As molecular profiling advances, precision oncology is reshaping cancer care for children, adolescents and young adults. In this episode of Cancer Advances, Prajwal Rajappa, MD, MS, discusses how genomic sequencing, methylation profiling and multidisciplinary molecular tumor boards are improving diagnostic accuracy, informing risk-adapted treatment decisions and uncovering new therapeutic opportunities. Discover how integrated data platforms are helping translate molecular insights into personalized patient care.

What does it take to establish the standard of care in oncology? Matt Kalaycio, MD, Vice Chair of the Cleveland Clinic Cancer Institute and Chair of the National Comprehensive Cancer Network (NCCN) Board of Directors, joins the Cancer Advances podcast to discuss how NCCN Guidelines are developed, updated and implemented across cancer care. Listen as he explores the role of multidisciplinary expertise, patient advocacy, clinical evidence and emerging AI-enabled tools in shaping oncology practice, policy and decision-making.

What happens when a cancer is deemed unresectable? In this episode, Dr. Haniee Chung discusses how multidisciplinary care is expanding treatment options for patients with advanced and recurrent rectal cancer. She highlights the role of tumor board review, neoadjuvant therapy, robotic surgery and specialized supportive services, and explains why referral to a dedicated multivisceral cancer program may uncover options previously thought impossible.

As new therapies move through clinical trials, the management of uveal melanoma is entering a period of significant change. In this episode of Cancer Advances, Arun Singh, MD, discusses emerging strategies to avoid radiation, prevent radiation-related vision loss and shrink tumors before definitive treatment. Learn how these innovations address longstanding unmet needs and reshape care for patients with this rare ocular malignancy.

How can oncologists initiate meaningful goals-of-care discussions earlier in the disease course? In this episode, Dr. Natalie Jacobowski outlines practical communication strategies, including language, timing and approaches to reduce stigma and align care with patient values. She emphasizes how early, transparent dialogue, and framing concerns as shared worries, can enhance decision-making across the cancer continuum, including for younger patients.

How can better data improve decision-making in a curable but nuanced disease like testicular cancer? This episode explores how large language models can turn unstructured clinical notes into actionable insights, helping clinicians refine treatment selection, understand practice variation and balance cure with long-term toxicity management.

Is there a role for earlier integration of lutetium PSMA therapy in mCRPC management? Emerging evidence supports its use in the pre-taxane setting, prompting a shift in sequencing decisions. This episode outlines patient selection, PSMA imaging requirements and how to balance disease aggressiveness, tolerability and real-world considerations when choosing between lutetium and chemotherapy.

As cancer care becomes increasingly personalized, treatment deescalation is emerging as a key strategy to balance efficacy with quality of life. In this episode of Cancer Advances, Jame Abraham, MD, Enterprise Chair of Hematology and Medical Oncology at Cleveland Clinic, discusses how clinicians are rethinking dose intensity, duration and therapeutic selection across disease settings. Learn how evolving evidence, patient preferences and emerging technologies like AI are shaping treatment decisions and redefining standards of care.