Indian journal of cancer最新文献

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Assessment of metabolic syndrome parameters in pediatric acute lymphoblastic leukemia survivors. 儿童急性淋巴细胞白血病幸存者代谢综合征参数的评估。
IF 1 4区 医学
Indian journal of cancer Pub Date : 2023-07-01 DOI: 10.4103/ijc.IJC_1110_20
Omer Kartal, Orhan Gürsel
{"title":"Assessment of metabolic syndrome parameters in pediatric acute lymphoblastic leukemia survivors.","authors":"Omer Kartal,&nbsp;Orhan Gürsel","doi":"10.4103/ijc.IJC_1110_20","DOIUrl":"10.4103/ijc.IJC_1110_20","url":null,"abstract":"Objective: This study aims to demonstrate the prevalence of metabolic syndrome parameters and to investigate their relationship with body mass index in pediatric acute lymphoblastic leukemia survivors. Methods: The cross-sectional study was conducted between January and October 2019 at the Department of Pediatric Hematology and comprised acute lymphoblastic leukemia survivors who had been treated between 1995 and 2016 and had been off treatment for at least 2 years. The control group included 40 healthy participants who were matched for age and gender. The two groups were compared in terms of various parameters (BMI [body mass index], waist circumference, fasting plasma glucose, HOMA-IR [Homeostatic Model Assessment–Insulin Resistance], etc.). Data were analyzed using Statistical Package for the Social Sciences (SPSS) 21. Results: Of the 96 participants, 56 (58.3%) were survivors and 40 (41.6%) were controls. Among the survivors, there were 36 (64.3%) men, whereas the control group had 23 (57.5%) men. The mean age of the survivors was 16.67 ± 3.41 years, whereas the mean age of the controls was 15.51 ± 4.2 years (P > 0.05). Multinomial logistic regression analysis showed that cranial radiation therapy and female gender were associated with overweight and obesity (P < 0.05). A significant positive correlation was found between BMI and fasting insulin, in survivors (P < 0.05). Conclusion: Disorders of the metabolic parameter were found to be more common among acute lymphoblastic leukemia survivors than among healthy controls.","PeriodicalId":13505,"journal":{"name":"Indian journal of cancer","volume":" ","pages":"325-330"},"PeriodicalIF":1.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10873154","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
Diagnostic value of WB-DWI versus 18F-FDG PET/CT for the detection of multiple myeloma. WB-DWI与18F-FDG PET/CT对多发性骨髓瘤的诊断价值。
IF 1 4区 医学
Indian journal of cancer Pub Date : 2023-07-01 DOI: 10.4103/ijc.IJC_1129_20
Bei Zhang, Li Zhang, Bingyang Bian, Fang Lin, Zining Zhu, Jiping Wang
{"title":"Diagnostic value of WB-DWI versus <sup>18</sup>F-FDG PET/CT for the detection of multiple myeloma.","authors":"Bei Zhang,&nbsp;Li Zhang,&nbsp;Bingyang Bian,&nbsp;Fang Lin,&nbsp;Zining Zhu,&nbsp;Jiping Wang","doi":"10.4103/ijc.IJC_1129_20","DOIUrl":"10.4103/ijc.IJC_1129_20","url":null,"abstract":"<p><strong>Background: </strong>Whole-body diffusion-weighted imaging (WB-DWI) is commonly used for the detection of multiple myeloma (MM). Comparative data on the efficiency of WB-DWI compared with F-18 fluoro-2-deoxy-d-glucose positron emission tomography-computed tomography (<sup>18</sup>F-FDG PET/CT) to detect MM is limited.</p><p><strong>Methods: </strong>This was a retrospective, single-center study of 22 patients with MM enrolled from January 2018 to December 2019. All patients underwent WB-DWI and <sup>18</sup>F-FDG PET/CT. Pathological and clinical manifestations, as well as radiologic follow-up, were used for diagnosis. The overall accuracy, sensitivity, specificity, positive predictive value, and negative predictive value of both methods were compared. The apparent diffusion coefficient (ADC) values of MM lesions and false-positive lesions were estimated.</p><p><strong>Results: </strong>A total of 214 MM bone lesions were evaluated. There was no significant difference in the accuracy of WB-DWI and PET/CT (86.92 versus 88.32%). Though WB-DWI had a higher sensitivity (99.26% versus84.56%) and PET-CT had a higher specificity (96.10% versus 64.56%), these differences were not statistically significant. There was a statistically significant difference in PPV (83.33% versus 96.64%) and NPV (98.08% versus 77.89%) of WB-DWI and PET/CT, respectively. The ADC value for MM lesions was significantly lower than that for false-positive lesions (P < 0.001). Receiver operating curve analysis showed that the AUC was 0.846, and when the cut-off value was 0.745 × 10<sup>-3</sup> mm<sup>2</sup>/s, the sensitivity and specificity were 86.3 and 83.4%, respectively, which distinguished MM lesions from non-MM lesions.</p><p><strong>Conclusion: </strong>WB-DWI and PET-CT scans have similar overall accuracy for detecting MM lesions. The higher PPV of PET-CT and NPV of WB-DWI make them complementary imaging modalities. The ADC value for MM lesions is significantly lower than that for false-positive lesions. An ADC cutoff value of 0.745 × 10<sup>-3</sup> mm<sup>2</sup>/s results in sensitivity and specificity of 86.3 and 83.4%, respectively.</p>","PeriodicalId":13505,"journal":{"name":"Indian journal of cancer","volume":"60 3","pages":"303-309"},"PeriodicalIF":1.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41126879","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
Regulatory role of miRNAs on Wnt/β-catenin signaling in tumorigenesis of glioblastoma. miRNA对Wnt/β-catenin信号传导在胶质母细胞瘤发生中的调节作用。
IF 1 4区 医学
Indian journal of cancer Pub Date : 2023-07-01 DOI: 10.4103/ijc.IJC_251_21
Farzad Rahmani, Pedram Hashemian, Ayda Tadayyon Tabrizi, Zeynab Ghorbani, Aghigh Ziaeemehr, Sajede Alijannejad, Gordon A Ferns, Amir Avan, Soodabeh Shahidsales
{"title":"Regulatory role of miRNAs on Wnt/β-catenin signaling in tumorigenesis of glioblastoma.","authors":"Farzad Rahmani,&nbsp;Pedram Hashemian,&nbsp;Ayda Tadayyon Tabrizi,&nbsp;Zeynab Ghorbani,&nbsp;Aghigh Ziaeemehr,&nbsp;Sajede Alijannejad,&nbsp;Gordon A Ferns,&nbsp;Amir Avan,&nbsp;Soodabeh Shahidsales","doi":"10.4103/ijc.IJC_251_21","DOIUrl":"10.4103/ijc.IJC_251_21","url":null,"abstract":"<p><p>Glioblastoma (GBM) is one of the most aggressive tumors in the brain with high mortality worldwide. Despite recent advances in therapeutic strategies, the survival rate remains low in patients with GBM. The pathogenesis of GBM is a very complicated process involving various genetic mutations affecting several oncogenic signaling pathways like Wnt/β-catenin axis. Overactivation of the Wnt/β-catenin signaling pathway is associated with decreased survival and poor prognosis in patients with GBM. MicroRNAs (miRNAs) were shown to play important roles in the regulation of cell proliferation, differentiation, apoptosis, and tumorigenesis by modulating the expression of their target genes. Aberrant expression of miRNAs were reported in various human malignancies including GBM, breast, colorectal, liver, and prostate cancers, but little is known about their cellular mechanisms. Therefore, recognition of the expression profile and regulatory effects of miRNAs on the Wnt/β-catenin pathway may offer a novel approach for the classification, diagnosis, prognosis, and treatment of patients with GBM. This review summarizes previous data on the modulatory role of miRNAs on the Wnt/β-catenin pathway implicated in tumorigenesis of GBM.</p>","PeriodicalId":13505,"journal":{"name":"Indian journal of cancer","volume":"60 3","pages":"295-302"},"PeriodicalIF":1.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41118978","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
The impact of chemotherapy on quality of life in advanced-stage lung cancer patients. 化疗对晚期癌症患者生活质量的影响。
IF 1 4区 医学
Indian journal of cancer Pub Date : 2023-07-01 DOI: 10.4103/ijc.IJC_1246_20
Sharon S Fernandes, J K Saini
{"title":"The impact of chemotherapy on quality of life in advanced-stage lung cancer patients.","authors":"Sharon S Fernandes,&nbsp;J K Saini","doi":"10.4103/ijc.IJC_1246_20","DOIUrl":"10.4103/ijc.IJC_1246_20","url":null,"abstract":"<p><strong>Background: </strong>Most patients with lung cancer are diagnosed at advanced stages of the disease, where chemotherapy plays an important role. This prospective study was conducted to determine the impact of palliative chemotherapy on quality of life (QOL) in advanced-stage lung cancer patients.</p><p><strong>Methods: </strong>QOL in lung cancer out-patients was assessed at diagnosis and end of treatment using the EORTC QLQ-C30 questionnaire. Changes in mean QOL scores were calculated. The correlation between patients' tumor response and change in QOL scores was also studied. Scoring was done according to the EORTC manual and results were analyzed using SPSS statistical package.</p><p><strong>Results: </strong>Out of 52 patients, 46 (88.46%) were men and six (11.54%) were women. After chemotherapy, patients' overall QOL score improved significantly (P = 0.005). Cognitive functioning significantly worsened (P = 0.01). Physical functioning (PF) and emotional functioning (EF) scores improved, while role functioning (RF) and social functioning (SF) scores worsened. Pain, dyspnea, and sleep significantly improved (P = 0.001, P = 0.001, and P = 0.005 respectively). On the other hand, nausea, vomiting (P = 0.000), diarrhea (P = 0.004), and financial difficulties (P = 0.009) worsened. Overall QOL improved in patients with partial tumor response (PR) and stable disease (SD) (P = 0.044 and P = 0.000, respectively), but worsened in progressive disease group (PD) (P = 0.648). Symptom scores improved markedly in PR and SD groups. Chemotherapy toxicity was maximum in PD group (P = 0.028).</p><p><strong>Conclusion: </strong>Global quality of life and symptom control significantly improved in lung cancer patients after chemotherapy. Deterioration of cognitive functioning, increased financial burden, and chemotherapy-related toxicity were noteworthy. Changes in QOL were coherent with patients' tumor response.</p>","PeriodicalId":13505,"journal":{"name":"Indian journal of cancer","volume":"60 3","pages":"310-315"},"PeriodicalIF":1.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41125083","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
Acetic acid versus toluidine blue as screening tools for oral potentially malignant disorders. 乙酸与甲苯胺蓝作为口腔潜在恶性疾病的筛查工具。
IF 1 4区 医学
Indian journal of cancer Pub Date : 2023-07-01 DOI: 10.4103/ijc.IJC_42_21
San Rose Winton Kalluvelil, Veena S Narayanan
{"title":"Acetic acid versus toluidine blue as screening tools for oral potentially malignant disorders.","authors":"San Rose Winton Kalluvelil,&nbsp;Veena S Narayanan","doi":"10.4103/ijc.IJC_42_21","DOIUrl":"10.4103/ijc.IJC_42_21","url":null,"abstract":"<p><strong>Background: </strong>Diagnostic adjuncts such as toluidine blue have been investigated as screening tools that improve visual examination of potentially malignant disorders (PMD) and oral cancer. Acetic acid has been reported to be of value in the early detection of cervical cancers. This study assessed the utility of 5% acetic acid as a diagnostic adjunct in oral PMD and compared the accuracy of acetic acid with toluidine blue in the detection of dysplastic PMD and high-risk lesions.</p><p><strong>Materials and methods: </strong>This cross-sectional study was conducted at a dental hospital in a rural setting. Thirty-one patients with oral PMD formed the study group. Five percent acetic acid was applied to the lesions, followed by toluidine blue application and biopsy. Sensitivity, specificity, and positive and negative predictive values were computed considering true positives as stain uptake in dysplastic and high-risk PMD.</p><p><strong>Results: </strong>The sensitivity, specificity, and positive and negative predictive values of acetic acid for identifying dysplastic or malignant lesions were 100%, 13.3%, 51.2%, and 100%, respectively, and that for toluidine blue were 75%, 100%, 100%, and 78.9%, respectively. The corresponding values for identifying high-risk PMD (lesions with moderate and severe dysplasia) using acetic acid were 100%, 9.1%, 25.9%, and 100%, respectively, and for toluidine blue were 85.7%, 81.8%, 60%, and 94.7%, respectively.</p><p><strong>Conclusion: </strong>The utility of acetic acid in detecting dysplasia and high-risk PMD is severely limited due to its poor specificity. Compared with acetic acid, toluidine blue is a superior screening tool.</p>","PeriodicalId":13505,"journal":{"name":"Indian journal of cancer","volume":" ","pages":"427-431"},"PeriodicalIF":1.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10824508","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
Evaluation of effect of consumption of probiotics on the gingival and periodontal health status in children undergoing chemotherapy. 食用益生菌对化疗儿童牙龈和牙周健康状况影响的评估。
IF 1 4区 医学
Indian journal of cancer Pub Date : 2023-07-01 DOI: 10.4103/ijc.IJC_215_20
Chaitali Hambire, Umesh Hambire
{"title":"Evaluation of effect of consumption of probiotics on the gingival and periodontal health status in children undergoing chemotherapy.","authors":"Chaitali Hambire,&nbsp;Umesh Hambire","doi":"10.4103/ijc.IJC_215_20","DOIUrl":"10.4103/ijc.IJC_215_20","url":null,"abstract":"<p><strong>Background: </strong>Probiotics consist of live microbes. They do not have any adverse effects on health. They provide nutritive benefits to individuals when ingested in adequate quantities. The most common oral infections of the oral cavity are those affecting the periodontal and dental tissues.</p><p><strong>Aims and objectives: </strong>1) To evaluate the antimicrobial role of oral probiotics against microorganisms involved in infections of periodontal and dental tissues. 2) To evaluate the state of health of gingival and periodontal tissues of children undergoing chemotherapy after the use of oral probiotics.</p><p><strong>Materials and methods: </strong>60 children, between the age group of 3 and 15 years, undergoing chemotherapy were randomly distributed under control and probiotics administered test group for 90 days. The gingival, periodontal, and oral hygiene statuses were evaluated along with their caries activity test. The parameters were measured at 0, 15, 30, 45, 60, 75, and 90 days intervals. Statistical analysis was performed using Statistical Package for the Social Sciences version 18.0.</p><p><strong>Results: </strong>The oral probiotics consumption significantly reduced the plaque accumulation between days of observation among those in the treatment group (P < 0.05). There was a significant improvement in the gingival and periodontal status in the tested group (P < 0.05). Snyder test was conducted to assess caries activity. Score 1 was found in 10 children, score 2 in eight children. Score 3 was not found in any child under the study group.</p><p><strong>Conclusion: </strong>The results show that the regular consumption of oral probiotics significantly reduces plaque accumulation, calculus formation, and caries activity among the test group.</p>","PeriodicalId":13505,"journal":{"name":"Indian journal of cancer","volume":" ","pages":"373-378"},"PeriodicalIF":1.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10873545","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: 1
Safety of laparoscopic surgery in the management of endometrioid endometrial cancer. 腹腔镜手术治疗子宫内膜样子宫内膜癌症的安全性。
IF 1 4区 医学
Indian journal of cancer Pub Date : 2023-07-01 DOI: 10.4103/ijc.IJC_206_21
Gülşen Doğan Durdağ, Songül Alemdaroğlu, Şafak Yilmaz Baran, Seda Yüksel Şimşek, Selçuk Yetkinel, Hüsnü Çelik
{"title":"Safety of laparoscopic surgery in the management of endometrioid endometrial cancer.","authors":"Gülşen Doğan Durdağ,&nbsp;Songül Alemdaroğlu,&nbsp;Şafak Yilmaz Baran,&nbsp;Seda Yüksel Şimşek,&nbsp;Selçuk Yetkinel,&nbsp;Hüsnü Çelik","doi":"10.4103/ijc.IJC_206_21","DOIUrl":"10.4103/ijc.IJC_206_21","url":null,"abstract":"<p><strong>Background: </strong>Laparoscopic surgery has increasingly been preferred in recent years. However, data regarding the safety of laparoscopy in endometrial cancer are not sufficient. The aim of this study was to compare perioperative and oncologic outcomes of laparoscopic and laparotomic staging surgery in patients with endometrioid endometrial cancer and to evaluate the safety and efficacy of laparoscopic surgery in this population.</p><p><strong>Methods: </strong>Data of 278 patients, who underwent surgical staging for endometrioid endometrial cancer at the gynecologic oncology department of a university hospital between 2012 and 2019, were analyzed retrospectively. Demographic, histopathologic, perioperative, and oncologic characteristics were compared between laparoscopy and laparotomy groups. A subgroup of patients with a body mass index (BMI) >30 was further evaluated.</p><p><strong>Results: </strong>Demographic and histopathologic characteristics were similar between the two groups, while laparoscopic surgery was seen to be significantly superior in terms of perioperative outcomes. The number of removed and metastatic lymph nodes was significantly higher in the laparotomy group; however, this difference did not affect the oncologic outcomes, including recurrence and survival rates, and the two groups had similar results in this aspect. The outcomes of the subgroup with BMI >30 were also in accordance with the whole population. Intraoperative complications in laparoscopy were managed successfully.</p><p><strong>Conclusions: </strong>Laparoscopic surgery appears to be advantageous over laparotomy, and depending on the surgical experience, it may be performed safely for surgical staging of endometrioid endometrial cancer.</p>","PeriodicalId":13505,"journal":{"name":"Indian journal of cancer","volume":" ","pages":"366-372"},"PeriodicalIF":1.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10815009","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
Determining the impact of COVID-19 pandemic on adjuvant therapy for oral cancer - A matched-pair analysis. 确定新冠肺炎大流行对口腔癌症辅助治疗的影响——配对分析。
IF 1 4区 医学
Indian journal of cancer Pub Date : 2023-07-01 DOI: 10.4103/ijc.IJC_186_21
Arjun G Singh, Florida Sharin, Natarajan Ramalingam, Vidisha Tuljapurkar, Naveen Mummudi, Kumar Prabhash, Pankaj Chaturvedi
{"title":"Determining the impact of COVID-19 pandemic on adjuvant therapy for oral cancer - A matched-pair analysis.","authors":"Arjun G Singh,&nbsp;Florida Sharin,&nbsp;Natarajan Ramalingam,&nbsp;Vidisha Tuljapurkar,&nbsp;Naveen Mummudi,&nbsp;Kumar Prabhash,&nbsp;Pankaj Chaturvedi","doi":"10.4103/ijc.IJC_186_21","DOIUrl":"10.4103/ijc.IJC_186_21","url":null,"abstract":"<p><strong>Background: </strong>The ongoing coronavirus disease 2019 (COVID-19) pandemic has hard-pressed the health care systems beyond their capabilities, causing a lack of appropriate cancer treatment delivery. The aim of this study was to assess the impact of pandemic-related restrictions on adjuvant therapy delivery for oral cancer patients during these demanding times.</p><p><strong>Materials and methods: </strong>Oral cancer patients who were operated on between February and July 2020 and scheduled to receive prescribed adjuvant therapy during the COVID-19-related restrictions (Group I) were included in the study. The data were matched for the length of hospital stay and type of prescribed adjuvant therapy, with a set of patients who were similarly managed 6 months preceding the restrictions (Group II). Demographic and treatment-specific details, including inconveniences faced in procuring prescribed treatment, were obtained. Factors associated with delay in receiving adjuvant therapy were compared using regression models.</p><p><strong>Results: </strong>A total of 116 oral cancer patients were considered for analysis, comprising 69% (n = 80) adjuvant radiotherapy alone and 31% (n = 36) concurrent chemoradiotherapy. The mean hospital stay was 13 days. In Group I, 29.3% (n = 17) of patients were not able to receive any form of their prescribed adjuvant therapy at all, which was 2.43 times higher than Group II (P = 0.038). None of the disease-related factors significantly predicted delay in receiving adjuvant therapy. Of the delay, 76.47% (n = 13) was present during the initial part of the restrictions, with the most common reason being unavailability of appointments (47.1%, n = 8), followed by inability to reach treatment centers (23.5%, n = 4) and redeem reimbursements (23.5%, n = 4). The number of patients who were delayed the start of radiotherapy beyond 8 weeks after surgery was double in Group I (n = 29) than in Group II (n = 15; P = 0.012).</p><p><strong>Conclusions: </strong>This study highlights a small part of the rippling effect the COVID-19 restrictions have on oral cancer management and pragmatic actions may be needed by policymakers to deal with such challenges.</p>","PeriodicalId":13505,"journal":{"name":"Indian journal of cancer","volume":" ","pages":"359-365"},"PeriodicalIF":1.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10815008","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
The characteristics of the residual disease after cervical conization: A retrospective analysis from a tertiary gynecological cancer center. 宫颈锥切术后残留疾病的特征:一项来自三级妇科癌症中心的回顾性分析。
IF 1 4区 医学
Indian journal of cancer Pub Date : 2023-07-01 DOI: 10.4103/ijc.IJC_238_20
Burak Giray, Canan Kabaca, Mine Guray Uzun
{"title":"The characteristics of the residual disease after cervical conization: A retrospective analysis from a tertiary gynecological cancer center.","authors":"Burak Giray,&nbsp;Canan Kabaca,&nbsp;Mine Guray Uzun","doi":"10.4103/ijc.IJC_238_20","DOIUrl":"10.4103/ijc.IJC_238_20","url":null,"abstract":"<p><strong>Background: </strong>Patients with a biopsy-confirmed cervical intraepithelial neoplasia 2 and 3 have an increased risk of disease progression to invasive cancer and should be treated with an excisional method. However, after treatment with an excisional method, a high-grade residual lesion may remain in patients with positive surgical margins. We aimed to investigate the risk factors for a residual lesion in patients with a positive surgical margin after cervical cold knife conization.</p><p><strong>Methods: </strong>Records of 1008 patients who underwent conization at a tertiary gynecological cancer center were retrospectively reviewed. One hundred and thirteen patients with a positive surgical margin after cold knife conization were included in the study. We have retrospectively analyzed the characteristics of the patients treated with re-conization or hysterectomy.</p><p><strong>Results: </strong>Residual disease was identified in 57 (50.4%) patients. The mean age of the patients with residual disease was 42.47 ± 8.75 years. Age greater than 35 years (P = 0.002; OR, 4.926; 95%CI [Confidence Interval] - 1.681-14.441), more than one involved quadrant (P = 0.003; OR, 3.200; 95% CI - 1.466-6.987), and glandular involvement (P = 0.002; OR, 3.348; 95% CI - 1.544-7.263) were risk factors for residual disease. The rate of high-grade lesion positivity in post-conization endocervical biopsy at initial conization was similar between patients with and without residual disease (P = 0.16). The final pathology of the residual disease was microinvasive cancer in four patients (3.5%) and invasive cancer in one patient (0.9%).</p><p><strong>Conclusion: </strong>In conclusion, residual disease is found in about half of the patients with a positive surgical margin. In particular, we found that age greater than 35 years, glandular involvement, and more than 1 involved quadrant were associated with the residual disease.</p>","PeriodicalId":13505,"journal":{"name":"Indian journal of cancer","volume":" ","pages":"390-395"},"PeriodicalIF":1.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10815011","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
Appendiceal neoplasms: Suspected findings and reports of 14 cases. 阑尾肿瘤:14例可疑发现和报告。
IF 1 4区 医学
Indian journal of cancer Pub Date : 2023-07-01 DOI: 10.4103/ijc.IJC_1121_20
Serhan Yilmaz, Hakan Bolukbasi
{"title":"Appendiceal neoplasms: Suspected findings and reports of 14 cases.","authors":"Serhan Yilmaz,&nbsp;Hakan Bolukbasi","doi":"10.4103/ijc.IJC_1121_20","DOIUrl":"10.4103/ijc.IJC_1121_20","url":null,"abstract":"<p><strong>Background: </strong>Neoplastic lesions of the vermiform appendix are still considered to be rare, some studies suggest that appendix cancer may be on the rise, with an estimated incidence of 0.08-0.1% of all appendiceal specimens. The lifetime incidence of malignant appendiceal tumors ranges from 0.2 to 0.5%.</p><p><strong>Patients and methods: </strong>Our study is applied at the Department of General Surgery at tertiary training and research hospital; 14 patients who had appendectomy or right hemicolectomy between December 2015 and April 2020 were evaluated.</p><p><strong>Results: </strong>The mean age of the patients was 52.3 ± 15.1 (range, 26-79) years. Gender of the patients were: five (35.7%) men and nine (64.3%) women. The clinical diagnosis was appendicitis without suspected findings in 11 (78.6%), appendicitis with suspected findings (appendiceal mass, etc.) in three (21.4%) of the patients, and there is no patient with asymptomatic or other rare findings. Surgeries applied for the patients were: nine (64.3%) underwent open appendectomy, four (28.6%) underwent laparoscopic appendectomy, and one (7.1%) underwent open right hemicolectomy. Histopathologic results were as follows: five (35.7%) neuroendocrine neoplasm, eight (57.1%), noninvasive mucinous neoplasm, and one (7.1%) adenocarcinoma.</p><p><strong>Conclusion: </strong>While diagnosis and management of appendiceal pathology, surgeons should be familiar with suspected findings of appendiceal tumors and discuss them with patients to the possibility of histopathologic results.</p>","PeriodicalId":13505,"journal":{"name":"Indian journal of cancer","volume":" ","pages":"331-336"},"PeriodicalIF":1.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10873546","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: 1
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