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Comparison of Body Image and Body Exposure During Sexual Activity and Sexual Assertiveness Among Mastectomized Women with/Without Mammaplasty and Mammaplasty Volunteer Patients 乳房切除与未做乳房成形术的女性与自愿做乳房成形术患者在性活动中的身体形象、身体暴露和性自信的比较
IF 0.7 Q3 Medicine Pub Date : 2022-10-30 DOI: 10.5812/ijcm-117172
S. Vaziri, F. Lotfi Kashani, Masoumeh Karimian, A. Vaziri, Laya Nobakht, Y. Vaziri, R. Masoumi
Background: Mastectomy can change body image and affect the sexual activities of patients. Breast reconstruction is a way to reduce the sexual damage caused by mastectomy. Objectives: The present study aimed to compare body image and body exposure during sexual activity and sexual assertiveness among mastectomized women with/without mammaplasty and patients with cancer who volunteered for mammoplasty. Methods: This causal-comparative study was performed on the statistical population of mastectomized women with/without mammaplasty and patients who volunteered for mammoplasty within the age range of 25 - 55 years in Tehran, Iran, in 2018. The sample consisted of 37 women with mastectomy, 28 mastectomized women who volunteered for mammoplasty, and 31 women who underwent mammaplasty after mastectomy. The subjects were selected through convenience sampling in Tehran. All participants were asked to complete the Assessment of Body-Image Cognitive Distortions Questionnaire, the Body Exposure during Sexual Activities Questionnaire, and the Hurlbert Index of Sexual Assertiveness. The data were analyzed by analysis of variance using version 20th of SPSS software. Results: In terms of body-image cognitive distortions, there was no difference between the three groups. The women who underwent mammaplasty had less body exposure during sexual activity than patients who volunteered for mammoplasty (P < 0.01); however, there was no difference between the mastectomized patients and patients who underwent mammaplasty. Exposure to the body or anxious attentional focus on the body during sexual activity was reported frequently less in mastectomized women than in mammaplasty volunteers (P < 0.01). The sexual assertiveness of women who underwent reconstructive surgery was more than mastectomized women and volunteer patients for reconstructive surgery (P < 0.01). The mastectomized group had more sexual assertiveness than patients who volunteered for mammoplasty (P < 0.01). Conclusions: The results support the hypothesis that the issue of body image and its relationship with different aspects of sexual function is complex and requires considering different personality traits and factors as moderators. The importance that a woman places on the breast as a symbol of femininity and sexuality is one of the aforementioned factors. The purpose of reconstruction from the patient’s point of view and the importance that a woman gives to her appearance are other components that should be considered before proceeding with mammoplasty.
背景:乳房切除术可以改变身体形象,影响患者的性行为。乳房重建是一种减少乳房切除术造成的性损伤的方法。目的:本研究的目的是比较乳房切除和未做乳房成形术的女性和自愿做乳房成形术的癌症患者在性活动中的身体形象和身体暴露以及性自信。方法:本研究对2018年伊朗德黑兰25 - 55岁范围内进行了乳房切除术的女性和自愿进行乳房成形术的患者的统计人群进行了因果比较研究。样本包括37名接受乳房切除术的女性,28名自愿接受乳房成形术的女性,以及31名在乳房切除术后接受乳房成形术的女性。研究对象在德黑兰通过方便抽样选择。所有被试均被要求完成“身体形象认知扭曲评估问卷”、“性活动中身体暴露问卷”和“赫尔伯特性自信指数”。采用SPSS软件第20版进行方差分析。结果:在身体形象认知扭曲方面,三组间无显著差异。接受乳房成形术的女性在性活动中的身体暴露量少于自愿接受乳房成形术的女性(P < 0.01);然而,在切除乳房的患者和接受乳房成形术的患者之间没有差异。据报道,在性活动中,乳房切除术妇女暴露于身体或焦虑的注意力集中在身体上的频率低于乳房成形术志愿者(P < 0.01)。接受重建手术的女性的性自信高于乳房切除和自愿接受重建手术的女性(P < 0.01)。乳房切除组的性自信程度高于自愿隆胸组(P < 0.01)。结论:研究结果支持了身体形象问题及其与性功能不同方面的关系是复杂的,需要考虑不同的人格特质和因素作为调节因素。女性把乳房作为女性气质和性欲的象征,这是上述因素之一。在进行乳房成形术之前,从患者的角度来看重建的目的和女性对自己外表的重要性是应该考虑的其他因素。
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引用次数: 0
Protective Effects of Coadministration of the Vitamin E and Omega-3 on Doxorubicin-Induced Hepatotoxicity in Mice 维生素E和Omega-3对阿霉素诱导小鼠肝毒性的保护作用
IF 0.7 Q3 Medicine Pub Date : 2022-10-20 DOI: 10.5812/ijcm-121766
A. Lotfi, Siamak Mashhady Rafie, S. Hesaraki, K. Amini
Background: Doxorubicin is a favorite drug for feasting many malignancies. All organs' hepatic toxic effects are destructive and lead to use with caution. Then, it is necessary to increase antioxidants accompanied with doxorubicin to reduce its toxicity. Vitamin E is an antioxidant with harmful consequences. Omega-3 is an antioxidant similarly. The healing capacity of Vitamin E- Omega-3 was investigated together against doxorubicin. Methods: Thirty balb/c mice have divided a weight of 25 g into five equal groups of six mice each. The groups were classified as Control: normal saline; DOX: Doxorubicin; Vitamin E: Vitamin E + DOX; Omega-3; Omega-3 + DOX; Both Vitamin E- Omega-3 + DOX. The histopathology was set to describe vacuolar degeneration, inflammation, and necrosis. Immunohistochemistry was performed to estimate the expression of tumor necrosis factor (TNFα), demonstrating the inflammation. Results: DOX-induced hepatic injury and increased TNF-α expression were seen more than alone when co-administered with vitamin E and omega-3. A significant decrease was shown in the ALT, AST, GGT, and ALP levels compared to the control. The Glutathione peroxidase and Catalase enzyme activities were higher in the co-administered Vitamin E- Omega-3 group than that received Vit E or Omega-3. Conclusions: Co-administration of Vitamin E and Omega-3 have a more repair capacity with controlling effects on Doxorubicin-induced liver toxicity.
背景:阿霉素是治疗多种恶性肿瘤的常用药物。所有器官的肝毒性作用都是破坏性的,请谨慎使用。因此,有必要在服用阿霉素的同时增加抗氧化剂,以降低其毒性。维生素E是一种有害的抗氧化剂。Omega-3也是一种抗氧化剂。研究了维生素E- Omega-3对阿霉素的愈合能力。方法:30只体重为25 g的balb/c小鼠分成5组,每组6只。对照组:生理盐水组;阿霉素:阿霉素;维生素E:维生素E + DOX;欧米伽- 3;Omega-3 + DOX;两种维生素E- Omega-3 + DOX。组织病理学描述了空泡变性、炎症和坏死。免疫组化检测肿瘤坏死因子(TNFα)表达,显示炎症。结果:与维生素E和omega-3共同给药时,dox诱导的肝损伤和TNF-α表达增加比单独给药时更多。与对照组相比,ALT、AST、GGT和ALP水平显著降低。同时服用维生素E- 3组的谷胱甘肽过氧化物酶和过氧化氢酶活性高于服用维生素E或Omega-3组。结论:维生素E和Omega-3联合给药对阿霉素引起的肝毒性具有更强的修复能力和控制作用。
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引用次数: 0
Comparing the COVID-19 Mortality Rate in Cancer Patients with and Without a History of Chemotherapy 有和无化疗史的癌症患者COVID-19死亡率的比较
IF 0.7 Q3 Medicine Pub Date : 2022-10-16 DOI: 10.5812/ijcm-128404
Nasrin Bazgir, F. Taghinezhad, H. Nourmohammadi, Golnaz Azami, I. Ahmadi, A. Mozafari
Background: Patients with cancer are potentially vulnerable to COVID-19 infection due to the immune-compromised state of cancer or its treatment complications. Objectives: This study compared the COVID-19 mortality rate in cancer patients with and without a history of chemotherapy. Methods: This registry-based cohort study launched from March 2020 to March 2021 contains 2350 records in which 64 COVID-19 patients with cancer were included, of which 27 patients underwent the chemotherapy plan within eight weeks before confirmed COVID-19. In addition, age and sex were matched in patients without a history of cancer as a control group. Two groups of cancer patients with and without a history of chemotherapy compared to the control group using cox proportional hazard regression models in Stata.10 software. Results: Patients with cancer had a higher hazard for in-hospital mortality from COVID-19 infection (adjusted HR; 2.27, 95% CI: 1.25 - 4.13, P = 0.007) after adjusting for age, sex, body mass index (BMI), and co-morbidities. Our result showed no significant association between chemotherapy and control groups (adjusted HR; 1.65, 95% CI: 0.60 - 4.56, P = 0.33). Conclusions: Patients with cancer faced a risk of mortality from COVID-19 two times higher than those without cancer. However, chemotherapy did not increase the mortality following COVID-19 infection.
背景:由于癌症的免疫功能低下状态或其治疗并发症,癌症患者可能容易感染COVID-19。目的:本研究比较有和无化疗史的癌症患者的COVID-19死亡率。方法:本研究于2020年3月至2021年3月启动,纳入2350例病例,其中64例2019冠状病毒病癌症患者,其中27例患者在确诊前8周内接受化疗方案。此外,在没有癌症病史的患者中,年龄和性别相匹配,作为对照组。采用Stata.10软件中的cox比例风险回归模型,将两组有和无化疗史的癌症患者与对照组进行比较。结果:癌症患者因COVID-19感染而住院死亡的风险较高(调整HR;2.27, 95% CI: 1.25 - 4.13, P = 0.007),校正了年龄、性别、体重指数(BMI)和合并症。我们的结果显示化疗组与对照组之间无显著关联(校正HR;1.65, 95% ci: 0.60 - 4.56, p = 0.33)。结论:癌症患者的COVID-19死亡风险是非癌症患者的两倍。然而,化疗并没有增加COVID-19感染后的死亡率。
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引用次数: 0
Spironolactone Induces Apoptotic Cell Death in Human Glioblastoma U87-MG Cancer Cells 螺内酯诱导人胶质瘤U87-MG癌细胞凋亡细胞死亡
IF 0.7 Q3 Medicine Pub Date : 2022-10-16 DOI: 10.5812/ijcm-128738
Zeinabsadat Mohammadi, Mohammad Mostakhdem Hashemi, Marie Saghaeian Jazi
Background: Spironolactone is a conventional drug widely in use for the treatment of heart failure and hypertension patients. On the other side recent studies have reported spironolactone can prevent growth and drug resistance in cancer stem cells (CSCs), by inhibiting DNA double-strand break (DSB) repair; suggesting its potential application in cancer therapy. Objectives: Our study aimed at assessing the potential cytotoxicity of spironolactone in human U87-MG glioblastoma cells. Methods: different concentrations of spironolactone (0 - 50 μM) for 48 and 72 h were used for treatment. Cell viability assay was carried out by the 4, 5-dimethylthiazole-2-yl, 2, 5-diphenyl tetrazolium (MTT) method. Apoptosis was evaluated using annexin V/PI staining and flow cytometry and colorimetric measurement of caspase 8 and 9 activity. Results: our findings showed a significant dose-dependent cytotoxic effect of spironolactone with maximum effect in 30 μM (P-value < 0.05). Spironolactone can induce approximately 20% apoptotic cell death in U87-MG cancer cells which were mainly related to early apoptotic cells. Indeed, the activity of caspase 8 and 9 was significantly elevated in spironolactone-treated cells compared to mock control. Conclusions: Findings showed the cytotoxic effect of spironolactone in U87-MG glioblastoma cancer cells in a mechanism dependent on apoptosis cell death induction. Our findings suggest the potential application of spironolactone in the treatment of glioblastoma in vitro.
背景:螺内酯是一种广泛用于治疗心力衰竭和高血压的常规药物。另一方面,最近的研究报道螺内酯可以通过抑制DNA双链断裂(DSB)修复来阻止癌症干细胞(CSCs)的生长和耐药;提示其在癌症治疗中的潜在应用。目的:本研究旨在评估螺内酯对人U87-MG胶质母细胞瘤细胞的潜在细胞毒性。方法:用不同浓度的螺内酯(0 ~ 50 μM)处理48、72 h。细胞活力测定采用4,5 -二甲基噻唑-2-基,2,5 -二苯四唑(MTT)法。采用膜联蛋白V/PI染色、流式细胞术和caspase 8、9活性比色法检测细胞凋亡。结果:螺内酯具有明显的剂量依赖性细胞毒作用,在30 μM时效果最大(p值< 0.05)。螺内酯可诱导U87-MG癌细胞约20%的凋亡细胞死亡,主要与早期凋亡细胞有关。事实上,与模拟对照相比,在螺内酯处理的细胞中,caspase 8和9的活性显著升高。结论:研究结果表明螺内酯对U87-MG胶质母细胞瘤癌细胞的细胞毒作用机制依赖于诱导凋亡细胞死亡。我们的发现提示了螺内酯在体外治疗胶质母细胞瘤中的潜在应用。
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引用次数: 0
Evaluation of Clinicopathologic Factors and Surgery Management on Borderline Ovarian Tumor Outcomes 影响卵巢交界性肿瘤预后的临床病理因素及手术处理
IF 0.7 Q3 Medicine Pub Date : 2022-10-16 DOI: 10.5812/ijcm-114910
Z. Shiravani, N. Namazi, Masooumeh Hashemi, Fatemesadat Najib, Mojgan Hajisafari Tafti
Background: Borderline ovarian tumor (BOT) is a tumor most prevalent in young woman with desire to fertility. There are some controversies on the patient characteristic besides to the factors affecting the recurrence rate among different races. Objectives: The aim of this study is to evaluate clinicopathologic features of the tumor to discover the controversies on the topic. Methods: Medical data of the all referred patients to Motahari clinic from January 2010 till October 2020 were recorded. Patient clinicopathologic characteristics affecting on outcome were evaluated. By using SPSS software, data were tested by chi-square and fish exact test. Also, log rank test was used for survival analysis Results: Totally 145 patients were enrolled. 61.4% versus 38.6% of the patients underwent fertility sparing surgery and radical surgery respectively with common characteristics of mostly belong to stage 1A disease (61.8% vs. 66.1%), unilateral (93.3% vs. 89.3%), serous histology (51.7% vs. 66.1%). The characteristics were different in the aspects of age and tumor size. In the aspect of recurrence rate, higher FIGO stage, younger age, tumor size less than 10cm, performing laparoscopy and fertility sparing surgery were with higher rate of recurrence (P-value < 0.05) while histology type of the tumor, lateralization, micropapillary, microinvasion, noninvasive peritoneal implants, receiving adjuvant chemotherapy and performing lymphadenectomy were not statistically significant for recurrence (P-value > 0.05). Two patients had malignant transformation. Conclusions: Fertility sparing surgery and higher FIGO stages are with more recurrence rate in Borderline ovarian tumor patients. However, micropapillary, microinvasion were not significantly with higher recurrence rate in our study but they are challenging issues in border line ovarian tumors among different studies. Due to most prevalence of border line ovarian tumors in young women and desire of fertility preservation, we should notice more to clinicopathologic and surgery types affecting on recurrence of BOTs.
背景:交界性卵巢肿瘤(BOT)是一种多见于渴望生育的年轻女性的肿瘤。不同人种间除复发率的影响因素外,对患者的特点也存在争议。目的:本研究的目的是评估肿瘤的临床病理特征,以发现该主题的争议。方法:记录2010年1月至2020年10月Motahari诊所转诊患者的医疗资料。评估患者临床病理特征对预后的影响。采用SPSS软件对数据进行卡方检验和fish精确检验。采用log rank检验进行生存分析结果:共纳入145例患者。分别有61.4%对38.6%的患者行保留生育能力手术和根治性手术,其共同特征主要为1A期(61.8%对66.1%)、单侧(93.3%对89.3%)、浆液组织学(51.7%对66.1%)。其特点在年龄和肿瘤大小方面有所不同。在复发率方面,FIGO分期越高、年龄越小、肿瘤大小小于10cm、行腹腔镜手术及保留生育能力手术复发率越高(p值< 0.05),而肿瘤组织学类型、偏侧、微乳头状、微侵袭、无创腹膜植入、辅助化疗及行淋巴结切除术对复发率的影响无统计学意义(p值> 0.05)。2例发生恶性转化。结论:保留生育能力手术及FIGO分期较高的交界性卵巢肿瘤患者复发率较高。然而,微乳头状、微侵袭性在我们的研究中并没有明显的高复发率,但在不同的研究中,它们是卵巢边界系肿瘤的一个具有挑战性的问题。由于边界卵巢肿瘤多见于年轻女性,且希望保留生育能力,我们应更多地关注临床病理和手术类型对bot复发的影响。
{"title":"Evaluation of Clinicopathologic Factors and Surgery Management on Borderline Ovarian Tumor Outcomes","authors":"Z. Shiravani, N. Namazi, Masooumeh Hashemi, Fatemesadat Najib, Mojgan Hajisafari Tafti","doi":"10.5812/ijcm-114910","DOIUrl":"https://doi.org/10.5812/ijcm-114910","url":null,"abstract":"Background: Borderline ovarian tumor (BOT) is a tumor most prevalent in young woman with desire to fertility. There are some controversies on the patient characteristic besides to the factors affecting the recurrence rate among different races. Objectives: The aim of this study is to evaluate clinicopathologic features of the tumor to discover the controversies on the topic. Methods: Medical data of the all referred patients to Motahari clinic from January 2010 till October 2020 were recorded. Patient clinicopathologic characteristics affecting on outcome were evaluated. By using SPSS software, data were tested by chi-square and fish exact test. Also, log rank test was used for survival analysis Results: Totally 145 patients were enrolled. 61.4% versus 38.6% of the patients underwent fertility sparing surgery and radical surgery respectively with common characteristics of mostly belong to stage 1A disease (61.8% vs. 66.1%), unilateral (93.3% vs. 89.3%), serous histology (51.7% vs. 66.1%). The characteristics were different in the aspects of age and tumor size. In the aspect of recurrence rate, higher FIGO stage, younger age, tumor size less than 10cm, performing laparoscopy and fertility sparing surgery were with higher rate of recurrence (P-value < 0.05) while histology type of the tumor, lateralization, micropapillary, microinvasion, noninvasive peritoneal implants, receiving adjuvant chemotherapy and performing lymphadenectomy were not statistically significant for recurrence (P-value > 0.05). Two patients had malignant transformation. Conclusions: Fertility sparing surgery and higher FIGO stages are with more recurrence rate in Borderline ovarian tumor patients. However, micropapillary, microinvasion were not significantly with higher recurrence rate in our study but they are challenging issues in border line ovarian tumors among different studies. Due to most prevalence of border line ovarian tumors in young women and desire of fertility preservation, we should notice more to clinicopathologic and surgery types affecting on recurrence of BOTs.","PeriodicalId":44764,"journal":{"name":"International Journal of Cancer Management","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2022-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74625197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Epidemiology of Chondrosarcoma in Iran Based on Iran National Cancer Registry 基于伊朗国家癌症登记处的伊朗软骨肉瘤流行病学研究
IF 0.7 Q3 Medicine Pub Date : 2022-10-15 DOI: 10.5812/ijcm-119308
A. Ebrahimpour, M. Chehrassan, A. Karimi, A. Sabaghzadeh, M. Jafari Kafiabadi, F. Biglari, Mehdi Azizmohammad Looha, A. Nakhostin-Ansari, M. Sadighi, M. Akbari
Background: Chondrosarcoma is regarded as the second most common primary bone malignancy following osteosarcoma. Objectives: The present study aimed at determining the epidemiology, incidence, and survival rate of chondrosarcoma in the Iranian population, according to the Iran National Cancer Registry (INCR). Methods: In an epidemiological study, patients with limb chondrosarcoma were evaluated based on INCR data between 2008 and 2015. Data included patients’ demographic characteristics, date of diagnosis, location of the tumor, patient’s survival, and type of tumor based on the International Classification of Diseases for Oncology (ICD-O-3; first revision, third edition) were collected and analyzed. Results: Out of 732 enrolled patients, 425 patients (58.06%) were male and 307 (41.94%) were female with a mean age of 44.08 (SD = 19.31) and 45.06 (SD = 18.72), respectively. Age-standardized incidence rates (ASIR) were 1.73 and 1.27 per 1 million person-years for males and females, respectively. Conventional chondrosarcoma was the most common subtype with ASIR 1.28 and constituted 84.7% of patients with chondrosarcoma. About 71.03% of all Chondrosarcoma patients (70.35% of males and 71.99% of females) were between 20 to 59 years old. The 1-, 3-, 5-, and 7-year survival rates of patients were 0.87, 0.73, 0.57, and 0.47, respectively. Also, the mean survival time was 6.12 years (95% CI: 5.85 - 7.39). Conclusions: The incidence of chondrosarcoma in Iran is not as high as in other countries, but as patients are younger in Iran, the survival rate is worse compared to other countries. Therefore, better case findings and better care are needed to improve the patients' outcomes in Iran.
背景:软骨肉瘤被认为是继骨肉瘤之后第二常见的原发性骨恶性肿瘤。目的:根据伊朗国家癌症登记处(INCR),本研究旨在确定伊朗人群中软骨肉瘤的流行病学、发病率和生存率。方法:采用流行病学研究方法,对2008 - 2015年肢体软骨肉瘤患者的INCR数据进行评估。数据包括患者的人口统计学特征、诊断日期、肿瘤位置、患者生存期和肿瘤类型(基于国际肿瘤疾病分类(ICD-O-3;第1版,第3版)收集和分析。结果:732例入组患者中,男性425例(58.06%),女性307例(41.94%),平均年龄分别为44.08 (SD = 19.31)和45.06 (SD = 18.72)。男性和女性的年龄标准化发病率(ASIR)分别为1.73和1.27 / 100万人年。常规软骨肉瘤是最常见的亚型,ASIR为1.28,占软骨肉瘤患者的84.7%。约71.03%的软骨肉瘤患者(男性70.35%,女性71.99%)年龄在20 - 59岁之间。患者1年、3年、5年、7年生存率分别为0.87、0.73、0.57、0.47。平均生存时间为6.12年(95% CI: 5.85 - 7.39)。结论:伊朗软骨肉瘤的发病率不像其他国家那么高,但由于伊朗患者年龄较轻,生存率较其他国家差。因此,需要更好的病例发现和更好的护理来改善伊朗患者的预后。
{"title":"The Epidemiology of Chondrosarcoma in Iran Based on Iran National Cancer Registry","authors":"A. Ebrahimpour, M. Chehrassan, A. Karimi, A. Sabaghzadeh, M. Jafari Kafiabadi, F. Biglari, Mehdi Azizmohammad Looha, A. Nakhostin-Ansari, M. Sadighi, M. Akbari","doi":"10.5812/ijcm-119308","DOIUrl":"https://doi.org/10.5812/ijcm-119308","url":null,"abstract":"Background: Chondrosarcoma is regarded as the second most common primary bone malignancy following osteosarcoma. Objectives: The present study aimed at determining the epidemiology, incidence, and survival rate of chondrosarcoma in the Iranian population, according to the Iran National Cancer Registry (INCR). Methods: In an epidemiological study, patients with limb chondrosarcoma were evaluated based on INCR data between 2008 and 2015. Data included patients’ demographic characteristics, date of diagnosis, location of the tumor, patient’s survival, and type of tumor based on the International Classification of Diseases for Oncology (ICD-O-3; first revision, third edition) were collected and analyzed. Results: Out of 732 enrolled patients, 425 patients (58.06%) were male and 307 (41.94%) were female with a mean age of 44.08 (SD = 19.31) and 45.06 (SD = 18.72), respectively. Age-standardized incidence rates (ASIR) were 1.73 and 1.27 per 1 million person-years for males and females, respectively. Conventional chondrosarcoma was the most common subtype with ASIR 1.28 and constituted 84.7% of patients with chondrosarcoma. About 71.03% of all Chondrosarcoma patients (70.35% of males and 71.99% of females) were between 20 to 59 years old. The 1-, 3-, 5-, and 7-year survival rates of patients were 0.87, 0.73, 0.57, and 0.47, respectively. Also, the mean survival time was 6.12 years (95% CI: 5.85 - 7.39). Conclusions: The incidence of chondrosarcoma in Iran is not as high as in other countries, but as patients are younger in Iran, the survival rate is worse compared to other countries. Therefore, better case findings and better care are needed to improve the patients' outcomes in Iran.","PeriodicalId":44764,"journal":{"name":"International Journal of Cancer Management","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2022-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81334212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
COVID-19 Breakthrough Infections among Patients with Cancer Receiving Sinopharm BIBP Vaccine 国药BIBP疫苗接种癌症患者新冠肺炎突破性感染
IF 0.7 Q3 Medicine Pub Date : 2022-10-04 DOI: 10.5812/ijcm-123887
Amirreza Manteghinejad, S. Arabzadeh, Zahra Rezaian, M. Sharifi, S. Haghjooy Javanmard
Background: Patients with cancer are at an increased risk of mortality from COVID-19 infection. So, they are prioritized for vaccination. However, there is limited data about the immunogenicity, safety, and effectiveness of inactivated vaccines in preventing COVID-19 infection, hospitalization, and mortality in patients with cancer. Objectives: This study aimed to report the clinical characteristics of patients who had a positive PCR test after being fully vaccinated with the Sinopharm BIBP Vaccine. Methods: In this retrospective study, the data of patients with cancer were extracted from the electronic health records of a cancer center in Isfahan, Iran. All COVID-19 data from Isfahan province also was collected by Isfahan COVID-19 Registry (I-CORE). We described the clinical characteristics of patients with cancer who have a positive test more than14 days after the second dose. Results: Two hundred twenty-two patients with cancer had at least one positive PCR test after the start of the COVID-19 vaccination. Of these, 9 (4.1%) breakthrough infections have occurred. Six (67%) of them had hematological malignancies. Six (67%) were hospitalized and 3 (33%) patients died. Two of them had recent chemotherapy and have hematological malignancies. Conclusions: Vaccination is a good way to protect the population from COVID-19 complications and mortality, but it should be considered that fully-vaccinated patients with cancer are at risk of severe outcomes. Nevertheless, prioritizing cancer patients, especially those with hematological malignancies, or receiving chemotherapies for booster vaccines and studying the effectiveness of each COVID-19 vaccine for patients with cancer should be considered.
背景:癌症患者因COVID-19感染而死亡的风险增加。因此,它们是优先接种疫苗的对象。然而,关于灭活疫苗在预防COVID-19感染、住院和癌症患者死亡率方面的免疫原性、安全性和有效性的数据有限。目的:本研究旨在报道充分接种国药BIBP疫苗后PCR检测阳性患者的临床特征。方法:在这项回顾性研究中,从伊朗伊斯法罕一家癌症中心的电子健康记录中提取癌症患者的数据。伊斯法罕省的所有COVID-19数据也由伊斯法罕COVID-19登记处(I-CORE)收集。我们描述了在第二次给药后14天以上检测结果呈阳性的癌症患者的临床特征。结果:222例癌症患者在开始接种COVID-19疫苗后至少有一次PCR检测阳性。其中发生了9例(4.1%)突破性感染。其中6例(67%)有血液系统恶性肿瘤。6例(67%)住院,3例(33%)死亡。其中两人最近接受了化疗,并患有血液系统恶性肿瘤。结论:疫苗接种是保护人群免受COVID-19并发症和死亡率的好方法,但应考虑到完全接种疫苗的癌症患者存在严重后果的风险。但是,应该优先考虑癌症患者,特别是血液系统恶性肿瘤患者,或接受化疗的患者接种加强疫苗,并研究每种COVID-19疫苗对癌症患者的有效性。
{"title":"COVID-19 Breakthrough Infections among Patients with Cancer Receiving Sinopharm BIBP Vaccine","authors":"Amirreza Manteghinejad, S. Arabzadeh, Zahra Rezaian, M. Sharifi, S. Haghjooy Javanmard","doi":"10.5812/ijcm-123887","DOIUrl":"https://doi.org/10.5812/ijcm-123887","url":null,"abstract":"Background: Patients with cancer are at an increased risk of mortality from COVID-19 infection. So, they are prioritized for vaccination. However, there is limited data about the immunogenicity, safety, and effectiveness of inactivated vaccines in preventing COVID-19 infection, hospitalization, and mortality in patients with cancer. Objectives: This study aimed to report the clinical characteristics of patients who had a positive PCR test after being fully vaccinated with the Sinopharm BIBP Vaccine. Methods: In this retrospective study, the data of patients with cancer were extracted from the electronic health records of a cancer center in Isfahan, Iran. All COVID-19 data from Isfahan province also was collected by Isfahan COVID-19 Registry (I-CORE). We described the clinical characteristics of patients with cancer who have a positive test more than14 days after the second dose. Results: Two hundred twenty-two patients with cancer had at least one positive PCR test after the start of the COVID-19 vaccination. Of these, 9 (4.1%) breakthrough infections have occurred. Six (67%) of them had hematological malignancies. Six (67%) were hospitalized and 3 (33%) patients died. Two of them had recent chemotherapy and have hematological malignancies. Conclusions: Vaccination is a good way to protect the population from COVID-19 complications and mortality, but it should be considered that fully-vaccinated patients with cancer are at risk of severe outcomes. Nevertheless, prioritizing cancer patients, especially those with hematological malignancies, or receiving chemotherapies for booster vaccines and studying the effectiveness of each COVID-19 vaccine for patients with cancer should be considered.","PeriodicalId":44764,"journal":{"name":"International Journal of Cancer Management","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2022-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72513298","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Effects of BMI and Genetic Variation of Adipokines on Serum Concentrations of Hormones in Untreated Individuals with Breast Cancer; a Pilot Study BMI和脂肪因子遗传变异对未治疗乳腺癌患者血清激素浓度的影响一项初步研究
IF 0.7 Q3 Medicine Pub Date : 2022-10-02 DOI: 10.5812/ijcm-120259
Zahra Tahmasebi Fard
Background: Numerous studies have shown an association between hormones secreted by adipose tissues and cancer development. Objectives: This study aimed at investigating the effect of body mass index (BMI) and genetic variation of leptin and adiponectin on serum concentrations of leptin, adiponectin, and estradiol among untreated breast cancer. Methods: This case-control study was performed on 350 women (175 women with breast cancer and 175 healthy controls), who had not taken any medications. Serum levels of estradiol (17-beta estradiol), leptin, and adiponectin were measured, using the ELISA technique. Single-nucleotide polymorphisms of leptin gene (LepG2548A), leptin receptor (Q223, K109R, and K656N), and adiponectin gene (T45G, G276T, C11377G, and 11391A) in blood-isolated DNA were evaluated, using RFLP-PCR technique. Results: Body mass index can affect serum concentrations of hormones and is associated with breast cancer. Also, except for adiponectin C11377G polymorphism, other all genetic variations showed significant relationships with breast cancer. In both groups, BMI was significantly correlated with the mean serum concentrations of hormones, and the risk of breast cancer increased in G2548A, Q223R, K656N, and G276T polymorphisms. The effect of risk allele genotypes on serum concentration of hormones showed that changes in serum concentration of estrogen and leptin in all studied polymorphisms were associated with breast cancer in postmenopausal women. But adiponectin level was only affected by polymorphisms K109R, K656N, and G276 and G11391A. Conclusions: High BMI and genetic variation can affect cancer development by changing the serum concentrations of hormones in different genotypes. Studying various populations’ genetics and lifestyle can help definitive conclusions about genetics and obesity.
背景:大量研究表明脂肪组织分泌的激素与癌症的发生有关。目的:本研究旨在探讨体重指数(BMI)和瘦素和脂联素遗传变异对未治疗乳腺癌患者血清瘦素、脂联素和雌二醇浓度的影响。方法:本病例对照研究对未服用任何药物的350名妇女(175名乳腺癌妇女和175名健康对照)进行。采用ELISA技术测定血清雌二醇(17- β雌二醇)、瘦素和脂联素水平。采用RFLP-PCR技术检测血分离DNA中瘦素基因(LepG2548A)、瘦素受体(Q223、K109R和K656N)和脂联素基因(T45G、G276T、C11377G和11391A)的单核苷酸多态性。结果:体重指数可影响血清激素浓度,并与乳腺癌相关。此外,除脂联素C11377G多态性外,其他所有遗传变异均与乳腺癌有显著关系。在两组中,BMI与平均血清激素浓度显著相关,且G2548A、Q223R、K656N和G276T多态性增加了乳腺癌的风险。危险等位基因型对血清激素浓度的影响表明,在所有研究的多态性中,血清雌激素和瘦素浓度的变化与绝经后妇女乳腺癌有关。而脂联素水平仅受K109R、K656N、G276和G11391A多态性的影响。结论:高BMI和遗传变异可通过改变不同基因型的血清激素浓度影响癌症的发展。研究不同人群的基因和生活方式有助于得出关于基因和肥胖的明确结论。
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引用次数: 0
Comparative Study of Immune Cells Infiltration in Cutaneous Squamous Cell Carcinoma and Basal Cell Carcinoma of the Head and Neck 头颈部皮肤鳞状细胞癌与基底细胞癌免疫细胞浸润的比较研究
IF 0.7 Q3 Medicine Pub Date : 2022-09-24 DOI: 10.5812/ijcm-117673
Shirin Saravani, Hamideh Kadeh, Mahya Tavakoli Amin, Narges Ghavidel
Background: The role of tumor-associated tissue eosinophils and mast cells in the biological behavior of tumors remains unclear. Objectives: This study was performed to compare the eosinophil and mast cell counts in the cutaneous squamous cell carcinoma (cSCC) and basal cell carcinoma (BCC) of the head and neck and to evaluate their relationship with clinicopathologic factors. Methods: The current descriptive-analytical study was conducted on the histopathologic slides of 46 BCC and 30 cSCC samples prepared by using Sirius red and toluidine blue staining techniques for eosinophil and mast cell counts, respectively. The data were analyzed, using Pearson’s correlation, t test, and ANOVA test. Results: The BCC and cSCC samples had mean eosinophil counts of 35.43 ± 35 and 331.27 ± 321.68 eosinophil/10 HPF, respectively, and this difference was statistically significant (P = 0.001). The levels of the mast cell infiltration were obtained as 55.33 ± 39.90 and 63.67 ± 40.86 in BCC and cSCC, respectively. However, this variable was not significantly different between the two groups of BCC and cSCC samples (P = 0.380). In addition, the mean eosinophil and mast cell counts were higher in cSCC grade 3 than in other grades; however, this difference was statistically significant only for the mast cells. Furthermore, the mean eosinophil/mast cell count in cSCC and BCC showed no significant relationship with age and gender. Conclusions: Considering the greater presence of eosinophils in cSCC than in BCC, eosinophils may be concluded to be among the factors responsible for more biologically and clinically invasive behaviors of cSCC, compared to those of BCC.
背景:肿瘤相关组织嗜酸性粒细胞和肥大细胞在肿瘤生物学行为中的作用尚不清楚。目的:本研究比较头颈部皮肤鳞状细胞癌(cSCC)和基底细胞癌(BCC)中嗜酸性粒细胞和肥大细胞计数,并评价其与临床病理因素的关系。方法:采用天狼星红和甲苯胺蓝染色技术分别对46例BCC和30例cSCC标本进行嗜酸性粒细胞和肥大细胞计数的组织病理切片进行描述性分析研究。数据分析采用Pearson相关、t检验、ANOVA检验。结果:BCC和cSCC的平均嗜酸性粒细胞计数分别为35.43±35和331.27±321.68 /10 HPF,差异有统计学意义(P = 0.001)。BCC和cSCC的肥大细胞浸润水平分别为55.33±39.90和63.67±40.86。然而,该变量在BCC和cSCC两组样本之间无显著差异(P = 0.380)。此外,3级cSCC的平均嗜酸性粒细胞和肥大细胞计数高于其他级别;然而,这种差异仅对肥大细胞有统计学意义。此外,cSCC和BCC的平均嗜酸性粒细胞/肥大细胞计数与年龄和性别无显著关系。结论:考虑到嗜酸性粒细胞在cSCC中比在BCC中存在更多,嗜酸性粒细胞可能是导致cSCC比BCC更具生物学和临床侵袭性行为的因素之一。
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引用次数: 0
Diagnostic Approach to Developing Asymmetry in Opportunist Screening Mammography; Correlation of Ultrasound, Magnetic Resonance Imaging, and Histopathologic Findings with Developing Asymmetry: A Cross-sectional Study 机会性乳房x线筛查中发展不对称的诊断方法超声、磁共振成像和组织病理学结果与发展中的不对称的相关性:一项横断面研究
IF 0.7 Q3 Medicine Pub Date : 2022-09-21 DOI: 10.5812/ijcm-122779
N. Sadighi, Morteza Ghassed, Z. Hosseini, A. Alikhassi
Background: Developing asymmetries are uncommon mammographic findings with a chance of being associated with malignancy. Objectives: The current study aimed at correlating ultrasound, magnetic resonance imaging (MRI) findings, and histopathology of patients with developing focal asymmetry in opportunist screening mammograms setting, and presents a diagnostic approach to developing asymmetry. Methods: This was a cross-sectional study on a database of opportunist screening mammography at the Breast Clinic, Cancer Center, at Tehran University of Medical Sciences from January 2017 to December 2018. Mammogram screenings (n = 12,169) were evaluated for developing asymmetry. Findings of mammography, ultrasound, MRI findings, and histopathology of patients with developing asymmetry were collected and analyzed. Results: Fifty-four cases (0.44%) had developed asymmetry in screening mammograms. After excluding 18 patients with considering exclusion criteria, the data of 36 patients were analyzed. The summation artifact was the etiology of developing asymmetry in 11 (30.5%) patients. Ultrasound was performed in 28 patients, and 14 (38.8%) patients had no correlated findings. All 3 malignant cases had ultrasound correlates, and a significant association existed between sonography and the risk of malignancy in patients having developing asymmetry (P = 0.003). Three malignant cases of the study underwent MRI, 1 with segmental clumped non-mass enhancement, and 2 showed a mass with rim enhancement. A significant association was revealed between a family history of breast cancer (P = 0.04) and developing asymmetry. The positive predictive value of developing asymmetry for malignancy was 8.3%. Conclusions: Patients having developing asymmetry should be evaluated for malignancy, using supplementary techniques, such as additional mammographic views, ultrasound primarily, or MRI. A biopsy is required for indeterminate findings.
背景:发展中的不对称是不常见的乳房x线检查结果,有可能与恶性肿瘤有关。目的:本研究的目的是在机会主义筛查乳房x光检查中,将发生局灶性不对称的患者的超声、磁共振成像(MRI)结果和组织病理学相关联,并提出一种诊断方法。方法:这是一项针对德黑兰医科大学癌症中心乳腺诊所2017年1月至2018年12月的机会主义乳房x光筛查数据库的横断面研究。乳房x光检查(n = 12,169)评估是否出现不对称。收集和分析发展中不对称患者的乳房x光检查、超声检查、MRI检查和组织病理学检查结果。结果:54例(0.44%)出现乳房x线筛查不对称。在考虑排除标准排除18例患者后,对36例患者的资料进行分析。11例(30.5%)患者发生不对称的病因是累加伪影。28例患者行超声检查,14例(38.8%)患者无相关发现。3例恶性病例超声检查均有相关性,发生不对称的患者超声检查与恶性肿瘤发生风险有显著相关性(P = 0.003)。本研究的3例恶性病例行MRI检查,1例为节段性块状非肿块强化,2例为肿块边缘强化。乳腺癌家族史与不对称发育之间存在显著关联(P = 0.04)。恶性肿瘤发展不对称的阳性预测值为8.3%。结论:有发展不对称的患者应该评估恶性肿瘤,使用补充技术,如额外的乳房x光片,主要是超声,或MRI。如发现不明确,需行活检。
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引用次数: 1
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International Journal of Cancer Management
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