This document summarizes work funded by NCI ITCR grant #5U24CA180996 to develop integrative and scalable solutions for cancer genomics analysis in R/Bioconductor. The grant has supported (1) the MultiAssayExperiment data structure for harmonizing multi-omic cancer data, (2) curated data resources like curatedTCGAData, and (3) scalable infrastructure like ExperimentHub and DelayedArray. This framework has been used to analyze ambiguity in ovarian cancer subtypes and infer relationships between copy number and gene expression patterns. Several software packages now use MultiAssayExperiment for pan-cancer analysis, pathway modeling, epigenomic integration, and more.