European journal of breast health最新文献

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Knowledge About Early Diagnosis of Breast Cancer, and Breast Cancer Risks Among Syrian Immigrants and Turkish Citizens: A Comparative, Cross-Sectional Study. 叙利亚移民和土耳其公民的乳腺癌早期诊断知识和乳腺癌风险:一项比较的横断面研究
European journal of breast health Pub Date : 2023-07-01 DOI: 10.4274/ejbh.galenos.2023.2023-1-6
Hatice Serap Koçak, Ecem Çiçek Gümüş
{"title":"Knowledge About Early Diagnosis of Breast Cancer, and Breast Cancer Risks Among Syrian Immigrants and Turkish Citizens: A Comparative, Cross-Sectional Study.","authors":"Hatice Serap Koçak,&nbsp;Ecem Çiçek Gümüş","doi":"10.4274/ejbh.galenos.2023.2023-1-6","DOIUrl":"https://doi.org/10.4274/ejbh.galenos.2023.2023-1-6","url":null,"abstract":"<p><strong>Objective: </strong>Cancer affects people regardless of being native or immigrants from developing countries. The most common form of cancer amongst displaced and immigrant women is breast cancer. This study provided a cultural comparison of early diagnosis, screening and breast cancer risks among Syrian immigrants and Turkish citizens in Turkey.</p><p><strong>Materials and methods: </strong>The study was performed with a descriptive, comparative and cross-sectional design with 589 women (Turkish=302, Syrian=287). A Personal Information Form and Breast Cancer Risk Assessment Form were used for data collection.</p><p><strong>Results: </strong>The knowledge of Syrian immigrant women and behavior regarding breast self-examination, clinical breast examination, and screening with a mammogram were significantly lower than those of Turkish women (<i>p</i><0.05). In addition, Syrian women's information about general breast cancer early diagnosis and screening was poorer. However, the mean breast cancer risk score was higher in Turkish women (<i>p</i><0.05).</p><p><strong>Conclusion: </strong>The data highlighted the importance of understanding locally specific barriers to breast cancer screening among immigrants and developing national programs to increase cancer education as a means of prevention.</p>","PeriodicalId":11885,"journal":{"name":"European journal of breast health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10320631/pdf/ejbh-19-222.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10164020","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: 1
Factors Related to the Knowledge and Practice of Breast Self-Examination: A Cross-Sectional Study. 影响乳房自检知识与实践的因素:一项横断面研究。
European journal of breast health Pub Date : 2023-07-01 DOI: 10.4274/ejbh.galenos.2023.2023-1-4
Renata Apatić, Robert Lovrić
{"title":"Factors Related to the Knowledge and Practice of Breast Self-Examination: A Cross-Sectional Study.","authors":"Renata Apatić,&nbsp;Robert Lovrić","doi":"10.4274/ejbh.galenos.2023.2023-1-4","DOIUrl":"https://doi.org/10.4274/ejbh.galenos.2023.2023-1-4","url":null,"abstract":"<p><strong>Objective: </strong>Identification of the factors associated with knowledge and practice of breast self-examination (BSE).</p><p><strong>Materials and methods: </strong>The online survey method was used to collect data. Questions were based on an analysis of the literature and instruments used to study BSE awareness, knowledge, and practices. The study included 3536 participants, aged 18 to 71 years.</p><p><strong>Results: </strong>Most participants (62.9%) believed they were not at risk of developing a breast cancer (BC). In the sample 459 (19%) reported they perform a BSE once a month after cessation of menstruation. The reason given for not performing the BSE by 521 (46.8%) was that they forgot, while 363 (32.6%) indicated they did not know how to perform a BSE. The mean ± standard deviation value of responses to the knowledge questions (response range 0-5) was 1.04±0.63. Almost all participants (98.6%) believed that BSE is important for the early detection of BC and that BSE awareness can be increased (96.9%).</p><p><strong>Conclusion: </strong>Lack of comprehensive knowledge of BSE and low prevalence of regular BSE practice were observed. Education, profession, experience with BC, \"not\" performing BSE, and attitudes toward the importance of BSE in the early detection of BC were associated with knowledge of BSE.</p>","PeriodicalId":11885,"journal":{"name":"European journal of breast health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10320637/pdf/ejbh-19-215.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9861657","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 COVID-19 on Breast Cancer Management in a Multiethnic Middle-Income Asian Country Setting. 在一个多民族的亚洲中等收入国家,COVID-19对乳腺癌管理的影响
European journal of breast health Pub Date : 2023-04-01 DOI: 10.4274/ejbh.galenos.2023.2022-12-6
Ng Jing Hui, See Mee Hoong, Tneoh Jia Min, Teh Mei Sze, Mahmoud Danaee, Nur Shahirah Abdul Latiff, Abigail Ashwini Murali, Lee Lee Lai
{"title":"Impact of COVID-19 on Breast Cancer Management in a Multiethnic Middle-Income Asian Country Setting.","authors":"Ng Jing Hui,&nbsp;See Mee Hoong,&nbsp;Tneoh Jia Min,&nbsp;Teh Mei Sze,&nbsp;Mahmoud Danaee,&nbsp;Nur Shahirah Abdul Latiff,&nbsp;Abigail Ashwini Murali,&nbsp;Lee Lee Lai","doi":"10.4274/ejbh.galenos.2023.2022-12-6","DOIUrl":"https://doi.org/10.4274/ejbh.galenos.2023.2022-12-6","url":null,"abstract":"<p><strong>Objective: </strong>Coronavirus disease-2019 (COVID-19) has caused hospitals to suspend routine procedures. As the world recovers, there is concern that the outcome of many diseases has been impaired. This study aimed to assess the impact of the pandemic on breast cancer demography, clinicopathological characteristics and patient management at a teaching hospital in Kuala Lumpur, Malaysia.</p><p><strong>Materials and methods: </strong>Pre-COVID data were collected between January 1, 2019, to March 18, 2020, when a national lockdown was implemented, which caused the suspension of services at the breast clinic of University Malaya Medical Centre (UMMC). COVID data was obtained from March 2020 until June 2021.</p><p><strong>Results: </strong>This study compared 374 breast cancer patients in the COVID-19 period with 382 patients in the pre-COVID period. There was no significant difference in the median (range) time to surgery between pre-COVID [45 (26.50-153.50) days] and COVID [44 (24.75-156.25) days] periods. The clinicopathological features of breast cancer showed reduction in <i>in situ</i> carcinoma and increase in Stage 4 diagnoses during the COVID period. There was a reduction in screening-detected carcinoma (9% vs. 12.3%), mastectomy followed by immediate reconstruction (5.6% vs. 14.5%) and adjuvant chemotherapy (25.8% vs. 32.9%) in the COVID period.</p><p><strong>Conclusion: </strong>In this center COVID-19 caused operational changes in breast cancer management, including a reduction in reconstructive procedures and adjuvant treatment. Healthcare disruption and fear of COVID may have caused delayed diagnosis, resulting in a higher frequency of Stage 4 disease and lower proportion of <i>in situ</i> carcinoma during the pandemic. However, there was no delay in the time to surgery, reduction in surgical volume, or change in surgery types.</p>","PeriodicalId":11885,"journal":{"name":"European journal of breast health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10071884/pdf/ejbh-19-177.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9276733","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: 1
Evaluation of Topical Sclerosant Agents for Minimization of Postmastectomy Seroma: A Placebo-Controlled, Double-Blind, Randomized Trial. 局部硬化剂对乳房切除术后血清瘤最小化的评价:一项安慰剂对照、双盲、随机试验。
European journal of breast health Pub Date : 2023-04-01 DOI: 10.4274/ejbh.galenos.2023.2022-11-1
Ashraf Khater, Ahmed Hassan, Omar Farouk, Ahmed Sinbel, Saleh Saleh, Mahmoud Abdelaziz, Osama Eldamshety
{"title":"Evaluation of Topical Sclerosant Agents for Minimization of Postmastectomy Seroma: A Placebo-Controlled, Double-Blind, Randomized Trial.","authors":"Ashraf Khater,&nbsp;Ahmed Hassan,&nbsp;Omar Farouk,&nbsp;Ahmed Sinbel,&nbsp;Saleh Saleh,&nbsp;Mahmoud Abdelaziz,&nbsp;Osama Eldamshety","doi":"10.4274/ejbh.galenos.2023.2022-11-1","DOIUrl":"https://doi.org/10.4274/ejbh.galenos.2023.2022-11-1","url":null,"abstract":"<p><strong>Objective: </strong>Seroma after mastectomy is a bothersome problem. Topical sclerosants are one method used to reduce seroma. The aim of this study was to evaluate if spraying flaps before closure with doxycycline or bleomycin after total mastectomy can prevent seroma.</p><p><strong>Materials and methods: </strong>After institutional review board approval, using a computer-based randomization program, a prospective, double-blind, placebo-controlled randomized, superiority study was conducted during the period from the first of August 2017 to the first of August 2018. IRB proposal code was MS/17.08.66 and the trial was approved at 15/8/2017. The trial is available publicly at http://www.eulc.edu.eg/eulc_v5/Libraries/Thesis/BrowseThesisPages.aspx?fn=PublicDrawThesis&BibID=12553049. The primary outcome of the study was to assess the incidence of seroma following total mastectomy after intervention comprising spraying of skin flaps with doxycycline or bleomycin versus placebo. Patients who were candidates for total mastectomy were randomized into control, doxycycline, and bleomycin groups. The postoperative data included length of the hospital stay, pain score among the three groups, post-operative drained fluid volume, post-operative day of drain removal, complication rates including infection, flap necrosis and hematoma, the incidence of seroma and aspirated seroma volume, and total number of postoperative visits.</p><p><strong>Results: </strong>Of 125 patients, 90 were candidates for total mastectomy. Analysis of these 90 showed that the incidence of seroma was similar; 43.4%, 40% and 40% in the control, doxycycline, and bleomycin groups, respectively (<i>p</i> = 0.99). Furthermore, wound complication rates were similar among all groups.</p><p><strong>Conclusion: </strong>Despite improved recognition and management of risk factors, seromas remain a common clinical concern in the postoperative setting of total mastectomy. These results suggest that sclerosant agents, specifically bleomycin and doxycycline, have no utility for prevention of post mastectomy seroma.</p>","PeriodicalId":11885,"journal":{"name":"European journal of breast health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10071883/pdf/ejbh-19-134.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9276734","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
The Influence of the Surgical Treatment Method on the Quality of Life of Women With Breast Cancer. 手术治疗方式对乳腺癌患者生活质量的影响。
European journal of breast health Pub Date : 2023-04-01 DOI: 10.4274/ejbh.galenos.2023.2022-9-1
Magdalena Konieczny, Andrzej Fal
{"title":"The Influence of the Surgical Treatment Method on the Quality of Life of Women With Breast Cancer.","authors":"Magdalena Konieczny,&nbsp;Andrzej Fal","doi":"10.4274/ejbh.galenos.2023.2022-9-1","DOIUrl":"https://doi.org/10.4274/ejbh.galenos.2023.2022-9-1","url":null,"abstract":"<p><strong>Objective: </strong>Breast cancer is the most common malignant neoplasm among women in Poland. The primary treatment for breast cancer is surgery. The choice of surgical treatment method can significantly affect the quality of life of women with breast cancer.</p><p><strong>Materials and methods: </strong>Women treated surgically because of breast cancer were included. The quality of life was assessed by survey using the quality of live questionnaire (QLQ)-C30 and QLQ-BR23 (European Organization for the Research and Treatment of Cancer) questionnaires, taking into account the following factors: The method of surgery performed and comparing breast conserving therapy (BCT) with mastectomy, and breast reconstruction or the lack of it.</p><p><strong>Results: </strong>The study included 243 subjects. Women had a reduced overall quality of life (53.88 points out of 100), in particular emotional (59.77) and sexual (17.49) functioning, and a poor body image assessment (61.57). Patients after BCT functioned better in physical (<i>p</i> = 0.001) and sexual (<i>p</i> = 0.007) terms, and also experienced lower pain intensity (<i>p</i> = 0.003) and shoulder discomfort (<i>p</i> = 0.024). The quality of life was significantly higher (<i>p</i> = 0.003) in the opinion of women who underwent breast reconstructive surgery.</p><p><strong>Conclusion: </strong>The quality of life of women depends on the surgical treatment method used when treating breast cancer. For this reason, the choice of method, whenever possible, should promote breast protection or its postoperative reconstruction.</p>","PeriodicalId":11885,"journal":{"name":"European journal of breast health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10071887/pdf/ejbh-19-121.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9260040","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
Pure Tubular Breast Carcinoma: Clinicopathological Characteristics and Clinical Outcomes. 纯管状乳腺癌:临床病理特征和临床结果。
European journal of breast health Pub Date : 2023-04-01 DOI: 10.4274/ejbh.galenos.2023.2022-12-9
Selman Emiroglu, Asmaa Mahmoud Abuaisha, Mustafa Tukenmez, Neslihan Cabioglu, Aysel Bayram, Vahit Ozmen, Mahmut Muslumanoglu
{"title":"Pure Tubular Breast Carcinoma: Clinicopathological Characteristics and Clinical Outcomes.","authors":"Selman Emiroglu,&nbsp;Asmaa Mahmoud Abuaisha,&nbsp;Mustafa Tukenmez,&nbsp;Neslihan Cabioglu,&nbsp;Aysel Bayram,&nbsp;Vahit Ozmen,&nbsp;Mahmut Muslumanoglu","doi":"10.4274/ejbh.galenos.2023.2022-12-9","DOIUrl":"https://doi.org/10.4274/ejbh.galenos.2023.2022-12-9","url":null,"abstract":"<p><strong>Objective: </strong>Tubular breast carcinoma (TBC) is a rare subtype of breast carcinoma (BC) with a good prognosis. In this study, we aimed to assess the clinicopathological characteristics of pure TBC (PTBC), analyze factors that may influence long-term prognosis, examine the frequency of axillary lymph node metastasis (ALNM), and discuss the need for axillary surgery in PTBC.</p><p><strong>Materials and methods: </strong>Fifty-four Patients diagnosed with PTBC between January 2003 and December 2020 at Istanbul Faculty of Medicine were included. Clinicopathological, surgical, treatment, and overall survival (OS) data were analyzed.</p><p><strong>Results: </strong>A total of 54 patients with a mean age of 52.2 years were assessed. The mean size of the tumor was 10.6 mm. Four (7.4%) patients had not undergone axillary surgery, while thirty-eight (70.4%) had undergone sentinel lymph node biopsy and twelve (22.2%) had undergone axillary lymph node dissection (ALND). Significantly, four (33.3%) of those who had undergone ALND had tumor grade 2 (<i>p</i> = 0.020) and eight of them (66.7%) had ALNM. Fifty percent (50%) of patients who were treated with chemotherapy had grade 2 and multifocal tumors and ALNM. Moreover, the frequency of ALNM was higher in patients with tumor diameters greater than 10 mm. Median follow-up time was 80 months (12-220). None of the patients had locoregional recurrence, but one patient had systemic metastasis. Furthermore, five-year OS was 97.9%, while ten-year OS was 93.6%.</p><p><strong>Conclusion: </strong>PTBC is associated with favorable prognosis, good clinical outcomes and high survival rate, with rare recurrences and metastases.</p>","PeriodicalId":11885,"journal":{"name":"European journal of breast health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10071886/pdf/ejbh-19-115.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9265342","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
Comments to "The Randomized Controlled Study of Low-Level Laser Therapy, Kinesio-Taping and Manual Lymphatic Drainage in Patients With Stage II Breast Cancer-Related Lymphedema". 对“低水平激光治疗、运动贴敷和手工淋巴引流治疗II期乳腺癌相关淋巴水肿的随机对照研究”的评论。
European journal of breast health Pub Date : 2023-04-01 DOI: 10.4274/ejbh.galenos.2023.2023-1-2
Anke Bergmann, Mauro Figueiredo Carvalho Andrade, Mirella Dias
{"title":"Comments to \"The Randomized Controlled Study of Low-Level Laser Therapy, Kinesio-Taping and Manual Lymphatic Drainage in Patients With Stage II Breast Cancer-Related Lymphedema\".","authors":"Anke Bergmann,&nbsp;Mauro Figueiredo Carvalho Andrade,&nbsp;Mirella Dias","doi":"10.4274/ejbh.galenos.2023.2023-1-2","DOIUrl":"https://doi.org/10.4274/ejbh.galenos.2023.2023-1-2","url":null,"abstract":"","PeriodicalId":11885,"journal":{"name":"European journal of breast health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10071891/pdf/ejbh-19-184.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9260041","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: 1
The Role of Primary Surgery in De Novo Metastatic Breast Carcinoma. 原发性手术在新发转移性乳腺癌中的作用。
European journal of breast health Pub Date : 2023-04-01 DOI: 10.4274/ejbh.galenos.2023.2023-3-7
Berkay Demirors, Berk Goktepe, Hannah Medeck, Serdar Ozbas, Atilla Soran
{"title":"The Role of Primary Surgery in <i>De Novo</i> Metastatic Breast Carcinoma.","authors":"Berkay Demirors,&nbsp;Berk Goktepe,&nbsp;Hannah Medeck,&nbsp;Serdar Ozbas,&nbsp;Atilla Soran","doi":"10.4274/ejbh.galenos.2023.2023-3-7","DOIUrl":"https://doi.org/10.4274/ejbh.galenos.2023.2023-3-7","url":null,"abstract":"<p><p>Approximately 6-10% of all breast carcinoma is metastatic at diagnosis, termed de novo metastatic breast carcinoma (dnMBC). Systemic therapy remains the first line of treatment in dnMBC, but there is growing evidence that adjuvant locoregional treatment (LRT) of the primary tumor increases progression-free and overall survival (OS). Although selection bias may exist, real-world data from nearly half a million patients show that patients are undergoing primary tumor removal because of the survival benefit. The main question for the advocates for LRT in this patient population is not whether primary surgery is beneficial in dnMBC patients, but rather who is a good candidate for it. Oligometastatic disease (OMD) is a distinct subset of dnMBC that affects a limited number of organs. A better OS can be achieved with LRT in breast cancer patients, especially in those with OMD, bone only, or favorable subtypes. Though there is currently no consensus among breast care specialists on how to treat dnMBC patients, primary surgery for dnMBC should be taken into consideration for a subset of patients following an extensive multidisciplinary discussion.</p>","PeriodicalId":11885,"journal":{"name":"European journal of breast health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10071892/pdf/ejbh-19-110.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9265341","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
Nipple Sparing Goldilocks Mastectomy, A New Modification of the Original Technique. 保留乳头的金凤花乳房切除术——对原有技术的新改良。
European journal of breast health Pub Date : 2023-04-01 DOI: 10.4274/ejbh.galenos.2023.2023-2-1
Ahmed Setit, Khaled Bela, Ashraf Khater, Islam Elzahaby, Amr Hossam, Emad Hamed
{"title":"Nipple Sparing Goldilocks Mastectomy, A New Modification of the Original Technique.","authors":"Ahmed Setit,&nbsp;Khaled Bela,&nbsp;Ashraf Khater,&nbsp;Islam Elzahaby,&nbsp;Amr Hossam,&nbsp;Emad Hamed","doi":"10.4274/ejbh.galenos.2023.2023-2-1","DOIUrl":"https://doi.org/10.4274/ejbh.galenos.2023.2023-2-1","url":null,"abstract":"<p><strong>Objective: </strong>Although Goldilocks mastectomy offers good aesthetic outcomes. Removal of the nipple-areolar complex (NAC) often has a negative psychological impact. The objective of this study was to assess the feasibility and esthetic outcome of this technique with salvage of the NAC using a dermal pedicle.</p><p><strong>Materials and methods: </strong>The study included female patients suffering from breast carcinoma with large and or ptotic breast. Patients were offered Goldilocks mastectomy. Those who were unfit for anesthesia, those with locally advanced or metastatic disease or those refusing the procedure were excluded.</p><p><strong>Results: </strong>Fifteen female patients (18 breasts) with a mean age of 51.6 years underwent Goldilocks breast reconstruction with a trial of NAC preservation. The mean body mass index was 39.1 kg/m2. More than half (56%) were cup C, while 44% were cup D. Seven cases (46.7%) showed grade II ptosis and 8 (53.3%) were grade III. The mean operative time was 168 minutes (range 130-240 minutes). NAC ischemic changes were noted in five cases; two (11%) were partial while three (17%) were total. Two cases (11%) suffered from flap loss and one of them was total. No locoregional recurrence or distant metastases were observed.</p><p><strong>Conclusion: </strong>The Goldilocks mastectomy with nipple preservation is an appealing and feasible option for a certain group of patients who have large-sized and/or ptotic breasts. Nevertheless, it is a time-consuming technique with relatively higher rates of flap and NAC complications. Further, studies are required with a larger number of cases and longer follow-up.</p>","PeriodicalId":11885,"journal":{"name":"European journal of breast health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10071885/pdf/ejbh-19-172.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9271413","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
Altered Expression of CYSLTR1 is Associated With Adverse Clinical Outcome in Triple Negative Breast Tumors: An In Silico Approach. CYSLTR1的表达改变与三阴性乳腺肿瘤的不良临床结果相关:一项计算机方法
European journal of breast health Pub Date : 2023-04-01 DOI: 10.4274/ejbh.galenos.2023.2022-12-10
Andrés Galindo Céspedes, Mércia Patrícia Ferreira Conceição, Daniel Rodrigues de Bastos, Gabriela Ávila de Grazia, Jean Michel Rocha Sampaio Leite, Renan Gomes do Nascimento, Matthew Thomas Ferreira, Rossana Mendoza Lopez
{"title":"Altered Expression of CYSLTR1 is Associated With Adverse Clinical Outcome in Triple Negative Breast Tumors: An <i>In Silico</i> Approach.","authors":"Andrés Galindo Céspedes,&nbsp;Mércia Patrícia Ferreira Conceição,&nbsp;Daniel Rodrigues de Bastos,&nbsp;Gabriela Ávila de Grazia,&nbsp;Jean Michel Rocha Sampaio Leite,&nbsp;Renan Gomes do Nascimento,&nbsp;Matthew Thomas Ferreira,&nbsp;Rossana Mendoza Lopez","doi":"10.4274/ejbh.galenos.2023.2022-12-10","DOIUrl":"https://doi.org/10.4274/ejbh.galenos.2023.2022-12-10","url":null,"abstract":"<p><strong>Objective: </strong>Triple negative breast cancer (TNBC) has high relapse rates due to dysregulated inflammatory signaling pathways and significant changes in the tumor microenvironment, probably influencing the failure of several therapies. The Cysteinyl Leukotriene Receptor 1 (CYSLTR1), a leukotriene modulator of inflammation, has been shown to play an important role in cancer pathogenesis and survival but few studies have been reported on its role in breast cancer.</p><p><strong>Materials and methods: </strong>The present work was conducted using publicly available platforms that have omics data to assess the clinical potential of CYSLTR1 expression and its prognostic validation in large cohorts of samples from breast cancer patients. Web platforms containing clinical information, RNA-seq and protein data were selected to perform <i>in silico</i> analyses of the potential marker CYLSTR1. Added together, the platforms included modules for correlation, expression, prognosis, drug interactions, and construction of gene networks.</p><p><strong>Results: </strong>Kaplan-Meier curves revealed that reduced levels of CYSLTR1 corresponded to an unfavorable outcome for overall survival (<i>p</i><0.005) as well as relapse-free survival (<i>p</i><0.001) in the basal subtype. Additionally, CYSLTR1 was downregulated in breast tumor samples compared to adjacent healthy tissue (<i>p</i><0.01) and the basal subtype exhibited the lowest expression of CYSLTR1 relative to the other subtypes (<i>p</i><0.0001). Furthermore, gene networking analysis showed strong associations of CYSLTR1 with two protein-coding genes (<i>P2RY10</i> and <i>XCR1</i>) when tested on a TNBC dataset.</p><p><strong>Conclusion: </strong>Our data highlighted the relevance of CYSLTR1 since it may play an important role in TNBC therapy. However, further <i>in vitro</i> and <i>in vivo</i> studies should be directed towards validating our findings in an effort to improve our understanding of TNBC pathology.</p>","PeriodicalId":11885,"journal":{"name":"European journal of breast health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10071890/pdf/ejbh-19-148.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9271414","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}
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