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Analysis of Wilms Tumour Epidemiology, Clinicopathological Features and Treatment Outcomes in 84 Moroccan Patients 对 84 名摩洛哥患者的 Wilms 肿瘤流行病学、临床病理特征和治疗结果进行分析。
IF 1.5 Q4 ONCOLOGY Pub Date : 2024-11-07 DOI: 10.1002/cnr2.2158
Sara Benlhachemi, Mohammed Khattab, Kenza Hattoufi, Redouane Abouqal, Saber Boutayeb, Elmostafa El Fahime

Background

Wilms tumour (WT), the second most reported childhood cancer in Morocco, is a malignant kidney tumour that affects children under 15 years old. Prognosis has improved with the adoption of multimodal treatment. However, data on WT in Morocco remain limited.

Aims

This study aims to comprehensively describe and analyse the epidemiological, clinicopathological features and treatment outcomes of WT in Moroccan patients, including treatment response and recurrence rates.

Methods and Results

A retrospective study involved 84 children under 15 years with WT, treated according to the SIOP protocol and followed at the Paediatric Haematology and Oncology Centre at Children's hospital of Rabat, between January 2014 and February 2018. The median age of participants was 36 months, with a male/female sex ratio of 0.79. Abdominal mass was the primary concern in 55 cases (66%). Five patients (6%) had bilateral WT. Metastatic WT occurred in 21 cases (25%). Stage III was predominant in 33 cases (43%). Twenty cases (26%) had high-risk WT, and IVC tumour thrombus was observed in 12 cases (14%). WT histotype correlated significantly with both sex and tumour localisation (p values of 0.040 and 0.013, respectively). Age correlated significantly with WT extension, overall stage and SIOP histology risk grades (p values of 0.003, 0.003 and 0.045, respectively). Overall stage was statistically related to the occurrence of IVC tumour thrombus (p = 0.002). Over a 5-year span post-nephrectomy, complete remission was achieved in 63 patients (75%), partial remission in one patient (1%), while 19 patients (23%) died and one patient (1%) relapsed.

Conclusion

These findings are encouraging for a developing country. However, the elevated rates of Stages III and IVC thrombus in this series are still high, primarily attributed to delays in diagnosis and treatment and the limited number of paediatric haematology and oncology units at the time of the study. Nevertheless, further multicentric research is warranted to enrich Moroccan data and establish a national register for WT cases.

背景介绍Wilms瘤(WT)是摩洛哥报告的第二大儿童癌症,是一种影响15岁以下儿童的恶性肾肿瘤。随着多模式治疗的采用,预后有所改善。目的:本研究旨在全面描述和分析摩洛哥 WT 患者的流行病学、临床病理特征和治疗效果,包括治疗反应和复发率:2014年1月至2018年2月期间,84名15岁以下的WT患儿在拉巴特儿童医院儿科血液学和肿瘤学中心接受了SIOP方案治疗和随访。参与者的中位年龄为 36 个月,男女性别比为 0.79。55例(66%)患者的主要病症为腹部肿块。5例患者(6%)为双侧WT。21例(25%)发生转移性WT。33例(43%)患者以III期为主。20例(26%)为高危WT,12例(14%)观察到IVC瘤栓。WT 组织类型与性别和肿瘤定位有明显相关性(P 值分别为 0.040 和 0.013)。年龄与 WT 扩展、总体分期和 SIOP 组织学风险分级有明显相关性(p 值分别为 0.003、0.003 和 0.045)。总体分期与 IVC 肿瘤血栓的发生有统计学关系(p = 0.002)。在肾切除术后的5年时间里,63名患者(75%)的病情得到完全缓解,1名患者(1%)的病情得到部分缓解,19名患者(23%)死亡,1名患者(1%)复发:对于一个发展中国家来说,这些研究结果令人鼓舞。然而,该系列研究中 III 期和 IVC 血栓的发病率仍然很高,这主要归因于诊断和治疗的延误,以及研究时儿科血液学和肿瘤学单位的数量有限。尽管如此,仍有必要进一步开展多中心研究,以丰富摩洛哥的数据,并建立全国 WT 病例登记册。
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引用次数: 0
Significant Pathologic Response Following Neoadjuvant Therapy and Curative Resection in Patients With Rectal Cancer: Surgical and Oncological Outcomes From a Retrospective Cohort Study 直肠癌患者接受新辅助治疗和根治性切除术后的显著病理反应:一项回顾性队列研究的手术和肿瘤学结果。
IF 1.5 Q4 ONCOLOGY Pub Date : 2024-11-07 DOI: 10.1002/cnr2.70041
Fatemeh Shahabi, Majid Ansari, Khadijeh Najafi Ghobadi, Abolfazl Ghahramani, Amiresmaeil Parandeh, Maryam Saberi-Karimian, Ala Orafaie, Abbas Abdollahi

Aim

This study evaluated surgical complication rates, recurrence-free survival, overall survival (OS), and stoma status of patients with rectal cancer after significant pathologic response following neoadjuvant treatment and curative resection. Pathologic complete response (pCR) and near-pCR patients constitute patients in our study.

Methods

Included was a retrospective cohort study of patients with rectal cancer who were diagnosed between July 2011 and September 2022 and who underwent neoadjuvant therapy and surgical resection.

Results

Of 696 patients with rectal cancer, 149 (21.4%) cases achieved significant pathologic response. During the 64 (70.5) months of follow-up, recurrence occurred in 16.1% of patients and distant metastases account for the majority of them. Age (p = 0.014) and receiving adjuvant chemotherapy (p = 0.016) were significantly related to the occurrence of recurrence. The five-year recurrence-free survival (RFS) and OS rates were obtained at 83% and 87%, respectively. Although age and surgical technique were significant factors in univariate Cox regression analysis, none of the candidate variables were significant prognostic factors for RFS in the multiple models. The risk of surgical complications remained in these patients. The most frequent complication attributed to infection (20.8%). Despite the 24.8% presence of permanent stoma at primary surgery, more than 50% of our patients lived without stoma at the last follow-up.

Conclusion

Our recurrence rate was about 16%, and it was related to age and adjuvant chemotherapy. These patients achieved over 80% rates of five-year RFS and OS. No significant prognostic factors were found on RFS in the multivariable model. As a matter of course, the risk of surgical complications and permanent stoma has still remained in these patients.

目的:本研究评估了新辅助治疗和根治性切除术后病理反应明显的直肠癌患者的手术并发症发生率、无复发生存率、总生存率(OS)和造口情况。病理完全反应(pCR)和接近pCR的患者构成我们的研究对象:研究对象为2011年7月至2022年9月期间确诊并接受新辅助治疗和手术切除的直肠癌患者,这是一项回顾性队列研究:在696例直肠癌患者中,149例(21.4%)获得了明显的病理反应。在64(70.5)个月的随访期间,16.1%的患者出现复发,其中大部分为远处转移。年龄(p = 0.014)和接受辅助化疗(p = 0.016)与复发显著相关。五年无复发生存率(RFS)和OS率分别为83%和87%。虽然年龄和手术技术在单变量考克斯回归分析中是重要因素,但在多重模型中,候选变量都不是RFS的重要预后因素。这些患者仍存在手术并发症的风险。最常见的并发症是感染(20.8%)。尽管24.8%的患者在初次手术时存在永久性造口,但超过50%的患者在最后一次随访时没有造口:我们的复发率约为16%,与年龄和辅助化疗有关。这些患者的五年RFS和OS率均超过80%。在多变量模型中未发现影响RFS的重要预后因素。当然,这些患者仍存在手术并发症和永久造口的风险。
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引用次数: 0
Definite Treatment Delay With Neoadjuvant Chemotherapy and Longitudinal Monitoring by Circulating Tumor DNA for Advanced Cervical Cancer During Pregnancy: A Case Series and Literature Review 妊娠期晚期宫颈癌的新辅助化疗和循环肿瘤 DNA 纵向监测可明确延迟治疗:病例系列和文献综述。
IF 1.5 Q4 ONCOLOGY Pub Date : 2024-11-07 DOI: 10.1002/cnr2.70021
Xiaoyu Zhang, Hong Yu, Kai Chen, Bo Ding, Yang Shen

Background

Previous studies mainly concentrate on neoadjuvant chemotherapy (NACT) for delivery delay in FIGO Stage IB1–IIIB cervical cancer during pregnancy to prevent early preterm delivery while not affecting maternal outcome.

Case

Here, we described two pregnant patients with FIGO Stage IIIC cervical cancer about their diagnosis, treatment, and outcome. Both patients underwent cesarean delivery, left enlarged lymph node dissection, and longitudinal monitoring by circulating tumor DNA. Our study suggested that pregnant patient was completely response to NACT, which was confirmed by ctDNA monitoring, followed by left pelvic enlarged lymph node dissection during cesarean section and adjuvant chemoradiotherapy postpartum. The infant grew normally, without any evidence of chemotherapy-related side effects after delivery.

Conclusion

In pregnant women with advanced cervical cancer, longitudinal ctDNA monitoring might be able to evaluate maternal response to NACT and confirm if delivery delay to optimize fetal outcome would compacting the maternal outcomes or not. Cervical cancer may not transmit across the placental barrier and so it is safe for delayed delivery until fetal maturity in utero during pregnancy.

背景:病例:我们在此描述了两名妊娠期FIGO IIIC期宫颈癌患者的诊断、治疗和结局。两名患者均接受了剖宫产、左侧肿大淋巴结清扫术和循环肿瘤 DNA 纵向监测。我们的研究表明,怀孕患者对 NACT 完全应答,ctDNA 监测证实了这一点,随后在剖腹产时进行了左盆腔肿大淋巴结清扫术,并在产后进行了辅助化放疗。婴儿发育正常,产后无任何化疗相关副作用:结论:对于罹患晚期宫颈癌的孕妇,ctDNA纵向监测或许能评估母体对NACT的反应,并确认延迟分娩以优化胎儿的预后是否会影响母体的预后。宫颈癌可能不会通过胎盘屏障传播,因此在孕期推迟分娩直到胎儿成熟是安全的。
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引用次数: 0
VZV Prophylaxis After Allogeneic Hematopoietic Stem Cell Transplantation in Children: When to Stop? 儿童异基因造血干细胞移植后的 VZV 预防:何时停止?
IF 1.5 Q4 ONCOLOGY Pub Date : 2024-11-07 DOI: 10.1002/cnr2.70015
Eva de Berranger, Anne-Flore Derache, Nassima Ramdane, Julien Labreuche, Pauline Navarin, Fanny Gonzales, Wadih Abou-Chahla, Brigitte Nelken, Bénédicte Bruno

Background

Acyclovir treatment is an efficient prophylaxis to prevent varicella-zoster virus (VZV) reactivation after allogeneic hematopoietic stem cell transplantation (HSCT).

Aims

This single center retrospective study tried to determine if the lymphocytes immunophenotyping could help to determine the duration of prophylaxis, and evaluated complications, and associated risk factors for VZV infection.

Methods and Results

Eighty-four children underwent an allogeneic HSCT, in which 77 received an acyclovir prophylaxis. Twenty-one of the 77 had a VZV infection with an incidence rate of 1.30 per 100 patients-months (exact 95% CI, 0.81 to 2.01). Among these 21 patients with VZV infection, 16 had an infection after withdrawing acyclovir prophylaxis within a median of 49 days (range, 11 days–5.8 months). Thirty-five percent of the VZV infected patients were hospitalized, 9% had a visceral dissemination, and 9% had postherpetic neuralgia. In multivariate analysis, higher VZV infection rate was associated with conditioning regimen with total body irradiation, immunoglobulin substitution, and antithymocyte globulin. The incidence of VZV infection increased significantly when patients had a CD4+ lymphocytes count below 23% (cHR 3.28 [95% CI, 1.09–9.81]; p = 0.03) or a CD4+/CD8+ ratio less than 0.9 (cHR 3.13 [95% CI, 1.04–9.36]; p = 0.04) at the time of stopping acyclovir prophylaxis.

Conclusion

After cessation of acyclovir prophylaxis, VZV reactivation can occur and be responsible for morbidity after allogeneic HSCT. This study suggests that the proportion of CD4+ lymphocytes and the CD4+/CD8+ ratio can inform decisions about the duration of acyclovir prophylaxis after allogeneic HSCT to prevent VZV reactivation.

背景:阿昔洛韦治疗是异基因造血干细胞移植(HSCT)后预防水痘-带状疱疹病毒(VZV)再活化的有效预防措施。目的:这项单中心回顾性研究试图确定淋巴细胞免疫分型是否有助于确定预防措施的持续时间,并评估并发症以及VZV感染的相关危险因素:84名儿童接受了异基因造血干细胞移植,其中77人接受了阿昔洛韦预防治疗。77 人中有 21 人感染了 VZV,发病率为每 100 个患者月 1.30 例(精确的 95% CI,0.81 至 2.01)。在这 21 名 VZV 感染患者中,有 16 人在停用阿昔洛韦预防后的中位数 49 天内(范围为 11 天至 5.8 个月)又发生了感染。35%的 VZV 感染者住院治疗,9%的患者出现内脏播散,9%的患者出现带状疱疹后遗神经痛。在多变量分析中,较高的 VZV 感染率与全身照射、免疫球蛋白替代和抗胸腺细胞球蛋白等调理方案有关。当患者停止阿昔洛韦预防治疗时,CD4+淋巴细胞计数低于23%(cHR 3.28 [95% CI, 1.09-9.81];p = 0.03)或CD4+/CD8+比值低于0.9(cHR 3.13 [95% CI, 1.04-9.36];p = 0.04),VZV感染的发生率会显著增加:结论:停止阿昔洛韦预防治疗后,可能会出现 VZV 再激活,并导致异基因造血干细胞移植后的发病。这项研究表明,CD4+淋巴细胞的比例和CD4+/CD8+的比率可为决定异基因造血干细胞移植后阿昔洛韦预防治疗的持续时间提供依据,从而预防VZV再激活。
{"title":"VZV Prophylaxis After Allogeneic Hematopoietic Stem Cell Transplantation in Children: When to Stop?","authors":"Eva de Berranger,&nbsp;Anne-Flore Derache,&nbsp;Nassima Ramdane,&nbsp;Julien Labreuche,&nbsp;Pauline Navarin,&nbsp;Fanny Gonzales,&nbsp;Wadih Abou-Chahla,&nbsp;Brigitte Nelken,&nbsp;Bénédicte Bruno","doi":"10.1002/cnr2.70015","DOIUrl":"10.1002/cnr2.70015","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Acyclovir treatment is an efficient prophylaxis to prevent varicella-zoster virus (VZV) reactivation after allogeneic hematopoietic stem cell transplantation (HSCT).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This single center retrospective study tried to determine if the lymphocytes immunophenotyping could help to determine the duration of prophylaxis, and evaluated complications, and associated risk factors for VZV infection.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods and Results</h3>\u0000 \u0000 <p>Eighty-four children underwent an allogeneic HSCT, in which 77 received an acyclovir prophylaxis. Twenty-one of the 77 had a VZV infection with an incidence rate of 1.30 per 100 patients-months (exact 95% CI, 0.81 to 2.01). Among these 21 patients with VZV infection, 16 had an infection after withdrawing acyclovir prophylaxis within a median of 49 days (range, 11 days–5.8 months). Thirty-five percent of the VZV infected patients were hospitalized, 9% had a visceral dissemination, and 9% had postherpetic neuralgia. In multivariate analysis, higher VZV infection rate was associated with conditioning regimen with total body irradiation, immunoglobulin substitution, and antithymocyte globulin. The incidence of VZV infection increased significantly when patients had a CD4+ lymphocytes count below 23% (cHR 3.28 [95% CI, 1.09–9.81]; <i>p</i> = 0.03) or a CD4<sup>+</sup>/CD8<sup>+</sup> ratio less than 0.9 (cHR 3.13 [95% CI, 1.04–9.36]; <i>p</i> = 0.04) at the time of stopping acyclovir prophylaxis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>After cessation of acyclovir prophylaxis, VZV reactivation can occur and be responsible for morbidity after allogeneic HSCT. This study suggests that the proportion of CD4+ lymphocytes and the CD4<sup>+</sup>/CD8<sup>+</sup> ratio can inform decisions about the duration of acyclovir prophylaxis after allogeneic HSCT to prevent VZV reactivation.</p>\u0000 </section>\u0000 </div>","PeriodicalId":9440,"journal":{"name":"Cancer reports","volume":"7 11","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11541057/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142589515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Impact of Age and Gender on Survival of Glioblastoma Multiforme Patients: A Multicenter Retrospective Study 年龄和性别对多形性胶质母细胞瘤患者存活率的影响:一项多中心回顾性研究
IF 1.5 Q4 ONCOLOGY Pub Date : 2024-11-07 DOI: 10.1002/cnr2.70050
Zoheir Reihanian, Elahe Abbaspour, Nooshin Zaresharifi, Sahand Karimzadhagh, Maral Mahmoudalinejad, Ainaz Sourati, Mohaya Farzin, Habib EslamiKenarsari

Background

Glioblastoma multiforme (GBM) poses a significant health challenge as the most common primary malignancy of the adult central nervous system. Gender- and age-related differences in GBM influence prognosis and treatment complexities. This multicenter retrospective study explores gender and age disparities in GBM patients, investigating their impact on occurrence and survival outcomes.

Methods

This multicenter retrospective study involved GBM patients treated in Guilan Province, Iran. Patients' data, including age, gender, tumor location, and histopathological diagnosis date, was collected from medical records.

Results

In a cohort of 164 GBM patients, the average age was 54.34 ± 14.16 years, with a higher prevalence among men (59.8%) and patients aged ≤ 60 years (64.6%). The tumor sites exhibited overlapping features in 68% of cases, with the frontal and temporal lobes being the most common specific locations. The mean survival was 12.88 ± 14.14 months, one-year survival of 45%, with women showing significantly higher one-year survival (60% vs. 40%) and longer mean survival (16.14 ± 17.35 vs. 10.75 ± 11.15 months). Furthermore, Patients ≤ 60 years had significantly higher one-year survival (75% vs. 35%). In subgroup analysis, women had significantly higher survival rates in patients ≤ 60 years. However, among patients over 60, women exhibited a more pronounced decline in survival rates, with no statistically significant difference between men and women in this age group.

Conclusion

This study highlights that both age and gender significantly affect GBM survival outcomes. Younger patients, particularly women, exhibited better survival rates, while older patients, especially women, showed poorer outcomes. These findings suggest the need to stratify treatment approaches by both age and gender to optimize care and improve survival in GBM patients. Further research is recommended to explore these associations.

背景:多形性胶质母细胞瘤(GBM多形性胶质母细胞瘤(GBM)是成人中枢神经系统最常见的原发性恶性肿瘤,对健康构成重大挑战。GBM 的性别和年龄差异影响着预后和治疗的复杂性。这项多中心回顾性研究探讨了 GBM 患者的性别和年龄差异,研究其对发生和生存结果的影响:这项多中心回顾性研究涉及在伊朗吉兰省接受治疗的 GBM 患者。从病历中收集患者数据,包括年龄、性别、肿瘤位置和组织病理学诊断日期:在 164 例 GBM 患者中,平均年龄为(54.34 ± 14.16)岁,男性(59.8%)和年龄小于 60 岁的患者(64.6%)发病率较高。68%的病例的肿瘤部位具有重叠特征,额叶和颞叶是最常见的特定部位。平均生存期为(12.88 ± 14.14)个月,一年生存率为 45%,其中女性的一年生存率(60% vs. 40%)和平均生存期(16.14 ± 17.35 vs. 10.75 ± 11.15)明显更高。此外,60 岁以下患者的一年生存率明显更高(75% 对 35%)。在亚组分析中,女性患者的生存率明显高于≤60岁的患者。然而,在60岁以上的患者中,女性的存活率下降更为明显,该年龄组中男女之间的差异在统计学上并不显著:结论:本研究强调,年龄和性别对 GBM 的存活率有重大影响。年轻患者,尤其是女性患者的生存率较高,而年长患者,尤其是女性患者的生存率较低。这些发现表明,有必要根据年龄和性别对治疗方法进行分层,以优化治疗并提高 GBM 患者的生存率。建议进一步开展研究,探讨这些关联。
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引用次数: 0
Total Minimally Invasive Curative Staged Resections After Induction Systemic Therapy for Metastatic Rectal Cancer 转移性直肠癌诱导性全身治疗后的全微创治愈性分期切除术
IF 1.5 Q4 ONCOLOGY Pub Date : 2024-11-07 DOI: 10.1002/cnr2.70051
Tohru Takahashi, Takahiro Ishii, Taku Maejima, Dai Miyazaki, Susumu Fukahori, Hiroaki Kuwahara, Eriko Aimono, Taichi Kimura, Mitsuru Yanai, Masahiro Hagiwara

Background

Intensified systemic chemotherapy following minimally invasive surgery for patients with unresectable metastatic colorectal cancer is performed to achieve curative resection and improve quality of life. We report a case of initially unresectable rectal cancer with metastases treated with laparoscopic and thoracoscopic staged resections after triplet chemotherapy plus bevacizumab.

Case

A 71-year-old man was referred to our hospital to examine the cause of constipation. A circumferential adenocarcinoma with extramural invasion and lateral lymphadenopathy was identified in the lower rectum with simultaneous metastatic liver and lung tumors. Intensified triplet chemotherapy plus bevacizumab was conducted to treat oncologically unresectable rectal cancer to avoid positive radial margins during surgical resection. Eleven cycles of chemotherapy resulted in regression of the tumors with metastases. Laparoscopic low anterior resection with lateral lymph node dissection was performed. Three months later, laparoscopic liver resection of the posterosuperior segment was performed without complications. Finally, the patient underwent thoracoscopic-assisted pulmonary segmentectomy of the right basal lobe. All resected tumors had negative surgical margins, and the patient has been surviving without adjuvant chemotherapy.

Conclusion

Minimally invasive staged resection and intensified chemotherapy for the treatment of initially unresectable metastatic colorectal cancer should be performed by a skilled surgical team in coordination with a multidisciplinary team.

背景:微创手术后对无法切除的转移性结直肠癌患者进行强化全身化疗,以实现治愈性切除并改善生活质量。我们报告了一例经三联化疗加贝伐单抗治疗后,采用腹腔镜和胸腔镜分期切除术治疗的最初不可切除的转移性直肠癌病例:一名 71 岁的男性因便秘原因转诊至我院。在直肠下段发现了伴有壁外浸润和侧淋巴结病变的环状腺癌,同时还发现了肝脏和肺部的转移瘤。患者接受了强化三联化疗加贝伐单抗治疗肿瘤无法切除的直肠癌,以避免手术切除时出现放射状边缘阳性。十一个化疗周期后,有转移的肿瘤均已消退。患者接受了腹腔镜低位前切除术和侧淋巴结清扫术。三个月后,又进行了腹腔镜肝脏后上段切除术,未出现并发症。最后,患者接受了胸腔镜辅助下的右基叶肺段切除术。所有切除肿瘤的手术切缘均为阴性,患者在未接受辅助化疗的情况下一直存活:结论:治疗初期无法切除的转移性结直肠癌的微创分期切除术和强化化疗应由技术娴熟的外科团队与多学科团队合作进行。
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引用次数: 0
Assessing the Concordance of Clinical and Pathological Diagnoses in Basal Cell Carcinoma Among the Iranian Population: A Cross-Sectional Analysis of 229 Cases 评估伊朗人基底细胞癌临床诊断与病理诊断的一致性:对 229 例病例的横断面分析。
IF 1.5 Q4 ONCOLOGY Pub Date : 2024-10-28 DOI: 10.1002/cnr2.70040
Fatemeh Farshad, Elham Behrangi, Alireza Jafarzadeh, Masoumeh Roohaninasab, Nasrin Shayanfar, Zeinab Aryanian, Parvaneh Hatami, Azadeh Goodarzi

Background

Nonmelanoma skin cancer (NMSC) is the most prevalent malignancy globally, with basal cell carcinoma (BCC) being the most common type.

Aims

This study aims to evaluate the concordance between clinical and pathological diagnoses of BCC, emphasizing the importance of early detection.

Methods and Results

In this cross-sectional study, we conducted a retrospective review of clinical and pathological records for 229 patients diagnosed with BCC between 2020 and 2024. The analysis focused on gender, age, lesion location, and diagnostic accuracy. Among the 229 patients, 193 were men (84.3%), and 131 (57.2%) had recorded clinical diagnoses. The mean age of diagnosed patients was 67.72 years. Lesions were primarily located on the scalp (29.5%), face (26.4%), and nose (13.9%). Of the pathological evaluations, 184 cases (80.3%) confirmed BCC, while 45 cases had alternative diagnoses. Notably, 94.6% of clinically diagnosed patients were suspected to have BCC by their physicians. A significant portion of cases (42%) lacked prior clinical diagnoses, reflecting a potential gap in education among nondermatologists regarding BCC recognition.

Conclusion

The study found high concordance between clinical and pathological diagnoses of BCC, underscoring the need for improved clinical assessment skills among healthcare providers. Collaboration with dermatologists is essential for accurate diagnosis and improved patient outcomes. Enhanced training in recognizing BCC symptoms is recommended to address the identified gaps in clinical suspicion.

背景:非黑色素瘤皮肤癌(NMSC)是全球发病率最高的恶性肿瘤,其中基底细胞癌(BCC)是最常见的类型。目的:本研究旨在评估BCC临床诊断和病理诊断之间的一致性,强调早期检测的重要性:在这项横断面研究中,我们对2020年至2024年间确诊为BCC的229名患者的临床和病理记录进行了回顾性审查。分析的重点是性别、年龄、病变位置和诊断准确性。在这 229 名患者中,193 人为男性(84.3%),131 人(57.2%)有临床诊断记录。确诊患者的平均年龄为 67.72 岁。病变主要位于头皮(29.5%)、面部(26.4%)和鼻部(13.9%)。在病理评估中,184 例(80.3%)确诊为 BCC,45 例为其他诊断。值得注意的是,94.6%的临床诊断患者被其医生怀疑患有 BCC。相当一部分病例(42%)之前没有临床诊断,这反映出非皮肤科医生在BCC识别教育方面可能存在差距:研究发现,BCC 的临床诊断和病理诊断之间的一致性很高,这说明医疗服务提供者需要提高临床评估技能。与皮肤科医生合作对于准确诊断和改善患者预后至关重要。建议加强识别 BCC 症状的培训,以弥补临床怀疑方面的不足。
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引用次数: 0
JAK Inhibitor Upadacitinib Induces Remission in Refractory Immune-Related Colitis Triggered by CTLA-4 and PD-1 Inhibitor Combination Therapy in Malignant Pleural Mesothelioma: A Case Report JAK抑制剂乌达替尼诱导恶性胸膜间皮瘤CTLA-4和PD-1抑制剂联合疗法引发的难治性免疫相关性结肠炎缓解:病例报告。
IF 1.5 Q4 ONCOLOGY Pub Date : 2024-10-28 DOI: 10.1002/cnr2.70032
Masashi Kono, Yoriaki Komeda, Hisato Kawakami, Satoru Hagiwara, George Tribonias, Kohei Handa, Shunsuke Omoto, Mamoru Takenaka, Hiroshi Kashida, Naoko Tsuji, Masatoshi Kudo

Background

Immune checkpoint inhibitors have demonstrated efficacy against various cancers; however, there is a rising incidence of immune-related colitis. Some cases of immune-related colitis prove resistant to treatment, even with the administration of glucocorticoids or infliximab, and there is currently no established standard treatment for such cases.

Case

The patient, a 73-year-old male, had undergone combination therapy for malignant pleural mesothelioma for 2 years, utilizing both ipilimumab (a CTLA-4 inhibitor) and nivolumab (a PD-1 inhibitor). Unfortunately, the treatment led to side effects, specifically immune-related adverse event (irAE) enterocolitis. Steroid and infliximab treatment failed to improve the patient's condition. Treatment with tacrolimus was attempted, but the patient remained unresponsive. Subsequently, 45 mg of upadacitinib, a Janus kinase (JAK) inhibitor, was administered. Symptoms improved rapidly following upadacitinib administration, and endoscopy also revealed positive results. With the increasing incidence of immune-related colitis, some patients have become resistant to treatment with glucocorticoids and infliximab. In this case, the irAE enterocolitis was improved by upadacitinib administration.

Conclusion

In cases where immune-related colitis proves resistant to treatment with glucocorticoids, infliximab, or tacrolimus, upadacitinib represents a potential option as a JAK inhibitor.

背景:免疫检查点抑制剂对多种癌症具有疗效,但免疫相关性结肠炎的发病率却在不断上升。病例:患者是一名 73 岁的男性,接受了 2 年的恶性胸膜间皮瘤联合治疗,同时使用了伊匹单抗(CTLA-4 抑制剂)和尼维单抗(PD-1 抑制剂)。不幸的是,治疗导致了副作用,特别是免疫相关不良事件(irAE)肠炎。类固醇和英夫利昔单抗治疗未能改善患者的病情。医生尝试使用他克莫司治疗,但患者仍无反应。随后,患者接受了 45 毫克的达帕西替尼(一种 Janus 激酶 (JAK) 抑制剂)治疗。服用达帕替尼后,症状迅速得到改善,内镜检查也显示出阳性结果。随着免疫相关性结肠炎发病率的增加,一些患者对糖皮质激素和英夫利昔单抗的治疗产生了耐药性。在本病例中,服用达帕替尼后irAE肠炎得到了改善:结论:在免疫相关性结肠炎对糖皮质激素、英夫利昔单抗或他克莫司治疗耐药的病例中,达帕替尼是一种潜在的 JAK 抑制剂。
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引用次数: 0
Plant-Based Anticancer Compounds With a Focus on Breast Cancer 以植物为基础的抗癌化合物,重点关注乳腺癌。
IF 1.5 Q4 ONCOLOGY Pub Date : 2024-10-25 DOI: 10.1002/cnr2.70012
Amin Moradi Hasan-Abad, Amir Atapour, Ali Sobhani-Nasab, Hossein Motedayyen, Reza ArefNezhad

Breast cancer is a common form of cancer among women characterized by the growth of malignant cells in the breast tissue. The most common treatments for this condition include chemotherapy, surgical intervention, radiation therapy, hormone therapy, and biological therapy. The primary issues associated with chemotherapy and radiation therapy are their adverse events and significant financial burden among patients in underdeveloped countries. This highlights the need to explore and develop superior therapeutic options that are less detrimental and more economically efficient. Plants provide an abundant supply of innovative compounds and present a promising new avenue for investigating cancer. Plants and their derivations are undergoing a revolution due to their reduced toxicity, expediency, cost-effectiveness, safety, and simplicity in comparison to conventional treatment methods. Natural products are considered promising candidates for the development of anticancer drugs, due perhaps to the diverse pleiotropic effects on target events. The effects of plant-derived products are limited to cancer cells while leaving healthy cells unaffected. Identification of compounds with strong anticancer properties and development of plant-based medications for cancer treatment might be crucial steps in breast cancer therapy. Although bioactive compounds have potent anticancer properties, they also have drawbacks that need to be resolved before their application in clinical trials and improved for the approved drugs. This study aims to give comprehensive information on known anticancer compounds, including their sources and molecular mechanisms of actions, along with opportunities and challenges in plant-based anticancer therapies.

乳腺癌是女性中常见的一种癌症,其特征是乳腺组织中恶性细胞的生长。最常见的治疗方法包括化疗、手术治疗、放射治疗、激素治疗和生物治疗。与化疗和放疗相关的主要问题是其不良反应和对不发达国家患者造成的巨大经济负担。这凸显了探索和开发危害更小、更经济有效的优质治疗方案的必要性。植物提供了丰富的创新化合物,为研究癌症提供了一条前景广阔的新途径。与传统治疗方法相比,植物及其衍生物具有毒性低、方便快捷、成本效益高、安全简单等优点,因此正在经历一场革命。天然产品被认为是开发抗癌药物的理想候选物,这可能是因为它们对目标事件具有多种多样的多效应。植物提取物的作用仅限于癌细胞,而健康细胞则不受影响。鉴定具有强大抗癌特性的化合物和开发治疗癌症的植物药物可能是乳腺癌治疗的关键步骤。虽然生物活性化合物具有很强的抗癌特性,但它们也有一些缺点,需要在应用于临床试验之前加以解决,并改进为已批准的药物。本研究旨在全面介绍已知的抗癌化合物,包括其来源和分子作用机制,以及植物抗癌疗法的机遇和挑战。
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引用次数: 0
Inhibiting lncRNA NEAT1 Increases Glioblastoma Response to TMZ by Reducing Connexin 43 Expression 抑制lncRNA NEAT1可通过减少Connexin 43的表达增加胶质母细胞瘤对TMZ的反应
IF 1.5 Q4 ONCOLOGY Pub Date : 2024-10-25 DOI: 10.1002/cnr2.70031
Jinxing Liang, Jia-xiu Xie, Junhui He, Yi Li, Dongmei Wei, Rongfei Zhou, Guining Wei, Xuehua Liu, Qiudan Chen, Dongmei Li

Objectives

Glioblastoma multiforme (GBM) is considered the most assailant subtype of gliomas, presenting a formidable obstacle because of its inherent resistance to temozolomide (TMZ). This study aimed to characterize the function of lncRNA NEAT1 in facilitating the advancement of gliomas.

Methods

The expression level of NEAT1 in glioma tissues and cells was detected by qRT-PCR. RNA interference experiment, cell proliferation assay, FITC/PI detection assay, immunoblotting, bioinformatics prediction, a double luciferase reporter gene assay, RNA immunoprecipitation (RIP) assay, SLDT assay and correlation analysis of clinical samples were performed to explore the regulatory effects of NEAT1, miR-454-3p and Cx43 and their role in malignant progression of GBM. The role of NEAT1 in vivo was investigated by an intracranial tumor formation experiment in mice.

Results

The results showed that recurring gliomas displayed elevated levels of NEAT1 compared to primary gliomas. The suppression of NEAT1 led to a restoration of sensitivity in GBM cells to TMZ. NEAT1 functioned as a competitive endogenous RNA against miR-454-3p. Connexin 43 was identified as a miR-454-3p target. NEAT1 was found to regulate gap junctional intercellular communication by modulating Connexin 43, thereby impacting the response of GBM cells to TMZ chemotherapy. Downregulation of NEAT1 resulted in enhanced chemosensitivity to TMZ and extended the survival of mice.

Conclusions

Overall, these results indicated that the NEAT1/miR-454-3p/Connexin 43 pathway influences GBM cell response to TMZ and could offer a potential new strategy for treating GBM.

研究目的多形性胶质母细胞瘤(GBM)被认为是胶质瘤中最具攻击性的亚型,因其对替莫唑胺(TMZ)固有的抗药性而构成了巨大的障碍。本研究旨在阐明lncRNA NEAT1在促进胶质瘤发展中的功能:方法:通过 qRT-PCR 检测神经胶质瘤组织和细胞中 NEAT1 的表达水平。通过RNA干扰实验、细胞增殖实验、FITC/PI检测实验、免疫印迹、生物信息学预测、双荧光素酶报告基因实验、RNA免疫沉淀(RIP)实验、SLDT实验和临床样本的相关性分析,探讨NEAT1、miR-454-3p和Cx43的调控作用及其在GBM恶性进展中的作用。通过小鼠颅内肿瘤形成实验研究了 NEAT1 在体内的作用:结果表明,与原发性胶质瘤相比,复发性胶质瘤的 NEAT1 水平升高。抑制 NEAT1 可使 GBM 细胞恢复对 TMZ 的敏感性。NEAT1 对 miR-454-3p 起着竞争性内源性 RNA 的作用。发现Connexin 43是miR-454-3p的靶点。研究发现,NEAT1通过调节Connexin 43来调节细胞间隙连接通讯,从而影响GBM细胞对TMZ化疗的反应。下调 NEAT1 可增强小鼠对 TMZ 的化疗敏感性,延长小鼠的生存期:总之,这些结果表明,NEAT1/miR-454-3p/Connexin 43通路影响了GBM细胞对TMZ的反应,可为治疗GBM提供一种潜在的新策略。
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引用次数: 0
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