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Mastromarino MG, Parini S, Azzolina D, Habib S, De Marni ML, Luise C, Restelli S, Baietto G, Trisolini E, Massera F, Papalia E, Bora G, Carbone R, Casadio C, Boldorini R, Rena O. Liquid Biopsy Detecting Circulating Tumor Cells in Patients with Non-Small Cell Lung Cancer: Preliminary Results of a Pilot Study. Biomedicines 2023; 11:biomedicines11010153. [PMID: 36672660 PMCID: PMC9855397 DOI: 10.3390/biomedicines11010153] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2022] [Revised: 12/29/2022] [Accepted: 01/04/2023] [Indexed: 01/11/2023] Open
Abstract
Lung cancer is still the leading cause of cancer-related death worldwide. Interest is growing towards early detection and advances in liquid biopsy to isolate circulating tumor cells (CTCs). This pilot study aimed to detect epithelial CTCs in the peripheral blood of early-stage non-small cell lung cancer (NSCLC) patients. We used Smart BioSurface® (SBS) slide, a nanoparticle-coated slide able to immobilize viable nucleated cellular fraction without pre-selection and preserve cell integrity. Forty patients undergoing lung resection for NSCLC were included; they were divided into two groups according to CTC value, with a cut-off of three CTCs/mL. All patients were positive for CTCs. The mean CTC value was 4.7(± 5.8 S.D.) per ml/blood. In one patient, next generation sequencing (NGS) analysis of CTCs revealed v-raf murine sarcoma viral oncogene homolog B(BRAF) V600E mutation, which has also been identified in tissue biopsy. CTCs count affected neither overall survival (OS, p = 0.74) nor progression-free survival (p = 0.829). Multivariable analysis confirmed age (p = 0.020) and pNodal-stage (p = 0.028) as negative predictors of OS. Preliminary results of this pilot study suggest the capability of this method in detecting CTCs in all early-stage NSCLC patients. NGS on single cell, identified as CTC by immunofluorescence staining, is a powerful tool for investigating the molecular landscape of cancer, with the aim of personalized therapies.
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Affiliation(s)
- Maria Giovanna Mastromarino
- Division of Thoracic Surgery, Ospedale Maggiore della Carità di Novara, 28100 Novara, Italy
- Correspondence: ; Tel.: +39-0321/3732111
| | - Sara Parini
- Division of Thoracic Surgery, Ospedale Maggiore della Carità di Novara, 28100 Novara, Italy
| | - Danila Azzolina
- Department of Medical Sciences, University of Ferrara, 44121 Ferrara, Italy
| | - Sara Habib
- Division of Thoracic Surgery, Ospedale Maggiore della Carità di Novara, 28100 Novara, Italy
| | | | | | | | - Guido Baietto
- Division of Thoracic Surgery, Ospedale Maggiore della Carità di Novara, 28100 Novara, Italy
| | - Elena Trisolini
- Division of Pathology, Ospedale Maggiore della Carità di Novara, 28100 Novara, Italy
| | - Fabio Massera
- Division of Thoracic Surgery, Ospedale Maggiore della Carità di Novara, 28100 Novara, Italy
| | - Esther Papalia
- Division of Thoracic Surgery, Ospedale Maggiore della Carità di Novara, 28100 Novara, Italy
| | - Giulia Bora
- Division of Thoracic Surgery, Ospedale Maggiore della Carità di Novara, 28100 Novara, Italy
| | | | - Caterina Casadio
- Division of Thoracic Surgery, Ospedale Maggiore della Carità di Novara, 28100 Novara, Italy
| | - Renzo Boldorini
- Division of Pathology, Ospedale Maggiore della Carità di Novara, 28100 Novara, Italy
- Department of Health Sciences, University of Piemonte Orientale, 28100 Novara, Italy
| | - Ottavio Rena
- Division of Thoracic Surgery, Ospedale Maggiore della Carità di Novara, 28100 Novara, Italy
- Department of Health Sciences, University of Piemonte Orientale, 28100 Novara, Italy
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Lococo F, Guerrera F, Rena O, Ampollini L, Vannucci J, Bertoglio P, Ventura L, Lyberis P, Marchese V, Arena V, Filosso PL, Lesca A, Casadio C, Viti A, Paci M, Puma F, Ruffini E. Accuracy of 18F-FDG in Detecting Stage I Lung Adenocarcinomas According to IASLC/ATS/ERS Classification. Heart Lung Circ 2021; 31:726-732. [PMID: 34753661 DOI: 10.1016/j.hlc.2021.10.011] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [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: 04/07/2020] [Revised: 03/23/2021] [Accepted: 10/06/2021] [Indexed: 11/16/2022]
Abstract
BACKGROUND Only a small number of studies have explored the clinicopathological features of pulmonary adenocarcinoma (PA) associated with 18F-fluorodeoxyglucose positron emission tomography (FDG-PET) false-negative (FN) results. Herein, we investigated the FDG-PET diagnostic performance by stratifying PAs according to International Association for the Study of Lung Cancer/American Thoracic Society/European Respiratory Society/American Thoracic Society/European Respiratory Society (IASLC/ATS/ERS) classification. METHODS From January 2002 to December 2016, all consecutive patients who underwent pulmonary resection for stage I PA at six thoracic surgery institutions were retrospectively reviewed. The diagnostic performance of FDG-PET was analysed according to IASLC/ATS/ERS classification and two validated subclassifications. Univariable and multivariable logistic analysis were used to identify predictors of FDG-PET FN results. RESULTS Five hundred and fifty (550) patients with stage I PA were included in the analyses. Most of the patients were male (n=354 [64.4%]) and smokers (n=369 [67.1%]). Ninety-seven (n=97 [17.6%]) FN cases were observed at FDG-PET imaging. On multivariable analysis, a lepidic pattern was found to be independently associated with FDG-PET FN results (odds ratio [OR], 3.20; p<0.001), while a solid pattern more commonly presented with a positive finding (OR, 0.40; p=0.066). According to Nakamura's classification, we observed an independent association between lepidic pattern and FDG-PET FN results (OR, 3.17; p<0.001), while solid/micropapillary patterns were independently related with increased FDG uptake (OR, 0.35; p=0.021). According to Yoshizawa's classification, Intermediate-grade tumours were independently correlated with FN FDG-PET results (OR, 2.78; p=0.005). CONCLUSIONS In our cohort, histopathological features were significantly associated with FDG uptake. In particular, some adenocarcinoma subtypes (mostly Lepidic pattern) have a tendency towards FN FDG-PET findings. The correlation between computed tomography findings, clinical characteristics, and FDG uptake is mandatory, in order to tailor the precise diagnostic and therapeutic pathway for each patient.
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Affiliation(s)
- Filippo Lococo
- Unit of Thoracic Surgery, Fondazione Policlinico Universitario "A. Gemelli", IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy
| | - Francesco Guerrera
- Department of Surgical Sciences, University of Torino, Torino, Italy; Department of Cardiovascular and Thoracic Surgery, Azienda Ospedaliera Universitaria Città della Salute e della Scienza di Torino, Torino, Italy.
| | - Ottavio Rena
- Department of Thoracic Surgery, Amedeo Avogadro University of Eastern Piedmont, Novara, Italy
| | - Luca Ampollini
- Department of Thoracic Surgery, Azienda Ospedaliera Universitaria di Parma, Parma, Italy
| | - Jacopo Vannucci
- Department of Thoracic Surgery, University of Perugia Medical School, Perugia, Italy
| | - Pietro Bertoglio
- Division of Thoracic Surgery, Sacro Cuore-Don Calabria Research Hospital and Cancer Care Centre Negrar-Verona, Verona, Italy
| | - Luigi Ventura
- Department of Thoracic Surgery, Azienda Ospedaliera Universitaria di Parma, Parma, Italy
| | - Paraskevas Lyberis
- Department of Cardiovascular and Thoracic Surgery, Azienda Ospedaliera Universitaria Città della Salute e della Scienza di Torino, Torino, Italy
| | | | | | | | - Adriana Lesca
- Nuclear Medicine Unit, Department of Radiology, Azienda Ospedaliera Universitaria Città della Salute e della Scienza di Torino, Torino, Italy
| | - Caterina Casadio
- Department of Thoracic Surgery, Amedeo Avogadro University of Eastern Piedmont, Novara, Italy
| | - Andrea Viti
- Division of Thoracic Surgery, Sacro Cuore-Don Calabria Research Hospital and Cancer Care Centre Negrar-Verona, Verona, Italy
| | - Massimiliano Paci
- Unit of Thoracic Surgery, Azienda Unità Sanitaria Locale-IRCCS di Reggio Emilia, Reggio Emilia, Italy
| | - Francesco Puma
- Department of Thoracic Surgery, University of Perugia Medical School, Perugia, Italy
| | - Enrico Ruffini
- Department of Surgical Sciences, University of Torino, Torino, Italy
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3
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Patrucco F, Daverio M, Gavelli F, Castello L, Boldorini R, Rena O, Casadio C, Balbo P. Cryobiopsy in the diagnosis of lung tumors: a single center experience. MINERVA BIOTECNOL 2019. [DOI: 10.23736/s1120-4826.19.02561-8] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
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Lococo F, Torricelli F, Lang-Lazdunski L, Veronesi G, Rena O, Paci M, Casadio C, Piana S, Novellis P, Di Stefano TS, Ciarrocchi A, Billè A. Survival results in biphasic malignant pleural mesothelioma patients: A multicentric analysis. J Thorac Cardiovasc Surg 2019; 159:1584-1593.e2. [PMID: 31590954 DOI: 10.1016/j.jtcvs.2019.08.027] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/03/2018] [Revised: 07/20/2019] [Accepted: 08/03/2019] [Indexed: 12/01/2022]
Abstract
OBJECTIVE The best strategy of care for biphasic malignant pleural mesothelioma (Biph-MPM) is controversial. In this study, a large dataset of Biph-MPM cases was reviewed to identify prognostic factors and to evaluate the role of a multimodal approach, including cancer-directed surgery. METHODS A total of 213 patients with Biph-MPM treated at 4 tertiary centers who experienced MPM from January 2009 to December 2016 were selected, and clinical, pathologic, and surgical information was retrieved. A Cox regression model was used to identify predictors of survival, and the Kaplan-Meier method was used to summarize overall survival. RESULTS The mean age and the male/female ratio were 68.4 ± 9.5 years and 5:1, respectively. Tumors were assigned to stages I (127, 59.6%), II (3, 1.4%), III (76, 35.4%), and IV (7, 3.3%) according to the Eighth Tumor, Node, Metastasis (TNM) edition. A multimodal treatment including pleurectomy/decortication was performed in 58 patients (27.2%), chemotherapy alone in 99 patients (46.5%), and best supportive care in 56 (26.3%). The median overall survival was 11 months. A univariate analysis revealed that survival was significantly associated with the percentage forced expiratory volume in 1 second (P < .0001), performance status (P = .0002), multimodal treatment including surgery (P < .0001), and TNM stage (P = .011). A multivariable analysis confirmed performance status, percentage forced expiratory volume in 1 second, TNM, and a multimodal approach as independent variables affecting long-term survival. CONCLUSIONS Despite the overall poor prognosis of biphasic histology, a multimodal approach, including cancer-directed surgery, is associated with improved long-term results in very selected patients with Biph-MPM.
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Affiliation(s)
- Filippo Lococo
- Unit of Thoracic Surgery, Azienda Unità Sanitaria Locale-IRCCS di Reggio Emilia, Reggio Emilia, Italy.
| | - Federica Torricelli
- Laboratory of Translational Research, Azienda Unità Sanitaria Locale-IRCCS di Reggio Emilia, Reggio Emilia, Italy
| | | | - Giulia Veronesi
- Unit of Thoracic Surgery, Humanitas Research Hospital, Milan, Italy
| | - Ottavio Rena
- Unit of Thoracic Surgery, University of Novara, Novara, Italy
| | - Massimiliano Paci
- Unit of Thoracic Surgery, Azienda Unità Sanitaria Locale-IRCCS di Reggio Emilia, Reggio Emilia, Italy
| | | | - Simonetta Piana
- Unit of Pathology, Azienda Unità Sanitaria Locale-IRCCS di Reggio Emilia, Reggio Emilia, Italy
| | | | | | - Alessia Ciarrocchi
- Laboratory of Translational Research, Azienda Unità Sanitaria Locale-IRCCS di Reggio Emilia, Reggio Emilia, Italy
| | - Andrea Billè
- Unit of Thoracic Surgery, Guy's Hospital, London, United Kingdom
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5
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Ghirlanda G, Salafia OS, Paragi Z, Giroletti M, Yang J, Marcote B, Blanchard J, Agudo I, An T, Bernardini MG, Beswick R, Branchesi M, Campana S, Casadio C, Chassande-Mottin E, Colpi M, Covino S, D'Avanzo P, D'Elia V, Frey S, Gawronski M, Ghisellini G, Gurvits LI, Jonker PG, van Langevelde HJ, Melandri A, Moldon J, Nava L, Perego A, Perez-Torres MA, Reynolds C, Salvaterra R, Tagliaferri G, Venturi T, Vergani SD, Zhang M. Compact radio emission indicates a structured jet was produced by a binary neutron star merger. Science 2019; 363:968-971. [PMID: 30792360 DOI: 10.1126/science.aau8815] [Citation(s) in RCA: 197] [Impact Index Per Article: 39.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2018] [Accepted: 02/06/2019] [Indexed: 11/02/2022]
Abstract
The binary neutron star merger event GW170817 was detected through both electromagnetic radiation and gravitational waves. Its afterglow emission may have been produced by either a narrow relativistic jet or an isotropic outflow. High-spatial-resolution measurements of the source size and displacement can discriminate between these scenarios. We present very-long-baseline interferometry observations, performed 207.4 days after the merger by using a global network of 32 radio telescopes. The apparent source size is constrained to be smaller than 2.5 milli-arc seconds at the 90% confidence level. This excludes the isotropic outflow scenario, which would have produced a larger apparent size, indicating that GW170817 produced a structured relativistic jet. Our rate calculations show that at least 10% of neutron star mergers produce such a jet.
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Affiliation(s)
- G Ghirlanda
- Istituto Nazionale di Astrofisica-Osservatorio Astronomico di Brera, Via E. Bianchi 46, I-23807 Merate, Italy. .,Dipartimento di Fisica G. Occhialini, Università di Milano-Bicocca, Piazza della Scienza 3, IT-20126 Milano, Italy.,Sezione di Milano Bicocca, Istituto Nazionale Fisica Nucleare (INFN), Piazza della Scienza 3, 20126 Milano, Italy
| | - O S Salafia
- Istituto Nazionale di Astrofisica-Osservatorio Astronomico di Brera, Via E. Bianchi 46, I-23807 Merate, Italy. .,Dipartimento di Fisica G. Occhialini, Università di Milano-Bicocca, Piazza della Scienza 3, IT-20126 Milano, Italy.,Sezione di Milano Bicocca, Istituto Nazionale Fisica Nucleare (INFN), Piazza della Scienza 3, 20126 Milano, Italy
| | - Z Paragi
- Joint Institute for Very Long Baseline Interferometry (VLBI) European Research Infrastructure Consortium (ERIC), Oude Hoogeveensedijk 4, 7991 PD Dwingeloo, Netherlands
| | - M Giroletti
- Istituto Nazionale di Astrofisica-Istituto di Radioastronomia, via Gobetti 101, I40129, Bologna, Italia
| | - J Yang
- Chalmers University of Technology, Onsala Space Observatory, SE-439 92, Sweden.,Yunnan Observatories, Chinese Academy of Sciences, 650216 Kunming, Yunnan, China
| | - B Marcote
- Joint Institute for Very Long Baseline Interferometry (VLBI) European Research Infrastructure Consortium (ERIC), Oude Hoogeveensedijk 4, 7991 PD Dwingeloo, Netherlands
| | - J Blanchard
- Joint Institute for Very Long Baseline Interferometry (VLBI) European Research Infrastructure Consortium (ERIC), Oude Hoogeveensedijk 4, 7991 PD Dwingeloo, Netherlands
| | - I Agudo
- Instituto de Astrofísica de Andalucía-Consejo Superior de Investigaciones Científicas (CSIC), Glorieta de la Astronomía s/n, E-18008, Granada, Spain
| | - T An
- Shanghai Astronomical Observatory, Key Laboratory of Radio Astronomy, Chinese Academy of Sciences, 200030 Shanghai, China
| | - M G Bernardini
- Laboratoire Univers et Particules de Montpellier, Universitè de Montpellier, Centre National de la Recherche Scientifique/Institute National de Physique Nucleaire et Physique des Particules (CNRS/IN2P3), place Eugéne Bataillon, F-34085 Montpellier, France
| | - R Beswick
- Electronic Multi-Element Radio Linked Interferometer Network/Very Long Baseline Interferometry (e-MERLIN/VLBI) National Facility, Jodrell Bank Centre for Astrophysics, School of Physics and Astronomy, University of Manchester, Manchester, UK
| | - M Branchesi
- Gran Sasso Science Institute, Viale F. Crispi 7, I-67100, L'Aquila, Italy.,Laboratori Nazionali del Gran Sasso, INFN, I-67100 L'Aquila, Italy
| | - S Campana
- Istituto Nazionale di Astrofisica-Osservatorio Astronomico di Brera, Via E. Bianchi 46, I-23807 Merate, Italy
| | - C Casadio
- Max Planck Institute fur Radioastronomie, Auf dem Huegel 69, Bonn D-53121, Germany
| | - E Chassande-Mottin
- AstroParticule et Cosmologie (APC), Université Paris Diderot, CNRS/IN2P3, Commissariat à l'Énergie Atomique et aux Énergies Alternatives/ Institute for Research on the Fundamental Laws of the Universe (CEA/IRFU), Observatoire de Paris, Sorbonne Paris Cité, F-75205 Paris Cedex 13, France
| | - M Colpi
- Dipartimento di Fisica G. Occhialini, Università di Milano-Bicocca, Piazza della Scienza 3, IT-20126 Milano, Italy.,Sezione di Milano Bicocca, Istituto Nazionale Fisica Nucleare (INFN), Piazza della Scienza 3, 20126 Milano, Italy
| | - S Covino
- Istituto Nazionale di Astrofisica-Osservatorio Astronomico di Brera, Via E. Bianchi 46, I-23807 Merate, Italy
| | - P D'Avanzo
- Istituto Nazionale di Astrofisica-Osservatorio Astronomico di Brera, Via E. Bianchi 46, I-23807 Merate, Italy
| | - V D'Elia
- Space Science Data Center, Agenzia Spaziale Italiana (ASI), Via del Politecnico, 00133, Roma, Italy
| | - S Frey
- Konkoly Observatory, Magyar Tudományos Akadémia (MTA) Research Centre for Astronomy and Earth Sciences, Konkoly Thege Miklós út 15-17, H-1121 Budapest, Hungary
| | - M Gawronski
- Centre for Astronomy, Faculty of Physics, Astronomy and Informatics, Nicolaus Copernicus University, Grudziadzka 5, 87-100 Torun, Poland
| | - G Ghisellini
- Istituto Nazionale di Astrofisica-Osservatorio Astronomico di Brera, Via E. Bianchi 46, I-23807 Merate, Italy
| | - L I Gurvits
- Joint Institute for Very Long Baseline Interferometry (VLBI) European Research Infrastructure Consortium (ERIC), Oude Hoogeveensedijk 4, 7991 PD Dwingeloo, Netherlands.,Department of Astrodynamics and Space Missions, Delft University of Technology, Kluyverweg 1, 2629 HS Delft, Netherlands
| | - P G Jonker
- Space Research Organisation of the Netherlands (SRON), Netherlands Institute for Space Research, Sorbonnelaan 2, 3584 CA Utrecht, Netherlands.,Department of Astrophysics, Institute for Mathematics, Astrophysics and Particle Physics (IMAPP), Radboud University, Post Office Box 9010, 6500 GL Nijmegen, Netherlands
| | - H J van Langevelde
- Joint Institute for Very Long Baseline Interferometry (VLBI) European Research Infrastructure Consortium (ERIC), Oude Hoogeveensedijk 4, 7991 PD Dwingeloo, Netherlands.,Sterrewacht Leiden, Leiden University, Post Office Box 9513, NL-2300 RA Leiden, Netherlands
| | - A Melandri
- Istituto Nazionale di Astrofisica-Osservatorio Astronomico di Brera, Via E. Bianchi 46, I-23807 Merate, Italy
| | - J Moldon
- Electronic Multi-Element Radio Linked Interferometer Network/Very Long Baseline Interferometry (e-MERLIN/VLBI) National Facility, Jodrell Bank Centre for Astrophysics, School of Physics and Astronomy, University of Manchester, Manchester, UK
| | - L Nava
- Istituto Nazionale di Astrofisica-Osservatorio Astronomico di Brera, Via E. Bianchi 46, I-23807 Merate, Italy
| | - A Perego
- Sezione di Milano Bicocca, Istituto Nazionale Fisica Nucleare (INFN), Piazza della Scienza 3, 20126 Milano, Italy
| | - M A Perez-Torres
- Instituto de Astrofísica de Andalucía-Consejo Superior de Investigaciones Científicas (CSIC), Glorieta de la Astronomía s/n, E-18008, Granada, Spain.,Departamento de Física Teórica, Facultad de Ciencias, Universidad de Zaragoza, E-50019, Spain
| | - C Reynolds
- Commonwealth Scientific and Industrial Research Organization (CSIRO) Astronomy and Space Science, PO Box 1130, Bentley WA 6102, Australia
| | - R Salvaterra
- Istituto Nazionale di Astrofisica, Istituto di Astrofisica Spaziale e Fisica cosmica (IASF), via E. Bassini 15, 20133 Milano, Italy
| | - G Tagliaferri
- Istituto Nazionale di Astrofisica-Osservatorio Astronomico di Brera, Via E. Bianchi 46, I-23807 Merate, Italy
| | - T Venturi
- Istituto Nazionale di Astrofisica-Istituto di Radioastronomia, via Gobetti 101, I40129, Bologna, Italia
| | - S D Vergani
- Galaxies, Etoiles, Physique et Instrumentation (GEPI) Observatoire de Paris, CNRS UMR 8111, Meudon, France
| | - M Zhang
- Xinjiang Astronomical Observatory, Chinese Academy of Sciences, 150 Science 1-Street, Urumqi 831001, China.,Key Laboratory for Radio Astronomy, Chinese Academy of Sciences, 2 West Beijing Road, Nanjing 210008, China
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Guerrera F, Lococo F, Evangelista A, Rena O, Ampollini L, Vannucci J, Errico L, Lausi PO, Ventura L, Marchese V, Paci M, Filosso PL, Oliaro A, Casadio C, Puma F, Ruffini E, Ardissone F. Risk of recurrence in stage I adenocarcinoma of the lung: a multi-institutional study on synergism between type of surgery and type of nodal staging. J Thorac Dis 2019; 11:564-572. [PMID: 30963001 DOI: 10.21037/jtd.2019.01.31] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Background In last years, an increasing interest emerges on the role of sub-lobar resection and lobe-specific lymph nodal dissection in the treatment of early-stage lung cancer. The aim of our study was to define the impact on cumulative incidence of recurrence (CIR) of type of surgical resection and type of nodal staging in this subset of patients. Furthermore, we evaluated the possible synergism between the different kinds of procedure. Methods An analysis of 969 consecutive stage I pulmonary adenocarcinoma patients, operated in six Thoracic Surgery Institutions between 2001 and 2013, was conducted. Type of surgical resection included lobectomy and sub-lobar resection; while pneumonectomy and bilobectomy were excluded from the analysis. Nodal staging procedures were classified in nodal sampling (NS), lobe-specific lymph node dissection (LS-ND) and systematic lymph node dissection (SND). Multivariable-adjusted comparisons for CIR was performed using Fine and Grey model, taking into account of death by any cause as competing event. In order to evaluate synergism between the different procedures, the test of interaction between type of surgical resection and type of nodal staging was carried out and results presented in a stratified way. Results Eight-hundred forty-six (87%) patients were submitted to lobectomy, while 123 (13%) to sub-lobar resection. Four-hundred fifty-five (47%) patients received SND, 98 (10%) LS-ND and 416 (43%) NS. Two-hundred forty-seven (26%) patients developed a local/distant recurrence with a 5-year CIR of 24.2%. Multivariable-adjusted comparisons showed an independent negative effect of sub-lobar resection (HR =1.52; 95% CI: 1.07-2.17), LS-ND (HR =1.74; 95% CI: 1.16-2.6) and NS (HR =1.49; 95% CI: 1.12-1.98) on CIR. Test of interaction showed a homogeneity of results among subgroups. Conclusions Patients affected by stage I pulmonary adenocarcinoma and submitted to lobectomy presented a significant lower recurrence rate than those submitted to sub-lobar resection. Moreover, SND presented an independent positive effect on recurrence development than other lymph node assessment strategy. Finally, lobectomy in combination with systematic lymph nodal resection showed the best results in term of CIR.
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Affiliation(s)
- Francesco Guerrera
- Department of Surgical Sciences, University of Torino, Torino, Italy.,Department of Thoracic Surgery, Azienda Ospedaliera Universitaria Città della Salute e della Scienza di Torino, Torino, Italy
| | - Filippo Lococo
- Department of Thoracic Surgery, IRCCS - Ospedale Santa Maria Nuova, Reggio Emilia, Italy
| | - Andrea Evangelista
- Unit of Clinical Epidemiology, CPO, Azienda Ospedaliero Universitaria Città della Salute e della Scienza di Torino, Turin, Italy
| | - Ottavio Rena
- Department of Thoracic Surgery, Amedeo Avogadro University of Eastern Piedmont, Novara, Italy
| | - Luca Ampollini
- Department of Thoracic Surgery, Azienda Ospedaliera Universitaria di Parma, Parma, Italy
| | - Jacopo Vannucci
- Department of Thoracic Surgery, University of Perugia Medical School, Perugia, Italy
| | - Luca Errico
- Department of Thoracic Surgery, San Luigi Hospital, Orbassano, Italy
| | - Paolo Olivo Lausi
- Department of Surgical Sciences, University of Torino, Torino, Italy.,Department of Thoracic Surgery, Azienda Ospedaliera Universitaria Città della Salute e della Scienza di Torino, Torino, Italy
| | - Luigi Ventura
- Department of Thoracic Surgery, Azienda Ospedaliera Universitaria di Parma, Parma, Italy
| | | | - Massimiliano Paci
- Department of Thoracic Surgery, IRCCS - Ospedale Santa Maria Nuova, Reggio Emilia, Italy
| | - Pier Luigi Filosso
- Department of Surgical Sciences, University of Torino, Torino, Italy.,Department of Thoracic Surgery, Azienda Ospedaliera Universitaria Città della Salute e della Scienza di Torino, Torino, Italy
| | - Alberto Oliaro
- Department of Surgical Sciences, University of Torino, Torino, Italy.,Department of Thoracic Surgery, Azienda Ospedaliera Universitaria Città della Salute e della Scienza di Torino, Torino, Italy
| | - Caterina Casadio
- Unit of Clinical Epidemiology, CPO, Azienda Ospedaliero Universitaria Città della Salute e della Scienza di Torino, Turin, Italy
| | - Francesco Puma
- Department of Thoracic Surgery, University of Perugia Medical School, Perugia, Italy
| | - Enrico Ruffini
- Department of Surgical Sciences, University of Torino, Torino, Italy.,Department of Thoracic Surgery, Azienda Ospedaliera Universitaria Città della Salute e della Scienza di Torino, Torino, Italy
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7
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Guarrera S, Viberti C, Cugliari G, Allione A, Casalone E, Betti M, Ferrante D, Aspesi A, Casadio C, Grosso F, Libener R, Piccolini E, Mirabelli D, Dianzani I, Magnani C, Matullo G. Peripheral Blood DNA Methylation as Potential Biomarker of Malignant Pleural Mesothelioma in Asbestos-Exposed Subjects. J Thorac Oncol 2018; 14:527-539. [PMID: 30408567 DOI: 10.1016/j.jtho.2018.10.163] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [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: 02/20/2018] [Revised: 10/02/2018] [Accepted: 10/27/2018] [Indexed: 12/19/2022]
Abstract
INTRODUCTION Malignant pleural mesothelioma (MPM) is an aggressive tumor strongly associated with asbestos exposure. Patients are usually diagnosed when current treatments have limited benefits, highlighting the need for noninvasive early diagnostic tests to monitor asbestos-exposed people. METHODS We used a genome-wide methylation array to identify, in asbestos-exposed subjects, novel blood DNA methylation markers of MPM in 163 MPM cases and 137 cancer-free controls (82 MPM cases and 68 controls, training set; replication in 81 MPM cases and 69 controls, test set) sampled from the same areas. RESULTS Evidence of differential methylation between MPM cases and controls was found (more than 800 cytosine-guanine dinucleotide sites, false discovery rate p value (pfdr) < 0.05), mainly in immune system-related genes. Considering the top differentially methylated signals, seven single- cytosine-guanine dinucleotides and five genomic regions of coordinated methylation replicated with similar effect size in the test set (pfdr < 0.05). The top hypomethylated single-CpG (cases versus controls effect size less than -0.15, pfdr < 0.05 in both the training and test sets) was detected in FOXK1 (Forkhead-box K1) gene, an interactor of BAP1 which was found mutated in MPM tissue and as germline mutation in familial MPM. In the test set, comparison of receiver operating characteristic curves and the area under the curve (AUC) of two models, including or excluding methylation, showed a significant increase in case/control discrimination when considering DNA methylation together with asbestos exposure (AUC = 0.81 versus AUC = 0.89, DeLong's test p = 0.0013). CONCLUSIONS We identified signatures of differential methylation in DNA from whole blood between asbestos exposed MPM cases and controls. Our results provide the rationale to further investigate, in prospective studies, the potential use of blood DNA methylation profiles for the identification of early changes related to the MPM carcinogenic process.
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Affiliation(s)
- Simonetta Guarrera
- Italian Institute for Genomic Medicine, IIGM, Turin, Italy; Department of Medical Sciences, University of Turin, Turin, Italy
| | - Clara Viberti
- Italian Institute for Genomic Medicine, IIGM, Turin, Italy; Department of Medical Sciences, University of Turin, Turin, Italy
| | - Giovanni Cugliari
- Italian Institute for Genomic Medicine, IIGM, Turin, Italy; Department of Medical Sciences, University of Turin, Turin, Italy
| | - Alessandra Allione
- Italian Institute for Genomic Medicine, IIGM, Turin, Italy; Department of Medical Sciences, University of Turin, Turin, Italy
| | - Elisabetta Casalone
- Italian Institute for Genomic Medicine, IIGM, Turin, Italy; Department of Medical Sciences, University of Turin, Turin, Italy
| | - Marta Betti
- Department of Health Sciences, University of Piemonte Orientale, Novara, Italy
| | - Daniela Ferrante
- Medical Statistics and Cancer Epidemiology Unit, Department of Translational Medicine, University of Piemonte Orientale, Novara, Italy; Cancer Epidemiology Unit, CPO-Piemonte, Novara, Italy
| | - Anna Aspesi
- Department of Health Sciences, University of Piemonte Orientale, Novara, Italy
| | | | - Federica Grosso
- Division of Medical Oncology, SS. Antonio e Biagio General Hospital, Alessandria, Italy
| | - Roberta Libener
- Pathology Unit, SS. Antonio e Biagio General Hospital, Alessandria, Italy
| | - Ezio Piccolini
- Pneumology Unit, Santo Spirito Hospital, Casale Monferrato (AL), Italy
| | - Dario Mirabelli
- Cancer Epidemiology Unit, Department of Medical Sciences, University of Turin, Turin, Italy; Cancer Epidemiology Unit, CPO Piemonte, Turin, Italy; Interdepartmental Center for Studies on Asbestos and Other Toxic Particulates "G. Scansetti," University of Turin, Turin, Italy
| | - Irma Dianzani
- Department of Health Sciences, University of Piemonte Orientale, Novara, Italy; Interdepartmental Center for Studies on Asbestos and Other Toxic Particulates "G. Scansetti," University of Turin, Turin, Italy
| | - Corrado Magnani
- Medical Statistics and Cancer Epidemiology Unit, Department of Translational Medicine, University of Piemonte Orientale, Novara, Italy; Cancer Epidemiology Unit, CPO-Piemonte, Novara, Italy; Interdepartmental Center for Studies on Asbestos and Other Toxic Particulates "G. Scansetti," University of Turin, Turin, Italy
| | - Giuseppe Matullo
- Italian Institute for Genomic Medicine, IIGM, Turin, Italy; Department of Medical Sciences, University of Turin, Turin, Italy; Interdepartmental Center for Studies on Asbestos and Other Toxic Particulates "G. Scansetti," University of Turin, Turin, Italy; Medical Genetics Unit, AOU Città della Salute e della Scienza, Turin, Italy.
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8
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Patrucco F, Gavelli F, Daverio M, Antonini C, Boldorini R, Casadio C, Balbo PE. Electromagnetic Navigation Bronchoscopy: Where Are We Now? Five Years of a Single-Center Experience. Lung 2018; 196:721-727. [PMID: 30209566 DOI: 10.1007/s00408-018-0161-3] [Citation(s) in RCA: 26] [Impact Index Per Article: 4.3] [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: 04/26/2018] [Accepted: 09/06/2018] [Indexed: 12/19/2022]
Abstract
INTRODUCTION Electromagnetic navigation (ENB) is a guidance tool used in the diagnosis of solitary pulmonary nodules (SPNs) and masses. Its diagnostic yield is highly variable (38-71%) and a recent study has put in doubt the role of ENB in sampling SPNs in a real-life setting. The aim of this study is to describe the 5-year experience of our center with ENB, analyzing the population, possible confounding factors, and the diagnostic yield and accuracy of this technique. METHODS We conducted a retrospective observational study including all consecutive patients who underwent ENB for SPNs and masses from January 2011 to December 2015. RESULTS We included 113 patients; 79% had SPNs, 21% masses. The majority were localized in the upper and middle lobes (80%) and 61% presented a bronchus sign. 54% of the patients had a previous negative fluoroscopy-guided bronchoscopy. ENB achieved the diagnosis in 78 patients (69%) with 64 malignant and 14 were benign lesions. The diagnostic yield and accuracy of ENB were respectively 0.69 and 0.76. The only factor influencing the ability to reach a diagnosis was the presence of bronchus sign (p = 0.002). No procedural complications were reported. CONCLUSION ENB is a safe procedure with a similar diagnostic yield in the real-life and research setting. Bronchus sign is an important factor in determining the diagnostic yield. ENB efficacy can be maximized by expertise and by a careful selection of each case.
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Affiliation(s)
- Filippo Patrucco
- Department of Translational Medicine, Pneumology Unit U, University of Piemonte Orientale, Sant'Andrea Hospital, Vercelli, Italy. .,Division of Respiratory Medicine, Medical Department, University of Piemonte Orientale, AOU Maggiore della Carità di Novara, C.so Mazzini 18, 28100, Novara, Italy.
| | - Francesco Gavelli
- Department of Translational Medicine, Emergency Medicine Unit, University of Piemonte Orientale, AOU Maggiore della Carità di Novara, Novara, Italy
| | - Matteo Daverio
- Division of Respiratory Medicine, Medical Department, University of Piemonte Orientale, AOU Maggiore della Carità di Novara, C.so Mazzini 18, 28100, Novara, Italy
| | - Cleto Antonini
- Department of Emergency Acceptance, Anaesthesia and Intensive Care, AOU Maggiore della Carità di Novara, Novara, Italy
| | - Renzo Boldorini
- Department of Translational Medicine, Pathology Unit, University of Piemonte Orientale, AOU Maggiore della Carità di Novara, Novara, Italy
| | - Caterina Casadio
- Surgical Department, Thoracic Surgery Unit, University of Piemonte Orientale, AOU Maggiore della Carità di Novara, Novara, Italy
| | - Piero E Balbo
- Division of Respiratory Medicine, Medical Department, University of Piemonte Orientale, AOU Maggiore della Carità di Novara, C.so Mazzini 18, 28100, Novara, Italy
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9
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Abstract
The sensitivity of a new tumor marker, TA 4-SCC, for lung tumors is examined and compared with the performance of the already established CEA. TA 4-SCC sensitivity is only moderate (30 %), and it presents no significant differences among the various histologic types of lung cancer. In addition, unlike CEA, TA 4-SCC is present in large amounts in the serum of many stage I and II patients. In fact, its sensitivity in still curatively operable tumors reaches 30 % compared to 10 % with CEA.
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Affiliation(s)
- F Pecchio
- Laboratorio Baldi e Riberi, Ospedale S. Giovanni Battista, Torino, Italia
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10
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De Censi A, Cazzaniga M, Gandini S, Casadio C, Chiapparini L, Guerrieri-Gonzaga A, Macis D, Veronesi P, Bonanni B. Abstract P3-10-02: Presence of atypia in ductal lavage and risk of subsequent breast cancer in a prospective study. Cancer Res 2018. [DOI: 10.1158/1538-7445.sabcs17-p3-10-02] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Abstract
Background: Atypical hyperplasia is considered a nearly obligate precursor of breast cancer and is associated with a higher risk of developing breast cancer (BC). Attempts to improve early detection of breast cancer and to provide individualized breast cancer risk assessment would greatly benefit from sampling cellular material from the target tissue. Ductal lavage (DL) is a minimally invasive technique which provides adequate material to detect atypical cells in mammary ducts. However, long term data of the association between atypia from ductal lavage and BC risk are lacking. We studied the prevalence of atypia in DL in different risk categories and its ability to predict BC development in women at risk. Methods: From March 2000 to July 2012 we performed DL in a consecutive series of 348 women with median age of 45 years (range 19-74) at increased BC risk based on the following characteristics: 5 yrs Gail model > 1.66% or > 10% probability of BRCA mutation (n = 155), history of contralateral BC (CBC, n = 161), presence of a BRCA pathogenic variant (n = 32). We analyzed the presence of atypical cells in the baseline specimen of ductal lavage and in repeated lavage and observed their evolution during follow-up. Results: The procedure was safe and well tolerated in most women, with pain and disconfort preventing the procedure in 5.4% of subjects. Overall, 126 (36%) women had atypia at baseline, with a prevalence of 32%, 39%, and 41% in the Gail, CBC and BRCA groups, respectively (p = 0.38). The overall prevalence of atypia considering all visits was 44% (range 36-51). After a median follow up of 6 years, cumulative BC events were 8% in women without atypia versus 14% in those with atypia (log-rank p = 0.08). In the highest risk groups (CBC and BRCA pathogenic variants), the number of BC events was 16 (21%) in women with atypia versus 11 (10%) in women without atypia (p = 0.02 after adjustment for age). Conclusions: Our findings suggest that cytologic atypia in the fluid obtained by DL predicts subsequent BC in women at increased risk, providing individual risk assessment. The reversal of atypia in DL should be evaluated as a surrogate biomarker of BC therapeutic prevention.
Supported by: Associazione Italiana per la Ricerca sul Cancro (AIRC), Lega Italina per la Lotta contro i Tumori (LILT), AVON Foundation for Women.
Citation Format: De Censi A, Cazzaniga M, Gandini S, Casadio C, Chiapparini L, Guerrieri-Gonzaga A, Macis D, Veronesi P, Bonanni B. Presence of atypia in ductal lavage and risk of subsequent breast cancer in a prospective study [abstract]. In: Proceedings of the 2017 San Antonio Breast Cancer Symposium; 2017 Dec 5-9; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2018;78(4 Suppl):Abstract nr P3-10-02.
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Affiliation(s)
- A De Censi
- Ospedali Galliera, Genova, Italy; Queen Mary University, London, United Kingdom; IEO-Istituto Europeo di Oncologia, Milano, Italy
| | - M Cazzaniga
- Ospedali Galliera, Genova, Italy; Queen Mary University, London, United Kingdom; IEO-Istituto Europeo di Oncologia, Milano, Italy
| | - S Gandini
- Ospedali Galliera, Genova, Italy; Queen Mary University, London, United Kingdom; IEO-Istituto Europeo di Oncologia, Milano, Italy
| | - C Casadio
- Ospedali Galliera, Genova, Italy; Queen Mary University, London, United Kingdom; IEO-Istituto Europeo di Oncologia, Milano, Italy
| | - L Chiapparini
- Ospedali Galliera, Genova, Italy; Queen Mary University, London, United Kingdom; IEO-Istituto Europeo di Oncologia, Milano, Italy
| | - A Guerrieri-Gonzaga
- Ospedali Galliera, Genova, Italy; Queen Mary University, London, United Kingdom; IEO-Istituto Europeo di Oncologia, Milano, Italy
| | - D Macis
- Ospedali Galliera, Genova, Italy; Queen Mary University, London, United Kingdom; IEO-Istituto Europeo di Oncologia, Milano, Italy
| | - P Veronesi
- Ospedali Galliera, Genova, Italy; Queen Mary University, London, United Kingdom; IEO-Istituto Europeo di Oncologia, Milano, Italy
| | - B Bonanni
- Ospedali Galliera, Genova, Italy; Queen Mary University, London, United Kingdom; IEO-Istituto Europeo di Oncologia, Milano, Italy
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11
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Raiteri CM, Villata M, Acosta-Pulido JA, Agudo I, Arkharov AA, Bachev R, Baida GV, Benítez E, Borman GA, Boschin W, Bozhilov V, Butuzova MS, Calcidese P, Carnerero MI, Carosati D, Casadio C, Castro-Segura N, Chen WP, Damljanovic G, D'Ammando F, Di Paola A, Echevarría J, Efimova NV, Ehgamberdiev SA, Espinosa C, Fuentes A, Giunta A, Gómez JL, Grishina TS, Gurwell MA, Hiriart D, Jermak H, Jordan B, Jorstad SG, Joshi M, Kopatskaya EN, Kuratov K, Kurtanidze OM, Kurtanidze SO, Lähteenmäki A, Larionov VM, Larionova EG, Larionova LV, Lázaro C, Lin CS, Malmrose MP, Marscher AP, Matsumoto K, McBreen B, Michel R, Mihov B, Minev M, Mirzaqulov DO, Mokrushina AA, Molina SN, Moody JW, Morozova DA, Nazarov SV, Nikolashvili MG, Ohlert JM, Okhmat DN, Ovcharov E, Pinna F, Polakis TA, Protasio C, Pursimo T, Redondo-Lorenzo FJ, Rizzi N, Rodriguez-Coira G, Sadakane K, Sadun AC, Samal MR, Savchenko SS, Semkov E, Skiff BA, Slavcheva-Mihova L, Smith PS, Steele IA, Strigachev A, Tammi J, Thum C, Tornikoski M, Troitskaya YV, Troitsky IS, Vasilyev AA, Vince O. Blazar spectral variability as explained by a twisted inhomogeneous jet. Nature 2017; 552:374-377. [PMID: 29211720 DOI: 10.1038/nature24623] [Citation(s) in RCA: 85] [Impact Index Per Article: 12.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2017] [Accepted: 10/06/2017] [Indexed: 11/09/2022]
Abstract
Blazars are active galactic nuclei, which are powerful sources of radiation whose central engine is located in the core of the host galaxy. Blazar emission is dominated by non-thermal radiation from a jet that moves relativistically towards us, and therefore undergoes Doppler beaming. This beaming causes flux enhancement and contraction of the variability timescales, so that most blazars appear as luminous sources characterized by noticeable and fast changes in brightness at all frequencies. The mechanism that produces this unpredictable variability is under debate, but proposed mechanisms include injection, acceleration and cooling of particles, with possible intervention of shock waves or turbulence. Changes in the viewing angle of the observed emitting knots or jet regions have also been suggested as an explanation of flaring events and can also explain specific properties of blazar emission, such as intra-day variability, quasi-periodicity and the delay of radio flux variations relative to optical changes. Such a geometric interpretation, however, is not universally accepted because alternative explanations based on changes in physical conditions-such as the size and speed of the emitting zone, the magnetic field, the number of emitting particles and their energy distribution-can explain snapshots of the spectral behaviour of blazars in many cases. Here we report the results of optical-to-radio-wavelength monitoring of the blazar CTA 102 and show that the observed long-term trends of the flux and spectral variability are best explained by an inhomogeneous, curved jet that undergoes changes in orientation over time. We propose that magnetohydrodynamic instabilities or rotation of the twisted jet cause different jet regions to change their orientation and hence their relative Doppler factors. In particular, the extreme optical outburst of 2016-2017 (brightness increase of six magnitudes) occurred when the corresponding emitting region had a small viewing angle. The agreement between observations and theoretical predictions can be seen as further validation of the relativistic beaming theory.
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Affiliation(s)
- C M Raiteri
- INAF, Osservatorio Astrofisico di Torino, I-10025 Pino Torinese, Italy
| | - M Villata
- INAF, Osservatorio Astrofisico di Torino, I-10025 Pino Torinese, Italy
| | - J A Acosta-Pulido
- Instituto de Astrofisica de Canarias (IAC), La Laguna, E-38200 Tenerife, Spain.,Departamento de Astrofisica, Universidad de La Laguna, La Laguna, E-38205 Tenerife, Spain
| | - I Agudo
- Instituto de Astrofísica de Andalucía (CSIC), E-18080 Granada, Spain
| | - A A Arkharov
- Pulkovo Observatory, 196140 St Petersburg, Russia
| | - R Bachev
- Institute of Astronomy and NAO, Bulgarian Academy of Sciences, 1784 Sofia, Bulgaria
| | - G V Baida
- Crimean Astrophysical Observatory RAS, Nauchny 298409, Russia
| | - E Benítez
- Instituto de Astronomía, Universidad Nacional Autónoma de México, Mexico
| | - G A Borman
- Crimean Astrophysical Observatory RAS, Nauchny 298409, Russia
| | - W Boschin
- Instituto de Astrofisica de Canarias (IAC), La Laguna, E-38200 Tenerife, Spain.,Departamento de Astrofisica, Universidad de La Laguna, La Laguna, E-38205 Tenerife, Spain.,INAF, TNG Fundación Galileo Galilei, E-38712 La Palma, Spain
| | - V Bozhilov
- Department of Astronomy, Faculty of Physics, University of Sofia, BG-1164 Sofia, Bulgaria
| | - M S Butuzova
- Crimean Astrophysical Observatory RAS, Nauchny 298409, Russia
| | - P Calcidese
- Osservatorio Astronomico della Regione Autonoma Valle d'Aosta, I-11020 Nus, Italy
| | - M I Carnerero
- INAF, Osservatorio Astrofisico di Torino, I-10025 Pino Torinese, Italy
| | - D Carosati
- INAF, TNG Fundación Galileo Galilei, E-38712 La Palma, Spain.,EPT Observatories, Tijarafe, E-38780 La Palma, Spain
| | - C Casadio
- Instituto de Astrofísica de Andalucía (CSIC), E-18080 Granada, Spain.,Max-Planck-Institut für Radioastronomie, D-53121 Bonn, Germany
| | - N Castro-Segura
- Departamento de Astrofisica, Universidad de La Laguna, La Laguna, E-38205 Tenerife, Spain.,School of Physics and Astronomy, University of Southampton, Southampton SO17 1BJ, UK
| | - W-P Chen
- Graduate Institute of Astronomy, National Central University, Jhongli City, Taoyuan County 32001, Taiwan
| | | | - F D'Ammando
- Dipartimento di Fisica e Astronomia, Università di Bologna, I-40129 Bologna, Italy.,INAF, Istituto di Radioastronomia, I-40129 Bologna, Italy
| | - A Di Paola
- INAF, Osservatorio Astronomico di Roma, I-00040 Monte Porzio Catone, Italy
| | - J Echevarría
- Instituto de Astronomía, Universidad Nacional Autónoma de México, Mexico
| | - N V Efimova
- Pulkovo Observatory, 196140 St Petersburg, Russia
| | - Sh A Ehgamberdiev
- Ulugh Beg Astronomical Institute, Maidanak Observatory, Tashkent 100052, Uzbekistan
| | - C Espinosa
- Instituto de Astronomía, Universidad Nacional Autónoma de México, Mexico
| | - A Fuentes
- Instituto de Astrofísica de Andalucía (CSIC), E-18080 Granada, Spain
| | - A Giunta
- INAF, Osservatorio Astronomico di Roma, I-00040 Monte Porzio Catone, Italy
| | - J L Gómez
- Instituto de Astrofísica de Andalucía (CSIC), E-18080 Granada, Spain
| | - T S Grishina
- Astronomical Institute, St Petersburg State University, 198504 St Petersburg, Russia
| | - M A Gurwell
- Harvard-Smithsonian Center for Astrophysics, Cambridge, Massachusetts 02138, USA
| | - D Hiriart
- Instituto de Astronomía, Universidad Nacional Autónoma de México, Mexico
| | - H Jermak
- Astrophysics Research Institute, Liverpool John Moores University, Liverpool L3 5RF, UK
| | - B Jordan
- School of Cosmic Physics, Dublin Institute For Advanced Studies, Dublin, Ireland
| | - S G Jorstad
- Astronomical Institute, St Petersburg State University, 198504 St Petersburg, Russia.,Institute for Astrophysical Research, Boston University, Boston, Massachusetts 02215, USA
| | - M Joshi
- Institute for Astrophysical Research, Boston University, Boston, Massachusetts 02215, USA
| | - E N Kopatskaya
- Astronomical Institute, St Petersburg State University, 198504 St Petersburg, Russia
| | - K Kuratov
- NNLOT, Al-Farabi Kazakh National University, Almaty, Kazakhstan.,Fesenkov Astrophysical Institute, Almaty, Kazakhstan
| | - O M Kurtanidze
- Abastumani Observatory, Mt Kanobili, 0301 Abastumani, Georgia.,Engelhardt Astronomical Observatory, Kazan Federal University, Tatarstan, Russia.,Landessternwarte, Zentrum für Astronomie der Universität Heidelberg, 69117 Heidelberg, Germany.,Center for Astrophysics, Guangzhou University, Guangzhou 510006, China
| | - S O Kurtanidze
- Abastumani Observatory, Mt Kanobili, 0301 Abastumani, Georgia
| | - A Lähteenmäki
- Aalto University Metsähovi Radio Observatory, FI-02540 Kylmälä, Finland.,Aalto University Department of Electronics and Nanoengineering, FI-00076 Aalto, Finland.,Tartu Observatory, 61602 Tõravere, Estonia
| | - V M Larionov
- Pulkovo Observatory, 196140 St Petersburg, Russia.,Astronomical Institute, St Petersburg State University, 198504 St Petersburg, Russia
| | - E G Larionova
- Astronomical Institute, St Petersburg State University, 198504 St Petersburg, Russia
| | - L V Larionova
- Astronomical Institute, St Petersburg State University, 198504 St Petersburg, Russia
| | - C Lázaro
- Instituto de Astrofisica de Canarias (IAC), La Laguna, E-38200 Tenerife, Spain.,Departamento de Astrofisica, Universidad de La Laguna, La Laguna, E-38205 Tenerife, Spain
| | - C S Lin
- Graduate Institute of Astronomy, National Central University, Jhongli City, Taoyuan County 32001, Taiwan
| | - M P Malmrose
- Institute for Astrophysical Research, Boston University, Boston, Massachusetts 02215, USA
| | - A P Marscher
- Institute for Astrophysical Research, Boston University, Boston, Massachusetts 02215, USA
| | - K Matsumoto
- Astronomical Institute, Osaka Kyoiku University, Osaka 582-8582, Japan
| | - B McBreen
- School of Physics, University College Dublin, Dublin 4, Ireland
| | - R Michel
- Instituto de Astronomía, Universidad Nacional Autónoma de México, Mexico
| | - B Mihov
- Institute of Astronomy and NAO, Bulgarian Academy of Sciences, 1784 Sofia, Bulgaria
| | - M Minev
- Department of Astronomy, Faculty of Physics, University of Sofia, BG-1164 Sofia, Bulgaria
| | - D O Mirzaqulov
- Ulugh Beg Astronomical Institute, Maidanak Observatory, Tashkent 100052, Uzbekistan
| | - A A Mokrushina
- Pulkovo Observatory, 196140 St Petersburg, Russia.,Astronomical Institute, St Petersburg State University, 198504 St Petersburg, Russia
| | - S N Molina
- Instituto de Astrofísica de Andalucía (CSIC), E-18080 Granada, Spain
| | - J W Moody
- Department of Physics and Astronomy, Brigham Young University, Provo, Utah 84602, USA
| | - D A Morozova
- Astronomical Institute, St Petersburg State University, 198504 St Petersburg, Russia
| | - S V Nazarov
- Crimean Astrophysical Observatory RAS, Nauchny 298409, Russia
| | | | - J M Ohlert
- Michael Adrian Observatorium, Astronomie Stiftung Trebur, 65468 Trebur, Germany.,University of Applied Sciences, Technische Hochschule Mittelhessen, 61169 Friedberg, Germany
| | - D N Okhmat
- Crimean Astrophysical Observatory RAS, Nauchny 298409, Russia
| | - E Ovcharov
- Department of Astronomy, Faculty of Physics, University of Sofia, BG-1164 Sofia, Bulgaria
| | - F Pinna
- Instituto de Astrofisica de Canarias (IAC), La Laguna, E-38200 Tenerife, Spain.,Departamento de Astrofisica, Universidad de La Laguna, La Laguna, E-38205 Tenerife, Spain
| | - T A Polakis
- Command Module Observatory, Tempe, Arizona, USA
| | - C Protasio
- Instituto de Astrofisica de Canarias (IAC), La Laguna, E-38200 Tenerife, Spain.,Departamento de Astrofisica, Universidad de La Laguna, La Laguna, E-38205 Tenerife, Spain
| | - T Pursimo
- Nordic Optical Telescope, E-38700 Santa Cruz de La Palma, Spain
| | - F J Redondo-Lorenzo
- Instituto de Astrofisica de Canarias (IAC), La Laguna, E-38200 Tenerife, Spain.,Departamento de Astrofisica, Universidad de La Laguna, La Laguna, E-38205 Tenerife, Spain
| | - N Rizzi
- Osservatorio Astronomico Sirio, I-70013 Castellana Grotte, Italy
| | - G Rodriguez-Coira
- Instituto de Astrofisica de Canarias (IAC), La Laguna, E-38200 Tenerife, Spain.,Departamento de Astrofisica, Universidad de La Laguna, La Laguna, E-38205 Tenerife, Spain
| | - K Sadakane
- Astronomical Institute, Osaka Kyoiku University, Osaka 582-8582, Japan
| | - A C Sadun
- Department of Physics, University of Colorado Denver, Denver, Colorado 80217-3364 USA
| | - M R Samal
- Graduate Institute of Astronomy, National Central University, Jhongli City, Taoyuan County 32001, Taiwan
| | - S S Savchenko
- Astronomical Institute, St Petersburg State University, 198504 St Petersburg, Russia
| | - E Semkov
- Institute of Astronomy and NAO, Bulgarian Academy of Sciences, 1784 Sofia, Bulgaria
| | - B A Skiff
- Lowell Observatory, Flagstaff, Arizona, USA
| | - L Slavcheva-Mihova
- Institute of Astronomy and NAO, Bulgarian Academy of Sciences, 1784 Sofia, Bulgaria
| | - P S Smith
- Steward Observatory, University of Arizona, Tucson, Arizona, USA
| | - I A Steele
- Astrophysics Research Institute, Liverpool John Moores University, Liverpool L3 5RF, UK
| | - A Strigachev
- Institute of Astronomy and NAO, Bulgarian Academy of Sciences, 1784 Sofia, Bulgaria
| | - J Tammi
- Aalto University Metsähovi Radio Observatory, FI-02540 Kylmälä, Finland
| | - C Thum
- Instituto de Radio Astronomía Milimétrica, E-18012 Granada, Spain
| | - M Tornikoski
- Aalto University Metsähovi Radio Observatory, FI-02540 Kylmälä, Finland
| | - Yu V Troitskaya
- Astronomical Institute, St Petersburg State University, 198504 St Petersburg, Russia
| | - I S Troitsky
- Astronomical Institute, St Petersburg State University, 198504 St Petersburg, Russia
| | - A A Vasilyev
- Astronomical Institute, St Petersburg State University, 198504 St Petersburg, Russia
| | - O Vince
- Astronomical Observatory, 11060 Belgrade, Serbia
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Rena O, Parini S, Papalia E, Massera F, Turello D, Baietto G, Casadio C. The Redax ® Coaxial Drain in pulmonary lobectomy: a study of efficacy. J Thorac Dis 2017; 9:3215-3221. [PMID: 29221298 DOI: 10.21037/jtd.2017.08.110] [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: 11/06/2022]
Abstract
Background Pleural drainage is required after pulmonary lobectomy to evacuate air-leak and fluid. We compared the performance of the new Redax® Coaxial Drain (CD) (Redax, Mirandola, Italy) with a standard chest tube (CT) in terms of fluid and air-leak evacuation. Methods Fifty-two patients receiving a 24-F CD under water-seal after pulmonary lobectomy through open surgery or video-assisted thoracic surgery (VATS) were matched according to demographic, clinical and pathological variables with 104 patients receiving a 24-F CT. Fluid evacuation and post-operative day 0 (POD0) fluid evacuation rate, air-leak rate, tension pneumothorax or increasing subcutaneous emphysema, tube occlusion at removal, visual analog scale (VAS) score at rest and during cough, chest drain duration, pleural fluid accumulation or residual pleural cavity after tube removal, post-operative morbidity and mortality rate were recorded and compared between the two groups. Results No differences were recorded in post-operative morbidity and mortality rates. Fluid drainage rates on POD0 were significantly higher in CD group (73% vs. 48%; P=0.004); air-leak occurrence was similar in both groups and no differences were recorded in terms of tension pneumothorax or increasing subcutaneous emphysema rates; VAS score was lower for CD when compared with CT and it reached significant difference in the subgroups of patients operated on by VATS; no cases of occlusion at removal were recorded in CD patient. Conclusions Redax® CD is safe and efficient in air-leak and fluid evacuation; due to its design and constituting material it is superior to standard CTs in terms of fluid evacuation rate and patient post-operative comfort.
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Affiliation(s)
- Ottavio Rena
- Thoracic Surgery Unit, AOU "Maggiore della Carità", University of Eastern Piedmont, Novara, Italy
| | - Sara Parini
- Thoracic Surgery Unit, AOU "Maggiore della Carità", University of Eastern Piedmont, Novara, Italy
| | - Esther Papalia
- Thoracic Surgery Unit, AOU "Maggiore della Carità", University of Eastern Piedmont, Novara, Italy
| | - Fabio Massera
- Thoracic Surgery Unit, AOU "Maggiore della Carità", University of Eastern Piedmont, Novara, Italy
| | - Davide Turello
- Thoracic Surgery Unit, AOU "Maggiore della Carità", University of Eastern Piedmont, Novara, Italy
| | - Guido Baietto
- Thoracic Surgery Unit, AOU "Maggiore della Carità", University of Eastern Piedmont, Novara, Italy
| | - Caterina Casadio
- Thoracic Surgery Unit, AOU "Maggiore della Carità", University of Eastern Piedmont, Novara, Italy
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Davoli F, Turello D, Valente G, Rena O, Roncon A, Baietto G, Casadio C. Extralobar Pulmonary Sequestration Presenting with Recurring Massive Pleural Effusion in a Young Woman: A Challenging Case. Heart Lung Circ 2016; 25:e13-5. [DOI: 10.1016/j.hlc.2015.09.006] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2014] [Revised: 06/20/2015] [Accepted: 09/07/2015] [Indexed: 11/25/2022]
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Rena O, Boldorini R, Papalia E, Sacchetti G, Davoli F, Roncon A, Turello D, Massera F, Casadio C. P-176CLINICOPATHOLOGIC RISK FACTORS PREDICTING THE OCCULT NODAL METASTASIS IN T1-2N0M0 NON-SMALL CELL LUNG CANCER PATIENTS STAGED BY POSITRON EMISSION TOMOGRAPHY/COMPUTED TOMOGRAPHY. Interact Cardiovasc Thorac Surg 2015. [DOI: 10.1093/icvts/ivv204.176] [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: 11/14/2022] Open
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Rena O, Guerrera F, Errico L, Ruffini E, Filosso P, Mossetti C, Papalia E, Lisi E, Ardissone F, Oliaro A, Casadio C. P-175PREDICTIVE VALUE OF 18F-FDG POSITRON EMISSION TOMOGRAPHY/COMPUTED TOMOGRAPHY SUVmax IN PATIENTS WITH PULMONARY METASTASIS FROM COLORECTAL CANCER UNDERGOING SURGICAL RESECTION. Interact Cardiovasc Thorac Surg 2015. [DOI: 10.1093/icvts/ivv204.175] [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: 11/13/2022] Open
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Matullo G, Guarrera S, Betti M, Fiorito G, Ferrante D, Voglino F, Cadby G, Di Gaetano C, Rosa F, Russo A, Hirvonen A, Casalone E, Tunesi S, Padoan M, Giordano M, Aspesi A, Casadio C, Ardissone F, Ruffini E, Betta PG, Libener R, Guaschino R, Piccolini E, Neri M, Musk AWB, de Klerk NH, Hui J, Beilby J, James AL, Creaney J, Robinson BW, Mukherjee S, Palmer LJ, Mirabelli D, Ugolini D, Bonassi S, Magnani C, Dianzani I. Correction: genetic variants associated with increased risk of malignant pleural mesothelioma: a genome-wide association study. PLoS One 2015; 10:e0130109. [PMID: 26039071 PMCID: PMC4454573 DOI: 10.1371/journal.pone.0130109] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
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Filosso PL, Evangelista A, Ruffini E, Rendina EA, Margaritora S, Novellis P, Rena O, Casadio C, Andreetti C, Guerrera F, Lausi PO, Diso D, Mussi A, Venuta F, Oliaro A, Lucchi M. Does myasthenia gravis influence overall survival and cumulative incidence of recurrence in thymoma patients? A Retrospective clinicopathological multicentre analysis on 797 patients. Lung Cancer 2015; 88:338-43. [DOI: 10.1016/j.lungcan.2015.03.007] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2014] [Revised: 02/23/2015] [Accepted: 03/08/2015] [Indexed: 10/23/2022]
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Rena O, Boldorini R, Papalia E, Mezzapelle R, Baietto G, Roncon A, Casadio C. Persistent lung expansion after pleural talc poudrage in non-surgically resected malignant pleural mesothelioma. Ann Thorac Surg 2015; 99:1177-83. [PMID: 25669666 DOI: 10.1016/j.athoracsur.2014.11.050] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/25/2013] [Revised: 11/08/2014] [Accepted: 11/24/2014] [Indexed: 11/16/2022]
Abstract
BACKGROUND To investigate the prognostic effect of persistent lung expansion after pleural talcage and other variables in non-surgically resected malignant pleural mesothelioma (MPM) patients. METHODS All consecutive patients submitted to video-assisted thoracoscopic (VAT) pleurodesis by talc poudrage for MPM between 2006 and 2011 were studied. The following parameters were prospectively recorded: age; sex; smoking history; asbestos exposure; C-reactive protein (CRP) levels; platelet (PLT) count; Eastern Cooperative Oncology Group performance status (ECOG PS); histologic subtype; clinical stage (cStage); chemotherapy; pleural fluid volume; and persistence of lung expansion at 3 months follow-up. Survival was assessed in June 2013. RESULTS A total of 172 patients were considered; 146 of 172 patients demonstrated a complete lung expansion at discharge, whereas only 85 of 172 patients had persistent expanded lung on the affected side at the 3-month follow-up chest x-ray. Median survival was 11.5 months (95% confidence interval [CI], 10% to 14%) and 2-year disease-specific survival was 13% (95% CI, 7% to 24%) for the entire cohort. Multivariate analysis showed that non-epithelioid histology (hazard ratio [HR], 2.81; 95% CI, 1.82% to 5.09%), pleural fluid recurrence (HR 2.54; 95% CI, 1.73% to 4.40%), cStage greater than II (HR 2.36; 95% CI, 1.50% to 4.32%), ECOG PS greater than 1 (HR 2.19; 95% CI, 1.26% to 4.23%), CRP greater than 5 mg/L (HR 2.01; 95% CI, 1.18% to 4.12%), and PLT count greater than 400,000 (HR 1.76; 95% CI 1.14% to 3.92%) were independent predictors of poor prognosis. CONCLUSIONS Persistent lung expansion after pleural talc poudrage and absence of fluid recurrence is demonstrated to be a stronger factor in predicting survival rather than clinical stage and other clinical variables in not surgically resected MPM patients.
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Affiliation(s)
- Ottavio Rena
- Thoracic Surgery Unit, University of Eastern Piedmont, Novara, Italy.
| | - Renzo Boldorini
- Department of Pathology, University of Eastern Piedmont, Novara, Italy
| | - Esther Papalia
- Thoracic Surgery Unit, University of Eastern Piedmont, Novara, Italy
| | - Rosanna Mezzapelle
- Division of Genetics and Cell Biology, San Raffaele University, Milan, Italy
| | - Guido Baietto
- Thoracic Surgery Unit, University of Eastern Piedmont, Novara, Italy
| | - Alberto Roncon
- Thoracic Surgery Unit, University of Eastern Piedmont, Novara, Italy
| | - Caterina Casadio
- Thoracic Surgery Unit, University of Eastern Piedmont, Novara, Italy
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Baietto G, Davoli F, Turello D, Rena O, Roncon A, Papalia E, Massera F, Casadio C. Delayed Pulmonary Fibrosis (Usual Interstitial Pneumonia) in a Patient With Previous Uncomplicated H1N1-Associated Pneumonia. Arch Bronconeumol 2015; 51:363-4. [PMID: 25631947 DOI: 10.1016/j.arbres.2014.01.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2013] [Revised: 01/10/2014] [Accepted: 01/13/2014] [Indexed: 11/19/2022]
Affiliation(s)
- Guido Baietto
- Thoracic Surgery Unit, University of Eastern Piedmont, Azienda Ospedaliero-Universitaria, Maggiore della Carità, Novara, Italia
| | - Fabio Davoli
- Thoracic Surgery Unit, University of Eastern Piedmont, Azienda Ospedaliero-Universitaria, Maggiore della Carità, Novara, Italia.
| | - Davide Turello
- Thoracic Surgery Unit, University of Eastern Piedmont, Azienda Ospedaliero-Universitaria, Maggiore della Carità, Novara, Italia
| | - Ottavio Rena
- Thoracic Surgery Unit, University of Eastern Piedmont, Azienda Ospedaliero-Universitaria, Maggiore della Carità, Novara, Italia
| | - Alberto Roncon
- Thoracic Surgery Unit, University of Eastern Piedmont, Azienda Ospedaliero-Universitaria, Maggiore della Carità, Novara, Italia
| | - Esther Papalia
- Thoracic Surgery Unit, University of Eastern Piedmont, Azienda Ospedaliero-Universitaria, Maggiore della Carità, Novara, Italia
| | - Fabio Massera
- Thoracic Surgery Unit, University of Eastern Piedmont, Azienda Ospedaliero-Universitaria, Maggiore della Carità, Novara, Italia
| | - Caterina Casadio
- Thoracic Surgery Unit, University of Eastern Piedmont, Azienda Ospedaliero-Universitaria, Maggiore della Carità, Novara, Italia
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Roncon A, Davoli F, Casadio C, Baietto G, Rena O, Turello D. Mediastinal vagus nerve scwhannoma succesfully treated by a biportal VATS approach. Arch Bronconeumol 2015; 51:102-103. [PMID: 25572343 DOI: 10.1016/j.arbres.2014.08.014] [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: 04/22/2014] [Revised: 07/31/2014] [Accepted: 08/04/2014] [Indexed: 10/24/2022]
Affiliation(s)
- Alberto Roncon
- Unidad de Cirugía Torácica, Universidad de Piamonte Orientale, Azienda Ospedaliero-Universitaria «Maggiore della Carità», Novara, Italia
| | - Fabio Davoli
- Unidad de Cirugía Torácica, Universidad de Piamonte Orientale, Azienda Ospedaliero-Universitaria «Maggiore della Carità», Novara, Italia.
| | - Caterina Casadio
- Unidad de Cirugía Torácica, Universidad de Piamonte Orientale, Azienda Ospedaliero-Universitaria «Maggiore della Carità», Novara, Italia
| | - Guido Baietto
- Unidad de Cirugía Torácica, Universidad de Piamonte Orientale, Azienda Ospedaliero-Universitaria «Maggiore della Carità», Novara, Italia
| | - Ottavio Rena
- Unidad de Cirugía Torácica, Universidad de Piamonte Orientale, Azienda Ospedaliero-Universitaria «Maggiore della Carità», Novara, Italia
| | - Davide Turello
- Unidad de Cirugía Torácica, Universidad de Piamonte Orientale, Azienda Ospedaliero-Universitaria «Maggiore della Carità», Novara, Italia
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Rena O, Papalia E, Turello D, Massera F, Roncon A, Baietto G, Casadio C. Thoracoscopic water pleurectomy in pneumothorax: some concerns. Ann Thorac Surg 2014; 98:2273-4. [PMID: 25468119 DOI: 10.1016/j.athoracsur.2014.06.038] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/28/2014] [Revised: 05/24/2014] [Accepted: 06/09/2014] [Indexed: 11/16/2022]
Affiliation(s)
- Ottavio Rena
- Thoracic Surgery Unit, University of Eastern Piedmont, Via Frasconi, 14, 28100 Novara, Italy.
| | - Esther Papalia
- Thoracic Surgery Unit, University of Eastern Piedmont, Via Frasconi, 14, 28100 Novara, Italy
| | - Davide Turello
- Thoracic Surgery Unit, University of Eastern Piedmont, Via Frasconi, 14, 28100 Novara, Italy
| | - Fabio Massera
- Thoracic Surgery Unit, University of Eastern Piedmont, Via Frasconi, 14, 28100 Novara, Italy
| | - Alberto Roncon
- Thoracic Surgery Unit, University of Eastern Piedmont, Via Frasconi, 14, 28100 Novara, Italy
| | - Guido Baietto
- Thoracic Surgery Unit, University of Eastern Piedmont, Via Frasconi, 14, 28100 Novara, Italy
| | - Caterina Casadio
- Thoracic Surgery Unit, University of Eastern Piedmont, Via Frasconi, 14, 28100 Novara, Italy
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Oldani A, Gentilli S, Monni M, Bellora P, Grossi G, Casadio C, Garavoglia M. A typical behaviour of thymic carcinoma. Ann Ital Chir 2014; 85:S2239253X14023214. [PMID: 25425601] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
AIM To describe the case of a thymic carcinoma with atypical clinical behavior that has arisen with a voluminous metastasis at the right hemidiaphragm while the primitive thymic neoplasm was initially occult. CASE REPORT A 42 years female patient came to clinical observation for a voluminous thoraco-abdominal mass located in right side, infiltrating the diaphragm. The patient was submitted to surgical excision of the mass; definitive histological examination: non-keratinizing spinocellular carcinoma suggestive for neoplasia on ectopic thymic tissue or metastasis from carcinoma of the thymus. Three 3 months after surgery MR and CT-scan restaging identified the presence of anterior mediastinal mass of about 3 cm of diameter, compatible with thymical origin; thymectomy was performed (histology: Lymphoepithelial thymoma). Eight months after the first surgical procedure a restaging by CT, MR and PET CT showed the presence of disease recurrence at the right diaphragmatic level. The patient underwent surgical exploration, with right thoracotomic approach: a metastasis in the hepatic segment VII was found and radically removed. Six months after liver metastasis resection, CT scan showed disease progression in mediastinum, with involvement of pericardium and aorta; the patient died for disease recurrence five months later, 22 months after the first surgical procedure. CONCLUSION Thymic neoplasms are the most common tumors of the mediastinum; a small percentage of these tumors are however extremely aggressive carcinomas. Rare but not exceptional findings are also cancers arising from ectopic thymic tissue.
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Montagna E, Bagnardi V, Viale G, Rotmensz N, Sporchia A, Cancello G, Balduzzi A, Galimberti V, Veronesi P, Luini A, Mastropasqua MG, Casadio C, Sangalli C, Goldhirsch A, Colleoni M. Changes in PgR and Ki-67 in residual tumour and outcome of breast cancer patients treated with neoadjuvant chemotherapy. Ann Oncol 2014; 26:307-13. [PMID: 25411418 DOI: 10.1093/annonc/mdu528] [Citation(s) in RCA: 35] [Impact Index Per Article: 3.5] [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: 12/15/2022] Open
Abstract
BACKGROUND Limited data are available on the prognostic value of changes in the biological features of residual tumours following neoadjuvant therapies in breast cancer patients. PATIENTS AND METHODS We collected information through the institutional clinical database on all consecutive breast cancer patients treated with neoadjuvant chemotherapy at the European Institute of Oncology (IEO), Milan, Italy, between 1999 and 2011. We selected patients who did not achieve pathological complete response at final surgery. All patients had a pathological evaluation, including ER, PgR, HER2 protein and Ki-67 expression carried out at the IEO both at diagnostic core biopsy and at final surgery. RESULTS We identified a total of 904 patients. The 5% of patients who were ER positive at diagnostic biopsy had ER-negative residual tumour at final surgery. For PgR expression, 67% of the patients, whose tumours had a PgR >20% at diagnostic biopsy had a PgR <20% at final surgery. The Ki-67 expression changed from >20% to <20% in 40% of the patients. At the multivariate analysis, the decrease of PgR-immunoreactive cells correlated with improved outcome in terms of disease-free survival (DFS) [hazard ratio (HR) 0.73; 95% confidence interval (CI) 0.54-1.00, P 0.046]. In addition, the decrease of Ki-67 expression to <20% of the cells at final surgery was found to be associated with better outcome both in terms of DFS (HR 0.52; 95% CI 0.40-0.68 P < 0.0001) and overall survival (HR 0.45; 95% CI 0.32-0.64, P < 0.0001). CONCLUSION The decrease of PgR and Ki-67 expression after preoperative chemotherapy has a prognostic role in breast cancer patients with residual disease.
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Affiliation(s)
- E Montagna
- Division of Medical Senology, European Institute of Oncology, Milan
| | - V Bagnardi
- Department of Quantitative Methods and Statistics, University of Milan-Bicocca, Milan Division of Epidemiology and Biostatistics
| | - G Viale
- Department of Pathology, European Institute of Oncology, Milan School of Medicine, University of Milan, Milan
| | - N Rotmensz
- Division of Epidemiology and Biostatistics
| | - A Sporchia
- Division of Medical Senology, European Institute of Oncology, Milan
| | - G Cancello
- Division of Medical Senology, European Institute of Oncology, Milan
| | - A Balduzzi
- Division of Medical Senology, European Institute of Oncology, Milan
| | | | | | | | | | - C Casadio
- Department of Pathology, European Institute of Oncology, Milan
| | - C Sangalli
- Division of Medical Senology, European Institute of Oncology, Milan
| | - A Goldhirsch
- Program of Senology (Breast Health), European Institute of Oncology, Milan, Italy
| | - M Colleoni
- Division of Medical Senology, European Institute of Oncology, Milan
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Filosso PL, Rena O, Guerrera F, Moreno Casado P, Sagan D, Raveglia F, Brunelli A, Welter S, Gust L, Pompili C, Casadio C, Bora G, Alvarez A, Zaluska W, Baisi A, Roesel C, Thomas PA. Clinical management of atypical carcinoid and large-cell neuroendocrine carcinoma: a multicentre study on behalf of the European Association of Thoracic Surgeons (ESTS) Neuroendocrine Tumours of the Lung Working Group. Eur J Cardiothorac Surg 2014; 48:55-64. [DOI: 10.1093/ejcts/ezu404] [Citation(s) in RCA: 50] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/14/2014] [Accepted: 09/02/2014] [Indexed: 11/13/2022] Open
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Betti M, Casalone E, Ferrante D, Romanelli A, Grosso F, Guarrera S, Righi L, Vatrano S, Pelosi G, Libener R, Mirabelli D, Boldorini R, Casadio C, Papotti M, Matullo G, Magnani C, Dianzani I. Inference on germlineBAP1mutations and asbestos exposure from the analysis of familial and sporadic mesothelioma in a high-risk area. Genes Chromosomes Cancer 2014; 54:51-62. [DOI: 10.1002/gcc.22218] [Citation(s) in RCA: 49] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2014] [Accepted: 08/25/2014] [Indexed: 11/09/2022] Open
Affiliation(s)
- Marta Betti
- Department of Health Sciences; University of Piemonte Orientale; Novara Italy
| | - Elisabetta Casalone
- Department of Health Sciences; University of Piemonte Orientale; Novara Italy
| | - Daniela Ferrante
- CPO-Piemonte and Unit of Medical Statistics and Epidemiology, Department of Translational Medicine; University of Piemonte Orientale; Novara Italy
| | - Antonio Romanelli
- Emilia-Romagna Mesothelioma Registry; Department of Public Health; Reggio Emilia Italy
| | - Federica Grosso
- Division of Medical Oncology; SS. Antonio e Biagio General Hospital; Alessandria Italy
| | - Simonetta Guarrera
- Human Genetics Foundation, HuGeF; Turin Italy
- Department of Medical Sciences; University of Turin; Italy
| | - Luisella Righi
- Department of Oncology; University of Turin at San Luigi Hospital; Orbassano Turin Italy
| | - Simona Vatrano
- Department of Oncology; University of Turin at San Luigi Hospital; Orbassano Turin Italy
| | - Giuseppe Pelosi
- Department of Pathology and Laboratory Medicine; Fondazione IRCCS Istituto Nazionale Tumori; Milan Italy
- Department of Biomedical and Clinical Sciences “Luigi Sacco”; University of Milan; Italy
| | - Roberta Libener
- Pathology Unit; SS. Antonio e Biagio General Hospital; Alessandria Italy
| | - Dario Mirabelli
- Unit of Cancer Epidemiology; CPO-Piemonte and University of Turin; Italy
- Interdepartmental Center “G. Scansetti”; University of Turin; Italy
| | - Renzo Boldorini
- Department of Health Sciences; Section of Pathological Anatomy, University of Piemonte Orientale; Novara Italy
| | - Caterina Casadio
- Thoracic Surgery Unit, Azienda Ospedaliero-Universitaria “Maggiore della Carità”; Novara Italy
- Department of Health Sciences; University of Piemonte Orientale; Novara Italy
| | - Mauro Papotti
- Department of Oncology; University of Turin at San Luigi Hospital; Orbassano Turin Italy
| | - Giuseppe Matullo
- Human Genetics Foundation, HuGeF; Turin Italy
- Department of Medical Sciences; University of Turin; Italy
- Interdepartmental Center “G. Scansetti”; University of Turin; Italy
| | - Corrado Magnani
- CPO-Piemonte and Unit of Medical Statistics and Epidemiology, Department of Translational Medicine; University of Piemonte Orientale; Novara Italy
- Interdepartmental Center “G. Scansetti”; University of Turin; Italy
| | - Irma Dianzani
- Department of Health Sciences; University of Piemonte Orientale; Novara Italy
- Interdepartmental Center “G. Scansetti”; University of Turin; Italy
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Dell'Amore A, Monteverde M, Martucci N, Davoli F, Caroli G, Pipitone E, Bini A, Stella F, Dell'Amore D, Casadio C, Rocco G. Surgery for non-small cell lung cancer in younger patients: what are the differences? Heart Lung Circ 2014; 24:62-8. [PMID: 25130384 DOI: 10.1016/j.hlc.2014.07.054] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2014] [Revised: 06/04/2014] [Accepted: 07/02/2014] [Indexed: 10/25/2022]
Abstract
BACKGROUND Non-small cell lung cancer (NSCLC) in young adults is uncommon. The objective of this study was to evaluate the clinicopathological characteristics, outcomes and prognosis of people younger than 50 years old treated surgically for NSCLC. METHODS A retrospective study was conducted using the institutional database of four thoracic surgery units to collect patients with NSCLC younger than 50 years who had undergone surgery. These patients were compared with older patients (>75-years) operated in the same institutions and in the same period. RESULTS We identified 113 young patients and 347 older patients. Younger patients were more likely to be female, non-smokers, with fewer comorbidities. Younger patients were more likely to be symptomatic at the time of diagnosis. Risk factors for poor prognosis in younger patients were T-stage, and disease-free-interval less than 548 days. Kaplan-Meier analysis showed a lower five-year survival in older patients compared with the younger ones (66% vs 38%, p=0.001). CONCLUSIONS In conclusion NSCLC in younger patients has some distinct clinicopathological characteristics. The overall-survival of young patients is better than in older patients. Young patients receive more complete and aggressive treatment that could explain better survival. Further prospective studies with larger patient populations are required, to clarify the biological and genetic variance of NSCLC in younger patients.
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Affiliation(s)
- Andrea Dell'Amore
- Division of Thoracic Surgery, S.Orsola Malpighi University Hospital, Bologna, Italy.
| | - Marco Monteverde
- Division of Thoracic Surgery, Morgagni Pierantoni Hospital, Forlì, Italy
| | - Nicola Martucci
- Division of Thoracic Surgery, Istituto Nazionale dei Tumori, IRCCS Fondazione Pascale, Naples, Italy
| | - Fabio Davoli
- Division of Thoracic Surgery, University Eastern Piedmont, Novara, Italy
| | - Guido Caroli
- Division of Thoracic Surgery, S.Orsola Malpighi University Hospital, Bologna, Italy
| | - Emanuela Pipitone
- Department of Formative Science, University of Modena and Reggio Emilia, Modena, Italy
| | - Alessandro Bini
- Division of Thoracic Surgery, S.Orsola Malpighi University Hospital, Bologna, Italy
| | - Franco Stella
- Division of Thoracic Surgery, S.Orsola Malpighi University Hospital, Bologna, Italy
| | - Davide Dell'Amore
- Division of Thoracic Surgery, Morgagni Pierantoni Hospital, Forlì, Italy
| | - Caterina Casadio
- Division of Thoracic Surgery, University Eastern Piedmont, Novara, Italy
| | - Gaetano Rocco
- Division of Thoracic Surgery, Istituto Nazionale dei Tumori, IRCCS Fondazione Pascale, Naples, Italy
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Davoli F, Stella F, Valente G, Vasuri F, Rena O, Massera F, Caroli G, Bini A, Casadio C. F-076 * PROGNOSTIC ROLE OF MICROVESSEL DENSITY IN PT1AN0M0 NON-SMALL-CELL LUNG CANCER. Interact Cardiovasc Thorac Surg 2014. [DOI: 10.1093/icvts/ivu167.76] [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: 11/13/2022] Open
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Rena O, Santos Pereira P, Boldorini R, Baietto G, Roncon A, Papalia E, Massera F, Turello D, Davoli F, Casadio C. P-166 * PROGNOSTIC VALUE OF THE IASLC/ATS/ERS CLASSIFICATION OF LUNG ADENOCARCINOMA IN RESECTED STAGE I DISEASE IN PURE CAUCASIAN PATIENTS. Interact Cardiovasc Thorac Surg 2014. [DOI: 10.1093/icvts/ivu167.166] [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: 11/14/2022] Open
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Rena O, Massera F, Boldorini R, Papalia E, Turello D, Davoli F, Baietto G, Roncon A, Robustellini M, Casadio C. Non-small cell lung cancer in surgically treated women. Tumori 2014. [PMID: 24503788 DOI: 10.1700/1390.15453] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
AIM AND BACKGROUND To determine whether female patients operated on for non-small cell lung cancer (NSCLC) have a survival advantage compared to male patients. METHODS AND STUDY DESIGN We analyzed data from 1,426 prospectively collected patients submitted to lung resection for NSCLC between 1999 and 2008. RESULTS Two groups, including 1,014 male and 412 female patients, were compared. Female patients were significantly younger, were more frequently asymptomatic, were less likely to be smokers, had better preoperative respiratory function, had a lower frequency of COPD, and were less commonly affected by cardiovascular comorbidity than men. Adenocarcinoma was more frequently present and early pathological stage (stage IA) more frequently detected in women at diagnosis. The operative mortality was significantly lower among women (1.6% vs 4.6%) (P = 0.012), and women underwent significantly more segmentectomies and fewer pneumonectomies (P = 0.001). The disease-related 5-year survival rate was significantly higher in women (66% vs 51%) (P = 0.0008). At univariate analysis the absence of symptoms at presentation, lower pathological stage, squamous cell type, and female gender were positive factors influencing long-term survival. At multivariate analysis low pathological stage, squamous cell type and female gender were confirmed as independent positive prognostic predictors. Women had a significant survival advantage irrespective of the histological subtype at pathological stage IA, IB, IIB and IIIA disease (P <0.05). CONCLUSIONS Female gender was confirmed to be a particular subset amongst patients affected by NSCLC and exerted a positive effect on disease-related survival of patients submitted to surgical resection. This important effect of gender should be cautiously kept in mind in analyzing the results of current and future trials for lung cancer therapy.
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Rena O, Boldorini R, Papalia E, Turello D, Massera F, Davoli F, Roncon A, Baietto G, Casadio C. Metastasis to Subsegmental and Segmental Lymph Nodes in Patients Resected for Non-Small Cell Lung Cancer: Prognostic Impact. Ann Thorac Surg 2014; 97:987-92. [DOI: 10.1016/j.athoracsur.2013.11.051] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/17/2013] [Revised: 11/12/2013] [Accepted: 11/19/2013] [Indexed: 11/27/2022]
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Filosso PL, Guerrera F, Rendina AE, Bora G, Ruffini E, Novero D, Ruco L, Vitolo D, Anile M, Ibrahim M, Casadio C, Rena O, Terzi A, Lyberis P, Oliaro A, Venuta F. Outcome of surgically resected thymic carcinoma: A multicenter experience. Lung Cancer 2014; 83:205-10. [DOI: 10.1016/j.lungcan.2013.11.015] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2013] [Revised: 10/19/2013] [Accepted: 11/18/2013] [Indexed: 10/26/2022]
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Gentilli S, Davoli F, Portigliotti L, Boldorini R, Casadio C, Garavoglia M. Double-stapling technique for transhiatal distal esophageal resection: feasibility test in a cadaver model. Int J Surg 2014; 12:353-6. [PMID: 24463144 DOI: 10.1016/j.ijsu.2014.01.009] [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: 04/18/2013] [Revised: 10/25/2013] [Accepted: 01/16/2014] [Indexed: 10/25/2022]
Abstract
OBJECTIVES To assess the feasibility of a new surgical technique for the resection of the distal third of the esophagus and/or cardias for neoplasm. METHODS This surgical technique consists of two steps: For this purpose we built a stainless steel support bar for the anvil that is thinner than the freespace of a standard linear suturing stapler (TATM). The support bar holds up a push rod that can be adapted to the hooking-unhooking of the anvil. RESULTS We performed our new technique on five cadavers. We did not encounter any difficulty during the procedures. We tested the anastomosis with hydropneumatic assessment without recording any leaks. The esophago-enteric anastomosis was then opened without finding any mechanical defects related to the procedure. CONCLUSION It can often be very difficult to fashion a safe hand-sewn pouch or a purse string around the anvil of an EEATM during the resection of the distal third of the esophagus or the cardias by a trans-hiatal approach. Moreover, there is no standardized procedure to minimize anastomotic leak. To avoid these mechanical problems we designed this innovative procedure, which is considered to be reproducible without significant training.
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Affiliation(s)
- S Gentilli
- Division of General Surgery, University of Eastern Piedmont, Azienda Ospedaliero-Universitaria "Maggiore della Carità" di Novara, Italy
| | - F Davoli
- Division of Thoracic Surgery, University of Eastern Piedmont, Azienda Ospedaliero-Universitaria "Maggiore della Carità" di Novara, Italy.
| | - L Portigliotti
- Division of General Surgery, University of Eastern Piedmont, Azienda Ospedaliero-Universitaria "Maggiore della Carità" di Novara, Italy
| | - R Boldorini
- Division of Pathology, University of Eastern Piedmont, Azienda Ospedaliero-Universitaria "Maggiore della Carità" di Novara, Italy
| | - C Casadio
- Division of Thoracic Surgery, University of Eastern Piedmont, Azienda Ospedaliero-Universitaria "Maggiore della Carità" di Novara, Italy
| | - M Garavoglia
- Division of General Surgery, University of Eastern Piedmont, Azienda Ospedaliero-Universitaria "Maggiore della Carità" di Novara, Italy
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Filosso PL, Venuta F, Oliaro A, Ruffini E, Rendina EA, Margaritora S, Casadio C, Terzi A, Rena O, Lococo F, Guerrera F. Thymoma and inter-relationships between clinical variables: a multicentre study in 537 patients. Eur J Cardiothorac Surg 2014; 45:1020-7. [DOI: 10.1093/ejcts/ezt567] [Citation(s) in RCA: 34] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Kiehlmann S, Savolainen T, Jorstad SG, Sokolovsky KV, Schinzel FK, Agudo I, Arkharov AA, Benítez E, Berdyugin A, Blinov DA, Bochkarev NG, Borman GA, Burenkov AN, Casadio C, Doroshenko VT, Efimova NV, Fukazawa Y, Gómez JL, Hagen-Thorn VA, Heidt J, Hiriart D, Itoh R, Joshi M, Kimeridze GN, Konstantinova TS, Kopatskaya EN, Korobtsev IV, Kovalev YY, Krajci T, Kurtanidze O, Kurtanidze SO, Larionov VM, Larionova EG, Larionova LV, Lindfors E, López E, Marscher AP, McHardy IM, Molina SN, Morozova DA, Nazarov S, Nikolashvili MG, Nilsson K, Pulatova NG, Reinthal R, Sadun A, Sergeev SG, Sigua LA, Sorcia M, Spiridonova OI, Takalo LO, Taylor B, Troitsky IS, Ugolkova LS, Zensus JA, Zhdanova VE. Analyzing polarization swings in 3C 279. EPJ Web of Conferences 2013. [DOI: 10.1051/epjconf/20136106003] [Citation(s) in RCA: 7] [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] [Indexed: 11/14/2022] Open
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Rena O, Massera F, Boldorini R, Papalia E, Turello D, Davoli F, Baietto G, Roncon A, Robustellini M, Casadio C. Non-small cell lung cancer in surgically treated women. Tumori 2013; 99:661-6. [DOI: 10.1177/030089161309900604] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Aim and background To determine whether female patients operated on for non-small cell lung cancer (NSCLC) have a survival advantage compared to male patients. Methods and study design We analyzed data from 1,426 prospectively collected patients submitted to lung resection for NSCLC between 1999 and 2008. Results Two groups, including 1,014 male and 412 female patients, were compared. Female patients were significantly younger, were more frequently asymptomatic, were less likely to be smokers, had better preoperative respiratory function, had a lower frequency of COPD, and were less commonly affected by cardiovascular comorbidity than men. Adenocarcinoma was more frequently present and early pathological stage (stage IA) more frequently detected in women at diagnosis. The operative mortality was significantly lower among women (1.6% vs 4.6%) (P = 0.012), and women underwent significantly more segmentectomies and fewer pneumonectomies (P = 0.001). The disease-related 5-year survival rate was significantly higher in women (66% vs 51%) (P= 0.0008). At univariate analysis the absence of symptoms at presentation, lower pathological stage, squamous cell type, and female gender were positive factors influencing long-term survival. At multivariate analysis low pathological stage, squamous cell type and female gender were confirmed as independent positive prognostic predictors. Women had a significant survival advantage irrespective of the histological subtype at pathological stage IA, IB, IIB and IIIA disease (P <0.05). Conclusions Female gender was confirmed to be a particular subset amongst patients affected by NSCLC and exerted a positive effect on disease-related survival of patients submitted to surgical resection. This important effect of gender should be cautiously kept in mind in analyzing the results of current and future trials for lung cancer therapy.
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Affiliation(s)
- Ottavio Rena
- Thoracic Surgery Unit, University of Eastern Piedmont, Novara
| | - Fabio Massera
- Thoracic Surgery Unit, University of Eastern Piedmont, Novara
| | - Renzo Boldorini
- Department of Pathology, University of Eastern Piedmont, Novara
| | - Esther Papalia
- Thoracic Surgery Unit, University of Eastern Piedmont, Novara
| | - Davide Turello
- Thoracic Surgery Unit, University of Eastern Piedmont, Novara
| | - Fabio Davoli
- Thoracic Surgery Unit, University of Eastern Piedmont, Novara
| | - Guido Baietto
- Thoracic Surgery Unit, University of Eastern Piedmont, Novara
| | - Alberto Roncon
- Thoracic Surgery Unit, University of Eastern Piedmont, Novara
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Rena O, Ferretti G, Roncon A, Baietto G, Papalia E, Turello D, Massera F, Davoli F, Casadio C. P-183PERSISTENT LUNG EXPANSION AFTER PLEURAL TALC POUDRAGE IN MALIGNANT PLEURAL MESOTHELIOMA NOT ELIGIBLE FOR SURGICAL RESECTION: AN INDEPENDENT PROGNOSTIC FACTOR. Interact Cardiovasc Thorac Surg 2013. [DOI: 10.1093/icvts/ivt288.183] [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: 11/12/2022] Open
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Filosso PL, Rendina A, Guerrera F, Ruffini E, Margaritora S, Casadio C, Terzi A, Lococo F, Rena O, Venuta F. BTOG-115THYMOMA AND INTER-RELATIONSHIPS BETWEEN CLINICAL VARIABLES: A MULTICENTRE STUDY IN 537 PATIENTS. Interact Cardiovasc Thorac Surg 2013. [DOI: 10.1093/icvts/ivt288.115] [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: 11/13/2022] Open
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Rena O, Baietto G, Roncon A, Papalia E, Turello D, Massera F, Davoli F, Casadio C. O-013PROGNOSTIC SIGNIFICANCE OF METASTASIS TO SEGMENTAL OR SUBSEGMENTAL LYMPH NODES IN PATIENTS SUBMITTED TO SURGICAL RESECTION OF NON-SMALL CELL LUNG CANCER WITH PATHOLOGIC N1 LYMPH NODE STATUS. Interact Cardiovasc Thorac Surg 2013. [DOI: 10.1093/icvts/ivt288.13] [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: 11/14/2022] Open
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Matullo G, Guarrera S, Betti M, Fiorito G, Ferrante D, Voglino F, Cadby G, Di Gaetano C, Rosa F, Russo A, Hirvonen A, Casalone E, Tunesi S, Padoan M, Giordano M, Aspesi A, Casadio C, Ardissone F, Ruffini E, Betta PG, Libener R, Guaschino R, Piccolini E, Neri M, Musk AWB, de Klerk NH, Hui J, Beilby J, James AL, Creaney J, Robinson BW, Mukherjee S, Palmer LJ, Mirabelli D, Ugolini D, Bonassi S, Magnani C, Dianzani I. Genetic variants associated with increased risk of malignant pleural mesothelioma: a genome-wide association study. PLoS One 2013; 8:e61253. [PMID: 23626673 PMCID: PMC3634031 DOI: 10.1371/journal.pone.0061253] [Citation(s) in RCA: 49] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2013] [Accepted: 03/06/2013] [Indexed: 12/19/2022] Open
Abstract
Asbestos exposure is the main risk factor for malignant pleural mesothelioma (MPM), a rare aggressive tumor. Nevertheless, only 5-17% of those exposed to asbestos develop MPM, suggesting the involvement of other environmental and genetic risk factors. To identify the genetic risk factors that may contribute to the development of MPM, we conducted a genome-wide association study (GWAS; 370,000 genotyped SNPs, 5 million imputed SNPs) in Italy, among 407 MPM cases and 389 controls with a complete history of asbestos exposure. A replication study was also undertaken and included 428 MPM cases and 1269 controls from Australia. Although no single marker reached the genome-wide significance threshold, several associations were supported by haplotype-, chromosomal region-, gene- and gene-ontology process-based analyses. Most of these SNPs were located in regions reported to harbor aberrant alterations in mesothelioma (SLC7A14, THRB, CEBP350, ADAMTS2, ETV1, PVT1 and MMP14 genes), causing at most a 2-3-fold increase in MPM risk. The Australian replication study showed significant associations in five of these chromosomal regions (3q26.2, 4q32.1, 7p22.2, 14q11.2, 15q14). Multivariate analysis suggested an independent contribution of 10 genetic variants, with an Area Under the ROC Curve (AUC) of 0.76 when only exposure and covariates were included in the model, and of 0.86 when the genetic component was also included, with a substantial increase of asbestos exposure risk estimation (odds ratio, OR: 45.28, 95% confidence interval, CI: 21.52-95.28). These results showed that genetic risk factors may play an additional role in the development of MPM, and that these should be taken into account to better estimate individual MPM risk in individuals who have been exposed to asbestos.
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Affiliation(s)
- Giuseppe Matullo
- Human Genetics Foundation, HuGeF, Turin, Italy
- Department of Medical Sciences, University of Turin, Turin, Italy
| | | | - Marta Betti
- Laboratory of Genetic Pathology, Department Health Sciences, University of Piemonte Orientale, Novara, Italy
| | | | - Daniela Ferrante
- CPO-Piemonte and Unit of Medical Statistics and Epidemiology, Department Translational Medicine, University of Piemonte Orientale, Novara, Italy
| | | | - Gemma Cadby
- Genetic Epidemiology and Biostatistics Platform, Ontario Institute for Cancer Research, Toronto, Ontario, Canada
- Prosserman Centre for Health Research, Samuel Lunenfeld Research Institute, Toronto, Ontario, Canada
- Centre for Genetic Epidemiology and Biostatistics, University of Western Australia, Nedlands, Western Australia, Australia
| | - Cornelia Di Gaetano
- Human Genetics Foundation, HuGeF, Turin, Italy
- Department of Medical Sciences, University of Turin, Turin, Italy
| | - Fabio Rosa
- Human Genetics Foundation, HuGeF, Turin, Italy
| | - Alessia Russo
- Human Genetics Foundation, HuGeF, Turin, Italy
- Department of Medical Sciences, University of Turin, Turin, Italy
| | - Ari Hirvonen
- Centre of Expertise for Health and Work Ability, Finnish Institute of Occupational Health, Helsinki, Finland
| | - Elisabetta Casalone
- Laboratory of Genetic Pathology, Department Health Sciences, University of Piemonte Orientale, Novara, Italy
| | - Sara Tunesi
- CPO-Piemonte and Unit of Medical Statistics and Epidemiology, Department Translational Medicine, University of Piemonte Orientale, Novara, Italy
| | - Marina Padoan
- CPO-Piemonte and Unit of Medical Statistics and Epidemiology, Department Translational Medicine, University of Piemonte Orientale, Novara, Italy
| | - Mara Giordano
- Laboratory of Genetics, Department Health Sciences, University of Piemonte Orientale, Novara, Italy
| | - Anna Aspesi
- Laboratory of Genetic Pathology, Department Health Sciences, University of Piemonte Orientale, Novara, Italy
| | - Caterina Casadio
- Thoracic Surgery Unit, University of Piemonte Orientale, Novara, Italy
| | - Francesco Ardissone
- Chest Surgery, Department of Clinical and Biological Sciences, University of Turin, Orbassano, Italy
| | - Enrico Ruffini
- Thoracic Surgery Unit, University of Turin, Turin, Italy
| | - Pier Giacomo Betta
- Pathology Unit, Azienda Ospedaliera Nazionale SS, Antonio e Biagio e Cesare Arrigo, Alessandria, Italy
| | - Roberta Libener
- Pathology Unit, Azienda Ospedaliera Nazionale SS, Antonio e Biagio e Cesare Arrigo, Alessandria, Italy
| | - Roberto Guaschino
- Transfusion Centre, Azienda Ospedaliera Nazionale SS, Antonio e Biagio e Cesare Arrigo, Alessandria, Italy
| | - Ezio Piccolini
- Pneumology Unit, Santo Spirito Hospital, Casale Monferrato, Italy
| | - Monica Neri
- Unit of Clinical and Molecular Epidemiology IRCCS San Raffaele Pisana, Rome, Italy
| | - Arthur W. B. Musk
- Department of Respiratory Medicine, Sir Charles Gairdner Hospital, Nedlands, Western Australia, Australia
- National Centre for Asbestos Related Disease, School of Medicine and Pharmacology, University of Western Australia, Nedlands, Western Australia, Australia
| | - Nicholas H. de Klerk
- Centre for Child Health Research, The University of Western Australia, Nedlands, Western Australia, Australia
| | - Jennie Hui
- National Centre for Asbestos Related Disease, School of Medicine and Pharmacology, University of Western Australia, Nedlands, Western Australia, Australia
- PathWest Laboratory Medicine WA, Nedlands, Western Australia, Australia
| | - John Beilby
- National Centre for Asbestos Related Disease, School of Medicine and Pharmacology, University of Western Australia, Nedlands, Western Australia, Australia
- PathWest Laboratory Medicine WA, Nedlands, Western Australia, Australia
| | - Alan L. James
- Department of Respiratory Medicine, Sir Charles Gairdner Hospital, Nedlands, Western Australia, Australia
- National Centre for Asbestos Related Disease, School of Medicine and Pharmacology, University of Western Australia, Nedlands, Western Australia, Australia
| | - Jenette Creaney
- Department of Respiratory Medicine, Sir Charles Gairdner Hospital, Nedlands, Western Australia, Australia
- National Centre for Asbestos Related Disease, School of Medicine and Pharmacology, University of Western Australia, Nedlands, Western Australia, Australia
| | - Bruce W. Robinson
- Department of Respiratory Medicine, Sir Charles Gairdner Hospital, Nedlands, Western Australia, Australia
- National Centre for Asbestos Related Disease, School of Medicine and Pharmacology, University of Western Australia, Nedlands, Western Australia, Australia
| | - Sutapa Mukherjee
- Department of Medicine, University of Toronto, Toronto, Ontario, Canada
- Women's College Research Institute and Women's College Hospital, Toronto, Ontario, Canada
| | - Lyle J. Palmer
- Genetic Epidemiology and Biostatistics Platform, Ontario Institute for Cancer Research, Toronto, Ontario, Canada
- Prosserman Centre for Health Research, Samuel Lunenfeld Research Institute, Toronto, Ontario, Canada
| | - Dario Mirabelli
- Unit of Cancer Epidemiology, CPO-Piemonte and University of Turin, Turin, Italy
- Interdepartmental Center for Studies on Asbestos and other Toxic Particulates “G. Scansetti”, University of Turin, Turin, Italy
| | - Donatella Ugolini
- Department of Internal Medicine, University of Genoa and IRCSS AOU San Martino-IST-Istituto Nazionale per la Ricerca sul Cancro, Genoa, Italy
| | - Stefano Bonassi
- Unit of Clinical and Molecular Epidemiology IRCCS San Raffaele Pisana, Rome, Italy
| | - Corrado Magnani
- CPO-Piemonte and Unit of Medical Statistics and Epidemiology, Department Translational Medicine, University of Piemonte Orientale, Novara, Italy
- Interdepartmental Center for Studies on Asbestos and other Toxic Particulates “G. Scansetti”, University of Turin, Turin, Italy
| | - Irma Dianzani
- Laboratory of Genetic Pathology, Department Health Sciences, University of Piemonte Orientale, Novara, Italy
- Interdepartmental Center for Studies on Asbestos and other Toxic Particulates “G. Scansetti”, University of Turin, Turin, Italy
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Davoli F, Rena O, Pirondini E, Casadio C. Giant functioning mediastinal parathyroid cyst: an unusual cause of exertional dyspnea and mild dysphagia. Arch Bronconeumol 2013; 49:408-9. [PMID: 23542045 DOI: 10.1016/j.arbres.2013.01.007] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2012] [Revised: 01/25/2013] [Accepted: 01/29/2013] [Indexed: 10/27/2022]
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Filosso PL, Galassi C, Ruffini E, Margaritora S, Bertolaccini L, Casadio C, Anile M, Venuta F. Thymoma and the increased risk of developing extrathymic malignancies: a multicentre study†. Eur J Cardiothorac Surg 2013; 44:219-24; discussion 224. [DOI: 10.1093/ejcts/ezs663] [Citation(s) in RCA: 42] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/20/2023] Open
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Lico R, Casadio C, Gómez J, Giroletti M, Orienti M, Giovannini G, Blasi M, Cotton W, Edwards PG, Fuhrmann L, Jorstad S, Kino M, Kovalev Y, Krichbaum T, Marscher A, Paneque D, Perez-Torres M, Piner G, Sokolovsky K. Very Long Baseline Polarimetric monitoring at 15 GHz of the TeV blazar Markarian 421. EPJ Web of Conferences 2013. [DOI: 10.1051/epjconf/20136107004] [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: 11/14/2022] Open
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Giovannini G, Liuzzo E, Giroletti M, Boccardi B, Tamburri S, Casadio C, Taylor G, Kadler M, Tosti G, Mignano AA. Exploring the bulk of the BL Lac object population: parsec scale radio properties and gamma ray emission. EPJ Web of Conferences 2013. [DOI: 10.1051/epjconf/20136108006] [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: 11/14/2022] Open
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Mendola C, Cammarota G, Netto R, Cecci G, Pisterna A, Ferrante D, Casadio C, Della Corte F. S(+)-ketamine for control of perioperative pain and prevention of post thoracotomy pain syndrome: a randomized, double-blind study. Minerva Anestesiol 2012; 78:757-766. [PMID: 22441361] [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] [Indexed: 05/31/2023]
Abstract
BACKGROUND Post-thoracotomy pain syndrome (PTPS) often complicates the long term outcome of patients; its appearance has been related to perioperative acute pain. The main goal of this study was to evaluate a possible role of S(+)-ketamine in the prevention of PTPS up to 6 months and secondarily its efficacy in the control of perioperative pain when added to thoracic epidural analgesia (TEA) and adjuvants. METHODS Sixty-six patients underwent thoracotomy under general anesthesia. A thoracic epidural catheter was placed for levobupivacaine and sufentanil administration. Thirty-three patients received an i.v. infusion of S(+)-ketamine (Group S(+)K) for 60 hours and 33 patients received i.v. placebo (Group PLAC). Pain was evaluated by Numeric Rating Scale (NRS) during the whole study. All patients had supplementary doses of analgesics, as needed, to have NRS targeted to a value of ≤3 in the 1st and <3 in the following days. Neuropathic Pain Symptom Inventory (NPSI) was evaluated at 1, 3 and 6 months. RESULTS All patients had NRS ≤3 in the early postoperative period and NPSI was less or equal to 1 in the follow-up control for each group with no significant difference at three (P=0.67, OR 0.8 [IC95% 0.3-2.2]) and at six months (P=0.23, OR 1.9 [0.7-5.4]). Incidence of moderate PTPS was 24.6% at 3 and 21.1% at six months while severe PTPS was 6.6% at 3 and 1.8% at six months. No difference was detected in NRS and NPSI at 3 and 6 months between groups. CONCLUSION S(+)-ketamine had no effects in respect to placebo in the prevention of PTPS at 3 and 6 months but had a significant role in maintaining a NRS≤3 in the early postoperative period. A tight control of perioperative pain seems to be associated with a low incidence of moderate and severe PTPS.
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Affiliation(s)
- C Mendola
- Anesthesia and Intensive Care Service, Maggiore Hospital, School of Medicine, Novara, Italy
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Rena O, Ramponi A, Roncon A, Casadio C. Thymomaptysis: unusual presentation of invasive thymoma. Interact Cardiovasc Thorac Surg 2012; 14:658-9. [PMID: 22290246 PMCID: PMC3329316 DOI: 10.1093/icvts/ivr156] [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: 08/23/2011] [Revised: 11/29/2011] [Accepted: 12/01/2011] [Indexed: 11/12/2022] Open
Abstract
Symptomatic thymomas are characterized by non-specific thoracic symptoms or symptoms related to associated para-thymic syndromes. We report the case of a 56-year old Caucasian male who was affected by invasive (Masaoka IVA) WHO mixed AB-B2 thymoma after the elimination through the sputum of a fragment of tumour vegetating in the left upper lobar bronchus. The patient received multimodal treatment consisting of neoadjuvant cisplatinum-based polychemiotherapy, radical surgical resection ('en bloc' thymectomy, thymomectomy and pulmonary left upper lobe exeresis and pleural implants resection) and subsequent mediastinal radiation therapy. At 18-month follow-up, the patient is alive and disease-free.
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Affiliation(s)
- Ottavio Rena
- Thoracic Surgery Unit, University of Eastern Piedmont, Novara, Italy.
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Rena O, Mineo TC, Casadio C. Multimodal treatment for stage IVA thymoma: A proposable strategy. Lung Cancer 2012; 76:89-92. [DOI: 10.1016/j.lungcan.2011.10.004] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2011] [Revised: 09/27/2011] [Accepted: 10/01/2011] [Indexed: 10/16/2022]
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Rena O, Sacchetti GM, Ramponi A, Roncon A, Baietto G, Casadio C. Single thymic gland metastasis from resected non-small-cell lung cancer. Arch Bronconeumol 2012; 48:423-4. [PMID: 22341302 DOI: 10.1016/j.arbres.2011.12.003] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2011] [Accepted: 12/01/2011] [Indexed: 11/19/2022]
Abstract
Primary thymic tumors are rare, but secondary ones are exceptionally uncommon. We report the case of a single metastasis within the thymic gland from a lung adenocarcinoma that had been completely resected 3 years before. There was high diagnostic doubt because the thymic lesion was not associated with the recurrence of the paraneoplastic syndrome or the increased CEA levels described at the moment of the treatment of the primary tumor. The lesion was diagnosed and treated at the same time by transcervical thymectomy. At the one-year follow-up, the patient is alive and disease-free.
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Affiliation(s)
- Ottavio Rena
- Unidad de Cirugía Torácica, Azienda Ospedaliero-Universitaria Maggiore della Carità, Universidad A. Avogadro, Novara, Italy.
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Rena O, Casadio C. Extrapleural pneumonectomy for early stage malignant pleural mesothelioma: a harmful procedure. Lung Cancer 2012; 77:151-5. [PMID: 22244608 DOI: 10.1016/j.lungcan.2011.12.009] [Citation(s) in RCA: 85] [Impact Index Per Article: 7.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2011] [Revised: 11/04/2011] [Accepted: 12/15/2011] [Indexed: 11/15/2022]
Abstract
The effects on long-term post-operative quality of life (QoL) and disease-control in malignant pleural mesothelioma (MPM) of extrapleural pneumonectomy (EPP) and pleurectomy/decortication (P/D) are compared. Seventy-seven patients affected by early-stage MPM received EPP (40) or P/D (37) associated with multimodal treatment between 1998 and 2009 at our institution. The last consecutive 39 (19 EPP and 20 P/D) were asked to answer the EORTC-QLQ-C30 questionnaire at baseline and at 6- and 12-months after treatment completion to evaluate the impact on QoL of both procedures. QoL evaluation was stopped at recurrence demonstration. Twenty-five (62%) EPP vs 9 (24%) P/D patients (p = 0.002) had in-hospital major complications, and 2/40 (5%) EPP vs no one P/D patients died after surgery. Both procedures caused a significant impairment of all the considered variables of the EORTC-QLQ-C30 questionnaire after treatment completion; only P/D patients returned at baseline levels after 12 months. EPP patients had a worse long-term post-operative QoL when compared with P/D. Median post-operative disease-free period was longer for EPP patients (14 vs 11 months) whereas the residual life to death period after recurrence detection was significantly longer for P/D patients (13 vs 9 months) (p = 0.01). Median long-term survival was longer, even not significant, for P/D patients (25 vs 20 months). MPM patients submitted to EPP had a higher post-operative complication rate, a worse long-term QoL, a shorter residual life time after recurrent disease, despite a similar long-term survival when compared to P/D.
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Affiliation(s)
- Ottavio Rena
- Thoracic Surgery Unit, Azienda Ospedaliero-Universitaria Maggiore della Carità, Novara, Italy.
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Sandri MT, Salvatici M, Botteri E, Passerini R, Zorzino L, Rotmensz N, Luini A, Mauro C, Bagnardi V, Cassatella MC, Bottari F, Casadio C, Colleoni M. Prognostic role of CA15.3 in 7942 patients with operable breast cancer. Breast Cancer Res Treat 2011; 132:317-26. [DOI: 10.1007/s10549-011-1863-x] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2011] [Accepted: 10/25/2011] [Indexed: 11/24/2022]
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