lawrenceTheodore S. Lawrence, M.D., Ph.D.

Isadore Lampe Professor

Chair of Department of Radiation Oncology

Improved Targeting of Liver and Pancreas Cancer

Liver cancer is a major worldwide health problem with more than 500,000 new cases diagnosed yearly. It is the only cancer that has shown more than a 10 percent increase in the United States during the past 15 years. Pancreas cancer strikes more than 30,000 people a year in the United States and is the fourth most common cause of cancer deaths. Although some patients can be cured by surgery, only a small fraction can have their tumor removed. Better treatments are urgently needed.

Ted Lawrence has devoted his career to developing new treatments for patients with liver and pancreas cancer. His newest research focuses on two complementary approaches: 1) picking the right drug, and 2) combining this drug with the most powerful, safe radiation approach. To pick the right drug, he and his colleagues are studying how to combine radiation with “molecularly targeted drugs.” Cancer cells often hijack one of many normal growth signals and use that one signal to grow out of control. This new generation of molecularly targeted drugs can block the hijacked signal, which tends to shut down the cancer cell but leave normal cells relatively unaffected. Lawrence has found that combining radiation with these targeted therapies shows great promise for improved treatment.

To develop the most powerful, safe radiation approach, Lawrence and his team are incorporating “functional” imaging techniques, which can reveal the physiological activities of organs. For instance, it can show which regions of a tumor are more aggressive than others and which portion of normal surrounding tissues is functioning better. Functional imaging offers the potential to target the highest doses of radiation to the regions of a tumor that are most aggressive.

Lawrence is convinced that combining molecularly targeted drugs with functional imaging to both enhance and guide radiation therapy will greatly increase our ability to control and cure pancreas and liver cancers.

 


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