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Tejera-Vaquerizo A, Cañueto J, Gómez-Tomás A, Santos-Juanes J, Ribero S, Avallone G, Jaka A, Ferrandiz-Pulido C, Toll A, Sanmartín O. Longitudinal Study of Different Progression Patterns in High-Risk Cutaneous Squamous Cell Carcinoma. Actas Dermosifiliogr 2024:S0001-7310(24)00263-1. [PMID: 38554750 DOI: 10.1016/j.ad.2024.03.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2023] [Accepted: 03/11/2024] [Indexed: 04/02/2024] Open
Abstract
BACKGROUND AND OBJECTIVE Cutaneous squamous cell carcinoma (cSCC) is the second leading cause of skin cancer mortality in Europe. Few studies have analyzed the different pathways of this tumor progression in its natural history. The main objective of this study was to analyze the different metastatic and progression pathways and their temporal occurrence in the evolution of cSCC. MATERIAL AND METHOD We conducted a multicenter, retrospective, and observational study of consecutive high-risk sSCCs included in the SQUAMATA project. RESULTS A total of 222 out of the 1346 patients included relapsed. The most frequent route of progression was the lymphatic one (62.6%). A total of 20.2% of the cases with lymphatic progression developed distant metastases. Only 1 case (3.1%) of distant metastasis followed local recurrence without previous lymphatic metastasis. The median time to disease-related mortality was longer in patients who developed systemic metastases than in those who died of locoregional progression. CONCLUSIONS The mortality of patients with cSCC is mostly due to the regional progression of their lymphatic metastases. The appearance of distant metastases is practically always (96.9%) associated with previous lymphatic metastatic progression. Therefore, in the future, new studies will be needed to assess the regional management of cSCC in both surgical and adjuvant therapies.
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Affiliation(s)
- A Tejera-Vaquerizo
- Unidad de Oncología Cutánea, Hospital San Juan de Dios, Córdoba, España; Servicio de Dermatología, Instituto Dermatológico GlobalDerm, Palma del Río, Córdoba, España.
| | - J Cañueto
- Servicio de Dermatología, Complejo Asistencial Universitario de Salamanca, Salamanca, España
| | - A Gómez-Tomás
- Servicio de Dermatología, Hospital Universitari Vall d'Hebron, Universidad Autónoma de Barcelona, Barcelona, España
| | - J Santos-Juanes
- Servicio de Dermatología, Hospital Central de Asturias e Instituto de Investigación Sanitaria del Principado de Asturias, IUOPA, Universidad de Oviedo, Oviedo, España
| | - S Ribero
- Medical Sciences Department, Section of Dermatology, University of Turin, Turín, Italia
| | - G Avallone
- Medical Sciences Department, Section of Dermatology, University of Turin, Turín, Italia
| | - A Jaka
- Servicio de Dermatología, Hospital Universitari Germans Trials i Pujol, Institut d'Investigació GermansTrias i Pujol, Universitat Autònoma de Barcelona, Badalona, Barcelona, España
| | - C Ferrandiz-Pulido
- Servicio de Dermatología, Hospital Universitari Vall d'Hebron, Universidad Autónoma de Barcelona, Barcelona, España
| | - A Toll
- Servicio de Dermatología, Hospital Clínic, Universitat de Barcelona, Barcelona, España
| | - O Sanmartín
- Servicio de Dermatología, Instituto Valenciano de Oncología, Valencia, España
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Moreno-Arrones OM, Ardebol SB, Martinez FM, Pastor GP, Navarro IT, Ortí MB, Deza-Vargas LG, Salas VR, Masferrer E, Feal C, Merino LT, Toll A, Yébenes M, Mejías SG, Jaka A, Pulido CF, Florez A, Hernández NH, de-Misa RF, Buceta LR, Sanmartin O. Sonidegib as a Locally Advanced Basal Cell Carcinoma Therapy in Real-life Clinical Setting: A National Multicentre Study. Actas Dermosifiliogr 2023:S0001-7310(23)00482-9. [PMID: 37302483 DOI: 10.1016/j.ad.2023.06.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2023] [Accepted: 04/18/2023] [Indexed: 06/13/2023] Open
Abstract
BACKGROUND Basal cell carcinoma (BCC) is the most prevalent cancer. A minority of BCCs have an aggressive behaviour (laBCC) and may require hedgehog pathway inhibitors such as sonidegib as its treatment. OBJECTIVE To describe the use of sonidegib in a large number of patients and provide more data on its real-life efficacy and safety profile. METHODS We conducted a retrospective and multicentric study that included patients treated with sonidegib. Epidemiological, effectiveness and safety data were collected. RESULTS A total of 82 patients with a mean age of 73.9 years were included. Ten patients had Gorlin syndrome. Median treatment duration was 6 months. Median follow-up duration was 34.2 months. Globally, 81.7% of the patients showed clinical improvement (52.4% partial response and 29.3% complete response), 12.2% clinical stability and 6.1% disease progression. There was no statistically significant difference in clinical improvement between the 24 h and 48 h sonidegib posology. After 6 months of treatment, 48.8% of the patients discontinued sonidegib. Prior vismodegib treatment and recurrent primary BCC were associated with a poorer response to sonidegib. At 6 months of treatment, 68.3% of the patients experienced at least one adverse effect. CONCLUSION Sonidegib shows good effectiveness and acceptable safety profile in usual clinical practice.
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Affiliation(s)
- O M Moreno-Arrones
- Dermatology Department, Ramon y Cajal University Hospital, University of Alcala, Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Madrid, Spain.
| | - S Béa Ardebol
- Dermatology Department, Ramon y Cajal University Hospital, University of Alcala, Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Madrid, Spain
| | - F Mayo Martinez
- Department of Dermatology, Instituto Valenciano de Oncología, Valencia, Spain
| | - G Pérez Pastor
- Department of Dermatology, Consorci Hospital General Universitari de Valencia, Valencia, Spain
| | - I Torres Navarro
- Department of Dermatology; Hospital Universitario y Politécnico La Fe, Valencia, Spain
| | - M Bonfill Ortí
- Department of Dermatology; Hospital Universitari de Bellvitge, L'Hospitalet de Llobregat, Barcelona, Spain
| | - L G Deza-Vargas
- Department of Dermatology; Hospital del Mar, Barcelona, Spain
| | - V Ruiz Salas
- Department of Dermatology Hospital de la Santa Creu i Sant Pau, Barcelona, Spain
| | - E Masferrer
- Dermatology Department, Hospital Universitari Mútua de Terrassa, Barcelona, Spain
| | - C Feal
- Dermatology Department, Hospital de Pontevedra, Galicia, Spain
| | - L Turrión Merino
- Dermatology Department, Hospital Puerta de Hierro, Madrid, Spain
| | - A Toll
- Department of Dermatology, Hospital Clínic de Barcelona, University of Barcelona (UB), Barcelona, Spain
| | - M Yébenes
- Department of Dermatology, Consorci Corporació Sanitària Parc Taulí, Sabadell, Barcelona, Spain
| | - S Galiano Mejías
- Department of Dermatology, Hospital Infanta Leonor, Madrid, España
| | - A Jaka
- Department of Dermatology, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, Spain
| | - C Ferrandiz Pulido
- Department of Dermatology, Hospital Universitari Vall d'Hebron. Facultad de Medicina, Universitat Autònoma de Barcelona, Barcelona, Spain
| | - A Florez
- Dermatology Department, Hospital de Pontevedra, Galicia, Spain
| | - N Hernández Hernández
- Department of Dermatology. Hospital Universitario Nuestra Señora de Candelaria, Santa Cruz de Tenerife, Spain
| | - R Fernández de-Misa
- Department of Dermatology. Hospital Universitario Nuestra Señora de Candelaria, Santa Cruz de Tenerife, Spain
| | - L Rios Buceta
- Dermatology Department, Ramon y Cajal University Hospital, University of Alcala, Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Madrid, Spain
| | - O Sanmartin
- Department of Dermatology, Instituto Valenciano de Oncología, Valencia, Spain
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3
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Moreno-Arrones OM, Béa-Ardebol S, Mayo-Martinez F, Pérez-Pastor G, Torres-Navarro I, Bonfill-Ortí M, Deza-Vargas LG, Ruiz-Salas V, Masferrer E, Feal C, Turrión-Merino L, Toll A, Yébenes M, Galiano-Mejías S, Jaka A, Ferrandiz-Pulido C, Florez A, Hernández-Hernández N, Fernández-de-Misa R, Rios-Buceta L, Sanmartin O. Sonidegib as a locally advanced basal cell carcinoma therapy in real-life clinical setting: a national multicentre study. Actas Dermosifiliogr 2023:S0001-7310(23)00318-6. [PMID: 37088285 DOI: 10.1016/j.ad.2023.04.022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2023] [Revised: 04/16/2023] [Accepted: 04/18/2023] [Indexed: 04/25/2023] Open
Abstract
BACKGROUND Basal cell carcinoma (BCC) is the most prevalent cancer. A minority of BCCs have an aggressive behaviour (laBCC) and may require hedgehog pathway inhibitors such as sonidegib as its treatment. OBJECTIVE To describe the use of sonidegib in a large number of patients and provide more data on its real-life efficacy and safety profile. METHODS We conducted a retrospective and multicentric study that included patients treated with sonidegib. Epidemiological, effectiveness and safety data were collected. RESULTS A total of 82 patients with a mean age of 73.9 years were included. Ten patients had Gorlin syndrome. Median treatment duration was 6 months. Median follow-up duration was 34.2 months. Globally, 81.7% of the patients showed clinical improvement (52.4% partial response and 29.3% complete response), 12.2% clinical stability and 6.1% disease progression. There was no statistically significant difference in clinical improvement between the 24h and 48h sonidegib posology. After 6 months of treatment, 48.8% of the patients discontinued sonidegib. Prior vismodegib treatment and recurrent primary BCC were associated with a poorer response to sonidegib. At 6 months of treatment, 68.3% of the patients experienced at least one adverse effect. CONCLUSION Sonidegib shows good effectiveness and acceptable safety profile in usual clinical practice.
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Affiliation(s)
- O M Moreno-Arrones
- Dermatology Department, Ramon y Cajal University Hospital, University of Alcala, Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Madrid, Spain.
| | - S Béa-Ardebol
- Dermatology Department, Ramon y Cajal University Hospital, University of Alcala, Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Madrid, Spain
| | - F Mayo-Martinez
- Department of Dermatology, Instituto Valenciano de Oncología, Valencia, Spain
| | - G Pérez-Pastor
- Department of Dermatology, Consorci Hospital General Universitari de Valencia, Valencia, Spain
| | - I Torres-Navarro
- Department of Dermatology; Hospital Universitario y Politécnico La Fe, Valencia, Spain
| | - M Bonfill-Ortí
- Department of Dermatology; Hospital Universitari de Bellvitge, L'Hospitalet de Llobregat, Barcelona, Spain
| | - L G Deza-Vargas
- Department of Dermatology; Hospital del Mar, Barcelona, Spain
| | - V Ruiz-Salas
- Department of Dermatology Hospital de la Santa Creu i Sant Pau, Barcelona, Spain
| | - E Masferrer
- Dermatology Department, Hospital Universitari Mútua de Terrassa, Barcelona, Spain
| | - C Feal
- Dermatology Department, Hospital de Pontevedra, Galicia, Spain
| | - L Turrión-Merino
- Dermatology Department, Hospital Puerta de Hierro, Madrid, Spain
| | - A Toll
- Department of Dermatology, Hospital Clínic de Barcelona, University of Barcelona (UB), Barcelona, Spain
| | - M Yébenes
- Department of Dermatology, Consorci Corporació Sanitària Parc Taulí, Sabadell, Barcelona, Spain
| | - S Galiano-Mejías
- Department of Dermatology, Hospital Infanta Leonor, Madrid, España
| | - A Jaka
- Department of Dermatology, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, Spain
| | - C Ferrandiz-Pulido
- Department of Dermatology, Hospital Universitari Vall d'Hebron. Facultad de Medicina, Universitat Autònoma de Barcelona, Barcelona, Spain
| | - A Florez
- Dermatology Department, Hospital de Pontevedra, Galicia, Spain
| | - N Hernández-Hernández
- Department of Dermatology. Hospital Universitario Nuestra Señora de Candelaria, Santa Cruz de Tenerife, Spain
| | - R Fernández-de-Misa
- Department of Dermatology. Hospital Universitario Nuestra Señora de Candelaria, Santa Cruz de Tenerife, Spain
| | - L Rios-Buceta
- Dermatology Department, Ramon y Cajal University Hospital, University of Alcala, Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Madrid, Spain
| | - O Sanmartin
- Department of Dermatology, Instituto Valenciano de Oncología, Valencia, Spain
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Blanco de Tord M, Vilchez-Márquez F, del Alcázar E, Arrieta A, Jaka A. Sclerotherapy With Polidocanol for Digital Myxoid Cysts: A Series of 15 Cases. Actas Dermo-Sifiliográficas (English Edition) 2021. [DOI: 10.1016/j.adengl.2021.10.001] [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: 11/25/2022] Open
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Blanco de Tord M, Vilchez-Márquez F, Del Alcázar E, Arrieta A, Jaka A. Sclerotherapy With Polidocanol for Digital Myxoid Cysts: A Series of 15 Cases. Actas Dermosifiliogr (Engl Ed) 2021; 112:S0001-7310(21)00194-0. [PMID: 34029517 DOI: 10.1016/j.ad.2020.09.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2020] [Revised: 09/16/2020] [Accepted: 09/16/2020] [Indexed: 10/21/2022] Open
Affiliation(s)
- M Blanco de Tord
- Departamento de Dermatología Hospital Universitari Germans Trias I Pujol, Badalona, Universitat Autònoma de Barcelona, Barcelona, España.
| | - F Vilchez-Márquez
- Departamento de Dermatología Hospital Universitario Virgen de las Nieves, Universidad de Granada, Granada, España
| | - E Del Alcázar
- Departamento de Dermatología Hospital Universitari Germans Trias I Pujol, Badalona, Universitat Autònoma de Barcelona, Barcelona, España
| | - A Arrieta
- Departamento de Dermatología Hospital Universitari Germans Trias I Pujol, Badalona, Universitat Autònoma de Barcelona, Barcelona, España
| | - A Jaka
- Departamento de Dermatología Hospital Universitari Germans Trias I Pujol, Badalona, Universitat Autònoma de Barcelona, Barcelona, España
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Arrieta A, Jaka A, del Alcázar E, Blanco M, Carrascosa J. Phototherapy for Prurigo Nodularis: Our Experience and a Review of the Literature. Actas Dermo-Sifiliográficas (English Edition) 2021. [DOI: 10.1016/j.adengl.2020.11.006] [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: 11/25/2022] Open
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Arrieta A, Jaka A, Del Alcázar E, Blanco M, Carrascosa JM. Phototherapy for Prurigo Nodularis: Our Experience and a Review of the Literature. Actas Dermosifiliogr (Engl Ed) 2020; 112:339-344. [PMID: 33221272 DOI: 10.1016/j.ad.2020.11.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2020] [Revised: 11/01/2020] [Accepted: 11/09/2020] [Indexed: 11/18/2022] Open
Abstract
BACKGROUND AND OBJECTIVE Prurigo nodularis is a chronic inflammatory skin disease characterized by highly pruritic nodular lesions that cause constant itching and scratching and significant quality-of-life impairment. It has been described in a range of conditions, including skin diseases (mainly atopic dermatitis) and metabolic, neurological, and psychiatric disorders. The pathophysiological mechanisms are largely unknown. Various modalities of phototherapy have been described as appropriate and safe treatments for achieving clinical control and alleviating symptoms. In this article, we describe our experience with phototherapy in patients with prurigo nodularis. MATERIAL AND METHODS Retrospective observational study of patients who received their first cycle of phototherapy to treat prurigo nodularis between March 2011 and October 2019. Information was collected on epidemiological and clinical characteristics, concomitant treatments, type and duration of phototherapy, maximum dose reached, and response to treatment. RESULTS We studied 44 patients (30 women and 14 men) with a median age of 65.5years. The most common form of phototherapy used was narrowband UV-B phototherapy (34 cycles, 77.27%) followed by a combination of UV-B and UV-A phototherapy (8 cycles). Response to treatment was considered satisfactory (clearance rate of ≥75%) in 24 patients (55.4%). CONCLUSIONS Phototherapy is a suitable treatment for prurigo nodularis in a considerable proportion of patients. It can be used as monotherapy or combined with other treatments.
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Affiliation(s)
- A Arrieta
- Servicio de Dermatología, Hospital Universitari Germans Trias i Pujol, Universitat Autònoma de Barcelona, Badalona, Barcelona, España.
| | - A Jaka
- Servicio de Dermatología, Hospital Universitari Germans Trias i Pujol, Universitat Autònoma de Barcelona, Badalona, Barcelona, España
| | - E Del Alcázar
- Servicio de Dermatología, Hospital Universitari Germans Trias i Pujol, Universitat Autònoma de Barcelona, Badalona, Barcelona, España
| | - M Blanco
- Servicio de Dermatología, Hospital Universitari Germans Trias i Pujol, Universitat Autònoma de Barcelona, Badalona, Barcelona, España
| | - J M Carrascosa
- Servicio de Dermatología, Hospital Universitari Germans Trias i Pujol, Universitat Autònoma de Barcelona, Badalona, Barcelona, España
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Tejera-Vaquerizo A, Cañueto J, Toll A, Santos-Juanes J, Jaka A, Ferrandiz C, Sanmartín O, Ribero S, Moreno-Ramírez D, Almazán F, Fuente MJ, Podlipnik S, Nagore E. Estimated Effect of COVID-19 Lockdown on Skin Tumor Size and Survival: An Exponential Growth Model. Actas Dermosifiliogr 2020. [PMID: 34012154 PMCID: PMC7502279 DOI: 10.1016/j.adengl.2020.09.008] [Citation(s) in RCA: 3] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/17/2023] Open
Abstract
Background and objectives Spain is in a situation of indefinite lockdown due to the ongoing coronavirus disease 2019 (COVID-19) pandemic. One of the consequences of this lockdown is delays in medical and surgical procedures for common diseases. The aim of this study was to model the impact on survival of tumor growth caused by such delays in patients with squamous cell carcinoma (SCC) and melanoma. Material and methods Multicenter, retrospective, observational cohort study. We constructed an exponential growth model for both SCC and melanoma to estimate tumor growth between patient-reported onset and surgical excision at different time points. Results Data from 200 patients with SCC of the head and neck and 1000 patients with cutaneous melanoma were included. An exponential growth curve was calculated for each tumor type and we estimated tumor size after 1, 2, and 3 months of potential surgical delay. The proportion of patients with T3 SCC (diameter > 4 cm or thickness > 6 mm) increased from 41.5% (83 patients) in the initial study group to an estimated 58.5%, 70.5%, and 72% after 1, 2, and 3 months of delay. Disease-specific survival at 2, 5, and 10 years in patients whose surgery was delayed by 3 months decreased by 6.2%, 8.2%, and 5.2%, respectively. The proportion of patients with ultrathick melanoma (> 6 mm) increased from 6.9% in the initial study group to 21.9%, 30.2%, and 30.2% at 1, 2, and 3 months. Five- and 10-year disease-specific survival both decreased by 14.4% in patients treated after a potential delay of 3 months. Conclusions In the absence of adequate diagnosis and treatment of SCC and melanoma in the current lockdown situation in Spain, we can expect to see to a considerable increase in large and thick SCCs and melanomas. Efforts must be taken to encourage self-examination and facilitate access to dermatologists in order to prevent further delays.
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Affiliation(s)
- A Tejera-Vaquerizo
- Servicio de Dermatología, Instituto Dermatológico GlobalDerm, Palma del Río Córdoba, Spain
| | - J Cañueto
- Servicio de Dermatología, Hospital Universitario de Salamanca, Salamanca, Spain
| | - A Toll
- Servicio de Dermatología, Hospital Clìnic de Barcelona, Barcelona, Spain
| | - J Santos-Juanes
- Servicio de Dermatología, Hospital Universitario Central de Asturias, Oviedo, Asturias, Spain
| | - A Jaka
- Servicio de Dermatología, Hospital Germans Trial i Pujol, Badalona, Barcelona, Spain
| | - C Ferrandiz
- Servicio de Dermatología, Hospital de la Vall d'Hebron, Barcelona, Spain
| | - O Sanmartín
- Servicio de Dermatología, Instituto Valenciano de Oncología, Valencia, Spain
| | - S Ribero
- Departamento de Dermatología, Hospital Universitario de Turín, Turín, Italy
| | - D Moreno-Ramírez
- Unidad de Melanoma, Servicio de Dermatología Médico-Quirúrgica, Hospital Universitario Virgen Macarena, Sevilla, Spain
| | - F Almazán
- Unidad de Gestión Clínica de Dermatología, Hospital Universitario San Cecilio, Granada, Spain
| | - M J Fuente
- Servicio de Dermatología, Hospital Germans Trial i Pujol, Badalona, Barcelona, Spain
| | - S Podlipnik
- Servicio de Dermatología, Hospital Clìnic de Barcelona, Barcelona, Spain
| | - E Nagore
- Servicio de Dermatología, Instituto Valenciano de Oncología, Valencia, Spain
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Cañueto J, Jaka A, Corchete L, González‐Pérez A, García‐Castro R, Fuente M, Membrive I, March Á, Mañes A, Posada R, Pujol R, Román‐Curto C, Toll A. Postoperative radiotherapy provides better local control and long‐term outcome in selective cases of cutaneous squamous cell carcinoma with perineural invasion. J Eur Acad Dermatol Venereol 2019; 34:1080-1091. [DOI: 10.1111/jdv.16001] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2018] [Accepted: 08/23/2019] [Indexed: 12/13/2022]
Affiliation(s)
- J. Cañueto
- Departamento de Dermatología Hospital Universitario de Salamanca Salamanca Spain
- Instituto de Investigación Biomédica de Salamanca (IBSAL) Hospital Universitario de Salamanca Salamanca Spain
| | - A. Jaka
- Departamento of Dermatología Hospital Germans Trias i Pujol Badalona Spain
| | - L.A. Corchete
- Instituto de Investigación Biomédica de Salamanca (IBSAL) Hospital Universitario de Salamanca Salamanca Spain
| | - A.Mª. González‐Pérez
- Departamento de Dermatología Hospital Universitario de Salamanca Salamanca Spain
| | - R. García‐Castro
- Departamento de Dermatología Hospital Universitario de Salamanca Salamanca Spain
| | - Mª.J. Fuente
- Departamento of Dermatología Hospital Germans Trias i Pujol Badalona Spain
| | - I. Membrive
- Servicio de Radioterapia Hospital del Mar (Parc de Salut Mar) Barcelona Spain
| | - Á. March
- Departamento of Dermatología Hospital del Mar (Parc de Salut Mar) Barcelona Spain
| | - A. Mañes
- Departamento de Radioterapia Oncológica Instituto Catalán de Oncología Badalona Spain
| | - R. Posada
- Departmento de Anatomía Patológica Hospital Germans Trias i Pujol Badalona Spain
| | - R.M. Pujol
- Departamento of Dermatología Hospital del Mar (Parc de Salut Mar) Barcelona Spain
| | - C. Román‐Curto
- Departamento de Dermatología Hospital Universitario de Salamanca Salamanca Spain
- Instituto de Investigación Biomédica de Salamanca (IBSAL) Hospital Universitario de Salamanca Salamanca Spain
| | - A. Toll
- Departamento of Dermatología Hospital del Mar (Parc de Salut Mar) Barcelona Spain
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Richarz NA, Jaka A, Fernández-Rivas G, Bassas J, Bielsa I, Ferrándiz C. First case of chronic cutaneous chromoblastomycosis by Rhinocladiella similis aquired in Europe. Clin Exp Dermatol 2018; 43:925-927. [PMID: 29885020 DOI: 10.1111/ced.13659] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/01/2017] [Indexed: 11/29/2022]
Affiliation(s)
- N A Richarz
- Department of Dermatology Hospital Universitari Germans Trias i Pujol, Universitat Autònoma de Barcelona, Carretera de Canyet s/n, Badalona, 08916, Barcelona, Spain
| | - A Jaka
- Department of Dermatology Hospital Universitari Germans Trias i Pujol, Universitat Autònoma de Barcelona, Carretera de Canyet s/n, Badalona, 08916, Barcelona, Spain
| | - G Fernández-Rivas
- Departments of Microbiology Hospital Universitari Germans Trias i Pujol, Universitat Autònoma de Barcelona, Carretera de Canyet s/n, Badalona, 08916, Barcelona, Spain
| | - J Bassas
- Department of Dermatology Hospital Universitari Germans Trias i Pujol, Universitat Autònoma de Barcelona, Carretera de Canyet s/n, Badalona, 08916, Barcelona, Spain
| | - I Bielsa
- Department of Dermatology Hospital Universitari Germans Trias i Pujol, Universitat Autònoma de Barcelona, Carretera de Canyet s/n, Badalona, 08916, Barcelona, Spain
| | - C Ferrándiz
- Department of Dermatology Hospital Universitari Germans Trias i Pujol, Universitat Autònoma de Barcelona, Carretera de Canyet s/n, Badalona, 08916, Barcelona, Spain
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Cañueto J, Jaka A, Toll A. The Value of Adjuvant Radiotherapy in Cutaneous Squamous Cell Carcinoma: A Review. Actas Dermosifiliogr (Engl Ed) 2018; 109:476-484. [PMID: 29759308 DOI: 10.1016/j.ad.2018.03.007] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2017] [Revised: 03/05/2018] [Accepted: 03/19/2018] [Indexed: 12/24/2022] Open
Abstract
Cutaneous squamous cell carcinoma (cSCC) is the second most common cancer in humans and its incidence is rising. Although surgery is the treatment of choice for cSCC, postoperative adjuvant radiotherapy has an important role in local and locorregional disease control. In this review, we analyze the value of postoperative radiotherapy in the management of high-risk cSCC (in particular, cases with perineural invasion), cSCC with positive surgical margins, and locally advanced cSCC (with parotid gland and/or lymph node metastasis).
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Affiliation(s)
- J Cañueto
- Servicio de Dermatología, Complejo Asistencial Universitario de Salamanca, IBSAL Instituto de Investigación Biomédica de Salamanca, Complejo Asistencial Universitario de Salamanca, Salamanca, España
| | - A Jaka
- Servicio de Dermatología, Hospital Universitari Germans Trias i Pujol, Badalona, España
| | - A Toll
- Servicio de Dermatología, Hospital del Mar, Parc de Salut Mar, Barcelona, España.
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Jaka A, Gutiérrez-Rivera A, López-Pestaña A, del Alcázar E, Zubizarreta J, Vildosola S, Arregui M, Sarasqueta C, Lobo C, Tuneu A. Predictors of Tumor Response to Cetuximab and Panitumumab in 116 Patients and a Review of Approaches to Managing Skin Toxicity. Actas Dermo-Sifiliográficas (English Edition) 2015. [DOI: 10.1016/j.adengl.2015.05.014] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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Kutllovci-Zogaj D, Krasniqi S, Elezaj I, Ramadani N, Gjergji T, Zogaj D, Kutllovci A, Jaka A, Ukëhaxhaj A, Gashi S, Bince E. Correlation between blood lead level and hemoglobin level in mitrovica children. Med Arch 2014; 68:324-8. [PMID: 25568564 PMCID: PMC4269539 DOI: 10.5455/medarh.2014.68.324-328] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2014] [Accepted: 07/15/2014] [Indexed: 11/30/2022] Open
Abstract
Introduction: Lead toxicity is a serious health threat, especially in developing countries due to environmental pollution. It was thus aimed to investigate correlation between blood lead level and concentration level of hemoglobin in the blood of children involved in research. Material and methods: The research included 250 children of which 31(12.4%) kindergarten children, 166 (66.4%) of primary school pupils in Mitrovica and 53(21.2%) of primary school pupils in Shtime as control group. From the 250 children included in the survey 129 or 51.6% were female children and 48.4% male children. Children were selected randomly, while tests for concentration of Pb and blood hemoglobin were done at the National Institute of Public Health. Results: The average value of blood lead level of Mitrovica pupils was 2.4 µg/dL (SD±1.9µg/dL), range 0.5 to 16.3µg/dL. The average value of blood lead level of Shtime pupils was 2.3µg/dL (SD±0.7µg/dL), range 1.2 to 5.2 µg/dL with no statistical difference (P = 0.191). The average value of blood lead level in kindergarten children of Mitrovica was 3.8µg/dL (SD±1.3µg/dL), range 2.2 to 7.7µg/dL with significant difference between the average values of blood lead levels of pupils and kindergarten children of Mitrovica (P <0.0001). The average value of hemoglobin in the pupils of Mitrovica was 14.0g/dL(SD± 3.7g/dL), range 9.4 to 25.6 g/dL. The average value of hemoglobin to pupils of Shtime was 11.4g/dl(SD±0.8 g/dl), range 9.2 to 13.0 g/dl with significant difference between mean values of hemoglobin pupils of Mitrovica and Shtime (U ‘= 6440.0, P <0.0001). With Spearman correlation is found significant correlation of a medium scale (r = -0.305, df = 248, p <0.0001) between blood lead levels and hemoglobin level in the blood.
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Affiliation(s)
- Drita Kutllovci-Zogaj
- Faculty of medicine, University of Prishtina, Prishtina, Kosova ; Faculty of medicine, University of Prishtina, Prishtina, Kosova
| | - Selvete Krasniqi
- Faculty of medicine, University of Prishtina, Prishtina, Kosova ; Faculty of medicine, University of Prishtina, Prishtina, Kosova
| | - Isa Elezaj
- Faculty of medicine, University of Prishtina, Prishtina, Kosova ; Faculty of medicine, University of Prishtina, Prishtina, Kosova
| | - Naser Ramadani
- Faculty of medicine, University of Prishtina, Prishtina, Kosova ; Faculty of medicine, University of Prishtina, Prishtina, Kosova
| | - Tahire Gjergji
- Faculty of medicine, University of Prishtina, Prishtina, Kosova ; Faculty of medicine, University of Prishtina, Prishtina, Kosova
| | | | | | - Arbëresha Jaka
- National Institute of Public Health of Kosova, Prishtina, Kosova
| | | | - Sanije Gashi
- Faculty of medicine, University of Prishtina, Prishtina, Kosova ; Faculty of medicine, University of Prishtina, Prishtina, Kosova
| | - Ergyl Bince
- National Institute of Public Health of Kosova, Prishtina, Kosova
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del Alcazar E, Jaka A, Camino N, Gancho G, Tuneu A. Fever and skin lesions in an immunocompromised patient. Clin Exp Dermatol 2014; 40:219-21. [DOI: 10.1111/ced.12483] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/03/2014] [Indexed: 11/28/2022]
Affiliation(s)
- E. del Alcazar
- Department of Dermatology; Hospital Universitario Donostia; Donostia-San Sebastián Spain
| | - A. Jaka
- Department of Dermatology; Hospital Universitario Donostia; Donostia-San Sebastián Spain
| | - N. Camino
- Department of Haematology; Hospital Universitario Donostia; Donostia-San Sebastián Spain
| | - G. Gancho
- Department of Pathology; Hospital Universitario Donostia; Donostia-San Sebastián Spain
| | - A. Tuneu
- Department of Dermatology; Hospital Universitario Donostia; Donostia-San Sebastián Spain
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Tuneu A, Jaka A, Borja HA, Del Alcazar E, Aseginolatza B, Arregui M. Efficacité du zinc pour la prévention des éruptions papulo-pustuleuse secondaires aux inhibiteurs de l’EGFR : notre expérience. Ann Dermatol Venereol 2012. [DOI: 10.1016/j.annder.2012.10.533] [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: 10/27/2022]
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Raka L, Kalenc S, Bonjak Z, Budimir A, Katić S, ijak D, Mulliqi-Osmani G, Zoutman D, Jaka A. Molecular epidemiology of Acinetobacter baumannii in central intensive care unit in Kosova teaching hospital. Braz J Infect Dis 2009; 13:408-13. [DOI: 10.1590/s1413-86702009000600004] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2009] [Accepted: 11/20/2009] [Indexed: 11/22/2022] Open
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Kurti A, Mulliqi-Osmani G, Raka L, Berisha L, Jaka A, Jakupi X, Begolli L. P1134 Antimicrobial resistance of Mycoplasma hominis and Ure-aplasma urealyticum among women with vaginal discharge. Int J Antimicrob Agents 2007. [DOI: 10.1016/s0924-8579(07)70974-3] [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: 10/23/2022]
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Mulliqi G, Kurti A, Raka L, Begolli L, Berisha L, Jaka A, Fejza H, Mehmeti S. P1565 Seroprevalence of HIV, hepatitis B and hepatitis C among intravenous drug users, men who have sex with men and commercial sex workers in Kosova. Int J Antimicrob Agents 2007. [DOI: 10.1016/s0924-8579(07)71404-8] [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: 11/26/2022]
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Raka L, Mulliqi-Osmani G, Berisha L, Begolli L, Omeragiq S, Parsons L, Salfinger M, Jaka A, Kurti A, Jakupi X. Etiology and susceptibility of urinary tract isolates in Kosova. Int J Antimicrob Agents 2004; 23 Suppl 1:S2-5. [PMID: 15037322 DOI: 10.1016/j.ijantimicag.2003.09.009] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Urinary tract infections are amongst the most common pathogenic infections with an increasing resistance to antimicrobials. The objective of this study was to determine the etiology and antimicrobial susceptibility patterns of urinary tract infection pathogens isolated in Kosovo. A retrospective study was carried from urine samples of both inpatients and outpatients that were received in our laboratory throughout 2001. During the study period, 16500 urine samples were analysed, of which 4260 (25.8%) had significant bacteriuria obtained from 1420 patients. Of this, 1059 (74.6%) were collected from females and 361 (25.4%) from males. Urine samples processed from outpatients were 72.5% (1029), whereas 27.5% (391) were from hospitalised patients. Escherichia coli was the most common aetiologic agent isolated (80.5%), followed by Proteus spp. (6.1%), Klebsiella spp. (5.9%), Citrobacter (5.1%) and Mycobacterium tuberculosis (0.8%). Gram-positive bacteria accounted for only 0.3%. Pseudomonas aeruginosa was only isolated from inpatients and was responsible for 0.6% of infections. Amoxicillin, ampicillin and trimethoprim-sulphamethoxazole resistance rates were 48.7, 46.5 and 32.1%, respectively. Nitrofurantoin, cefalexin and ciprofloxacin expressed the highest susceptibility among these isolates. E. coli isolates from inpatients and outpatients showed more than 25% resistance to trimethoprim-sulphamethoxazole. Of all isolates, 16% (225) were resistant to three or more agents and considered multi-drug resistant. Current data on the prevalence of multidrug resistance among urinary tract isolates should be a consideration to change the current empiric treatment of urinary tract infections.
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Affiliation(s)
- Lul Raka
- National Institute for Public Health of Kosova, Prishtina, Kosova, Kosovo.
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