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May C, Forshaw M, Wong H, Brass R, Corns A, Shenoy A, Mehta S. P11.45.B Improved overall survival following Stereotactic Radiosurgery for brain metastases - a single institution experience. Neuro Oncol 2022. [DOI: 10.1093/neuonc/noac174.234] [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: 11/12/2022] Open
Abstract
Abstract
Background
Brain metastases are increasingly common due to longer survival associated with advancements in treatment. Approximately 40% of cancer patients are diagnosed with brain metastases at some point during their disease. Stereotactic radiosurgery (SRS) avoids the neuro-cognitive toxicity associated with whole brain radiotherapy and has been increasingly offered as a treatment alternative for brain metastases. Combined with developments in systemic treatments, this approach has resulted in improved overall survival (OS). This study reviewed patients treated with single fraction SRS at our institution with a primary endpoint of overall survival.
Material and Methods
A retrospective review determined overall survival for 237 patients who received single fraction SRS for 451 brain metastases from solid tumours between 1st January 2017 and 31st December 2021. Primary tumour sites were classified as breast, kidney, colorectal, melanoma, lung or other. SPSS v.27 was used for Kaplan Meier OS determination. The median follow up was 10.3 months. Cox regression analysis assessed the association between Gross Tumour Volume (GTV) and OS.
Results
In this patient cohort, 60% (N=142) were female and 40% (N=95) were male, with a median age of 63 [32-85]. 63.7% (N = 151) had a solitary metastasis. Patients received a single fraction of 15, 17.5 or 20 Gy (prescribed to 80% isodose) dependent on the planning target volume (PTV) size and whether it was initial treatment or re-treatment. 71% of all patients were alive at 6 months with median OS of 12.0 months [10.6-13.4]. Primary tumour site significantly affected OS (Log rank, Chi squared 15.656, p0.008) with breast cancer patients (N=58) surviving longest with a median OS 16.0 months [13.6-18.4] followed by melanoma median OS 15.0 months [7.6-22.4], kidney cancer patients (N = 24) median OS 12.0 months [8.3-15.7] and lung patients (N=87) median OS 10.0 months [8.9-11.3]. The lowest median OS was for colorectal patients at 7.0 months [1.4-12.6]. However, considering the small sample size, N = 15, more data is needed to confirm the significance. The larger the GTV volume the lower the survival time (Chi squared 8.692, p 0.003).
Conclusion
71% of patients had an OS of 6.0 months or more with a median of 12.0 months. As expected, primary tumour site has a significant impact on OS, with breast cancer patients living longest. In addition, increasing GTV size is associated with significantly worse survival. Given the improved survival for these patients, the avoidance of neuro cognitive decline remains of paramount importance and outcomes for these patients need to be reported in future work.
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Affiliation(s)
- C May
- Clatterbridge Cancer Centre , Liverpool , United Kingdom
| | - M Forshaw
- Clatterbridge Cancer Centre , Liverpool , United Kingdom
| | - H Wong
- Clatterbridge Cancer Centre , Liverpool , United Kingdom
| | - R Brass
- Clatterbridge Cancer Centre , Liverpool , United Kingdom
| | - A Corns
- Clatterbridge Cancer Centre , Liverpool , United Kingdom
| | - A Shenoy
- Clatterbridge Cancer Centre , Liverpool , United Kingdom
| | - S Mehta
- Clatterbridge Cancer Centre , Liverpool , United Kingdom
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Taha A, Abdelrazek MA, Manalo N, Elsadek R, Morrin SJ, Brodski A, Augustynowiczd A, Mollashahi RS, Shenoy A. Traumatic Rupture of a Skull Base Dermoid Cyst Mimicking Chronic Meningitis. Cureus 2022; 14:e25066. [PMID: 35719751 PMCID: PMC9203259 DOI: 10.7759/cureus.25066] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/16/2022] [Indexed: 11/06/2022] Open
Abstract
Cranial dermoid cysts are rare, embryologic tumors containing fat, hair, and other ectodermal elements. They occur most frequently in the posterior fossa and are typically diagnosed as incidental findings on brain imaging done for an unrelated reason. Traumatic rupture of a previously unidentified intracranial dermoid cyst can mimic symptoms of post-concussion syndrome and should be ruled out with magnetic resonance imaging (MRI). Surgical intervention after traumatic rupture may not result in complete symptom control due to the persistence of dermoid cyst debris in the subarachnoid space. Here, we present the clinical scenario and radiological features of a ruptured dermoid cyst due to trauma, highlighting a rare complication of a classically benign lesion.
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Callaghan BC, Armon C, Bril V, Colbert L, David WS, Del Toro DR, Fink K, Jones LK, Kleemeier R, MacGregor LC, Bennett A, Shenoy A. Polyneuropathy Quality Measurement Set: Quality Improvement in Neurology. Neurology 2022; 98:22-30. [PMID: 34965986 DOI: 10.1212/wnl.0000000000013037] [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: 06/10/2021] [Accepted: 10/07/2021] [Indexed: 11/15/2022] Open
Affiliation(s)
- Brian C Callaghan
- From the Department of Neurology (B.C.C.), University of Michigan, Ann Arbor; Department of Neurology (C.A.), Tel Aviv University Sackler School of Medicine, Israel; Division of Neurology (V.B.), Department of Medicine, Toronto General Hospital, Canada; The Foundation for Peripheral Neuropathy (L.C.); Buffalo Grove, IL; Department of Neurology (W.S.D.), Massachusetts General Hospital, Boston; Physical Medicine and Rehabilitation (D.R.D.T.), Medical College of Wisconsin, Milwaukee; Kamehameha Schools (K.F.), Honolulu, HI; Department of Neurology (L.K.J.), Mayo Clinic, Rochester, MN; Minnesota Neuropathy Association (R.K.), Eau Claire, WI; Neuropathy Action Foundation (L.C.M.), Santa Ana, CA; American Academy of Neurology (A.B.), Minneapolis, MN; and Division of Neurology (A.S.), Mount Auburn Hospital, Springfield, MA
| | - Carmel Armon
- From the Department of Neurology (B.C.C.), University of Michigan, Ann Arbor; Department of Neurology (C.A.), Tel Aviv University Sackler School of Medicine, Israel; Division of Neurology (V.B.), Department of Medicine, Toronto General Hospital, Canada; The Foundation for Peripheral Neuropathy (L.C.); Buffalo Grove, IL; Department of Neurology (W.S.D.), Massachusetts General Hospital, Boston; Physical Medicine and Rehabilitation (D.R.D.T.), Medical College of Wisconsin, Milwaukee; Kamehameha Schools (K.F.), Honolulu, HI; Department of Neurology (L.K.J.), Mayo Clinic, Rochester, MN; Minnesota Neuropathy Association (R.K.), Eau Claire, WI; Neuropathy Action Foundation (L.C.M.), Santa Ana, CA; American Academy of Neurology (A.B.), Minneapolis, MN; and Division of Neurology (A.S.), Mount Auburn Hospital, Springfield, MA
| | - Vera Bril
- From the Department of Neurology (B.C.C.), University of Michigan, Ann Arbor; Department of Neurology (C.A.), Tel Aviv University Sackler School of Medicine, Israel; Division of Neurology (V.B.), Department of Medicine, Toronto General Hospital, Canada; The Foundation for Peripheral Neuropathy (L.C.); Buffalo Grove, IL; Department of Neurology (W.S.D.), Massachusetts General Hospital, Boston; Physical Medicine and Rehabilitation (D.R.D.T.), Medical College of Wisconsin, Milwaukee; Kamehameha Schools (K.F.), Honolulu, HI; Department of Neurology (L.K.J.), Mayo Clinic, Rochester, MN; Minnesota Neuropathy Association (R.K.), Eau Claire, WI; Neuropathy Action Foundation (L.C.M.), Santa Ana, CA; American Academy of Neurology (A.B.), Minneapolis, MN; and Division of Neurology (A.S.), Mount Auburn Hospital, Springfield, MA
| | - Lindsay Colbert
- From the Department of Neurology (B.C.C.), University of Michigan, Ann Arbor; Department of Neurology (C.A.), Tel Aviv University Sackler School of Medicine, Israel; Division of Neurology (V.B.), Department of Medicine, Toronto General Hospital, Canada; The Foundation for Peripheral Neuropathy (L.C.); Buffalo Grove, IL; Department of Neurology (W.S.D.), Massachusetts General Hospital, Boston; Physical Medicine and Rehabilitation (D.R.D.T.), Medical College of Wisconsin, Milwaukee; Kamehameha Schools (K.F.), Honolulu, HI; Department of Neurology (L.K.J.), Mayo Clinic, Rochester, MN; Minnesota Neuropathy Association (R.K.), Eau Claire, WI; Neuropathy Action Foundation (L.C.M.), Santa Ana, CA; American Academy of Neurology (A.B.), Minneapolis, MN; and Division of Neurology (A.S.), Mount Auburn Hospital, Springfield, MA
| | - William S David
- From the Department of Neurology (B.C.C.), University of Michigan, Ann Arbor; Department of Neurology (C.A.), Tel Aviv University Sackler School of Medicine, Israel; Division of Neurology (V.B.), Department of Medicine, Toronto General Hospital, Canada; The Foundation for Peripheral Neuropathy (L.C.); Buffalo Grove, IL; Department of Neurology (W.S.D.), Massachusetts General Hospital, Boston; Physical Medicine and Rehabilitation (D.R.D.T.), Medical College of Wisconsin, Milwaukee; Kamehameha Schools (K.F.), Honolulu, HI; Department of Neurology (L.K.J.), Mayo Clinic, Rochester, MN; Minnesota Neuropathy Association (R.K.), Eau Claire, WI; Neuropathy Action Foundation (L.C.M.), Santa Ana, CA; American Academy of Neurology (A.B.), Minneapolis, MN; and Division of Neurology (A.S.), Mount Auburn Hospital, Springfield, MA
| | - David R Del Toro
- From the Department of Neurology (B.C.C.), University of Michigan, Ann Arbor; Department of Neurology (C.A.), Tel Aviv University Sackler School of Medicine, Israel; Division of Neurology (V.B.), Department of Medicine, Toronto General Hospital, Canada; The Foundation for Peripheral Neuropathy (L.C.); Buffalo Grove, IL; Department of Neurology (W.S.D.), Massachusetts General Hospital, Boston; Physical Medicine and Rehabilitation (D.R.D.T.), Medical College of Wisconsin, Milwaukee; Kamehameha Schools (K.F.), Honolulu, HI; Department of Neurology (L.K.J.), Mayo Clinic, Rochester, MN; Minnesota Neuropathy Association (R.K.), Eau Claire, WI; Neuropathy Action Foundation (L.C.M.), Santa Ana, CA; American Academy of Neurology (A.B.), Minneapolis, MN; and Division of Neurology (A.S.), Mount Auburn Hospital, Springfield, MA
| | - Kenneth Fink
- From the Department of Neurology (B.C.C.), University of Michigan, Ann Arbor; Department of Neurology (C.A.), Tel Aviv University Sackler School of Medicine, Israel; Division of Neurology (V.B.), Department of Medicine, Toronto General Hospital, Canada; The Foundation for Peripheral Neuropathy (L.C.); Buffalo Grove, IL; Department of Neurology (W.S.D.), Massachusetts General Hospital, Boston; Physical Medicine and Rehabilitation (D.R.D.T.), Medical College of Wisconsin, Milwaukee; Kamehameha Schools (K.F.), Honolulu, HI; Department of Neurology (L.K.J.), Mayo Clinic, Rochester, MN; Minnesota Neuropathy Association (R.K.), Eau Claire, WI; Neuropathy Action Foundation (L.C.M.), Santa Ana, CA; American Academy of Neurology (A.B.), Minneapolis, MN; and Division of Neurology (A.S.), Mount Auburn Hospital, Springfield, MA
| | - Lyell K Jones
- From the Department of Neurology (B.C.C.), University of Michigan, Ann Arbor; Department of Neurology (C.A.), Tel Aviv University Sackler School of Medicine, Israel; Division of Neurology (V.B.), Department of Medicine, Toronto General Hospital, Canada; The Foundation for Peripheral Neuropathy (L.C.); Buffalo Grove, IL; Department of Neurology (W.S.D.), Massachusetts General Hospital, Boston; Physical Medicine and Rehabilitation (D.R.D.T.), Medical College of Wisconsin, Milwaukee; Kamehameha Schools (K.F.), Honolulu, HI; Department of Neurology (L.K.J.), Mayo Clinic, Rochester, MN; Minnesota Neuropathy Association (R.K.), Eau Claire, WI; Neuropathy Action Foundation (L.C.M.), Santa Ana, CA; American Academy of Neurology (A.B.), Minneapolis, MN; and Division of Neurology (A.S.), Mount Auburn Hospital, Springfield, MA
| | - Robert Kleemeier
- From the Department of Neurology (B.C.C.), University of Michigan, Ann Arbor; Department of Neurology (C.A.), Tel Aviv University Sackler School of Medicine, Israel; Division of Neurology (V.B.), Department of Medicine, Toronto General Hospital, Canada; The Foundation for Peripheral Neuropathy (L.C.); Buffalo Grove, IL; Department of Neurology (W.S.D.), Massachusetts General Hospital, Boston; Physical Medicine and Rehabilitation (D.R.D.T.), Medical College of Wisconsin, Milwaukee; Kamehameha Schools (K.F.), Honolulu, HI; Department of Neurology (L.K.J.), Mayo Clinic, Rochester, MN; Minnesota Neuropathy Association (R.K.), Eau Claire, WI; Neuropathy Action Foundation (L.C.M.), Santa Ana, CA; American Academy of Neurology (A.B.), Minneapolis, MN; and Division of Neurology (A.S.), Mount Auburn Hospital, Springfield, MA
| | - Leslie C MacGregor
- From the Department of Neurology (B.C.C.), University of Michigan, Ann Arbor; Department of Neurology (C.A.), Tel Aviv University Sackler School of Medicine, Israel; Division of Neurology (V.B.), Department of Medicine, Toronto General Hospital, Canada; The Foundation for Peripheral Neuropathy (L.C.); Buffalo Grove, IL; Department of Neurology (W.S.D.), Massachusetts General Hospital, Boston; Physical Medicine and Rehabilitation (D.R.D.T.), Medical College of Wisconsin, Milwaukee; Kamehameha Schools (K.F.), Honolulu, HI; Department of Neurology (L.K.J.), Mayo Clinic, Rochester, MN; Minnesota Neuropathy Association (R.K.), Eau Claire, WI; Neuropathy Action Foundation (L.C.M.), Santa Ana, CA; American Academy of Neurology (A.B.), Minneapolis, MN; and Division of Neurology (A.S.), Mount Auburn Hospital, Springfield, MA
| | - Amy Bennett
- From the Department of Neurology (B.C.C.), University of Michigan, Ann Arbor; Department of Neurology (C.A.), Tel Aviv University Sackler School of Medicine, Israel; Division of Neurology (V.B.), Department of Medicine, Toronto General Hospital, Canada; The Foundation for Peripheral Neuropathy (L.C.); Buffalo Grove, IL; Department of Neurology (W.S.D.), Massachusetts General Hospital, Boston; Physical Medicine and Rehabilitation (D.R.D.T.), Medical College of Wisconsin, Milwaukee; Kamehameha Schools (K.F.), Honolulu, HI; Department of Neurology (L.K.J.), Mayo Clinic, Rochester, MN; Minnesota Neuropathy Association (R.K.), Eau Claire, WI; Neuropathy Action Foundation (L.C.M.), Santa Ana, CA; American Academy of Neurology (A.B.), Minneapolis, MN; and Division of Neurology (A.S.), Mount Auburn Hospital, Springfield, MA.
| | - Anant Shenoy
- From the Department of Neurology (B.C.C.), University of Michigan, Ann Arbor; Department of Neurology (C.A.), Tel Aviv University Sackler School of Medicine, Israel; Division of Neurology (V.B.), Department of Medicine, Toronto General Hospital, Canada; The Foundation for Peripheral Neuropathy (L.C.); Buffalo Grove, IL; Department of Neurology (W.S.D.), Massachusetts General Hospital, Boston; Physical Medicine and Rehabilitation (D.R.D.T.), Medical College of Wisconsin, Milwaukee; Kamehameha Schools (K.F.), Honolulu, HI; Department of Neurology (L.K.J.), Mayo Clinic, Rochester, MN; Minnesota Neuropathy Association (R.K.), Eau Claire, WI; Neuropathy Action Foundation (L.C.M.), Santa Ana, CA; American Academy of Neurology (A.B.), Minneapolis, MN; and Division of Neurology (A.S.), Mount Auburn Hospital, Springfield, MA
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Shenoy A, Esnakula A, Goldstein S, Pietra B, Bleiweis M, Fricker F, Gupta D. Endomyocardial Biopsy Findings in Pediatric Heart Transplants Recipients with Positive HLA Associated Antibodies: Review of a Cohort with Poor Outcomes. J Heart Lung Transplant 2019. [DOI: 10.1016/j.healun.2019.01.128] [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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Shenoy A, Stine JG, Intagliata NM. Venous thromboembolism in patients with liver diseases: comment. J Thromb Haemost 2019; 17:238-239. [PMID: 30365224 DOI: 10.1111/jth.14320] [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: 10/08/2018] [Indexed: 11/29/2022]
Affiliation(s)
- A Shenoy
- Department of Medicine, University of Virginia, University of Virginia Health System, Charlottesville, VA, USA
| | - J G Stine
- Division of Gastroenterology & Hepatology, The Pennsylvania State University Milton S. Hershey Medical Center, Pennsylvania State University, Hershey, PA, USA
| | - N M Intagliata
- Division of Gastroenterology and Hepatology, University of Virginia, University of Virginia Health System, Charlottesville, VA, USA
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Arya R, Ichikawa T, Callender B, DePablo M, Novak K, Li S, Shenoy A, Everman A, Braunstein S, Dec I, Lala S, Feng Y, Biltz L, McCall A, Golden D. Communicating the External Beam Radiation Experience (CEBRE): A Novel Graphic Narrative Patient Education Tool. Int J Radiat Oncol Biol Phys 2018. [DOI: 10.1016/j.ijrobp.2018.07.1144] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [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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Hucthagowder V, Shenoy A, Corliss M, Vigh-Conrad K, Storer C, Grange D, Cottrell C. Utility of clinical high-depth next generation sequencing for somatic variant detection in thePIK3CA-related overgrowth spectrum. Clin Genet 2016; 91:79-85. [DOI: 10.1111/cge.12819] [Citation(s) in RCA: 34] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2015] [Revised: 06/01/2016] [Accepted: 06/11/2016] [Indexed: 02/02/2023]
Affiliation(s)
- V. Hucthagowder
- Department of Pathology and Immunology; Washington University School of Medicine; Saint Louis MO USA
| | - A. Shenoy
- Department of Pathology and Immunology; Washington University School of Medicine; Saint Louis MO USA
| | - M. Corliss
- Department of Pathology and Immunology; Washington University School of Medicine; Saint Louis MO USA
| | - K.A. Vigh-Conrad
- Department of Genetics; Washington University School of Medicine; Saint Louis MO USA
| | - C. Storer
- Department of Genetics; Washington University School of Medicine; Saint Louis MO USA
| | - D.K. Grange
- Division of Genetics and Genomic Medicine, Department of Pediatrics; Washington University School of Medicine; Saint Louis MO USA
| | - C.E. Cottrell
- Department of Pathology and Immunology; Washington University School of Medicine; Saint Louis MO USA
- Department of Genetics; Washington University School of Medicine; Saint Louis MO USA
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Chitradurga Abdul Razack T, Annasagara Srinivasa U, Chandraraj V, Shenoy A, Jacob L, Ramar N, Anchineyan P, Vishwanath L, Thimmiah N, Palled S, Patil S, Patil C. EP-1060: Can reduced CTV margin for IMRT in Head and Neck cancers improve therapeutic outcomes? Radiother Oncol 2016. [DOI: 10.1016/s0167-8140(16)32310-6] [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: 11/29/2022]
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9
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Im GY, Kim-Schluger L, Shenoy A, Schubert E, Goel A, Friedman SL, Florman S, Schiano TD. Early Liver Transplantation for Severe Alcoholic Hepatitis in the United States--A Single-Center Experience. Am J Transplant 2016; 16:841-9. [PMID: 26710309 DOI: 10.1111/ajt.13586] [Citation(s) in RCA: 171] [Impact Index Per Article: 21.4] [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: 06/04/2015] [Revised: 08/16/2015] [Accepted: 08/31/2015] [Indexed: 01/25/2023]
Abstract
Early liver transplantation (LT) in European centers reportedly improved survival in patients with severe alcoholic hepatitis (AH) not responding to medical therapy. Our aim was to determine if a strategy of early LT for severe AH could be applied successfully in the United States. We reviewed 111 patients with severe AH at our center from January 2012 to January 2015. The primary end point was mortality at 6 months or early LT, with a secondary end point of alcohol relapse after LT. Survival was compared between those receiving early LT and matched patients who did not. Using a process similar to the European trial, 94 patients with severe AH not responding to medical therapy were evaluated for early LT. Overall, 9 (9.6%) candidates with favorable psychosocial profiles underwent early LT, comprising 3% of all adult LT during the study period. The 6-month survival rate was higher among those receiving early LT compared with matched controls (89% vs 11%, p<0.001). Eight recipients are alive at a median of 735 days with 1 alcohol relapse. Early LT for severe AH can achieve excellent clinical outcomes with low impact on the donor pool and low rates of alcohol relapse in highly selected patients in the United States.
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Affiliation(s)
- G Y Im
- Recanati/Miller Transplantation Institute, Division of Liver Diseases, Department of Medicine, The Icahn School of Medicine at Mount Sinai, New York, NY
| | - L Kim-Schluger
- Recanati/Miller Transplantation Institute, Division of Liver Diseases, Department of Medicine, The Icahn School of Medicine at Mount Sinai, New York, NY
| | - A Shenoy
- Department of Psychiatry, The Icahn School of Medicine at Mount Sinai, New York, NY
| | - E Schubert
- Social Work Services, The Mount Sinai Medical Center, New York, NY
| | - A Goel
- Division of Liver Diseases, Department of Medicine, The Icahn School of Medicine at Mount Sinai, New York, NY
| | - S L Friedman
- Division of Liver Diseases, Department of Medicine, The Icahn School of Medicine at Mount Sinai, New York, NY
| | - S Florman
- Recanati/Miller Transplantation Institute, Division of Liver Diseases, Department of Medicine, The Icahn School of Medicine at Mount Sinai, New York, NY
| | - T D Schiano
- Recanati/Miller Transplantation Institute, Division of Liver Diseases, Department of Medicine, The Icahn School of Medicine at Mount Sinai, New York, NY
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Chavredakis E, Brodbelt AR, Husband DJ, Haylock BJ, Shenoy A, Jenkinson MD. P28 * BRAINSTEM BIOPSY: A SAFE AND ACCURATE DIAGNOSTIC TOOL. Neuro Oncol 2014. [DOI: 10.1093/neuonc/nou249.25] [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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Shi L, Vedantham S, Michaelsen K, Krishnaswamy V, Shenoy A, Pogue B, Karellas A, Paulsen K. SU-E-I-54: Volumetric Breast Density: Comparison of Estimates From Tomosynthesis Reconstructions with Mammography. Med Phys 2014. [DOI: 10.1118/1.4888004] [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: 11/07/2022] Open
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12
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Stevens A, Bonshek C, Whatmore A, Butcher I, Hanson D, De Leonibus C, Shaikh G, Brown M, O'Shea E, Victor S, Powell P, Settle P, Padmakumar B, Tan A, Odeka E, Cooper C, Birch J, Shenoy A, Westwood M, Patel L, Dunn BW, Clayton P. Insights into the pathophysiology of catch-up compared with non-catch-up growth in children born small for gestational age: an integrated analysis of metabolic and transcriptomic data. Pharmacogenomics J 2014; 14:376-84. [PMID: 24614687 DOI: 10.1038/tpj.2014.4] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/19/2013] [Revised: 12/07/2013] [Accepted: 01/09/2014] [Indexed: 12/11/2022]
Abstract
Small for gestational age (SGA) children exhibiting catch-up (CU) growth have a greater risk of cardiometabolic diseases in later life compared with non-catch-up (NCU) SGA children. The aim of this study was to establish differences in metabolism and gene expression profiles between CU and NCU at age 4-9 years. CU children (n=22) had greater height, weight and body mass index standard deviation scores along with insulin-like growth factor-I (IGF-I) and fasting glucose levels but lower adiponectin values than NCU children (n=11; all P<0.05). Metabolic profiling demonstrated a fourfold decrease of urine myo-inositol in CU compared with NCU (P<0.05). There were 1558 genes differentially expressed in peripheral blood mononuclear cells between the groups (P<0.05). Integrated analysis of data identified myo-inositol related to gene clusters associated with an increase in insulin, growth factor and IGF-I signalling in CU children (P<0.05). Metabolic and transcriptomic profiles in CU SGA children showed changes that may relate to cardiometabolic risk.
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Affiliation(s)
- A Stevens
- 1] Royal Manchester Children's Hospital (RMCH), Central Manchester University Hospitals NHS Foundation Trust (CMFT), Manchester Academic Health Science Centre (MAHSC), Manchester, UK [2] Centre for Paediatrics and Child Health, Institute of Human Development, University of Manchester, Manchester, UK
| | - C Bonshek
- 1] Royal Manchester Children's Hospital (RMCH), Central Manchester University Hospitals NHS Foundation Trust (CMFT), Manchester Academic Health Science Centre (MAHSC), Manchester, UK [2] Centre for Paediatrics and Child Health, Institute of Human Development, University of Manchester, Manchester, UK
| | - A Whatmore
- 1] Royal Manchester Children's Hospital (RMCH), Central Manchester University Hospitals NHS Foundation Trust (CMFT), Manchester Academic Health Science Centre (MAHSC), Manchester, UK [2] Centre for Paediatrics and Child Health, Institute of Human Development, University of Manchester, Manchester, UK
| | - I Butcher
- 1] Royal Manchester Children's Hospital (RMCH), Central Manchester University Hospitals NHS Foundation Trust (CMFT), Manchester Academic Health Science Centre (MAHSC), Manchester, UK [2] Centre for Paediatrics and Child Health, Institute of Human Development, University of Manchester, Manchester, UK
| | - D Hanson
- 1] Royal Manchester Children's Hospital (RMCH), Central Manchester University Hospitals NHS Foundation Trust (CMFT), Manchester Academic Health Science Centre (MAHSC), Manchester, UK [2] Centre for Paediatrics and Child Health, Institute of Human Development, University of Manchester, Manchester, UK
| | - C De Leonibus
- 1] Royal Manchester Children's Hospital (RMCH), Central Manchester University Hospitals NHS Foundation Trust (CMFT), Manchester Academic Health Science Centre (MAHSC), Manchester, UK [2] Centre for Paediatrics and Child Health, Institute of Human Development, University of Manchester, Manchester, UK
| | - G Shaikh
- Yorkhill Children's Hospital, NHS Greater Glasgow and Clyde, Glasgow, UK
| | - M Brown
- 1] Centre for Endocrinology and Diabetes, Institute of Human Development, The University of Manchester, Manchester, UK [2] Centre for Advanced Discovery and Experimental Therapeutics (CADET), Central Manchester University Hospitals NHS Foundation Trust, Manchester, UK
| | - E O'Shea
- 1] Royal Manchester Children's Hospital (RMCH), Central Manchester University Hospitals NHS Foundation Trust (CMFT), Manchester Academic Health Science Centre (MAHSC), Manchester, UK [2] Centre for Paediatrics and Child Health, Institute of Human Development, University of Manchester, Manchester, UK
| | - S Victor
- St Mary's Hospital, CMFT, Manchester, UK
| | - P Powell
- Royal Bolton Hospital, Royal Bolton Hospital NHS Foundation Trust, Manchester, UK
| | - P Settle
- Hope Hospital, Salford Royal NHS Foundation Trust, Salford, UK
| | - B Padmakumar
- North Manchester General Hospital, Pennine Acute Hospitals NHS Trust, Crumpsall, UK
| | - A Tan
- North Manchester General Hospital, Pennine Acute Hospitals NHS Trust, Crumpsall, UK
| | - E Odeka
- North Manchester General Hospital, Pennine Acute Hospitals NHS Trust, Crumpsall, UK
| | - C Cooper
- Stepping Hill Hospital, Stockport NHS Foundation Trust, Manchester, UK
| | - J Birch
- Tameside General Hospital, Tameside Hospital NHS Foundation Trust, Manchester, UK
| | - A Shenoy
- Royal Albert Edward Infirmary, Wrightington, Wigan and Leigh NHS Foundation Trust, Wigan, UK
| | - M Westwood
- Maternal and Fetal Health Research Centre, University of Manchester and St Mary's Hospital, CMFT, MAHSC, Manchester, UK
| | - L Patel
- 1] Royal Manchester Children's Hospital (RMCH), Central Manchester University Hospitals NHS Foundation Trust (CMFT), Manchester Academic Health Science Centre (MAHSC), Manchester, UK [2] Centre for Paediatrics and Child Health, Institute of Human Development, University of Manchester, Manchester, UK
| | - B W Dunn
- 1] Centre for Endocrinology and Diabetes, Institute of Human Development, The University of Manchester, Manchester, UK [2] Centre for Advanced Discovery and Experimental Therapeutics (CADET), Central Manchester University Hospitals NHS Foundation Trust, Manchester, UK
| | - P Clayton
- 1] Royal Manchester Children's Hospital (RMCH), Central Manchester University Hospitals NHS Foundation Trust (CMFT), Manchester Academic Health Science Centre (MAHSC), Manchester, UK [2] Centre for Paediatrics and Child Health, Institute of Human Development, University of Manchester, Manchester, UK
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13
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Dalai PM, Shenoy A. Stroke epidemic in India - time to prioritize prevention strategies. J Assoc Physicians India 2013; 61:693-695. [PMID: 24772723] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
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14
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Shenoy A, Goodsitt M, Shen J, Schipper M, Dewaraja Y. TH-A-103-01: Investigation of Factors Affecting the Accuracy of a Dual Energy Quantitative CT Method for Estimating Regional Bone Marrow Cellularity. Med Phys 2013. [DOI: 10.1118/1.4815717] [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: 11/07/2022] Open
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15
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Abstract
Radiation therapy is an important treatment modality in the management of brain tumours. Imaging biomarkers continue to be a focus of active investigation and there is increasing evidence of the utility of biomarkers in refining the overall management plan. This article briefly reviews the literature and outlines the possible clinical applications of imaging biomarkers in neuro-oncology.
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Affiliation(s)
- A Shenoy
- Clatterbridge Centre for Oncology NHS Foundation Trust, Clatterbridge Road, Bebington, Wirral, UK.
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16
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Belov S, Borovkov M, Golovko V, Dmitrieva I, Drumov I, Znamensky D, Kodochigov N, Baxi C, Shenoy A, Telengator A, Razvi J. Approaches to experimental validation of high-temperature gas-cooled reactor components. Nuclear Engineering and Design 2012. [DOI: 10.1016/j.nucengdes.2012.02.008] [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] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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17
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Birks S, Altinkaya M, Altinkaya A, Pilkington G, Kurian KM, Crosby C, Hopkins K, Williams M, Donovan L, Birks S, Eason A, Bosak V, Pilkington G, Birks S, Holliday J, Corbett I, Pilkington G, Keeling M, Bambrough J, Simpson J, Higgins S, Dogra H, Pilkington G, Kurian KM, Zhang Y, Bradley M, Schmidberger C, Hafizi S, Noorani I, Price S, Dubocq A, Jaunky T, Chatelain C, Evans L, Gaissmaier T, Pilkington GJ, An Q, Hurwitz V, Logan J, Bhangoo R, Ashkan K, Gullan A, Beaney R, Brazil L, Kokkinos S, Blake R, Singleton A, Shaw A, Iyer V, Kurian KM, Jeyapalan JN, Morley IC, Hill AA, Mumin MA, Tatevossian RG, Qaddoumi I, Ellison DW, Sheer D, Frary A, Price S, Jefferies S, Harris F, Burnet N, Jena R, Watts C, Haylock B, Leow-Dyke S, Rathi N, Wong H, Dunn J, Baborie A, Crooks D, Husband D, Shenoy A, Brodbelt A, Walker C, Bahl A, Larsen J, Craven I, Metherall P, McKevitt F, Romanowski C, Hoggard N, Jellinek DA, Bell S, Murray E, Muirhead R, James A, Hanzely Z, Jackson R, Stewart W, O'Brien A, Young A, Bell S, Hanzely Z, Stewart W, Shepherd S, Cavers D, Wallace L, Hacking B, Scott S, Bowyer D, Elmahdi A, Frary AJ, O'Donovan DG, Price SJ, Kia A, Przystal JM, Nianiaris N, Mazarakis ND, Mintz PJ, Hajitou A, Karakoula K, Phipps K, Harkness W, Hayward R, Thompson D, Jacques T, Harding B, Darling J, Warr T, Leow-Dyke S, Rathi N, Haylock B, Crooks D, Jenkinson M, Walker C, Brodbelt A, Zhou L, Ercolano E, Ammoun S, Schmid MC, Barczyk M, Hanemann CO, Rowther F, Dawson T, Ashton K, Darling J, Warr T, Maherally Z, Hatherell KE, Kroese K, Hafizi S, Pilkington GJ, Singh P, McQuaid S, Al-Rashid S, Prise K, Herron B, Healy E, Shoakazemi A, Donnelly M, McConnell R, Harney J, Conkey D, McGrath E, Lunsford L, Kondziolka D, Niranjan A, Kano H, Hamilton R, Flannery T, Majani Y, Smith S, Grundy R, Rahman R, Saini S, Hall G, Davis C, Rowther F, Lawson T, Ashton K, Potter N, Goessl E, Darling J, Warr T, Brodbelt A, Jenkinson M, Walker C, Leow-Dyke S, Haylock B, Dunn J, Wilkins S, Smith T, Petinou V, Nicholl I, Singh J, Lea R, Welsby P, Spiteri I, Sottoriva A, Marko N, Tavare S, Collins P, Price SJ, Watts C, Su Z, Gerhard A, Hinz R, Roncaroli F, Coope D, Thompson G, Karabatsou K, Sofat A, Leggate J, du Plessis D, Turkheimer F, Jackson A, Brodbelt A, Jenkinson M, Das K, Crooks D, Herholz K, Price SJ, Whittle IR, Ashkan K, Grundy P, Cruickshank G, Berry V, Elder D, Iyer V, Hopkins K, Cohen N, Tavare J, Zilidis G, Tibarewal P, Spinelli L, Leslie NR, Coope DJ, Karabatsou K, Green S, Wall G, Bambrough J, Brennan P, Baily J, Diaz M, Ironside J, Sansom O, Brunton V, Frame M, Young A, Thomas O, Mohsen L, Frary A, Lupson V, McLean M, Price S, Arora M, Shaw L, Lawrence C, Alder J, Dawson T, Hall G, Rada L, Chen K, Shivane A, Ammoun S, Parkinson D, Hanemann C, Pangeni RP, Warr TJ, Morris MR, Mackinnon M, Williamson A, James A, Chalmers A, Beckett V, Joannides A, Brock R, McCarthy K, Price S, Singh A, Karakoula K, Dawson T, Ashton K, Darling J, Warr T, Kardooni H, Morris M, Rowther F, Darling J, Warr T, Watts C, Syed N, Roncaroli F, Janczar K, Singh P, O'Neil K, Nigro CL, Lattanzio L, Coley H, Hatzimichael E, Bomalaski J, Szlosarek P, Crook T, Pullen NA, Anand M, Birks S, Van Meter T, Pullen NA, Anand M, Williams S, Boissinot M, Steele L, Williams S, Chiocca EA, Lawler S, Al Rashid ST, Mashal S, Taggart L, Clarke E, Flannery T, Prise KM. Abstracts from the 2012 BNOS Conference. Neuro Oncol 2012. [DOI: 10.1093/neuonc/nos198] [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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18
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Jacomella V, Shenoy A, Mosimann K, Kohler M, Thalhammer C, Amann-Vesti B, Husmann M. 326 IMPACT OF LOWER LIMB REVASCULARIZATION ON AORTIC AUGMENTATION INDEX AND SUBENDOCARDIAL VIABILITY RATIO IN PATIENTS WITH PERIPHERAL ARTERIAL DISEASE. ATHEROSCLEROSIS SUPP 2011. [DOI: 10.1016/s1567-5688(11)70327-0] [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: 10/18/2022]
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19
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Vaqué JP, Correa P, Shenoy A, Husband D, Mayles H. 1240 poster DOES PLANNED-DOSE TO ORGANS-AT-RISK REFLECT DELIVERED-DOSE IN HEAD & NECK INTENSITY MODULATED RADIOTHERAPY? Radiother Oncol 2011. [DOI: 10.1016/s0167-8140(11)71362-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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20
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Freeman J, Boomer L, Shenoy A, Fursevich D, Feliz A. Ethnicity And Insurance Status Affect Health Disparities In Patients With Gallstone Disease. J Surg Res 2011. [DOI: 10.1016/j.jss.2010.11.802] [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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21
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McIver Z, Mielke S, Shenoy A, Fellows V, Stroncek D, Leitman S, Childs R, Batiwalla M, Koklanaris E, Haggerty J, Savani B, Rezvani K, Barrett A. Selectively T Cell Depleted Allografts From HLA-Matched Sibling Donors Followed by Low-Dose Post Transplant Immunosuppression to Limit Disease Relapse in Patients With Hematological Malignancies. Biol Blood Marrow Transplant 2011. [DOI: 10.1016/j.bbmt.2010.12.402] [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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22
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Abstract
This report presents the imaging appearances of an uncommon case of intradiploic frontal bone aneurysmal bone cyst (ABC) in a 10-year-old girl. ABCs are rare in the calvarium. The radiological and aetiopathological differences between the more commonly occurring ABCs of the long bones and vertebrae, and their rarer counterparts in the calvarium and facial bones, have been discussed. Unique also to this case is the reconstruction performed using the outer table of the bone flap after excising the tumour.
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Affiliation(s)
- D A Sanghvi
- Department of Radiology, KEM Hospital & Seth G S Medical College, Acharya Donde Marg, Parel, Mumbai 400 012, Maharashtra, India
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23
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Babu KG, Viswanath L, Reddy BK, Shenoy K, Shenoy A, Naveen T, Joseph B, Vidyasagar MS, Bonanthaya R, Pasha CT, Bapsy PP, Aravind AS, Eswaraiah A, Gupta N. An open-label, randomized, study of h-R3mAb (nimotuzumab) in patients with advanced (stage III or IVa) squamous cell carcinoma of head and neck (SCCHN): Four-year survival results from a phase IIb study. J Clin Oncol 2010. [DOI: 10.1200/jco.2010.28.15_suppl.5530] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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24
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Mukhopadhyay C, Krishna S, Shenoy A, Prakashini K. Clinical, radiological and microbiological corroboration to assess the role of endotracheal aspirate in diagnosing ventilator-associated pneumonia in an intensive care unit of a tertiary care hospital, India. Int J Infect Dis 2010. [DOI: 10.1016/j.ijid.2010.02.2040] [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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25
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Krishnamurthyreddy B, Vidyasagar MS, Koteshwar R, Shenoy A, Viswanath L, Thimmaiah N, Babu G, Joseph B, Bonnathiya R, Bapsy PP. A phase IIb 4-arm open-label randomized study to assess the safety and efficacy of h-R3 monoclonal antibody against EGFR in combination with chemoradiation therapy or radiation therapy in patients with advanced (stage III or IVA) inoperable head and neck cancer. J Clin Oncol 2009. [DOI: 10.1200/jco.2009.27.15_suppl.6041] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
6041 Background: Patients (pt) with advanced inoperable squamous cell carcinoma of the head and neck (SCCHN) have poor radiotherapy alone (RT) outcome. EGFR is over-expressed in >90% SCCHN. h-R3mAb (BIOMAb/nimotuzumab/TheraCIM) is a humanized monoclonal antibody, a validated oncotherapeutic-targeting EGFR. Objective: To investigate the safety and efficacy of concurrent h-R3mAb in combination with chemoradiotherapy of SCCHN. Methods: September 2004–2005, pt 18–70 yrs, SCCHN stageIII-IVA, 113 screened, 92 enrolled and randomly asssigned to, Group A: radical radiotherapy (pt) and Group B: chemoradiotherapy (pt). Randomization within Group A: [RT]v/s[RT+h-R3mAb] and within Group B: [RT+CT]v/s[RT+CT+ h-R3mAb] (n = 23 in each arm). Protocol: Radiotherapy: TD: 66 Gy,2Gy/Fr,5Fr/w,6.5wks. Radiation sensitizer (chemotherapy): CDDP-50mg/wk x 6wks. Study Drug (h-R3mAb): 200 mg/wk I.V.60min x 6weeks. Results: Evaluable (n = 76) in Group A-36 and Group B-40. F/u Analysis at 30 months after end of RT. Survival rate ITT: Group B: CT+RT+hR3- 69.5% v/s CT+RT-21.7% (p - 0.0011), Group A: RT alone - 21.7% v/s RT+ hR3–39.1% (ns). Progression-free survival: RT alone - 3(13.04 %) v/s RT+hR3mAb-8 (34.78 %), RT+CT-5 (21.74 %) v/s RT+CT+hR3mAb-13 (56.52%). Median overall survival (OS): CT+RT+hR3 - NR* v/s CT+RT- 21.96 months (hazard ratio [HR]-0.337, p - 0.0018) and RT alone - 25.02 v/s RT+hR3 - NR*(HR-0.678, p - 0.39). Disease-free survival: CT+RT+hR3- NR*v/sCT+RT-21.30 mths (HR-0.344, p - 0.0052) and RT alone-25.02 v/s RT+hR3- NA* (HR-0.599, p - 0.32). (NR*- median OS is yet to be reached). Safety: few grade - 1/2AE, no HAMA observed. OS per protocol - adding h-R3mAb to chemoradiation resulted in a reduction in risk of death (rrd) by 85% (HR 0.15, p - 0.0006) and to RT a 36 % rrd (HR0.64, p - 0.33). Conclusions: Concurrent use of h-R3mAb with RT or RT+CT is safe and efficacious. It enhances radiation and chemotherapy responses. Concurrent use of h-R3mAb with chemoradiotherapy enhances long-term loco-regional control and survival. Adding biological agents to physically targeted modality improves long-term therapeutic outcome of SCCHN. No significant financial relationships to disclose.
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Affiliation(s)
- B. Krishnamurthyreddy
- Kidwai Memorial Institute of Oncology, Bangalore, India; Shirdi Saibaba Cancer Hospital, Mangalore, India; KMC Hospital, Mangalore, India
| | - M. S. Vidyasagar
- Kidwai Memorial Institute of Oncology, Bangalore, India; Shirdi Saibaba Cancer Hospital, Mangalore, India; KMC Hospital, Mangalore, India
| | - R. Koteshwar
- Kidwai Memorial Institute of Oncology, Bangalore, India; Shirdi Saibaba Cancer Hospital, Mangalore, India; KMC Hospital, Mangalore, India
| | - A. Shenoy
- Kidwai Memorial Institute of Oncology, Bangalore, India; Shirdi Saibaba Cancer Hospital, Mangalore, India; KMC Hospital, Mangalore, India
| | - L. Viswanath
- Kidwai Memorial Institute of Oncology, Bangalore, India; Shirdi Saibaba Cancer Hospital, Mangalore, India; KMC Hospital, Mangalore, India
| | - N. Thimmaiah
- Kidwai Memorial Institute of Oncology, Bangalore, India; Shirdi Saibaba Cancer Hospital, Mangalore, India; KMC Hospital, Mangalore, India
| | - G. Babu
- Kidwai Memorial Institute of Oncology, Bangalore, India; Shirdi Saibaba Cancer Hospital, Mangalore, India; KMC Hospital, Mangalore, India
| | - B. Joseph
- Kidwai Memorial Institute of Oncology, Bangalore, India; Shirdi Saibaba Cancer Hospital, Mangalore, India; KMC Hospital, Mangalore, India
| | - R. Bonnathiya
- Kidwai Memorial Institute of Oncology, Bangalore, India; Shirdi Saibaba Cancer Hospital, Mangalore, India; KMC Hospital, Mangalore, India
| | - P. P. Bapsy
- Kidwai Memorial Institute of Oncology, Bangalore, India; Shirdi Saibaba Cancer Hospital, Mangalore, India; KMC Hospital, Mangalore, India
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Abstract
In the past decade, mucormycosis has emerged as an important lethal infection in diabetics and other immunocompromised hosts. Rhinosinusitis, pansinusitis, rhino-orbital and rhinocerebral are the common classical manifestations of mucormycosis. However, primary gastrointestinal (GI) mucormycosis is an uncommon disease associated with a high mortality rate. Stomach is the most common site involved in GI mucormycosis. Reported cases of GI mucormycosis in an immunocompetent host are very few in the literature. Here we present a case of a young male with fungal sepsis secondary to GI mucormycosis in an immunocompetent person.
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27
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Shiva Prasad BN, Shenoy A, Nataraj KS. Authors′ reply. J Postgrad Med 2009. [DOI: 10.4103/0022-3859.48448] [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: 11/04/2022] Open
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28
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Baxi C, Shenoy A, Kostin V, Kodochigov N, Vasyaev A, Belov S, Golovko V. Evaluation of alternate power conversion unit designs for the GT-MHR. Nuclear Engineering and Design 2008. [DOI: 10.1016/j.nucengdes.2007.12.021] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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29
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Mukhopadhyay C, Krishna S, Vandana K, Shenoy A, Bairy I. Ventilator-associated pneumonia with Col-S strains: a successful comeback of colistin! Braz J Infect Dis 2008; 12:444-6. [DOI: 10.1590/s1413-86702008000500018] [Citation(s) in RCA: 2] [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] [Received: 05/31/2008] [Accepted: 10/19/2008] [Indexed: 11/22/2022] Open
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30
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Hannam A, Shenoy A, O'Hea U, Alker L. Client satisfaction within a paediatric District General Hospital (DGH) cystic fibrosis (CF) service. J Cyst Fibros 2008. [DOI: 10.1016/s1569-1993(08)60448-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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31
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Savani B, Shenoy A, Stratton P, Filie A, Kozanas E, Chauvet D, Donohue T, Le Q, Childs R, Goodman S, Barrett A. 50: Increased Risk of Cervical Dysplasia in Long Term Survivors of Allogeneic Stem Cell Transplantation – Implications for Screening and HPV Vaccination. Biol Blood Marrow Transplant 2008. [DOI: 10.1016/j.bbmt.2007.12.058] [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: 10/22/2022]
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32
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Reddy B, Vidyasagar M, Shenoy K, Shenoy A, Viswanath L, Babu G, Bapsy P, Sathya M, Srivastava M, Nanjundappa. BIOMAb EGFRTM (Nimotuzumab/h-r3) in Combination With Standard of Care in Squamous Cell Carcinoma of Head and Neck (SCCHN). Int J Radiat Oncol Biol Phys 2007. [DOI: 10.1016/j.ijrobp.2007.07.1622] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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33
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Savani B, Mielke S, Rezvani K, Yong A, Shenoy A, Read E, Hensel N, Childs R, Barrett A. 323: Day 30 post-transplant absolute lymphocyte and natural killer cell count strongly predict outcome after allogeneic stem cell transplantation for hematological malignancy. Biol Blood Marrow Transplant 2007. [DOI: 10.1016/j.bbmt.2006.12.328] [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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34
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Savani B, Shenoy A, Kozanas E, Wisch L, Singh A, Childs R, Barrett A. 138: Hypothyroidism in long-term survivors after TBI based allogeneic stem cell transplantations – impact of chronic graft versus host disease and TBI dose. Biol Blood Marrow Transplant 2007. [DOI: 10.1016/j.bbmt.2006.12.142] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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35
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Harvego E, Reza S, Richards M, Shenoy A. An evaluation of reactor cooling and coupled hydrogen production processes using the modular helium reactor. Nuclear Engineering and Design 2006. [DOI: 10.1016/j.nucengdes.2006.04.014] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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36
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Shenoy A, Brownlee K, Conway S, Denton M. 114 An audit of the clinical impact of oral azithromycin in children with chronic Pseudomonas airway infection. J Cyst Fibros 2006. [DOI: 10.1016/s1569-1993(06)80099-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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37
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Abstract
A 32-year-old male presented with a paranasal sinus Aspergillus fungal infection. The nasal infection was cleared by endoscopic sinus surgery and the patient was treated with antifungal agents. The patient was otherwise healthy with no evidence of immunosuppresion. Five months later, the patient had to undergo excision of the left frontal intracranial infection for symptoms of raised intracranial pressure and seizures. Within 48hours of surgery, the patient developed basilar artery thrombosis with infarction of the cerebellum and midbrain. The patient succumbed to this vascular catastrophe, which developed at a site distal to that from surgery. The pathophysiology of ischaemic complications after surgical resection of intracranial aspergilloma is discussed.
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Affiliation(s)
- T D Nadkarni
- Department of Neurosurgery, King Edward Memorial Hospital, Seth G. S. Medical College, Parel, Mumbai, India.
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38
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Kava MP, Tullu MS, Deshmukh CT, Shenoy A. Colloid cyst of the third ventricle: a cause of sudden death in a child. Indian J Cancer 2003; 40:31-3. [PMID: 14716130] [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: 04/28/2023]
Abstract
Colloid cyst is a rare benign intracranial neoplasm, commonly located in the third ventricle. Though headache and visual symptoms are classical, the patients may present with sudden neurological deterioration. We present a ten-year-old male child who presented with sudden neurological deterioration due to colloid cyst of the third ventricle resulting in death. The child had intermittent headache for three months, for which medical attention was not sought. This report details the case and a short review of the condition is presented (with emphasis on the clinical features and importance of early diagnosis). Management (including surgical methods and conservative treatment) of third ventricle colloid cysts is briefly reviewed.
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Affiliation(s)
- M P Kava
- Department of Pediatrics, Seth G. S. Medical College and KEM Hospital, Parel, Mumbai-400 012, India
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39
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Abstract
The waiting times incurred during the management of 75 consecutive head and neck oncology patients attending for post-treatment follow-up were reviewed. Data were gleaned from general practitioner (GP) referral letters, patient case-notes as well as radiology and histology reports. The mean time for GP referral to ENT was 5.1 weeks. From ENT to endoscopy was 3.1 weeks, to histology 3.5 weeks, to computed tomography (CT) scan 5.6 weeks, to magnetic resonance scan (MR) 4.1 weeks, to primary radiotherapy 10.3 weeks and to surgery 5.5 weeks. The mean symptom duration prior to referral was 4.9 months. Our results compare unfavourably with the standards recommended by the BAO-HNS. Local modifiations may improve matters, but significant increases in funding, manpower and equipment are required to achieve the stipulated standards. Moreover, criteria for referral have to be re-emphasized and patient education has to be addressed as these appear to contribute the longest delay in the diagnosis of head and neck tumours.
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Affiliation(s)
- T M Jones
- Department of Otolaryngology, the University of Liverpool, UK.
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40
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Abstract
A 19-year-old male patient presented with a midline facial, nose, and forehead hard and bony swelling associated with hypertelorism. Neuroimaging revealed a massive tumor involving the anterior cranial fossa floor, which had occupied and enlarged all paranasal air sinuses, and displaced the orbits outwards and the frontal lobes of the brain superiorly. A basal transcranial route was used for radical resection of the massive and vascular tumor. Histological examination confirmed an aneurysmal bone cyst. Such tumors only rarely involve the cranial bones or paranasal air sinuses.
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Affiliation(s)
- T Nadkarni
- Department of Neurosurgery, King Edward Memorial Hospital, Seth G. S. Medical College, Parel, Mumbai, India
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41
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Abstract
A 26-year-old, short statured, obese male presented with a mature teratoma located entirely within the dural confines of the sella manifesting as headaches and progressive loss of vision. He had panhypopituitarism. Magnetic resonance imaging showed a large sellar-suprasellar but entirely infradiaphragmatic tumor of varying consistency. The tumor was resected through a trans-sphenoidal route. The tumor had elevated the diaphragma sellae to a significant extent but did not pass through. Histological examination confirmed a mature teratoma.
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Affiliation(s)
- D Muzumdar
- Department of Neurosurgery, King Edward VII Memorial Hospital and Seth G.S. Medical College, Parel, Mumbai, India
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42
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Shenoy A, Jyothy S, Koteshwer Rao K, Hazarika P. Carcinoma of external auditory canal. Indian J Otolaryngol Head Neck Surg 2001; 53:229-30. [PMID: 23119804 DOI: 10.1007/bf03028561] [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: 11/25/2022] Open
Abstract
Tumors of external auditory canal are rare and malignant neoplasms of external auditory canal are uncommon. We report two cases of carcinoma of external auditory canal. Primary carcinomas of the external auditory canal are rare, the incidence being approximately two cases per one million per year. Incidence in females is more than males (1). The cases are usually diagnosed late because of the absence of significant presenting complaints.
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Affiliation(s)
- A Shenoy
- Department of Radiotherapy, Kasturba Medical College, Manipal, 576 119 Karnataka, India
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43
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Desai K, Dindorkar K, Goel A, Shenoy A. Primary cerebello-pontine angle malignant melanoma: a case report. Neurol India 2001; 49:200-2. [PMID: 11447448] [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: 02/20/2023]
Abstract
A rare case of primary malignant melanoma in the cerebello-pontine angle, in a 17 year old girl is presented. The patient presented with one month history of headache, diplopia, facial asymmetry and ataxia. The computerised tomography (CT) scan and magnetic resonance imaging (MRI) revealed a large cerebello-pontine angle mass with features suggestive of a melanoma. The typical black coloured, solid and vascular melanoma was excised completely. Cerebello-pontine angle melanoma are extremely rare tumours with dismal long term outcome in majority of these cases.
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Affiliation(s)
- K Desai
- Departments of Neurosurgery and Neuropathology, K.E.M. Hospital and Seth G.S. Medical College, Parel, Mumbai, 400 012, India
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Abstract
Primary hepatic tumors are uncommon in children and account for only three per cent of the tumors in children. Infantile hemangioendothelioma is a rare benign hepatic tumor arising from mesenchymal tissue. Most of the cases present before six months. An unusual presentation and progression of infantile hemangioendothelioma is reported in a 19-month-old female child. The diagnosis was arrived at by radiological and histopathological examination. The patient underwent excision surgery, following which made an uneventful recovery. On follow-up at six months, patient was asymptomatic with no evidence of recurrence.
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Affiliation(s)
- R C Parmar
- Department of Pediatrics, Seth G.S. Medical College & K.E.M. Hospital, Parel, Mumbai-400 012, Maharashtra, India.
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45
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Fernandez D, Muranjan MN, Bavdekar SB, Kantharia V, Shenoy A. Pleomorphic xanthoastrocytoma. Indian Pediatr 2001; 38:297-300. [PMID: 11255312] [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: 02/19/2023]
Affiliation(s)
- D Fernandez
- Department of Pediatrics, Seth G.S. Medical College and K.E.M. Hospital, Parel, Mumbai 400 012, India
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46
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Abstract
Inflammatory pulmonary pseudotumour is an uncommon, non-neoplastic, occasionally aggressive spindle cell proliferative process of uncertain nosology. It has distinctive histopathological features and benign clinico-biological behaviour with multifocal lesions or recurrences in a minority of cases. Recognition of this entity is of paramount importance because it has considerable therapeutic and prognostic implications. The radiological features of two patients with pulmonary pseudotumour that was confirmed on histopathological examination are described.
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Affiliation(s)
- T Patankar
- Department of Radiology, King Edward Memorial Hospital, Bombay, India
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47
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Abstract
An 8-year-old boy with no evidence of von Recklinghausen's disease presented with an unusual neurinoma manifesting as a gradually progressive swelling in the suboccipital region over 2 years. The lesion was massive and had widely eroded the posterior aspects of the atlas, axis, and suboccipital bone. The tumor had involved the dura of the sigmoid and transverse sinuses, was highly vascular, and had encased the ipsilateral vertebral artery. The tumor was almost completely resected although with considerable loss of blood through a large rent in the right sigmoid sinus. This unusual benign neurinoma most probably arose from the second cervical ganglion.
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Affiliation(s)
- D Muzumdar
- Department of Neurosurgery, King Edward VII Memorial Hospital, Seth G.S. Medical College, Parel, Mumbai, India
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48
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Abstract
We report a case of bilateral and almost symmetrical endolymphatic sac papillary adenocarcinoma. A 22-year-old male patient presented with bilateral sixth, seventh, eighth and lower cranial nerve paresis and ataxia. Radiological investigations revealed extensively vascular tumours in the region of both jugular bulbs. The literature on this rare entity is briefly discussed.
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Affiliation(s)
- J Panchwagh
- Department of Neurosurgery, K.E.M. Hospital, Parel, Mumbai, India
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49
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Chaturvedi SK, Shenoy A, Prasad KM, Senthilnathan SM, Premlatha BS. Concerns, coping and quality of life in head and neck cancer patients. Support Care Cancer 1996; 4:186-90. [PMID: 8739650 DOI: 10.1007/bf01682338] [Citation(s) in RCA: 80] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Abstract
This study was conducted to explore the concerns and coping mechanisms used by patients with head and neck cancer and assess their quality of life. A group of 50 consecutive patients with oral and laryngeal cancers were interviewed using a coping and concerns checklist and a semistructured interview proforma to elicit the common concerns in relation to head and neck cancers and their surgical treatment. The Hospital Anxiety and Depression Scale was used to detect anxiety and depression. Concerns were compared between oral and laryngeal cancers and between preoperative and postoperative patients. Commonest concerns were about the future (64%), subjective physical evaluation (60%), finances (56%), being upset (54%), communication (54%), current illness (52%) and inability to do things (50%). The commonest coping mechanisms used were helplessness and fatalism. Resolution was noted in less than 40% of the frequent concerns. As compared to laryngeal cancer patients, those with oral cancer significantly more often had concerns about current illness, subjective evaluation of health, eating and chewing, social interactions, pain and disfigurement (P < 0.05). Most subjects had numerous unresolved concerns. Mainly ineffective coping mechanisms such as helplessness and fatalism were employed leading to incomplete resolution. Interventions to minimise these concerns and to handle associated anxiety and depression would improve their quality of life.
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Affiliation(s)
- S K Chaturvedi
- Department of Psychiatry, National Institute of Mental Health and Neurosciences, Bangalore, India
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50
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Malik GM, Al-Wabel AA, El Bagir Khalafalla Ahmed MM, Bilal NE, Shenoy A, Abdalla M, Mekki TE. Salmonella infections in Asir region, southern Saudi Arabia: Expatriated implications. Ann Saudi Med 1993; 13:242-5. [PMID: 17590669 DOI: 10.5144/0256-4947.1993.242] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
One hundred forty-two cases of salmonella infection seen in Asir region, Southern Saudi Arabia, during the period of 1989-1991 inclusive, were analyzed. Ninety-four cases were found to have enteric fever and 48 cases were found to have, Salmonella enteritidis gastroenteritis. Enteric fever is more common in non-Saudis (64%) than in the indigenous Saudi population (34%). Salmonella enteriditis gastroenteritis is more common among the Saudi population (75%) than non-Saudis (25%). The clinical presentation of both types of salmonella infection is outlined. Enteric fever is more common among expatriates who recently came from India (40.5%), Egypt (10.6%), Pakistan (6.4%), and Syria (4.3%). Salmonella typhi resistant to tetracycline, ampicillin, and chloramphenicol are more common among Indian patients (75% of resistant cases) and Syrian patients (12.5-28% of resistant cases). Resistance to cotrimoxazole is commonly encountered in Indians (50% of resistant cases) and Egyptians (33.3%). Salmonella enteriditis resistant to tetracycline, ampicillin, and chloramphenicol is more common among Saudis (66.7% of resistant cases) and Filipinos (16.7-33.3% of resistant cases). Recommendations regarding screening of expatriates for enteric fever and proper drug therapy of possible resistant cases are outlined.
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Affiliation(s)
- G M Malik
- Department of Medicine and Department of Microbiology, College of Medicine, Asir Central Hospital, Abha, Saudi Arabia
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