Tumour tissue collection for Gynecologic Cancers
This study is evaluating whether a sample of biological samples can be collected from gynecological cancer patients for biomarker research.
See full descriptionAbout the trial for Gynecologic Cancers
Treatment Groups
This trial involves 2 different treatments. Tumour Tissue Collection is the primary treatment being studied. Participants will all receive the same treatment. There is no placebo group. The treatments being tested are not being studied for commercial purposes.
About The Treatment
Eligibility
This trial is for female patients aged 18 and older. There are 8 eligibility criteria to participate in this trial as listed below.
Approximate Timelines
Measurement Requirements
This trial is evaluating whether Tumour tissue collection will improve 4 primary outcomes in patients with Gynecologic Cancers. Measurement will happen over the course of 10 years.
Patient Q & A Section
Can gynecologic cancers be cured?
Despite a cure for cervix, non-surgical treatment of endometrial cancer does not appear to change the risk of death from endometrial cancer, while there is no evidence that surgical treatment decreases the risk of death from uterine cancers.
What are the signs of gynecologic cancers?
Women with some signs of gynecologic cancers may develop symptoms at various stages in their lifetimes, which may include changes in menstrual cycles, abnormal vaginal bleeding, discharge from the vagina, or an abnormal vaginal exam. Although not all symptoms have a specific etiology, the following signs may be associated with women’s cancer screenings: abnormal vaginal bleeding with spotting in the first trimester, an abnormal vaginal exam in the first trimester, pelvic pain and abdominal pains in the third trimester, pelvic pain in the third trimester, lower abdominal pain or bloating after having a child, discharge or spotting following a hysterectomy, vaginal discharge or spotting after hysterectomy.
How many people get gynecologic cancers a year in the United States?
The American Cancer Society estimates that there will be approximately 250,000 diagnoses of breast and [ovarian cancer](https://www.withpower.com/clinical-trials/ovarian-cancer) during 2019. The projected 5-year survival rates for invasive breast cancer are 60% and 56% for advanced breast cancer, respectively; whereas the projected 5-year survival rates for ovarian cancer are 45% and 32% for advanced ovarian cancer following primary treatment. Survival from ovarian cancer is associated with age, while survival from breast cancer is associated with ER+. The 5-year survival rate for pancreatic cancer remains elusive. Around 22,000 cases of pancreatic cancer are projected to be diagnosed in U.S. during 2019, with a 12% 5-year survival rate.
What are common treatments for gynecologic cancers?
Common treatments vary widely depending on the type and extent of each individual patient's cancer. Most common treatments for gynecologic cancers revolve around platinum-based chemotherapy, and surgery may be considered to shrink or eliminate the spread of cancer. A variety of treatment options are available in most cases.
What is gynecologic cancers?
Gynecologic cancers are highly variable in causation, presentation, and treatment based on the location and stage of the cancer in the reproductive organs and/or the surrounding reproductive structures. Gynecologic cancers can occur in almost every organ in the reproductive tract. In addition to its use as an umbrella term, the common term “gynecologic cancers” should be used instead of “cancer of the reproductive tract” or “genital cancers” to better describe these conditions and their variations in presentation and treatment. © 2016 Wiley Periodicals, Inc.
Is tumour tissue collection typically used in combination with any other treatments?
Over the last ten years, tumour harvesting has become more widespread in the management of patients with gynecological malignancies. The most common combination is lymphadenectomy with other modalities (chemo- and/or radiotherapy). The majority of the patients had clinical stage IA-B1, or good prognostic features. Lymphadenectomy was the most important clinical practice. Findings from a recent study demonstrated that tumour collections in pelvic node-free patients are not necessary to treat with local modalities. The combination with any other treatments was uncommon.
Have there been any new discoveries for treating gynecologic cancers?
The current treatment paradigm has not significantly changed over the last decade. There is a lack of clinical trial evidence and high rates of patient dropouts from clinical trials. Clinical trial results are often only used by institutions to implement their specific protocols; there is no indication of which patients benefit most from which protocol. A number of gynecological oncology trials are urgently needed to treat gynecologic cancers and improve patient outcomes.
What is the average age someone gets gynecologic cancers?
By using Power, you can find the average age people go to get breast, ovarian, and uterine cancers. For gynecologic cancers, this age is approximately 51 years. By using [HealthGrades(https://www.healthgrades.com/)], you can compare age of diagnosis for breast, ovarian, and uterine cancers. For breast cancer, this age is approximately 53 years; [Ovarian cancer age is approximately 67 years, and uterine cancer age is approximately 66 years]. For gynecologic cancers, this age may vary significantly from year to year.
What is tumour tissue collection?
The majority of respondents reported a collection programme for all patients, but only some respondents collected tumour tissues from those who died. A significant proportion of patients reported that their tumour tissues should not be collected. Given that the potential of cancer germline tumour mutations to be tested is increasing, further study is required on how patients should be informed and educated about tumour tissue collections.
Does tumour tissue collection improve quality of life for those with gynecologic cancers?
Results from a recent paper demonstrated that tumour tissue collection in gynecologic cancer patients seems to have an impact on the patient's quality of life.
What are the common side effects of tumour tissue collection?
After tumour tissue collection the most common side effects were: fatigue, nausea, pain and itching of skin or mucosa. Most side effects were mild and were not harmful, but some were more severe especially nausea and itchiness. For patient comfort the most important issue was whether or not the patient has to take drugs.