{"title":"The Incidental Diagnosis of Lung Cancer Through Chest Tomography During the COVID-19 Pandemic","authors":"Yakup DÜZKÖPRÜ, Gökşen İNANÇ İMAMOĞLU, Ebru ÇILBIR, Abdülkadir KOÇANOĞLU, Özlem DOĞAN, Yeliz AKTÜRK, Hayriye ŞAHİNLİ, Tülay EREN, Yunus GÜRBÜZ, Doğan YAZILITAŞ, Mustafa ALTINBAŞ","doi":"10.37047/jos.2023-98748","DOIUrl":"https://doi.org/10.37047/jos.2023-98748","url":null,"abstract":": This study aims to determine the frequency of incidental lung cancers detected during chest computed tomography (CT) scans performed for guiding the diagnosis or treatment of coronavirus disease-2019 (COVID-19). Material and Methods: In this single-center retrospective study, the chest CT scans taken during the beginning of COVID-19 pneumonia (mostly pre-vaccination era) between April 2020 and December 2020 were examined. Patients who were younger than 18 years and those with a prior history of cancer were excluded. Moreover, the clinicopathological factors and radiologic findings of those patients with pulmonary nodule size on CT ≥ 3 mm or masses were recorded. Results: We assessed the CT scans of 2994 patients. A pulmonary nodule ≥ 3 mm or a mass was detected in 473 patients, while nine of them were diagnosed with lung cancer. The median age of lung cancer patients was 65 years (48-71 years). The most common subtype of lung cancer was adenocarcinoma (44.4%), followed by squamous cell carcinoma (33.3%) and small cell lung cancer (22.2%). Furthermore, all patients were diagnosed at the non-metastatic stage. Conclusion: Our study showed that early-stage lung cancers were detected incidentally on CT scans in suspected COVID-19 pneumonia patients. While the COVID-19 pandemic resulted in significant mortality worldwide, early diagnosis and treatment of these cases can save several lives.","PeriodicalId":31838,"journal":{"name":"Journal of Oncological Sciences","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134889468","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}
E. Şenocak Taşçı, E. Aytaç, Mirac Ajredini, Arda Ulaş Mutlu, I. Yıldız, Leyla Özer
{"title":"Impact of Professional Seniority on Total Neoadjuvant Treatment Approach for Locally Advanced Rectal Cancer","authors":"E. Şenocak Taşçı, E. Aytaç, Mirac Ajredini, Arda Ulaş Mutlu, I. Yıldız, Leyla Özer","doi":"10.37047/jos.2023-96807","DOIUrl":"https://doi.org/10.37047/jos.2023-96807","url":null,"abstract":"Objective: Total neoadjuvant therapy (TNT) integrates whole planned systemic chemotherapy within standard neoadjuvant protocols either before or after radiotherapy for locally advanced rectal cancer (LARC). However, the preference for neoadjuvant treatment type may vary among medical oncologists. We aimed to evaluate the impact of professional seniority on the TNT approach for LARC. Material and Methods: We presented a 20-item questionnaire to medical oncologists as a cross-sectional survey. The evaluation was stratified based on position: early-career oncologists (ECOs) and seniors. Results: We included 189 (62.4% ECOs) medical oncologists. Seniors significantly preferred using endorectal ultrasound as a staging tool (p=0.039). 65.6% of the participants preferred long-course chemoradiation. The most common denominators for TNT were external sphincter invasion, threatened circumferential resection margin (CRM), and clinical stage. ECOs and seniors preferred short-course radiotherapy (p=0.009) and long-course chemoradiotherapy (p=0.041), respectively, as the index step of TNT. Furthermore, 57% of the physicians preferred to monitor treatment response for TNT at 8-week periods. Approximately 47.1% of the participants reported pathological complete response (pCR) rates between 25% and 50% with TNT. The physicians who prefer to administer adjuvant treatment after TNT completion make individualized decisions when surgical pathology reveals non-pCR, CRM, and lymph node involvement. Furthermore, 88% of the senior medical oncologists and 76.3% of the ECOs agreed that TNT should be the standardized neoadjuvant treatment approach for LARC. Conclusion: TNT for LARC is well accepted among medical oncologists, and professional seniority seems to affect its clinical application.","PeriodicalId":31838,"journal":{"name":"Journal of Oncological Sciences","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69825067","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}
Bilgin DEMİR, Ali AYTAÇ, İbrahim METEOĞLU, Sabri BARUTCA
{"title":"A Peritoneal Granulomatous Lesion with Dense Histiocytic Infiltration Due to Nivolumab Treatment","authors":"Bilgin DEMİR, Ali AYTAÇ, İbrahim METEOĞLU, Sabri BARUTCA","doi":"10.37047/jos.2023-98050","DOIUrl":"https://doi.org/10.37047/jos.2023-98050","url":null,"abstract":"ABS TRACT In the current practice of oncology, immunological treatments have an expanded spectrum owing to increased efficacy in various indications for the same tumor and the rising number of responsive cancers, by the novel agent development. In this report, the emergence of a peritoneal lesion is presented in a 50-year-old male patient under nivolumab treatment for lung adenocarcinoma. Granulomatous tissue with dense histiocytic infiltration and necrotic foci was revealed on histopathological examination. Immune-related granulomatous lesions are commonly defined as sarcoid-like and no necrosis, generally located in the mediastinal lymph nodes, lungs, and skin. To the best of our knowledge, this is the first report of an immune-related granulomatous lesion with histiocytic infiltration and necrotic foci, located on the peritoneum. The etiopathogenesis and clinicopathological features of immunotherapy-related granulomatous lesions and their potential predictive role on anticancer efficacy should be better understood.","PeriodicalId":31838,"journal":{"name":"Journal of Oncological Sciences","volume":"172 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134887745","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}
O. Sütçüoğlu, Mehmet Arda Inan, A. Üner, Gozde Savas, H. Bora, A. Özet, N. Günel, N. Akyürek, O. Yazıcı, N. Özdemir
{"title":"Association of Immunoscore, CD73 Expression and 53BP1 Expression with Neoadjuvant Chemoradiotherapy Efficacy in Patients with Locally Advanced Rectal Cancer","authors":"O. Sütçüoğlu, Mehmet Arda Inan, A. Üner, Gozde Savas, H. Bora, A. Özet, N. Günel, N. Akyürek, O. Yazıcı, N. Özdemir","doi":"10.37047/jos.2022-94374","DOIUrl":"https://doi.org/10.37047/jos.2022-94374","url":null,"abstract":"","PeriodicalId":31838,"journal":{"name":"Journal of Oncological Sciences","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69824804","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}
R. Arıkan, Hilal SAĞIROĞLU ÜSTÜN, N. Demircan, S. Isik, T. Akın Telli, Alper Yaşar, A. Celebı, N. Majidova, Nadiye Sever, Ç. Çelikel, M. Sari, Özlem Ercelep, Osman Köstek, I. V. Bayoglu
{"title":"Prognostic Significance of Mucinous Histology in Metastatic Colorectal Cancer Patients Treated with Regorafenib","authors":"R. Arıkan, Hilal SAĞIROĞLU ÜSTÜN, N. Demircan, S. Isik, T. Akın Telli, Alper Yaşar, A. Celebı, N. Majidova, Nadiye Sever, Ç. Çelikel, M. Sari, Özlem Ercelep, Osman Köstek, I. V. Bayoglu","doi":"10.37047/jos.2022-94250","DOIUrl":"https://doi.org/10.37047/jos.2022-94250","url":null,"abstract":"ABS TRACT Objective: Prognostic factors for regorafenib therapy have not been fully defined. Mucinous adenocarcinoma (MAC) is a distinct subtype of colorectal cancer (CRC). We investigated the significance of mucinous histology in patients treated with regorafenib for metastatic CRC (mCRC). Material and Methods: In this retrospective study, patients were stratified according to the presence of mucinous histology; >1% extracellular mucin was defined as mucinous component adenocarcinoma (MCAC), and containing no mucin was defined as non-MAC. The prognostic significance of mucinous histology for progression-free survival (PFS) and overall survival (OS) was evaluated by univariate and multivariate analyses. Results: A total of 103 patients were included, including 20 (19.4%) patients with MCAC and 83 (80.6%) patients with non-MAC. The median follow-up time was 8.6 months (range 1.8-31.6 months). The median PFS was lower in cases with MCAC than those with non-MAC (3.2 months vs. 3.6 months, respectively, p=0.01). Median OS was lower in MCAC patients than in non-MAC patients (4.3 months vs. 9.6 months, respectively, p=0.008). In multivariate analyses, mucinous histology was an independent risk factor [hazard ratio (HR): 2.2, p=0.003] for PFS and Eastern Cooperative Oncology Group-Performance Status (HR: 2.2, p=0.01), cancer antigen 19-9 (HR: 1.7, p=0.03), and mucinous histology (HR: 1.9, p=0.02) were independent risk factors for OS. Conclusion: This study revealed the prognostic value of mucinous histology in mCRC patients treated with regorafenib. Consideration of histologic features may be helpful in selecting patients for regorafenib therapy.","PeriodicalId":31838,"journal":{"name":"Journal of Oncological Sciences","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69824934","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}
C. Erol, M. Bardakçi, M. Hızal, S. Kahraman, E. Yekedüz, D. Güven, M. Aykan, Recep Ak, Öztürk Ateş, D. Şener Dede, M. Akinci, N. Karadurmuş, Öznur Bal, Y. Ürün, Ş. Yalçın, B. Yalcin, M. Şendur
{"title":"Unresectable Hepatocellular Carcinoma and Prognostic Factors of Sorafenib Treatment: A Real-Life Experience","authors":"C. Erol, M. Bardakçi, M. Hızal, S. Kahraman, E. Yekedüz, D. Güven, M. Aykan, Recep Ak, Öztürk Ateş, D. Şener Dede, M. Akinci, N. Karadurmuş, Öznur Bal, Y. Ürün, Ş. Yalçın, B. Yalcin, M. Şendur","doi":"10.37047/jos.2023-96148","DOIUrl":"https://doi.org/10.37047/jos.2023-96148","url":null,"abstract":"ABS TRACT Objective: Sorafenib is the first targeted therapy for patients with advanced hepatocellular carcinoma (HCC). This multicenter study primarily aimed to assess real-life experiences of sorafenib in patients with advanced HCC in Türkiye and to determine the prognostic factors. Material and Methods: Patients treated with sorafenib for HCC treatment were included in a retrospective collection of demographic, clinical, and laboratory data. Overall survival (OS) and progression-free survival (PFS), safety data, and prognostic factors were analyzed. Results: A total of 147 patients receiving sorafenib from six tertiary oncology centers were included. Approximately 88.4% and 11.6% of patients were Child-Pugh (CP) classes A and B, respectively. The median PFS was 5.1 (95% CI, 4.3 to 5.9) and 2.9 months (95% CI, 2.3 to 3.5), and OS was 9.8 (95% CI, 6.4 to 13.2) and 5.3 months (95% CI, 4.1 to 6.5) in patients with CP-A and CP-B, respectively. There was a difference in OS between CP-A and B (p=<0.001). The most common adverse event was diarrhea (19.7%, Grade 1-2; 6.8%, Grade 3). The eastern cooperative oncology group (ECOG) performance score, CP score, neutrophil-lymphocyte ratio (NLR), and alpha-fetoprotein (AFP) values were found to be independent prognostic factors. Conclusion: OS and PFS were similar in routine clinical practice compared to Phase III pivotal SHARP and Asia-Pacific trials. The median survival was longer in those with a better ECOG performance score, CP-A, and lower NLR and AFP levels.","PeriodicalId":31838,"journal":{"name":"Journal of Oncological Sciences","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69825437","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}
Bryan Gervais de de LIYIS, Viona MARESKA, Celine Aurelia AHMAD, Alexandria Cahyaputri WINDIARTO, Agung Wiwiek INDRAYANI
{"title":"Nab-Paclitaxel-Loaded Poly (Lactic-Co-Glycolic Acid) Nanoparticles as Microtubule B-Tubulin Stabilizer in the Management of Pancreatic Cancer","authors":"Bryan Gervais de de LIYIS, Viona MARESKA, Celine Aurelia AHMAD, Alexandria Cahyaputri WINDIARTO, Agung Wiwiek INDRAYANI","doi":"10.37047/jos.2022-94097","DOIUrl":"https://doi.org/10.37047/jos.2022-94097","url":null,"abstract":"","PeriodicalId":31838,"journal":{"name":"Journal of Oncological Sciences","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134887501","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}
H. Yıldırım, M. Üner, Tuğba YILDIRAN ÖZMEN, E. Chalabiyev, D. Güven, F. Kuş, A. Akyildiz, F. Yilmaz, S. Yasar, Y.N. Evlendi, Ö. Dizdar, Ş. Yalçın, A. Üner, S. Aksoy
{"title":"Prognostic Value of Androgen Receptor Expression in Premenopausal Women with Estrogen Receptor-Positive Breast Cancer","authors":"H. Yıldırım, M. Üner, Tuğba YILDIRAN ÖZMEN, E. Chalabiyev, D. Güven, F. Kuş, A. Akyildiz, F. Yilmaz, S. Yasar, Y.N. Evlendi, Ö. Dizdar, Ş. Yalçın, A. Üner, S. Aksoy","doi":"10.37047/jos.2022-94227","DOIUrl":"https://doi.org/10.37047/jos.2022-94227","url":null,"abstract":"","PeriodicalId":31838,"journal":{"name":"Journal of Oncological Sciences","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69824083","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}