Cancer treatment communications最新文献

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Oligometastases: Defined by prognosis and evaluated by cure 少转移:由预后定义,并通过治愈来评估
Cancer treatment communications Pub Date : 2015-01-01 DOI: 10.1016/j.ctrc.2015.01.001
Hiroyuki Kaneda, Yukihito Saito
{"title":"Oligometastases: Defined by prognosis and evaluated by cure","authors":"Hiroyuki Kaneda,&nbsp;Yukihito Saito","doi":"10.1016/j.ctrc.2015.01.001","DOIUrl":"10.1016/j.ctrc.2015.01.001","url":null,"abstract":"<div><p>Recently, the state of oligometastases has been spotlighted in the treatment strategy for metastases. Aggressive local treatment for oligometastases, including pulmonary resection, stereotactic body radiotherapy (SBRT), radiofrequency ablation, and cryoablation has been the subject of research. Among studies on the local treatment, those on SBRT more often evaluated local control as the primary outcome, and those on pulmonary metastasectomy more often evaluated overall survival as the primary outcome. Oligometastases is a disease concept that is defined by a state of limited systemic metastatic tumors for which local ablative therapy could be curative. By definition, the purpose of local treatment for oligometastases is cure, and the primary outcome to be analyzed should be disease-free survival. As systemic adjuvant therapy in addition to local treatment with complete ablation has some effect on micrometastases, in clinical research on oligometastases, the only treatment modality under evaluation should be local ablation. There are multiple discrete indications for the local treatment of metastatic lesions. The purposes of these indications are (a) the intent to cure oligometastases, (b) the intent to prolong survival as a part of multidisciplinary therapy, and (c) local control for palliative care. In order to appropriately evaluate the significance of local treatment, the outcomes should depend on the indication for treatment. The corresponding outcomes to consider are (a) disease-free survival, (b) overall survival, and (c) local control. Factorial analysis of each outcome corresponding to each indication for local therapy would yield information on each clinical presentation to help decide treatment.</p></div>","PeriodicalId":90461,"journal":{"name":"Cancer treatment communications","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ctrc.2015.01.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54049881","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 29
Thymoma-associated chronic diarrhea: A case of autoimmune enteropathy 胸腺瘤相关性慢性腹泻:自身免疫性肠病1例
Cancer treatment communications Pub Date : 2015-01-01 DOI: 10.1016/j.ctrc.2015.04.002
Patricio Riquelme , Alison H. Tisch , Ying Liang , Anson W. Lowe , Alexander D. Colevas , Heather A. Wakelee
{"title":"Thymoma-associated chronic diarrhea: A case of autoimmune enteropathy","authors":"Patricio Riquelme ,&nbsp;Alison H. Tisch ,&nbsp;Ying Liang ,&nbsp;Anson W. Lowe ,&nbsp;Alexander D. Colevas ,&nbsp;Heather A. Wakelee","doi":"10.1016/j.ctrc.2015.04.002","DOIUrl":"10.1016/j.ctrc.2015.04.002","url":null,"abstract":"<div><p>Thymomas are tumors arising from thymic epithelial cells that are frequently associated with autoimmune conditions. One such disorder, autoimmune enteropathy, is an uncommon autoimmune process found in patients with thymoma that is characterized by chronic diarrhea (&gt;6 weeks duration), malabsorption, and characteristic small intestinal histopathology. The presence of anti-enterocyte or anti-goblet cell antibodies supports the diagnosis of autoimmune. As this is a relatively uncommon disorder, treatment options have not been well studied. We report the case of a 35-year-old Caucasian male with recurrent thymoma that subsequently developed autoimmune enteropathy as confirmed by symptoms, biopsy and serologies. Prednisone and octreotide, which have previously been shown to treat recurrent thymoma, were used to successfully treat his autoimmune enteropathy and recurrent thymoma, leading to resolution of diarrhea, subsequent weight gain, and radiographic confirmation of regression of metastatic thymoma. Autoimmune enteropathy should be considered in the differential diagnosis of patients with thymoma presenting with intractable diarrhea and weight loss. The use of prednisone and octreotide may be helpful in treating both conditions.</p></div>","PeriodicalId":90461,"journal":{"name":"Cancer treatment communications","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ctrc.2015.04.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54050078","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}
引用次数: 0
A teenager with lung mucinous adenocarcinoma harboring a KRAS mutation arising in type 1 congenital cystic adenomatoid malformation (CCAM) 1例青少年肺粘液腺癌携带KRAS突变,由1型先天性囊性腺瘤样畸形(CCAM)引起。
Cancer treatment communications Pub Date : 2015-01-01 DOI: 10.1016/j.ctrc.2015.05.001
Pedro Masson Domingues , Tatiane Montella , Clarissa Baldotto , Teresa Gutman , Vera Capelozzi , Carlos Gil Ferreira
{"title":"A teenager with lung mucinous adenocarcinoma harboring a KRAS mutation arising in type 1 congenital cystic adenomatoid malformation (CCAM)","authors":"Pedro Masson Domingues ,&nbsp;Tatiane Montella ,&nbsp;Clarissa Baldotto ,&nbsp;Teresa Gutman ,&nbsp;Vera Capelozzi ,&nbsp;Carlos Gil Ferreira","doi":"10.1016/j.ctrc.2015.05.001","DOIUrl":"10.1016/j.ctrc.2015.05.001","url":null,"abstract":"<div><p>A 14-year-old boy was referred to our hospital with a 1-year evolving productive cough and hemoptysis.A Positron-emission-tomography scan (PET/CT) revealed a 17cm hypermetabolic right lower-lobe lung mass in contact with mediastinal structures as well as multiple bilateral pulmonary nodules. Percutaneous lung biopsy identified an invasive mucinous adenocarcinoma (IMA; formerly mucinous BAC) associated with Type I Congenital Cystic Adenomatoid Malformation (CCAM).Genomic profiling was performed and detected a KRAS mutation (G12D).</p><p>NSCLC can be rarely seen in young patients. In the pediatric population, the incidence is approximately 0.0002% and it is usually associated with a congenital malformation.</p><p>CCAM is a group of rare lung congenital malformations. The estimated incidence is 1 in 25.000 to 1 in 35.000 pregnancies and it represents 25% of all congenital lung malformations. Type I is the most common subtype of CCAM. It is characterized by the presence of large cysts lined by pseudostratified ciliated cells that are often interspersed with rows of mucous cells.It has been largely recognized that some cases of type I CCAM show malignant transformation to mucinous adenocarcinoma.</p><p>Recent data clearly demonstrated that the occurrence of mucinous adenocarcinoma in type I CCAM is associated with KRAS mutation.</p><p>This case highlights the relationship between type I CCAM and lung mucinous adenocarcinoma/KRAS mutant. Moreover, demonstrated that the clinical outcome was consistent with the molecular feature of a KRAS mutant patient.</p></div>","PeriodicalId":90461,"journal":{"name":"Cancer treatment communications","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ctrc.2015.05.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54050093","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}
引用次数: 2
Neutrophil–lymphocyte ratio prior to steroids as a prognostic marker in men with metastatic castration-resistant prostate cancer 中性粒细胞-淋巴细胞比值在类固醇治疗前作为转移性去势抵抗性前列腺癌的预后指标
Cancer treatment communications Pub Date : 2015-01-01 DOI: 10.1016/j.ctrc.2015.06.001
Jennifer M McLachlan , David L Chan , Megan A Crumbaker , Gavin M Marx
{"title":"Neutrophil–lymphocyte ratio prior to steroids as a prognostic marker in men with metastatic castration-resistant prostate cancer","authors":"Jennifer M McLachlan ,&nbsp;David L Chan ,&nbsp;Megan A Crumbaker ,&nbsp;Gavin M Marx","doi":"10.1016/j.ctrc.2015.06.001","DOIUrl":"10.1016/j.ctrc.2015.06.001","url":null,"abstract":"<div><h3>Introduction</h3><p>The neutrophil–lymphocyte ratio (NLR) is prognostic in a number of tumour types, with conflicting results in metastatic castration-resistant prostate cancer (mCRPC). The aim of this study was to assess whether the NLR prior to the administration of premedication steroids is a prognostic marker in men with mCRPC treated with taxane-based chemotherapy.</p></div><div><h3>Patients and methods</h3><p>This was a retrospective study of men with mCRPC receiving taxane-based chemotherapy between 2005 and 2012. Patients were included if laboratory results were available between two and 28 days prior to the commencement of chemotherapy. Overall survival (OS) and progression-free survival (PFS) were assessed using the Kaplan–Meier method. Univariate and multivariate Cox proportional hazards regression models were used to determine the prognostic significance of NLR on OS and PFS.</p></div><div><h3>Results</h3><p>OS was significantly better in patients with NLR &lt;5 (<em>n</em>=28) compared to those with NLR &gt;5 (<em>n</em>=14), with median OS 32 months vs 14.9 months respectively (HR 2.15, 95% CI 1.07–4.33, <em>p</em>=0.0003). PFS was 10 months in those with NLR &lt;5 vs 5 months in those with NLR &gt;5 (HR 2, 95% CI 0.99–3.66, <em>p</em>=0.01). Multivariate analysis confirmed NLR (<em>p</em>=0.004) to be an independent prognostic factor for OS.</p></div><div><h3>Conclusion</h3><p>The findings from this study support the use of baseline NLR as a prognostic biomarker in men with mCRPC receiving taxane based chemotherapy. An elevated NLR (&gt;5) is associated with a shorter survival in this group of patients.</p></div>","PeriodicalId":90461,"journal":{"name":"Cancer treatment communications","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ctrc.2015.06.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54050171","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}
引用次数: 3
Heterogeneity of EGFR mutations in a patient treated with gefitinib as neo-adjuvant chemotherapy 吉非替尼作为新辅助化疗治疗的患者EGFR突变的异质性
Cancer treatment communications Pub Date : 2015-01-01 DOI: 10.1016/j.ctrc.2015.08.002
Kosuke Mizoguchi , Yoichi Nakamura , Kuniko Abe , Shinnosuke Takemoto , Kohei Motoshima , Daiki Ogawara , Katsumi Nakatomi , Minoru Fukuda , Junya Fukuoka , Shigeru Kohno
{"title":"Heterogeneity of EGFR mutations in a patient treated with gefitinib as neo-adjuvant chemotherapy","authors":"Kosuke Mizoguchi ,&nbsp;Yoichi Nakamura ,&nbsp;Kuniko Abe ,&nbsp;Shinnosuke Takemoto ,&nbsp;Kohei Motoshima ,&nbsp;Daiki Ogawara ,&nbsp;Katsumi Nakatomi ,&nbsp;Minoru Fukuda ,&nbsp;Junya Fukuoka ,&nbsp;Shigeru Kohno","doi":"10.1016/j.ctrc.2015.08.002","DOIUrl":"10.1016/j.ctrc.2015.08.002","url":null,"abstract":"<div><h3>Objective</h3><p>Heterogeneity of EGFR mutations remains controversial. A case of completely resected lung adenocarcinoma after initial chemotherapy with gefitinib that showed intratumoral heterogeneity of EGFR mutations is reported.</p></div><div><h3>Patient and methods</h3><p>A 68-year-old woman who presented with mild breathlessness was diagnosed with lung adenocarcinoma (cT3N1M0 stage IIIA) harboring the L858R point mutation. She received gefitinib as neo-adjuvant chemotherapy to reduce the tumor volume to avoid pneumonectomy, and she underwent right middle and lower lobectomies. The resected specimen showed two areas that were distinctly different pathologically and genetically within the tumor. One area consisted of viable cells, but the other consisted mostly of degenerated cells. Immunohistochemical staining and polymerase chain reaction-direct sequencing for each microdissected area were performed.</p></div><div><h3>Results</h3><p>In the viable cells area, the L858R point mutation was detected by both methods, but it was not detected in the mostly degenerated cells area.</p></div><div><h3>Conclusion</h3><p>These results suggest that there may be intratumoral heterogeneity of EGFR mutations, and the therapeutic effect of EGFR–TKIs could be limited only to mutant cells.</p></div>","PeriodicalId":90461,"journal":{"name":"Cancer treatment communications","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ctrc.2015.08.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54050284","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}
引用次数: 0
Income-associated discrepancies in melanoma survival 收入相关的黑色素瘤生存差异
Cancer treatment communications Pub Date : 2015-01-01 DOI: 10.1016/j.ctrc.2015.08.008
Harib H. Ezaldein, B.S., Karl Grunseich, B.A., Vikram Jairam, B.S., Alessandra Ventura, M.D.
{"title":"Income-associated discrepancies in melanoma survival","authors":"Harib H. Ezaldein, B.S.,&nbsp;Karl Grunseich, B.A.,&nbsp;Vikram Jairam, B.S.,&nbsp;Alessandra Ventura, M.D.","doi":"10.1016/j.ctrc.2015.08.008","DOIUrl":"10.1016/j.ctrc.2015.08.008","url":null,"abstract":"<div><p>The Surveillance, Epidemiology, and End Results (SEER 18) database is the largest national registry for cancer-related patient data in the United States. Black populations consistently have shown poorer survival statistics, possibly due to later stages of presentation, increased tumor aggressiveness, treatment noncompliance, or other debated causes. Our goal in this study is to look at a socioeconomic marker that may link all of these causes, namely median income level, and derive the extent of influence a patient's financial resources can have on overall survival. Original cases from the aforementioned database were identified, with unknown racial status cases excluded from the final dataset. Survival data by geographical county was collected from the SEER database and correlated to US Census Bureau median income data to uncover meaningful statistical relationships. Blacks were noted to present at later ages (60+years), with deeper invasive lesions (median 1.255<!--> <!-->mm vs 0.60<!--> <!-->mm), and higher rates of ulceration (35.9% vs 13.0%) than White patients. Whites were found to overall fare better than Blacks for all time intervals (Year 1–5) following diagnosis, based on mean survival data (<em>p</em>&lt;0.05). Blacks have higher survival rates for the same time intervals (Year 1 to Year 5) when survival statistics adjusted for income (<em>p</em>&lt;0.05). Significant correlations were seen between presentation parameters, income, and overall survival. These findings identify a major socioeconomic issue to address within the policy-making framework and endorse earlier intervention for underprivileged populations.</p></div>","PeriodicalId":90461,"journal":{"name":"Cancer treatment communications","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ctrc.2015.08.008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54050358","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}
引用次数: 3
Gene expression profiling of pulmonary neuroendocrine neoplasms: A comprehensive overview 肺神经内分泌肿瘤的基因表达谱:全面概述
Cancer treatment communications Pub Date : 2015-01-01 DOI: 10.1016/j.ctrc.2015.09.002
Dorian R.A. Swarts , Frans C.S. Ramaekers , Ernst J.M. Speel
{"title":"Gene expression profiling of pulmonary neuroendocrine neoplasms: A comprehensive overview","authors":"Dorian R.A. Swarts ,&nbsp;Frans C.S. Ramaekers ,&nbsp;Ernst J.M. Speel","doi":"10.1016/j.ctrc.2015.09.002","DOIUrl":"10.1016/j.ctrc.2015.09.002","url":null,"abstract":"<div><p>Neuroendocrine neoplasms (NENs) of the lung comprise a heterogeneous group, including small cell lung cancer (SCLC), large cell neuroendocrine carcinoma and pulmonary carcinoids. To unravel their molecular biology, microarray studies have been conducted that provided lists of differentially expressed genes between lung NENs on the one hand and normal tissue and/or non-SCLCs on the other. However, the majority of studies paid little attention to the functions of candidates and their potency as diagnostic markers and/or therapeutic targets. Furthermore, at a first glance, only limited overlap was seen amongst these individual studies concerning differentially expressed transcripts.</p><p>By combining all originally published gene expression profiling studies on lung NENs, and by re-evaluating differentially expressed genes, we were able to identify major factors involved in lung NEN carcinogenesis. Thirty-three genes were found to be frequently deregulated in multiple studies. Amongst these are neuroendocrine-specific factors, including <em>ASH1</em>, <em>INSM1</em>, and <em>ISL1</em> and genes involved in neuronal differentiation and neurite outgrowth such as <em>DCX</em> and <em>NCAM1</em>. Also, multiple factors were involved in cell cycle progression, including members of the mitotic spindle checkpoint complex, and the regulated secretory pathway, e.g. <em>CHGA</em> and <em>CHGB</em> and <em>CPE</em>. For several of these candidates we propose possible functions in lung NEN carcinogenesis as well as potential roles in diagnosis and as targets for novel therapies.</p><p>This review elucidates potential genes of interest in pulmonary NENs on basis of the present expression profiling literature. We advocate that a selection of the identified candidates should be examined in depth for their clinical application.</p></div>","PeriodicalId":90461,"journal":{"name":"Cancer treatment communications","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ctrc.2015.09.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54050377","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}
引用次数: 3
An open label randomized phase II study of pasireotide with or without everolimus in castrate-resistant chemotherapy-naïve prostate cancer patients 一项开放标签随机II期研究,pasireotide联合或不联合依维莫司治疗去势抵抗chemotherapy-naïve前列腺癌患者
Cancer treatment communications Pub Date : 2015-01-01 DOI: 10.1016/j.ctrc.2015.11.003
Jianqing Lin , Aileen Deng , Jean Hoffman-Censits , Geoffrey Gibney , Terry Hyslop , Brooke Miller , Deborah Kilpatrick , Serge Jabbour , William Kevin Kelly
{"title":"An open label randomized phase II study of pasireotide with or without everolimus in castrate-resistant chemotherapy-naïve prostate cancer patients","authors":"Jianqing Lin ,&nbsp;Aileen Deng ,&nbsp;Jean Hoffman-Censits ,&nbsp;Geoffrey Gibney ,&nbsp;Terry Hyslop ,&nbsp;Brooke Miller ,&nbsp;Deborah Kilpatrick ,&nbsp;Serge Jabbour ,&nbsp;William Kevin Kelly","doi":"10.1016/j.ctrc.2015.11.003","DOIUrl":"10.1016/j.ctrc.2015.11.003","url":null,"abstract":"<div><p>New areas of research continue to examine the role of non-androgen receptor pathways in prostate cancer treatment. The phosphatidylinositol 3-kinase/Akt/mammalian target of rapamycin (mTOR) pathway may be a target for prostate cancer therapy. Somatostatin receptor signaling inhibits intracellular PI3K/Akt signaling, making it an attractive target for combination therapy. We conducted a phase II open label clinical trial examining the use of somatostatin receptor agonist, pasireotide (SOM230) in combination with mTOR inhibitor, everolimus in metastatic castrate-resistant chemotherapy-naïve prostate cancer patients. Of the 6 patients enrolled in the study, only 1 patient had &gt;50% PSA reduction from baseline. Three patients withdrew due to grade 3 adverse events. The study was closed early due to toxicity profiles and no further development was planned for this combination treatment in prostate cancer.</p></div>","PeriodicalId":90461,"journal":{"name":"Cancer treatment communications","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ctrc.2015.11.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54050565","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}
引用次数: 0
Paraneoplastic leukemoid reaction as a marker of tumor progression in non-small cell lung cancer 非小细胞肺癌肿瘤进展的副肿瘤样白血病反应
Cancer treatment communications Pub Date : 2015-01-01 DOI: 10.1016/j.ctrc.2015.03.003
Caroline E. McCoach , Jessica G. Rogers , Denis M. Dwyre , Brian A. Jonas
{"title":"Paraneoplastic leukemoid reaction as a marker of tumor progression in non-small cell lung cancer","authors":"Caroline E. McCoach ,&nbsp;Jessica G. Rogers ,&nbsp;Denis M. Dwyre ,&nbsp;Brian A. Jonas","doi":"10.1016/j.ctrc.2015.03.003","DOIUrl":"10.1016/j.ctrc.2015.03.003","url":null,"abstract":"<div><h3>Background</h3><p>Paraneoplastic leukemoid reaction (PLR) is a well-described entity in which the white blood cell count expands to greater than 50,000/mm<sup>3</sup> in association with malignancy. It is thought to occur in approximately 10–15% of cancers. Notably, PLR is known to be predictive of a poor prognosis. Recent work has demonstrated that there may be a relationship between PLR activated by intratumoral production of granulocyte colony-simulating factor (G-CSF), the RAS/RAF/MEK pathway and tumorogenesis. Specifically, activation of the RAS/RAF/MEK pathway is thought to regulate G-CSF production, which in turn, mediates expansion and mobilization of cells that produce factors that promote tumor metastasis.</p></div><div><h3>Methods/results</h3><p>In this report we demonstrate the PLR response to treatment in a patient with non-small cell lung cancer. Additionally, we demonstrate elevated G-CSF in the patient׳s serum 507<!--> <!-->pg/ml (0–39.1<!--> <!-->pg/ml) and positive staining by immunohistochemistry of G-CSF in the patient׳s tumor tissue. Finally, we describe a possible pathway by which this promotes tumor spread.</p></div><div><h3>Conclusion</h3><p>Though G-CSF has been traditionally viewed as a prognostic marker, here we provide evidence that it may be a valuable marker to investigate for treatment response at a cellular level.</p></div>","PeriodicalId":90461,"journal":{"name":"Cancer treatment communications","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ctrc.2015.03.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33141540","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 12
Radiation recall reaction with docetaxel administration after accelerated partial breast irradiation 多西他赛加速部分乳房放疗后的辐射回忆反应
Cancer treatment communications Pub Date : 2015-01-01 DOI: 10.1016/j.ctrc.2014.11.005
Chelsea Miller, Tim Struve, Brad Huth
{"title":"Radiation recall reaction with docetaxel administration after accelerated partial breast irradiation","authors":"Chelsea Miller,&nbsp;Tim Struve,&nbsp;Brad Huth","doi":"10.1016/j.ctrc.2014.11.005","DOIUrl":"10.1016/j.ctrc.2014.11.005","url":null,"abstract":"<div><p>Purpose: as the use of accelerated partial breast irradiation (APBI) becomes more widely used it is important to define and characterize the possible toxicities encountered with this type of therapy to help understand how to prevent these toxicities in the future.</p><p>Methods and materials: a 60-year-old woman was treated with APBI using external beam radiation. Three weeks post radiation therapy, she was given a cycle of docetaxel and cyclophosphamide. Within 3 weeks of chemotherapy she developed a radiation dermatitis ulceration in her right axilla and tail of her right breast. Little data exists regarding the association between the actual volume of skin irradiated during external beam APBI and the development of skin toxicity such as RRD, therefore we analyzed the volume of skin getting various prescription doses in our patient and compared them to 30 similar breast cancer patients treated with external beam radiation APBI at the same institution.</p><p>Results: our patient׳s volume of skin getting 100%, 90% and 80% of the prescription dose was below the mean for all three doses when compared to all other patient׳s treated similarly at our institution.</p><p>Conclusions: we present an example of radiation recall dermatitis in a patient receiving APBI with external beam radiation followed by chemotherapy. In our case, volume of skin irradiated did not appear to be associated with the development of RRD, therefore other factors may have led to her development of this rare skin reaction.</p></div>","PeriodicalId":90461,"journal":{"name":"Cancer treatment communications","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ctrc.2014.11.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54049829","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
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