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Khanna NR, Rathod Y, Manjali J, Ramadwar M, Panjwani P, Qureshi S, Parambil B, Prasad M, Chinnaswamy G, Baheti A, Patil V, Gala K, Shetye N, Laskar S. Outcomes of Children Diagnosed with Unilateral Retinoblastoma: Retrospective Audit. Int J Radiat Oncol Biol Phys 2023; 117:e522. [PMID: 37785628 DOI: 10.1016/j.ijrobp.2023.06.1792] [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: 10/04/2023]
Abstract
PURPOSE/OBJECTIVE(S) To evaluate treatment outcomes of children diagnosed with unilateral retinoblastoma. MATERIALS/METHODS Retrospective study of children diagnosed with unilateral retinoblastoma registered at the Tata Memorial Hospital (TMH), Mumbai from January 2013 to December 2018 and completed the planned curative treatment protocol. RESULTS For the 98 cases that were analyzed, the median age of presentation was 24 months. The majority of patients had the intraocular disease (n = 72), whereas orbital retinoblastoma was in 26 patients. At the time of presentation, on imaging extra scleral spread was observed in 16 patients whereas 18 patients had optic nerve involvement, 11 patients had both extra scleral invasion and optic nerve involvement. We used the International Classification of Retinoblastoma for grouping. Out of 98 patients, 71 patients were in Group E, 21 were in Group D and 4 were in Group B and 2 were in Group C. For Staging of Retinoblastoma, we used International Retinoblastoma Staging System (IRSS) in our study and 14 patients had Stage 0 disease, 52 patients had Stage I disease, 10 patients had Stage II, 21 patients had Stage III A and 1 patient had Stage III B disease. High-risk features on surgical specimen histopathology were optic nerve cut margin positive in 6 patients, optic nerve involvement in 21 patients, extra scleral spread in 3 patients, Choroidal invasion in 38 and Iris involvement in 10 patients. Primary enucleation was offered in 52 patients whereas 26 patients underwent secondary enucleation. Systemic chemotherapy was received by the patient in the neoadjuvant setting in 17 patients as a form of chemo-reduction and 51 patients received systemic chemotherapy in the adjuvant setting. Intra-arterial chemotherapy was offered to 27 patients as a primary treatment or in conjugation with focal therapy (n = 11). Definitive radiotherapy was offered to only 2 patients and 22 patients received adjuvant radiotherapy. At a median follow-up of 62 months, 2patients had local relapse, which was salvaged by focal therapy in one and enucleation in the other. Ten patients who had leptomeningeal relapse had died. The 5-year local control (LC) is 97.6%, event-free survival (EFS) is 88% and overall survival (OS) is 89.5%. Globe was salvaged in only 16 cases. On univariate analysis, we observed a significant association between overall survival and extraocular and intraocular disease (p-value 0.0), Extra scleral spread (p-value 0.0), optic Nerve involvement (imaging), and an optic nerve cut margin positive (p-value 0.045), ICRB Groups (p-value 0.0) and IRSS stage (p- value 0.024). CONCLUSION Retinoblastoma is curable if detected early. Extra ocular disease and high-risk features are associated with inferior outcomes and poor globe salvage rates.
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Affiliation(s)
- N R Khanna
- Homi Bhabha National University HBNI, Mumbai, India; Tata Memorial Center, Mumbai, India
| | - Y Rathod
- Tata Memorial Hospital, Mumbai, India
| | - J Manjali
- Tata Memorial Centre, Homi Bhabha National Institute, Mumbai, India
| | | | | | - S Qureshi
- Tata Memorial Hospital, Mumbai, India
| | | | - M Prasad
- Tata Memorial Centre, Mumbai, India
| | | | - A Baheti
- Department of Radiodiagnosis, Tata Memorial Centre, Homi Bhabha National Institute, Mumbai, India
| | - V Patil
- Tata Memorial Hospital, Mumbai, India
| | - K Gala
- Tata Memorial Hospital, Mumbai, India
| | - N Shetye
- Tata Memorial Hospital, Mumbai, India
| | - S Laskar
- Tata Memorial Centre, Homi Bhabha National Institute, Mumbai, India
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Laskar S, Manjali JJ, Chargari C, Chard J. Brachytherapy for Organ and Function Preservation in Soft-Tissue Sarcomas in Adult and Paediatric Patients. Clin Oncol (R Coll Radiol) 2023:S0936-6555(23)00218-2. [PMID: 37344243 DOI: 10.1016/j.clon.2023.06.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2023] [Revised: 05/31/2023] [Accepted: 06/06/2023] [Indexed: 06/23/2023]
Abstract
Adjuvant radiotherapy is an integral component in the management of soft-tissue sarcomas. Brachytherapy is a very convenient and conformal way of delivering adjuvant radiotherapy in such tumours, which spares the surrounding normal tissue. Randomised studies have established the efficacy of brachytherapy in the adjuvant setting, with a 5-year local control of 80-85%. High dose rate, low dose rate and pulsed dose rate have shown equivalent local control, but high dose rate has gained popularity owing to patient convenience, radiation safety and flexibility in dose optimisation. Freehand insertion perioperative brachytherapy (intraoperative placement and postoperative treatment) is the most commonly used technique in soft-tissue sarcomas, with intraoperative radiotherapy and radioactive seed placement being the less commonly used techniques. Brachytherapy can be used as monotherapy or in combination with external beam radiotherapy, such as in cases of close/positive margins for safe dose escalation. Although the quantum of side-effects with external beam radiotherapy has considerably reduced with the evolution of technology and the introduction of intensity modulation (intensity-modulated radiotherapy), brachytherapy still scores better in terms of dose conformality, especially in recurrent tumours (previously irradiated) and when used to treat paediatric and geriatric patients.
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Affiliation(s)
- S Laskar
- Department of Radiation Oncology, Tata Memorial Centre (TMC), Mumbai, India; Homi Bhabha National Institute (HBNI), Anushakti Nagar, Mumbai, India.
| | - J J Manjali
- Department of Radiation Oncology, Tata Memorial Centre (TMC), Mumbai, India; Homi Bhabha National Institute (HBNI), Anushakti Nagar, Mumbai, India
| | - C Chargari
- Department of Radiation Oncology, Institute Gustave Roussy, France
| | - J Chard
- Department of Radiation Oncology, Westmead Hospital, Sydney, Australia
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Bajpai J, Simha V, Anne S, Bhargava P, Srinivas S, Khanna N, Rekhi B, Noronha V, Patil V, Laskar S, Prabhash K, Gupta S, Banavali S. 431P Alveolar soft part sarcomas: A tertiary care Indian centre experience. Ann Oncol 2022. [DOI: 10.1016/j.annonc.2022.10.462] [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: 12/05/2022] Open
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Gulia A, Puri A, Kamath N, Thakur R, Laskar S, Bajpai J, Khanna N, Chinnaswamy G, Rekhi B. 436P Oncologic outcomes in patients with extraskeletal Ewing’s sarcoma (EES): A tertiary care centre experience. Ann Oncol 2022. [DOI: 10.1016/j.annonc.2022.10.467] [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: 12/05/2022] Open
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Bagal B, Goda Shastri J, Nayak L, Chatterjee A, Dasgupta A, Jain H, Thorat J, Sahay A, Epari S, Khanna N, Laskar S, Gupta T, Sengar M. 216P Lenalidomide maintenance after whole brain radiotherapy in relapsed/refractory primary CNS lymphoma. Ann Oncol 2022. [DOI: 10.1016/j.annonc.2022.10.251] [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: 12/07/2022] Open
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Chopra S, Mulani J, Singh M, Shinde A, Mittal P, Gurram L, Scaria L, A D, Kohle S, Rane P, Ghadi Y, Rath S, Ghosh J, Gulia S, Gupta S, Kinhikar R, Laskar S, Agarwal J. PD-0910 Early outcomes of abbreviated brachytherapy schedule for cervix cancer during COVID pandemic. Radiother Oncol 2022. [DOI: 10.1016/s0167-8140(22)02989-9] [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: 10/18/2022]
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Yadalam A, Yoo B, Bhatia-Patel S, Patel P, Laskar S, Bhatt K, Gupta D. Successful Pregnancy with HeartMate 3 (Abbott) Left Ventricular Assist Device. J Heart Lung Transplant 2022. [DOI: 10.1016/j.healun.2022.01.1423] [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: 10/18/2022] Open
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Shivakumar J, Parambil B, Prasad M, Gollamudi V, Ramadwar M, Qureshi S, Laskar S, Khanna N, Baheti A, Patil V, Shah S, Chinnasamy G. Clinical profile and outcome of adrenocortical in children: A single center retrospective study from India. Pediatric Hematology Oncology Journal 2022. [DOI: 10.1016/j.phoj.2022.10.121] [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: 11/27/2022] Open
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Anacak Y, Zubizarreta E, Zaghloul M, Laskar S, Alert J, Gondhowiardjo S, Giselvania A, Correa-Villar R, Pedrosa F, Dorj B, Kamer S, Howard SC, Quintana Y, Ribeiro RC, Rosenblatt E, Hopkins K. The Practice of Paediatric Radiation Oncology in Low- and Middle-income Countries: Outcomes of an International Atomic Energy Agency Study. Clin Oncol (R Coll Radiol) 2020; 33:e211-e220. [PMID: 33250288 DOI: 10.1016/j.clon.2020.11.004] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [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: 08/28/2019] [Revised: 09/14/2020] [Accepted: 11/06/2020] [Indexed: 12/17/2022]
Abstract
AIMS Childhood cancer survival is suboptimal in most low- and middle-income countries (LMICs). Radiotherapy plays a significant role in the standard care of many patients. To assess the current status of paediatric radiotherapy, the International Atomic Energy Agency (IAEA) undertook a global survey and a review of practice in eight leading treatment centres in middle-income countries (MICs) under Coordinated Research Project E3.30.31; 'Paediatric radiation oncology practice in low and middle income countries: a patterns-of-care study by the International Atomic Energy Agency.' MATERIALS AND METHODS A survey of paediatric radiotherapy practices was distributed to 189 centres worldwide. Eight leading radiotherapy centres in MICs treating a significant number of children were selected and developed a database of individual patients treated in their centres comprising 46 variables related to radiotherapy technique. RESULTS Data were received from 134 radiotherapy centres in 42 countries. The percentage of children treated with curative intent fell sequentially from high-income countries (HICs; 82%) to low-income countries (53%). Increasing deficiencies were identified in diagnostic imaging, radiation staff numbers, radiotherapy technology and supportive care. More than 92.3% of centres in HICs practice multidisciplinary tumour board decision making, whereas only 65.5% of centres in LMICs use this process. Clinical guidelines were used in most centres. Practice in the eight specialist centres in MICs approximated more closely to that in HICs, but only 52% of patients were treated according to national/international protocols whereas institution-based protocols were used in 41%. CONCLUSIONS Quality levels in paediatric radiotherapy differ among countries but also between centres within countries. In many LMICs, resources are scarce, coordination with paediatric oncology is poor or non-existent and access to supportive care is limited. Multidisciplinary treatment planning enhances care and development may represent an area where external partners can help. Commitment to the use of protocols is evident, but current international guidelines may lack relevance; the development of resources that reflect the capacity and needs of LMICs is required. In some LMICs, there are already leading centres experienced in paediatric radiotherapy where patient care approximates to that in HICs. These centres have the potential to drive improvements in service, training, mentorship and research in their regions and ultimately to improve the care and outcomes for paediatric cancer patients.
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Affiliation(s)
- Y Anacak
- Ege University School of Medicine, Izmir, Turkey
| | | | - M Zaghloul
- National Cancer Institute, Cairo University, Cairo, Egypt; Children's Cancer Hospital, Cairo, Egypt
| | - S Laskar
- Tata Memorial Hospital, Mumbai, India
| | - J Alert
- Instituto de Oncología y Radiobiología, Habana, Cuba
| | - S Gondhowiardjo
- Faculty of Medicine, University of Indonesia/Dr Cipto Mangunkusumo National General Hospital, Jakarta, Indonesia
| | - A Giselvania
- Faculty of Medicine, University of Indonesia/Dr Cipto Mangunkusumo National General Hospital, Jakarta, Indonesia
| | | | - F Pedrosa
- Instituto de Medicina Integral Prof. Fernando Figueira, Recife, Brazil
| | - B Dorj
- National Cancer Centre, Ulaanbaatar, Mongolia
| | - S Kamer
- Ege University School of Medicine, Izmir, Turkey
| | - S C Howard
- University of Tennessee Health Science Center, Memphis, TN, USA
| | | | - R C Ribeiro
- St Jude Children's Research Hospital, Memphis, TN, USA
| | - E Rosenblatt
- International Atomic Energy Agency, Vienna, Austria
| | - K Hopkins
- International Atomic Energy Agency, Vienna, Austria.
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Jamir T, Laskar S, Sibarini A, Malakar M. Outbreak of measles in Dakshinlaogaon, Nagaon District, Assam, India, 2016. Int J Infect Dis 2020. [DOI: 10.1016/j.ijid.2020.09.924] [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: 11/24/2022] Open
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Milgrom S, van Luijk P, Pino R, Ronckers C, Gidley P, Grosshans D, Laskar S, Constine L, Paulino A. Dental Abnormalities in Childhood Cancer Survivors Treated with Radiation Therapy to the Head-and-Neck: A Report from the Pediatric Normal Tissue Effects in the Clinic (PENTEC) Group. Int J Radiat Oncol Biol Phys 2020. [DOI: 10.1016/j.ijrobp.2020.07.1523] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Khanna N, Bhatia J, Prasad M, Chinnaswamy G, Vora T, Ramadwar M, Rekhi B, Qureshi S, Kembhavi S, Shah S, Laskar S. Pleuropulmonary Blastoma - A retrospective single institute experience of a rare malignancy. Int J Radiat Oncol Biol Phys 2019. [DOI: 10.1016/j.ijrobp.2019.07.031] [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: 10/25/2022]
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Cole R, Minto J, Flattery M, Parikh A, Dong T, Roy R, Bogar L, Morris A, Vega J, Gupta D, Bhatt K, Smith A, Laskar S, Lala A, Shah K, Shah P. Effects of Induction on the Risk of Post-Transplant De Novo DSA. J Heart Lung Transplant 2019. [DOI: 10.1016/j.healun.2019.01.986] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
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Dong T, Demoss B, Roy R, Smith A, Vega J, Laskar S, Bhatt K, Gupta D, Morris A, Cole R. Sensitization in LVAD Recipients with and without Transfusions. J Heart Lung Transplant 2019. [DOI: 10.1016/j.healun.2019.01.1155] [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: 11/28/2022] Open
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15
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Gulia A, Puri A, Laskar S, Rekhi B. Oncological outcome of extremity synovial sarcomas treated with multimodality management. Ann Oncol 2018. [DOI: 10.1093/annonc/mdy443.011] [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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16
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Qureshi SS, Bhagat MG, Kembhavi SA, Chinnaswamy G, Vora T, Prasad M, Laskar S, Khanna N, Ramadwar MR, Shah S, Salins N, Talole S. A cross-sectional study of the distribution of pediatric solid tumors at an Indian tertiary cancer center. Indian J Cancer 2018; 55:55-60. [PMID: 30147094 DOI: 10.4103/ijc.ijc_610_17] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [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: 11/04/2022]
Abstract
Context Pediatric solid tumors include a heterogeneous group of tumors, and the burden of these tumors, especially from resource-challenged countries, is not well described. AIMS: The aim of this study was to describe the distribution of solid tumors in children and the treatment outcome of Wilms tumor and hepatoblastoma. Patients and Methods All patients under 15 years of age with histologically confirmed tumors presenting at a tertiary cancer center from January 2012 to December 2016 were identified from the hospital database. Patients with lymphomas, bone, and central nervous tumors were excluded. The demographic profile including age, sex distribution, and the treatment received were recorded for all patients. Results The mean age of the eligible 1944 patients was 5.7 years with majority (57.3%) in the 0-4 years age group. The male-to-female ratio was 1.4:1 with a male predominance in all tumors except germ cell tumors. Soft tissue tumors were the most common tumors followed by neuroblastoma and renal tumors, whereas liver tumors formed only 6.7% of all tumors. Seventy percent of the patients received treatment completely or partially at our institute, whereas 18.3% had no cancer-directed treatment. The 3-year overall survival of patients with Wilms tumor and hepatoblastoma was 85.4 and 78.5%, respectively. Conclusions Extracranial and extraosseous pediatric solid tumors include a wide range of tumors with a predilection for male sex and children below 4 years of age. Soft tissue tumors, neuroblastoma, and renal tumors are the most common; the outcomes of Wilms tumor and hepatoblastoma are favorable.
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Affiliation(s)
- Sajid S Qureshi
- Division of Pediatric Surgical Oncology, Department of Surgical Oncology, Tata Memorial Hospital, Mumbai, Maharashtra, India
| | - Monica G Bhagat
- Division of Pediatric Surgical Oncology, Department of Surgical Oncology, Tata Memorial Hospital, Mumbai, Maharashtra, India
| | - Seema A Kembhavi
- Department of Radiology, Tata Memorial Hospital, Mumbai, Maharashtra, India
| | - Girish Chinnaswamy
- Division of Pediatric Oncology, Department of Medical Oncology, Tata Memorial Hospital, Mumbai, Maharashtra, India
| | - Tushar Vora
- Division of Pediatric Oncology, Department of Medical Oncology, Tata Memorial Hospital, Mumbai, Maharashtra, India
| | - Maya Prasad
- Division of Pediatric Oncology, Department of Medical Oncology, Tata Memorial Hospital, Mumbai, Maharashtra, India
| | - Siddarth Laskar
- Department of Radiation Oncology, Tata Memorial Hospital, Mumbai, Maharashtra, India
| | - Nehal Khanna
- Department of Radiation Oncology, Tata Memorial Hospital, Mumbai, Maharashtra, India
| | - Mukta R Ramadwar
- Department of Pathology, Tata Memorial Hospital, Mumbai, Maharashtra, India
| | - Sneha Shah
- Department of Nuclear Medicine, Tata Memorial Hospital, Mumbai, Maharashtra, India
| | - Navin Salins
- Department of Palliative Care, Tata Memorial Hospital, Mumbai, Maharashtra, India
| | - Sanjay Talole
- Department of Biostatistics, Tata Memorial Hospital, Mumbai, Maharashtra, India
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Eng N, Chen C, Aldridge M, Osborne A, Vega J, Mitchell H, Smith A, Hurtik M, Morris A, Gupta D, Bhatt K, Laskar S, Cole R. Preemptive vs. Upfront CMV Prophylaxis Strategies and Risk of Non-CMV Herpesvirus Infections in Intermediate Risk Heart Transplant Recipients. J Heart Lung Transplant 2018. [DOI: 10.1016/j.healun.2018.01.432] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022] Open
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Chen C, Eng N, Aldridge M, Itchell HM, Osborne A, Morris A, Hurtik M, Gupta D, Bhatt K, Laskar S, Vega J, Smith A, Cole R. Preemptive vs. Upfront CMV Prophylaxis Strategies and the Risk of Treated CMV in Intermediate Risk Heart Transplant Recipients. J Heart Lung Transplant 2018. [DOI: 10.1016/j.healun.2018.01.911] [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: 11/27/2022] Open
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Mahoney I, Young A, Shekiladze N, Morris A, Gupta D, Bhatt K, Laskar S, Smith A, Vega J, Cole R. Risk of Post-Transplant De Novo Donor Specific Antibodies in Patients Receiving Transfusions Perioperatively. J Heart Lung Transplant 2018. [DOI: 10.1016/j.healun.2018.01.1099] [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: 11/30/2022] Open
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Laskar S, Pilar A, Khanna N, Gupta M, Puri A, Yadav P, Gulia A, Quereshi S, Nayak P, Juvekar S, Rekhi B, Chinnaswamy G, Medhi S, Bajpai J, Vora T, Desai S. Perioperative Interstitial Brachytherapy and Flap Morbidity in Soft tissue sarcomas. Int J Radiat Oncol Biol Phys 2017. [DOI: 10.1016/j.ijrobp.2017.06.2422] [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: 10/18/2022]
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Khanna N, Kalyani N, Godasastry J, Menon H, Sengar M, Khattry N, Dangi U, Arora B, Shet T, Gujral S, Sridhar E, Rangarajan V, Banavali S, Laskar S. PO-0646: Nodular Lymphocyte Predominant Hodgkin’s Lymphoma (NLPHL): Early Outcomes. Radiother Oncol 2017. [DOI: 10.1016/s0167-8140(17)31083-6] [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: 10/19/2022]
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Kim J, Pekarek A, Nguyen D, Vega J, Cole R, Morris A, Smith A, Laskar S, Gupta D. (1297) Elevated Pre-Operative Creatinine Is a Risk Factor for Late-Onset Right Heart Failure After Left Ventricular Assist Device Implantation. J Heart Lung Transplant 2017. [DOI: 10.1016/j.healun.2017.01.1209] [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: 10/19/2022] Open
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Moorman A, Hurtik M, Pekarek A, Laskar S, Gupta D. Markers of Coagulation and Hemostasis Activation in Left Ventricular Assist Device Recipients. J Heart Lung Transplant 2017. [DOI: 10.1016/j.healun.2017.01.663] [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: 10/19/2022] Open
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Kim J, Pekarek A, Nguyen D, Vega J, Cole R, Morris A, Smith A, Laskar S, Gupta D. Late-Onset Right Heart Failure After Left Ventricular Assist Device Implantation Is Associated with Poor Prognosis. J Heart Lung Transplant 2017. [DOI: 10.1016/j.healun.2017.01.1223] [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: 10/19/2022] Open
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Rekhi B, Badanale R, Jambhekar NA, Gulia A, Bajpai J, Laskar S, Khanna N, Chinnaswamy G, Puri A. Histopathologic review of 400 biopsies and resection specimens of trunk and extremity-based soft tissue tumors. Indian J Cancer 2017; 54:401-408. [DOI: 10.4103/ijc.ijc_259_17] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Balla MMS, Desai S, Purwar P, Kumar A, Bhandarkar P, Shejul YK, Pramesh CS, Laskar S, Pandey BN. Differential diagnosis of lung cancer, its metastasis and chronic obstructive pulmonary disease based on serum Vegf, Il-8 and MMP-9. Sci Rep 2016; 6:36065. [PMID: 27811960 PMCID: PMC5095766 DOI: 10.1038/srep36065] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [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: 05/05/2016] [Accepted: 10/10/2016] [Indexed: 11/09/2022] Open
Abstract
Chronic obstructive pulmonary disease (COPD) patients are at higher risk of developing lung cancer and its metastasis, but no suitable biomarker has been reported for differential diagnosis of these patients. Levels of serum biomarkers (VEGF, IL-8, MMP-9 and MMP-2) were analyzed in these patients, which were compared with healthy donors (HD). Levels of VEGF (P < 0.005) and MMP-9 (P < 0.05) were significantly higher in COPD patients than HD. Compared to HD, a decrease in IL-8 (~8.1 folds; P < 0.0001) but an increase in MMP-9 (~1.6 folds; P < 0.05) levels were observed in the lung cancer patients. Cancer patients showed significantly (P < 0.005) lower levels of serum VEGF (1.9 folds) and IL-8 (~9 folds) than the COPD patients. VEGF level was significantly higher (2.6 folds; P < 0.0005) in metastatic than non-metastatic cancer patients. However, MMP-2 didn't show significant variation in these patients. The Youden's index (YI) values for lung cancer diagnosis in HD using IL-8 was 0.55 with 83.3% overall accuracy. VEGF was able to diagnose COPD in HD with better YI (0.38) and overall accuracy (70.6%). IL-8 was able to diagnose cancer in COPD patients and HD with YI values of 0.35, 0.55 with 71% and 83.3% overall accuracy, respectively.
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Affiliation(s)
- Murali M. S. Balla
- Radiation Biology and Health Sciences Division, Bhabha Atomic Research Centre, Trombay, Mumbai 400 085, India
| | - Sejal Desai
- Radiation Biology and Health Sciences Division, Bhabha Atomic Research Centre, Trombay, Mumbai 400 085, India
- Homi Bhabha National Institute, Anushakti Nagar, Mumbai 400 094, India
| | - Pallavi Purwar
- Tata Memorial Hospital, Dr E. Borges Road, Parel, Mumbai, 400012, India
| | - Amit Kumar
- Radiation Biology and Health Sciences Division, Bhabha Atomic Research Centre, Trombay, Mumbai 400 085, India
- Homi Bhabha National Institute, Anushakti Nagar, Mumbai 400 094, India
| | - Prashant Bhandarkar
- Medical Division, Bhabha Atomic Research Centre, Anushakti Nagar, Mumbai 400 094, India
| | - Yogesh K. Shejul
- Homi Bhabha National Institute, Anushakti Nagar, Mumbai 400 094, India
- Medical Division, Bhabha Atomic Research Centre, Anushakti Nagar, Mumbai 400 094, India
| | - C. S. Pramesh
- Homi Bhabha National Institute, Anushakti Nagar, Mumbai 400 094, India
- Tata Memorial Hospital, Dr E. Borges Road, Parel, Mumbai, 400012, India
| | - S. Laskar
- Homi Bhabha National Institute, Anushakti Nagar, Mumbai 400 094, India
- Tata Memorial Hospital, Dr E. Borges Road, Parel, Mumbai, 400012, India
| | - Badri N. Pandey
- Radiation Biology and Health Sciences Division, Bhabha Atomic Research Centre, Trombay, Mumbai 400 085, India
- Homi Bhabha National Institute, Anushakti Nagar, Mumbai 400 094, India
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Jain H, Sengar M, Nair R, Menon H, Laskar S, Shet T, Gujral S, Sridhar E. Treatment results in advanced stage Hodgkin's lymphoma: a retrospective study. J Postgrad Med 2016; 61:88-91. [PMID: 25766339 PMCID: PMC4943438 DOI: 10.4103/0022-3859.150446] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
BACKGROUND Hodgkin's lymphoma displays distinct epidemiological attributes in Asian population thus making it relevant to study whether there are any differences in treatment outcomes too when treated with current standard of care. AIM To evaluate the treatment outcomes of de-novo advanced stage HL in adults. MATERIALS AND METHODS This retrospective study included de-novo advanced stage HL patients (≥15 years) registered at our center from January 2004 to December 2007. Treatment outcomes were measured in terms of response rates, overall survival (OS) and progression-free survival (PFS). Overall and PFS were calculated with Kaplan-Meier methodology and Cox-proportional hazards model was used for multivariate analysis to identify prognostic factors. RESULTS There were 125 patients (males 77%) who received minimum one cycle of chemotherapy with median age of 32 years (Range 15-65 years). Stage IV disease was seen in (46 patients) 37%; 75% (94 patients) patients had B symptoms. International prognostic score (IPS) ≤4 was seen in 95/112 (85%) patients. ABVD (adriamycin, bleomycin, vinblastine, dacarbazine) chemotherapy was given to 94%. Radiation to residual/bulky sites was given to 36% (45 patients). Response data was available for 112 patients; complete response in 76%; partial response in 10 % and progressive disease in 3 patients. Nineteen deaths (progressive disease-7, toxicity-8, unrelated cause-4) were observed. At median follow-up of 28 months, estimated 5-year OS and PFS were 60% and 58%, respectively. On multivariate analysis, IPS and response to treatment were significant factors for both OS and PFS. CONCLUSIONS The treatment outcomes in this study are comparable with the published literature with limited follow-up data.
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Affiliation(s)
- H Jain
- Department of Medical Oncology, Tata Memorial Centre, Mumbai, Maharashtra, India
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Cole R, Gandhi J, Morris A, Lambert C, McCue A, Yin M, Laskar S, Smith A, Vega J, Gupta D. De Novo DQ Donor-Specific Antibodies Are Associated with Worse Outcomes Compared to Non-DQ DSA Following Heart Transplantation. J Heart Lung Transplant 2016. [DOI: 10.1016/j.healun.2016.01.114] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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29
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Yin M, Schultz W, Ko Y, Cole R, Gupta D, Laskar S, Smith A, Vega D, Nguyen D, Pekarek A, Wittersheim K, Morris A. Predictors of Out-of-Therapeutic-Range INR during Support with Continuous-Flow Left Ventricular Assist Device. J Heart Lung Transplant 2016. [DOI: 10.1016/j.healun.2016.01.232] [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: 10/22/2022] Open
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30
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Cole R, Gupta D, Lee J, Gandhi J, Lambert C, Garcia-Bengochea Y, Sandesara P, Yin M, Smith A, Laskar S, Morris A. ABO Blood Group and Bleeding Post-LVAD. J Heart Lung Transplant 2016. [DOI: 10.1016/j.healun.2016.01.717] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
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31
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Qureshi SS, Bhagat M, Laskar S, Kembhavi S, Vora T, Ramadwar M, Chinnaswamy G, Prasad M, Khanna N, Shah S, Talole S. Local therapy in non-metastatic primary Ewing sarcoma of the mandible and maxilla in children. Int J Oral Maxillofac Surg 2016; 45:938-44. [PMID: 27026058 DOI: 10.1016/j.ijom.2016.03.004] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2015] [Revised: 01/21/2016] [Accepted: 03/04/2016] [Indexed: 12/29/2022]
Abstract
Ewing sarcoma (ES) of the jaw bones comprises a small fraction of ES at all sites. Due to their rarity, a specific policy for local treatment is lacking. The aim of this study was to evaluate the local therapy for ES and recommend measures to individualize treatment options. Patients with primary non-metastatic ES of the jaw bones treated between August 2005 and February 2015 were analyzed. All patients received primary induction chemotherapy, following which lesions amenable to resection based on specific radiological criteria were resected; those with unresectable lesions were offered definitive radiotherapy. The maxilla was the primary site in 13 patients and the mandible in eight. The median age of patients was 11.6 years (range 5-17 years). Overall, surgery was performed in 17 patients and definitive radiotherapy was used in four patients. Postoperative radiotherapy was administered to 12 patients and was avoided in five patients with 100% tumour necrosis. The 3-year overall survival, event-free survival, and local control were 68.1%, 63.6%, and 80.2%, respectively. Mandible primary and a histological response to chemotherapy were significant prognostic factors. The stratification of patients based on radiological criteria aids in selecting local therapy. In eligible patients, surgery with contemporary reconstruction results in optimal oncological and functional outcomes. Surgery also has the added advantage of identifying patients who may not need radiotherapy.
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Affiliation(s)
- S S Qureshi
- Division of Paediatric Surgical Oncology, Department of Surgical Oncology, Tata Memorial Centre, Bombay, India.
| | - M Bhagat
- Division of Paediatric Surgical Oncology, Department of Surgical Oncology, Tata Memorial Centre, Bombay, India
| | - S Laskar
- Department of Radiation Oncology, Tata Memorial Centre, Bombay, India
| | - S Kembhavi
- Department of Radiology, Tata Memorial Centre, Bombay, India
| | - T Vora
- Division of Paediatric Oncology, Department of Medical Oncology, Tata Memorial Centre, Bombay, India
| | - M Ramadwar
- Department of Pathology, Tata Memorial Centre, Bombay, India
| | - G Chinnaswamy
- Division of Paediatric Oncology, Department of Medical Oncology, Tata Memorial Centre, Bombay, India
| | - M Prasad
- Division of Paediatric Oncology, Department of Medical Oncology, Tata Memorial Centre, Bombay, India
| | - N Khanna
- Department of Radiation Oncology, Tata Memorial Centre, Bombay, India
| | - S Shah
- Department of Nuclear Medicine, Tata Memorial Centre, Bombay, India
| | - S Talole
- Department of Biostatistics, Tata Memorial Centre, Bombay, India
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32
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Laskar S, Hotwani C, Wadasadawala T, Khanna N, Sastri J, Shet T, Sengar M, Gujral S, Menon H, Sridhar E, Tambe C, Chaudhari S. 3212 Total skin electron beam therapy for mycosis fungoides: Long-term outcomes. Eur J Cancer 2015. [DOI: 10.1016/s0959-8049(16)31789-0] [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: 11/28/2022]
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33
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Budrukkar A, Dasgupta A, Pandit P, Laskar S, Murthy V, Swamidas J, Upereti R, Gupta T, Agarwal J. OC-0038: Clinical outcomes with high dose rate surface mould brachytherapy in head and neck cancers. Radiother Oncol 2015. [DOI: 10.1016/s0167-8140(15)40038-6] [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: 11/17/2022]
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34
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Kembhavi S, Qureshi S, Ramadwar M, Popat P, Chinnaswamy G, Laskar S. Diagnostic accuracy of staging of Wilms’ tumour in the era of multislice CT. Cancer Imaging 2014. [PMCID: PMC4242747 DOI: 10.1186/1470-7330-14-s1-p18] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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35
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Kembhavi S, Qureshi S, Ramadwar M, Popat P, Chinnaswamy G, Laskar S. Diagnostic accuracy of Staging of Wilms’ Tumour in the era of multislice CT. Cancer Imaging 2014. [PMCID: PMC4242769 DOI: 10.1186/1470-7330-14-s1-s12] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/03/2022] Open
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36
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Rathod S, Gupta T, Laskar S, Murthy V, Budrukkar A, Agarwal J. High-Precision Conformal Radiation Therapy in Head-Neck Cancers: Longitudinal Changes in Quality-of-Life and Temporal Time-Trends. Int J Radiat Oncol Biol Phys 2014. [DOI: 10.1016/j.ijrobp.2014.05.2066] [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: 10/24/2022]
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37
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Gupta G, Banavali S, Puri A, Gulia A, Chinnaswamy G, Arora B, Kulkarni S, Shetty N, Laskar S, Khanna N, Merchant N, Juvekar S, Rekhi B. Role of Metronomic Therapy in the Non-Surgical Management of Desmoid Tumors. Ann Oncol 2014. [DOI: 10.1093/annonc/mdu354.40] [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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38
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Kembhavi S, Rangarajan V, Shah S, Qureshi S, Arora B, Juvekar S, Laskar S, Vora T, Chinnaswamy G, Ramadwar M, Kurkure P. Prospective observational study on diagnostic accuracy of whole-body MRI in solid small round cell tumours. Clin Radiol 2014; 69:900-8. [DOI: 10.1016/j.crad.2014.04.006] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2013] [Revised: 04/01/2014] [Accepted: 04/08/2014] [Indexed: 11/30/2022]
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39
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Dongre AS, Arora B, Banavali SD, Gulia S, Laskar S, Shet T, Kembhavi S. Analysis of prognostic factors in childhood advanced stage Hodgkin lymphoma: A retrospective study. J Clin Oncol 2014. [DOI: 10.1200/jco.2014.32.15_suppl.e21000] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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40
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Brahmachari G, Laskar S, Banerjee B. Eco-friendly, One-Pot Multicomponent Synthesis of Pyran Annulated Heterocyclic Scaffolds at Room Temperature Using Ammonium or Sodium Formate as Non-toxic Catalyst. J Heterocycl Chem 2014. [DOI: 10.1002/jhet.1974] [Citation(s) in RCA: 44] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- G. Brahmachari
- Department of Chemistry, Laboratory of Natural Products & Organic Synthesis; Visva-Bharati University; Santiniketan 731 235 West Bengal India
| | - S. Laskar
- Department of Chemistry, Laboratory of Natural Products & Organic Synthesis; Visva-Bharati University; Santiniketan 731 235 West Bengal India
| | - B. Banerjee
- Department of Chemistry, Laboratory of Natural Products & Organic Synthesis; Visva-Bharati University; Santiniketan 731 235 West Bengal India
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41
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Laskar S, Thakur S, Basak B. Isolation, Amino Acid composition and molecular weight distribution ofEucalyptus kirtonianaseed proteins. J AM OIL CHEM SOC 2014. [DOI: 10.1007/bf02660568] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- S. Laskar
- ; Natural Product Laboratory, Chemistry Department; The University of Burdwan; Burdwan 713104 West Bengal India
| | - S. Thakur
- ; Natural Product Laboratory, Chemistry Department; The University of Burdwan; Burdwan 713104 West Bengal India
| | - B. Basak
- ; Natural Product Laboratory, Chemistry Department; The University of Burdwan; Burdwan 713104 West Bengal India
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42
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Desai S, Laskar S, Pandey BN. Role of ATF-2 in regulation of epithelial–mesenchymal transition and radio-sensitivity of A549 cells mediated by secreted soluble factors. J Radiat Res 2014; 55:i116-i117. [PMCID: PMC3941510 DOI: 10.1093/jrr/rrt162] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/13/2024]
Abstract
Introduction Epithelial–mesenchymal transition (EMT) is known to be a crucial event whereby cancer cells acquire the traits needed to execute multiple steps of metastasis [ 1 ]. Intriguingly, epithelial cancer cells undergoing EMT also exhibit increased radioresistance [ 2 ]. EMT is a dynamic process and is triggered by various micro-environmental stimuli, out of which secreted soluble factors play a major role [ 3 ]. Herein, we have investigated the effect of self-conditioned medium (CM) on the human lung carcinoma A549 cells and the underlying mechanism. Material and methods A549 cells were obtained from National Centre for Cell Sciences, Pune, and cultured in DMEM with 10% FCS and antibiotics at 37°C in 5% CO2/air. To get CM, 1 × 106 A549 cells were grown in complete medium. After 48 h of incubation, media were harvested referred as CM. Media alone without cells were incubated under the same conditions served as control termed as plain medium (PM) [ 4 ]. A549 cells grown in PM/CM subjected to immunofluorescence staining for E-cadherin, vimentin and actin. Motility scratch assay and matrigel invasion assay were performed to study the invasiveness of A549 cells in PM/CM. In some cases, cells were pretreated with inhibitors against MAPKs. To pinpoint the soluble factor(s) in CM responsible for initiating the invasiveness in A549 cells, CM was pretreated with neutralizing antibodies against IL-8, VEGF and IL-1β. Results and discussion We found that CM induced a series of changes associated with EMT in A549 cells such as change in shape from cuboidal to elongated spindle shape, decrease in E-cadherin, increase in vimentin and enhanced actin polymerization with decreased cell–cell contact. CM also promoted motility, invasion and anchorage-independent growth in A549 cells. Neutralizing IL-8, IL-1β and VEGF in CM significantly inhibited motility and invasion. Moreover, JNK and p38 activated by CM in A549 cells played important role in invasiveness. In downstream signalling, CM activated ATF-2 by phosphorylating it at Thr69 and 71. Knockdown of ATF-2 using siRNA abrogated the CM-enhanced motility and invasion. It has been reported that EMT not only accelerates cancer metastasis but may also result in resistance against therapeutic agents [ 2 , 5 ]. We therefore investigated the effect of CM on radioresistance of A549 cells. Our results showed that A549 cells grown in CM followed by gamma irradiation exhibited higher clonogenic survival and lower DNA damage measured in terms of gamma-H2AX foci. Interestingly, these CM-treated A549 cells in response to radiation showed phosphorylation of ATF-2 at Ser 490/498 (not at Thr69/71), which was co-localized with gamma-H2AX foci. These studies suggest the dual role of ATF-2, i.e. as EMT potentiating transcription factor and DNA damage response protein in lung cancer cells stimulated with soluble factors, which can be exploited as potential therapeutic target for cancer radiotherapy.
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Affiliation(s)
- Sejal Desai
- Radiation Biology and Health Sciences Division, Bhabha Atomic Research Centre, Mumbai 400085, India
| | - S. Laskar
- Department of Radiation Oncology, Tata Memorial Hospital, Dr Ernest Borges Marg, Parel, Mumbai 400012, India
| | - B. N. Pandey
- Radiation Biology and Health Sciences Division, Bhabha Atomic Research Centre, Mumbai 400085, India
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43
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Advani SH, Parikh P, Patil V, Agarwal JP, Chaturvedi P, Vaidya A, Rathod S, Noronha V, Joshi A, Jamshed A, Bhattacharya GS, Gupta S, Desai C, Pai P, Laskar S, Ramesh A, Mohapatra PN, Vaid AK, Deshpande M, Ranade AA, Vora A, Baral R, Hussain MA, Rajan B, Dcruz AK, Prabhash K. Guidelines for treatment of recurrent or metastatic head and neck cancer. Indian J Cancer 2014; 51:89-94. [DOI: 10.4103/0019-509x.137896] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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44
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Khanna N, Kalyani N, Goda J, Menon H, Sengar M, Arora B, Shet T, Gujral S, Epari S, Laskar S. PO-0651: Nodular Lymphocyte Predominant Hodgkin Lymphoma (NLPHL): Early outcomes. Radiother Oncol 2014. [DOI: 10.1016/s0167-8140(15)30769-6] [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: 11/24/2022]
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45
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Desai S, Laskar S, Pandey B. Autocrine IL-8 and VEGF mediate epithelial–mesenchymal transition and invasiveness via p38/JNK-ATF-2 signalling in A549 lung cancer cells. Cell Signal 2013; 25:1780-91. [DOI: 10.1016/j.cellsig.2013.05.025] [Citation(s) in RCA: 57] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2013] [Accepted: 05/17/2013] [Indexed: 10/26/2022]
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46
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Desai S, Kumar A, Laskar S, Pandey B. Cytokine profile of conditioned medium from human tumor cell lines after acute and fractionated doses of gamma radiation and its effect on survival of bystander tumor cells. Cytokine 2013; 61:54-62. [DOI: 10.1016/j.cyto.2012.08.022] [Citation(s) in RCA: 78] [Impact Index Per Article: 7.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2012] [Revised: 08/08/2012] [Accepted: 08/24/2012] [Indexed: 10/27/2022]
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47
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Sengar M, Akhade A, Nair R, Menon H, Shet T, Gujral S, Sridhar E, Laskar S, Muckaden M. A retrospective audit of clinicopathological attributes and treatment outcomes of adolescent and young adult non-Hodgkin lymphomas from a tertiary care center. Indian J Med Paediatr Oncol 2012; 32:197-203. [PMID: 22563152 PMCID: PMC3343245 DOI: 10.4103/0971-5851.95140] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022] Open
Abstract
Background: The uniqueness of adolescent and young adult (AYA) non-Hodgkin lymphomas (NHL) with respect to biology and treatment have largely remained unanswered due to marked heterogeneity in treatment, paucity of prospective, or retrospective studies and poor representation of AYA in clinical trials. This audit attempts to put forward the clinicopathological attributes and treatment outcomes of AYA NHL treated with both pediatric and adult protocols from a single centre in a developing country. Patients and Methods: Hospital records of all consecutive NHL patients registered in lymphoma clinic from January 2007 to May 2010 were reviewed for information on demography, clinical features, histology subtype, staging, treatment regimen, response rates, toxicities, and follow up. Two-year progression-free (PFS) and overall survival (OS) were calculated with Kaplan-Meier method. Results: AYA NHL constituted 4% of all lymphomas. Diffuse large B-cell (DLBL) was the most frequent subtype. Following were the 2-year PFS and OS - DLBL 64%, 76.9%, Burkitt's lymphoma: 56%, 56%, lymphoblastic lymphoma: 33.2%, 44%. Our results did not show any improvement in outcome of DLBL with the use of Burkitt's lymphoma like regimen. Conclusions: This study highlights some of the key features of AYA NHL occurring in developing world.
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Affiliation(s)
- Manju Sengar
- Department of Medical Oncology, Adult Hematolymphoid Disease Management Group, Tata Memorial Centre, Mumbai, Maharashtra, India
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48
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Roy P, Sengar M, Menon H, Bagal B, Khattry N, Shridhar E, Gujral S, Laskar S, Rangarajan, V, Nair R. A Retrospective Single Centre Analysis of Safety, Toxicity and Efficacy of Rituximab (ORIGINAL) and Its Biosimilar in Diffuse Large B-Cell Lymphoma Patients Treated with Chemo-Immunotherapy. Ann Oncol 2012. [DOI: 10.1016/s0923-7534(20)33629-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
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49
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Puri A, Gulia A, Jambhekar N, Laskar S. The outcome of the treatment of diaphyseal primary bone sarcoma by resection, irradiation and re-implantation of the host bone. ACTA ACUST UNITED AC 2012; 94:982-8. [DOI: 10.1302/0301-620x.94b7.28916] [Citation(s) in RCA: 47] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
We analysed the outcome of patients with primary non-metastatic diaphyseal sarcomas who had en bloc resection with preservation of the adjoining joints and reconstruction with re-implantation of sterilised tumour bone after extracorporeal radiation (50 Gy). Between March 2005 and September 2009, 32 patients (16 Ewing’s sarcoma and 16 osteogenic sarcoma) with a mean age of 15 years (2 to 35) underwent this procedure. The femur was the most common site in 17 patients, followed by the tibia in 11, humerus in three and ulna in one. The mean resected length of bone was 19 cm (10 to 26). A total of 31 patients were available at a mean follow-up of 34 months (12 to 74). The mean time to union for all osteotomy sites was 7.3 months (3 to 28): metaphyseal osteotomy sites united quicker than diaphyseal osteotomy sites (5.8 months (3 to 10) versus 9.5 months (4 to 28)). There were three local recurrences, all in soft-tissue away from irradiated graft. At the time of final follow-up, 19 patients were free of disease, one was alive with disease and 11 had died of disease. The mean Musculoskeletal Tumor Society Score for 29 patients evaluated at the last follow-up was 26 (9 to 30). Extracorporeal irradiation is an oncologically safe and inexpensive technique for limb salvage in diaphyseal sarcomas and has good functional results.
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Affiliation(s)
- A. Puri
- Tata Memorial Hospital, E
Borges Road, Parel, Mumbai
400 012, India
| | - A. Gulia
- Tata Memorial Hospital, E
Borges Road, Parel, Mumbai
400 012, India
| | - N. Jambhekar
- Tata Memorial Hospital, E
Borges Road, Parel, Mumbai
400 012, India
| | - S. Laskar
- Tata Memorial Hospital, E
Borges Road, Parel, Mumbai
400 012, India
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50
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Laskar S, Puri A, Gulia A, Rekhi B, Juvekar S, Desai S, Desai S, Gupta S, Ghosh J, Jambhekar N. OC-54 LONG TERM OUTCOMES OF INTERSTITIAL BRACHYTHERAPY IN SOFT TISSUE SARCOMAS. Radiother Oncol 2012. [DOI: 10.1016/s0167-8140(12)72021-2] [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: 10/28/2022]
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