Both immune checkpoint inhibitors (ICIs) and VEGF receptor inhibitors are approved for advanced renal cell carcinoma (RCC) treatment and can cause cardiovascular events (CVs). This randomized study of avelumab plus axitinib vs. sunitinib used prospective monitoring of LVEF and serum cardiac biomarkers to assess for the development of major adverse CV events. The results indicate patients with high baseline troponin T levels and who receive combination ICI and VEGF receptor inhibitor therapy should be monitored closely for adverse cardiac events.

In an editorial published in KevinMD.com, a neurosurgeon discusses the myriad reasons she chooses to stay in clinical practice when many of her colleagues are leaving. The reasons range from job satisfaction from treating patients to family and financial considerations.

In March 2021, the US Preventive Services Task Force expanded the eligibility for lung cancer screening by setting the benchmark at a 20 pack-year smoking history for those ages 50 to 80 years who are current smokers or former smokers who have quit within the past 15 years. The new criteria will boost the number of eligible adults by 87% overall, according to a modeling analysis. It also could reduce lung cancer deaths by 13% versus 10% previously.

The impact of COVID-19 on the medical careers of women are diverse and troubling. From reduced publication submission to higher burnout rates to higher workplace harassment issues, the issues are multiple and are a clear call for change.

The finding of a soft tissue mass on the trunk or limbs can be the source of anxiety and distress for patients, and a diagnostic challenge for physicians. In most cases the masses are benign. But when the mass is soft tissue sarcoma, the benefit of skilled early detection by the astute primary care clinician is enormous.

Combining BCG with N-803 “results in significant complete response rates and long-term disease-free rates without significant systemic side effects,” reported lead study investigator Sam S. Chang, MD, of Vanderbilt University Medical Center. N-803 is a high affinity, interleukin 15 immunostimulatory fusion protein that promotes the proliferation and activation of natural killer cells and CD8+ T cells without binding to regulatory T cells. Its use in this phase two/three study including 83 patients with CIS and 77 with papillary NMIBC. In the CIS group, the complete response rate was 71% with a median duration of response of 23.6 months. NMIBC group had 12- and 24-month disease-free survival (DFS) rates of 57% and 48%, respectively. The median DFS was 23.6 months. In both groups, cystectomy was avoided in more than 90% of patients.