{"title":"The risk of reconstruction failure following a mastectomy, breast reconstruction and radiotherapy depending on the reconstruction technique","authors":"A. Niwińska","doi":"10.5603/njo.2021.0072","DOIUrl":"https://doi.org/10.5603/njo.2021.0072","url":null,"abstract":"Improvements in the recently observed breast reconstruction surgery techniques have changed the clinical practice in patients with breast cancer. Nowadays, every patient diagnosed with breast cancer clinical stage I, II and III, except for inflammatory breast cancer, should have the opportunity to undergo breast reconstruction. Radiation therapy increases the risk of complications following reconstruction. The aim of this paper is to review the current literature in an attempt to select the safest and most convenient reconstruction technique in patients requiring radiation therapy. Immediate autologous breast reconstruction seems to be the best option, but everyday clinical practice seems to contradict the conclusions from these data. The choice of the reconstruction type depends not only on the rate of complications but on the surgeon’s skills, the patient’s preference and the hospital’s equipment.","PeriodicalId":130080,"journal":{"name":"Nowotwory. Journal of Oncology","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133920334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Anna Kofla-Dłubacz, A. Stawarski, T. Pytrus, J. Gil
{"title":"Phacomatoses, genetic testing for personalisation of clinical management (part 1.)","authors":"Anna Kofla-Dłubacz, A. Stawarski, T. Pytrus, J. Gil","doi":"10.5603/njo.2021.0075","DOIUrl":"https://doi.org/10.5603/njo.2021.0075","url":null,"abstract":"Genetically determined disorders of tissue development, which are derived from the ecto-, endo- and mesoderm and develop in the early stages of foetal life, referred to as phacomatoses, constitute a large group of diseases predisposing to development of neoplasms. Early diagnosis, including identification of mutations and clinical evaluation, enables introduction of multidisciplinary care for patients with a confirmed diagnosis. Thus, the long-term prognosis and quality of patients’ life can be improved. The most common phacomatoses include neurofibromatosis types 1 and 2 and schwannomatosis.","PeriodicalId":130080,"journal":{"name":"Nowotwory. Journal of Oncology","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133600058","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Adrian Perdyan, Magdalena Wasiukiewicz, Piotr Szastok, J. Jassem
{"title":"The scope of complementary and alternative medicine in Poland","authors":"Adrian Perdyan, Magdalena Wasiukiewicz, Piotr Szastok, J. Jassem","doi":"10.5603/njo.a2021.0068","DOIUrl":"https://doi.org/10.5603/njo.a2021.0068","url":null,"abstract":"Introduction. Complementary and alternative medicine (CAM) is widely used by patients. The most frequent CAM users are patients with cancer, but patients with other chronic diseases also utilize these methods. Materials and methods. Data on the use of CAM were obtained from Google searches. For each specific search term, the first three Google pages were analyzed. Results. The analysis included 91 CAM institutions matching the inclusion criteria. The most common anticancer services were intravenous vitamin C infusion, saltwater, intravenous infusion of glutathione, colon irrigation, an anticancer diet, bio-resonance, and intravenous ozone infusions. The most common non-cancer entities treated were rheumatic diseases, chronic fatigue syndrome, arterial hypertension, allergies, borreliosis, diabetes, atherosclerosis, and depression. Anticancer therapies were more expensive than those used for non-malignant diseases (medians 250 PLN and 170 PLN, respectively; p = 0.041). Conclusions. This study provides a comprehensive overview of CAM methods used in Poland. These data may facilitate social education and the development of preventive measures.","PeriodicalId":130080,"journal":{"name":"Nowotwory. Journal of Oncology","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115373940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
D. Sigorski, Małgorzata Muzolf, Patryk Jancewicz, P. Różanowski
{"title":"Heart as a rare colorectal cancer metastases location","authors":"D. Sigorski, Małgorzata Muzolf, Patryk Jancewicz, P. Różanowski","doi":"10.5603/njo.a2021.0066","DOIUrl":"https://doi.org/10.5603/njo.a2021.0066","url":null,"abstract":"","PeriodicalId":130080,"journal":{"name":"Nowotwory. Journal of Oncology","volume":"319 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116230360","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Legal aspects of teleservices in oncology","authors":"J. Król-Całkowska, Janusz Jaroszyński","doi":"10.5603/njo.a2021.0064","DOIUrl":"https://doi.org/10.5603/njo.a2021.0064","url":null,"abstract":"The use of teleinformatic tools and other means of communication in specialist care, including oncological care, is completely admissible and in accordance with currently binding law. Key legal acts on principles of providing health services, including the Act on the Profession of Doctor and Dentist and the Act on Medical Activity, allow adjudicating on a patient’s health status and providing all activities of a health service nature with the use of teleinformatic means and other communication systems. No organizational standards on televisits in specialist care have been established to date, imposing per analogiam use of the regulations on organizational standards of teleservices in primary health care. However, such a solution should be considered temporary and imprecise, therefore the regulation dedicated to providing televisits within specialist care, including its specificity areas, is essential. Simultaneously, it is necessary to eliminate the use of announcements and guidelines of the National Health Fund which refer to the admissibility of televisits as a binding legal form. Announcements, guidelines, recommendations and positions may only serve as advice for proceeding with special care and this should be eventually reflected in the current law.","PeriodicalId":130080,"journal":{"name":"Nowotwory. Journal of Oncology","volume":"83 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123852541","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Static-junction craniospinal irradiation: verification of the daily dose and long-term treatment results","authors":"A. Napieralska, M. Radwan, I. Brąclik, S. Blamek","doi":"10.5603/njo.a2021.0054","DOIUrl":"https://doi.org/10.5603/njo.a2021.0054","url":null,"abstract":"The study was performed to evaluate the repeatability and effectiveness of the static-junctions image guided (SJIG) method of craniospinal irradiation. Material and methods. An analysis of 40 treatment plans was performed. All treatment plans were reviewed with regard to the distances between isocentres between in every single field of each fraction during all treatment days. Based on that data, second (actually treated) plans were created. The planned and treated parameters were compared. Results. The study group consisted of 40 patients irradiated in the craniospinal region. Data on 902 fractions and 1635 isocentres positions was collected. 1-, 2- and 5-year overall survival was 95%, 89% and 78%, respectively. Spine metastases were observed in regions which were covered with a homogenous dose during treatment. Conclusions. SJIG is safe and produces very good long-term outcomes. Treatment planning and delivery is simple with good reproduction of the planned dose distribution during the actual treatment.","PeriodicalId":130080,"journal":{"name":"Nowotwory. Journal of Oncology","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134085193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
W. Otto, J. Sierdziński, J. Smaga, K. Dudek, K. Zieniewicz
{"title":"Hilar cholangiocarcinoma – long-term results of radical and palliative treatment","authors":"W. Otto, J. Sierdziński, J. Smaga, K. Dudek, K. Zieniewicz","doi":"10.5603/njo.a2021.0063","DOIUrl":"https://doi.org/10.5603/njo.a2021.0063","url":null,"abstract":"The 3- and 5-year survival rates of HC patients treated with surgery and palliative methods were evaluated in the study. Material and methods. The study covered 368 patients treated between 2000–2014. Of them, 137 patients were categorized for surgery (RT group), and 231 for palliative treatment (PT group). The overall 3- and 5-year survival rates were determined by the log-rank test. The Cox hazard regression model revealed the relative prognostic factors. Results. The 3- and 5-year survival rates accounted for 38% and 21% after surgery, but 13% and 0 after palliative treatment (p < 0.0001). Radical tumor resection, negative lymph nodes, and early tumor T stage were the factors conducive to survival. Conclusions. Surgery, if the radical tumor resection is possible, offers a chance for long-term survival. The effects of surgical treatment are of little consequence in the face of poor treatment outcomes of palliative patients, however.","PeriodicalId":130080,"journal":{"name":"Nowotwory. Journal of Oncology","volume":"107 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124226373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A change in approach of pancreatic head cancer resection?","authors":"M. Olakowski","doi":"10.5603/njo.a2021.0065","DOIUrl":"https://doi.org/10.5603/njo.a2021.0065","url":null,"abstract":"","PeriodicalId":130080,"journal":{"name":"Nowotwory. Journal of Oncology","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126326352","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Late melanoma metastasis to the urinary bladder mimicking bladder primary tumor","authors":"M. Dybala, W. Wysocki","doi":"10.5603/njo.2021.0056","DOIUrl":"https://doi.org/10.5603/njo.2021.0056","url":null,"abstract":"This article is available in open access under Creative Common Attribution-Non-Commercial-No Derivatives 4.0 International (CC BY-NC-ND 4.0) license, allowing to download articles and share them with others as long as they credit the authors and the publisher, but without permission to change them in any way or use them commercially. How to cite: Dybała M, Wysocki WM. Late melanoma metastasis to the urinary bladder mimicking bladder primary tumor. NOWOTWORY J Oncol 2021; 71: 311. Late melanoma metastasis to the urinary bladder mimicking bladder primary tumor","PeriodicalId":130080,"journal":{"name":"Nowotwory. Journal of Oncology","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122464353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Average glandular doses reported by mammography units: how reliable are they?","authors":"W. Skrzyński, K. Pasicz, E. Fabiszewska","doi":"10.5603/njo.a2021.0046","DOIUrl":"https://doi.org/10.5603/njo.a2021.0046","url":null,"abstract":"on with calculated comparison performed for five mammography units, for 20 groups of patients (50 patients each), examined in various the values were calculated independently for the same patients using the results of measurements. Observed differences between displayed and calculated doses affected their comparison with acceptable and achievable dose levels. The AGD reliable information on AGD values is needed, they should be independently calculated using the results of measurements.","PeriodicalId":130080,"journal":{"name":"Nowotwory. Journal of Oncology","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125696899","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}