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Medical Edge Newspaper Column from Mayo Clinic

MUTATED MEASLES VIRUS SHOWS PROMISE AS CANCER TREATMENT

DEAR MAYO CLINIC: I saw a news story about a cancer treatment you are working on that uses a mutated measles virus to kill cancer cells. My wife was diagnosed with glioblastoma multiforme just over a year ago. She is only 33 years old and otherwise healthy. She has had two surgeries and two chemotherapy treatments that are only holding the cancer in check. We are interested in information you could give us on this treatment. — Benton, Ill.

ANSWER: The treatment you heard about was the result of research from Mayo Clinic’s Molecular Medicine Program — a team of investigators who are transforming viruses into cancer-fighting tools.

We have known for some time that the wild form of measles can kill blood cancer cells. When our team discovered the virus had potential to destroy solid tumors as well, we began engineering a version that could be used to treat these cancers. The result was the virus MV-CEA.

Studies found that treatment with MV-CEA resulted in regression of 80 percent of ovarian tumors in mice. Based on that promising data, in 2004 we launched a clinical trial of MV-CEA involving women with ovarian cancer. Results from this ongoing study have helped us plan the next stage of MV-CEA research, including application of the virus to tumors that begin in the brain, such as glioblastoma multiforme.

Our 2003 study found that mice with glioblastoma multiforme that were treated with MV-CEA had significant reduction in the size of their tumors, and they lived longer. In 2006, we plan to begin a clinical trial to study the effectiveness of MV-CEA in patients with glioblastoma multiforme. Funding for developing this study comes from a Specialized Programs of Research Excellence grant for brain cancer research that is awarded by the National Institutes of Health.

Research clinical trials usually offer the latest treatments available. If your wife is interested in participating in a clinical trial, I encourage her to talk with an oncologist about studies that may be appropriate for her.

— Evanthia Galanis, M.D., Oncology, Mayo Clinic, Rochester, Minn.

Additional Resources:
Cancer Treatment
Appointment Information

DEAR MAYO CLINIC: I have lost almost 100 pounds after gastric bypass surgery and have about 60 pounds to go to meet my goal. I still have a lot of fat around my thighs, and while they keep getting smaller, the ugly fat is still there. Is there any exercise that I can add to my regimen to get rid of this, or should I consider surgery? — Springfield, Mo.

ANSWER: Congratulations on your weight loss!
With gastric bypass surgery, the potential post-surgical issues are often more complicated than the initial surgery. Two common problems are excess skin (poor elasticity) and concentrated areas of remaining fat. You are likely experiencing the combination, and surgery is the only solution.

Most gastric bypass patients were unhappy with their appearance when they were obese, and while they may be healthier and feel better after losing weight, they are still displeased with excess skin and concentrated areas of fat. The inner thigh area retains fat more than any other part of the body. In fact, an individual of normal body weight can have a collection of fat in this area. Furthermore, individuals can be genetically predisposed to hold fat in certain parts of their bodies. These areas will also have more excess skin following gastric bypass surgery.

There is no exercise or nonsurgical technique that will fix these problems, so surgery is often needed — a skin-tightening procedure for the excess skin and liposuction for the areas of fat. Gastric bypass patients often have such surgeries in their abdomen, arms, face and the inner thighs.

It is important to remember that achieving your healthy body weight is a long-term process. The best time to have these procedures is three to six months after your weight has stabilized. You should discuss the timing and options with a plastic surgeon.

— Paul M. Petty, M.D., Plastic Surgery, Mayo Clinic, Rochester, Minn.

Additional Resources:
Plastic and Reconstructive Surgery at Mayo Clinic

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