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Zahan A, Watt T, Pascanu I, Rasmussen A, Hegedüs L, Bonnema S, Feldt-Rasmussen U, Bjorner J, Nadasan V, Boila A, Merlan I, Borda A. THE ROMANIAN VERSION OF THE THYROID-RELATED PATIENT-REPORTED OUTCOMES THYPRO AND THYPRO-39. TRANSLATION AND ASSESSMENT OF RELIABILITY AND CROSS-CULTURAL VALIDITY. Acta Endocrinol (Buchar) 2018; 14:192-200. [PMID: 31149257 PMCID: PMC6516517 DOI: 10.4183/aeb.2018.192] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
BACKGROUND ThyPRO is a recently developed thyroid-specific quality of life (QoL) questionnaire applicable to patients with benign thyroid disorders(BTD). The aim of the present study was to translate ThyPRO and ThyPRO-39 into Romanian, and to evaluate reliability and cross-cultural validity. METHODS Standard methodology for translation and linguistic validation of patient-reported outcomes (PRO) was applied. The questionnaire was completed by 130 patients with benign thyroid diseases seen at Department of Endocrinology in the Emergency County Hospital, Tîrgu Mureş, Romania, between October 2015 and March 2016. Internal reliability of the Romanian version of the ThyPRO (ThyPROro) scales was assessed for multi-item scales using Cronbach's alpha coefficient. An efficient method for testing cross-cultural validity is analysis of differential item functioning (DIF). Uniform DIF between the Romanian and the original Danish sample was investigated using ordinal logistic regression. The translation process proceeded without difficulties, and any disagreements were revised by one of the developers and the language coordinator. RESULTS Internal reliability for ThyPRO was satisfactory. Cronbach`s alpha coefficients for the 13 scales ranged from 0.78 to 0.93 for the ThyPROro and 0.78 to 0.87 for the ThyPROro-39. In the 85-item ThyPRO, nine instances of DIF were found. Most were minor, explaining <3% of the variation in scale score, but DIF in positively worded items were larger, with explained variance (R2's) around 10-15%. CONCLUSION The ThyPROro questionnaire is ready for assessment of health-related quality of life in Romanian patients with benign thyroid diseases.
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Affiliation(s)
- A.E. Zahan
- University of Medicine and Pharmacy of Tîrgu Mures, Dept. of Histology, Tirgu Mures, Romania
- University of Medicine and Pharmacy of Tîrgu Mures, Emergency County Hospital, Tîrgu Mures, Dept. of Endocrinology, Tirgu Mures, Romania
| | - T. Watt
- Copenhagen University Hospital Rigshospitalet, Dept. of Medical Endocrinology, Odense, Denmark
| | - I. Pascanu
- University of Medicine and Pharmacy of Tîrgu Mures, Dept. of Endocrinology, Tirgu Mures, Romania
- University of Medicine and Pharmacy of Tîrgu Mures, Emergency County Hospital, Tîrgu Mures, Dept. of Endocrinology, Tirgu Mures, Romania
| | - A.K. Rasmussen
- Copenhagen University Hospital Rigshospitalet, Dept. of Medical Endocrinology, Odense, Denmark
| | - L. Hegedüs
- Odense Universitetshospital, Odense, Denmark
| | | | - U. Feldt-Rasmussen
- Copenhagen University Hospital Rigshospitalet, Dept. of Medical Endocrinology, Odense, Denmark
| | - J.B. Bjorner
- Institute of Public Health, University of Copenhagen, Copenhagen,Denmark
| | - V. Nadasan
- University of Medicine and Pharmacy of Tîrgu Mures, Dept. of Hygiene, Tirgu Mures, Romania
| | - A. Boila
- University of Medicine and Pharmacy of Tîrgu Mures, Dept. of Histology, Tirgu Mures, Romania
| | - I. Merlan
- University of Medicine and Pharmacy of Tîrgu Mures, Emergency County Hospital, Tîrgu Mures, Dept. of Endocrinology, Tirgu Mures, Romania
| | - A. Borda
- University of Medicine and Pharmacy of Tîrgu Mures, Dept. of Histology, Tirgu Mures, Romania
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Borda A, Borda F, Vila J, Fernández-Urién I, Zozaya JM, Guerra A. [Predictive pre-treatment value of the Prognostic Nutritional Index on survival in gastric carcinoma]. An Sist Sanit Navar 2018; 39:227-35. [PMID: 27599950 DOI: 10.23938/assn.0271] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
BACKGROUND The Prognostic Nutritional Index (PNI) combines the values of circulating lymphocytes and serum albumin and, in the Asian literature; it has been related with the prognosis following R0 resection of gastric cancer. No results are available in Western countries. We study the possible independent prognostic value, at the moment of the tumour's diagnosis, of PNI on survival. PATIENTS AND METHODS We review 234 consecutive gastric carcinomas, calculating global survival and tumour-specific survival. We considered pre-treatment PNI values of < 40 to be pathological. We carried out a univariate and multivariate analysis of cases of survival according to PNI, including the following adjustment variables: age > 70 years, ASA anaesthetic at the time of diagnosis, size of the neoplasia > 5cm, macroscopic type, undifferentiated degree and TNM clinical stage through echoendoscopy and/or CAT. RESULTS The univariate analysis registered greater global and specific survival in cases with PNI ≥ 40 versus PNI < 40: [HR = 2.28; CI 95% = (1.60-3.26); p< 0.001] and [HR = 2.35; CI 95% = (1.63-3.39); p< 0.001], respectively. The multivariate analysis confirmed a better independent prognosis in cases with OI ≥ 40: global survival: [HR = 1.48; CI 95% = (1.02-2.16); p = 0.040], specific survival: [HR = 1.51; CI 95% = (1.03-2.23); p = 0.036]. CONCLUSIONS At the moment of diagnosis of gastric cancer and including all registered cases, a PNI ≥ 40 is accompanied by a signifi-cantly greater global and tumour-specific survival. In our series, this better prognosis is independent of the patient's age group, his/her ASA classification, the size and degree of differentiation of the neoplasia and its TNM clinical stage.
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Affiliation(s)
- A Borda
- Servicio de Aparato Digestivo, Complejo Hospitalario de Navarra, Spain, 31008
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Borda F, Miranda C, Borda A, Echeverría E, Guerra A, Iñigo JJ, Zozaya JM. [Relation between preoperative prognostic Onodera's Index and postsurgery complications in the R0 gastric carcinoma resection]. An Sist Sanit Navar 2017; 40:67-75. [PMID: 28534554 DOI: 10.23938/assn.0007] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
BACKGROUND It has been postulated in the Asian literature that a low prognostic nutritional index (OI) could be associated with a higher rate of complications following radical gastric cancer surgery, but there is a lack of data concerning western countries. The aim is to analyze the relationship between a low preoperative OI and the frequency and severity of surgical complications in R0 gastric cancer resection. PATIENTS AND METHODS In the present article, 124 cases of gastric cancer with R0 resection were reviewed. An OI <45 was considered pathologically low. The complication rate was compared between both groups: OI <45 vs OI =45. A multivariate analysis was performed adjusting for: age > 68 years, ASA score, preoperative hemoglobin level <12 g/dL, pTNM stage, administration of neoadyuvant therapy and type of gastrectomy. The relationship between a PNI<45 and the severity of complications graded according to the Clavien-Dindo classification was determined. RESULTS We registered mild complications in 11.3% of cases, severe complications in 9.7% and a mortality rate of 2.4%. Patients with a OI <45 showed a higher complication rate: 37.7% versus 12.7% [odds ratio (OR) = 4.17; CI95% = (1.71 - 10.20 p = 0.001)], confirmed by multivariate analysis: [OR = 4.17; CI95% = (1.54 - 11.30); p = 0.005]. Patients with OI <45 had more severe complication-exitus: 20.8% versus 5.6% [OR = 4.39; CI95% = (1.31 - 14.68); p = 0.011]. CONCLUSIONS We confirmed that patients with a low preoperative OI show a higher independent risk of complications after a R0 gastric cancer resection in a western country as well. Complications, in these cases with OI <45, registered a significantly higher severity grade.
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Affiliation(s)
- F Borda
- Complejo Hospitalario de Navarra.
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Capraru O, Decaussin-Petrucci M, Joly M, Borda A, Fanfaret I, Borson-Chazot F, Selmi-Ruby S. EXPRESSION OF MENIN IN THE HUMAN THYROID GLAND. Acta Endocrinol (Buchar) 2017; 13:154-160. [PMID: 31149167 PMCID: PMC6516441 DOI: 10.4183/aeb.2017.154] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
INTRODUCTION The expression of menin in the thyroid gland has long been debated. Animal models with targeted inactivation of menin in the thyroid gland have shown that its inactivation might play a role in the progression to a more aggressive type of cancer. Human studies are conflicting, some have identified mutations in the MEN1 gene in a sub-type of oncocytic thyroid carcinomas, while others have not identified a higher prevalence of thyroid cancer in MEN1 patients. OBJECTIVE To analyze the immunohistochemical expression of menin in different types of thyroid carcinomas. MATERIALS AND METHODS 48 thyroid tumours (12 papillary thyroid carcinomas (PTC), 6 anaplastic thyroid carcinomas (ATC), 12 poorly differentiated thyroid carcinomas (PDTC), 5 medullary thyroid carcinomas (MTC), 5 oncocytic follicular carcinomas (OC), 3 oncocytic adenomas (OA) and 5 goiters (G)) were tested for nuclear expression of menin using an anti-menin antibody. The expression was considered positive, negative or decreased. RESULTS The expression of menin was positive, identical to normal tissue, in 39 cases (81.25%). The expression was decreased (n=8) or absent (n=1) in 9 tumours (18.75% - 2 PTC, 5 PDTC, 2 OC) accounting for 42% (5/12) of the PDTC and 40% (2/5) of the OC. CONCLUSIONS Our results show that the expression of menin is generally preserved in human thyroid carcinomas, but it can be decreased or absent in certain types of thyroid cancer. Further molecular studies are needed to evaluate to potential of menin protein in tumorigenesis.
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Affiliation(s)
- O.M. Capraru
- University of Medicine and Pharmacy Targu Mures, Dept. of Physiology, Targu Mures, Romania
- Université Claude Bernard Lyon 1 - INSERM Unité 1052, Centre de recherche en cancérologie, Lyon, France
| | - M. Decaussin-Petrucci
- Centre Hospitalier Lyon Sud, Pierre-Bénite, Hospices Civils de Lyon, Université Lyon 1 - Service d’Anatomie et Cytologie Pathologiques, Lyon, France
| | - M.O. Joly
- Hôpital Edouard Herriot, Hospices Civils de Lyon, Université Lyon 1 - Service d’Anatomie et Cytologie Pathologiques, Lyon, France
| | - A. Borda
- University of Medicine and Pharmacy Targu Mures, Dept. of Histology, Targu Mures, Romania
| | - I.S. Fanfaret
- University of Medicine and Pharmacy Targu Mures, Dept. of Histology, Targu Mures, Romania
| | - F. Borson-Chazot
- Université Claude Bernard Lyon 1 - INSERM Unité 1052, Centre de recherche en cancérologie, Lyon, France
- Groupement hospitalier Est, Bron, Hospices Civils de Lyon, Université Lyon 1 - Fédération d’endocrinologie, Lyon, France
| | - S. Selmi-Ruby
- Université Claude Bernard Lyon 1 - INSERM Unité 1052, Centre de recherche en cancérologie, Lyon, France
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Mariño R, Clarke K, Manton DJ, Stranieri A, Collmann R, Kellet H, Borda A. Teleconsultation and Telediagnosis for Oral Health Assessment: An Australian Perspective. Health Informatics 2015. [DOI: 10.1007/978-3-319-08973-7_10] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
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Abstract
BACKGROUND Onodera's prognostic nutritional index (OPNI), which is calculated using total lymphocyte count and serum albumin level, has been used as a marker of nutritional status, with its potential prognostic value in colorectal cancer having recently been postulated in Japan and China. There is still no data on the predictive value of OPNI in a Western population. PATIENTS AND METHODS A consecutive case series of 207 patients scheduled for colorectal cancer resection with curative intent was reviewed. Pre-treatment OPNI was calculated using the formula: [10 x serum albumin (g/dl) + 0.005 x lymphocytes/mm²]. OPNI values under 40 were considered low. Univariate and multivariate analysis were performed on survival curves, comparing cases with OPNI values less than, equal to or greater than 40 (Cox model, stepwise), in the overall series and in pTNM stage II. RESULTS The median for clinical follow-up was 81 months (interquartile range 60-96). Twenty-six patients (12.6%) had a low OPNI (≤ 40). In the multivariate analysis, patients with low OPNI showed less favourable survival curves, both in the overall series: [p <0.001; HR = 3.16; 95% CI = 1.67-5.94] and in the 78 cases in pTNM stage II: [p <0.004; HR = 4.36; 95% CI = 1.61-11.76]. CONCLUSIONS A low pre-treatment OPNI (<40) has an independent, unfavourable predictive value on survival in European patients with resected colorectal cancer, both in the overall series and in pTNM stage II.
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Affiliation(s)
- F Borda
- Servicio de Aparato Digestivo, Complejo Hospitalario de Navarra, Pamplona, 31008, Spain.
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Borda F, Jiménez FJ, Borda A, Urman J, Goñi S, Ostiz M, Zozaya JM. Endoscopic localization of colorectal cancer: study of its accuracy and possible error factors. Rev Esp Enferm Dig 2013; 104:512-7. [PMID: 23268629 DOI: 10.4321/s1130-01082012001000002] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
INTRODUCTION accurate preoperative localization of colorectal cancer (CRC) is very important, with a wide range of published error rates. AIMS to determine accuracy of endoscopic localization of CRC in comparison with preoperative computed tomography (CT). To analyse variables that could be associated with a wrong endoscopic localization. PATIENTS AND METHODS endoscopic and CT localization of a series of CRC without previous surgery were reviewed. We studied the concordance between endoscopic and radiologic localization against operative findings comparing accuracy of endoscopy and CT. We analysed the frequency of wrong endoscopic diagnoses with regard to a series of patient, endoscopy and tumor variables. RESULTS two hundred thirty seven CRC in 223 patients were studied. Concordance with surgical localization was: colonoscopy = 0.87 and CT = 0.69. Endoscopic localization accuracy was:91.1%; CT: 76.2%: p = 0.00001; OR = 3.22 (1.82-5.72). Obstructive cancer presented a higher rate of wrong localization: 18 vs. 5.7% in non-obstructive tumors (p = 0.0034; OR = 3.65 (1.35-9.96). Endoscopic localization mistakes varied depending on tumor location, being more frequent in descending colon: 36.3%, p = 0.014; OR = 6.23 (1.38-26.87) and cecum: 23.1%, p = 0.007; OR = 3.92 (1.20-12.43). CONCLUSIONS endoscopic accuracy for CRC localization was very high and significantly better than CT accuracy. Obstructive tumor and those located in the descending colon or cecum wereassociated with a significant increase of the error risk of CRC endoscopic localization.
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Affiliation(s)
- F Borda
- Department of Gastroenterology, Complejo Hospitalario de Navarra (A), Pamplona, Navarra, Spain.
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Nechifor-Boilă IA, Bancu S, Buruian M, Charlot M, Decaussin-Petrucci M, Krauth JS, Nechifor-Boilă AC, Borda A. Diffusion weighted imaging with background body signal suppression / T2 image fusion in magnetic resonance mammography for breast cancer diagnosis. Chirurgia (Bucur) 2013; 108:199-205. [PMID: 23618570] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/01/2013] [Indexed: 06/02/2023]
Abstract
INTRODUCTION Dynamic Contrast-Enhanced Magnetic Resonance Mammography (DCE-MRM) represents the most sensitive examination for breast cancer (BC) diagnosis. However literature data reports very inhomogeneous specificity. The aim of our study was to evaluate the clinical efficiency of a new MRM technique - diffusion weighted imaging with background body signal suppression T2 image fusion in BC diagnosis, compared to DCE-MRM. METHODS We retrospectively analyzed 50 consecutive DCE-MRM examinations with DWIBS sequence from the archives of the Department of Radiology, Lyon Sud Hospital, (02.2010- 02.2011), summing up to 64 breast lesions. Fusions were created using the Osirix software from the DWIBS images (b=1000 s mm2) and their T2 correspondents. Interpretation was performed using an adapted BI-RADS system. The final histopathological examination or a minimum 6-months follow-up served as gold standard. RESULTS Out of the 64 examined breast lesions, 35(54.7%) were classified as malignant by DCE-MRM and 24(37.5%) cases by DWIBS T2, respectively. Thus the DWIBS T2 fusion had a Sensitivity of 62.5%(95%CI:35.4-84.8) and a Specificity of 70.8%(95%CI:55.9-83.3) while DCE-MRM had a higher Sensitivity: 87.5%(95%CI:61.6-98.4) but a lower Specificity: 56.2%(95%CI:41.1-70.5). CONCLUSION DWIBS T2 fusion is an innovative MRM technique, with a specificity superior to DCE-MRM, showing a large potential for improving the clinical efficiency of classical MRM.
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Affiliation(s)
- I A Nechifor-Boilă
- Târgu Mureş University of Medicine and Pharmacy, Department of Radiology and Medical Imaging, Târgu Mureş, Romania.
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Borda F, Martínez-Peñuela JM, Borda A, Urman J, Jiménez J, Zozaya JM. [Tissue expression of mismatch repair proteins and tumor lymphocytic infiltration: prognostic significance in resected colorectal carcinoma]. An Sist Sanit Navar 2013; 35:377-84. [PMID: 23296218 DOI: 10.23938/assn.0093] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
BACKGROUND In colorectal cancer there is discussion about the possible relation between the mismatch repair protein expression (MMRPE) and tumour lymphocytic infiltration (TLI), as well as the possible prognostic effect of both factors. METHODS A review was made of 243 colorectal cancers, consecutively resected. We made an immunohystochemical study of the MMRPE of MLH1, MSH2 and MSH6. The TLI was evaluated through CD3 staining in the tumoural epithelium. We compared mortality and post-operative tumoural progression amongst the cases with and without MMRPE and with and without TLI. Additionally, we studied mortality and tumoural progression amongst MMRPE (+) cases, according to whether or not they presented TLI. RESULTS Thirteen point six percent of the tumours expressed MMRPE (+) and 25.5% TLI (+). The follow-up was: 73.8±34.6 months. The frequency of TLI (+) turned out to be similar between MMRPE (+) tumours: 27.3% and MMRPE (-): 25.2% (p = 0.80). The MMRPE (+) cases showed less mortality: 12.1% versus 23.3% (p = 0.15) and less tumoural progression: 21.2% versus 29% (p = 0.35). The ITL neoplasias (+) had a lower mortality: 9.7% versus 26% [p = 0.007; OR = 3.27(1.25-9.05)] and tumoural progression: 12.9% versus 33.1% [p = 0.002; OR = 3.35 (1.42-8.15)]. The 9 MMRPE (+) and ILT (+) tumours did not present mortality or tumoural progression, against a mortality: 16.7% and progression: 29.2% of the 24 MMRPE (+) and TLI (-) cases p = 0.19 and p = 0.07 respectively. CONCLUSIONS No relation was found between MMRPE and TLI, with very similar rates of TLI (+) between cases with and without MMRPE. The LTI (+) showed a favourable prognostic effect higher than that of the MMRPE (+). The combination of LTI (+) and MMRPE (+) seems to have an accumulative protective effect, although its limited frequency reduces the significance of the finding.
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Affiliation(s)
- F Borda
- Servicio de Digestivo, Complejo Hospitalario de Navarra, Pamplona, 31008, Spain.
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Borda F, Martínez-Peñuela J, Borda A, Urman J, Jiménez J, Zozaya J. Expresión tisular de proteínas reparadoras e infiltración linfocítica tumoral: significado pronóstico en el carcinoma colorrectal resecado. An Sist Sanit Navar 2012. [DOI: 10.4321/s1137-66272012000300003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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Borda A, Muñoz-Navas M, Martínez-Peñuela JM, Jiménez FJ, Carretero C, Borda F. [Study of colorectal metachronous neoplastic lesions]. An Sist Sanit Navar 2010; 32:397-407. [PMID: 20094100 DOI: 10.23938/assn.0135] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
BACKGROUND To analyse the frequency and characteristics of metachronous neoplastic lesions, carcinomas and adenomas, following resection of colorectal cancer. PATIENTS AND METHODS We reviewed 382 patients subjected to RCC operations and followed up through complete colonoscopies in two hospitals in our province. We analysed the metachronous lesions registered, evaluating their localisation, time of diagnosis, histology, number and size. We studied the frequency of early adenomas (12 months), comparing their size with the rest of the lesions. RESULTS The average follow-up was 48 months (12-112), with 2.74+/-1.47 colonoscopies/case. We diagnosed 7 metachronous cancers (1.8%), 4 of them in stage I. The average time until their diagnosis was 24 months (13-54). We registered metachronous adenomas in 162 cases (42.4%), without differences between the two hospitals: 42.1% vs. 43.8% (p=0.88). Six point three percent of the patients presented advanced adenomas. In 164 cases where the control was carried out after 12 months, the incidence of adenomas was 24%. In the majority of cases, the adenomas were sole (60.8%) and smaller than 5 mm (68.5%). In 55.5% of the cases with polyps, some had a proximal localisation. Diagnosis was made on the 1st exploration (56.2%), the 2nd (27.8%) or the 3rd (9%). Average time until diagnosis was 21 months (12-112) for simple adenoma and 35 (12-112) for advanced adenoma. CONCLUSIONS Our follow up made it possible to apply a theoretically curative treatment in the majority of the metachronous carcinomas diagnosed. The high incidence of adenomas and the frequent proximal localisation make a follow up with complete colonoscopies necessary, which must be started one year after the operation and can become less strict following three consecutive explorations without polyps.
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Affiliation(s)
- A Borda
- Servicio de Digestivo, Hospital de Navarra, Pamplona, Spain.
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Borda A, Muñoz-Navas M, Martínez-Peñuela J, Jiménez F, Carretero C, Borda F. Estudio de las lesiones neoplásicas metacrónicas en el carcinoma colorrectal. An Sist Sanit Navar 2009. [DOI: 10.4321/s1137-66272009000500009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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Borda A, Martínez-Peñuela JM, Muñoz-Navas M, Prieto C, Betés M, Borda F. [Synchronous neoplastic lesions in colorectal cancer. An analysis of possible risk factors favouring presentation]. Rev Esp Enferm Dig 2008; 100:139-45. [PMID: 18416638 DOI: 10.4321/s1130-01082008000300003] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
AIM few data have been published regarding the causes of synchronous lesions in patients with colorectal cancer. The aim of our study was to identify potential factors that might be implicated in the development of multicentric lesions, since this knowledge could be useful for tailored follow-up once initial synchronous lesions have been removed. METHODS we retrospectively reviewed 382 colorectal cancer cases diagnosed by total colonoscopy and histological study of surgical specimens. We divided our population into 2 groups, based on whether they had synchronous lesions or otherwise. Several data related to personal and family history, habits, symptoms, and tumor characteristics were assessed. Univariate and multivariate statistical analyses were performed. RESULTS 208 (54.5%) patients had synchronous adenomas and 28 (7.3%) had synchronous cancer. A multivariate analysis showed that the following parameters were consistently related to the presence of multicentric lesions--male gender: OR = 1.97; CI = 1.13-3.45; p = 0.017; age = 59 years: OR = 2.57; CI = 1.54-4.29; p < 0.001; personal history of colonic adenomas: OR = 3.04; CI = 1.04-8.85; p = 0.042; and obstructive tumors: OR = 0.48; CI = 0.27-0.85; p = 0.012. CONCLUSION our results show that several parameters that are easy to measure could be considered risk factors for the development of multicentric lesions. These factors need to be confirmed with follow-up studies analyzing their role in patients with and without metachronic lesions once all synchronous lesions have been removed.
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Affiliation(s)
- A Borda
- Departamento de Digestivo, Clínica Universitaria de Navarra, Pamplona.
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Borda A, Martínez Peñuela J, Prieto C, Muñoz M, Carretero C, Borda F. [Study of frequency, distribution and diagnostic performance in synchronic neoplastic lesions of colorectal carcinoma]. An Sist Sanit Navar 2008; 31:43-52. [PMID: 18496579 DOI: 10.4321/s1137-66272008000100004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
AIM To analyse the frequency, characteristics and diagnosis of synchronic neoplastic lesions in colorectal cancer. METHODS A review was carried out of 384 colorectal cancers, diagnosed through complete colonoscopy and resected. The synchronic cancers and the characteristics of the adenomas were determined: number, size, histological type, dysplasia, as well as their localisation in the colon and with respect to the carcinoma. RESULTS Twenty-eight synchronic cancers were found (7.3% of the total); 8 developed tumours and 20 malignant polyps. In 54.4% of the cases there was a synchronic adenoma. In patients with synchronic lesions, 43% showed an advanced adenoma. Twenty percent of the synchronic polyps found were proximal to the splenic flexure; 41% were distal and 38% had both localisations. Fifty-nine point one percent of the patients had some adenoma proximal to the cancer, with criteria of advanced adenoma in 13.9%. The distribution of the adenomas was more uniformly spread in the cancers with a proximal localisation (p = 0.038). Seventeen percent of the distal cancers presented synchronic lesions with a proximal colon localisation exclusively. Partial endoscopies would diagnose the distal cancers, but would omit a synchronic adenoma in 42.3% of the sigmoidoscopies and 40% of the short colonoscopies. CONCLUSIONS High rates of carcinoma and synchronic adenomas were registered. We underline the high index of advanced adenomas and the frequency of synchronic lesions proximal to the cancer, which is why incomplete colonoscopies, although allowing the diagnosis of the distal cancer, omit a high percentage of synchronic adenomas, including advanced lesions. All of this confirms the need to perform a complete pre-, intra- and post operational colonoscopy in resectable colorectal cancer.
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Affiliation(s)
- A Borda
- Departamento de digestivo, Clinica Universitaria de Navarra, 31008 Pamplona, Spain.
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Borda A, Berger N, Turcu M, Al Jaradi M, Vereş S. The C-cells: current concepts on normal histology and hyperplasia. Rom J Morphol Embryol 2005; 45:53-61. [PMID: 15847379] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/02/2023]
Abstract
We describe the current concepts on the embryology, normal morphology and immunohistochemistry of a minor cell population of the thyroid, the C-cells. We also try to make delineation between the normal number of the C-cells and C-cell hyperplasia. The two types of C-cell hyperplasia, physiologic and neoplastic are defined and characterized from morphologic and genetic point of view. Their relation with thyroid pathology, especially with medullary thyroid carcinoma is discussed.
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Affiliation(s)
- A Borda
- Histology Department, University of Medicine and Pharmacy, Târgu Mureş
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Berger N, Borda A, Bizollon MH. [Thyroid papillary carcinoma and its variants]. Arch Anat Cytol Pathol 1998; 46:45-61. [PMID: 9754360] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Abstract
The authors discuss the histological features of classical thyroid papillary carcinoma, with special emphasis on pathologic indicators related to prognosis. Its different variants are described, including: microcarcinoma, encapsulated variant, pure follicular variant, solid/trabecular variant, diffuse sclerosing and the cytologic variants of tall, columnar and oncocytic cell.
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Affiliation(s)
- N Berger
- Laboratoire d'Anatomie Pathologique, Hôtel-Dieu, Lyon, France
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Szabó M, Kondacs A, Borda A. 2-15-07 Quantitative EEG abnormalities in patients with migraine. J Neurol Sci 1997. [DOI: 10.1016/s0022-510x(97)85298-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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Berger N, Borda A. [Diagnostic problems in prostatic pathology: microglandular lesions and intraductal epithelial proliferations]. Arch Anat Cytol Pathol 1996; 44:141-159. [PMID: 9157823] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/22/2023]
Abstract
In this review, the authors discuss the minimal criteria that allow for the distinction of prostatic adenocarcinoma with special emphasis on nuclear and nucleolar aspects and basal cell layer identification by routine and K 903 immunoperoxidase technique. Differential diagnosis are reviewed including microglandular lesions (adenosis, sclerosing adenosis, atrophy) and intraglandular proliferations (basal cell hyperplasia, clear cell cribriform hyperplasia, intraductal dysplasia). The role of dysplasia as a premalignant lesion is also discussed.
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Affiliation(s)
- N Berger
- Laboratoire d'Anatomie Pathologique, Hôtel-Dieu, Lyon
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