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Abstract
In the last decade several studies provided evidence that plasmacytoid dendritic cells (pDCs) infiltrate human neoplasms with poor prognosis. However, the role of tumor-associated pDCs remains controversial. Various studies indicate that pDCs play an immuno-suppressive role and facilitate tumor progression in both animal models and humans. In contrast, others found that the presence of activated tumor-associated pDCs results in tumor regression in mice. Given these findings, understanding pDC function in tumor biology is an important necessity and may pave the way for novel therapeutic strategies to fight malignancies.
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Affiliation(s)
- Aldo Pinto
- Pharmaceutical and Biomedical Sciences Department (FARMABIOMED); University of Salerno; Fisciano, Italy
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Abstract
Progesterone and some of its metabolites are neuroactive steroids that affect sleep by increasing melatonin secretion and stimulating GABA-A receptors. The effect of progestogens in hormonal contraceptives on sleep has not been thoroughly investigated. This observational study assessed possible associations in sleep changes induced by estrogen-progestogens in contraceptives in 108 women between the ages of 20 and 50 years. We assessed mean nightly sleep time with a 31-day sleep diary, and subjective sleep quality with the five subjective subscores of the Pittsburgh Sleep Quality Index (PSQI). Included women were of childbearing age, healthy, sexually active and had been using a hormonal contraceptive method (pill, intrauterine system (IUS), subcutaneous implant, vaginal ring) for at least six months. Results were compared to a matched control group that did not use hormonal contraceptives. The longest mean nightly sleep time, compared to control (450 min), occurred in women who used progestogen-only oral contraception (510 min), followed by IUS delivery of levonorgestrel 13.5 mg (480 min) and oral ethinylestradiol 0.02/0.03 mg plus gestodene 0.075 mg (475 min). Global subjective sleep quality was influenced most by the administration of etonorgestrel 0.120 mg/ethinylestradiol 0.015 mg via the vaginal route. Our results show that low-doses of progestins affect various aspects of sleep, and that this is influenced by the route of administration.
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Affiliation(s)
- Maurizio Guida
- Dipartimento di Medicina, Chirurgia e Odontoiatria "Scuola Medica Salernitana", Università degli Studi di Salerno, Salerno, Italy
| | - Alessia Rega
- Dipartimento di Medicina, Chirurgia e Odontoiatria "Scuola Medica Salernitana", Università degli Studi di Salerno, Salerno, Italy
| | - Imma Vivone
- Dipartimento di Medicina, Chirurgia e Odontoiatria "Scuola Medica Salernitana", Università degli Studi di Salerno, Salerno, Italy
| | - Gabriele Saccone
- Department of Neuroscience, Reproductive Sciences and Dentistry, School of Medicine, University of Naples "Federico II", Naples, Italy
| | - Laura Sarno
- Department of Neuroscience, Reproductive Sciences and Dentistry, School of Medicine, University of Naples "Federico II", Naples, Italy
| | - Costantino Di Carlo
- Department of Experimental and Clinical Medicine Unit of Obstetrics, Gynecology University of Catanzaro "Magna Graecia", Catanzaro, Italy
| | - Carmen Imma Aquino
- Dipartimento di Medicina, Chirurgia e Odontoiatria "Scuola Medica Salernitana", Università degli Studi di Salerno, Salerno, Italy
| | - Jacopo Troisi
- Dipartimento di Medicina, Chirurgia e Odontoiatria "Scuola Medica Salernitana", Università degli Studi di Salerno, Salerno, Italy
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Arthurs OJ, Rega A, Guimiot F, Belarbi N, Rosenblatt J, Biran V, Elmaleh M, Sebag G, Alison M. Diffusion-weighted magnetic resonance imaging of the fetal brain in intrauterine growth restriction. Ultrasound Obstet Gynecol 2017; 50:79-87. [PMID: 27706859 DOI: 10.1002/uog.17318] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/11/2016] [Revised: 08/23/2016] [Accepted: 09/22/2016] [Indexed: 06/06/2023]
Abstract
OBJECTIVE Diffusion-weighted magnetic resonance imaging (DWI) is a sensitive method for assessing brain maturation and detecting brain lesions, providing apparent diffusion coefficient (ADC) values as a measure of water diffusion. Abnormal ADC values are seen in ischemic brain lesions, such as those associated with acute or chronic hypoxia. The aim of this study was to assess whether ADC values in the fetal brain were different in fetuses with severe intrauterine growth restriction (IUGR) compared with normal controls. METHODS Brain magnetic resonance imaging (MRI) with single-shot axial DWI (b = 0 and b = 700 s/mm2 ) was performed in 30 fetuses with severe IUGR (estimated fetal weight < 3rd centile with absent or reversed umbilical artery Doppler flow) and in 24 normal controls of similar gestational age. Brain morphology and biometry were analyzed. ADC values were measured in frontal and occipital white matter, centrum semiovale, thalami, cerebellar hemisphere and pons. Frontal-occipital and frontal-cerebellar ADC ratios were calculated, and values were compared between IUGR fetuses and controls. RESULTS There was no difference in gestational age at MRI between IUGR and control fetuses (IUGR, 30.2 ± 1.6 weeks vs controls, 30.7 ± 1.4 weeks). Fetal brain morphology and signals were normal in all fetuses. Brain dimensions (supratentorial ± infratentorial) were decreased (Z-score, < -2) in 20 (66.7%) IUGR fetuses. Compared with controls, IUGR fetuses had significantly lower ADC values in frontal white matter (1.97 ± 0.23 vs 2.17 ± 0.22 × 10-3 mm2 /s; P < 0.0001), thalami (1.04 ± 0.15 vs 1.13 ± 0.10 ×10-3 mm2 /s; P = 0.0002), centrum semiovale (1.86 ± 0.22 vs 1.97 ± 0.23 ×10-3 mm2 /s; P = 0.01) and pons (0.85 ± 0.19 vs 0.94 ± 0.12 ×10-3 mm2 /s; P = 0.043). IUGR fetuses had a lower frontal-occipital ADC ratio than did normal fetuses (1.00 ± 0.11 vs 1.08 ± 0.05; P = 0.003). CONCLUSIONS ADC values in IUGR fetuses were significantly lower than in normal controls in the frontal white matter, thalami, centrum semiovale and pons, suggesting abnormal maturation in these regions. However, the prognostic value of these ADC changes is still unknown. Copyright © 2016 ISUOG. Published by John Wiley & Sons Ltd.
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Affiliation(s)
- O J Arthurs
- Department of Pediatric Radiology, Robert Debré Hospital, AP-HP, Paris, France
| | - A Rega
- Department of Pediatric Radiology, Robert Debré Hospital, AP-HP, Paris, France
| | - F Guimiot
- Department of Developmental Biology, Robert Debré Hospital, AP-HP, University Paris Diderot, Paris, France
- University Paris Diderot, Paris 7, PRES Sorbonne Paris-Cité, INSERM U1141, DHU PROTECT, Paris, France
| | - N Belarbi
- Department of Pediatric Radiology, Robert Debré Hospital, AP-HP, Paris, France
| | - J Rosenblatt
- Department of Gynecology and Obstetrics, Robert Debré Hospital, AP-HP, Paris, France
| | - V Biran
- University Paris Diderot, Paris 7, PRES Sorbonne Paris-Cité, INSERM U1141, DHU PROTECT, Paris, France
- Neonatal Intensive Care Unit, Robert Debré Hospital, AP-HP, University Paris Diderot, Paris, France
| | - M Elmaleh
- Department of Pediatric Radiology, Robert Debré Hospital, AP-HP, Paris, France
| | - G Sebag
- Department of Pediatric Radiology, Robert Debré Hospital, AP-HP, Paris, France
- University Paris Diderot, Paris 7, PRES Sorbonne Paris-Cité, INSERM U1141, DHU PROTECT, Paris, France
| | - M Alison
- Department of Pediatric Radiology, Robert Debré Hospital, AP-HP, Paris, France
- University Paris Diderot, Paris 7, PRES Sorbonne Paris-Cité, INSERM U1141, DHU PROTECT, Paris, France
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Cardoen L, Schiff M, Lambron J, Rega A, Virlouvet AL, Biran V, Eleni Dit Trolli S, Elmaleh-Bergès M, Alison M. [Neonatal presentation of maple syrup urine disease]. Arch Pediatr 2016; 23:1291-1294. [PMID: 27816400 DOI: 10.1016/j.arcped.2016.09.011] [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: 05/12/2016] [Accepted: 09/03/2016] [Indexed: 10/20/2022]
Affiliation(s)
- L Cardoen
- Service de radiologie pédiatrique, hôpital Robert-Debré, université Paris Diderot, PRES Sorbonne Paris-Cité, AP-HP, 75019 Paris, France
| | - M Schiff
- Service de neurologie pédiatrique, centre de référence des maladies métaboliques congénitales, université Paris Diderot, PRES Sorbonne Paris-Cité, 75019 Paris, France; Inserm U1141, DHU PROTECT, 75019 Paris, France
| | - J Lambron
- Service de radiologie pédiatrique, hôpital Robert-Debré, université Paris Diderot, PRES Sorbonne Paris-Cité, AP-HP, 75019 Paris, France
| | - A Rega
- Service de radiologie pédiatrique, hôpital Robert-Debré, université Paris Diderot, PRES Sorbonne Paris-Cité, AP-HP, 75019 Paris, France
| | - A-L Virlouvet
- Service de néonatologie, hôpital Robert-Debré, université Paris Diderot, PRES Sorbonne Paris-Cité, AP-HP, 75019 Paris, France
| | - V Biran
- Inserm U1141, DHU PROTECT, 75019 Paris, France; Service de néonatologie, hôpital Robert-Debré, université Paris Diderot, PRES Sorbonne Paris-Cité, AP-HP, 75019 Paris, France
| | - S Eleni Dit Trolli
- Service de réanimation pédiatrique et médecine néonatale, hôpital Bicêtre, AP-HP, 94270 Le Kremlin-Bicêtre, France
| | - M Elmaleh-Bergès
- Service de radiologie pédiatrique, hôpital Robert-Debré, université Paris Diderot, PRES Sorbonne Paris-Cité, AP-HP, 75019 Paris, France
| | - M Alison
- Service de radiologie pédiatrique, hôpital Robert-Debré, université Paris Diderot, PRES Sorbonne Paris-Cité, AP-HP, 75019 Paris, France; Inserm U1141, DHU PROTECT, 75019 Paris, France.
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Cardoen L, Schiff M, Lambron J, Rega A, Virlouvet AL, Biran V, Eleni Dit Trolli S, Elmaleh-Bergès M, Alison M. [Neonatal weight loss with neurological degeneration]. Arch Pediatr 2016; 23:1273-1275. [PMID: 27816399 DOI: 10.1016/j.arcped.2016.09.012] [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: 05/12/2016] [Accepted: 09/03/2016] [Indexed: 11/24/2022]
Affiliation(s)
- L Cardoen
- Service de radiologie pédiatrique, hôpital Robert-Debré, université Paris Diderot, PRES Sorbonne Paris-Cité, AP-HP, 75019 Paris, France
| | - M Schiff
- Service de neurologie pédiatrique, centre de référence des maladies métaboliques congénitales, université Paris Diderot, PRES Sorbonne Paris-Cité, 75019 Paris, France; Inserm U1141, DHU PROTECT, 75019 Paris, France
| | - J Lambron
- Service de radiologie pédiatrique, hôpital Robert-Debré, université Paris Diderot, PRES Sorbonne Paris-Cité, AP-HP, 75019 Paris, France
| | - A Rega
- Service de radiologie pédiatrique, hôpital Robert-Debré, université Paris Diderot, PRES Sorbonne Paris-Cité, AP-HP, 75019 Paris, France
| | - A-L Virlouvet
- Service de néonatologie, hôpital Robert-Debré, université Paris Diderot, PRES Sorbonne Paris-Cité, AP-HP, 75019 Paris, France
| | - V Biran
- Inserm U1141, DHU PROTECT, 75019 Paris, France; Service de néonatologie, hôpital Robert-Debré, université Paris Diderot, PRES Sorbonne Paris-Cité, AP-HP, 75019 Paris, France
| | - S Eleni Dit Trolli
- Service de réanimation pédiatrique et médecine néonatale, hôpital Bicêtre, AP-HP, 94270 Le Kremlin-Bicêtre, France
| | - M Elmaleh-Bergès
- Service de radiologie pédiatrique, hôpital Robert-Debré, université Paris Diderot, PRES Sorbonne Paris-Cité, AP-HP, 75019 Paris, France
| | - M Alison
- Service de radiologie pédiatrique, hôpital Robert-Debré, université Paris Diderot, PRES Sorbonne Paris-Cité, AP-HP, 75019 Paris, France; Inserm U1141, DHU PROTECT, 75019 Paris, France.
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Muller C, Berrebi D, Malbezin S, Rega A, El Ghoneimi A, Bonnard A. SFCP CO-09 - Variation de marquage par la calrétinine dans les formes courtes de Maladie de Hirschsprung : un facteur pronostic ? Arch Pediatr 2014. [DOI: 10.1016/s0929-693x(14)71647-1] [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: 12/01/2022]
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Alison M, Tanase A, Rega A, Gabor F, Tilea B, Sebag G. Imagerie des infections ostéo-articulaires de l’enfant. Arch Pediatr 2014. [DOI: 10.1016/s0929-693x(14)71518-0] [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: 12/01/2022]
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Rega A, Tanase A, Pommelet V, Chauty A, Ardant M, Alison M, Sebag G. SFIPP P-08 - Aspect radiologiques des atteintes osseuses à Mycobacterium Ulcerans. Arch Pediatr 2014. [DOI: 10.1016/s0929-693x(14)71857-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Rega A, Terlizzi M, Luciano A, Forte G, Crother TR, Arra C, Arditi M, Pinto A, Sorrentino R. Plasmacytoid dendritic cells play a key role in tumor progression in lipopolysaccharide-stimulated lung tumor-bearing mice. J Immunol 2013; 190:2391-402. [PMID: 23355734 DOI: 10.4049/jimmunol.1202086] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
The antitumor activity of LPS was first described by Dr. William Coley. However, its role in lung cancer remains unclear. The aim of our study was to elucidate the dose-dependent effects of LPS (0.1-10 μg/mouse) in a mouse model of B16-F10-induced metastatic lung cancer. Lung tumor growth increased at 3 and 7 d after the administration of low-dose LPS (0.1 μg/mouse) compared with control mice. This was associated with an influx of plasmacytoid dendritic cells (pDCs), regulatory T cells, myeloid-derived suppressor cells, and CD8(+) regulatory T cells. In contrast, high-dose LPS (10 μg/mouse) reduced lung tumor burden and was associated with a greater influx of pDCs, as well as a stronger Th1 and Th17 polarization. Depletion of pDCs during low-dose LPS administration resulted in a decreased lung tumor burden. Depletion of pDCs during high-dose LPS treatment resulted in an increased tumor burden. The dichotomy in LPS effects was due to the phenotype of pDCs, which were immunosuppressive after the low-dose LPS, and Th1- and T cytotoxic-polarizing cells after the high-dose LPS. Adoptive transfer of T cells into nude mice demonstrated that CD8(+) T cells were responsible for pDC recruitment following low-dose LPS administration, whereas CD4(+) T cells were required for pDC influx after the high-dose LPS. In conclusion, our data suggest differential effects of low-dose versus high-dose LPS on pDC phenotype and tumor progression or regression in the lungs of mice.
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Affiliation(s)
- Alessia Rega
- Department of Pharmaceutical and Biomedical Sciences, University of Salerno, Fisciano 84084, Italy.
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Forte G, Rega A, Morello S, Luciano A, Arra C, Pinto A, Sorrentino R. Polyinosinic-polycytidylic acid limits tumor outgrowth in a mouse model of metastatic lung cancer. J Immunol 2012; 188:5357-64. [PMID: 22516955 DOI: 10.4049/jimmunol.1103811] [Citation(s) in RCA: 51] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
Polyinosinic-polycytidylic acid (poly I:C), a TLR3 ligand, is currently being tested in human clinical trials as an adjuvant to anti-cancer vaccines and in combination with other therapies. However, little is known about its activity in established pulmonary metastasis. The aim of our study was to elucidate the effect of poly I:C (1, 10, or 100 μg/mouse) in a mouse model of B16-F10-induced metastatic lung cancer. Lung tumor growth was arrested after a single administration of poly I:C. This was associated with higher influx of mature dendritic cells (DCs), which drove toward a Th1-like, Th17-like, and cytotoxic immune environment. The interference with IFN type I receptor signaling by means of a specific mAb reversed poly I:C-mediated tumor regression due to lower presence of myeloid DCs, cytotoxic DCs (CD11c(+)CD8(+)), NKT cells, CD8(+) T cells, and Th1-like cytokines. Moreover, the adoptive transfer of poly I:C-activated bone marrow-derived DCs into tumor-bearing mice resulted in activities similar to those of the systemic administration of poly I:C on lung tumor burden. In conclusion, our data prove that poly I:C has potential anti-tumor activity in a mouse model of established pulmonary metastasis. The activation of DCs and the production of IFN type I are responsible for an effective T cytotoxic immune response against metastatic lung cancer progression after poly I:C treatment.
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Affiliation(s)
- Giovanni Forte
- Department of Pharmaceutical and Biomedical Science, University of Salerno, Fisciano, Salerno 84084, Italy
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Thikkurissy S, Pavone A, Rega A, Bae R, Roy M, Wishe HI, Kiremidjian-Schumacher L. Effect of interleukin-2 and selenium on the growth of squamous cell carcinoma cells. Otolaryngol Head Neck Surg 2001; 124:142-9. [PMID: 11226946 DOI: 10.1067/mhn.2001.112878] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [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: 11/22/2022]
Abstract
OBJECTIVES The objectives of this study were to determine whether the expression of the interleukin-2 (IL-2) receptors on squamous cell carcinoma cells can be enhanced in the presence of selenium (Se) and contribute to a greater retardation of tumor growth after locoregional therapy with IL-2. STUDY DESIGN The growth of the cells was studied after in vitro or dietary supplementation with Se in a murine model. RESULTS Treatment of established tumors in hosts supplemented with Se with peritumoral injections of IL-2 resulted in 50% reduction of tumor size, whereas treatment of early tumors resulted in 72.4% reduction. The effect was most likely related to a combination of enhanced immune responsiveness and enhanced IL-2 receptor expression on the tumor cells. CONCLUSIONS AND SIGNIFICANCE The data suggested that local immunotherapy with IL-2 in hosts supplemented with Se may represent an effective modality of treatment for the prevention of recurrences at the site of conventionally treated primary tumors, including tumors that do not express IL-2 receptors.
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Affiliation(s)
- S Thikkurissy
- New York University College of Dentistry, New York, NY 10010, USA
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Cindolo L, Rega A, Marsicano M, Ginestra A, Guadagno V, Altieri V. ["Classic" vs autolubricant catheterization for endovesicular chemotherapy. Preliminary experience]. MINERVA UROL NEFROL 1999; 51:181-5. [PMID: 10638184] [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
AIM The aim of this study was to evaluate the frequency of urinary tract infections (UTI) after catheterisation for instillation comparing two systems: the "classic" method and the catheterisation using a new autolubricant device: EasiCath Coloplast. METHODS During the period of endovesical chemotherapy (between 4 and 48 weeks), 22 patients (6 females and 18 males) were studied, aged between 53 and 78 years old. We have performed 139 instillations using Nelaton Ch 14 or 12 type catheters lubricated with gel based on lidocaine, neomicyn and fluocinolone ("classic" method). Instead 135 patients have been treated with autolubricant devices according to the manufacturer's instructions. After 48 hours from instillation, a total of 274 catheterisation have been examined using urine tests and urine culture with antibiogram. We administered a 5-point visual analogic score to the patients weighing the post-instillation dysuria. RESULTS With "classic" method UTI frequency is 7.19% (10/139). The most common pathogen has been E. coli (7/10). With autolubricant catheters UTI frequency is 2.96 (4/135). Klebsiella, Enterobacter, as well as E. coli (2/4) have been identified as pathogen. All patients with infections have been treated with targeted antibiotics based on the antibiogram. CONCLUSIONS We have observed the people with autolubricant catheters left more comfort then those undergoing to the "classic" catheterisation. The frequency of post-catheterisation, dysuria was also reduced. Our data show that the new method is safer and easier to handle then the "classic" one. Moreover, common anaesthetic/antibiotic lubricant have important bacteriostatic effects that reduce the BCG viability.
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Affiliation(s)
- L Cindolo
- Clinica Urologica, Azienda Universitaria Policlinico, Napoli
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Altieri V, Setola P, Ottaviano N, Ucciero G, Scognamiglio G, Montanaro V, Giannella R, Rega A, Lotti T. [Imaging diagnosis of non-lymph node metastasis of bladder carcinoma]. Arch Ital Urol Androl 1994; 66:223-8. [PMID: 7812300] [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: 01/27/2023] Open
Abstract
Assessment of presence of metastatic disease (m.d.) in bladder cancer (b.c.) can represent a main problem as influencing the appropriate therapeutic policy (mostly the indication to radical surgery). Evaluation of the real cost-effectiveness ratio of radiographic and radionuclide diagnostic work-up induced us to retrospectively review historical data about our b.c. patients (pts). From March 1988 to June 1991, 76 not consecutive pts with histologically proven bladder cancer were included in this study. 5 Pts were staged as T1, 25 as T2, 18 as T3a, 23 as T3b, 5 as T4. 2 Pts were graded as G1, 27 as G2, 44 as G3, 3 as Gx. Age varied from 39 to 89 years (average: 62.3). 79 Pts underwent the "basic work-up" (including chest plain film, bone and liver scans) and at least one follow-up control. 266 chest plain films, 22 chest x-ray tomograms, 2 chest CT scans, 27 bone x-ray tomograms, 231 bone scans, 240 liver scans, 17 liver ultrasonographies were totally realized. All pts underwent at least an abdomen-pelvic CT, but related results are not considered in the study. Fine needle aspiration cytologic biopsies were realized in selected cases; also these results are not selectively reported here. Together with cytologic positive results, only progression of m.d. was considered as its definite presence. Conventional x-ray examination (plain film integrated by x-ray tomograms of "suspicious" findings) resulted sufficiently complete and accurate to reveal chest m.d. Concerning skeletal diagnostic survey, only 6 pts (26%) out of 23 pts with "positive" bone scans really resulted affected by m.d.(ABSTRACT TRUNCATED AT 250 WORDS)
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Affiliation(s)
- V Altieri
- Clinica Urologica-II Facoltà di Medicina e Chirurgia dell'Università degli Studi di Napoli, Federico II
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