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Kaliampou S, Nikolaou V, Niforou A, Kotsiopoulou I, Gerochristou M, Papanikolaou A, Kanellis G, Papadavid E, Tsimpidakis A, Pouliou E, Economaki E, Panou E, Nikolaou C, Stratigos AJ, Naska A, Marinos L. Epidemiological trends in cutaneous lymphomas in Greece. Eur J Dermatol 2023; 33:664-673. [PMID: 38465548 DOI: 10.1684/ejd.2023.4617] [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] [Indexed: 03/12/2024]
Abstract
Primary cutaneous lymphomas (PCLs) are a heterogenous group of non-Hodgkin lymphomas arising in the skin from T- or B-lymphocytes, for which there is limited epidemiological data available. To describe the disease characteristics and estimate annual incidence rates (IRs) and temporal trends of PCLs and their subtypes in Attica, Greece. A retrospective analysis of all PCL patients, diagnosed in Attica's main haemopathology referral centre from 2009 to 2021, was conducted. In total, 1,189 patients were included; 725 males and 464 females (males__females=1.56). The median age at diagnosis was 62 years. The annual IR was 2.2 new cases per 100,000 individuals. Most patients (n=979, 82.3%) were diagnosed with cutaneous T-cell lymphoma (CTCL) with a crude IR of 1.8 new cases per 100,000 person-years. Mycosis fungoides (MF) was the most common subtype (n=817, 68.7%), followed by lymphomatoid papulosis (LyP) (n=59, 5.0%). The crude IR for MF was 1.5 new cases per 100,000 person-years. Cutaneous B-cell lymphomas (CBCLs) accounted for 17.6% (n=210) of all PCLs (IR: 0.4 new cases per 100,000 person-years). PCL, CTCL and MF incidence rates increased from 2009 to 2019, followed by a decrease in 2020-2021. The incidence rate of CBCL increased steadily during the study period. The annual IRs of PCL in Greece were higher than those reported in other studies from Europe, America and Asia. The increase in IRs from 2009 to 2019 may reflect physicians' improved diagnostic efficiency. The COVID-19 pandemic may be the reason for the decline in PCL, CTCL and MF diagnoses from 2020 to 2021.
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Affiliation(s)
- Stella Kaliampou
- 1st Department of Dermatology and Venereology, Cutaneous Lymphoma Clinic, National and Kapodistrian University of Athens, "Andreas Sygros" Hospital of Venereal and Skin Diseases, Athens, Greece
| | - Vasiliki Nikolaou
- 1st Department of Dermatology and Venereology, Cutaneous Lymphoma Clinic, National and Kapodistrian University of Athens, "Andreas Sygros" Hospital of Venereal and Skin Diseases, Athens, Greece
| | - Aikaterini Niforou
- 1st Department of Dermatology and Venereology, Cutaneous Lymphoma Clinic, National and Kapodistrian University of Athens, "Andreas Sygros" Hospital of Venereal and Skin Diseases, Athens, Greece, Department of Hygiene, Epidemiology and Medical Statistics, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece
| | - Ioanna Kotsiopoulou
- 1st Department of Dermatology and Venereology, Cutaneous Lymphoma Clinic, National and Kapodistrian University of Athens, "Andreas Sygros" Hospital of Venereal and Skin Diseases, Athens, Greece
| | - Maria Gerochristou
- 1st Department of Dermatology and Venereology, Cutaneous Lymphoma Clinic, National and Kapodistrian University of Athens, "Andreas Sygros" Hospital of Venereal and Skin Diseases, Athens, Greece
| | | | - Georgios Kanellis
- Hematopathology Department, "Evangelismos" General Hospital, Athens, Greece
| | - Evangelia Papadavid
- 2nd Department of Dermatology and Venereology, National and Kapodistrian University of Athens, "Attikon" University General Hospital, Athens, Greece, ERNBloodNet centre for cutaneous lymphomas
| | - Antonios Tsimpidakis
- 1st Department of Dermatology and Venereology, Cutaneous Lymphoma Clinic, National and Kapodistrian University of Athens, "Andreas Sygros" Hospital of Venereal and Skin Diseases, Athens, Greece
| | - Evdoxia Pouliou
- Hematopathology Department, "Evangelismos" General Hospital, Athens, Greece
| | - Elisavet Economaki
- Hematopathology Department, "Evangelismos" General Hospital, Athens, Greece
| | - Evdoxia Panou
- 1st Department of Dermatology and Venereology, Cutaneous Lymphoma Clinic, National and Kapodistrian University of Athens, "Andreas Sygros" Hospital of Venereal and Skin Diseases, Athens, Greece
| | | | - Alexander J Stratigos
- 1st Department of Dermatology and Venereology, Cutaneous Lymphoma Clinic, National and Kapodistrian University of Athens, "Andreas Sygros" Hospital of Venereal and Skin Diseases, Athens, Greece
| | - Androniki Naska
- Department of Hygiene, Epidemiology and Medical Statistics, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece
| | - Leonidas Marinos
- Hematopathology Department, "Evangelismos" General Hospital, Athens, Greece
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Skarlis C, Michalakeas N, Gerochristou M, Raftopoulou S, Marketos N, Boki K, Vassilopoulos D, Stratigos AP, Boumpas D, Mavragani C. The Role of Myositis-Specific and Myositis-Associated Autoantibodies and the Activation of Type I Interferon Pathway in the Generation of Clinical Phenotypes of Inflammatory Myopathies. Mediterr J Rheumatol 2023; 34:275-278. [PMID: 37654645 PMCID: PMC10466366 DOI: 10.31138/mjr.34.2.275] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2022] [Accepted: 10/14/2022] [Indexed: 09/02/2023] Open
Abstract
Idiopathic inflammatory myopathies (IIMs) are a group of heterogeneous autoimmune diseases with a prevalence of 20 cases per 100000 of population. Despite their diversity, IMMs are characterised by several common clinical features such as muscle inflammation, proximal muscle weakness, abnormal electromyography and/or muscle biopsy. Over the last years, it has been increasingly recognised that an array of autoantibodies known as myositis-specific antibodies (MSAs) and myositis-associated antibodies (MAAs) are associated with distinct clinical phenotypes and diverse prognosis. Although the exact underlying mechanism of IIMs is not fully understood, accumulating data suggest that the activation of type I interferon pathway plays a central role in disease development. Previous studies have reported the upregulation of type I interferon (IFN) induced genes in peripheral blood and muscle biopsies derived from myositis patients. Given the heterogeneity of inflammatory myopathies along with the central role of type I IFN pathway in disease pathogenesis, the aim of the current study is to elucidate the link between distinct clinical phenotypes of inflammatory myopathies with the presence of serum MSAs or MAAs, as well as with type I IFN activation.
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Affiliation(s)
- Charalampos Skarlis
- Department of Physiology, Faculty of Medicine, National and Kapodistrian University of Athens, Athens, Greece
| | - Nikolaos Michalakeas
- Department of Physiology, Faculty of Medicine, National and Kapodistrian University of Athens, Athens, Greece
| | - Maria Gerochristou
- Department of Physiology, Faculty of Medicine, National and Kapodistrian University of Athens, Athens, Greece
- First Department of Dermatology and Venereology, Faculty of Medicine, National and Kapodistrian University of Athens, Athens, Greece
| | - Sylvia Raftopoulou
- Department of Physiology, Faculty of Medicine, National and Kapodistrian University of Athens, Athens, Greece
| | - Nikolaos Marketos
- Department of Physiology, Faculty of Medicine, National and Kapodistrian University of Athens, Athens, Greece
| | | | - Dimitrios Vassilopoulos
- Clinical Immunology-Rheumatology, Hippokration General Hospital, Faculty of Medicine, National and Kapodistrian University of Athens, Athens, Greece
- Joint Academic Rheumatology Program, Athens, Greece
| | | | - Dimitrios Boumpas
- Joint Academic Rheumatology Program, Athens, Greece
- Fourth Department of Internal Medicine, University Hospital Attikon, National and Kapodistrian University of Athens, Athens, Greece
| | - Clio Mavragani
- Department of Physiology, Faculty of Medicine, National and Kapodistrian University of Athens, Athens, Greece
- Joint Academic Rheumatology Program, Athens, Greece
- Fourth Department of Internal Medicine, University Hospital Attikon, National and Kapodistrian University of Athens, Athens, Greece
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Nicolaidou E, Vavouli C, Koumprentziotis I, Gerochristou M, Stratigos A. New-onset vitiligo after COVID-19 mRNA vaccination: A causal association? J Eur Acad Dermatol Venereol 2022; 37:e11-e12. [PMID: 35971993 PMCID: PMC9538607 DOI: 10.1111/jdv.18513] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2022] [Accepted: 08/05/2022] [Indexed: 12/15/2022]
Affiliation(s)
- Electra Nicolaidou
- 1st Department of Dermatology and VenereologyNational and Kapodistrian University of Athens, “Andreas Sygros” Hospital for Skin and Venereal DiseasesAthensGreece
| | - Charitomeni Vavouli
- 1st Department of Dermatology and VenereologyNational and Kapodistrian University of Athens, “Andreas Sygros” Hospital for Skin and Venereal DiseasesAthensGreece
| | - Ioannis‐Alexios Koumprentziotis
- 1st Department of Dermatology and VenereologyNational and Kapodistrian University of Athens, “Andreas Sygros” Hospital for Skin and Venereal DiseasesAthensGreece
| | - Maria Gerochristou
- Department of Dermatology and VenereologyNational Health System, “Andreas Sygros” Hospital for Skin and Venereal DiseasesAthensGreece
| | - Alexander Stratigos
- 1st Department of Dermatology and VenereologyNational and Kapodistrian University of Athens, “Andreas Sygros” Hospital for Skin and Venereal DiseasesAthensGreece
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Panou E, Nikolaou V, Marinos L, Kallambou S, Sidiropoulou P, Gerochristou M, Stratigos A. Recurrence of cutaneous T-cell lymphoma post viral vector COVID-19 vaccination. J Eur Acad Dermatol Venereol 2022; 36:e91-e93. [PMID: 34628691 PMCID: PMC9088536 DOI: 10.1111/jdv.17736] [Citation(s) in RCA: 21] [Impact Index Per Article: 10.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Affiliation(s)
- E. Panou
- 1st Dermatology DepartmentAndreas Syggros Hospital for Skin DiseasesNational & Kapodestrian University of Athens Medical SchooolAthensGreece
| | - V. Nikolaou
- 1st Dermatology DepartmentAndreas Syggros Hospital for Skin DiseasesNational & Kapodestrian University of Athens Medical SchooolAthensGreece
| | - L. Marinos
- Department of HemopathologyEvangelismos HospitalAthensGreece
| | - S. Kallambou
- 1st Dermatology DepartmentAndreas Syggros Hospital for Skin DiseasesNational & Kapodestrian University of Athens Medical SchooolAthensGreece
| | - P. Sidiropoulou
- 1st Dermatology DepartmentAndreas Syggros Hospital for Skin DiseasesNational & Kapodestrian University of Athens Medical SchooolAthensGreece
| | - M. Gerochristou
- 1st Dermatology DepartmentAndreas Syggros Hospital for Skin DiseasesNational & Kapodestrian University of Athens Medical SchooolAthensGreece
| | - A. Stratigos
- 1st Dermatology DepartmentAndreas Syggros Hospital for Skin DiseasesNational & Kapodestrian University of Athens Medical SchooolAthensGreece
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Tsiogka A, Gerochristou M, Agrogianni A, Gregoriou S, Rigopoulos D, Kontochristopoulos G. Apremilast for the Treatment of Concomitant Subacute Cutaneous Lupus Erythematosus and Psoriasis. Skinmed 2022; 20:391-392. [PMID: 36314710] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/14/2023]
Affiliation(s)
- Aikaterini Tsiogka
- 1st Department of Dermatology-Venereology, Faculty of Medicine, Andreas Sygros Hospital, National and Kapodistrian University of Athens, Athens, Greece;
| | - Maria Gerochristou
- 1st Department of Dermatology-Venereology, Faculty of Medicine, Andreas Sygros Hospital, National and Kapodistrian University of Athens, Athens, Greece
| | - Anastasia Agrogianni
- 1st Department of Dermatology-Venereology, Faculty of Medicine, Andreas Sygros Hospital, National and Kapodistrian University of Athens, Athens, Greece
| | - Stamatios Gregoriou
- 1st Department of Dermatology-Venereology, Faculty of Medicine, Andreas Sygros Hospital, National and Kapodistrian University of Athens, Athens, Greece
| | - Dimitrios Rigopoulos
- 1st Department of Dermatology-Venereology, Faculty of Medicine, Andreas Sygros Hospital, National and Kapodistrian University of Athens, Athens, Greece
| | - Georgios Kontochristopoulos
- 1st Department of Dermatology-Venereology, Faculty of Medicine, Andreas Sygros Hospital, National and Kapodistrian University of Athens, Athens, Greece
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Sidiropoulou P, Marinos L, Gerochristou M, Economaki E, Papanikolaou A, Voudouri D, Kalliambou S, Stratigos A, Nikolaou V. Topical mechlorethamine in mycosis fungoides: a prospective clinical, histopathological, and molecular analysis of 13 cases. Eur J Cancer 2021; 156 Suppl 1:S61-S62. [PMID: 34649665 DOI: 10.1016/s0959-8049(21)00742-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- Polytimi Sidiropoulou
- 1st Department of Dermatology-Venereology, Faculty of Medicine, National and Kapodistrian University of Athens, "A. Sygros" Hospital for Skin and Venereal Diseases, Athens, Greece
| | - Leonidas Marinos
- Hemopathology Department, "Evangelismos" General Hospital, Athens, Greece
| | - Maria Gerochristou
- 1st Department of Dermatology-Venereology, Faculty of Medicine, National and Kapodistrian University of Athens, "A. Sygros" Hospital for Skin and Venereal Diseases, Athens, Greece
| | | | | | - Dimitra Voudouri
- 1st Department of Dermatology-Venereology, Faculty of Medicine, National and Kapodistrian University of Athens, "A. Sygros" Hospital for Skin and Venereal Diseases, Athens, Greece
| | - Styliani Kalliambou
- 1st Department of Dermatology-Venereology, Faculty of Medicine, National and Kapodistrian University of Athens, "A. Sygros" Hospital for Skin and Venereal Diseases, Athens, Greece
| | - Alexander Stratigos
- 1st Department of Dermatology-Venereology, Faculty of Medicine, National and Kapodistrian University of Athens, "A. Sygros" Hospital for Skin and Venereal Diseases, Athens, Greece
| | - Vasiliki Nikolaou
- 1st Department of Dermatology-Venereology, Faculty of Medicine, National and Kapodistrian University of Athens, "A. Sygros" Hospital for Skin and Venereal Diseases, Athens, Greece
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Kaliampou S, Nikolaou V, Kotsiopoulou I, Papanikolaou A, Voudouri D, Papadavid E, Kanellis G, Pouliou E, Oikonomaki E, Gerochristou M, Stratigos A, Marinos L. Epidemiology of primary cutaneous lymphomas in Greece: a 12-year retrospective study. Eur J Cancer 2021. [DOI: 10.1016/s0959-8049(21)00753-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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8
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Voudouri D, Nikolaou V, Lallas K, Papadavid E, Nikolaidou E, Gerochristou M, Kaliampou S, Stratigos A. Association between primary cutaneous lymphomas and other primary malignancies in patients’ personal or family history in Greek population; a retrospective single-center study. Eur J Cancer 2021. [DOI: 10.1016/s0959-8049(21)00754-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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9
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Douvali T, Papageorgiou V, Gerochristou M, Gerodimou M, Tampouratzi E, Chasapi V. Harlequin syndrome in a young girl: An opportunity to rethink the terminology. Pediatr Dermatol 2021; 38:984-985. [PMID: 34227168 DOI: 10.1111/pde.14681] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
Harlequin syndrome is a rare disorder of the autonomic nervous system, presenting as unilateral reduced flushing and sweating of the face induced by exercise, stress, or heat. It is caused by a cervical sympathetic deficit located at the preganglionic or postganglionic level on the non-flushing side. We present a case of an 8 year old with harlequin syndrome and review the other dermatological conditions for which the term "harlequin" is part of the nomenclature.
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Affiliation(s)
- Theodora Douvali
- Department of Dermatology and Venereology NHS, Andreas Sygros Hospital, Athens, Greece
| | - Vasiliki Papageorgiou
- Department of Dermatology and Venereology NHS, Andreas Sygros Hospital, Athens, Greece
| | - Maria Gerochristou
- Department of Dermatology and Venereology NHS, Andreas Sygros Hospital, Athens, Greece
| | - Maria Gerodimou
- Department of Dermatology and Venereology NHS, Andreas Sygros Hospital, Athens, Greece
| | | | - Vasiliki Chasapi
- Department of Dermatology and Venereology NHS, Andreas Sygros Hospital, Athens, Greece
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Apalla Z, Lallas A, Delli F, Lazaridou E, Papalampou S, Apostolidou S, Gerochristou M, Rigopoulos D, Stratigos A, Nikolaou V. Management of immune checkpoint inhibitor-induced bullous pemphigoid. J Am Acad Dermatol 2020; 84:540-543. [PMID: 32428613 DOI: 10.1016/j.jaad.2020.05.045] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2020] [Revised: 05/01/2020] [Accepted: 05/09/2020] [Indexed: 11/19/2022]
Affiliation(s)
- Zoe Apalla
- State Dermatology Department, Hippokratio General Hospital of Thessaloniki, Greece.
| | - Aimilios Lallas
- Second Dermatology Department, Aristotle University of Thessaloniki, Greece
| | - Florentina Delli
- State Dermatology Department, Hippokratio General Hospital of Thessaloniki, Greece
| | | | - Stavroula Papalampou
- State Dermatology Department, Hippokratio General Hospital of Thessaloniki, Greece
| | | | - Maria Gerochristou
- State Dermatology Department, "Andreas Syggros" Hospital, Athens, Greece
| | | | | | - Vassiliki Nikolaou
- State Dermatology Department, "Andreas Syggros" Hospital, Athens, Greece
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Nikolaou V, Gerochristou M, Marinos L, Economidi A, Voudouri D, Rigopoulos D, Stratigos AJ. Lymphoprolipherative skin reactions induced by anti-TNFα: an open question. J DERMATOL TREAT 2019; 31:99-102. [DOI: 10.1080/09546634.2019.1579889] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- Vasiliki Nikolaou
- 1st Department of Dermatology “Andreas Syggros” Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece
| | - Maria Gerochristou
- 1st Department of Dermatology “Andreas Syggros” Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece
| | - Leonidas Marinos
- Hemopathology Department, “Evangelismos” Hospital, Athens, Greece
| | - Afroditi Economidi
- 1st Department of Dermatology “Andreas Syggros” Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece
| | - Dimitra Voudouri
- 1st Department of Dermatology “Andreas Syggros” Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece
| | - Dimitris Rigopoulos
- 1st Department of Dermatology “Andreas Syggros” Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece
| | - Alexander J Stratigos
- 1st Department of Dermatology “Andreas Syggros” Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece
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Nikolaou V, Marinos L, Moustou E, Papadavid E, Economidi A, Christofidou E, Gerochristou M, Tasidou A, Economaki E, Stratigos A, Antoniou C. Psoriasis in patients with mycosis fungoides: a clinicopathological study of 25 patients. J Eur Acad Dermatol Venereol 2017; 31:1848-1852. [DOI: 10.1111/jdv.14365] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2017] [Accepted: 03/27/2017] [Indexed: 01/26/2023]
Affiliation(s)
- V. Nikolaou
- Cutaneous Lymphoma Clinic; “Andreas Sygros” Hospital for Skin Diseases; Athens Greece
| | - L. Marinos
- Hemopathology Department; “Evangelismos Hospital”; Athens Greece
| | - E. Moustou
- Cutaneous Lymphoma Clinic; “Andreas Sygros” Hospital for Skin Diseases; Athens Greece
| | - E. Papadavid
- Cutaneous Lymphoma Clinic; “Andreas Sygros” Hospital for Skin Diseases; Athens Greece
| | - A. Economidi
- Cutaneous Lymphoma Clinic; “Andreas Sygros” Hospital for Skin Diseases; Athens Greece
| | - E. Christofidou
- Pathology Department; “Andreas Sygros” Hospital for Skin Diseases; Athens Greece
| | - M. Gerochristou
- Cutaneous Lymphoma Clinic; “Andreas Sygros” Hospital for Skin Diseases; Athens Greece
| | - A. Tasidou
- Hemopathology Department; “Evangelismos Hospital”; Athens Greece
| | - E. Economaki
- Hemopathology Department; “Evangelismos Hospital”; Athens Greece
| | - A. Stratigos
- Cutaneous Lymphoma Clinic; “Andreas Sygros” Hospital for Skin Diseases; Athens Greece
| | - C. Antoniou
- Cutaneous Lymphoma Clinic; “Andreas Sygros” Hospital for Skin Diseases; Athens Greece
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Papanastassiou ID, Gerochristou M, Aghayev K, Vrionis FD. Defining the indications, types and biomaterials of corpectomy cages in the thoracolumbar spine. Expert Rev Med Devices 2014; 10:269-79. [DOI: 10.1586/erd.12.79] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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Papanastassiou ID, Aghayev K, Saleh E, Gerochristou M, Vrionis FD. The actual management of tumor and vertebral compression fractures. J Neurosurg Sci 2012; 56:77-85. [PMID: 22617170] [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: 06/01/2023]
Abstract
Tumor related fractures of the spine frequently dictate surgical management. The most critical factors influencing the need and type of surgery are degree of epidural cord compression, radiosensitivity of the tumor, presence of spinal instability and patient medical status/ estimated survivorship. There is a wide spectrum of therapeutic options: major en bloc resections in primary or oligometastatic disease; decompression and fusion in non-radiosensitive tumors with cord compression followed by adjuvant radiation therapy (RT); kyphoplasty/ vertebroplasty for stable compression fractures or minimally invasive corpectomy for more unstable fractures and RT- only for radiosensitive tumors not causing overt instability. Radiation therapy has always been essential component of the treatment algorithm although it has been displaced from principal treatment modality in the last 2 decades. However, the advent of more targeted and efficient forms of RT (radiosurgery) may be a new treatment paradigm for more radioresistant tumors and may obviate the need for major operations.
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