, Preza and colleagues developed an oral, biologically active hepcidin mimic that offers a new experimental approach to treating hemochromatosis and…

                  • January 26, 2012
                  • Andrews N.C.
                  • N Engl J Med 2012; 366:376-377

                    Ferroportin permits the uptake of dietary iron by cells of the intestinal epithelium into the circulation. Hepcidin targets ferroportin for lysosomal destruction. A recent study shows that an engineered minihepcidin reduces levels of iron in the serum and liver.

                  • Case Records of the Massachusetts General Hospital

                    Presentation of Case. Dr. Sarah Gee (Dermatology): An 82-year-old man was admitted to this hospital because of persistent skin lesions on the hands. The patient had a history of diabetes mellitus and recurrent hidradenitis suppurativa. Five weeks before admission, he was admitted to another…

                    • January 12, 2012
                    • Kroshinsky D., Hoang M.P., Hasserjian R.P.
                    • N Engl J Med 2012; 366:166-174

                      An 82-year-old man was admitted to this hospital because of a 4-month history of bullous and ulcerated skin lesions on the hands, which did not respond to antibiotic therapy and débridement. A diagnostic procedure was performed.

                    • Original Article

                      Prostate cancer is the most common noncutaneous cancer diagnosed in men in the United States, with more than 240,000 new cases expected in 2011. Despite the demonstration of a strong familial component, identification of the genetic basis for hereditary prostate cancer has been challenging. Linkage…

                      • January 12, 2012
                      • Ewing C.M., Ray A.M., Lange E.M., et al.
                      • N Engl J Med 2012; 366:141-149

                        Prostate cancer runs in families. However, the genes that affect the incidence remain largely undefined. The authors have identified a rare germline variant of a homeobox gene, HOXB13, in four families with a history of prostate cancer.

                      • Original Article

                        In the United States, more than 17 million red-cell units are collected annually, and 15 million units are transfused. Blood transfusions are frequently given to surgical patients and to the elderly. Yet, the indications for postoperative transfusion have not been adequately evaluated and remain…

                        • December 29, 2011
                        • Carson J.L., Terrin M.L., Noveck H., et al.
                        • N Engl J Med 2011; 365:2453-2462
                        • CME

                        This trial compared a restrictive hemoglobin threshold with a liberal threshold for blood transfusion among hip-surgery patients with risk factors for CVD. The liberal strategy resulted in more transfusions and did not reduce death or inability to walk independently.

                      Page

                      Medical Meetings Pediatrics Conferences and Meetings

                      2012 Certifying Examinations of the American Board of Pediatrics

                      The general pediatrics examination will be held in various cities, Oct. 16-18. Registration for first-time applicants is ongoing through May 3. Registration for re-registrants is ongoing through May 24. The following subspecialty examinations will be held in various cities: "Hospice and Palliative Medicine" (Oct. 4); "Pediatric Transplant Hepatology" (Oct. 11); "Pediatric Cardiology" (Nov. 7); "Pediatric Pulmonology" (Nov. 8); "Medical Toxicology" (Nov. 12); and "Pediatric Critical Care Medicine" (Nov. 14). Registration for first-time applicants is ongoing through April 30. Registration for re-registrants is ongoing through June 15.

                      Contact the American Board of Pediatrics, 111 Silver Cedar Court, Chapel Hill, NC 27514-1513; or call (919) 929-0461; or fax (919) 918-7114 or (919) 929-9255; or see http://www.abp.org .

                      More Medical Meetings