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NEW INSIGHTS ON THE DIAGNOSIS AND MANAGEMENT OF MALIGNANT TUMORS OF THE OCULAR SURFACE 眼表恶性肿瘤诊断与治疗的新认识
Pub Date : 2021-12-01 DOI: 10.48286/aro.2021.15
F. Mallone, A. V. Chicca, P. Sagnelli, M. Sacchetti, A. Lambiase
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引用次数: 1
ADOPTION OF PATIENT-REPORTED OUTCOMES IN CLINICAL PRACTICE FOR OLDER PATIENTS RECEIVING ACTIVE ANTI-CANCER TREATMENT: IMPACT ON HEALTH-RELATED QUALITY OF LIFE 在接受积极抗癌治疗的老年患者的临床实践中采用患者报告的结果:对健康相关生活质量的影响
Pub Date : 2021-12-01 DOI: 10.48286/aro.2021.25
C. Zichi, F. De Vita, J. Paparo, F. Salerno, D. Marino, E. Sperti, G. Lacidogna, F. Vignani, R. Dionisio, C. Baratelli, C. Turco, D. Ballaminut, A. Bellezza, P. Chiotto, G. Ciriolo, R. Comite, F. Codegone, S. Florio, L. Fusco, L. Polimeno, D. Pozzi, E. Zilio, V. Ariu, S. Terziolo, M. Di Maio
1 Division of Medical Oncology, Ordine Mauriziano Hospital, Turin, Italy 2 Department of Oncology, School of Medicine, University of Turin, Turin, Italy *Present address: Division of Medical Oncology, San Luigi Gonzaga Hospital, Orbassano, Turin, Italy C. Zichi1,2, F. De Vita1,2, J. Paparo1,2, F. Salerno1,2, D. Marino1, E. Sperti1, G. Lacidogna1, F. Vignani1, R. Dionisio1, C. Baratelli1,2*, C. G. C. Turco1,2, D. Ballaminut1, A. Bellezza1, P. Chiotto1, G. Ciriolo1, R. Comite1, F. Codegone1, S. Florio1, L. Fusco1, L. Polimeno1, D. Pozzi1, E. Zilio1, V. Ariu1, S. Terzolo1, M. Di Maio1,2 ADOPTION OF PATIENT-REPORTED OUTCOMES IN CLINICAL PRACTICE FOR OLDER PATIENTS RECEIVING ACTIVE ANTI-CANCER TREATMENT: IMPACT ON HEALTH-RELATED QUALITY OF LIFE Annals of Research in Oncology Vol. 1(4), 285-294, 2021
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引用次数: 0
The increasing need of salvage and palliative surgery with microvascular free flaps for advanced head and neck cancers during COVID19 era covid - 19时代晚期头颈癌对微血管游离皮瓣抢救性和姑息性手术的需求日益增加
Pub Date : 2021-12-01 DOI: 10.48286/aro.2021.28
S. Settimi, G. Almadori, E. de Corso, D. Mele, G. Paludetti
© 2021 Annals of Research in Oncology ARO. Published by EDRA SpA. All rights reserved. ABSTRACT Major head and neck oncologic surgery is a high resource-demanding activity. The aim of this manuscript was to highlight the challenges encountered in the management of oncologic head and neck patients undergoing large cancer resection and immediate reconstruction with microvascular free flaps, in a COVID-19 dedicated hospital. We retrospectively analyzed data from patients admitted at A. Gemelli University Hospital Foundation, during the most acute COVID-19 emergency phase from February 2020 to June 2021, who underwent complex head and neck oncological surgery with immediate reconstruction using microvascular free flaps. We therefore reported clinical and management issues encountered during the hospitalization. 1 Head and Neck Oncology Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy 2 Università Cattolica del Sacro Cuore, Rome, Italy 3 Plastic and Reconstructive Surgery, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy
©2021年肿瘤学研究年鉴。由EDRA SpA出版。版权所有。主要头颈部肿瘤手术是一项高资源需求的活动。这篇文章的目的是强调在一家专门的COVID-19医院,头颈部肿瘤患者在接受大肿瘤切除术和微血管游离皮瓣立即重建时遇到的挑战。我们回顾性分析了A. Gemelli大学医院基金会在2020年2月至2021年6月最急性的COVID-19紧急阶段收治的患者的数据,这些患者接受了复杂的头颈部肿瘤手术,并立即使用微血管游离皮瓣重建。因此,我们报告了住院期间遇到的临床和管理问题。1意大利,罗马,意大利,意大利,意大利,罗马,意大利,意大利,罗马,意大利,意大利,罗马,意大利,罗马,圣心天主教大学,意大利,罗马,意大利,意大利,罗马,意大利,意大利,罗马,意大利,意大利,罗马,意大利,意大利,罗马,意大利,意大利,罗马,意大利,意大利,罗马,意大利,意大利,罗马,意大利,意大利,罗马,意大利,意大利,意大利,罗马
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引用次数: 0
Abscopal effects induced by localized interventions in oncological patients. 局部干预对肿瘤患者的体外效应。
Pub Date : 2021-12-01 DOI: 10.48286/aro.2021.29
E. Ventura, A. Costa, R. Dominguez, G. Romano
© 2021 Annals of Research in Oncology ARO. Published by EDRA SpA. All rights reserved. ABSTRACT Abscopal, or out-of-fields effects were reported among a number of oncological patients, who were treated with radiation therapy in combination with immune checkpoints inhibitors. The radiations induce a localized immunogenic cell death within the malignant tissues of the irradiated area. Necro-apoptotic cancer cells, in turn, stimulate tumor-specific immune responses in oncological patients, who were previously treated with immune checkpoints inhibitors. Consequently, the host immune system is able to target 1 College of Science and Technology, Temple University, Philadelphia, PA, USA 2 Sbarro Health Research Organization, Philadelphia, PA, USA
©2021年肿瘤学研究年鉴。由EDRA SpA出版。版权所有。在一些接受放射治疗和免疫检查点抑制剂联合治疗的肿瘤患者中报道了外场效应。辐射在照射区域的恶性组织内诱导局部免疫原性细胞死亡。反过来,坏死凋亡的癌细胞刺激肿瘤患者的肿瘤特异性免疫反应,这些患者先前使用免疫检查点抑制剂治疗。因此,宿主免疫系统能够靶向1天普大学科学技术学院,费城,宾夕法尼亚州,美国2 Sbarro健康研究组织,费城,宾夕法尼亚州,美国
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引用次数: 0
THE RESILIENCE OF ONCOLOGISTS DURING THE EARLY TIME OF THE COVID-19 PANDEMIC 在COVID-19大流行早期,肿瘤学家的复原力
Pub Date : 2021-12-01 DOI: 10.48286/aro.2021.07
A. Lasagna, S. Secondino, F. Agustoni, T. Monaco, I. Imarisio, A. Pagani, G. Rizzo, R. Tancredi, E. Pozzi, E. Ferraris, S. Chiellino, C. Gandini, A. Ferrari, S. Brugnatelli, P. Pedrazzoli
With the emergence of COVID-19, Oncologists have had to face up to the challenge of continuing active treatments without compromising patients and healthcare personnel’s safety. We introduced a double-step triage strategy (by phone and on site) for cancer patients in order to identify patients at risk of COVID-19 and to avoid their admission to our Oncology Unit. From February 24 th to April 7 th 2020
随着COVID-19的出现,肿瘤学家不得不面对在不损害患者和医护人员安全的情况下继续积极治疗的挑战。我们为癌症患者引入了两步分诊策略(通过电话和现场),以确定有COVID-19风险的患者,并避免他们进入我们的肿瘤科。2020年2月24日至4月7日
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引用次数: 0
PROGNOSTIC ROLE OF THE PRIMARY TREATMENT IN THE NATURAL HISTORY OF OVARIAN CANCER: A PILOT STUDY 原发性治疗在卵巢癌自然史中的预后作用:一项初步研究
Pub Date : 2021-12-01 DOI: 10.48286/aro.2021.13
A. Perrone, M. Tesei, E. De Crescenzo, C. Coadă, A. Bovicelli, S. Boussedra, S. Dondi, G. Giunchi, P. De Iaco
Epithelial Ovarian cancer is the most lethal and silent gynaecological tumor and relapses in about 75% of cases. Retrospective data supported the superiority of secondary cytoreduction surgery (SCS) plus chemotherapy versus chemotherapy alone; in order to best select patients for SCS literature established a clinical score based on ascites, performance status, and absence of residual disease to primary surgery. The present study analyzed the outcomes and pattern of relapse of a population with first relapse of ovarian cancer undergoing secondary surgery without residual tumor divided into two groups based on the type of treatment at the first diagnosis (primary debulking surgery [PDS] or neoadjuvant chemotherapy followed by interval debulking surgery [IDS]). This is an observational retrospective study carried out at the referred Centre of Oncologic Gynaecology of Bologna, Italy on patients who underwent SCS for ovarian cancer between January 2009 and December 2019 retrieved in an electronic data1 Division of Oncologic Gynaecology, IRCCS, Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy 2 Center for Applied Biomedical Research, Alma Mater Studiorum, University of Bologna, Bologna, Italy 3 University of Bologna, Bologna, Italy CORRESPONDING AUTHOR:
上皮性卵巢癌是最致命和沉默的妇科肿瘤,约75%的病例复发。回顾性数据支持二次细胞减少手术(SCS)加化疗优于单独化疗;为了最好地选择SCS患者,文献建立了一个基于腹水、功能状态和初级手术无残留疾病的临床评分。本研究分析了首次复发的无肿瘤残留的卵巢癌二次手术患者的预后和复发模式,根据首次诊断时的治疗方式分为两组(原发性减瘤手术[PDS]或新辅助化疗后间隔减瘤手术[IDS])。这是意大利博洛尼亚妇科肿瘤中心对2009年1月至2019年12月期间接受SCS治疗的卵巢癌患者进行的一项观察性回顾性研究,检索自电子数据1意大利博洛尼亚Azienda ospedaliero -博洛尼亚大学IRCCS肿瘤科2意大利博洛尼亚大学Alma Mater Studiorum应用生物医学研究中心3意大利博洛尼亚博洛尼亚大学通讯作者:
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引用次数: 2
COVID-19 outbreak in Italy. Report of 20 cancer patients with COVID-19 treated at home during the first wave 意大利爆发COVID-19疫情。第一波在家治疗20例2019冠状病毒病癌症患者报告
Pub Date : 2021-12-01 DOI: 10.48286/aro.2021.17
L. Cavanna, S. Casali, C. Citterio, G. Gianlupi, L. Pilla
The published studies of patients with COVID-19 and cancer are done on hospitalized patients, and data on early outpatient treatment of symptomatic COVID-19 cancer patients are unavailable in English literature. This study included a retrospective, single-center case series of 20 consecutive symptomatic non-hospitalized adults with laboratory confirmed or probable COVID-19 infection. The diagnosis of pneumonia was done with portable ultrasound (US). The treatment was based on hydroxychloroquine (HCQ) plus azithromycin (AZ), drugs allowed during the first wave. Oxygen was delivered when necessary, and enoxaparine was done in bedridden patients. The primary endpoint was clinical improvement or hospitalization considered as worsening of clinical conditions. The secondary endpoints were mortality at day 30 and at day 60. A finger oximeter was delivered to each patient and all patients were monitored by tele-medicine, the side effects of treatment were registered and reported. From March 13rd to May 26th, 2020, 180 patients with laboratory confirmed COVID-19 infection or with epidemiologically linked exposure to a person with laboratory confirmed infection were managed at home for COVID-19 in the district of Piacenza, Emilia Romagna Region. Among these 180 patients, 20 (11.11%) had cancer and form the basis of this report. There were 13 females (65%) and 7 males (35%), the majority of cancers were breast (40%) and gastrointestinal (30%). Seven patients (35%) were on active anticancer treatment when infected and all with metastatic disease, 13 patients (65%)
已发表的COVID-19与癌症患者的研究均为住院患者,有症状的COVID-19癌症患者的早期门诊治疗数据在英文文献中没有。本研究纳入了20例实验室确诊或可能感染COVID-19的连续有症状的非住院成人的回顾性单中心病例系列。肺炎诊断采用便携式超声(US)。治疗以羟氯喹(HCQ)加阿奇霉素(AZ)为基础,这是第一波允许使用的药物。必要时给氧,卧床病人用依诺肝素。主要终点是临床改善或因临床状况恶化而住院。次要终点是第30天和第60天的死亡率。每例患者均使用手指血氧仪,并进行远程医疗监测,记录并报告治疗不良反应。2020年3月13日至5月26日,艾米利亚罗马涅大区皮亚琴察区对180名实验室确诊的COVID-19感染患者或与实验室确诊感染者有流行病学相关接触的患者进行了COVID-19居家管理。在这180例患者中,20例(11.11%)发生了癌症,构成了本报告的基础。其中女性13例(65%),男性7例(35%),以乳腺癌(40%)和胃肠道(30%)居多。7名患者(35%)在感染时接受积极的抗癌治疗,所有患者都有转移性疾病,13名患者(65%)
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引用次数: 1
Targeting SWI/SNF metabolic vulnerabilities in cancer 针对癌症中SWI/SNF代谢脆弱性
Pub Date : 2021-12-01 DOI: 10.48286/aro.2021.31
M. Soeung, L. Perelli, A. Sgambato, G. Genovese
The SWI/SNF (Switch/Sucrose non-fermentable) complex is a key epigenetic regulator that is conserved across different species. While its functions as a gene expression regulator have been widely characterized, new evidences suggest that it can act as a fundamental modulator of metabolic pathways both in physiological and pathological processes. In this review, we summarized the most recent literature addressing molecular interactions involving members of the SWI/SNF complex and metabolic pathways. We focused on how genetic 1 Department of Genomic Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, USA 2 Department of Genitourinary Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA 3 Department of Translational Medicine and Surgery, Università Cattolica del Sacro Cuore, Rome, Italy 4 Scientific Direction, Centro di Riferimento Oncologico della Basilicata IRCCS-CROB, Rionero in Vulture, Potenza, Italy 5 David H. Koch Center for Applied Research of Genitourinary Cancers, The University of Texas MD Anderson Cancer Center, Houston, TX, USA
SWI/SNF(开关/蔗糖不可发酵)复合物是一个关键的表观遗传调控因子,在不同物种中是保守的。虽然其作为基因表达调节剂的功能已被广泛表征,但新的证据表明,它可以在生理和病理过程中作为代谢途径的基本调节剂。在这篇综述中,我们总结了涉及SWI/SNF复合体成员和代谢途径的分子相互作用的最新文献。我们关注的是遗传如何1基因组医学部,德克萨斯大学MD安德森癌症中心,休斯顿,德克萨斯州,美国2生殖泌尿医学肿瘤科,德克萨斯大学MD安德森癌症中心,休斯顿,德克萨斯州,美国3转化医学和外科,罗马,意大利4科学方向,巴西巴西肿瘤研究中心,ircs - crob,里奥内罗在Vulture, Potenza,5德克萨斯大学MD安德森癌症中心,生殖泌尿系统癌症应用研究David H. Koch中心,休斯顿,德克萨斯州,美国
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引用次数: 0
COVID-19 still on center stage in Oncology debates COVID-19仍然是肿瘤学辩论的中心议题
Pub Date : 2021-12-01 DOI: 10.48286/aro.2021.11
A. Giordano, C. Pinto, F. Pentimalli
The Covid-19 pandemic, which is still far from over, is continuing to take center stage in most debates on current cancer research and care. A year after Covid-19 outbreak and the first lockdown, it is clear that the disease had a heavy toll on cancer patients impacting on every stage from screening to diagnosis and treatment (1-3). With the availability of antiSARS-CoV2 vaccines, recent debates focused also on the vaccination strategies for cancer patients and for those eligible to access oncology clinical trials (4, 5). In our previous issue we discussed how the pandemic affected the number of new cancer diagnoses, showing a reduction compared to the same period in the preceding year (1, 6), and our authors presented some of the challenges faced from oncologists during the first wave of the pandemic (7, 8). In this issue of Annals of Research in Oncology, Lucia Fratino and Diego Serraino focus on some clear cut questions regarding SARS-CoV-2 infection, cancer, cancer therapies and immune suppression which demand attention and, possibly, guidelines, although recommendations for the management of cancer patients in the context of SARS-CoV-2 infection have been mostly produced outside the traditional “Evidence Based” benchmark because of the urgency (9). 1 Department of Medical Biotechnologies, University of Siena, Siena, Italy 2 Sbarro Institute for Cancer Research and Molecular Medicine, Center for Biotechnology, College of Science and Technology, Temple University, Philadelphia, PA, USA 3 Oncologia Medica, Clinical Cancer Center, AUSL-IRCCS, Reggio Emilia, Italy 4 Cell Biology and Biotherapy Unit, Istituto Nazionale Tumori-IRCCS-Fondazione G. Pascale, Naples, Italy A. Giordano 1,2, C. Pinto 3, F. Pentimalli 4 COVID-19 STILL ON CENTER STAGE IN ONCOLOGY DEBATES
Covid-19大流行仍远未结束,但在有关当前癌症研究和护理的大多数辩论中,它继续占据中心位置。在2019冠状病毒病爆发和第一次封锁一年后,很明显,这种疾病对癌症患者造成了沉重的代价,影响了从筛查到诊断和治疗的每个阶段(1-3)。随着抗sars - cov2疫苗的可用性,最近的争论也集中在癌症患者和有资格获得肿瘤临床试验的人的疫苗接种策略上(4,5)。在我们的上期杂志中,我们讨论了大流行如何影响新癌症诊断的数量,显示与去年同期相比有所减少(1,6),我们的作者介绍了肿瘤学家在第一波大流行期间面临的一些挑战(7)。8)在这期《肿瘤研究年报》中,Lucia Fratino和Diego Serraino重点讨论了一些关于SARS-CoV-2感染、癌症、癌症治疗和免疫抑制的明确问题,这些问题需要关注,并可能需要制定指南,尽管由于紧迫性,在SARS-CoV-2感染背景下对癌症患者的管理建议大多是在传统的“基于证据”的基准之外提出的(9)。锡耶纳大学,锡耶纳,意大利2 Sbarro癌症研究和分子医学研究所,生物技术中心,天普大学,费城,宾夕法尼亚州3肿瘤学医学,临床癌症中心,AUSL-IRCCS,雷焦埃米利亚,意大利4细胞生物学和生物治疗单位,国立肿瘤研究所- irccs -基金会G. Pascale,意大利那不勒斯A. Giordano 1,2, C. Pinto 3, F. Pentimalli 4 COVID-19仍然在肿瘤争论的中心阶段
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引用次数: 0
METRONOMIC CONTINUOUS ORAL CYCLOPHOSPHAMIDE (CPM) AS SECOND AND FURTHER LINE IN METASTATIC SOFT TISSUE SARCOMAS (STS) OF THE ADULT 连续口服环磷酰胺(cpm)作为成人转移性软组织肉瘤(sts)的第二线和进一步线
Pub Date : 2021-12-01 DOI: 10.48286/aro.2021.16
A. Comandone, A. Boglione, T. Comandone, E. Giubellino, C. Oliva, P. Bergnolo
In metastatic soft tissue sarcomas (mSTS) second and further line of therapy are poorly defined. However many patients (pts), after first line therapy including Antracyclines progress in their disease and ask to be treated. Oral cyclophosphamide (CPM) was already used in breast cancer, prostate cancer and in one study in mSTS with contrasting results. Aim of our study was to define the feasibility, tolerability and activity of oral CPM as second and further line chemotherapy in mSTS patients: 45 pts (19 M; 26 F) median age 60 (32-81), with pretreated mSTS were included. Oral CPM was given daily at total dose of 50 mg/day without interruption excepted for toxicity or progressive disease. Results: leiomyosarcoma 12, liposarcoma 10, MPNST 5, synovialsarcoma 4, indifferentiated sarcoma 4, other rarer subtypes 10. Sites of the primary tumor were: extremities 21, retroperitoneum 19, trunk 5.41 pts were metastatic, 4 locally relapsed. All 45 pts were pretreated with chemotherapy (17 were in II line, 18 in III line, 8 in IV line, 2 in V line). Median PS (ECOG) was 2. Median duration of therapy was 4.4 months (from 1 to 38 months). The 6-month PFS rate was 46%. Treatment was well tolerated: neutropenia grade 2 in 1 case, fatigue grade 2 in 7 patients, nausea grade 1-2 in 22 cases. No grade 3-4 side effects were recorded.
在转移性软组织肉瘤(mSTS)中,第二和进一步的治疗方法尚不明确。然而,许多患者(患者),在一线治疗后,包括蒽环类药物,他们的疾病进展,要求治疗。口服环磷酰胺(CPM)已经用于乳腺癌、前列腺癌和mSTS的一项研究,结果形成对比。本研究的目的是确定口服CPM作为mSTS患者二线和二线化疗的可行性、耐受性和活性:45例患者(19例;26f)中位年龄60(32-81),包括预处理的mSTS。每日口服CPM,总剂量为50mg /天,除非出现毒性或疾病进展,否则不间断。结果:平滑肌肉瘤12例,脂肪肉瘤10例,MPNST 5例,滑膜肉瘤4例,未分化肉瘤4例,其他罕见亚型10例。原发肿瘤部位:四肢21例,腹膜后19例,躯干5.41例转移,局部复发4例。所有45例患者均接受化疗预处理(17例II线,18例III线,8例IV线,2例V线)。中位PS (ECOG)为2。治疗中位持续时间为4.4个月(1 - 38个月)。6个月PFS为46%。治疗耐受良好:中性粒细胞减少2级1例,疲劳2级7例,恶心1-2级22例。无3-4级副作用记录。
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引用次数: 1
期刊
Annals of Research in Oncology
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