Chemotherapy最新文献

筛选
英文 中文
3-4 Cycles versus 6 Cycles Neoadjuvant Chemotherapy in Advanced-Stage Epithelial Ovarian Cancer: Survival Is Not Determined by the Number of Neoadjuvant Chemotherapy Cycles. 晚期上皮性卵巢癌 3-4 个周期与 6 个周期的 NACT:生存率并非由 NACT 周期数决定。
IF 3.3 4区 医学
Chemotherapy Pub Date : 2024-01-01 Epub Date: 2023-12-19 DOI: 10.1159/000535755
Tugan Bese, Elifnur Bicer, Basak Ozge Kayan, Sait Sukru Cebi, Abdullah Serdar Acikgoz, Hande Turna, Fuat Demirkiran
{"title":"3-4 Cycles versus 6 Cycles Neoadjuvant Chemotherapy in Advanced-Stage Epithelial Ovarian Cancer: Survival Is Not Determined by the Number of Neoadjuvant Chemotherapy Cycles.","authors":"Tugan Bese, Elifnur Bicer, Basak Ozge Kayan, Sait Sukru Cebi, Abdullah Serdar Acikgoz, Hande Turna, Fuat Demirkiran","doi":"10.1159/000535755","DOIUrl":"10.1159/000535755","url":null,"abstract":"<p><strong>Introduction: </strong>The aim of this study was to compare the disease-free survival (DFS) and overall survival (OS) of patients who underwent interval cytoreductive surgery after 3-4 cycles or 6 cycles of neoadjuvant chemotherapy (NACT) in advanced epithelial ovarian cancer patients.</p><p><strong>Methods: </strong>Out of 219 patients with advanced epithelial ovarian cancer, 123 patients received 3-4 cycles and 96 patients received 6 cycles of platinum-based NACT. Afterward, laparotomy was performed for interval cytoreductive surgery.</p><p><strong>Results: </strong>No statistically significant difference was found for DFS and OS of the patients who received 3-4 cycles and those who received 6 cycles of NACT (HR: 1.047, 95.0% CI [0.779-1.407]; p: 0.746 for DFS, and HR: 1.181, 95.0% CI [0.818-1.707]; p: 0.368 for OS). Evaluating 123 patients who received 3-4 cycles of NACT, 87 patients (70.7%) without macroscopic residual tumor after interval cytoreductive surgery had significantly longer DFS and OS compared to 36 patients (29.3%) with any residual tumor (HR: 1.830, 95.0% CI [1.194-2.806]; p: 0.003 for DFS, and HR: 1.946, 95.0% CI [1.166-3.250]; p: 0.009 for OS). 96 patients who received 6 courses of NACT were evaluated; 63 patients (65.6%) without macroscopic residual tumor after interval cytoreductive surgery had significantly longer DFS and OS than 33 patients (34.4%) with any residual tumor (HR: 1.716, 9 5.0% CI [1.092-2.697]; p: 0.010 for DFS, and HR: 1.921, 95.0% CI [1.125-3.282]; p: 0.013 for OS).</p><p><strong>Conclusion: </strong>In patients with advanced ovarian cancer, there is no significant difference in DFS and OS between 3 and 4 cycles or 6 cycles of NACT. The most important factor determining survival is whether macroscopic residual tumor tissue remains after interval cytoreductive surgery following NACT.</p>","PeriodicalId":10047,"journal":{"name":"Chemotherapy","volume":" ","pages":"122-132"},"PeriodicalIF":3.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138798532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Secreted Frizzled-Related Protein 4 Induces Gastric Cancer Progression and Resistance to Cisplatin and Oxaliplatin via β-Catenin Dysregulation. 分泌的褐藻素相关蛋白4通过β-catenin失调诱导胃癌进展以及对顺铂和奥沙利铂的耐药性
IF 2 4区 医学
Chemotherapy Pub Date : 2024-01-01 Epub Date: 2023-12-10 DOI: 10.1159/000533767
Chun-Han Chen, Chih-Jung Chen, Yi-Ching Huang, Po-Shuan Huang, Hsiang-Cheng Chi, Huei-Chieh Chuang, Meng-Hung Lin, Tzu-Hao Huang, Jun-Te Hsu, Cheng-Yi Chen
{"title":"Secreted Frizzled-Related Protein 4 Induces Gastric Cancer Progression and Resistance to Cisplatin and Oxaliplatin via β-Catenin Dysregulation.","authors":"Chun-Han Chen, Chih-Jung Chen, Yi-Ching Huang, Po-Shuan Huang, Hsiang-Cheng Chi, Huei-Chieh Chuang, Meng-Hung Lin, Tzu-Hao Huang, Jun-Te Hsu, Cheng-Yi Chen","doi":"10.1159/000533767","DOIUrl":"10.1159/000533767","url":null,"abstract":"<p><strong>Introduction: </strong>Gastric cancer is the fifth most common cancer and third leading cause of cancer-related death worldwide. There are three main ways to treat gastric cancer: surgical resection, radiation therapy, and drug therapy. Furthermore, combinations of two to three regimens can improve survival. However, the survival outcomes of chemotherapy in advanced gastric cancer patients are still unsatisfactory. Unfortunately, no widely useful biomarkers have been verified to predict the efficacy of chemotherapy for locally advanced gastric cancer.</p><p><strong>Methods: </strong>An MTT assay was used to determine the cell viability after cisplatin or oxaliplatin treatment. Western blotting and immunohistochemistry were utilized to examine the secreted frizzled-related protein 4 (sFRP4) level and associated signaling pathways. Immunofluorescence staining was utilized to analyze the location of β-catenin. Colony formation and Transwell assays were used to analyze the functions related with cisplatin, oxaliplatin, and sFRP4.</p><p><strong>Results: </strong>We have found that gastric cancer patients treated with combinations of 5-fluorouracil (5-FU) and cisplatin regimens have better survival rates than those treated with 5-FU-based chemotherapy alone. sFRP4 was selected as a potential target from stringent analysis and intersection of 5-FU and cisplatin resistance-related gene sets. sFRP4 was shown to be overexpressed in clinical gastric tumor tissues and positively correlated with a worse survival rate. In addition, sFRP4 and β-catenin were upregulated in cisplatin- and oxaliplatin-resistant gastric cancer cells compared to parental cells. Immunofluorescence staining and nuclear fractionation showed that β-catenin was translocated from the cytosol into the nucleus. Moreover, sFRP4 was detected in the conditioned medium of these resistant cells, which indicates that sFRP4 might have an extracellular role in chemotherapy resistance. Increased migration capacity and dysregulation of epithelial-mesenchymal transition-related markers, which might result from the dysregulation of sFRP4, were observed in cisplatin- and oxaliplatin-resistant gastric cancer cells.</p><p><strong>Discussion/conclusion: </strong>In summary, sFRP4 might play a critical role in resistance to cisplatin and oxaliplatin, cell metastasis, and poor prognosis in gastric cancer via the Wnt-β-catenin pathway. Investigations of the molecular mechanism underlying sFRP4-modulated cancer progression and chemotherapeutic outcomes can provide additional therapeutic strategies for gastric cancer.</p>","PeriodicalId":10047,"journal":{"name":"Chemotherapy","volume":" ","pages":"150-164"},"PeriodicalIF":2.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138798534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Natural Compounds with Antimicrobial Activities in Oral Candida Infections during Head and Neck Radiotherapy. 综述文章标题:头颈部放疗期间口腔念珠菌感染中具有抗菌活性的天然化合物。
IF 2 4区 医学
Chemotherapy Pub Date : 2024-01-01 Epub Date: 2023-11-14 DOI: 10.1159/000534562
Elena Imperia, Graziana Bonincontro, Annamaria Altomare, Giovanna Simonetti, Giovanni Gherardi, Elisa Brasili, Camilla Badiali, Manuela Bove, Gabriella Pasqua, Laura De Gara, Michele Cicala, Michele Pier Luca Guarino
{"title":"Natural Compounds with Antimicrobial Activities in Oral Candida Infections during Head and Neck Radiotherapy.","authors":"Elena Imperia, Graziana Bonincontro, Annamaria Altomare, Giovanna Simonetti, Giovanni Gherardi, Elisa Brasili, Camilla Badiali, Manuela Bove, Gabriella Pasqua, Laura De Gara, Michele Cicala, Michele Pier Luca Guarino","doi":"10.1159/000534562","DOIUrl":"10.1159/000534562","url":null,"abstract":"<p><strong>Background: </strong>Oral colonization and infections are frequently observed in patients during and soon after radiation therapy. Infective mucositis is a common side effect associated with cancer therapy, characterized by an inflammation of the oral mucous membranes with histological mucosal and submucosal changes. Ulcerative mucositis is responsible for significant pain, impairing the patient's nutritional intake and leading to local or systemic infections promoting mycosis due to several species of the genus Candida. According to international guidelines, treatment of candidiasis depends on the infection site and patient's condition.</p><p><strong>Summary: </strong>Recently, several studies have shown the protective role of natural compounds counteracting the activity of Candida biofilms. The aim of this review was to discuss the antimicrobial activities of natural compounds in fungal infections, especially Candida spp., during and soon after radiotherapy. Indeed new molecules are being discovered and assessed for their capacity to control Candida spp. growth and, probably in the future, will be used to treat oral candidiasis, overall, during radiotherapy. This review reports several preliminary data about preclinical and clinical evidence of their efficacy in the prevention and/or treatment of mucositis due to radiotherapy with a brief description of the natural compounds with anti-Candida activities.</p><p><strong>Key messages: </strong>The increase in the resistance to the available antifungal drugs related to Candida spp. infections increased as well as drug interactions, urging the development of innovative and more effective agents with antifungal action. Recent preclinical and clinical studies are identifying natural substances with anti-inflammatory and antifungal activity that could be tested in the prevention of candidiasis in patients undergoing radiotherapy. Further studies are needed to confirm these preliminary data.</p>","PeriodicalId":10047,"journal":{"name":"Chemotherapy","volume":" ","pages":"65-84"},"PeriodicalIF":2.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"107590369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Sarcopenia Does Not Impact the Outcome of Patients with Multiple Myeloma Consolidated with Autologous Hematopoietic Stem Cell Transplantation. 多发性母细胞瘤患者接受自体造血干细胞移植后,肉骨减少症不会影响治疗效果。
IF 2 4区 医学
Chemotherapy Pub Date : 2024-01-01 Epub Date: 2024-02-08 DOI: 10.1159/000535692
Ombretta Annibali, Annamaria Altomare, Valeria Tomarchio, Giulia Rocchi, Carlo Augusto Mallio, Maria Antonietta Tafuri, Bruno Beomonte Zobel, Bruno Vincenzi, Michele Pier Luca Guarino, Luigi Rigacci, Giuseppe Avvisati
{"title":"Sarcopenia Does Not Impact the Outcome of Patients with Multiple Myeloma Consolidated with Autologous Hematopoietic Stem Cell Transplantation.","authors":"Ombretta Annibali, Annamaria Altomare, Valeria Tomarchio, Giulia Rocchi, Carlo Augusto Mallio, Maria Antonietta Tafuri, Bruno Beomonte Zobel, Bruno Vincenzi, Michele Pier Luca Guarino, Luigi Rigacci, Giuseppe Avvisati","doi":"10.1159/000535692","DOIUrl":"10.1159/000535692","url":null,"abstract":"<p><strong>Introduction: </strong>Sarcopenia has been associated with chronic diseases and cancer. The aim of this study was to evaluate sarcopenia in multiple myeloma patients undergoing autologous stem cell transplantation.</p><p><strong>Methods: </strong>In 68 eligible patients, measurement of skeletal muscle area (cm2) on computed tomography scans at the level of the L3 vertebra (L3 SMI) was performed.</p><p><strong>Results: </strong>37 (54%) patients were categorized as sarcopenic: 26 males with L3 SMI values &lt;52.4 cm2/m2, and 11 women with L3 SMI values &lt;38.9 cm2/m2. The majority of sarcopenic patients included were older than 60 years (69%, p = 0.0005), with BMI &lt;25 (75%; p = 0.0000). A significant association was found between sarcopenia and Sorror score value &gt;1 (p = 0.02).</p><p><strong>Conclusions: </strong>The Kaplan-Meier curve showed a median OS of 73.5 months for non-sarcopenic patients versus 86.5 months for sarcopenic patients, suggesting that sarcopenia is not an independent prognostic factor in this cohort of patients. Further prospective studies are needed to confirm these data.</p>","PeriodicalId":10047,"journal":{"name":"Chemotherapy","volume":" ","pages":"133-140"},"PeriodicalIF":2.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139706219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Fighting Antimicrobial Resistance and Healthcare-Associated Infections in EU-JAMRAI: The One-Health Response from Italy. 欧盟抗菌药耐药性和医疗保健相关感染的斗争--JAMRAI:意大利的统一卫生对策。
IF 3.3 4区 医学
Chemotherapy Pub Date : 2024-01-01 Epub Date: 2023-09-06 DOI: 10.1159/000531684
Luca Busani, Roberta Creti, Elisa Fabbro, Francesca Prestinaci, Annalisa Pantosti, Anna Maria Marella, Silvio Brusaferro, Michela Sabbatucci
{"title":"Fighting Antimicrobial Resistance and Healthcare-Associated Infections in EU-JAMRAI: The One-Health Response from Italy.","authors":"Luca Busani, Roberta Creti, Elisa Fabbro, Francesca Prestinaci, Annalisa Pantosti, Anna Maria Marella, Silvio Brusaferro, Michela Sabbatucci","doi":"10.1159/000531684","DOIUrl":"10.1159/000531684","url":null,"abstract":"<p><strong>Introduction: </strong>Antimicrobial resistance (AMR) is a serious health threat, and it has high priority among the European public health agenda. The development and implementation of the National Action Plans (NAPs) with a One-Health perspective to fight AMR was supported in 2017 by the European Union (EU) through a Joint Action on Antimicrobial Resistance and Healthcare Associated Infections (EU-JAMRAI). The Italian National Institute of Health (Istituto Superiore di Sanità), supported by the University of Udine, and the University of Foggia were among the 44 partners involved. This paper describes the results of EU-JAMRAI relevant to Italy and its impact on national policies.</p><p><strong>Methods: </strong>The activities involved national and international experts who worked in groups, either in virtual or face-to-face meetings. Country-to-country visits were organized to assess and compare the national strategies to counteract AMR and to exchange best practices. In addition, qualitative research methods, particularly focus groups (FGs) and structured interviews, were carried out to collect information and opinions from the experts.</p><p><strong>Results: </strong>The Italian team of experts from the Ministry of Health and the University of Foggia visited the Netherlands and hosted the Polish expert team in Italy. In two FG, stakeholders' opinions from different organizations were collected and analyzed to identify critical areas and provide recommendations to ensure implementation of the NAP and effective One-Health integration. In addition, attitudes of medical professionals toward antimicrobial stewardship were evaluated in a medium/large Italian hospital. Strengths were identified in the multidisciplinary approach and the hospital management's proactive involvement. As for the veterinary sector, Italy was among the 10 EU countries that did not have any national AMR surveillance in place for animal bacterial pathogens. Consequently, a European surveillance system was proposed with the adhesion of Italy. Regarding research and innovation to fight AMR and healthcare-associated infection, Italy worked with the other European partners to identify national research gaps and opportunities. As a result, recommendations were issued to the authorities to promote research and innovation with a One-Health approach.</p><p><strong>Conclusions: </strong>The Italian participation in the EU JAMRAI provided experience and examples to the Italian government for implementing the NAP and planning the roadmap to fight AMR and helped point out the system's criticalities. It also supported the promotion of the One-Health integrated vision that was included in the updated NAP.</p>","PeriodicalId":10047,"journal":{"name":"Chemotherapy","volume":" ","pages":"56-64"},"PeriodicalIF":3.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10170743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparison of the Effectiveness of Ceftobiprole and Vancomycin in a Rabbit Model of Methicillin-Resistant Staphylococcus aureus-Induced Meningitis. 在耐甲氧西林金黄色葡萄球菌诱发的兔脑膜炎模型中比较头孢替比妥和万古霉素的疗效。
IF 2 4区 医学
Chemotherapy Pub Date : 2024-01-01 Epub Date: 2024-05-02 DOI: 10.1159/000527531
Sinan Mermer, Tuncer Turhan, Elif Bolat, Sohret Aydemir, Hilal Sipahi, Oguz Resat Sipahi
{"title":"Comparison of the Effectiveness of Ceftobiprole and Vancomycin in a Rabbit Model of Methicillin-Resistant Staphylococcus aureus-Induced Meningitis.","authors":"Sinan Mermer, Tuncer Turhan, Elif Bolat, Sohret Aydemir, Hilal Sipahi, Oguz Resat Sipahi","doi":"10.1159/000527531","DOIUrl":"10.1159/000527531","url":null,"abstract":"<p><strong>Introduction: </strong>Nosocomial meningitis may occur after procedures affecting the central nervous system or following traumatic injury. The causative infectious organism is commonly Staphylococcus aureus, a Gram-positive bacterium. The aim of the present study was to compare the effectiveness of two antibacterial agents, ceftobiprole and vancomycin, in an animal model of methicillin-resistant S. aureus (MRSA) meningitis.</p><p><strong>Method: </strong>The strain of MRSA used was ATCC 43300. The animals were divided into three groups and infected intracisternally with MRSA. Controls received no antibiotherapy while the ceftobiprole group received 25 mg/kg and the vancomycin group received 20 mg/kg intravenously. Blood and cerebrospinal fluid (CSF) samples were collected at three time points. All animals were euthanized at 73 h after start of treatment.</p><p><strong>Results: </strong>There was a significant difference (p &lt; 0.05) between both treatment groups and the control animals at 24 h (drug trough) and 73 h (1 h after third dose) after start of treatment in terms of CSF bacterial levels. At 73 h, there was a significant difference in survival between the control group and the two treatment groups but no difference between the treated animal survival rates.</p><p><strong>Conclusion: </strong>Intravenous treatment with ceftobiprole and vancomycin appears to be equally effective in a rabbit model of MRSA meningitis.</p>","PeriodicalId":10047,"journal":{"name":"Chemotherapy","volume":" ","pages":"177-184"},"PeriodicalIF":2.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140848411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Casiopeina III-ia: A Copper Compound with Potential Use for Treatment of Infections Caused by Leishmania mexicana. Casiopeina III-ia:一种可用于治疗墨西哥利什曼原虫感染的铜化合物。
IF 2 4区 医学
Chemotherapy Pub Date : 2024-01-01 Epub Date: 2024-03-18 DOI: 10.1159/000538360
José Delgado-Domínguez, Lizet Mejía-Camacho, Lisset Torres-Martínez, Jaime Zamora-Chimal, Rocely Cervantes-Sarabia, Adrián Espinoza-Guillen, Lena Ruiz-Azuara, Ingeborg Becker
{"title":"Casiopeina III-ia: A Copper Compound with Potential Use for Treatment of Infections Caused by Leishmania mexicana.","authors":"José Delgado-Domínguez, Lizet Mejía-Camacho, Lisset Torres-Martínez, Jaime Zamora-Chimal, Rocely Cervantes-Sarabia, Adrián Espinoza-Guillen, Lena Ruiz-Azuara, Ingeborg Becker","doi":"10.1159/000538360","DOIUrl":"10.1159/000538360","url":null,"abstract":"<p><strong>Introduction: </strong>Casiopeina III-ia (CasIII-ia) is a mixed chelate copper (II) compound capable of interacting with free radicals generated in the respiratory chain through redox reactions, producing toxic reactive oxygen species (ROS) that compromise the viability of cancer cells, bacteria and protozoa. Due to its remarkable effect on protozoa, this study evaluated the effect of CasIII-ia on Leishmania mexicana amastigotes and its potential use as a treatment for cutaneous leishmaniasis in the murine model.</p><p><strong>Methods: </strong>We analyzed the leishmanicidal effect of CasIII-ia on L. mexicana amastigotes and on their survival in bone marrow-derived macrophages. Furthermore, we evaluated the production of ROS in treated parasites and the efficacy of CasIII-ia in the treatment of mice infected with L. mexicana.</p><p><strong>Results: </strong>Our results show that CasIII-ia reduces parasite viability in a dose-dependent manner that correlates with increased ROS production. A decrease in the size of footpad lesions and in parasite loads was observed in infected mice treated with the intraperitoneal administration of CasIII-ia.</p><p><strong>Conclusions: </strong>We propose CasIII-ia as a potential drug for the treatment of cutaneous leishmaniasis.</p>","PeriodicalId":10047,"journal":{"name":"Chemotherapy","volume":" ","pages":"168-176"},"PeriodicalIF":2.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11373577/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140157675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Meta-Analysis on the Therapeutic Effect of Transcatheter Arterial Chemoembolization Combined with Portal Vein Embolization. 经导管动脉化疗栓塞联合门静脉栓塞治疗效果的 Meta 分析。
IF 2 4区 医学
Chemotherapy Pub Date : 2024-01-01 Epub Date: 2024-05-28 DOI: 10.1159/000539347
Xin-Jie Liu, Ping-Wei Song, Li-Gang Wang, Hai-Ning Zou, Lin-Lin Zhang
{"title":"Meta-Analysis on the Therapeutic Effect of Transcatheter Arterial Chemoembolization Combined with Portal Vein Embolization.","authors":"Xin-Jie Liu, Ping-Wei Song, Li-Gang Wang, Hai-Ning Zou, Lin-Lin Zhang","doi":"10.1159/000539347","DOIUrl":"10.1159/000539347","url":null,"abstract":"<p><strong>Introduction: </strong>The aim of the study was to conduct a systematic review to explore the therapeutic effect of transcatheter arterial chemoembolization (TACE) combined with portal vein embolization (PVE) for patients with hepatocellular carcinoma (HCC).</p><p><strong>Methods: </strong>Chinese and English databases (PubMed, Web of Science, Cochrane Library, China National Knowledge Infrastructure, Wanfang database, and VIP database) were searched from database inception to August 15, 2023. Studies comparing TACE combined with PVE versus TACE alone for patients with HCC were included. The degree of heterogeneity was assessed using I2 statistics and a Q test. The effect size was represented by risk ratio and mean difference (MD), and the effect size range was estimated using a 95% confidence interval (CI).</p><p><strong>Results: </strong>Eight eligible studies were included in the systematic review, involving 689 participants. The results showed that the future liver residual (FLR) of patients treated with TACE combined with PVE was significantly higher than that of those treated with PVE alone (MD = 3.99%; 95% CI: 1.03-6.94). Furthermore, compared with PVE alone, TACE combined with PVE had a positive effect on disease-free survival (odds ratio [OR] = 2.16; 95% CI: 1.20-3.88), recurrence rate (OR = 0.79; 95% CI: 0.07-9.42), and complications (OR = 0.53; 95% CI: 0.30-0.96). There was no statistically significant impact on mortality with TACE combined with PVE treatment.</p><p><strong>Conclusion: </strong>The combination of TACE with PVE can significantly reduce the FLR of patients with HCC, with higher disease-free survival, lower recurrence rate, and fewer complications.</p>","PeriodicalId":10047,"journal":{"name":"Chemotherapy","volume":" ","pages":"212-223"},"PeriodicalIF":2.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141154576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Successful Isavuconazole Treatment for Pulmonary Mucormycosis in a Patient Intolerant to Liposomal Amphotericin B with Pharmacokinetic Insights: A Case Report. 对脂质体两性霉素 B 不耐受的患者成功接受异武康唑治疗肺粘孢子菌病,并获得药代动力学启示:病例报告。
IF 2 4区 医学
Chemotherapy Pub Date : 2024-01-01 Epub Date: 2024-06-15 DOI: 10.1159/000539652
Takeo Yasu, Makoto Hoshino, Naoya Sakamoto, Masayuki Kobayashi
{"title":"Successful Isavuconazole Treatment for Pulmonary Mucormycosis in a Patient Intolerant to Liposomal Amphotericin B with Pharmacokinetic Insights: A Case Report.","authors":"Takeo Yasu, Makoto Hoshino, Naoya Sakamoto, Masayuki Kobayashi","doi":"10.1159/000539652","DOIUrl":"10.1159/000539652","url":null,"abstract":"<p><strong>Introduction: </strong>Mucormycosis presents a diagnostic challenge characterized by high morbidity and mortality rates due to its swift and pervasive nature, which leads to extensive tissue destruction and dissemination. Immunocompromised individuals, notably those with hematological malignancies, are at a heightened risk. First-line antifungal agents include liposomal amphotericin B (L-AMB), posaconazole, and isavuconazole (IVZ), which offer advantages, such as minimal drug interactions and a favorable safety profile. However, the necessity and efficacy of therapeutic drug monitoring (TDM) of IVZ remain unclear.</p><p><strong>Case presentation: </strong>We report a successful case of IVZ therapy in a patient who was intolerant of L-AMB, highlighting the efficacy and pharmacokinetics of IVZ in treating pulmonary mucormycosis. Pharmacokinetic analysis revealed steady plasma IVZ concentrations, emphasizing the importance of monitoring IVZ levels, particularly in patients undergoing renal replacement therapy.</p><p><strong>Conclusion: </strong>This case highlights the efficacy of IVZ therapy for mucormycosis and the potential utility of TDM in a specific patient population. Further research is needed to elucidate the optimal IVZ dosing and monitoring strategies to ensure safe and efficacious treatment.</p>","PeriodicalId":10047,"journal":{"name":"Chemotherapy","volume":" ","pages":"244-249"},"PeriodicalIF":2.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141330479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
New perspectives for patients with primary cutaneous diffuse large B-cell lymphoma, leg-type 原发性皮肤弥漫大 B 细胞淋巴瘤(腿型)患者的新视角
IF 3.3 4区 医学
Chemotherapy Pub Date : 2023-12-08 DOI: 10.1159/000535734
E. Cencini, Alberto Fabbri, E. Cinotti, P. Rubegni, Monica Bocchia
{"title":"New perspectives for patients with primary cutaneous diffuse large B-cell lymphoma, leg-type","authors":"E. Cencini, Alberto Fabbri, E. Cinotti, P. Rubegni, Monica Bocchia","doi":"10.1159/000535734","DOIUrl":"https://doi.org/10.1159/000535734","url":null,"abstract":"","PeriodicalId":10047,"journal":{"name":"Chemotherapy","volume":"72 21","pages":""},"PeriodicalIF":3.3,"publicationDate":"2023-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138586988","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信