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Tabbò F, Guerrera F, Bironzo P, Gagliasso M, Cartia C, Rigutto A, Izzo S, Veneziano F, Arizio F, Ardissone F, Papotti M, Volante M, Novello S, Righi L. P2.09-18 Lymphocyte Infiltration Pattern and STING Expression Identify Different Prognostic Groups in Early Stage NSCLC. J Thorac Oncol 2019. [DOI: 10.1016/j.jtho.2019.08.1667] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Gagliasso M, Cartia C, Maraschi A, Rapanà R, Sobrero S, Sandri A, Migliaretti G, Ardissone F. The prognostic impact of the international association for the study of lung cancer (IASLC) definitions on completeness of surgical resection for non-small cell lung cancer (NSCLC). Ann Oncol 2019. [DOI: 10.1093/annonc/mdz064.009] [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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Filosso PL, Guerrera F, Evangelista A, Thomas P, Welter S, Rendina EA, Venuta F, García-Yuste M, Rocco G, Brunelli A, Ampollini L, Nosotti M, Travis W, Raveglia F, Ardissone F, Casado P, Rena O, Larocca V, Sagan D. O-007ANATOMICAL RESECTIONS ARE SUPERIOR TO WEDGE FOR THE OVERALL SURVIVAL IN STAGE I TYPICAL CARCINOID PATIENTS. Interact Cardiovasc Thorac Surg 2017. [DOI: 10.1093/icvts/ivx280.007] [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: 11/12/2022] Open
Affiliation(s)
| | - F Guerrera
- Thoracic Surgery, University of Torino, Torino, Italy
| | - A Evangelista
- Unit of Cancer Epidemiology and CPO Piedmont, San Giovanni Battista Hospital, Torino, Italy
| | - P Thomas
- Thoracic Surgery, APHM-AMU North University Hospital, Marseille, France
| | - S Welter
- Division of Thoracic Surgery, Ruhrlandklinik, Essen, Essen, Germany
| | - E A Rendina
- Thoracic Surgery Unit, University La Sapienza, Sant’Andrea Hospital, Rome, Italy
| | - F Venuta
- Thoracic Surgery Unit, University La Sapienza, Policlinico Umberto I Hospital, Rome, Italy
| | - M García-Yuste
- Thoracic Surgery, Clínico Universitario Hospital, Valladolid, Spain
| | - G Rocco
- Division of Thoracic Surgery, Department of Thoracic Surgical and Medical Oncology, Istituto Nazionale Tumori, Fondazione Pascale, IRCSS, Naples, Italy
| | - A Brunelli
- Department of Thoracic Surgery and Thoracic Endoscopy, St. James’s University Hospital, Leeds, United Kingdom
| | - L Ampollini
- Thoracic Surgery Unit, University of Parma, Parma, Italy
| | - M Nosotti
- Thoracic Surgery and Lung Transplantation Unit, IRCCS Fondazione Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - W Travis
- Pathology, Memorial Sloan Kettering Cancer Center, New York, United States of America
| | - F Raveglia
- Thoracic Surgery, AO San Paolo, Milan, Italy
| | - F Ardissone
- Thoracic Surgery, San Luigi Hospital, Orbassano, Italy
| | - P Casado
- Thoracic Surgery Unit, University Hospital ‘Reina Sofia’, Cordoba, Cordoba, Spain
| | - O Rena
- Thoracic Surgery Unit, “Amedeo Avogadro” University, Novara, Italy
| | - V Larocca
- Thoracic Surgery Unit, Ospedale ‘Spirito Santo’ Azienda ASL di Pescara, Pescara, Italy
| | - D Sagan
- Thoracic Surgery Unit, Medical University of Lublin, Lublin, Poland
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Fiorelli A, Caronia F, Daddi N, Loizzi D, Ampollini L, Ardò N, Potenza R, Carbognani P, Ardissone F, Sollitto F, Mattioli S, Puma F, Santini M, Ragusa M. F-080SUBLOBAR RESECTIONS VERSUS LOBECTOMY FOR STAGE I NON-SMALL-CELL LUNG CANCER: AN APPROPRIATE CHOICE IN HIGH-RISK ELDERLY PATIENTS? Interact Cardiovasc Thorac Surg 2015. [DOI: 10.1093/icvts/ivv204.80] [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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Rena O, Guerrera F, Errico L, Ruffini E, Filosso P, Mossetti C, Papalia E, Lisi E, Ardissone F, Oliaro A, Casadio C. P-175PREDICTIVE VALUE OF 18F-FDG POSITRON EMISSION TOMOGRAPHY/COMPUTED TOMOGRAPHY SUVmax IN PATIENTS WITH PULMONARY METASTASIS FROM COLORECTAL CANCER UNDERGOING SURGICAL RESECTION. Interact Cardiovasc Thorac Surg 2015. [DOI: 10.1093/icvts/ivv204.175] [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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Luigi Filosso P, Evangelista A, Guerrera F, Thomas P, Welter S, Moreno Casado P, Venuta F, Rendina E, Brunelli A, Ampollini L, Ardissone F, Travis W, Nosotti M, Sagan D, Raveglia F, Rena O, Margaritora S, Sarkaria I. F-001THE IMPACT OF ADJUVANT CHEMOTHERAPY ON ATYPICAL CARCINOIDS OF THE LUNG: A PROPENSITY SCORE ANALYSIS OF THE EUROPEAN SOCIETY OF THORACIC SURGEONS LUNG NEUROENDOCRINE DATABASE. Interact Cardiovasc Thorac Surg 2015. [DOI: 10.1093/icvts/ivv204.01] [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: 11/12/2022] Open
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Guerrera F, Errico L, Evangelista A, Bora G, Lisi E, Olivetti S, Asteggiano E, Filosso PL, Ardissone F, Oliaro A. F-027 * EXPLORING STAGE I NON-SMALL-CELL LUNG CANCER: DEVELOPMENT OF A PROGNOSTIC MODEL PREDICTING 5-YEAR SURVIVAL. Interact Cardiovasc Thorac Surg 2014. [DOI: 10.1093/icvts/ivu167.27] [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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Salah S, Watanabe K, Welter S, Park JS, Park JW, Zabaleta J, Ardissone F, Kim J, Riquet M, Nojiri K, Gisabella M, Kim SY, Tanaka K, Al-Haj Ali B. Colorectal cancer pulmonary oligometastases: pooled analysis and construction of a clinical lung metastasectomy prognostic model. Ann Oncol 2012; 23:2649-2655. [PMID: 22547539 DOI: 10.1093/annonc/mds100] [Citation(s) in RCA: 88] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022] Open
Abstract
BACKGROUND Although resecting colorectal cancer (CRC) pulmonary metastasis is associated with long-term survival, identification of prognostic groups is needed for future randomized trials, and construction of a lung metastasectomy prognostic model (LMPM) is warranted. PATIENTS AND METHODS We searched the PubMed database for retrospective studies evaluating prognostic factors following resecting CRC lung metastasis. Individual patient data were analyzed. Independent prognostic factors were used to construct an LMPM. RESULTS Between 1983 and 2008, 1112 metastasectomies were carried out on 927 patients included in eight studies. Five-year survival rate was 54.3% following the first lung resection. Multivariate analysis identified three independently poor prognostic factors: pre-thoracotomy carcinoembryonic antigen ≥5 ng/ml, disease-free interval <36 months, and more than one metastatic lesion. Patients with good-, intermediate-, and high-risk groups according to the LMPM had a 5-year survival of 68.2%, 46.4%, and 26.1%, respectively (P < 0.001). Perioperative chemotherapy and previously resected liver metastasis had no influence on survival. CONCLUSIONS The low- and intermediate-risk groups have a good chance of long-term survival following metastasectomy. However, more studies are needed to investigate whether surgery offers any advantage over systemic therapy for the poor-risk group.
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Affiliation(s)
- S Salah
- Medical Oncology Department, King Hussein Cancer Center, Amman, Jordan.
| | - K Watanabe
- Department of Surgery, Tohoku University, Sendai; Department of Surgical Oncology, National Cancer Center Hospital East, Chiba, Japan
| | - S Welter
- Department of Thoracic Surgery and Thoracic Endoscopy, Ruhrlandklinik, Essen, Germany
| | - J S Park
- Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
| | - J W Park
- Center for Colorectal Cancer, National Cancer Center. Gyeonggi-do, Korea
| | - J Zabaleta
- Thoracic Surgery Service, Hospital Donostia, San Sebastian, Spain
| | - F Ardissone
- Department of Clinical and Biological Sciences, Thoracic Surgery Unit, University of Turin, San Luigi Hospital, Orbassano (Torino) Italy
| | - J Kim
- Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
| | - M Riquet
- Department of Thoracic Surgery, Georges Pompidou European Hospital, Paris-Descartes University, Paris, France
| | - K Nojiri
- Department of Gastroenterological Surgery, Yokohama City University, Yokohama City, Japan
| | - M Gisabella
- Department of Clinical and Biological Sciences, Thoracic Surgery Unit, University of Turin, San Luigi Hospital, Orbassano (Torino) Italy
| | - S Y Kim
- Center for Colorectal Cancer, National Cancer Center. Gyeonggi-do, Korea
| | - K Tanaka
- Department of Gastroenterological Surgery, Yokohama City University, Yokohama City, Japan
| | - B Al-Haj Ali
- Medical Oncology Department, King Hussein Cancer Center, Amman, Jordan
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Betti M, Ferrante D, Padoan M, Guarrera S, Giordano M, Aspesi A, Mirabelli D, Casadio C, Ardissone F, Ruffini E, Betta PG, Libener R, Guaschino R, Matullo G, Piccolini E, Magnani C, Dianzani I. XRCC1 and ERCC1 variants modify malignant mesothelioma risk: a case-control study. Mutat Res 2011; 708:11-20. [PMID: 21277872 DOI: 10.1016/j.mrfmmm.2011.01.001] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2010] [Revised: 12/10/2010] [Accepted: 01/14/2011] [Indexed: 05/20/2023]
Abstract
Malignant pleural mesothelioma (MPM) is a rare aggressive tumor associated with asbestos exposure. The possible role of genetic factors has also been suggested and MPM has been associated with single nucleotide polymorphisms (SNPs) of xenobiotic and oxidative metabolism enzymes. We have identified an association of the DNA repair gene XRCC1 with MPM in the population of Casale Monferrato, a town exposed to high asbestos pollution. To extend this observation we examined 35 SNPs in 15 genes that could be involved in MPM carcinogenicity in 220 MPM patients and 296 controls from two case-control studies conducted in Casale (151 patients, 252 controls) and Turin (69 patients, 44 controls), respectively. Unconditional multivariate logistic regression was used to estimate odds ratios (ORs) and 95% confidence intervals (95% CIs). Two DNA repair genes were associated with MPM, i.e. XRCC1 and ERCC1. Considering asbestos-exposed only, the risk increased with the increasing number of XRCC1-399Q alleles (Casale: OR=1.44, 95%CI 1.02-2.03; Casale+Turin: OR=1.34, 95%CI 0.98-1.84) or XRCC1 -77T alleles (Casale+Turin: OR=1.33, 95%CI 0.97-1.81). The XRCC1-TGGGGGAACAGA haplotype was significantly associated with MPM (Casale: OR=1.76, 95%CI 1.04-2.96). Patients heterozygotes for ERCC1 N118N showed an increased OR in all subjects (OR=1.66, 95%CI 1.06-2.60) and in asbestos-exposed only (OR=1.59, 95%CI 1.01-2.50). When the dominant model was considered (i.e. ERCC1 heterozygotes CT plus homozygotes CC versus homozygotes TT) the risk was statistically significant both in all subjects (OR=1.61, 95%CI 1.06-2.47) and in asbestos-exposed only (OR=1.56, 95%CI 1.02-2.40). The combination of ERCC1 N118N and XRCC1 R399Q was statistically significant (Casale: OR=2.02, 95%CI 1.01-4.05; Casale+Turin: OR=2.39, 95%CI 1.29-4.43). The association of MPM with DNA repair genes support the hypothesis that an increased susceptibility to DNA damage may favour asbestos carcinogenicity.
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Affiliation(s)
- M Betti
- Laboratory of Genetic Pathology, Department of Medical Sciences, University of Piemonte Orientale, Novara, Italy
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Pelosi E, Billè A, Skanjeti A, Errico L, Arena V, Ardissone F, Borasio P, Mancini M. Prognostic role of the PET parameter maximum standardized uptake value in non small cell lung cancer: analysis in tumour of diameter ≥ and <25 mm. Q J Nucl Med Mol Imaging 2011; 55:72-80. [PMID: 20539268] [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: 05/29/2023]
Abstract
AIM The aim of this study was to evaluate whether the primary tumour maximum standardized uptake value (SUV(max)) plays an independent prognostic role in patients with non small cell lung cancer (NSCLC) and whether this role is limited by partial volume effect (PVE) and motion artefacts. METHODS One hundred and fifty-three consecutive patients underwent PET exam, surgery (R0 resection) and follow-up (mean 20.3; range 6-44.8 months). Correlation with Disease Free and Overall Survival (DFS, OS) was evaluated in the entire population for: SUV(max), clinical and histopathological features and pathological stage. To evaluate the PVE and motion artefacts' interferences on SUV calculation, the correlation between SUV(max) and DFS/OS was also calculated in the groups of patients with tumour diameter ≥ and < than 25 mm (group A and B, respectively). RESULTS In the entire population only TNM and SUV(max) resulted correlated with DFS/OS. However, SUV(max) was significantly correlated with DFS/OS in group A but not in group B. Furthermore, only in the group of patients with primary tumour diameter ≥ 25 mm (group A), tumour diameter, tumour histotype, and tumour necrosis resulted significantly related with SUV(max) at both uni and multivariate analysis. CONCLUSION TNM together with SUV(max) could be useful in giving a better prognostic stratification of patients with NSCLC; however technical limitations in the SUV calculation must be taken into account in patients with tumour diameter <25 mm.
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Affiliation(s)
- E Pelosi
- PET Centre IRMET S.p.A., Turin, Italy.
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Selvaggi G, Billè A, Gisabella M, Righi L, Errico L, Borasio P, Ardissone F. A new prognostic score in patients with malignant pleural mesothelioma. J Clin Oncol 2010. [DOI: 10.1200/jco.2010.28.15_suppl.7039] [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: 11/20/2022] Open
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Pelosi E, Billè A, Skanjeti A, Arena V, Ardissone F. Accuracy of PET/CT with FDG in mediastinal lymph node staging of patients with NSCLC. Health (London) 2010. [DOI: 10.4236/health.2010.23030] [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]
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13
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Cardinale L, Ardissone F, Novello S, Busso M, Solitro F, Longo M, Sardo D, Giors M, Fava C. The pulmonary nodule: clinical and radiological characteristics affecting a diagnosis of malignancy. Radiol Med 2009; 114:871-89. [DOI: 10.1007/s11547-009-0399-1] [Citation(s) in RCA: 6] [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] [Received: 07/03/2008] [Accepted: 10/06/2008] [Indexed: 12/19/2022]
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Selvaggi G, Righi L, Ceppi P, Bacillo E, Billè A, Pandiscia S, Ardissone F, Scagliotti GV, Papotti M. Relationship of thymidylate synthase levels to outcome of malignant pleural mesothelioma patients treated with pemetrexed-based chemotherapy. J Clin Oncol 2009. [DOI: 10.1200/jco.2009.27.15_suppl.7508] [Citation(s) in RCA: 1] [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] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
7508 Background: Pemetrexed has shown activity in malignant pleural mesothelioma (MPM) but scanty data are available on the expression of thymidylate synthase (TS), its most important molecular target. Methods: From a database of 75 non-surgical, chemotherapy-naive MPM patients from our Institution in the period 2004–2008, 50 (male/female: 37/13, median age: 65 years) met the selection criteria i.e. epithelial type, availability of thoracoscopic tissue and outcome data. Pemetrexed was administered as single agent (14/50) or in combination with cisplatin or carboplatin (36/50). Retrospectively TS protein expression levels were evaluated by immunohistochemistry and quantified with H-score method. In addition, mRNA extraction was performed in 23 micro-dissected tissues and TS relative levels quantified by RT-PCR. Survival probability was assessed by Kaplan-Meier method and results compared by log-rank test. Cox multivariate analysis for survival was performed adjusting for clinical-pathological variables. Results: Thirty-two patients had progressive disease and 24 had died at the time of the analysis. Median time to progression (TTP) and median survival time (MST) were 11.6 and 20.9 months, respectively. Median TS H-score value was 90 (5–240). No correlation were found with sex, age, PS, stage and chemotherapy regimen. Patients with high TS H-score (4th quartile) had a significantly shorter MST (13.3 vs 21.1 months, p<0.01) and showed a trend for shorter TTP (8.3 vs 11.9 months, p=0.07). Median TS mRNA level was 1.88 (1–3.7 unit-less ratio) and a significant correlation between mRNA and protein expression (RS=0.67, p<0.0001) was found. Patients with high TS mRNA levels (4th quartile) had significantly shorter TTP (8.7 vs 14.7 months, p=0.019) and MST (11.7 vs 24.7, p=0.018). Multivariate analysis for survival indicated that TS protein levels were an independent prognostic factor (HR=2.17; CI 1.04–4.54; p=0.038). Conclusions: TS (protein and mRNA) levels predict outcome of epithelial MPM patients treated with pemetrexed-based chemotherapy. TS quantification, if confirmed in larger prospective studies, could be used to select those patients more likely to respond to chemotherapy. [Table: see text]
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Affiliation(s)
| | - L. Righi
- University of Torino, Orbassano, Italy
| | - P. Ceppi
- University of Torino, Orbassano, Italy
| | | | - A. Billè
- University of Torino, Orbassano, Italy
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Cardinale L, Ardissone F, Cataldi A, Familiari U, Solitro F, Fava C. Solitary fibrous tumor of the lung: three rare cases of intraparenchymal nodules. Acta Radiol 2009; 50:379-82. [PMID: 19308764 DOI: 10.1080/02841850902801221] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
Solitary fibrous tumor (SFT) of the pleura usually presents as a peripheral mass, in contact with the surface of the pleura. However, on occasion, it can occur separately from the pleura, in the lung parenchyma. We describe the radiological and imaging features of three SFTs of the lung, diagnosed in our department, with relevant clinical data. The diagnosis of SFT of the lung, although rare, should be considered in a slow-growing solitary lung parenchymal nodule.
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Affiliation(s)
- L. Cardinale
- Department of Radiology, San Luigi Gonzaga Hospital, Orbassano, Turin, Italy
| | - F. Ardissone
- Department of Thoracic Surgery, San Luigi Gonzaga Hospital, Orbassano, Turin, Italy
| | - A. Cataldi
- Department of Radiology, San Luigi Gonzaga Hospital, Orbassano, Turin, Italy
| | - U. Familiari
- Department of Pathology, San Luigi Gonzaga Hospital, Orbassano, Turin, Italy
| | - F. Solitro
- Department of Radiology, San Luigi Gonzaga Hospital, Orbassano, Turin, Italy
| | - C. Fava
- Department of Radiology, San Luigi Gonzaga Hospital, Orbassano, Turin, Italy
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Cardinale L, Ardissone F, Cataldi A, Gned D, Prato A, Solitro F, Fava C. Bronchogenic cysts in the adult: diagnostic criteria derived from the correct use of standard radiography and computed tomography. Radiol Med 2008; 113:385-94. [PMID: 18493775 DOI: 10.1007/s11547-008-0255-8] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2007] [Accepted: 07/30/2007] [Indexed: 12/17/2022]
Abstract
PURPOSE This study was undertaken to identify the radiographic and computed tomography patterns allowing a diagnosis of bronchogenic cyst. MATERIALS AND METHODS We retrospectively reviewed chest radiographs and CT scans of 21 adults (ten men and 11 women, age range 18-74 years) with a histologically confirmed diagnosis of bronchogenic cyst. RESULTS Sixteen cysts were located in the mediastinum and five in the lungs. On chest radiography, mediastinal cysts appeared as sharply marginated rounded areas of increased opacity; intrapulmonary cysts also exhibited an air-fluid interface. CT confirmed these morphological features in all cases. In addition, analysis of attenuation values allowed the subdivision of mediastinal cysts into three groups: fluid density (four cases), air density (two cases) and soft-tissue density (ten cases). CONCLUSIONS All bronchogenic cysts were visualised on chest radiography, but the findings were nonspecific and required further characterisation by CT. The CT findings proved to be diagnostic when cystic attenuation values were evident. When soft-tissue attenuation values were demonstrated, a confident diagnosis was not possible, and other solid lesions had to be considered. In such cases, magnetic resonance imaging may be helpful to ascertain the cystic nature of the lesions.
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Affiliation(s)
- L Cardinale
- Servizio di Radiologia, Ospedale San Luigi Gonzaga, Regione Gonzole 10, Orbassano, Italy.
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Campora E, Schellino M, Ardissone F, Balbo A, Bandiera A, Borea M, Cimino S, Floccia M, Mura M, Salamone F, Di Lonardo A. Management of pain in patients (PTS) receiving active therapy for cancer. J Clin Oncol 2007. [DOI: 10.1200/jco.2007.25.18_suppl.19645] [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
19645 Background: The World Health Organization (WHO) estimates suggest that moderate to severe pain is experienced by one- third of pts receiving active therapy for their disease and by 60–90% of patients with advanced disease. Procedures that make pain assessment and effective management strategies a routine part of every patient care are recommended. The aim of this study was to integrate nursing intervention with physician management of cronic cancer pain experienced by pts receiving active therapy for cancer. Methods: An Oncology Nurse measured pain in all patients (universal screening) presenting at the Day Hospital for active therapy. Pain was measured using a validated instrument: the Visual Analog Scale (VAS). The pain intensity VAS scale is a 10 cm line anchored on either end by the terms least possible pain and worst possible pain. In addition. the Memorial Pain Assessment Care (MPAC) that consists of 3 VAS scales that measure pain intensity, pain relief and mood and a set of pain severity descriptors adapted from the Tursky rating scale was used. Results: From April 2004 to June 2006 a total of 704 pts were evaluated for pain, 334 (47%) males and 370 (53 %) females with median age 65 years (range 19–85). Results of pain measurement can be synthesized as follows: Pts with VAS = 4 were referred to the oncologist on the same day that pain was measured and analgesics were prescribed according to intensity and type of pain. Conclusions: Results indicate that pain can be universally evaluated and successfully managed in an Oncology Day Hospital. Assessment and treatment of cancer pain should be integrated into routine cancer care. Intervention by the oncology nursing staff is an integral part of effective cancer pain management. No significant financial relationships to disclose. [Table: see text]
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Affiliation(s)
- E. Campora
- Ospedale Civile G. Borea, Sanremo Imperia, Italy
| | - M. Schellino
- Ospedale Civile G. Borea, Sanremo Imperia, Italy
| | - F. Ardissone
- Ospedale Civile G. Borea, Sanremo Imperia, Italy
| | - A. Balbo
- Ospedale Civile G. Borea, Sanremo Imperia, Italy
| | - A. Bandiera
- Ospedale Civile G. Borea, Sanremo Imperia, Italy
| | - M. Borea
- Ospedale Civile G. Borea, Sanremo Imperia, Italy
| | - S. Cimino
- Ospedale Civile G. Borea, Sanremo Imperia, Italy
| | - M. Floccia
- Ospedale Civile G. Borea, Sanremo Imperia, Italy
| | - M. Mura
- Ospedale Civile G. Borea, Sanremo Imperia, Italy
| | - F. Salamone
- Ospedale Civile G. Borea, Sanremo Imperia, Italy
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Cardinale L, Allasia M, Ardissone F, Borasio P, Familiari U, Lausi P, Rubino A, Solitro F, Fava C. CT features of solitary fibrous tumour of the pleura: experience in 26 patients. Radiol Med 2006; 111:640-50. [PMID: 16791467 DOI: 10.1007/s11547-006-0062-z] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2006] [Accepted: 03/29/2006] [Indexed: 10/24/2022]
Abstract
PURPOSE The purpose of this study was to identify the typical computed tomography (CT) features of solitary fibrous tumours of the pleura (SFTP) and determine which findings would allow confirmation of the pleural origin or benign behaviour of the tumour. MATERIALS AND METHODS Twenty-six preoperative CT studies of the chest (23 enhanced and 14 unenhanced) were retrospectively reviewed. RESULTS Up to 50% of SFTP were larger than 10 cm. At unenhanced CT, they showed homogeneous attenuation in 5 cases (35.7%) and inhomogeneous attenuation in 9 (64.3%). At contrast-enhanced CT, they were inhomogeneous in 21 cases (91.3%), with geographic pattern (61.9% of cases), serpiginous linear areas of enhancement (intralesional vessels) (23.8%), rounded (52.4%) or linear (33.3%) areas of low attenuation (necrosis). CONCLUSIONS Depending on location, size and histological features, SFTP may produce a large spectrum of findings. Typical CT features of small SFTP were well-defined margins and smooth contours, homogeneous attenuation and right or obtuse angles with the pleura. Larger lesions were characterised by well-defined margins and lobulated contours, geographic pattern in enhanced CT scans, acute angles or smooth tapering margins with the pleura.
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Affiliation(s)
- L Cardinale
- S.C.D.U. Radiologia, Ospedale San Luigi Gonzaga, Orbassano (TO), Italy
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19
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Selvaggi G, Novello S, Torri V, Leonardo E, De Giuli P, Borasio P, Mossetti C, Ardissone F, Lausi P, Scagliotti GV. Epidermal growth factor receptor overexpression correlates with a poor prognosis in completely resected non-small-cell lung cancer. Ann Oncol 2004; 15:28-32. [PMID: 14679115 DOI: 10.1093/annonc/mdh011] [Citation(s) in RCA: 215] [Impact Index Per Article: 10.8] [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: 12/25/2022] Open
Abstract
BACKGROUND We designed a prospective study to test epidermal growth factor receptor (EGFR) expression by immunohistochemistry (IHC) in resected stage I-IIIA non-small-cell lung cancer (NSCLC) and to correlate overexpression with survival. PATIENTS AND METHODS EGFR expression was evaluated in 130 consecutive NSCLC patients after radical surgery (60 squamous cell carcinomas, 48 adenocarcinomas, 22 large cell carcinomas: stage I, 41 (31%); stage II, 37 (29%) and stage IIIA, 52 (40%). RESULTS Overall, 101 of 130 (78%) specimens expressed EGFR, and with a cut-off value of 10% positive cells 48 cases (37%) were classified as positive. At univariate analysis, EGFR was significantly more expressed in stage III (50%) than stage I (20%) and stage II (25%) (P <0.03). No correlation with histotype was found. After a median follow-up of 84 months, both median survival time (18 versus 50 months), 2-year (43% versus 70%) and 5-year (31% versus 46%) survival rates of positive cases were significantly lower than negative ones [P <0.001; hazard ratio 1.96; 95% confidence interval (CI) 1.16-3.30]. At the multivariate analysis, EGFR overexpression and stage emerged as independent factors for cancer-related mortality. CONCLUSION In patients with radically resected stage I-IIIA NSCLC, EGFR overexpression predicts shorter survival, thus representing a valuable prognostic factor.
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Affiliation(s)
- G Selvaggi
- Thoracic Oncology Unit, Department of Clinical and Biological Sciences, University of Torino, Torino, Italy.
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20
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Bretti S, Berruti A, Loddo C, Sperone P, Casadio C, Tessa M, Ardissone F, Gorzegno G, Sacco M, Manzin E, Borasio P, Sannazzari GL, Maggi G, Dogliotti L. Multimodal management of stages III–IVa malignant thymoma. Lung Cancer 2004; 44:69-77. [PMID: 15013585 DOI: 10.1016/j.lungcan.2003.09.022] [Citation(s) in RCA: 79] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2003] [Revised: 09/26/2003] [Accepted: 09/29/2003] [Indexed: 11/30/2022]
Abstract
PURPOSE The optimal therapy for locally advanced malignant thymoma is controversial. We review our experience with a multimodal approach in 63 consecutive cases. PATIENTS AND METHODS Forty-three patients had stage III and 20 stage IVa disease. Surgery with radical intent was initially performed in 30 cases, while 33 cases not amenable to radical surgery underwent neoadjuvant treatment (radiotherapy in 8 and chemotherapy in 25) before surgical reassessment. All patients, whether or not surgically resected, received radiation therapy. RESULTS Radical resection (RR) was performed in 20 patients ab initio (all stage III) and in 12 patients after neoadjuvant treatment (eight stage III and four stage IVa). With the addition of patients radically operated with neoadjuvant treatment, the radical resection rate increased from 46 to 65% in stage III patients, and from 0 to 20% in those with stage IVa disease, respectively. Radical surgery was associated with longer progression free survival and overall survival according to both univariate analysis ( P< 0.001 and P<0.01, respectively) and multivariate analysis after adjustment for age, gender, histology and disease stage ( P<0.001 and <0.02, respectively). Progression free survival (median 56.9 months) was slightly lower in patients undergoing radical surgery after neoadjuvant approaches than in those radically resected ab initio (median not achieved), but overall survival (median not achieved) was similar in both groups. Subtotal surgical resection promoted complete response to subsequent radiation therapy. This condition significantly correlated with a better outcome. CONCLUSIONS Complete surgical resection is an independent prognostic parameter in locally advanced thymoma treated with a multimodal approach. Preoperative treatment to increase the complete resection rate could improve the overall survival of these patients.
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Affiliation(s)
- S Bretti
- Oncologia Medica, Ospedale Civile di Ivrea, Polo Oncologico di Ivrea, Piazza della Credenza 2, 10015 Ivrea, Torino, Italy
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21
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Scappaticci E, Ardissone F, Ruffini E, Baldi S, Revello F, Coni F. As originally published in 1994: Postoperative bronchopleural fistula: endoscopic closure in 12 patients. Updated in 2000. Ann Thorac Surg 2000; 69:1629-30. [PMID: 10881868 DOI: 10.1016/s0003-4975(00)01339-4] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Affiliation(s)
- E Scappaticci
- Department of Respiratory Diseases, St. Giovanni Battista Hospital, Torino, Italy
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22
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Berruti A, Borasio P, Gerbino A, Gorzegno G, Moschini T, Tampellini M, Ardissone F, Brizzi MP, Dolcetti A, Dogliotti L. Primary chemotherapy with adriamycin, cisplatin, vincristine and cyclophosphamide in locally advanced thymomas: a single institution experience. Br J Cancer 1999; 81:841-5. [PMID: 10555755 PMCID: PMC2374302 DOI: 10.1038/sj.bjc.6690773] [Citation(s) in RCA: 65] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022] Open
Abstract
From 1990 to 1997, 16 consecutive patients with stage III and IVa invasive thymoma were treated in a single institution with primary chemotherapy consisting in adriamycin (40 mg m(-2)), cisplatin (50 mg m(-2)) administered intravenously on day 1, vincristine (0.6 mg m(-2)) on day 2 and cyclophosphamide (700 mg m(-2)) on day 4 (ADOC). The courses were repeated every 3 weeks. The aim was to evaluate the impact of this cytotoxic regimen with respect to response rate, per cent of patients radically resected, time to progression and overall survival. Two complete responses (one clinical and one pathological) and 11 partial responses were observed (overall response rate 81.2%); two patients had stable disease and one progressed. Toxicity was mild as only two patients developed grade III/IV neutropenia and one patient grade III nausea/vomiting. Nine patients were radically resected (five out of ten with stage III, and four out of six with stage IVa). Median time to progression and overall survival was 33.2 and 47.5 months respectively. Three patients were alive and disease free after more than 5 years. The ADOC scheme is highly active and manageable in the treatment of locally advanced thymoma. As a preoperative approach it should be offered to patients not amenable to surgery or to those surgically resectable but with a great deal of morbidity.
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Affiliation(s)
- A Berruti
- Dipartimento di Scienze Cliniche e Biologiche, Oncologia Medica, Università di Torino, Italy
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23
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Abstract
OBJECTIVE We wanted to evaluate the role of surgical and conservative therapy in the treatment of post-intubation tracheal rupture. METHODS A retrospective study was performed on 10 consecutive patients (9 women and 1 man) treated over a 7-year period. RESULTS A tracheal rupture following double-lumen intubation was recognized and repaired at the time of lobectomy for lung cancer. Five patients with rents ranging from 2.5 cm to 5 cm underwent primary repair through a cervical collar incision (n = 3) or right posterolateral thoracotomy (n = 2). Three patients had small tears (about 1 cm in length) and were treated conservatively. Tracheostomy was performed in one patient with a 1.5-cm long laceration and extensive subcutaneous emphysema. Results were uniformly good. CONCLUSIONS Early surgical repair is the preferred treatment for most patients with post-intubation tracheal ruptures. Conservative treatment may be a viable alternative for patients with small rents, in the absence of gross air leak, or for those judged unsuitable for surgery. The role of tracheostomy is limited by its potential for late sequelae.
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Affiliation(s)
- P Borasio
- Division of Thoracic Surgery, S. Luigi Hospital, Orbassano, Turin, Italy
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24
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Abstract
Twelve consecutive patients with postresectional bronchopleural fistula were treated with endoscopic application of tissue glue adhesive (methyl-2-cyanoacrylate). Eight patients had associated empyema. Endoscopic gluing was successfully accomplished in 10 cases (success rate of 83%). The two failures both had fistulas of 0.5 cm or larger. Bronchopleural fistulas developed in 8 patients early after the intervention (< 15 days): of the 4 patients without associated empyema, 3 had their fistula definitely closed after endoscopic treatment. Similarly, 3 of the 4 patients with early bronchopleural fistulas and empyema were cured after endoscopic closure of the fistula and appropriate management of the empyema. Four bronchopleural fistulas occurred late after the operation (> 15 days) and all had associated empyema. Successful endoscopic closure of the fistula was accomplished in all. Resolution of the empyema occurred in 1. We conclude that endoscopic application of tissue adhesive may be a valid therapeutic measure in selected patients with postresectional bronchopleural fistula. In late bronchopleural fistula with empyema, the closure of the fistula can be achieved, but empyema may persist and require additional surgical procedures.
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Affiliation(s)
- E Scappaticci
- Department of Respiratory Disease, Hospital Molinette, Torino, Italy
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25
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Foco A, Garbarini A, Serenthà U, Salto C, Borasio P, Mossetti C, Ardissone F, Drago D, Barberis M, Spinoglio G. [The use of metal vascular prosthesis in the palliative treatment of neoplastic esophago-gastric stenosis]. MINERVA GASTROENTERO 1993; 39:57-65. [PMID: 7689861] [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: 01/26/2023]
Abstract
The paper reports the authors' experience regarding the use of expandable metal prostheses designed for vascular stenoses but adapted for unoperable esophago-gastric stenoses. Their first impressions are very positive so much so that they affirm that these prostheses are close to being ideal since they are flexible and have an insertion diameter of 3 mm which does not therefore require dilatation. As a result: 1) they involve limited trauma to the patient; 2) reduce the risk of perforation to virtually zero. Moreover: 3) they can be inserted in twisted and angled stenoses and in esophaguses with difficult access due to axial deviations and restriction of the upper cervical aperture; 4) they function well even in notoriously "difficult" sections such as the cardia and esophago-jejunal anastomoses; 5) the unfastening system is easy and rapid. On the strength of these characteristics the authors suggest that these prostheses should be used in an outpatient setting, as occurred in the case of the last of the 10 patients treated, and even at a preoperative stage in preparation for resective surgery so as to preserve normal oral feeding. The structure of these prostheses renders them contraindicated for use in stenoses associated with fistulas in air paths and requires an evaluation of long-term results to verify the incidence with which the following occur: 1) tumoral growth between the mesh; 2) food obstruction; 3) hemorrhage due to compressive necrosis.(ABSTRACT TRUNCATED AT 250 WORDS)
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Affiliation(s)
- A Foco
- Chirurgia d'Urgenza, Università degli Studi di Torino
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26
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Maggi G, Ardissone F, Oliaro A, Ruffini E, Cianci R. Pleural abrasion in the treatment of recurrent or persistent spontaneous pneumothorax. Results of 94 consecutive cases. Int Surg 1992; 77:99-101. [PMID: 1644545] [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: 12/28/2022] Open
Abstract
In the ten-year period 1982 to 1991, 94 patients underwent pleural abrasion as definite treatment for spontaneous pneumothorax. Surgical indications included: 1) third recurrence of homolateral pneumothorax, 2) second recurrence of homolateral pneumothorax in the presence of alternating pneumothorax, and 3) persistent air leak with incomplete lung re-expansion in the presence of spontaneous pneumothorax treated with pleural drainage for more than 10 days. No deaths were observed in the present series. Post-operative complications were minimal and all reversible, including two cases of pleural effusion, one case of hemothorax, and one case of Horner's syndrome. Eighty cases were followed up from 7 to 91 months. No recurrences occurred during the follow-up period. Clinical, radiological and functional results appear satisfactory. Pleural abrasion seems to represent a valid surgical option in the treatment of recurrent or persistent spontaneous pneumothorax.
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Affiliation(s)
- G Maggi
- Department of Thoracic Surgery, University of Turin, Italy
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27
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Mollo F, Piolatto G, Bellis D, Andrion A, Delsedime L, Bernardi P, Pira E, Ardissone F. Asbestos exposure and histologic cell types of lung cancer in surgical and autopsy series. Int J Cancer 1990; 46:576-80. [PMID: 2170277 DOI: 10.1002/ijc.2910460404] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.2] [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: 12/30/2022]
Abstract
A case-control study was carried out on 41 surgical and 106 autopsy histological tissue samples of lung cancer in men, in order to investigate the relationships between asbestos exposure and cell type of pulmonary carcinoma. Both occupational history (obtained by interviews of surgical patients or of the next-of-kin for deceased subjects) and lung asbestos body content (determined by optical count after hypochlorite digestion and membrane filtration of lung tissues) were considered as asbestos exposure indicators. No significant relationships were found in the surgical series after adjustment for smoking. The autopsy series showed a trend towards an association between lung adenocarcinoma and asbestos exposure indicators and a markedly higher agreement between the 2 kinds of indicators than that observed in the surgical series.
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Affiliation(s)
- F Mollo
- Department of Biomedical Sciences and Human Oncology, University of Turin, Italy
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28
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Maggi G, Ardissone F, Cavallo A, Oliaro A, Scappaticci E, Giobbe R. Tracheal stenosis. A study of 100 cases. Int Surg 1990; 75:225-30. [PMID: 1963418] [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: 12/29/2022] Open
Abstract
A series of 100 cases of tracheal stenoses, 66 non-neoplastic and 34 neoplastic, are reviewed; tracheal resection was performed in 28 inflammatory stenoses and in five tumours. A T-tube stent was used in 12 patients. Results were good in 81% of resections for non-neoplastic stenoses; two out of three resections for adenoid cystic carcinoma are alive after ten years and the third died after two years with metastases; two patients who received a tracheal resection for epidermoid carcinomas died after three and four years with metastases. Inflammatory tracheal stenoses treated using T-tube achieved good results only in one third of cases. Pre-operative preparation is the most important factor to obtain good results: end-to-end anastomosis requires a healthy mucosa without infection or ulcers.
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Affiliation(s)
- G Maggi
- Department of Thoracic Surgery, University of Turin, Italy
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29
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Ardissone F, Rapellino M, Obert R, Baldi S, Scappaticci E, Pecchio F, Borasio P. [Bronchial carcinoma in subjects under 40]. Minerva Med 1989; 80:1301-4. [PMID: 2560151] [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: 01/01/2023]
Abstract
We investigated a series of 30 patients younger than 40 years with histologically proven bronchogenic carcinoma. Most patients were symptomatic for a mean duration of 3 months before examination. The most common cell types were squamous carcinoma in 10 patients, oat cell carcinoma in 9 patients, and adenocarcinoma in 5 patients. The disease was categorized as Stage I in 3 patients, Stage II in 3, Stage III in 17, and Stage IV in 7. Ten patients underwent resection, whereas 3 patients were inoperable at surgery. The average length of survival for the nonoperated patients was 4.2 months (range 1 to 16 months). The mean survival for the surgically treated patients was 23.3 months (range 0 to 84 months). Extent of resection did not have any statistical significance in the survival rates which were mainly affected by staging of disease.
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MESH Headings
- Adenocarcinoma/epidemiology
- Adenocarcinoma/mortality
- Adenocarcinoma/pathology
- Adenocarcinoma/surgery
- Adult
- Carcinoma, Bronchogenic/epidemiology
- Carcinoma, Bronchogenic/mortality
- Carcinoma, Bronchogenic/pathology
- Carcinoma, Bronchogenic/surgery
- Carcinoma, Small Cell/epidemiology
- Carcinoma, Small Cell/mortality
- Carcinoma, Small Cell/pathology
- Carcinoma, Small Cell/surgery
- Carcinoma, Squamous Cell/epidemiology
- Carcinoma, Squamous Cell/mortality
- Carcinoma, Squamous Cell/pathology
- Carcinoma, Squamous Cell/surgery
- Female
- Follow-Up Studies
- Humans
- Italy/epidemiology
- Lung Neoplasms/epidemiology
- Lung Neoplasms/mortality
- Lung Neoplasms/pathology
- Lung Neoplasms/surgery
- Male
- Neoplasm Staging
- Retrospective Studies
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30
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Rapellino M, Cellerino A, Ardissone F, Libertucci D, Coni F, Aimo G, Pecchio F. Alpha-fetoprotein and mediastinal germ cell tumors. J Nucl Med Allied Sci 1989; 33:46-52. [PMID: 2480422] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
The Authors discuss the utility of alpha-fetoprotein (AFP) determination in mediastinal dysembryomas. AFP should be determined in all cases of mediastinal lesion. High levels of up to 500 ng/ml are a sure sign of germ cell tumors. An extremely high level (greater than 1,000 ng/ml) is an indication that the lesion is a mesoblastoma. An increase in the AFP level in the follow-up of patients affected by germ cell tumors is a sure sign of the recurrence of the disease.
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31
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Baldi S, Libertucci D, Oliaro A, Mossetti C, Ardissone F, Albertino B, Stella A, Andorno E. Cardiac arrhythmias following lung resection in patients treated and untreated with digitalis prophylaxis. Int Surg 1989; 74:133-4. [PMID: 2753624] [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: 01/02/2023] Open
Abstract
Cardiac arrhythmias and failure following lung resection in patients treated and untreated with digitalis prophylaxis have been evaluated. In 82 patients without digitalis (1st group) 11% tachyarrhythmias and 5.7% cardiac failures were noted. In 100 patients treated with digitalis (2nd group) 7% arrhythmias and no cardiac failures were registered. Among cardiac complications only one death in the first group was observed. The mean period of incidence of arrhythmias appears dilated in the digitalis group (3rd vs. 5th postoperative day) and this could be attributed to the early suspension of the drug.
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Affiliation(s)
- S Baldi
- Servizio di Fisiopatologia Respiratoria, Ospedale S. Giovanni, Torino
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32
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D'Alessandro LM, Ardissone F, Bevilacqua A, Oliaro A. [Bochdalek's hernia in adults. Review of cases from 1967 to 1986. Description of 12 surgical cases]. MINERVA CHIR 1988; 43:239-46. [PMID: 3285242] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
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33
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Andrion A, Delsedime L, Bellis D, Ardissone F, Bernardi P, Bertoldo E, Mollo F. Lung cancer cell type and asbestos body lung content. Preliminary results of a surgical series-based study. Med Lav 1988; 79:19-23. [PMID: 3173218] [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: 01/04/2023]
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34
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Rapellino M, Pecchio F, Baldi S, Obert R, Bevilacqua Rapellino A, Oliaro A, Pischedda F, Ardissone F. [Neuron-specific enolase: a new marker for small-cell pulmonary carcinoma]. Minerva Med 1987; 78:465-7. [PMID: 3033550] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
Abstract
A marker of neuroendocrine differentiation, neuron-specific enolase (NSE) is assessed in the diagnosis of small cell lung cancer (SCLC). The market was found to be highly sensitive and extremely specific in high risk groups (smokers and chronic bronchitics).
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35
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Rapellino M, Borasio P, Baldi S, Coni F, Oliaro A, Libertucci D, Ardissone F. [Diagnostic contribution of the determination of CEA, pH, glucose and lactase dehydrogenase in the pleural fluid in patients with mesothelioma]. Minerva Med 1987; 78:317-9. [PMID: 3822223] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Abstract
The difficulty involved in the diagnosis of primary pleural neoplasms (mesotheliomas) in described. Personal experience with assays of certain chemicals is the pleural fluid is reported with evidence of the value of pH, glucose and CEA as indications of malignity.
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36
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Paletto AE, Maggi G, Borasio P, Ardissone F, Casadio C, Mancuso M, Mossetti C, Oliaro A, Pischedda F, Cavallo A. Radical lobectomy with mediastinal node dissection (3 year follow-up). Panminerva Med 1986; 28:307-11. [PMID: 3574968] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
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37
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Ardissone F, Andrion A, D'Alessandro L, Borasio P, Maggi G. Neurogenic intrathoracic tumors. A clinicopathological review of 92 cases. Thorac Cardiovasc Surg 1986; 34:260-4. [PMID: 2429396 DOI: 10.1055/s-2007-1020424] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
Ninety-two cases of intrathoracic neurogenic tumors operated on between 1950 and 1982 are reviewed. The benign forms (86 cases, 93.5%) included 23 ganglioneuromas, 50 neurilemmomas and 13 neurofibromas. Of the latter, 4 occurred in patients with Von Recklinghausen's disease. A double local recurrence was observed after the removal of a neurilemmoma. One of the patients with generalized neurofibromatosis died 5 months after operation from local sarcomatous degeneration and distant metastases. In this group of benign lesions, no other death was observed which could be attributed to the endothoracic neural tumor. The malignant forms (6 cases, 6.5%) included 4 ganglioneuroblastomas and 2 neurofibrosarcomas. The surgical excisions were described as radical in every case and all the patients were given radiotherapy postoperatively. One patient with ganglioneuroblastoma died from metastases 2 years later, and one with neurofibrosarcoma from local recurrences 7 months later. One patient with neurofibrosarcoma and 3 with ganglioneuroblastomas are alive and well 4, 5, 6 and 11 years, respectively, later. Surgical excision remains the best method of diagnosing and treating endothoracic tumors of neural origin. Of special interest are the "dumbbell" or hourglass tumors and lesions which occur in Von Recklinghausen's disease.
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38
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Fagiano G, Borasio P, Salamino A, Sodero A, Ricci C, Ardissone F. [Immediate and late results of cryo-block of the intercostal nerves and treatment of postoperative pain in thoracic surgery]. Minerva Anestesiol 1985; 51:39-43. [PMID: 4022403] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
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39
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Paletto AE, Maggi G, Borasio P, Ardissone F, Mancuso M, Mossetti C, Oliaro A, Pischedda F. [Post-resection bronchial fistulas. 30 years' experience]. MINERVA CHIR 1984; 39:1631-7. [PMID: 6531111] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
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40
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Ardissone F, D'Alessandro L, Borasio P, Mancuso M, Pischedda F, Oliaro A, Rapellino M. [Pulmonary hamartoma. Apropos of 46 cases]. MINERVA CHIR 1984; 39:1261-4. [PMID: 6504369] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
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41
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Ardissone F, Mossetti C, Borasio P, Maggi G. [Current indications and interval results in the surgical treatment of bronchiectasis]. MINERVA CHIR 1984; 39:755-7. [PMID: 6472685] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
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42
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Borasio P, Ardissone F, Salizzoni M. [Primary hemangiopericytoma of the lung. Presentation of 2 cases]. MINERVA CHIR 1983; 38:1221-5. [PMID: 6633910] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
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43
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Dei Poli M, Gandini G, Oliaro A, Salizzoni M, Garretti L, Defilippi C, Ferrarotti G, Ardissone F. [The role of azygography in the evaluation of the operability of cancer of the thoracic esophagus]. MINERVA CHIR 1983; 38:81-8. [PMID: 6843838] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
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44
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Fava C, Potenzoni F, Borasio P, Salizzoni M, Ardissone F. [Percutaneous biopsy of the lung]. Radiol Med 1981; 67:660-1. [PMID: 7313179] [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: 01/24/2023]
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45
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Gaetini A, Gabriele P, Ardissone F, Milani R, Rosso U, Schieroni R, Urgesi A. [High abdominal ovariopexy in laparosplenectomy. New technical measures in anticipation of subsequent irradiation]. MINERVA CHIR 1981; 36:1005-10. [PMID: 7290413] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
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46
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Salizzoni M, Ardissone F, Borasio P, Dei Poli M. [Isolated rupture of the azygos vein caused by contusive thoracic trauma]. MINERVA CHIR 1980; 35:1255-6. [PMID: 7231705] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
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47
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Gasparri G, Nano M, Casalegno PA, Ardissone F. [Endoscopic control of esophago-gastric sutures after superior polar resection. Advantages of the Lortat-Jacob reconstruction technic]. MINERVA CHIR 1979; 34:1199-202. [PMID: 398454] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
The results of superior polar resection carried out for benign and malignant lesions of the lower 3rd of the oesophagus and cardias were controlled endoscopically. Cure time, elasticity, suture function and the onset of complications were assessed in relation to the technique employed. It is known that the most important late complications in this surgery are, apart from recurrences, cicatricial stenosis, perianastomotic granulomas and, particularly, serious oesophagitis secondary to reflux. It is concluded that Lortat-Jacob valvular anastomosis gives the best immediate and long-term results because of its good elasticity and anastomosis function; there are almost never any problems connected with the presence of reflux, which is so important and invalidating for patients operated on with other techniques.
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48
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Boltri F, Ardissone F, Barile C. [Apropos of 2 unusual variations of origin and course of the deep femoral artery]. MINERVA CHIR 1979; 34:705-8. [PMID: 460629] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
Two cases have been observed in which the deep femoral artery originated at the medial surface of the femoral and surrounded medially the femoral vein before entering its distribution area. The literature is examined and stress laid on the rarity of the abnormality and its importance as a possible factor in phlebothrombosis.
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