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Nanotherapeutics to cure inflammation-induced cancer 治疗炎症诱发癌症的纳米疗法
Pub Date : 2024-07-02 DOI: 10.25082/ccr.2024.01.001
Rajiv Kumar
Aims: Nanotherapeutics are being explored as a potential solution to treat inflammation-induced cancer. Nanotherapeutics enhance innate immune cells' immunity, enabling them to fight tumors effectively. These cells secrete specific chemicals like cytokines, allowing them to replicate quickly and respond to future threats, making them suitable for immunotherapy.Methods: Nanotechnology can significantly improve human health by enhancing infection detection, prevention, and treatment. Nanomedicines, composed of restorative and imaging compounds in submicrometer-sized materials, aim to deliver effective treatments and limit inflammation in healthy body areas. Combining nanotechnology and clinical sciences, nanoparticles are suitable for gene therapy and have been developed for treating various diseases, including cancer, cardiovascular, diabetes, pulmonary, and inflammatory diseases.Results: Neutrophils and their offspring, including films and extracellular vehicles, are crucial drug transporters for enhanced growth therapy. Tumor microenvironment inputs can modify tumor-associated neutrophils (TANs), which are essential for tumor growth and healing. Human tumor intratumor heterogeneity is crucial for tumor growth and healing. Nanomedicines have shown potential in targeted delivery, toxicity reduction, and therapeutic effectiveness enhancement. However, clinical relevance and efficacy remain inadequate due to a lack of understanding of the interaction between nanomaterials, nanomedicine, and biology. The diverse biological milieu impacts the dynamic bioidentity of nanoformulations, and their interactions can modify therapeutic function or cellular absorption.Conclusion: Nanotechnology holds great promise for improving human health by detecting, preventing, and treating infections. Nanomedicines, a fusion of clinical sciences and nanotechnology, use submicrometer-sized transporter materials for therapy delivery and reducing contamination. Nanoparticles' small size and high surface-to-volume ratio can benefit gene therapy. Research has led to a wide range of nanomedicine products globally.
目的:纳米疗法正在作为治疗炎症诱发癌症的一种潜在解决方案进行探索。纳米疗法可增强先天性免疫细胞的免疫力,使其能够有效对抗肿瘤。这些细胞会分泌细胞因子等特定化学物质,使其能够快速复制并对未来的威胁做出反应,因此适合用于免疫疗法:纳米技术可以通过加强感染检测、预防和治疗,大大改善人类健康。纳米药物由亚微米级材料中的修复和成像化合物组成,旨在提供有效的治疗并限制健康身体部位的炎症。结合纳米技术和临床科学,纳米粒子适用于基因治疗,并已开发用于治疗各种疾病,包括癌症、心血管疾病、糖尿病、肺病和炎症性疾病:中性粒细胞及其后代,包括薄膜和细胞外载体,是增强生长治疗的重要药物运输工具。肿瘤微环境输入可改变肿瘤相关中性粒细胞(TANs),而中性粒细胞对肿瘤生长和愈合至关重要。人体肿瘤内的异质性对肿瘤的生长和愈合至关重要。纳米药物在靶向递送、降低毒性和提高疗效方面具有潜力。然而,由于缺乏对纳米材料、纳米药物和生物学之间相互作用的了解,临床相关性和有效性仍然不足。不同的生物环境会影响纳米制剂的动态生物特性,它们之间的相互作用会改变治疗功能或细胞吸收:纳米技术有望通过检测、预防和治疗感染来改善人类健康。纳米药物是临床科学与纳米技术的融合,利用亚微米级的传输材料进行治疗并减少污染。纳米粒子体积小、表面积与体积比高,有利于基因治疗。相关研究已在全球范围内开发出多种纳米医药产品。
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引用次数: 0
Breast carcinoma in the Democratic Republic of the Congo: Characterization of hormone receptors 刚果民主共和国的乳腺癌:激素受体的特征
Pub Date : 2024-03-26 DOI: 10.25082/ccr.2023.01.006
Guy Ilunga Nday, M. Ilunga, Anasthasie Umpungu Ngalula, Olivier Mukuku, Jules Thaba Ngwe
Purpose: Breast cancer is a heterogeneous disease, and understanding its characteristics is crucial for effective treatment. Therefore, this study aims to investigate breast carcinomas as a function of hormone receptors (estrogen and progesterone) in the Democratic Republic of the Congo (DRC), which can contribute to better management of breast cancer cases in the country.Methods: We conducted an analytical cross-sectional study from 2014 to 2016 in the cities of Kinshasa and Lubumbashi. Using non-random sampling, we collected 86 cases of breast carcinoma.Results: The study found that out of the 86 cases of breast carcinoma, 33 patients (38.3%) had both types of hormone receptors (ER+/PgR+), while 37 patients (43.0%) had negative results for both receptor types (ER-/PgR-). Additionally, 15 patients (17.4%) had only estrogen receptors. The study did not find any significant association between the presence of estrogen receptors and patient age, T stage, histological type, and Ki67 proliferation index. However, the study did observe that estrogen receptors were significantly more present in grade I and II tumors (74.4%) than in grade III tumors (40.4%) (Odds ratio=4.3 [1.7-10.8]; p=0.003).Conclusion: The findings of this study demonstrate a high prevalence of hormone receptors in breast cancer cases in the DRC. Additionally, the study revealed a significant association between the presence of estrogen receptors and tumor grade, underlining the relevance of these markers in the characterization and treatment of the disease.
目的:乳腺癌是一种异质性疾病,了解其特征对有效治疗至关重要。因此,本研究旨在调查刚果民主共和国(刚果(金))乳腺癌与激素受体(雌激素和孕激素)的关系,这有助于更好地管理该国的乳腺癌病例:2014年至2016年,我们在金沙萨和卢本巴希两座城市开展了一项横断面分析研究。通过非随机抽样,我们收集了86例乳腺癌病例:研究发现,在86例乳腺癌患者中,33例患者(38.3%)同时具有两种激素受体(ER+/PgR+),37例患者(43.0%)两种受体均为阴性(ER-/PgR-)。此外,15 名患者(17.4%)只有雌激素受体。研究没有发现雌激素受体的存在与患者年龄、T期、组织学类型和Ki67增殖指数之间有任何明显的关联。然而,该研究确实观察到,雌激素受体在 I 级和 II 级肿瘤中的存在率(74.4%)明显高于 III 级肿瘤(40.4%)(Odds ratio=4.3 [1.7-10.8]; p=0.003):这项研究结果表明,在刚果民主共和国的乳腺癌病例中,激素受体的发病率很高。此外,研究还发现,雌激素受体的存在与肿瘤分级之间存在显著关联,凸显了这些标记物在疾病特征描述和治疗中的重要性。
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引用次数: 0
Perspectives on chemotherapy-induced toxicities in pancreatic cancer 胰腺癌化疗诱发毒性的展望
Pub Date : 2024-02-20 DOI: 10.25082/ccr.2023.01.005
H. Verma, Tarun Sahu, L. Bhaskar
Despite breakthroughs in screening, identification, and therapy, pancreatic cancer (PC) remains a serious issue in cancer-related mortality. This comprehensive review investigates the long-term and latent effects of chemotherapy in PC, focusing on commonly used medicines such as gemcitabine, docetaxel, irinotecan, nab-paclitaxel, and others. Gemcitabine, a common PC medication, causes a variety of adverse effects, including myelosuppression and weariness. Combination therapy, such as docetaxel and irinotecan, enhance toxicity, resulting in problems such as neutropenia and gastrointestinal difficulties. Significantly, chemotherapy-related complications, such as thrombosis and cardiac difficulties connected to paclitaxel, present serious concerns. Erlotinib, gefitinib, vatalanib, and sunitinib studies show significant side effects. Despite ongoing challenges, determining the causes of the low objective response rate in gemcitabine-refractory patients remains challenging. The study emphasizes the importance of future advances in cancer etiology, arguing for large, straightforward studies examining combination chemotherapies to improve tolerance and minimize chemotherapy-induced sequelae. This overview serves as a thorough guide for physicians, researchers, and policymakers as they navigate the complex terrain of PC chemotherapy, providing significant insights to improve patient care.
尽管在筛查、识别和治疗方面取得了突破性进展,但胰腺癌(PC)仍然是癌症相关死亡率中的一个严重问题。本综述研究了化疗对 PC 的长期和潜在影响,重点关注吉西他滨、多西他赛、伊立替康、纳布紫杉醇等常用药物。吉西他滨是一种常见的 PC 药物,会引起多种不良反应,包括骨髓抑制和倦怠。多西他赛和伊立替康等联合疗法会增加毒性,导致中性粒细胞减少和胃肠道不适等问题。值得注意的是,与化疗相关的并发症,如紫杉醇引起的血栓形成和心脏问题,也令人严重担忧。厄洛替尼、吉非替尼、伐他拉尼和舒尼替尼的研究显示了明显的副作用。尽管挑战不断,但确定吉西他滨难治性患者客观反应率低的原因仍具有挑战性。该研究强调了未来在癌症病因学方面取得进展的重要性,主张开展大型、直接的研究,探讨联合化疗,以提高耐受性并尽量减少化疗引起的后遗症。这篇综述为医生、研究人员和政策制定者提供了全面的指导,帮助他们在PC化疗的复杂领域中游刃有余,为改善患者护理提供了重要的启示。
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引用次数: 0
Risk of severe immune-related adverse events in cancer patients with pre-existing autoimmunity receiving immune checkpoint inhibitor therapy 接受免疫检查点抑制剂治疗的已有自身免疫疾病的癌症患者发生严重免疫相关不良事件的风险
Pub Date : 2024-01-29 DOI: 10.25082/ccr.2023.01.004
D. Isaacs, N. Kathuria-Prakash, Robin Hilder, Melissa G. Lechner, Alexandra Drakaki
Introduction: Immune checkpoint inhibitors (ICI) are widely used cancer therapies that harness the immune system to target malignant cells but subsequently can cause serious off-target immune-related Adverse Effects (irAEs). Patients with pre-existing autoimmune disease have historically been excluded from ICI clinical trials due to scientific concerns over increased risk of irAEs and flares of underlying autoimmune disease.Methods: We designed a retrospective, single-center, case-control study at a large, academic medical center to evaluate the incidence and severity of irAEs in patients with pre-existing autoimmunity compared to controls. Controls were matched 2:1 for age, sex, cancer histology, and ICI class. Patients were identified with ICD 9 and 10 codes followed by manual chart extraction. Cases were defined as patients with pre-existing, systemic autoimmunity. The primary outcome was severe irAE (Grade 3 or higher by Common Terminology Criteria for Adverse Events) within 6 months of ICI therapy. Secondary outcomes included response to ICIs, resolution of the irAE, ICI rechallenge success, and survival. Statistical analyses were performed by Chi-square, Fishers exact, Mann-Whitney, and Log-rank tests.Results: Of 3,130 patients treated with ICIs from 2015-2021, 28 cases with pre-existing autoimmune disease were identified and were matched with 56 controls. Pre-existing autoimmune conditions included antiphospholipid syndrome, inflammatory polyarthritis, juvenile rheumatoid arthritis, multiple sclerosis, psoriatic arthritis, rheumatoid arthritis, and type I diabetes. Multiple cancer histologies, including genitourinary, gynecologic, head & neck, hepatobiliary, lung, melanoma, and pancreatic, were represented. Six of 28 cases (21.4%) experienced severe irAEs compared to 9/56 (16.1%) controls; the odds of developing a severe irAE were not significantly different (OR 0.43, 95% CI 0.083-2.33, p = 0.627, ns). Moreover, there were no significant differences in overall survival or tumor response between the two groups. The majority of irAEs resolved without long-term sequelae (66.7% of cases, 55.6% of controls). The majority of patients who were rechallenged with ICIs were successful in continuing therapy (66.7% of cases, 100% of controls).Conclusion: Our study suggests that patients with pre-existing autoimmune disease can be treated with ICI cancer therapies and experience rates of severe irAEs and overall survival that are similar to those of the general population. These data can aid oncologists in discussing risks and benefits of ICIs when treating patients with pre-existing autoimmunity and solid tumors.
导言:免疫检查点抑制剂(ICI)是一种广泛使用的癌症疗法,它利用免疫系统来靶向恶性细胞,但随后可能会引起严重的非靶向免疫相关不良反应(irAEs)。由于科学界担心irAEs风险增加和潜在自身免疫性疾病复发,患有自身免疫性疾病的患者历来被排除在ICI临床试验之外:我们在一家大型学术医疗中心设计了一项回顾性、单中心、病例对照研究,以评估与对照组相比,既往存在自身免疫疾病的患者的 irAEs 发生率和严重程度。对照组的年龄、性别、癌症组织学和 ICI 分级均为 2:1。通过 ICD 9 和 10 编码识别患者,然后手动提取病历。病例定义为已有系统性自身免疫的患者。主要研究结果是接受 ICI 治疗 6 个月内出现的严重 irAE(根据不良事件通用术语标准为 3 级或以上)。次要结果包括对 ICIs 的反应、irAE 的缓解、ICI 再挑战成功率和存活率。统计分析采用Chi-square、Fishers exact、Mann-Whitney和Log-rank检验:在2015-2021年接受ICIs治疗的3130名患者中,发现了28例患有既往自身免疫性疾病的病例,并与56例对照组进行了配对。既往自身免疫性疾病包括抗磷脂综合征、炎性多关节炎、幼年类风湿性关节炎、多发性硬化症、银屑病关节炎、类风湿性关节炎和I型糖尿病。病例中有多种癌症组织类型,包括泌尿生殖系统癌症、妇科癌症、头颈部癌症、肝胆癌、肺癌、黑色素瘤和胰腺癌。28例病例中有6例(21.4%)出现了严重的虹膜AE,而对照组为9/56(16.1%);出现严重虹膜AE的几率没有显著差异(OR 0.43,95% CI 0.083-2.33,p = 0.627,ns)。此外,两组患者的总生存率和肿瘤反应也无明显差异。大多数虹膜急性睫状体功能障碍都得到了缓解,没有留下长期后遗症(66.7%的病例,55.6%的对照组)。大多数重新接受 ICIs 治疗的患者都能成功地继续治疗(66.7% 的病例,100% 的对照组):我们的研究表明,原有自身免疫性疾病的患者可以接受 ICI 癌症治疗,其严重虹膜不良反应发生率和总生存率与普通人群相似。这些数据有助于肿瘤学家在治疗原有自身免疫性疾病和实体瘤患者时讨论 ICIs 的风险和益处。
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引用次数: 0
Safety and feasibility of Preoperative Simultaneous Portal Vein Embolization and Biliary Drainage in Hilar Cholangiocarcinoma prior to Hepatectomy 肝门胆管癌肝切除术前同时进行门静脉栓塞和胆道引流术的安全性和可行性
Pub Date : 2024-01-22 DOI: 10.25082/ccr.2023.01.003
Mohamed M. Soliman, Olivier Chevallier, Sara Velayati, Ken Zhao, Brett Marinelli, F. Ridouani, Anita Karimi, Anne Covey, J. Erinjeri, Mark Schattner, Joseph J. Harding, G. Abou-Alfa, Alice C. Wei, Kevin C. Soares, W. Jarnagin, H. Yarmohammadi
Purpose: Evaluate safety and feasibility of simultaneous biliary drainage (BD) and portal vein embolization (PVE) prior to hepatectomy in hilar cholangiocarcinoma (HCCA) patients. Methods: From January 2010 to June 2022, patients with potentially surgically resectable HCCA who underwent preoperative PVE and BD were analyzed. Type of initial BD, time interval between BD and PVE, changes in future liver remnant (FLR), time interval between BD, PVE and resection, and complications were recorded. Patients were divided into 3 groups based on the BD-PVE interval: Group A: simultaneous BD and PVE or within 7 days (d), n = 6; Group B: d ≥ 7 to ≤ 30, n = 7; Group C: d > 30, n = 14). Primary endpoints were post-PVE complications, FLR change, and resection rate. Secondary endpoints were Clavien-Dindo ≥ 3, Grade B/C Post Hepatectomy Liver Failure (PHLF) and 90 days mortality rate. Results: A total of 27 patients (mean age = 64.4 +/- 11.2 years) underwent both BD and PVE prior to hepatectomy. Mean degree of hypertrophy at 4-6 weeks post-PVE was 10.4 +/- 3.7% with no significant difference between the 3 groups (p > 0.05). Resection was 67% in Group A, and 57% and 36% in groups B and C respectively (p < 0.05). Time to surgery was 38.5 +/- 12 days in Group A, and 60 and 147 days in groups B and C respectively (p = 0.002). No major post PVE SIR complication was reported in group A. Overall rate of Grade III/IV Clavien-Dindo complication was 61.5% with no difference among the three groups (50%, 75%, and 60%; groups A, B and C, respectively). Overall PHLF Grade B/C was reported in 46.2% of patients. No patients in Group A demonstrated Grade B/C PHLF. Conclusion: Simultaneous BD and PVE is safe and reduces the time to surgery, which may help contribute to a higher rate of surgical resection.
目的:评估肝门部胆管癌(HCCA)患者肝切除术前同时进行胆道引流(BD)和门静脉栓塞(PVE)的安全性和可行性。方法分析2010年1月至2022年6月期间接受术前门静脉栓塞(PVE)和门静脉栓塞(BD)的可能手术切除的HCCA患者。记录初始 BD 类型、BD 和 PVE 之间的时间间隔、未来肝脏残余(FLR)的变化、BD、PVE 和切除之间的时间间隔以及并发症。根据 BD-PVE 间隔时间将患者分为三组:A 组:同时进行 BD 和 PVE 或在 7 天(d)内,n = 6;B 组:d ≥ 7 至 ≤ 30,n = 7;C 组:d > 30,n = 14)。主要终点是PVE后并发症、FLR变化和切除率。次要终点为 Clavien-Dindo ≥ 3、B/C 级肝切除术后肝衰竭(PHLF)和 90 天死亡率。结果共有 27 名患者(平均年龄 = 64.4 +/- 11.2 岁)在肝切除术前接受了 BD 和 PVE 治疗。PVE术后4-6周的平均肥厚程度为10.4 +/- 3.7%,三组之间无显著差异(P > 0.05)。A组的切除率为67%,B组和C组分别为57%和36%(P < 0.05)。A 组的手术时间为 38.5 +/- 12 天,B 组和 C 组分别为 60 天和 147 天(P = 0.002)。三/四级 Clavien-Dindo 并发症总发生率为 61.5%,三组之间无差异(A、B 和 C 组分别为 50%、75% 和 60%)。据报告,46.2%的患者总体上达到了 PHLF B/C 级。A 组没有患者出现 B/C 级 PHLF。结论同时进行 BD 和 PVE 是安全的,而且缩短了手术时间,这可能有助于提高手术切除率。
{"title":"Safety and feasibility of Preoperative Simultaneous Portal Vein Embolization and Biliary Drainage in Hilar Cholangiocarcinoma prior to Hepatectomy","authors":"Mohamed M. Soliman, Olivier Chevallier, Sara Velayati, Ken Zhao, Brett Marinelli, F. Ridouani, Anita Karimi, Anne Covey, J. Erinjeri, Mark Schattner, Joseph J. Harding, G. Abou-Alfa, Alice C. Wei, Kevin C. Soares, W. Jarnagin, H. Yarmohammadi","doi":"10.25082/ccr.2023.01.003","DOIUrl":"https://doi.org/10.25082/ccr.2023.01.003","url":null,"abstract":"Purpose: Evaluate safety and feasibility of simultaneous biliary drainage (BD) and portal vein embolization (PVE) prior to hepatectomy in hilar cholangiocarcinoma (HCCA) patients. Methods: From January 2010 to June 2022, patients with potentially surgically resectable HCCA who underwent preoperative PVE and BD were analyzed. Type of initial BD, time interval between BD and PVE, changes in future liver remnant (FLR), time interval between BD, PVE and resection, and complications were recorded. Patients were divided into 3 groups based on the BD-PVE interval: Group A: simultaneous BD and PVE or within 7 days (d), n = 6; Group B: d ≥ 7 to ≤ 30, n = 7; Group C: d > 30, n = 14). Primary endpoints were post-PVE complications, FLR change, and resection rate. Secondary endpoints were Clavien-Dindo ≥ 3, Grade B/C Post Hepatectomy Liver Failure (PHLF) and 90 days mortality rate. Results: A total of 27 patients (mean age = 64.4 +/- 11.2 years) underwent both BD and PVE prior to hepatectomy. Mean degree of hypertrophy at 4-6 weeks post-PVE was 10.4 +/- 3.7% with no significant difference between the 3 groups (p > 0.05). Resection was 67% in Group A, and 57% and 36% in groups B and C respectively (p < 0.05). Time to surgery was 38.5 +/- 12 days in Group A, and 60 and 147 days in groups B and C respectively (p = 0.002). No major post PVE SIR complication was reported in group A. Overall rate of Grade III/IV Clavien-Dindo complication was 61.5% with no difference among the three groups (50%, 75%, and 60%; groups A, B and C, respectively). Overall PHLF Grade B/C was reported in 46.2% of patients. No patients in Group A demonstrated Grade B/C PHLF. Conclusion: Simultaneous BD and PVE is safe and reduces the time to surgery, which may help contribute to a higher rate of surgical resection.","PeriodicalId":72728,"journal":{"name":"Current cancer reports","volume":"10 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139607213","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
Tumor microenvironment 肿瘤微环境
Pub Date : 2023-06-08 DOI: 10.25082/ccr.2023.01.002
Ping Wang
{"title":"Tumor microenvironment","authors":"Ping Wang","doi":"10.25082/ccr.2023.01.002","DOIUrl":"https://doi.org/10.25082/ccr.2023.01.002","url":null,"abstract":"","PeriodicalId":72728,"journal":{"name":"Current cancer reports","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48768876","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
Retrospection and prospect of Current Cancer Reports (CCR) 当前癌症报告(CCR)的回顾与展望
Pub Date : 2023-04-13 DOI: 10.25082/ccr.2023.01.001
Yingyu Cui
{"title":"Retrospection and prospect of Current Cancer Reports (CCR)","authors":"Yingyu Cui","doi":"10.25082/ccr.2023.01.001","DOIUrl":"https://doi.org/10.25082/ccr.2023.01.001","url":null,"abstract":"","PeriodicalId":72728,"journal":{"name":"Current cancer reports","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46006713","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
Black-White disparities in fatigue and comorbidity among breast cancer survivors 癌症幸存者疲劳和合并症的黑白差异
Pub Date : 2023-02-09 DOI: 10.25082/ccr.2022.01.005
S. Coughlin, Pratima Bajaj, A. Guha
{"title":"Black-White disparities in fatigue and comorbidity among breast cancer survivors","authors":"S. Coughlin, Pratima Bajaj, A. Guha","doi":"10.25082/ccr.2022.01.005","DOIUrl":"https://doi.org/10.25082/ccr.2022.01.005","url":null,"abstract":"","PeriodicalId":72728,"journal":{"name":"Current cancer reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42591963","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
A case of life threatening acute Nivolumab induced autoimmune haemolytic anaemia 危及生命的急性纳武单抗诱导自身免疫性溶血性贫血1例
Pub Date : 2022-01-01 DOI: 10.25082/ccr.2022.01.002
A. Farooq, C. Keohane, Maeve P. Crowley, Laura Whelan, Neasa Gallwey, C. Brady, S. O'Reilly
Autoimmune haemolytic anemia is a rare but potentially catastrophic adverse event of im-mune checkpoint inhibitor therapy. We present the case of a gentleman who presented with non-specific symptoms while undergoing adjuvant Nivolumab therapy after potential-ly curative surgery for gastroesophageal cancer. The patient’s haemoglobin deteriorated to 4.7 g/dl with no evidence of bleeding and serologic tests indicative of hemolysis. He re-ceived emergent massive RCC transfusion receiving 9 units of bloods in 1 night, and was commenced on high dose methylprednisolone. During subsequent weeks of inpatient care, the patient continued to received multiple daily red cell transfusions and had a total of 53 RCC transfusions during admission, along with high doses of steroids,4 doses of weekly Rituximab as well as 2 doses of IVIG.While he was discharged on day 38 of admission, he required a slow taper of steroids over 6 months. Immune related hemolytic anemias are a rare corollary of immune check point inhibitors. The cases of immune related AIHA docu-mented in the literature were treated with steroids, Rituximab and IVIG, which are also rec-ommended by guidelines for the treatment of immune related haemolytic anemias.
自身免疫性溶血性贫血是免疫检查点抑制剂治疗的罕见但潜在的灾难性不良事件。我们提出的情况下,一位先生谁提出了非特异性症状,而接受辅助尼武单抗治疗后,潜在的治愈手术胃食管癌。患者血红蛋白恶化至4.7 g/dl,无出血迹象,血清学检查提示溶血。患者接受紧急大量肾细胞癌输血,1晚输9单位血,并开始大剂量甲基强的松龙治疗。在随后几周的住院治疗中,患者继续接受每日多次红细胞输注,入院期间共接受53次RCC输注,同时给予高剂量类固醇、每周4剂利妥昔单抗和2剂IVIG。当他在入院第38天出院时,他需要在6个月内逐渐减少类固醇的使用。免疫相关溶血性贫血是免疫检查点抑制剂的罕见结果。文献中记录的免疫相关AIHA病例用类固醇、利妥昔单抗和IVIG治疗,这些治疗指南也推荐用于免疫相关溶血性贫血的治疗。
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引用次数: 0
Women’s breast cancer risk factors in Kinshasa, Democratic Republic of the Congo 刚果民主共和国金沙萨妇女乳腺癌的危险因素
Pub Date : 2022-01-01 DOI: 10.25082/ccr.2022.01.003
S. Sulu, O. Mukuku, Arnold Maseb Sul Sulu, François Musul Mukeng, Bienvenu Lebwaze Massamba, D. Mashinda, S. Wembonyama, V. Lokomba, Antoine Tshimpi Wola
Purpose: Breast cancer (BC) is the most common malignancy and the leading cause of cancer-related deaths among women worldwide. Risk factors for this disease are numerous and their prevalence varies according to racial and ethnic groups and geographical regions. Therefore, we sought to identify BC risk factors in the Congolese population. Methods: A case-control study was conducted at the Nganda Hospital Center in Kinshasa, Democratic Republic of the Congo. One hundred and sixty patients with breast cancer (cases) were compared to 320 women who did not have BC (controls). STATA version 16 was used to analyze data with statistical significance considered at p < 0.05. Results: There is a strong association between BC in Congolese women and early menarche age (adjusted odds ratio [aOR] = 2.3; 95% CI: 1.2-4.3), family history of BC (aOR = 2.5; 95% CI: 1.2-5.5), overweight (aOR = 1.8; 95% CI: 1.1-2.7), and obesity (aOR = 7.3; 95% CI: 4.0-13.4). Conclusion: Our results indicate the presence of certain conventional risk factors. Thus, these results will be of great value in establishing adequate evidence-based awareness and preventive measures among the Congolese population.
目的:乳腺癌(BC)是最常见的恶性肿瘤,也是全世界妇女癌症相关死亡的主要原因。这种疾病的危险因素很多,其流行程度因种族和族裔群体以及地理区域而异。因此,我们试图确定刚果人口中BC的危险因素。方法:在刚果民主共和国金沙萨的恩噶达医院中心进行病例对照研究。160名乳腺癌患者(病例)与320名未患乳腺癌的女性(对照组)进行了比较。采用STATA version 16对数据进行分析,p < 0.05为有统计学意义。结果:刚果妇女BC与月经初潮早期有很强的相关性(校正优势比[aOR] = 2.3;95% CI: 1.2-4.3)、BC家族史(aOR = 2.5;95% CI: 1.2-5.5),超重(aOR = 1.8;95% CI: 1.1-2.7)和肥胖(aOR = 7.3;95% ci: 4.0-13.4)。结论:我们的结果表明存在一定的常规危险因素。因此,这些结果对于在刚果人民中建立充分的基于证据的认识和预防措施具有重要价值。
{"title":"Women’s breast cancer risk factors in Kinshasa, Democratic Republic of the Congo","authors":"S. Sulu, O. Mukuku, Arnold Maseb Sul Sulu, François Musul Mukeng, Bienvenu Lebwaze Massamba, D. Mashinda, S. Wembonyama, V. Lokomba, Antoine Tshimpi Wola","doi":"10.25082/ccr.2022.01.003","DOIUrl":"https://doi.org/10.25082/ccr.2022.01.003","url":null,"abstract":"Purpose: Breast cancer (BC) is the most common malignancy and the leading cause of cancer-related deaths among women worldwide. Risk factors for this disease are numerous and their prevalence varies according to racial and ethnic groups and geographical regions. Therefore, we sought to identify BC risk factors in the Congolese population. Methods: A case-control study was conducted at the Nganda Hospital Center in Kinshasa, Democratic Republic of the Congo. One hundred and sixty patients with breast cancer (cases) were compared to 320 women who did not have BC (controls). STATA version 16 was used to analyze data with statistical significance considered at p < 0.05. Results: There is a strong association between BC in Congolese women and early menarche age (adjusted odds ratio [aOR] = 2.3; 95% CI: 1.2-4.3), family history of BC (aOR = 2.5; 95% CI: 1.2-5.5), overweight (aOR = 1.8; 95% CI: 1.1-2.7), and obesity (aOR = 7.3; 95% CI: 4.0-13.4). Conclusion: Our results indicate the presence of certain conventional risk factors. Thus, these results will be of great value in establishing adequate evidence-based awareness and preventive measures among the Congolese population.","PeriodicalId":72728,"journal":{"name":"Current cancer reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69216384","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
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Current cancer reports
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