JAMA Oncology

Autoamputation in Mismatch Repair–Deficient Colon Cancer

A woman in her 50s with a history of hemochromatosis, psoriasis, and type 2 diabetes presented with a 3-month history of abdominal pain, weight loss, and a large palpable fixed abdominal mass. What is your diagnosis?

Foot Lesions and Perianal Lump in an Adult Woman

A 50-year-old woman presented to the dermatology department with a 10-year history of recurrent plaque outbreaks between her toes and a history of Bowen disease in the anus that had been treated with excision and skin grafting. What is your…

Tongue Lesions While Undergoing Cancer Therapy

A woman in her 40s with well-differentiated neuroendocrine tumor of the pancreas with liver metastases undergoing treatment with oral cabozantinib presented to a routine oncology appointment with tongue lesions for 1 week. What is your diagnosis?

Biomarker-Directed Radiotherapy in Breast Cancer – A Narrative Review

Importance  Integration of molecular biomarker information into systemic therapy has become standard practice in breast cancer care. However, its implementation in guiding radiotherapy (RT) is slower. Although postoperative RT is recommended for most patients after breast-conserving surgery and, depending on risk…

The Children’s Oncology Group Long-Term Follow-Up Guidelines for Survivors of Childhood, Adolescent, and Young Adult Cancers – A Review

Importance  Since 2003, the Children’s Oncology Group (COG) has developed and disseminated the Long-Term Follow-Up Guidelines for Survivors of Childhood, Adolescent, and Young Adult Cancers. These guidelines have benchmarked the standard of care for long-term survivors of childhood cancer in North America…

Enlargement of Shoulder Muscles in an Older Man

A 70-year-old man with a history of hypertension and chronic migraine presented with 10 months of progressive generalized muscle weakness and stiffness. Physical examination revealed generalized muscle wasting except for hypertrophy of bilateral shoulder muscles, and a deltoid muscle biopsy…

Biomarkers to Inform Prognosis and Treatment for Unresectable or Metastatic GEP-NENs

Importance  Evidence-based treatment decisions for advanced gastroenteropancreatic neuroendocrine neoplasms (GEP-NENs) require individualized patient-centered decision-making that accounts for patient and cancer characteristics. Objective  To create an accessible guidance document to educate clinicians and patients on biomarkers informing prognosis and treatment in unresectable or…