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Bongiovanni A, Pusceddu S, Leo S, Di meglio G, Gelsomino F, Pucci F, Berardi R, Ricci S, Lolli I, Bergamo F, Campana D, Santini D, Tamberi S, Pastorelli D, Cives M, Silvestris N, Russo A, Buonadonna A, Foca F, Ibrahim T. CAPTEM or FOLFIRI as second-line therapy in neuroendocrine carcinomas and exploratory analysis of predictive role of PET imaging and biological markers (SENECA study). Ann Oncol 2018. [DOI: 10.1093/annonc/mdy293.026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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De Rossi G, Granati L, Girelli G, Gandolo G, Perrone P, Martelli M, Conti L, Marini R, Pastorelli D, Coluzzi S, Niscola P, Pizzo F, Mandeli F. Prognostic Value of Autoantibodies against Erythrocytes and Platelets in Chronic Lymphocytic Leukemia (CLL). Tumori 2018; 77:100-4. [PMID: 2048220 DOI: 10.1177/030089169107700202] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Antiglobulin test (AT) and Dixon tests were performed in 100 patients with CLL. Thirty-five of them had Rai stages 0 or 1, 19 stage 2, 13 stage 3, and 33 stage 4. Twelve patients showed red blood cells autoantibodies (RBCAb) positivity; positivity at Dixon test (direct, indirect, or both) was observed in 74 %. The presence of autoantibodies against erythrocytes and platelets did not influence survival curves, but anemia and thrombocytopenia are considered risk factors, independently of the presence of an autoimmune disorder. Nine RBCAb positive patients with positive Dixon test had the worst survival curves, 5 of these were anemic and 1 thrombocytopenic and anemic.
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Affiliation(s)
- G De Rossi
- Human Biopathology Dept., University La Sapienza, Rome, Italy
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Soldà C, Bardini R, Sperti C, Da Dalt G, Gion M, Fiduccia P, Ursini F, Aliberti C, Pastorelli D. Phase II study of Gemcitabine and Curcumin (Meriva®) as first line treatment for locally advanced or metastatic pancreatic cancer: preliminary results. Ann Oncol 2015. [DOI: 10.1093/annonc/mdv344.41] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Cascinu S, Aprile G, Pastorelli D, Pinto C, Bordonaro R, Farina G, Amoroso D, Bilancia D, Ciuffreda L, Sartori D, Falcone A, Silvestris N, Beretta G, Buonadonna A, Sobrero A, Tamburini E, Amoroso V, Hsu Y, Chandrawansa K, Wilke H, Fuchs C, Passalacqua R. Age subgroup analysis of efficacy and safety data from two phase 3 studies of second-line ramucirumab (RAM) versus placebo (PL) in patients (pts) with previously treated gastric or gastroesophageal junction (GEJ) adenocarcinoma (RAINBOW and REGARD). Ann Oncol 2015. [DOI: 10.1093/annonc/mdv344.01] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Chau I, Park J, Ryoo B, Yen C, Poon R, Pastorelli D, Blanc J, Kudo M, Pfiffer T, Hatano E, Chung H, Kubackova K, Phelip J, Brandi G, Ohkawa S, Li C, Okusaka T, Yang L, Abada P, Zhu A. 2337 Ramucirumab (RAM) as a second-line treatment in patients with advanced hepatocellular carcinoma (HCC) following first-line therapy with sorafenib in the randomized phase III REACH study: Analysis of alpha-fetoprotein (AFP) kinetics during treatment. Eur J Cancer 2015. [DOI: 10.1016/s0959-8049(16)31253-9] [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: 11/26/2022]
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Beltrame V, Gruppo M, Pastorelli D, Pedrazzoli S, Merigliano S, Sperti C. Outcome of pancreaticoduodenectomy in octogenarians: Single institution's experience and review of the literature. J Visc Surg 2015; 152:279-84. [PMID: 26117303 DOI: 10.1016/j.jviscsurg.2015.06.004] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
INTRODUCTION Pancreatic and perampullary neoplasms in patients aged 80 or older trouble the surgeons because of the risk of surgical treatment. We have reviewed our experience and literature's reports of pancreaticoduodenectomy in octogenarians, evaluating early results and long-term survival in pancreatic cancer group. METHODS Three hundred eighty-five patients who underwent pancreaticoduodenectomy for neoplasms from 1998 to 2011 were included in the study, and were divided in two groups: group 1, patients younger than 80 years of age, and group 2, patients 80 years of age and older. Operative morbidity, mortality, disease-free and long-term survival were analysed. English literature was systematically searched for pancreatic resection's outcome in octogenarians. RESULTS There were 385 pancreaticoduodenectomies: 362 patients were in group 1 and 23 patients in group 2. There was no significant difference regarding gender, and pathologic findings between the two groups. Complications' rate (40 vs. 43%), mortality rate (4% vs. 0%), and overall median survival for pancreatic cancer patients were not statistically different in the two groups (median 21 vs. 19 months). Literature's review showed 14 reports of pancreatic resection in octogenarians. Most of the studies (particularly in centres with high-volume pancreatic surgery) showed that outcome after pancreatectomy was not different in octogenarians or in younger patients. CONCLUSION Pancreaticoduodenectomy is an acceptable option for elderly patients. Age alone should not be considered a contraindication to major pancreatic resection, but a careful preoperative evaluation and an accurate postoperative management are mandatory.
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Affiliation(s)
- V Beltrame
- Department of Surgery, Oncology and Gastroenterology, 3rd Surgical Clinic, University of Padua, via Giustiniani 2, 35128 Padua, Italy
| | - M Gruppo
- Department of Surgery, Oncology and Gastroenterology, 3rd Surgical Clinic, University of Padua, via Giustiniani 2, 35128 Padua, Italy
| | - D Pastorelli
- Department of Oncology, Veneto Institute of Oncology, IOV, via Gattamelata 64, 35128 Padua, Italy
| | - S Pedrazzoli
- Department of Surgery, Oncology and Gastroenterology, 3rd Surgical Clinic, University of Padua, via Giustiniani 2, 35128 Padua, Italy
| | - S Merigliano
- Department of Surgery, Oncology and Gastroenterology, 3rd Surgical Clinic, University of Padua, via Giustiniani 2, 35128 Padua, Italy
| | - C Sperti
- Department of Surgery, Oncology and Gastroenterology, 3rd Surgical Clinic, University of Padua, via Giustiniani 2, 35128 Padua, Italy.
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Soldà C, Bardini R, Sperti C, Da Dalt G, Gion M, Fiduccia P, Ursini F, Aliberti C, Pastorelli D. P-036 Phase II study of gemcitabine and curcumin as first line treatment for locally advanced or metastatic pancreatic cancer: preliminary data. Ann Oncol 2015. [DOI: 10.1093/annonc/mdv233.36] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Zhu A, Kudo M, Park J, Ryoo BY, Yen CJ, Chung HC, Baron A, Okusaka T, Poon R, Pastorelli D, Blanc JF, Flesch Pfiffer T, Kubackova K, Trojan J, Sastre J, Malfertheiner P, Peck-Radosavljevic M, Chang SC, Abada P, Yang L, Girvan A, Chau I. O-005 Ramucirumab (RAM) as second-Line treatment in patients with advanced hepatocellular carcinoma (HCC) following first-line therapy with sorafenib: comprehensive results from the randomized phase III REACH study. Ann Oncol 2015. [DOI: 10.1093/annonc/mdv235.04] [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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Zhu A, Ryoo B, Yen C, Kudo M, Poon R, Pastorelli D, Blanc JF, Chung H, Baron A, Pfiffer T, Okusaka T, Kubackova K, Trojan J, Sastre J, Chau I, Chang SC, Abada P, Yang L, Schwartz J, Park J. Ramucirumab (Ram) As Second-Line Treatment in Patients (Pts) with Advanced Hepatocellular Carcinoma (Hcc) Following First-Line Therapy with Sorafenib: Results from the Randomized Phase III Reach Study. Ann Oncol 2014. [DOI: 10.1093/annonc/mdu438.16] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Wilke H, Clingan P, Ananda S, Kurteva G, Suuroja T, Folprecht G, Beny A, Pastorelli D, Cesas A, Toganel C, Bodoky G, Lipatov O, Limon M, Cunningham D, Cummins S, Wainberg Z, Ko A, Emig M, Chandrawansa K, Van Cutsem E. Rainbow: A Global, Phase 3, Double-Blind Study of Ramucirumab Plus Paclitaxel Versus Placebo Plus Paclitaxel in the Treatment of Gastric Cancer Following Disease Progression: Western Population Subgroup. Ann Oncol 2014. [DOI: 10.1093/annonc/mdu193.6] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Dieudé-Fauvel E, Héritier P, Chanet M, Girault R, Pastorelli D, Guibelin E, Baudez JC. Modelling the rheological properties of sludge during anaerobic digestion in a batch reactor by using electrical measurements. Water Res 2014; 51:104-112. [PMID: 24419207 DOI: 10.1016/j.watres.2013.12.018] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/15/2013] [Revised: 12/10/2013] [Accepted: 12/11/2013] [Indexed: 06/03/2023]
Abstract
Anaerobic digestion is a significant process leading to biogas production and waste management. Despite this double interest, professionals still face a lack of efficient tools to monitor and manage the whole procedure. This is especially true for rheological properties of the material inside the reactor, which are of major importance for anaerobic digestion management. However, rheological properties can hardly be determined in-situ and it would be very helpful to determine indicators of their evolution. To solve this problem, this paper investigates the evolution of sewage sludge rheological and electrical properties during the anaerobic digestion in a batch reactor. We especially focus on apparent viscosity and complex impedance, measured by electrical impedance spectroscopy. Both of them can be modelled by a linear combination of raw sludge and inoculum properties, weighted by time-dependent coefficients. Thus, by determining digested sludge electrical signature, it is possible to obtain those coefficients and model sludge apparent viscosity. This work offers many theoretical and practical prospects.
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Affiliation(s)
- E Dieudé-Fauvel
- Irstea, UR TSCF, Domaine des Palaquins, F-03150 Montoldre, France.
| | - P Héritier
- Irstea, UR TSCF, Domaine des Palaquins, F-03150 Montoldre, France
| | - M Chanet
- Irstea, UR TSCF, 24 Avenue des Landais, CS 20085, F-63178 Aubière, France
| | - R Girault
- Irstea, UR TSCF, Domaine des Palaquins, F-03150 Montoldre, France
| | - D Pastorelli
- VEOLIA Eau, Direction technique, 1 rue Giovanni Batista Pirelli, Immeuble Giovanni Batista B, 94410 Saint-Maurice, France
| | - E Guibelin
- VEOLIA Eau, Direction technique, 1 rue Giovanni Batista Pirelli, Immeuble Giovanni Batista B, 94410 Saint-Maurice, France
| | - J C Baudez
- Irstea, UR TSCF, Domaine des Palaquins, F-03150 Montoldre, France
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Fiaschetti V, Pastorelli D, Squillaci E, Funel V, Rascioni M, Meschini A, Salimbeni C, Sileri P, Franceschilli L, Simonetti G. Static and dynamic evaluation of pelvic floor disorders with an open low-field tilting magnet. Clin Radiol 2013; 68:e293-300. [DOI: 10.1016/j.crad.2012.11.013] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2012] [Revised: 11/23/2012] [Accepted: 11/26/2012] [Indexed: 10/27/2022]
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Jirillo A, Trojniak M, Imbevaro S, Rescigno P, Pastorelli D, Palozzo A. A New Proposal of Drug Pricing Based on Value for Effectiveness in Real Practice Oncology. Ann Oncol 2012. [DOI: 10.1016/s0923-7534(20)33927-2] [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: 11/30/2022] Open
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Aapro M, Molassiotis A, Dicato M, Peláez I, Rodríguez-Lescure Á, Pastorelli D, Ma L, Burke T, Gu A, Gascon P, Roila F. The effect of guideline-consistent antiemetic therapy on chemotherapy-induced nausea and vomiting (CINV): the Pan European Emesis Registry (PEER). Ann Oncol 2012; 23:1986-1992. [PMID: 22396444 DOI: 10.1093/annonc/mds021] [Citation(s) in RCA: 216] [Impact Index Per Article: 18.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
BACKGROUND While guidelines for preventing chemotherapy-induced nausea and vomiting (CINV) are widely available, clinical uptake of guidelines remains low. Our objective was to evaluate the effect of guideline-consistent CINV prophylaxis (GCCP) on patient outcomes. PATIENTS AND METHODS This prospective, observational multicenter study enrolled chemotherapy-naive adults initiating single-day highly or moderately emetogenic chemotherapy (HEC or MEC) for cancer. Patients completed 6-day daily diaries beginning with cycle 1 for up to three chemotherapy cycles. The primary study end point, complete response (no emesis and no use of rescue therapy) during 120 h after cycle 1 chemotherapy, was compared between GCCP and guideline-inconsistent CINV prophylaxis (GICP) cohorts using multivariate logistic regression, adjusting for potential confounding factors. RESULTS In cycle 1 (N=991), use of GCCP was 55% and 46% during acute and delayed phases, respectively, and 29 % for the overall study period (acute plus delayed phases). Complete response was recorded by 172/287 (59.9%) and 357/704 (50.7%) patients in GCCP and GICP cohorts, respectively (P=0.008). The adjusted odds ratio for complete response was 1.43 (95% confidence interval 1.04-1.97; P=0.027) for patients receiving GCCP versus GICP. CONCLUSION GCCP reduces the incidence of CINV after single-day HEC and MEC.
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Affiliation(s)
- M Aapro
- Medical Oncology and Radiation, IMO Clinique de Genolier, Genolier, Switzerland.
| | - A Molassiotis
- School of Nursing Midwifery and Social Work, University of Manchester, Manchester, UK
| | - M Dicato
- Hematology-Oncology, Luxembourg Medical Center, Luxembourg, Luxembourg
| | - I Peláez
- Hospital de Cabuenes, Gijón, Spain
| | | | - D Pastorelli
- Oncologic Institute of the Veneto, Padova, Italy
| | - L Ma
- Global Health Outcomes, Merck Sharp & Dohme Corp., Whitehouse Station, USA
| | - T Burke
- Global Health Outcomes, Merck Sharp & Dohme Corp., Whitehouse Station, USA
| | - A Gu
- Global Health Outcomes, Merck Sharp & Dohme Corp., Whitehouse Station, USA
| | - P Gascon
- Institute of Hematology and Medical Oncology, IDIBAPS, University of Barcelona, Barcelona, Spain
| | - F Roila
- Medical Oncology, Santa Maria Hospital, Terni, Italy
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Lombardi G, Zustovich F, Zovato S, Fiore D, Cappetta A, Pastorelli D. Characteristics and management of pancreatic lesions in Von Hippel-Lindau disease: a systematic literature review. Oncol Rev 2011. [DOI: 10.4081/oncol.2009.103] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Von Hippel-Lindau disease is a rare autosomal dominant inherited disorder that predisposes the occurrence of cysts and various types of cancers such as hemangioblastoma, pheochromocytoma, renal cell carcinoma and more rarely pancreatic tumors. In this review, we analyze the characteristics and management of pancreatic lesions, in particular cysts and neuroendocrine tumors, in Von Hippel-Lindau disease.
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Lombardi G, Zustovich F, Zovato S, Fiore D, Cappetta A, Pastorelli D. Characteristics and management of pancreatic lesions in Von Hippel-Lindau disease: a systematic literature review. Oncol Rev 2011. [DOI: 10.4081/83] [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: 11/22/2022] Open
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Pastorelli D, Latiano T, Antonuzzo L, Pavese I, Aieta M, Algeri R, Azzarello D, Bertolini A, Di Fabio F, Di Costanzo F. 6114 POSTER Clinical Outcomes of Bevacizumab (BV) + XELOX Combination for the First-line Treatment of Patients (pts) With Advanced Cancer of the Colon or Rectum (ACRC) – Preliminary Results of the OBELIX Study. Eur J Cancer 2011. [DOI: 10.1016/s0959-8049(11)71759-2] [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: 10/17/2022]
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Fiaschetti V, Squillaci E, Pastorelli D, Rascioni M, Funel V, Salimbeni C, Fanucci E, Simonetti G. Dynamic MR defecography with an open-configuration, low-field, tilting MR system in patients with pelvic floor disorders. Radiol Med 2011; 116:620-33. [PMID: 21424567 DOI: 10.1007/s11547-011-0660-2] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2010] [Accepted: 07/09/2010] [Indexed: 11/30/2022]
Abstract
PURPOSE This study was undertaken to explore the capabilities of an open-configuration, low-field, tilting, magnetic resonance (MR) system for investigating pelvic floor disorders and to compare the results obtained with the patient in the semiorthostatic and supine positions. MATERIALS AND METHODS Eighteen female patients with a diagnosis of pelvic floor disorder (physical examination and conventional defecography) underwent dynamic MR defecography (MRD) with a 0.25-T tilting MR system (G-scan, Esaote). Images were obtained after administration of contrast agent into the rectum, bladder and vagina in both the orthostatic and supine positions. Three-dimensional T2-weighted hybrid contrast-enhanced (HYCE) sequences and dynamic T1-weighted gradient echo (GE) sequences were acquired at rest, during maximal contraction of the anal sphincter, straining and defecation. RESULTS Good image quality was obtained in 15/18 patients; three presented severe artefacts due to motion, and three had incontinence, which hampered the functional studies. Better anatomical detail was obtained with MRD compared with conventional defecography. Three prolapses were observed in the semiorthostatic position only, and seven were found to be more severe in the orthostatic than in the supine position. CONCLUSIONS Dynamic MRD with an open-configuration, low-field, tilting MR system is a feasible and promising tool for studying the pelvic floor. Larger series are necessary to assess its real diagnostic value.
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Affiliation(s)
- V Fiaschetti
- Dipartimento di Diagnostica per Immagini ed Imaging Molecolare, Radioterapia e Radiologia Interventistica, Fondazione Policlinico Universitario Tor Vergata (PTV), Viale Oxford 81, 00133, Rome, Italy
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Lombardi G, Pastorelli D, Zustovich F, Farina M, Furini L, Cappetta A, Zagonel V. Factors predicting time-to-progression (TTP) and overall survival (OS) in patients with unresectable hepatocellular carcinoma (uHCC) treated by combination gemcitabine (G) and pegylated liposomal doxorubicin (PLD) chemotherapy. J Clin Oncol 2010. [DOI: 10.1200/jco.2010.28.15_suppl.e14618] [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: 11/20/2022] Open
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22
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Furini L, Artioli G, Lombardi G, Zustovich F, Faggioni G, Scattolin G, Carli P, Pastorelli D, Nicoletto M. P49 Chemotherapy in older women with ovarian cancer. Crit Rev Oncol Hematol 2009. [DOI: 10.1016/s1040-8428(09)70087-3] [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: 11/26/2022] Open
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Zovato S, Opocher G, Rossi E, Indraccolo S, Amadori A, Pastorelli D, Lombardi G, Anglani M, Zamarchi R. 7144 Predictive value and biologic significance of circulating tumor cells (CTC) in sporadic and von hippel lindau (VHL) renal cancer. EJC Suppl 2009. [DOI: 10.1016/s1359-6349(09)71477-6] [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] Open
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24
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Lombardi G, Zustovich F, Carli P, Puppa AD, Rotilio A, Scienza R, Pastorelli D. 8715 Cisplatin and Temozolomide in heavily pretreated and poor performance status (PS) patients with temozolomide refractory glioblastoma. EJC Suppl 2009. [DOI: 10.1016/s1359-6349(09)71689-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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Pastorelli D, Zustovich F, Lombardi G, Zovato S, Farina M, Furini L, Faggioni G, Nicoletto M, Ceravolo R. 6620 Pegylated liposomal doxorubicin (PLD) and gemcitabine (G) in the treatment of advanced hepatocellular carcinoma (HCC). EJC Suppl 2009. [DOI: 10.1016/s1359-6349(09)71341-2] [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: 11/16/2022] Open
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Affiliation(s)
- G. Lombardi
- Oncologia Medica 1 — Istituto Oncologico Veneto, IRCCS, Padova, Italy,
| | - F. Zustovich
- Oncologia Medica 1 — Istituto Oncologico Veneto, IRCCS, Padova, Italy
| | - MO Nicoletto
- Oncologia Medica 1 — Istituto Oncologico Veneto, IRCCS, Padova, Italy
| | - M. Donach
- Oncologia Medica 1 — Istituto Oncologico Veneto, IRCCS, Padova, Italy
| | - D. Pastorelli
- Oncologia Medica 1 — Istituto Oncologico Veneto, IRCCS, Padova, Italy
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Lombardi G, Zustovich F, Zovato S, Fiore D, Cappetta A, Pastorelli D. Characteristics and management of pancreatic lesions in Von Hippel-Lindau disease: a systematic literature review. Oncol Rev 2009. [DOI: 10.1007/s12156-009-0013-8] [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: 11/28/2022] Open
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Amadori A, Rossi E, Zamarchi R, Carli P, Pastorelli D, Jirillo A. Circulating and disseminated tumor cells in the clinical management of breast cancer patients: unanswered questions. Oncology 2009; 76:375-86. [PMID: 19407470 DOI: 10.1159/000215581] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2008] [Accepted: 01/26/2009] [Indexed: 11/19/2022]
Abstract
Breast cancer is the most common cancer in women. Although survival rates have improved with the use of new therapeutic agents, many issues remain unresolved and new predictive and prognostic factors are needed in clinical practice. Several studies have suggested a prognostic and predictive role for circulating and disseminated tumor cells in metastatic disease and adjuvant treatment. Because of recent technological advances, oncologists have gained a new perspective on this disease. Circulating tumor cells could be both a new tumor marker as well as a tool to gain novel insight into the natural history of this neoplastic disease.
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Affiliation(s)
- A Amadori
- Istituto Oncologico Veneto IRCCS, Padova, Italy
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Zustovich F, Cartei G, Dal Bianco M, De Zorzi L, Ceravolo R, Zovato S, Salmaso F, Binato S, Artioli G, Cingarlini S, Pastorelli D. A phase II study of gemcitabine and immunotherapy in renal cancer: preliminary results and review of the literature. Ann Oncol 2008; 17 Suppl 5:v133-6. [PMID: 16807442 DOI: 10.1093/annonc/mdj968] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023] Open
Affiliation(s)
- F Zustovich
- O.U.C. Medical Oncology, Busonera Hospital 1 floor, National Oncology Institute of Veneto (IOV - IRCCS ) Padua, Italy.
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Pastorelli D, Cartei G, Zustovich F, Zovato S, Artioli G, Ceravolo R, Nicoletto M, Binato S, Mattiazzi M. A phase II study of pegylated liposomial doxorubicin (PLD) and gemcitabine (G) in the treatment of hepatocellular carcinoma (HCC) not suitable for loco-regional therapy. J Clin Oncol 2007. [DOI: 10.1200/jco.2007.25.18_suppl.4585] [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
4585 Background: There is no gold standard pharmacological treatment for HCC not suitable for loco-regional therapy. Antracyclines have been often used for the chemotherapy of HCC with low efficacy and well known toxicity. Availability of new drugs and in particular of PLD could enhance the chance of treatment and contain side-effects. Gemcitabine is active against the most solid tumors. Patients and Methods: We enrolled 35 patients (PTS) with histological diagnosis of HCC not suitable for loco-regional treatment and adequate haematological function.; median age was 63.2 (range 44.0–77.4); male/female=29/6; PS=0 in 30 PTS, PS=1 in 4 PTS and PS=2 in 1 PT. Eighteen PTS had metastatic disease. Prior treatments were TACE in13 PTS, PEI in 9, surgery in 12, RFTA in 5 and chemotherapy in 3. Nineteen patients had Child-Pough A-B cirrhosis HBV-HCV related. PLD was administered at the dose of 30mg/m2 over a 60’ infusion every 28 days and G at the dose of 1,000mg/m2 over 30’ infusion days 1 and 8 every 28 days. Instrumental response evaluation was performed every 3 cycles and treatment was continued until disease progression or major toxicity evidence. Results: All PTS were valuable for toxicity: G1–2 toxicity was neutropenia in 5 PTS, thrombocytopenia in 7, mucositis in 3 and PPE in 3. G3–4 toxicity was neutropenia in 6 PTS and thrombocytopenia in 1. Thirty-four PTS were valuable for response with CR in 2, PR in 6, SD in 12 and PD in 14. Thirty-four PTS were valuable for TTP: median was 6.2+ months (range 1.9–31.7+). All PTS were valuable for OS: median was 8.8+ months (range 1.9–36.5+). Conclusions: The combination of PLD and G is safe and effective in treatment of HCC. No life-threatening toxicity was experienced and disease control rate was about 60%. No significant financial relationships to disclose.
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Zustovich F, Cartei G, Ceravolo R, Salmaso F, Zovato S, Artioli G, Cingarlini S, Binato S, Pastorelli D. Fixed infusion rate (FIR) gemcitabine (G) based treatment for advanced renal cell carcinoma (ARCC): Efficacy and toxicity data from a phase II study. J Clin Oncol 2006. [DOI: 10.1200/jco.2006.24.18_suppl.14632] [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: 11/20/2022] Open
Abstract
14632 Background: ARCC is still an untreatable disease because high dose IL2 therapy is feasible and effective only in a small percentage of patients (pts). Standard dose IL2 is palliative as well as every other treatment. G is a well tolerated agent, even in aged pts and is moderately effective in ARCC. FIR of 10 mg/m2/min increases intracellular G active metabolites and may enhance therapeutic and toxic effect. Aim of study was to evaluate the FIR-G effectiveness in ARCC. Methods: G was administered IV at 10 mg/m2/min FIR for 50 to 1250 min according to age and PS on day 1,8,15 every 28. Immunotherapy (IT) was IL2 3MU subcutaneously daily for 5 days a week or Alfa-INF 3MU three days a week, chronically given. Results: We enrolled 23 pts; 5 female; median age 59 years (29–75), all stage IV disease, all nephrectomized with histologically confirmed clear cell carcinoma; median Fhurman’s grade was 3 (1–4); median PS was 2 (0–3); 9 pts had bone mets; prior treatments: IT, mostly low doses IL2, in 12 pts; chemotherapy in 7 pts and palliative radiotherapy in 9 pts. 125 cycles (median of 5, range 1–35) were administered with a median G dose of 1050 mg/m2 over 105’. 13 Pts received IT (11 pts were IT naïve and received IL2 and 2 pts previously treated with IL2 received Alfa-INF). In the 22 pts valuable for toxicity grade 1–2/#pts was: granulocytopenia/5, anemia/2, nausea/5, vomiting/2, constipation/1, mucositis/1, fever/1, infection/1, fatigue/2, cutaneous/5, peripheral edema/4; grade 3–4 was: anemia/3, nausea/1, fatigue/3, cutaneous/1, vascular venous/1, peripheral edema/1. 26 cycles had to be delayed due to side effects. In the 22 valuable pts we reported 3 PR with a RR of 14% and 11 pts (50%) had SD. All pts were valuable for TTP with a median of 5.6 months (1–35). Data on OS are still immature with a median of 15+ (3–55+). Conclusions: FIR-G ± IT is safe and moderately effective against ARCC. Due to the small number of pts no separate analysis is possible between G ± IT or prognostic factors groups. Nevertheless our TTP and OS data are promising considering the detrimental prognostic factors in the treated population. Present work was part of studies program of, and partly supported by, AOI (Associazione Oncologia Italiana), Padova, Italy. No significant financial relationships to disclose.
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Affiliation(s)
- F. Zustovich
- Medical Oncology 1st floor IOV- IRCCS, Padova, Italy
| | - G. Cartei
- Medical Oncology 1st floor IOV- IRCCS, Padova, Italy
| | - R. Ceravolo
- Medical Oncology 1st floor IOV- IRCCS, Padova, Italy
| | - F. Salmaso
- Medical Oncology 1st floor IOV- IRCCS, Padova, Italy
| | - S. Zovato
- Medical Oncology 1st floor IOV- IRCCS, Padova, Italy
| | - G. Artioli
- Medical Oncology 1st floor IOV- IRCCS, Padova, Italy
| | - S. Cingarlini
- Medical Oncology 1st floor IOV- IRCCS, Padova, Italy
| | - S. Binato
- Medical Oncology 1st floor IOV- IRCCS, Padova, Italy
| | - D. Pastorelli
- Medical Oncology 1st floor IOV- IRCCS, Padova, Italy
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Pastorelli D, Cartei G, Zustovich F, Marchese F, Artioli G, Zovato S, Binato S, Ceravolo R, Cingarlini S, Salmaso F, Mattiazzi M, Sanavio C, Farinati F, Zanus G, Cillo U. Gemcitabine and liposomal doxorubicin in biliary and hepatic carcinoma (HCC) chemotherapy: preliminary results and review of the literature. Ann Oncol 2006; 17 Suppl 5:v153-7. [PMID: 16807446 DOI: 10.1093/annonc/mdj972] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
BACKGROUND Advanced biliary tract cancers have a poor prognosis. Gemcitabine (G) as a single agent or in combination represents an active treatment option. Systemic chemotherapy in hepatocellular carcinoma represents a palliative treatment. Gemcitabine in combination with Liposomal Doxorubicin (LD) may represent an active treatment option. PATIENTS AND METHODS Clinical trials for biliary and hepatic carcinoma have been reviewed. RESULTS We obtained RC (1 pt), RP (4 pts), SD (8 pts) and seven pts had PD (RR 25% and SD 40%). Our chemotherapy regimen was Gemcitabine 1000 mg/m(2) d 1 and 8, Liposomal Doxorubicin 30 mg d 1, q 28. Patients were 21 (17 M), aged 44 to 78 (median 63 yrs). Only in 8 pts we observed G 3-4 haematological toxicity, thrombocytopenia and neutropenia (7 G3, 1 G4).
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Affiliation(s)
- D Pastorelli
- O.U.C. Medical Oncology, Busonera Hospital 1 floor, National Oncology Institute of Veneto, IOV - IRCCS, Padua, Italy.
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Cartei G, Zustovich F, Murrone A, Zovato S, Binato S, Mattiazzi M, Farinati F, Zanus G, Cillo U, Pastorelli D. A phase I-II study of liposomal doxorubicin (LD) in the treatment of hepatocellular carcinoma (HCC) not suitable for loco-regional therapy. J Clin Oncol 2005. [DOI: 10.1200/jco.2005.23.16_suppl.4227] [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
Affiliation(s)
- G. Cartei
- Medcl Oncology ULSS16 Padova, Padova, Italy; Azienda Osp di Padova, Padova, Italy; Medcl Oncology ULSS16, Padova, Italy
| | - F. Zustovich
- Medcl Oncology ULSS16 Padova, Padova, Italy; Azienda Osp di Padova, Padova, Italy; Medcl Oncology ULSS16, Padova, Italy
| | - A. Murrone
- Medcl Oncology ULSS16 Padova, Padova, Italy; Azienda Osp di Padova, Padova, Italy; Medcl Oncology ULSS16, Padova, Italy
| | - S. Zovato
- Medcl Oncology ULSS16 Padova, Padova, Italy; Azienda Osp di Padova, Padova, Italy; Medcl Oncology ULSS16, Padova, Italy
| | - S. Binato
- Medcl Oncology ULSS16 Padova, Padova, Italy; Azienda Osp di Padova, Padova, Italy; Medcl Oncology ULSS16, Padova, Italy
| | - M. Mattiazzi
- Medcl Oncology ULSS16 Padova, Padova, Italy; Azienda Osp di Padova, Padova, Italy; Medcl Oncology ULSS16, Padova, Italy
| | - F. Farinati
- Medcl Oncology ULSS16 Padova, Padova, Italy; Azienda Osp di Padova, Padova, Italy; Medcl Oncology ULSS16, Padova, Italy
| | - G. Zanus
- Medcl Oncology ULSS16 Padova, Padova, Italy; Azienda Osp di Padova, Padova, Italy; Medcl Oncology ULSS16, Padova, Italy
| | - U. Cillo
- Medcl Oncology ULSS16 Padova, Padova, Italy; Azienda Osp di Padova, Padova, Italy; Medcl Oncology ULSS16, Padova, Italy
| | - D. Pastorelli
- Medcl Oncology ULSS16 Padova, Padova, Italy; Azienda Osp di Padova, Padova, Italy; Medcl Oncology ULSS16, Padova, Italy
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Zustovich F, Cartei G, Ceravolo R, Salmaso F, Zovato S, Binato S, Pastorelli D. Cisplatin (C), temozolomide (T) every 21 days and concomitant thalidomide (TH) in patients (PTS) with malignant gliomas. Final results of a phase I study. J Clin Oncol 2005. [DOI: 10.1200/jco.2005.23.16_suppl.1554] [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] [Indexed: 11/20/2022] Open
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Cartei G, Palù G, Palumbo M, Trestin A, Richter S, Barzon L, Salmaso F, Mattiazzi M, Pastorelli D. Effect of chemotherapy on topoisomerase (TOP) expression and activity in colon carcinoma cells. J Clin Oncol 2004. [DOI: 10.1200/jco.2004.22.90140.3749] [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] [Indexed: 11/20/2022] Open
Affiliation(s)
- G. Cartei
- IOV Padova, Padova, Italy; Dept. of Histology, Microbiology and Med. Biotechnology, University of Padova, Italy; Dept. of Pharmaceutical Sciences, University of Padova, Italy
| | - G. Palù
- IOV Padova, Padova, Italy; Dept. of Histology, Microbiology and Med. Biotechnology, University of Padova, Italy; Dept. of Pharmaceutical Sciences, University of Padova, Italy
| | - M. Palumbo
- IOV Padova, Padova, Italy; Dept. of Histology, Microbiology and Med. Biotechnology, University of Padova, Italy; Dept. of Pharmaceutical Sciences, University of Padova, Italy
| | - A. Trestin
- IOV Padova, Padova, Italy; Dept. of Histology, Microbiology and Med. Biotechnology, University of Padova, Italy; Dept. of Pharmaceutical Sciences, University of Padova, Italy
| | - S. Richter
- IOV Padova, Padova, Italy; Dept. of Histology, Microbiology and Med. Biotechnology, University of Padova, Italy; Dept. of Pharmaceutical Sciences, University of Padova, Italy
| | - L. Barzon
- IOV Padova, Padova, Italy; Dept. of Histology, Microbiology and Med. Biotechnology, University of Padova, Italy; Dept. of Pharmaceutical Sciences, University of Padova, Italy
| | - F. Salmaso
- IOV Padova, Padova, Italy; Dept. of Histology, Microbiology and Med. Biotechnology, University of Padova, Italy; Dept. of Pharmaceutical Sciences, University of Padova, Italy
| | - M. Mattiazzi
- IOV Padova, Padova, Italy; Dept. of Histology, Microbiology and Med. Biotechnology, University of Padova, Italy; Dept. of Pharmaceutical Sciences, University of Padova, Italy
| | - D. Pastorelli
- IOV Padova, Padova, Italy; Dept. of Histology, Microbiology and Med. Biotechnology, University of Padova, Italy; Dept. of Pharmaceutical Sciences, University of Padova, Italy
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Cartei G, Clocchiatti L, Sacco C, Pella N, Bearz A, Mantero J, Pastorelli D, Salmaso F, Zustovich F. Dose finding of ifosfamide administered with a chronic two-week continuous infusion. Oncology 2003; 65 Suppl 2:31-6. [PMID: 14586144 DOI: 10.1159/000073355] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
PURPOSE Ifosfamide (IFO) is an active drug in several malignancies. A short-term 3- to 7-day (A) continuous infusion (c.i.) has been used in different tumor types. The 14-day c.i. (B) has been investigated in advanced breast cancer and in soft tissue sarcoma patients at a fixed daily dose. The tolerance and response rate (RR) of therapies A and B has been considered encouraging. AIM To study the 14-day c.i. IFO schedule, every 28 days, with a dose-finding approach. METHODS From January 1998 to December 2001, 34 pretreated patients with advanced malignancy and disease progression were treated with c.i. IFO (and the same dose of mesna) from 400 to 1,000 mg/m(2)/24 h for 2 consecutive weeks every 28 days. An elastomeric pumping device via an Infuse-a-Port((R)) or a Groshong((R)) catheter was used. RESULTS A total of 159 cycles were evaluable for toxicity and results. No toxic deaths occurred. Three patients (8.8%) had a severe acute allergic cutaneous reaction with various grade 3-4 toxicities requiring hospitalization and therapy was stopped at day 6 of the first cycle, 7 and 12 of the second cycle respectively. In the other 31 patients, grade 4 neutropenia occurred in 6 (19.3%) and it represented the main toxicity. There was a positive relationship between the IFO dose step and neutropenia (p = 0.001). A positive relationship was observed between the RR and the received total IFO dose (g) (p < 0.004). Twelve patients out of 31 had progressive disease (PD) (38.7%), 8 had partial remission (PR) (25.8%), and 11 maintained a steady state (35.5%). Six of the 12 patients (50%) with PD and 2 of the 8 PRs (25%) had bone metastases. CONCLUSIONS IFO c.i. is generally well tolerated, but acute untoward allergic reactions can occur. In chemotherapy-pretreated patients the recommended daily dose of continuously infused IFO for 14 days every 4 weeks is 900 mg/m(2)/day, together with mesna at the same dose schedule.
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Affiliation(s)
- G Cartei
- General Oncology, ULSS 16, Padova, Italy.
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Cafolla A, Dragoni F, Girelli G, Tosti ME, Costante A, Pastorelli D, Bedogni G, Scott S. Folate status in Italian blood donors: relation to gender and smoking. Haematologica 2000; 85:694-8. [PMID: 10897120] [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: 02/17/2023] Open
Abstract
BACKGROUND AND OBJECTIVES Folate deficiency in the general population is associated with a risk of cardiovascular disease and various cancers. The aim of this study was to evaluate folate status in Italian blood donors and its relationship with gender and smoking habit. DESIGN AND METHODS A prospective study of 201 first visit donors (99 males and 102 females) was undertaken to evaluate folate status by measuring serum folate (SF) and red blood cell folate (RCF) levels and relating those with gender and smoking habit (100 smokers and 101 non-smokers). RESULTS The rates of SF level less than 6.8 nmol/L and RCF less than 340 nmol/L were 9.9% and 25.3%, respectively in Italian blood donors. Mean RCF level was significantly lower (p<0.05) in females than in males and in smokers compared to non-smokers (p<0.001). The risk of reduced RCF levels in smokers was related to the number of cigarettes smoked per day, more than nine cigarettes increased the relative risk (RR) of low RCF level to 2.93 (95% C.I.: 1.34-6.41). INTERPRETATION AND CONCLUSIONS This study suggests that folate deficiency, evaluated by RCF and SF levels, is widespread in Italian blood donors. Moreover, RCF values seem related to gender in non-smokers and modified by smoking habit, according to the cigarettes number smoked per day.
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Affiliation(s)
- A Cafolla
- Via R. Fucini 204, 00137 Rome, Italy.
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Gramolini R, Chiarioni S, Pastorelli D, Girelli G. [Autologous transfusion technique application table]. Ann Ital Chir 1999; 70:749-56; discussion 756-7. [PMID: 10692796] [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: 02/15/2023]
Abstract
The authors make a survey on the reasons leading to the application of different methods of autologous transfusion. They underline, incidentally, the important role played by the issues encountered in dealing with Jehovah's Witnesses as well as the discovery and spread of new transfusion transmitted diseases like AIDS and hepatitis C. They explain their experience, from which they have produced a Best Autologous Transfusion Technique Application Table (Scheda di Applicazione Ottimale delle Metodiche di Autotrasfusione, SAOMA), specific for every type, of operation, through the analysis of many parameters (surgeon, anaesthetist, transfusionist, general conditions of the patients, type of surgical operation). Moreover the authors evaluate advantages and disadvantages of the different autologous transfusion methods, including their cost efficiency aspects, and how they can be combined depending on the type of surgical operation. As a conclusion they attribute great importance to SAOMA to minimize homologous blood transfusion risks, even though at times the clinical aspect is made to prevail over the economic one.
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Affiliation(s)
- R Gramolini
- Dipartimento di Biotecnologie cellulari ed Ematologia, Università di Roma La Sapienza
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Santino I, Nicosia R, Sessa R, Pustorino R, Pastorelli D, Isacchi G, Del Piano M. Lyme disease seroprevalence in a region of central Italy. New Microbiol 1995; 18:391-8. [PMID: 8590392] [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] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Abstract
The present study reports the seroprevalence of IgG antibodies to B. burgdorferi by testing sera from volunteer blood donors in Latium, a region of Central Italy. All samples were tested by ELISA and the positive samples were assayed by Western blotting as a confirmatory test. A positivity rate of 4.3% was recorded by ELISA, while after the confirmatory test by Western blotting the positivity rate decreased to 1.5%. The presence of significant antibody titers to B. burgdorferi in the sera of healthy subjects shows that further investigations are necessary to clarify the real prevalence of Lyme disease in our region.
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Affiliation(s)
- I Santino
- II Chair of Clinical Microbiology, University of Roma, La Sapienza, Italy
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