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Authors' reply to Kirar et al. and Chaudhuri 作者对Kirar et al.和Chaudhuri的答复
Q1 Medicine Pub Date : 2023-01-01 DOI: 10.4103/crst.crst_81_23
S. Adak, V. Patil, K. Prabhash
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引用次数: 0
Authors' reply to Sahu, Salins, and Thota 作者对Sahu, Salins和Thota的回复
Q1 Medicine Pub Date : 2023-01-01 DOI: 10.4103/crst.crst_73_23
Kusum K. Rohilla, C. Kalyani
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引用次数: 0
Uptake of vaccination in older Indian patients with cancer: A cross-sectional observational study 印度老年癌症患者接种疫苗:一项横断面观察性研究
Q1 Medicine Pub Date : 2023-01-01 DOI: 10.4103/crst.crst_29_23
Tabitha M. Sabu, V. Noronha, A. Rao, Anita B. Kumar, S. Gattani, A. Ramaswamy, Anupa Pillai, R. Dhekale, R. Castelino, Sharath Kumar, Arshiya Sehgal, P. Rana, V. Gota, R. Badwe, K. Prabhash
Background: Older patients with cancer are at a higher risk of invasive infections. Vaccination is an effective approach to decrease the mortality and morbidity associated with infections. Objectives: Our primary objective was to evaluate the proportion of older patients with cancer who had received routine vaccinations against pneumococcal, influenza, and coronavirus disease 2019 (COVID-19). Our secondary objective was to identify the factors associated with vaccine uptake such as age, sex, education, marital status, comorbidities, and place of residence. Materials and Methods: This cross-sectional observational study was conducted in the geriatric oncology outpatient clinic of the Department of Medical Oncology at the Tata Memorial Hospital, a tertiary care cancer hospital in Mumbai, India, from February 2020 to January 2023. We included all patients aged ≥60 years who were evaluated in the geriatric oncology clinic during the study period and for whom the immunization details were available. The uptake of COVID-19 vaccine was calculated from March 2021 onwards, which was when the COVID-19 vaccine became available to patients aged ≥60 years in India. Results: We enrolled 1762 patients; 1342 (76.2%) were male. The mean age was 68.4 (SD, 5.8) years; 795 (45%) patients were from the west zone of India. Only 12 (0.68%) patients had received the pneumococcal vaccine, and 13 (0.7%) had received the influenza vaccine. At least one dose of the COVID-19 vaccine had been taken by 1302 of 1562 patients (83.3%). On univariate logistic regression, education, marital status, geographic zone of residence, and primary tumor site were correlated with the uptake of COVID-19 vaccine. Factors associated with a greater COVID-19 vaccine uptake included education (up to Std 10 and higher vs. less than Std 10: Odds Ratio [OR], 1.46; 95% confidence interval [CI], 1.07-1.99; P = 0.018, and illiterate vs. less than Std 10: OR, 0.70; 95% CI, 0.50-0.99; P = 0.041), marital status (unmarried vs. married: OR, 0.27; 95% CI, 0.08-1.08; P = 0.046, and widow/widower vs. married: OR, 0.67; 95% CI, 0.48-0.94; P = 0.017), lung and gastrointestinal vs. head-and-neck primary tumors (lung cancer vs. head-and-neck cancer: OR, 1.60; 95% CI, 1.02–2.47; P = 0.038, and gastrointestinal vs .head-and-neck cancer: OR, 2.18; 95% CI, 1.37-3.42; P < 0.001), and place of residence (west zone vs. central India: OR, 0.34; 95% CI, 0.13-0.75; P = 0.015). Conclusion: Fewer than 1 in 100 older Indian patients with cancer receive routine immunization with influenza and pneumococcal vaccines. Hearteningly, the uptake of COVID-19 vaccination in older Indian patients with cancer is over 80%, possibly due to the global recognition of its importance during the pandemic. Similar measures as those used to increase the uptake of COVID-19 vaccines during the pandemic may be beneficial to increase the uptake of routine vaccinations (Clinical Trials Registry, India: CTRI/2020/04/024675).
背景:老年癌症患者发生侵袭性感染的风险较高。疫苗接种是降低与感染有关的死亡率和发病率的有效方法。目的:我们的主要目的是评估接受肺炎球菌、流感和2019冠状病毒病(COVID-19)常规疫苗接种的老年癌症患者的比例。我们的次要目标是确定与疫苗接种相关的因素,如年龄、性别、教育程度、婚姻状况、合并症和居住地。材料与方法:本横断面观察性研究于2020年2月至2023年1月在印度孟买三级肿瘤医院塔塔纪念医院肿瘤内科门诊的老年肿瘤门诊进行。我们纳入了所有年龄≥60岁的患者,这些患者在研究期间在老年肿瘤诊所接受了评估,并且他们的免疫接种细节是可用的。COVID-19疫苗的接种率是从2021年3月开始计算的,当时印度60岁以上的患者可以获得COVID-19疫苗。结果:我们纳入了1762例患者;男性1342例(76.2%)。平均年龄68.4 (SD, 5.8)岁;795例(45%)患者来自印度西部地区。仅12例(0.68%)患者接种了肺炎球菌疫苗,13例(0.7%)患者接种了流感疫苗。1562例患者中有1302例(83.3%)至少接种了一剂新冠肺炎疫苗。单因素logistic回归分析显示,受教育程度、婚姻状况、居住地理区域和原发肿瘤部位与COVID-19疫苗接种相关。与更高的COVID-19疫苗接种率相关的因素包括教育程度(达到Std 10和更高vs低于Std 10:优势比[OR], 1.46;95%置信区间[CI], 1.07-1.99;P = 0.018,文盲vs.低于Std 10: OR, 0.70;95% ci, 0.50-0.99;P = 0.041)、婚姻状况(未婚vs.已婚:OR, 0.27;95% ci, 0.08-1.08;P = 0.046,寡妇/鳏夫与已婚:OR = 0.67;95% ci, 0.48-0.94;P = 0.017),肺部和胃肠道与头颈部原发性肿瘤(肺癌与头颈部肿瘤:OR, 1.60;95% ci, 1.02-2.47;P = 0.038,胃肠道癌与头颈癌:OR为2.18;95% ci, 1.37-3.42;P < 0.001)和居住地(印度西部与中部:OR, 0.34;95% ci, 0.13-0.75;P = 0.015)。结论:不到1 / 100的印度老年癌症患者接受流感和肺炎球菌疫苗的常规免疫接种。令人鼓舞的是,印度老年癌症患者的COVID-19疫苗接种率超过80%,这可能是由于全球认识到其在大流行期间的重要性。与大流行期间用于增加COVID-19疫苗接种率的措施类似,可能有助于增加常规疫苗接种率(印度临床试验登记处:CTRI/2020/04/024675)。
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引用次数: 3
Skin reaction in patients with head-and-neck cancer due to the use of a face mask as COVID-19 protective equipment: A case report 使用口罩作为COVID-19防护装备导致头颈癌患者皮肤反应1例报告
Q1 Medicine Pub Date : 2023-01-01 DOI: 10.4103/crst.crst_329_22
S. Biswal, Biplab Sarkar, Tanweer Shahid, Monika Goyal
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引用次数: 0
A dignified good death: Always preferred by ALL! 有尊严的好死:永远是所有人的首选!
Q1 Medicine Pub Date : 2023-01-01 DOI: 10.4103/crst.crst_69_23
R. Garg, Neha Singh
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引用次数: 0
In the still dark night: The unsung pain of cancer patients 在寂静的黑夜里:癌症患者不为人知的痛苦
Q1 Medicine Pub Date : 2023-01-01 DOI: 10.4103/crst.crst_139_23
Monika Thakur
Your dreams are filled with fear and dread, As you lay restless in your bed, But know that you are not alone, For in your heart, a light has shone. You are strong, courageous, and true, And we stand with you in all you do, Together we will face this fight, with hope and love, shining bright. So when you feel like giving in, Remember, we are here to win, And though the road may be rough and steep, We’ll hold your hand and never let you weep. For you are not just a cancer patient, But a warrior, a hero, a testament, To the strength of the human spirit, And we’ll stand by you, every minute. So rest now, dear one, and know, That we’ll be with you as you go, Through the valleys and the peaks, with love, hope, and endless streaks. I am fearful, I am anxious, and I may not sleep, but the faith in my fight will never take a leap Financial support and sponsorship Nil. Conflicts of interest There are no conflicts of interest.
当你不安地躺在床上时,你的梦充满了恐惧和恐惧,但要知道你并不孤单,因为在你心中,有一束光照耀着。你们坚强、勇敢、真诚,无论你们做什么,我们都与你们站在一起。我们将带着希望和爱,一起面对这场战斗。所以当你想要放弃的时候,记住,我们在这里是为了胜利,尽管道路可能崎岖陡峭,我们会握着你的手,永远不会让你哭泣。因为你不仅仅是一个癌症病人,还是一个战士,一个英雄,一个人类精神力量的见证,我们将时刻支持你。所以,现在休息吧,亲爱的,要知道,当你走的时候,我们会和你在一起,带着爱、希望和无尽的条纹,穿越山谷和高峰。我很害怕,我很焦虑,我可能睡不着,但我战斗的信念永远不会有飞跃。利益冲突没有利益冲突。
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引用次数: 0
Immune modulation by probiotics in deterring carcinogenesis with an emphasis on oral cancer: A narrative review 益生菌免疫调节对口腔癌的抑制作用:综述
Q1 Medicine Pub Date : 2023-01-01 DOI: 10.4103/crst.crst_361_22
V Vasanthi, Kavitha Sanjeev, Krishnan Rajkumar, Bose Divya, Annasamy Rameshkumar, Shanti Swarup, Ramya Ramadoss
ABSTRACT Probiotics modulate immune responses, enhance anti-tumoral immune surveillance, promote apoptosis of cancer cells, suppress tumor progression by their cytotoxic activity, and target the epigenetic changes in the cancer cell population. Evidence from the literature suggests that the role of probiotics in oral carcinogenesis is limited as compared to that in colon and gastric cancer. The present review aims to describe the immune modulation by probiotics in deterring carcinogenesis with an emphasis on oral cancer. We searched for relevant articles (in vitro and animal studies) published between January 2011 and December 2022 in PubMed, Scopus, and Google Scholar, both by electronic and manual means with the medical subject headings (MeSH) terms: “probiotics,” “carcinogenesis,” “immune modulation,” and “oral cancer.” The identified studies were analyzed by two independent reviewers according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Eight articles met the requirements and were included. The data suggested that probiotics had immunomodulatory and anti-tumorigenic effects. Clinical studies are required to encourage the assessment of probiotics to inhibit tumor cell proliferation, prevent metastasis, and support anti-cancer therapy.
益生菌调节免疫应答,增强抗肿瘤免疫监视,促进癌细胞凋亡,通过其细胞毒活性抑制肿瘤进展,并靶向肿瘤细胞群的表观遗传变化。文献证据表明,与结肠癌和胃癌相比,益生菌在口腔癌发生中的作用有限。本文综述了益生菌在预防口腔癌中的免疫调节作用。我们检索了2011年1月至2022年12月期间在PubMed、Scopus和Google Scholar上发表的相关文章(体外和动物研究),包括电子和手动方式,医学主题标题(MeSH)术语:“益生菌”、“致癌作用”、“免疫调节”和“口腔癌”。确定的研究由两名独立的审稿人根据系统评价和荟萃分析(PRISMA)指南的首选报告项目进行分析。8篇文章符合要求并被纳入。结果表明,益生菌具有免疫调节和抗肿瘤作用。需要临床研究来鼓励评估益生菌抑制肿瘤细胞增殖,防止转移,并支持抗癌治疗。
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引用次数: 0
The LapPath study: Comparison of pathologic outcomes of laparoscopic versus open rectal cancer surgery—A retrospective analysis from a tertiary cancer center in South India LapPath研究:腹腔镜与开放式直肠癌手术病理结果的比较——来自印度南部三级癌症中心的回顾性分析
Q1 Medicine Pub Date : 2023-01-01 DOI: 10.4103/crst.crst_168_23
N Aravind, Nizamudheen M. Pareekutty, Satheesan Balasubramanian, Akhil P. Suresh, Ratheesan Kumbakara
ABSTRACT Export Background: Total mesorectal excision (TME), which is the mainstay of the surgical management of carcinoma rectum, can either be achieved by open or laparoscopic techniques. Short-term benefits of laparoscopy were confirmed in previous meta-analyses, which found no difference in overall and disease-free survival, but data on pathologic outcomes of laparoscopy versus open surgery are heterogeneous. Objectives: The objective was to compare the pathological outcomes of laparoscopic with open rectal cancer resection. Materials and Methods: The LapPath (laparoscopic–pathological) study was a retrospective observational study conducted on patients with rectal cancers who underwent surgery between November 2017 and April 2020 at the Malabar Cancer Center, a tertiary cancer hospital in Thalassery, Kannur district in Kerala, South India. We divided the cohort based on whether the patients underwent laparoscopic or open surgery and compared various pathological outcomes in the two groups, including the quality of TME, nodal count, distal, and proximal margins. Results: We enrolled 170 patients, 98 (57%) had undergone laparoscopy and 72 (41.9%) had undergone open surgery. TME was complete in 68 (69.3%), near-complete in 30 (31%), and incomplete in 0 patients who underwent laparoscopic resection, versus 52 (72.2%), 20 (27.8%), and 0 patients who underwent open surgery; P, 0.554. The mean proximal margin was 11.1 cm (standard deviation [SD], 4.9) in the laparoscopic compared to 8.9 cm (SD, 6.5) in the open cohort; P, 0.434. The mean distal margin was 4.3 cm (SD, 2) in the laparoscopic group and 8 cm (SD, 6.6) in the open surgical group; P, 0.036. There were no cases in either group in which the proximal or distal margins were involved. The mean nodal count was also similar between the two groups: 10 (SD, 9.4) in the laparoscopic resection cohort and 9 (SD, 7.5) in the open surgery cohort; P, 0.475. Conclusions: Laparoscopic rectal cancer surgery leads to similar pathological outcomes as open surgery. This study contributes to the evidence for oncologic safety of laparoscopic rectal cancer resections in patients with disease staged up to T3.
摘要输出背景:直肠全系膜切除术(TME)是直肠癌外科治疗的主要方法,可通过开放或腹腔镜技术实现。先前的荟萃分析证实了腹腔镜手术的短期益处,发现总生存率和无病生存率没有差异,但腹腔镜手术与开放手术的病理结果数据存在差异。目的:比较腹腔镜下与开放式直肠癌切除术的病理结果。材料和方法:LapPath(腹腔镜-病理)研究是一项回顾性观察性研究,对2017年11月至2020年4月在印度南部喀拉拉邦坎努尔区Thalassery的三级癌症医院Malabar癌症中心接受手术的直肠癌患者进行了研究。我们根据患者是否接受腹腔镜或开放手术来划分队列,并比较两组的各种病理结果,包括TME质量、淋巴结计数、远端和近端边缘。结果:我们纳入170例患者,其中98例(57%)行腹腔镜手术,72例(41.9%)行开放手术。腹腔镜切除术患者TME完全68例(69.3%),接近完全30例(31%),不完全0例,开放手术患者52例(72.2%),20例(27.8%)和0例;0.554 P。腹腔镜组的平均近端切缘为11.1 cm(标准差[SD], 4.9),而开放组的平均近端切缘为8.9 cm (SD, 6.5);0.434 P。腹腔镜组远端切缘平均为4.3 cm (SD, 2),开放手术组平均为8 cm (SD, 6.6);0.036 P。两组均无近端或远端边缘受累的病例。两组的平均淋巴结数也相似:腹腔镜切除组为10个(SD, 9.4),开放手术组为9个(SD, 7.5);0.475 P。结论:腹腔镜直肠癌手术的病理结果与开放手术相似。本研究为分期至T3期的腹腔镜直肠癌切除术的肿瘤学安全性提供了证据。
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引用次数: 0
ROS1-positive lung cancer: Facts to be remembered ros1阳性肺癌:需要记住的事实
Q1 Medicine Pub Date : 2023-01-01 DOI: 10.4103/crst.crst_62_23
Unnikrishnan Puthillathu
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引用次数: 1
Bendamustine: An old drug for a potential new indication! 苯达莫司汀:一种有潜在新适应症的老药!
Q1 Medicine Pub Date : 2023-01-01 DOI: 10.4103/crst.crst_60_23
Sudhir Kirar, O. Suri, L. Kumar
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引用次数: 1
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Cancer Research, Statistics, and Treatment
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