Alvin J. Siteman Cancer Center

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Alvin J. Siteman
Cancer Center
Geography
Location St. Louis, Missouri
Organisation
Hospital type Specialist
Affiliated university Barnes-Jewish Hospital, Washington University School of Medicine
Services
Speciality Cancer
History
Founded 1999
Links
Website http://www.siteman.wustl.edu

The Alvin J. Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine is a cancer treatment, research and education institution with four locations in the St. Louis area. Siteman is the only cancer center in Missouri and within 240 miles of St. Louis to be designated a Comprehensive Cancer Center by the National Cancer Institute (NCI).[1] Siteman is also the only area member of the National Comprehensive Cancer Network,[2] a nonprofit alliance of 21 cancer centers dedicated to improving the quality and effectiveness of cancer care.[3]

In 2012, Siteman was named a top 10 U.S. cancer center by U.S. News & World Report.[4] The recognition is part of the overall ranking of its parent institutions, Barnes-Jewish Hospital and Washington University, which are No. 6 on the news magazine’s 2012 “Best Hospitals” list.[5] Washington University School of Medicine is also ranked No. 6 on the U.S. News & World Report "Best Medical Schools" list.[6]

In 2011, Siteman treated more than 8,500 newly diagnosed cancer patients[7] and every year provides continuing care to about 40,000 people, making it one of the largest cancer centers in the United States.[8]

Locations[edit]

Siteman’s main facility is at Washington University Medical Center in St. Louis’ Central West End neighborhood. Three other St. Louis-area sites offer specialized cancer care in community hospital locations: Barnes-Jewish West County Hospital in Creve Coeur, Missouri, Barnes-Jewish St. Peters Hospital in St. Peters, Missouri and Siteman Cancer Center-South County in south St. Louis County, Missouri.[9]

History and leadership[edit]

Siteman Cancer Center
in St. Louis’ Central West End

In 1999, Alvin J. and Ruth Siteman committed $35 million to the development of the Siteman Cancer Center at Washington University School of Medicine and Barnes-Jewish Hospital. The commitment was the largest gift ever received by Barnes-Jewish and Washington University in support of cancer research, patient care and services, education and community outreach,[10]

Timothy Eberlein, M.D., has been director of the center since its inception.[11] John DiPersio, M.D., Ph.D., is deputy director.[12]

In 2001, the NCI designated Siteman as a Cancer Center, which signaled that the institution had demonstrated significant scope and quality in its cancer research programs. The designation came with $850,000 per year in federal research grants.[13] The NCI named Siteman a Comprehensive Cancer Center in 2005, recognizing its broad-based research, outreach and education activities, and awarded the center a five-year, $21 million support grant.[14] The NCI renewed the designation in 2010 and awarded another five-year grant, totaling $23 million. The grants fund programs and specialized services that promote multidisciplinary research, as well as shared scientific resources and seed awards that enable investigators to develop and pursue new research opportunities.[15]

Alvin J. Siteman announced in 2010 that he would donate $1 million annually to an endowment fund at the center to advance cancer prevention, diagnosis and treatment programs that might not receive federal funding.[16]

Patient care and services[edit]

More than 350 Washington University research scientists and physicians provide inpatient and outpatient care at Siteman.[17] The center also offers patient and family support services, including discussion and education groups.[18]

Research[edit]

Scientists and physicians affiliated with Siteman hold more than $160 million in cancer research and related training grants. The results of basic laboratory research are rapidly incorporated into treatment advances. This process is enhanced by patient access to more than 240 therapeutic clinical studies,[19] including many collaborative efforts with other leading cancer centers throughout the country.[20]

In 2013, three scientists affiliated with Siteman, Washington University School of Medicine and The Genome Institute were included on the Thomson Reuters list of “Hottest Scientific Researchers of 2012”: Richard K. Wilson, Ph.D.; Elaine Mardis, Ph.D.; and Li Ding, Ph.D. The list recognized the 21 most-cited researchers of 2012. Robert Fulton, a fourth scientist from Washington University School of Medicine and The Genome Institute, also made the list.[21]

Research advances[edit]

Researchers affiliated with Siteman and/or Washington University School of Medicine have pioneered important advances in cancer research, prevention, education and treatment. Highlights and ongoing studies include these projects:

2013 — Endometrial cancer and leukemia

  • In separate studies, researchers at Washington University School of Medicine and The Genome Institute help identify major genetic mutations that promote endometrial cancer and acute myeloid leukemia. The research, part of The Cancer Genome Atlas project, provides new information that could change treatments for patients and aid drug development.[22]

2012 — Leukemia, breast cancer research and cancer prevention

  • Siteman leukemia doctor Lukas Wartman, MD, who was diagnosed with the disease himself, goes into remission for an unprecedented third time after Timothy Ley, M.D., and his colleagues at The Genome Institute sequenced Wartman’s cancerous and normal genes. Researchers also analyzed his RNA. By doing so, his treatment team, which includes John DiPersio, MD, PhD, deputy director of Siteman, discovered that a normal gene might be contributing to the growth of Wartman's cancer by producing mass amounts of a certain protein. They found that a drug used to treat a type of kidney cancer was able to inhibit the gene.[23]
  • Scientists including Matthew Ellis, M.B., Ph.D., use whole genome sequencing to compare differences between the DNA of breast cancer tumors and healthy cells in 46 women. While revealing the complexity of the disease, the analysis suggests routes to personalized medicine that may have a greater probability of healing patients.[24]
  • Building on his research for the Nurses Health Study and Growing Up Today Study,[25] Graham Colditz, M.D., Dr.P.H., continues to examine links between cancer and alcohol use,[26] diet, exercise and other factors[27] and what individuals and communities can do to reduce disease risk. In a 2012 paper, Colditz argues that half of all cancer cases can be prevented, thereby saving more than 280,000 people in 2011, and that individuals, medical and health experts, government officials and others must start taking already known steps to reduce cancer’s impact.[28]

2011 — Blood-related cancers

2010 — Pediatric cancers

  • Washington University School of Medicine and St. Jude Children’s Research Hospital announce their joint Pediatric Cancer Genome Project to identify the genetic changes that give rise to some of the world’s deadliest childhood cancers. The team plans to decode the genomes of more than 600 childhood cancer patients who have contributed tumor samples.[30]

2008 — Genetic sequencing

  • For the first time, scientists decode all the genes of a cancer patient and find a suite of mutations that might have caused the disease or aided its progression. Timothy Ley, M.D., Elaine Mardis, Ph.D., Richard K. Wilson, Ph.D., and their colleagues at The Genome Institute say the finding could lead to new therapies and could help doctors make better choices among existing treatments, based on a more detailed genetic picture of each patient's cancer. Though the research involved acute myelogenous leukemia (AML), the same techniques can also be used to study other cancers.[31]

2007 — Nanotechnology and radiation therapy

  • Gregory Lanza, M.D., Ph.D., Samuel Wickline, M.D., and researchers in their labs announce the development of nanoparticles, significantly smaller than the width of a human hair, aimed at attacking cancer by locating and “latching on” to tumors. Used in conjunction with magnetic resonance imaging, the nanoparticles could help physicians monitor cancerous tissue and deliver medicine directly to the tumor, not to the rest of the body.[32]
  • Researchers led by Daniel Low, M.D., and Parag Parikh, M.D., develop a machine called the 4D Phantom that follows a patient’s complex breathing pattern to deliver radiation therapy to tumors that move, such as those in the lung.[33]

2006 — Photoacoustic imaging

  • Lihong Wang, Ph.D., announces his work on photoacoustic imaging, a new technique that uses light and sound to create detailed, color pictures of tumors and organs. The noninvasive imaging technique, which can be performed without the dangers of radiation exposure associated with X-ray and CT scans, also may help doctors detect cancer earlier than ever before, its developers say.[34]

2003 — Breast cancer

  • Thalachallour Mohanakumar, Ph.D., and other researchers at Siteman develop and test on mice a prototype vaccine that causes cancerous tumors to stop growing, then to shrink. The vaccine, which is being developed to fight breast cancer in humans, helps the immune system target a protein found in 80 percent of breast tumors.[35]

2001 — Imaging and the immune system’s role in controlling cancer

  • Research led by Joanne Mortimer, M.D., shows that positron emission tomography (PET) scans can often identify within two weeks which women with advanced breast cancer are likely to respond to hormone therapy, a gentler alternative to chemotherapy that is usually just as effective.[36]
  • Robert D. Schreiber, Ph.D., and colleagues publish the first evidence that the immune system plays a role in controlling cancer, a process called immunosurveillance.[37] In 2007, they find in mice that some cancers are kept in a state of “equilibrium,” which leads them to suggest that one day immunotherapy may convert cancer into a chronic but controllable disease.[38]
  • Molecular oncologist Howard McLeod announces research on a genetic mutation that affects how well patients will respond to chemotherapy. The findings may make possible a blood test that would determine what dose, or even which drugs, would be most effective for each patient.[39]

1998 — Biopsies

  • Ralph G. Dacey Jr., M.D., performs the world's first magnetic stereotactic surgery to biopsy a human brain tumor using an indirect route to the tumor. The route is designed to avoid regions that would normally be entered when a surgeon manually inserts a surgical tool straight at a site. The investigational computerized system allows surgeons to carefully manipulate surgical tools inside the brain through the use of a catheter driven by precisely controlled magnetic fields.[40]

1994 — Genetic screening test for thyroid cancer

  • Led in part by Helen Donis-Keller, Ph.D., researchers for the first time develop genetic screening tests that detect a rare, lethal form of thyroid cancer in the preclinical state, permitting early treatment in children predisposed to the disease. It was the first surgical prevention of cancer based on genetic test results.[41]

1979 — Bone marrow transplants

  • As part of a clinical trial, leukemia patients at Washington University in St. Louis and four other medical centers receive transplants of their healthy bone marrow cells to determine how effective the procedure is in conjunction with chemotherapy and radiation treatment. The new technique would later be called autologous hematopoietic stem cell transplantation.[42]

Mid-1970s — Imaging

  • Michel Ter-Pogossian, Ph.D., leads the research that will turn the PET scanner from an intriguing concept to a medical imaging technique used by hospitals and laboratories everywhere to scan the working brain.[43]

1954 — Growth factors and cancer

1946 — Radiocarbon in cancer research

  • For the first time, the United States Department of War releases carbon-14 isotopes to a civilian entity, Siteman’s predecessor institutions, Barnard Free Skin and Cancer Hospital (founded in 1905) and the Mallinckrodt Institute of Radiology (founded in 1923), where they are used in cancer studies.[45]

1941 — Cyclotron

  • At the Mallinckrodt Institute of Radiology, construction begins on the first cyclotron devoted to medical and biological research.[46]

1933 — Lung cancer surgery and the disease’s link to smoking

  • Evarts Ambrose Graham, M.D., becomes the first surgeon to cure a human case of lung cancer by removing an entire lung during a procedure known as pneumonectomy.[47] In 1950, he and Ernst Wynder, M.D., publish the results of the first large-scale research on smoking, linking prolonged cigarette use to lung cancer.[48]

Cancer prevention and control[edit]

Siteman and Washington University School of Medicine are actively engaged in many projects to prevent cancer in the St. Louis region and across the United States. These efforts include:

  • The Your Disease Risk website, an interactive tool that helps people estimate their risk of cancer, diabetes, heart disease, osteoporosis and stroke, and suggests preventative measures that help lower the likelihood of developing each disease.[49]
  • Zuum, a free mobile app for iPad that estimates a person’s risk of cancer, heart disease, diabetes and other diseases, and offers customized tips for prevention and boosting one’s overall health.[50]
  • Research examining cancer disparities, cancer communications and tobacco use.[51][52][53]

Education and community outreach[edit]

In addition to treatment and research programs, Siteman is involved with community outreach, education and screening. Efforts include:

  • The Program for the Elimination of Cancer Disparities (PECaD), which develops cancer prevention and awareness messages, reports research findings to the community, hosts continuing medical education events and engages in other activities.[54]
  • Placing information about breast cancer and mammograms in Laundromats, where a study has shown it’s more likely to be seen than in other community settings by women who lack access to adequate health care.[55][56]
  • A mobile mammography van that offers screenings by appointment in St. Louis and surrounding communities.[57][58]

References[edit]

  1. ^ VandeWater, Judith (4 January 2005). "St. Louis cancer center achieves highest designation". St. Louis Post-Dispatch. Retrieved 27 June 2012. 
  2. ^ "NCCN Member Institutions". National Comprehensive Cancer Network. Retrieved 27 March 2012. 
  3. ^ "Siteman joins cancer center alliance". St. Louis Business Journal. 21 March 2006. Retrieved 29 June 2012. 
  4. ^ "Top-Ranked Hospitals for Cancer". U.S. News & World Report. Retrieved 20 July 2012. 
  5. ^ "U.S. News Best Hospitals 2012-13: the Honor Roll". U.S. News & World Report. Retrieved 20 July 2012. 
  6. ^ "Best Medical Schools". U.S. News & World Report. Retrieved 20 July 2012. 
  7. ^ "Largest cancer centers; Ranked by new patients cared for in 2011". St. Louis Business Journal. 22–28 June 2012. p. 11. 
  8. ^ "Summary 3: Reportable Patients/Participation in Therapeutic Protocols". National Comprehensive Cancer Network. Retrieved 6 April 2012. Munz, Michele (21 November 2010). "Siteman Cancer Center designated as Comprehensive Cancer Cener, gets $23 million". St. Louis Post-Dispatch. Retrieved 27 June 2012. 
  9. ^ Liss, Samantha (2 January 2013). "$27.5 million outpatient Siteman Cancer Center to open Monday". St. Louis Business Journal. Retrieved 11 January 2013. 
  10. ^ "Couple donate $35 million for cancer research". St. Louis Post-Dispatch. 20 November 1999. Retrieved 24 June 2013. (subscription required)
  11. ^ "Siteman Cancer Center gets $23M". St. Louis Business Journal. 1 November 2010. Retrieved 27 March 2012. 
  12. ^ "National Comprehensive Cancer Network, MD, PhD". Siteman Cancer Center. Retrieved 29 March 2012. 
  13. ^ VandeWater, Judith (16 August 2001). "Siteman Center Here Wins Designation from National Cancer Institute". St. Louis Post-Dispatch. Retrieved 15 June 2012. 
  14. ^ VandeWater, Judith (4 January 2005). "Siteman Cancer Center here achieves highest designation". St. Louis Post-Dispatch. Retrieved 15 June 2012. 
  15. ^ Munz, Michele (21 November 2010). "Siteman Cancer Center designated as Comprehensive Cancer Center, gets $23 million". St. Louis Post-Dispatch. Retrieved 13 April 2012. 
  16. ^ "St. Louis philanthropist endows cancer fund". The Associated Press. 26 January 2010. Retrieved 15 June 2012. 
  17. ^ "NCCN Member Institution Profile". National Comprehensive Cancer Network. Retrieved 15 March 2012. 
  18. ^ "Patient & Visitor Information". Siteman Cancer Center. Retrieved 15 May 2012. 
  19. ^ "Find A Clinical Trial". Siteman Cancer Center. Retrieved 13 April 2012. 
  20. ^ "About Us". Siteman Cancer Center. Retrieved 29 March 2012. 
  21. ^ "Who and What Was Hot in Scientific Research in 2012". Retrieved 5 June 2013. 
  22. ^ Winslow, Ron (1 May 2013). "Genomic Studies Unlock Details on Two Cancers". The Wall Street Journal. Retrieved 1 May 2013. 
  23. ^ Kolata, Gina (7 July 2012). "In Treatment for Leukemia, Glimpses of the Future". The New York Times. Retrieved 20 July 2012. "Frontiers in Cancer Research". Charlie Rose. 17 July 2012. 28 minutes in. PBS. http://www.charlierose.com/view/interview/12455.
  24. ^ "Gene therapy: Genetic mutations predict which cancers will respond to treatment". The Economist. 16 June 2012. Retrieved 16 June 2012. 
  25. ^ "In Nurses’ Lives, a Treasure Trove of Health Data". The New York Times. 15 September 1998. Retrieved 29 June 2012. 
  26. ^ Dohney, Kathleen (9 April 2011). "Teen Drinking May Boost Odds of Precancerous Breast Changes". HealthDay News and U.S. News & World Report. Retrieved 16 April 2012. 
  27. ^ Harmon, Katherine (28 March 2011). "U.S. Cancer Rates Could Be Cut in Half Today Based on What’s Already Known". Scientific American. Retrieved 16 April 2012. 
  28. ^ Harmon, Katherine (March 2012). "U.S. Cancer Rates Could Be Cut in Half Today Based on What’s Already Known". Scientific American. Retrieved 6 April 2012. 
  29. ^ Gamble, Molly (18 January 2012). "70 Hospitals and Health Systems With Great Oncology Programs". Becker’s Hospital Review. Retrieved 20 June 2012. 
  30. ^ Szabo, Liz (26 January 2010). "Genetic study targets cancer in kids". USA Today. Retrieved 20 June 2012. 
  31. ^ Grady, Denise (6 November 2008). "Experts Decode Cancer Patient’s Genes, Seeking Treatment Clues". They New York Times. Retrieved 20 July 2012. 
  32. ^ "Nanoparticles used to track cells". UPI. 27 July 2007. Retrieved 25 July 2012. 
  33. ^ Melcer, Rachel (27 July 2007). "Innovating with Daniel Low". St. Louis Post-Dispatch (St. Louis). pp. B4. 
  34. ^ Lihong Wang, Ph.D. (30 April 2012). New technique brings cancer screening into sharper focus (Web news). St. Louis: Reuters. Retrieved 25 June 2012. ß
  35. ^ "Breast cancer vaccine ready for tests soon". The Daily Telegraph. 10 March 2005. Retrieved 15 June 2012. 
  36. ^ Hesman, Tina (15 June 2001). "Scan test may aid choice for breast cancer therapy". St. Louis Post-Dispatch (St. Louis). pp. C5. 
  37. ^ Siegel, Judy (29 April 2001). "Immune system shown to prevent and shape cancer susceptibility". The Jerusalem Post (Jerusalem). p. 4. 
  38. ^ Derbyshire, David (21 November 2007). "Living your entire life with cancer – Keeping disease dormant". The Daily Telegraph (Surry Hills, Australia). p. 25. 
  39. ^ "Cancer Care Tied to Genetic Makeup". The Toronto Star. 26 March 2001. pp. A06. 
  40. ^ "First magnet-controlled brain surgery performed". BBC News. 23 December 1998. Retrieved 13 April 2012. 
  41. ^ Signor, Roger (29 June 1994). "WU Surgeons Remove Gland, Cancer Threat". St. Louis Post-Dispatch (St. Louis, Missouri). pp. 1A. 
  42. ^ "Leukemia Victims Get Own Marrow In Transplants". The Washington Post (Washington, D.C.). 24 August 1979. pp. A9. 
  43. ^ Saxon, Wolfgang (21 June 1996). "Michel M. Ter-Pogossian, 71; Led Research on PET Scanner". The New York Times. Retrieved 4 April 2012. Ter-Pogossian, M.M.; Phelps, M.E.; Hoffman, E.J.; Mullani, N.A. (January 1975). "A positron-emission transaxial tomograph for nuclear imaging (PETT)". Radiology (Philadelphia, Pa.: Radiological Society of North America) 14 (1): 89–98. doi:10.1148/114.1.89. ISSN 0033-8419. Retrieved 13 April 2012. 
  44. ^ "The New Nobels". Newsweek. 27 October 1986. p. 111. 
  45. ^ Tilyou, Sarah M. (May 1989). "History of Nuclear Medicine in St. Louis: A City of Nuclear Medicine Landmarks and Innovators". The Journal of Nuclear Medicine (Reston, Va.: Society of Nuclear Medicine) 30 (5): 569–579. ISSN 0161-5505. Retrieved 13 April 2012. 
  46. ^ Tilyou, Sarah M. (May 1989). "History of Nuclear Medicine in St. Louis: A City of Nuclear Medicine Landmarks and Innovators". The Journal of Nuclear Medicine (Reston, Va.: Society of Nuclear Medicine) 30 (5): 569–579. ISSN 0161-5505. Retrieved 13 April 2012. 
  47. ^ "Medicine: Death of a Surgeon". Time. 18 March 1957. Retrieved 6 April 2012. 
  48. ^ White, Larry C. (June 1988) [1988], Merchants of Death: The American Tobacco Industry (1 ed.), Beech Tree Books, ISBN 0688067069 
  49. ^ "Health Scan: Scientists learn how colon cancer spreads". The Jerusalem Post. 23 September 2007. Retrieved 15 June 2012. 
  50. ^ "Zuum – Health Tracker". Retrieved 26 June 2012. 
  51. ^ Wittenauer, Cheryl (24 September 2008). "Mo. Blacks closing racial gap in new cancer cases". The Associated Press (St. Louis). Retrieved 26 June 2012. 
  52. ^ Jackson Jr., Harry (23 August 2004). "Black St. Louisans get healthy at church". St. Louis Post-Dispatch. Retrieved 24 June 2013. (subscription required)
  53. ^ Sheridan, Kerry (28 March 2012). "Half of all cancers are preventable: study". Agence France Presse (Washington, D.C.). Retrieved 26 June 2012. 
  54. ^ Gregorian, Cynthia Billhartz (27 October 2010). "Researchers target cancer screenings among blacks". St. Louis Post-Dispatch. Retrieved 20 July 2012. 
  55. ^ Jackson Jr., Harry (23 August 2004). "Black St. Louisans get healthy at church". St. Louis Post-Dispatch. Retrieved 24 June 2013. (subscription required)
  56. ^ Kreuter, Matthew W.; Alcaraz, Kassandra I.; Pfeiffer, Debra; Christopher, Kara (March–April 2008). "Using Dissemination Research to Identify Optimal Community Settings for Tailored Breast Cancer Information Kiosks". Journal of Public Health Management and Practice (Lippincott Williams & Wilkins, Inc.) 14 (2): 160–169. doi:10.1097/01.PHH.0000311895.57831.02. PMID 18287923. Retrieved 9 April 2012. 
  57. ^ "Charity Race Raised More Than $500,000 to Fight Breast Cancer". St. Louis Post-Dispatch. 28 October 2000. Retrieved 24 June 2013. 
  58. ^ "Mammography Van". Siteman Cancer Center. Retrieved 6 April 2012. 

External links[edit]