M LuisF.Fierro, C JesúsO.Sánchez, G MireyaTapiero, R AndrésFlórez, D HenryVargas, C ClaudiaCórdoba
{"title":"Diabetes posterior a tratamiento no quirúrgico de un insulinoma maligno: reporte de caso y revisión literatura","authors":"M LuisF.Fierro, C JesúsO.Sánchez, G MireyaTapiero, R AndrésFlórez, D HenryVargas, C ClaudiaCórdoba","doi":"10.35509/01239015.138","DOIUrl":"https://doi.org/10.35509/01239015.138","url":null,"abstract":"Los tumores neuroendocrinos pancreáticos (TNEsP) son un grupo poco frecuente de neoplasias, pueden ser funcionales, causando síndromes clínicos diversos, o no funcionales, con síntomas secundarios a invasión a estructuras cercanas o enfermedad metastasica (1). Se presenta el caso de una paciente de 55 años con insulinoma maligno con compromiso metastasico extenso, no candidata a intervención quirúrgica, con hipoglucemia de difícil manejo sin respuesta a tratamiento con diazóxido y prednisolona, que requirió manejo con quimioterapia y embolización de metástasis hepáticas, con posterior mejoría clínica, estabilidad de la enfermedad por imágenes diagnósticas y retiro de medicamentos para manejo hipoglucemia. En seguimiento presenta síntomas de hiperglucemia con HbA1c en 12%, con lo cual se diagnosticó diabetes mellitus de novo y se inició manejo con insulina. ","PeriodicalId":42496,"journal":{"name":"Revista Colombiana de Cancerologia","volume":"24 1","pages":"30-36"},"PeriodicalIF":0.2,"publicationDate":"2020-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43669093","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}
Carolina Alvarez Tapias, Luis Guzmán, Sandra Díaz, J. Carreño, Rafael Beltrán, Ricardo Buitrago, C. Carvajal
{"title":"Etiología de nódulos pulmonares en pacientes con cáncer mamario","authors":"Carolina Alvarez Tapias, Luis Guzmán, Sandra Díaz, J. Carreño, Rafael Beltrán, Ricardo Buitrago, C. Carvajal","doi":"10.35509/01239015.81","DOIUrl":"https://doi.org/10.35509/01239015.81","url":null,"abstract":"Materials and Methods: A case-series study was developed to describe the clinical, histological and anatomopathological characteristics of a sample of patients with a diagnosis of de novo metastatic breast cancer or whom presented with pulmonary nodules during their disease that required surgical resection by wedge pulmonary or lobectomy in the INC, between January 1, 2015 and April 30, 2018. \u0000Results: Fifty-five cases were included in the study period, of which 26 (47.3%) were breast cancer metastases, 9 (16.4%) were pulmonary primary second, and 1 (1.8%) patient had primary pulmonary cancer and one breast metastasis concomitantly. Another 2 (3.6%) patients had metastases from other organs, one from the rectum and one from the thyroid, while the remaining 17 (30.9%) patients presented a report of benign pulmonary lesions in the pathological anatomy. \u0000Conclusion: The presence of pulmonary nodules in patients with breast cancer are not always secondary to metastatic disease. Other etiologies may exist, such as primary pulmonary cancer, metastasis from other cancers, benign lung tumors or infections. Knowing the etiology of pulmonary nodules in patients with breast cancer is crucial to evaluate the therapeutic options .","PeriodicalId":42496,"journal":{"name":"Revista Colombiana de Cancerologia","volume":"24 1","pages":"11-17"},"PeriodicalIF":0.2,"publicationDate":"2020-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46763633","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}
Amaranto Suarez Matos, Giovanny Rincon Oyuela, Kelly Johana Paz Amador, María Camila Prada, S. M. Naranjo
{"title":"Linfoma Linfoblástico cutáneo de células precursoras B: Una presentación infrecuente de los linfomas en niños","authors":"Amaranto Suarez Matos, Giovanny Rincon Oyuela, Kelly Johana Paz Amador, María Camila Prada, S. M. Naranjo","doi":"10.35509/01239015.7","DOIUrl":"https://doi.org/10.35509/01239015.7","url":null,"abstract":"Primary cutaneous lymphoblastic lymphomas are an infrequent disease that occurs predominantly in the pediatric age; and they present with cutaneous lesions without identifiable systemic disease at the time of diagnosis. The disease has an aggressive behavior and the treatment must be based on protocols derived from the management of acute lymphoblastic leukemia, which has shown good survival rates. \u0000The authors present the case of a girl with a lymphoblastic lymphoma of cutaneous primary precursor B cells localized on the face managed with a BFM-based protocol for lymphoblastic leukemia with good evolution.","PeriodicalId":42496,"journal":{"name":"Revista Colombiana de Cancerologia","volume":"24 1","pages":"26-29"},"PeriodicalIF":0.2,"publicationDate":"2020-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49392742","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}
Judith Beatriz Pupo Balboa, M. R. Castellanos, Reinaldo Gutiérrez-Guriérrez, Anamarys Pandolfi-Blanco, Lucia Fariñas Rodríguez
{"title":"Daño del ADN como marcador potencial en el seguimiento clínico de pacientes femeninas con cáncer tratado","authors":"Judith Beatriz Pupo Balboa, M. R. Castellanos, Reinaldo Gutiérrez-Guriérrez, Anamarys Pandolfi-Blanco, Lucia Fariñas Rodríguez","doi":"10.35509/01239015.122","DOIUrl":"https://doi.org/10.35509/01239015.122","url":null,"abstract":"ABSTRACT Objective: identify individual differences in basal DNA damage (DB) of peripheral leukocytes in women with cancer in remission. Methods: a cross-sectional analytical study involving 24 women with cancer in remission from different locations, and 24 supposedly healthy women. Alkaline Comet assay and the neutral variant were used to determine single strand breaks (DB-A) and double strand breaks of DNA (DB-N), respectively. Results: even though there were no differences between the mean values of DNA damage in patients and controls (DB-N: p = 0.43 and DB-A: p = 0.13), 41.6% of patients presented an increase of one type or another of DNA breaks, compared to the corresponding cutoff points of control women. DB-N was correlated with increasing age (r2 = 0.1833; r = 0.4281; p = 0.036) in patients. DB-A was higher in those who had received anti-cancer polytherapy (p = 0.024) and in those who were undergoing treatment with tamoxifen (p = 0.033), while it was lower in those who consumed antioxidants (p=0.006) and in those who combined tamoxifen and antioxidants (p=0.020). Conclusions: individual differences were identified in both types of DNA strand breaks, which are of medical interest in the patients studied. Basal DNA damage determined by comet assay is a potential tool in clinical follow-up of patients with cancer in remission.","PeriodicalId":42496,"journal":{"name":"Revista Colombiana de Cancerologia","volume":"25 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69853584","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}
Holman Ballesteros, E. D. Vries, A. Duarte, H. Vargas, M. Cotes
{"title":"Impacto de la modificación de los factores de riesgo en la incidencia de cáncer de cavidad oral en Colombia al año 2050","authors":"Holman Ballesteros, E. D. Vries, A. Duarte, H. Vargas, M. Cotes","doi":"10.35509/01239015.30","DOIUrl":"https://doi.org/10.35509/01239015.30","url":null,"abstract":"Introducción: En Colombia, en el periodo 2007 - 2011 se estima que se diagnosticaron alrededor de 1.500 casos nuevos de cáncer de cavidad oral y fallecieron por esta causa 500 personas, la mayoría hombres. La etiología de esta enfermedad esta relacionada con el virus del papiloma humano, el consumo de alcohol y el cigarrillo. Este estudio buscó cuantificar el efecto en la incidencia del cáncer de cavidad oral del cambio hipotético en la prevalencia de factores de riesgo como consumo de alcohol, de cigarrillo e infección por virus papiloma humano en Colombia para el periodo 2015 – 2050. \u0000Métodos: Modelo de simulación macro basado en datos secundarios. \u0000Resultados: Según los escenarios simulados, al eliminar el consumo de cigarrillo, alcohol e infección por virus del papiloma humano en la población colombiana probablemente sería posible evitar del 27,6 % al 82,1 % de los casos nuevos de cáncer de cavidad oral en Colombia en el periodo 2015 - 2050. \u0000Conclusiones: Bajo los supuestos de un escenario basado en las expectativas de la OMS se espera que bajo las estimaciones del modelo elaborado habrá un posible aumento de los casos de cáncer de cavidad oral asociados a alcohol y un bajo impacto en la prevención con las medidas actuales, por lo puede ser necesario que se pongan en marcha medidas para disminuir el consumo de alcohol, al igual que sostener los esfuerzos en la disminución de consumo del cigarrillo, es necesario tener en cuenta las limitaciones de un modelo de simulación.","PeriodicalId":42496,"journal":{"name":"Revista Colombiana de Cancerologia","volume":"23 1","pages":"126-134"},"PeriodicalIF":0.2,"publicationDate":"2019-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49556131","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}
A. Ojeda, Juliana Jiménez, A. Gómez, R. Montoya, Roy Sanguino
{"title":"Pseudoaneurisma micótico por embolismo séptico en paciente pediátrico con leucemia linfoblástica aguda","authors":"A. Ojeda, Juliana Jiménez, A. Gómez, R. Montoya, Roy Sanguino","doi":"10.35509/01239015.119","DOIUrl":"https://doi.org/10.35509/01239015.119","url":null,"abstract":"Pediatric aneurysms are rare and can be caused for damaging of the arterial wall secondary to an infection, forming a blind sacculation contiguous to its lumen called mycotic pseudoaneurysm. The majority of reported cases are from elderly patients with comorbidities. The most frequent involucre microorganisms are Staphylococcus spp, Salmonella spp, Streptococcus spp and rarely fungi. \u0000 \u0000We present the case of a 3-year-old boy, with a recent diagnosis of acute lymphoblastic leukemia of B precursors in remission, with a high risk of relapse due to incomplete treatment and a history of bacteremia due to Staphylococcus epidermidis and fungemia due to Candida tropicalis; with cardiac vegetations that produce liver, spleen, lung and brain embolism, in whom a partially thrombosed mycotic pseudoaneurysm of the common and external iliac artery is found. The early diagnosis of this entity is of vital importance because of the risk of rupture. Surgical management will depend on the location, size and associated complications.","PeriodicalId":42496,"journal":{"name":"Revista Colombiana de Cancerologia","volume":"23 1","pages":"158-162"},"PeriodicalIF":0.2,"publicationDate":"2019-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42729990","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":"La prevención y el monitoreo del consumo del tabaco: una decisión política","authors":"C. Ceballos","doi":"10.35509/01239015.133","DOIUrl":"https://doi.org/10.35509/01239015.133","url":null,"abstract":"El consumo de tabaco produce cáncer y mata a la mitad de sus consumidores (1). A pesar de que durante la primera mitad del siglo XX el mayor número de muertes se presentaba en los países de altos ingresos, una serie de hechos modificaron este patrón y en la actualidad el 80% de las muertes se presenta en los países de medianos y bajos ingresos (1). Tanto la liberalización del mercado, la remoción de las barreras comerciales que determina una baja en los precios, la mayor inversión que empezó a hacer la industria tabacalera en publicidad y promoción del cigarrillo como la ausencia de una regulación sobre el consumo determinaron una demanda creciente en estos últimos países (2). \u0000...A este respecto, en este número de la Revista Colombiana de Cancerología, Peña E, et al. evalúan el potencial efecto sanitario y económico del aumento de impuesto en los cigarrillos mediante el diseño de un modelo de simulación. En su investigación se evidenció que “las enfermedades relacionadas con el cigarrillo representan un costo directo anual al sistema de salud de más de 4,5 billones de pesos, mientras la recaudación impositiva por la venta de cigarrillos apenas logra cubrir un 10% de este gasto”. En este sentido, los autores encuentran que con el aumento del 50% sobre el precio actual favorecería la reducción de enfermedades, así como la recaudación impositiva con un beneficio económico de 8 billones en 10 años. Los autores en su estudio respaldan “el aumento del precio en los cigarrillos, incluido en la reforma tributaria de 2016 y muestran que existe un margen para un mayor incremento del precio”.","PeriodicalId":42496,"journal":{"name":"Revista Colombiana de Cancerologia","volume":"23 1","pages":"124-125"},"PeriodicalIF":0.2,"publicationDate":"2019-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69853641","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}
Sofia Elizabeth Muñoz Medina, Ricardo Sánchez Pedraza, Ligia Elena Jaimes Osorio
{"title":"Adaptación transcultural al español de la escala Distress Management del NCCN versión 2.2018 para su utilización en pacientes oncológicos en Colombia","authors":"Sofia Elizabeth Muñoz Medina, Ricardo Sánchez Pedraza, Ligia Elena Jaimes Osorio","doi":"10.35509/01239015.12","DOIUrl":"https://doi.org/10.35509/01239015.12","url":null,"abstract":"Background: Patients diagnosed with cancer have significant levels of emotional distress related with oncological disease. The Distress Management is a tool designed by the NCCN for the measurement of emotional distress that requires psychosocial care in patients with cancer as part of the usual processes in care. Objective: Translate and cross-cultural comparison the English version of the Distress Management scale of NCCN version 2.2018 to Colombian Spanish. \u0000Methods: The transcultural translation and adaptation process was developed following the methodological recommendations of the EORTC quality of life group, performing an initial translation, inverse translation and a pilot test involving 10 patients treated at the National Institute of Cancerology Bogota, Spanish speakers and who knew to read and write. \u0000Results: The translation of the thermometer was carried out, finding some discrepancies in the direct and inverse translation, reaching a consensus in each stage of the process. In the pilot test, the scale was answered between 5 to 9 minutes, there was difficulty in understanding 6 items in the list of problems. It was decided to add \"tiredness\" to the item of fatigue, \"psychoactive\" to the item of substance use and to make an explanation of the instructions prior to the patients reading and filling the instrument. \u0000Conclusion: The transcultural adaptation of the Distress Management of the NCCN version 2.2018 was made to a Colombian Spanish version. This version can be used to determine the psychometric properties when applied to cancer patients in Colombia.","PeriodicalId":42496,"journal":{"name":"Revista Colombiana de Cancerologia","volume":"23 1","pages":"144-151"},"PeriodicalIF":0.2,"publicationDate":"2019-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45089986","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}
Constanza Pardo, L. Trujillo, L. Buitrago, E. D. Vries
{"title":"Supervivencia de pacientes con cáncer epitelial de ovario en el Instituto Nacional de Cancerología, resultados a partir del registro hospitalario de cáncer, (2005-2014)","authors":"Constanza Pardo, L. Trujillo, L. Buitrago, E. D. Vries","doi":"10.35509/01239015.36","DOIUrl":"https://doi.org/10.35509/01239015.36","url":null,"abstract":"Objetivo: Proporcionar características demográficas y clínicas, y estimaciones de supervivencia global a tres años de pacientes con cáncer epitelial de ovario (CEO) tratadas en el Instituto Nacional de Cancerología de Colombia (INC) entre 2005 y 2014. \u0000Métodos: Se incluyeron 783 pacientes diagnosticadas y tratadas por primera vez en el INC por CEO en los periodos 2005-2008, 2009-2011, 2012-2014, sin un diagnóstico previo de otro cáncer. Se cruzaron datos del registro hospitalario de cáncer con bases de datos gubernamentales para obtener información de seguimiento. Utilizando el método Kaplan-Meier estimamos la probabilidad de sobrevivir a 36 meses a partir de la fecha de ingreso, evaluando diferencias en supervivencia entre grupos con la prueba de rango logarítmico. Utilizamos modelos multivariados de riesgos proporcionales de Cox para evaluar el efecto relativo de edad, estadio clínico, subtipo histológico y el tipo de tratamiento inicial en la supervivencia. \u0000Resultados: La probabilidad de supervivencia global a 36 meses fue de 56,5% (IC 95%: 53,0; 60,0), que se mantuvo estable en los tres periodos. La edad avanzada, el estadio clínico y el subtipo histológico afectaron significativamente la supervivencia global a tres años: 49,5% (IC 95%: 43; 55,6) para mujeres >59 años; 21,9% (IC 95%: 14,7; 29,2) para la enfermedad en estadio IV y 56,3% (IC 95%: 37,5; 54,3) para los tumores serosos. Las estimaciones de hazards fueron significativamente más altas en pacientes de 59 años o más (HR 1,54 (IC del 95%: 1,04 a 2,27)) y en cánceres con estadio avanzado (HR 13,47 (IC 95%: 7,92-22,92)); la cirugía más quimioterapia tuvo una reducción en el riesgo en comparación con otros tratamientos (HR 0,84 (IC 95% 0,52-1,36)). \u0000Conclusiones: La supervivencia del cáncer epitelial de ovario se mantuvo estable con el tiempo. La variación se presentó en factores como, la edad, el estadio clínico y primer tratamiento.","PeriodicalId":42496,"journal":{"name":"Revista Colombiana de Cancerologia","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2019-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49467145","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":"Hemofilia adquirida A y B como manifestación inicial de linfoma no Hodgkin. Reporte de un caso y revisión de la literatura","authors":"Bonell Patiño, P. Omaña, Diana Otero, J. Montoya","doi":"10.35509/01239015.93","DOIUrl":"https://doi.org/10.35509/01239015.93","url":null,"abstract":"La hemofilia adquirida es una complicación rara y potencialmente fatal en pacientes con neoplasias hematológicas (desórdenes linfoproliferativos) o tumores sólidos. Presentamos una paciente de 75 años de sexo femenino con antecedente de hipertensión arterial y anemia ferropénica que ingresa a urgencias por cuadro de dolor abdominal generalizado tipo cólico, asociado a episodios eméticos de contenido alimentario y deposiciones melénicas. Dentro de los estudios iniciales se encontraron: tiempos de coagulación prolongados, prueba de mezclas de aPTT con evidencia de anticoagulante circulante específico, factor IX, 0% y factor VIII, 0% con inhibidores de factor VIII y IX en 180 UB y 130 UB respectivamente. Se consideró que la paciente cursaba con hemofilia adquirida A y B con realización de estudios de extensión diagnosticándose linfoma no Hodgkin marginal esplénico.","PeriodicalId":42496,"journal":{"name":"Revista Colombiana de Cancerologia","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2019-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43538464","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}