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A new perspective on the proper timing of radiotherapy during CDK4/6 inhibitor therapy in patients with "bone-only" metastatic breast cancer. “骨-非”转移性癌症患者CDK4/6抑制剂治疗期间放疗时机的新观点。
IF 2.8 4区 医学
Pathology & Oncology Research Pub Date : 2023-10-11 eCollection Date: 2023-01-01 DOI: 10.3389/pore.2023.1611369
Ilona Tornyi, Peter Árkosy, Ildikó Horváth, Andrea Furka
{"title":"A new perspective on the proper timing of radiotherapy during CDK4/6 inhibitor therapy in patients with \"bone-only\" metastatic breast cancer.","authors":"Ilona Tornyi,&nbsp;Peter Árkosy,&nbsp;Ildikó Horváth,&nbsp;Andrea Furka","doi":"10.3389/pore.2023.1611369","DOIUrl":"10.3389/pore.2023.1611369","url":null,"abstract":"<p><p>The vast majority of hormone positive and HER2 negative advanced breast cancers can be controlled well by endocrine therapy combined with the groundbreaking use of CDK4/6 inhibitors in the metastatic first-line setting. Approximately 50%-60% of these patients have \"bone-only\" metastatic disease. In oligometastatic cases or if a certain number of uncontrolled lesions develop during the aforementioned therapy, ablative radiotherapy can be delivered or, in symptomatic cases, urgent irradiation is needed with palliative intent. To achieve the most effective results, parallel with good quality of life, the timing of radiotherapy must be determined precisely, taking into account that different cell cycles are involved during different treatment modalities; therefore, optimization of treatment schedules ensures longer and safer post-progression overall survival. The key question is whether the two treatment modalities are safe concurrently or whether they should be administered separately, and if so, what is the optimal sequence and why? This manuscript aims to answer this important question, with a focus on quality of life. Existing publications focus on safety and toxicity profiles, and efficacy is detailed only tangentially and minimally.</p>","PeriodicalId":19981,"journal":{"name":"Pathology & Oncology Research","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2023-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10598277/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54230535","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
Concordance analysis of cerebrospinal fluid with the tumor tissue for integrated diagnosis in gliomas based on next-generation sequencing. 脑脊液和肿瘤组织的一致性分析用于基于下一代测序的胶质瘤综合诊断。
IF 2.8 4区 医学
Pathology & Oncology Research Pub Date : 2023-09-26 eCollection Date: 2023-01-01 DOI: 10.3389/pore.2023.1611391
Qiang Wang, Qiujin Liang, Wuting Wei, Wenhao Niu, Chong Liang, Xiaoliang Wang, Xiaoxuan Wang, Hao Pan
{"title":"Concordance analysis of cerebrospinal fluid with the tumor tissue for integrated diagnosis in gliomas based on next-generation sequencing.","authors":"Qiang Wang,&nbsp;Qiujin Liang,&nbsp;Wuting Wei,&nbsp;Wenhao Niu,&nbsp;Chong Liang,&nbsp;Xiaoliang Wang,&nbsp;Xiaoxuan Wang,&nbsp;Hao Pan","doi":"10.3389/pore.2023.1611391","DOIUrl":"10.3389/pore.2023.1611391","url":null,"abstract":"<p><p><b>Purpose:</b> The driver mutations of gliomas have been identified in cerebrospinal fluid (CSF). Here we compared the concordance between CSF and tumor tissue for integrated diagnosis in gliomas using next-generation sequencing (NGS) to evaluate the feasibility of CSF detection in gliomas. <b>Patients and methods:</b> 27 paired CSF/tumor tissues of glioma patients were sequenced by a customized gene panel based on NGS. All CSF samples were collected through lumbar puncture before surgery. Integrated diagnosis was made by analysis of histology and tumor DNA molecular pathology according to the 2021 WHO classification of the central nervous system tumors. <b>Results:</b> A total of 24 patients had detectable circulating tumor DNA (ctDNA) and 22 had at least one somatic mutation or chromosome alteration in CSF. The ctDNA levels varied significantly across different ages, Ki-67 index, magnetic resonance imaging signal and glioma subtypes (<i>p</i> < 0.05). The concordance between integrated ctDNA diagnosis and the final diagnosis came up to 91.6% (Kappa, 0.800). We reclassified the clinical diagnosis of 3 patients based on the results of CSF ctDNA sequencing, and 4 patients were reassessed depending on tumor DNA. Interestingly, a rare <i>IDH1</i> R132C was identified in CSF ctDNA, but not in the corresponding tumor sample. <b>Conclusion:</b> This study demonstrates a high concordance between integrated ctDNA diagnosis and the final diagnosis of gliomas, highlighting the practicability of NGS based detection of mutations of CSF in assisting integrated diagnosis of gliomas, especially glioblastoma.</p>","PeriodicalId":19981,"journal":{"name":"Pathology & Oncology Research","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2023-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10562547/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41208772","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
A unique case of AH-dominant type nodular pulmonary amyloidosis presenting as a spontaneous pneumothorax: a case report and review of the literature. 一例独特的AH显性型结节性肺淀粉样变性,表现为自发性肺气肿:病例报告和文献复习。
IF 2.8 4区 医学
Pathology & Oncology Research Pub Date : 2023-09-22 eCollection Date: 2023-01-01 DOI: 10.3389/pore.2023.1611390
Valeria Skopelidou, Pavel Hurník, Lubomír Tulinský, Vladimir Židlík, Jiří Lenz, Patricie Delongová, Helena Hornychová, Patrik Flodr, Tomáš Jelínek, Ludmila Muroňová, Dušan Holub, Petr Džubák, Marián Hajdúch
{"title":"A unique case of AH-dominant type nodular pulmonary amyloidosis presenting as a spontaneous pneumothorax: a case report and review of the literature.","authors":"Valeria Skopelidou,&nbsp;Pavel Hurník,&nbsp;Lubomír Tulinský,&nbsp;Vladimir Židlík,&nbsp;Jiří Lenz,&nbsp;Patricie Delongová,&nbsp;Helena Hornychová,&nbsp;Patrik Flodr,&nbsp;Tomáš Jelínek,&nbsp;Ludmila Muroňová,&nbsp;Dušan Holub,&nbsp;Petr Džubák,&nbsp;Marián Hajdúch","doi":"10.3389/pore.2023.1611390","DOIUrl":"10.3389/pore.2023.1611390","url":null,"abstract":"<p><p>Amyloidosis is a rare metabolic disorder primarily brought on by misfolding of an autologous protein, which causes its local or systemic deposition in an aberrant fibrillar form. It is quite rare for pulmonary tissue to be impacted by amyloidosis; of the three forms it can take when involving pulmonary tissue, nodular pulmonary amyloidosis is the most uncommon. Nodular pulmonary amyloidosis rarely induces clinical symptoms, and most often, it is discovered accidentally during an autopsy or <i>via</i> imaging techniques. Only one case of nodular pulmonary amyloidosis, which manifested as a spontaneous pneumothorax, was found in the literature. In terms of more precise subtyping, nodular amyloidosis is typically AL or mixed AL/AH type. No publications on AH-dominant type of nodular amyloidosis were found in the literature. We present a case of an 81 years-old male with nodular pulmonary AH-dominant type amyloidosis who presented with spontaneous pneumothorax. For a deeper understanding of the subject, this study also provides a review of the literature on cases with nodular pulmonary amyloidosis in relation to precise amyloid fibril subtyping. Since it is often a difficult process, accurate amyloid type identification is rarely accomplished. However, this information is very helpful for identifying the underlying disease process (if any) and outlining the subsequent diagnostic and treatment steps. Even so, it is crucial to be aware of this unit and make sure it is taken into consideration when making a differential diagnosis of pulmonary lesions.</p>","PeriodicalId":19981,"journal":{"name":"Pathology & Oncology Research","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2023-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10556250/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41143364","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
Case report: Clinical experience of treating pembrolizumab-induced systemic capillary leak syndrome (SCLS) in one patient with metastatic gastroesophageal junction squamous cell carcinoma. 病例报告:一例转移性胃食管交界部鳞状细胞癌患者治疗pembrolizumab诱导的系统性毛细血管渗漏综合征(SCLS)的临床经验。
IF 2.8 4区 医学
Pathology & Oncology Research Pub Date : 2023-09-08 eCollection Date: 2023-01-01 DOI: 10.3389/pore.2023.1611330
Hua Ni, Xinjia Ding, Shikai Wu, Xuan Jin
{"title":"Case report: Clinical experience of treating pembrolizumab-induced systemic capillary leak syndrome (SCLS) in one patient with metastatic gastroesophageal junction squamous cell carcinoma.","authors":"Hua Ni,&nbsp;Xinjia Ding,&nbsp;Shikai Wu,&nbsp;Xuan Jin","doi":"10.3389/pore.2023.1611330","DOIUrl":"10.3389/pore.2023.1611330","url":null,"abstract":"<p><p>Systemic capillary leak syndrome (SCLS) is a rare and complex adverse effect of immune checkpoint inhibitors (ICIs). The diagnosis of drug-induced SCLS is based on diffuse infusions of exudative fluid into the interstitial areas and the exclusion of other causes. The best management of ICIs-induced SCLS is not settled, though proper supportive care and corticosteroids were commonly applied as the first-line treatment. In our patient with advanced gastroesophageal junction squamous cell carcinoma, although ICIs-induced SCLS was successfully controlled with corticosteroids, the patient soon experienced cancer progress and died of pulmonary infections. Based on our experience and the reported cases by other hospitals, different stages of SCLS might respond differently to the same treatment. Therefore, a grading of ICIs-induced SCLS might help to stratify the patient for different treatment strategies. Besides, corticosteroids-sensitive patients, though waived from deadly SCLS, might be at higher risk of cancer progress and subsequent infections due to the application of corticosteroids. Considering that the inflammatory factors should be closely involved in the development of ICIs-induced SCLS, targeted therapy against the driver inflammatory cytokine might offer treatment regimens that are more effective and safer.</p>","PeriodicalId":19981,"journal":{"name":"Pathology & Oncology Research","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2023-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10514350/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41145406","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: 1
Commentary: Percutaneous tracheostomy: comparison of three different methods with respect to tracheal cartilage injury in cadavers-randomized controlled study. 评论:经皮气管造口术:三种不同方法在尸体气管软骨损伤方面的比较随机对照研究。
IF 2.8 4区 医学
Pathology & Oncology Research Pub Date : 2023-09-08 eCollection Date: 2023-01-01 DOI: 10.3389/pore.2023.1611451
Eckart Klemm, Andreas Nowak
{"title":"Commentary: Percutaneous tracheostomy: comparison of three different methods with respect to tracheal cartilage injury in cadavers-randomized controlled study.","authors":"Eckart Klemm,&nbsp;Andreas Nowak","doi":"10.3389/pore.2023.1611451","DOIUrl":"https://doi.org/10.3389/pore.2023.1611451","url":null,"abstract":"In this issue of Pathology & Oncology Research, Bódis et al. compare incidences of cartilage injury caused by different percutaneous dilatation techniques, including Single Dilator, Griggs’ and modified bidirectional Griggs’ method in a randomized cadaver study. Based on the data reported, the authors conclude that both standard and modified Griggs’ forceps dilatational methods were safer than Single Dilator in respect of cartilage injury [1]. Pathological studies of the trachea after a tracheostomy are important because technical aspects also play a role in the decision to perform a tracheostomy. In our opinion an important aspect is the fact that tracheal rings in critical care patients are not homogeneously composed of hyaline cartilage.","PeriodicalId":19981,"journal":{"name":"Pathology & Oncology Research","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2023-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10514353/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41143365","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
Active cancer as the main predictor of mortality for COVID-19 in oncology patients in a specialized center. 活跃的癌症是专业中心肿瘤患者新冠肺炎死亡率的主要预测因素。
IF 2.8 4区 医学
Pathology & Oncology Research Pub Date : 2023-09-07 eCollection Date: 2023-01-01 DOI: 10.3389/pore.2023.1611236
Freddy Villanueva-Cotrina, Juan Velarde, Ricardo Rodriguez, Alejandra Bonilla, Marco Laura, Tania Saavedra, Diana Portillo-Alvarez, Yovel Bustamante, Cesar Fernandez, Marco Galvez-Nino
{"title":"Active cancer as the main predictor of mortality for COVID-19 in oncology patients in a specialized center.","authors":"Freddy Villanueva-Cotrina,&nbsp;Juan Velarde,&nbsp;Ricardo Rodriguez,&nbsp;Alejandra Bonilla,&nbsp;Marco Laura,&nbsp;Tania Saavedra,&nbsp;Diana Portillo-Alvarez,&nbsp;Yovel Bustamante,&nbsp;Cesar Fernandez,&nbsp;Marco Galvez-Nino","doi":"10.3389/pore.2023.1611236","DOIUrl":"https://doi.org/10.3389/pore.2023.1611236","url":null,"abstract":"<p><p><b>Introduction:</b> The role of the type, stage and status of cancer in the outcome of COVID-19 remains unclear. Moreover, the characteristic pathological changes of severe COVID-19 reveled by laboratory and radiological findings are similar to those due to the development of cancer itself and antineoplastic therapies. <b>Objective:</b> To identify potential predictors of mortality of COVID-19 in cancer patients. <b>Materials and methods:</b> A retrospective and cross-sectional study was carried out in patients with clinical suspicion of COVID-19 who were confirmed for COVID-19 diagnosis by RT-PCR testing at the National Institute of Neoplastic Diseases between April and December 2020. Demographic, clinical, laboratory and radiological data were analyzed. Statistical analyses included area under the curve and univariate and multivariate logistic regression analyses. <b>Results:</b> A total of 226 patients had clinical suspicion of COVID-19, the diagnosis was confirmed in 177 (78.3%), and 70/177 (39.5%) died. Age, active cancer, leukocyte count ≥12.8 × 109/L, urea ≥7.4 mmol/L, ferritin ≥1,640, lactate ≥2.0 mmol/L, and lung involvement ≥35% were found to be independent predictors of COVID-19 mortality. <b>Conclusion:</b> Active cancer represents the main prognosis factor of death, while the role of cancer stage and type is unclear. Chest CT is a useful tool in the prognosis of death from COVID-19 in cancer patients. It is a challenge to establish the prognostic utility of laboratory markers as their altered values it could have either oncological or pandemic origins.</p>","PeriodicalId":19981,"journal":{"name":"Pathology & Oncology Research","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2023-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10511753/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41160008","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
Claudin expression in pulmonary adenoid cystic carcinoma and mucoepidermoid carcinoma. Claudin在肺腺样囊性癌和粘液表皮样癌中的表达。
IF 2.8 4区 医学
Pathology & Oncology Research Pub Date : 2023-08-09 eCollection Date: 2023-01-01 DOI: 10.3389/pore.2023.1611328
Marton Gyulai, Tunde Harko, Katalin Fabian, Luca Karsko, Laszlo Agocs, Balazs Szigeti, Janos Fillinger, Zoltan Szallasi, Orsolya Pipek, Judit Moldvay
{"title":"Claudin expression in pulmonary adenoid cystic carcinoma and mucoepidermoid carcinoma.","authors":"Marton Gyulai,&nbsp;Tunde Harko,&nbsp;Katalin Fabian,&nbsp;Luca Karsko,&nbsp;Laszlo Agocs,&nbsp;Balazs Szigeti,&nbsp;Janos Fillinger,&nbsp;Zoltan Szallasi,&nbsp;Orsolya Pipek,&nbsp;Judit Moldvay","doi":"10.3389/pore.2023.1611328","DOIUrl":"10.3389/pore.2023.1611328","url":null,"abstract":"<p><p><b>Background:</b> Although the expression of tight junction protein claudins (CLDNs) is well known in common histological subtypes of lung cancer, it has not been investigated in rare lung cancers. The aim of our study was to examine the expression of different CLDNs in pulmonary salivary gland tumors. <b>Methods:</b> 35 rare lung cancers including pathologically confirmed 12 adenoid cystic carcinomas (ACCs) and 23 mucoepidermoid carcinomas (MECs) were collected retrospectively. Immunohistochemical (IHC) staining was performed on formalin fixed paraffin embedded (FFPE) tumor tissues, and CLDN1, -2, -3, -4, -5, -7, and -18 protein expressions were analyzed. The levels of immunopositivity were determined with H-score. Certain pathological characteristics of ACC and MEC samples (tumor grade, presence of necrosis, presence of blood vessel infiltration, and degree of lymphoid infiltration) were also analyzed. <b>Results:</b> CLDN overexpression was observed in both tumor types, especially in CLDN2, -7, and -18 IHC. Markedly different patterns of CLDN expression were found for ACC and MEC tumors, especially for CLDN1, -2, -4, and -7, although none of these trends remained significant after correction for multiple testing. Positive correlations between expressions of CLDN2 and -5, CLDN3 and -4, and CLDN5 and -18 were also demonstrated. Tumors of never-smokers presented lower levels of CLDN18 than tumors of current smokers (<i>p</i>-value: 0.003). <b>Conclusion:</b> This is the first study to comprehensively describe the expression of different CLDNs in lung ACC and MEC. Overexpression of certain CLDNs may pave the way for targeted anti-claudin therapy in these rare histological subtypes of lung cancer.</p>","PeriodicalId":19981,"journal":{"name":"Pathology & Oncology Research","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2023-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10444951/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10083564","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
Correlation analysis of circulating tumor cells and Claudin-4 in breast cancer. 乳腺癌循环肿瘤细胞与 Claudin-4 的相关性分析
IF 2.3 4区 医学
Pathology & Oncology Research Pub Date : 2023-07-03 eCollection Date: 2023-01-01 DOI: 10.3389/pore.2023.1611224
Jie Chai, Xiangli Liu, Xinju Hu, Chunfang Wang
{"title":"Correlation analysis of circulating tumor cells and Claudin-4 in breast cancer.","authors":"Jie Chai, Xiangli Liu, Xinju Hu, Chunfang Wang","doi":"10.3389/pore.2023.1611224","DOIUrl":"10.3389/pore.2023.1611224","url":null,"abstract":"<p><p><b>Objective:</b> We aimed to explore the relationship between peripheral blood circulating tumor cells (CTCs) and the expression of Claudin-4 in patients with breast cancer, and further explore the potential impact on clinical prognosis and risk assessment. <b>Methods:</b> We classified and enumerated circulating tumor cells in the blood of breast cancer patients by CTC-enriched <i>in situ</i> hybridization and the detection of Claudin-4 expression by immunohistochemistry. We carried out an analysis of the correlation between the two and the comparison of their impact on clinical parameters and prognosis. <b>Results:</b> There were 38 patients with a low expression of Claudin-4 and 27 patients with a high expression of Claudin-4. Compared with Claudin-4 low-expression patients, the number of CTCs was higher in patients with high Claudin-4 expression (11.7 vs. 7.4, <i>p</i> < 0.001). High Claudin-4 expression was associated with a lower count of epithelial CTCs (E-CTCs) (3.4 vs. 5.0, <i>p</i> = 0.033), higher counts of mesenchymal CTCs (M-CTC) (4.4 vs. 1.1, <i>p</i> < 0.001), and epithelial/mesenchymal CTCs (E/M-CTCs) (4.0 vs. 3.5, <i>p</i> = 0.021). The intensity of Claudin-4 was positively correlated with CTC (r<sub>s</sub> = 0.43, <i>p</i> = 0.001). Multivariate COX regression analysis showed that CTC counts (HR = 1.3, <i>p</i> < 0.001), Claudin-4 (HR = 4.6, <i>p</i> = 0.008), and Lymphatic metastasis (HR = 12.9, <i>p</i> = 0.001) were independent factors for poor prognosis. COX regression of CTC classification showed that epithelial/mesenchymal CTCs (E/M-CTC) (HR = 1.9, <i>p</i> = 0.001) and mesenchymal CTCs (M-CTC) (HR = 1.5, <i>p</i> = 0.001) were independent influencing factors of adverse reactions in breast cancer patients. <b>Conclusion:</b> The number of CTC in breast cancer is positively correlated with the expression of Claudin-4. High CTC counts and a high proportion of M-CTCs correlated with Claudin-4 expression. CTC counts and Claudin-4 expression were independent predictors of poor prognosis in breast cancer patients.</p>","PeriodicalId":19981,"journal":{"name":"Pathology & Oncology Research","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2023-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10351536/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9847140","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
A combined approach for individualized lymphadenectomy in gastric cancer patients. 对胃癌患者进行个体化淋巴结切除术的综合方法。
IF 2.3 4区 医学
Pathology & Oncology Research Pub Date : 2023-06-29 eCollection Date: 2023-01-01 DOI: 10.3389/pore.2023.1611270
Zsolt Varga, Adrienn Bíró, Miklós Török, Dezső Tóth
{"title":"A combined approach for individualized lymphadenectomy in gastric cancer patients.","authors":"Zsolt Varga, Adrienn Bíró, Miklós Török, Dezső Tóth","doi":"10.3389/pore.2023.1611270","DOIUrl":"10.3389/pore.2023.1611270","url":null,"abstract":"<p><p><b>Introduction:</b> Gastric cancer ranks as the fifth most common cancer globally. The presence of lymph node metastasis is a significant prognostic factor influencing survival. Postoperative morbidity and nodal staging accuracy are heavily affected by the extent of lymph node dissection. Our study aimed to explore the potential integration of two contemporary methods, sentinel node navigation surgery (SNNS) and the Maruyama Computer Program (MCP), to improve the accuracy of nodal staging. <b>Materials and methods:</b> We conducted a prospective data collection involving patients with gastric adenocarcinoma from 2008 to 2018 at the Department of Surgery, University of Debrecen, Hungary. Data from 100 consecutive patients were collected. The primary and secondary endpoints included evaluating the rate of node-negative patients and the diagnostic accuracy of our combined approach. <b>Results:</b> Sentinel node mapping was successful in 97 out of 100 patients. We found that using the threshold value of the Maruyama Index (MI) ≥ 28, all metastatic stations of sentinel-node-negative patients could be identified. Our method achieved 100% sensitivity and negative predictive value, with a specificity of 60.42% (95% CI = 46.31%-72.98%). <b>Discussion:</b> The combined application of SNNS and MCP has proven to be an effective diagnostic technique in the synergistic approach for identifying metastasis-positive lymph node stations. Despite its limitations, this combination may assist clinicians in customizing lymphadenectomy for gastric cancer patients.</p>","PeriodicalId":19981,"journal":{"name":"Pathology & Oncology Research","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2023-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10338685/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9825144","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
Case report: A rare case of tumor-to-tumor metastasis: metastatic lobular breast carcinoma to clear cell renal cell carcinoma. 病例报告:一例罕见的肿瘤间转移:转移性小叶乳腺癌到透明细胞肾细胞癌。
IF 2.8 4区 医学
Pathology & Oncology Research Pub Date : 2023-06-12 eCollection Date: 2023-01-01 DOI: 10.3389/pore.2023.1611204
Letian Zhang, Pei Yuan, Qi Cao, Jiali Mu, Jianming Ying, Changyuan Guo
{"title":"Case report: A rare case of tumor-to-tumor metastasis: metastatic lobular breast carcinoma to clear cell renal cell carcinoma.","authors":"Letian Zhang, Pei Yuan, Qi Cao, Jiali Mu, Jianming Ying, Changyuan Guo","doi":"10.3389/pore.2023.1611204","DOIUrl":"10.3389/pore.2023.1611204","url":null,"abstract":"<p><p>Tumor-to-tumor metastasis is a rare phenomenon. Although renal cell carcinoma is the most common recipient tumor, metastatic lobular breast carcinoma to clear cell renal cell carcinoma is even rarer, with only one case reported to date. We present a 66-year-old female patient with an invasive lobular carcinoma history who was admitted to the hospital with a right renal mass. The patient received partial nephrectomy. The final established diagnosis is lobular breast carcinoma metastasizing to clear cell renal cell carcinoma (ccRCC). Thus, although rare, the simultaneous or consecutive find of a renal mass in follow-up should be carefully evaluated, especially in high-risk patients, including women with an advanced breast cancer history, as in this scenario.</p>","PeriodicalId":19981,"journal":{"name":"Pathology & Oncology Research","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2023-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10291080/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10103587","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}
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