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Lazzarin G, Romano L, Coletti G, Di Sibio A, Vicentini V, Fatayer MWA, Schietroma M, Pessia B, Leone M, Carlei F, Giuliani A. Branch Duct - IPMN and PanIN, in IgG4-Autoimmune pancreatitis: A case report. Clin Case Rep 2020; 8:2111-2115. [PMID: 33235738 PMCID: PMC7669378 DOI: 10.1002/ccr3.2641] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2019] [Revised: 11/08/2019] [Accepted: 12/02/2019] [Indexed: 12/22/2022] Open
Abstract
The presence of pancreatic lesions in patients with autoimmune pancreatitis requires histological diagnosis (percutaneous or endoscopic biopsy) to exclude malignancy. A nonspecific histology after endoscopic or percutaneous biopsy of a pancreatic lesion may require surgical excision and definite histology.
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Affiliation(s)
- Gianni Lazzarin
- Department of General SurgeryDepartment of Biotechnological and Applied Clinical SciencesUniversity of L'AquilaL'AquilaItaly
| | - Lucia Romano
- Department of General SurgeryDepartment of Biotechnological and Applied Clinical SciencesUniversity of L'AquilaL'AquilaItaly
| | - Gino Coletti
- UOC Anatomia PatologicaASL1 AbruzzoOspedale San SalvatoreL’aquilaItaly
| | | | - Vincenzo Vicentini
- Department of General SurgeryDepartment of Biotechnological and Applied Clinical SciencesUniversity of L'AquilaL'AquilaItaly
| | | | - Mario Schietroma
- Department of General SurgeryDepartment of Biotechnological and Applied Clinical SciencesUniversity of L'AquilaL'AquilaItaly
| | - Beatrice Pessia
- Department of General SurgeryDepartment of Biotechnological and Applied Clinical SciencesUniversity of L'AquilaL'AquilaItaly
| | - Matteo Leone
- Department of General SurgeryDepartment of Biotechnological and Applied Clinical SciencesUniversity of L'AquilaL'AquilaItaly
| | - Francesco Carlei
- Department of General SurgeryDepartment of Biotechnological and Applied Clinical SciencesUniversity of L'AquilaL'AquilaItaly
| | - Antonio Giuliani
- Department of General SurgeryDepartment of Biotechnological and Applied Clinical SciencesUniversity of L'AquilaL'AquilaItaly
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Giuliani A, Romano L, Romanzi F, Giubbolini G, Coletti G, Di Stefano N, Le'Clerc JN, Schietroma M, Carlei F, Di Stefano L. A case of three rare uterine neoplasms in the same surgical specimen. Ann Ital Chir 2020; 9:S2239253X20031527. [PMID: 32129176] [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: 06/10/2023]
Abstract
BACKGROUND Uterine sarcomas are mesenchymal tumors; they are rare, representing less than 2-3% of all uterine malignancies. Among them, we can define four types: leiomyosarcoma (LMS), endometrial stromal sarcoma (ESS), Adenosarcoma and Carcinosarcoma. This last type was recently reclassified by FIGO as a Mullerian type of the endometrial adenocarcinoma. Therefore, today only the first three types are histologically considered. METHODS In this paper, we reported a case of simultaneous presence of three different rare neoplasms in the same surgical specimen, resulting from a hysterectomy of a premenopausal woman. The woman presented to the ED with a six-months history of vaginal bleeding. Given the complexity of the clinical picture, we suggested hospitalization in our Department of Gynecology, to perform appropriate diagnostic tests. Because of the persistent hemorrhage and the absence of required fertility preservation, a laparotomic hysterectomy with bilateral annessiectomy was performed. RESULTS The postoperative histology of the specimen described the myoma at the fundus as a leiomyosarcoma. The myoma of the uterine anterior wall appeared as an endometrial stromal sarcoma of low-grade. Moreover, an intramural cavernous hemangioma of 3 cm in diameter was reported at the uterine corpus. CONCLUSION All these described pathologies have no specific clinic characteristics; the most common symptom is abnormal uterine bleeding. To date, hysterectomy and bilateral salpingo-oophorectomy are the standards of care in the management of all early stage uterine sarcomas. To our knowledge, cases of LMS, ESS and cavernous haemangioma coexisting in the same patient have not been reported in literature to date. The pathogenesis of this combination remains to be elucidated. Key words: Cavernous hemangioma, Endometrial stromal sarcoma, Leiomyosarcoma, Uterine sarcomas.
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Cutilli T, Coletti G, Fatayer MW, Caruso S, Tecco S, Gatto R, Leocata P. Very large Ameloblastic Fibroma with Calcifying Odontogenic Cyst in an 8-year-old child. Histological and immunohistochemical characterisation. Eur J Paediatr Dent 2019; 20:19-22. [PMID: 30919639 DOI: 10.23804/ejpd.2019.20.01.04] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
BACKGROUND Ameloblastic fibroma (AF) is an uncommon odontogenic tumour that may present an aggressive behaviour and may have potential for malignant transformation. Ghost cell (GC) differentiation within AF is extremely rare. There are only seven cases in the international literature in which ghost cells are found in AF. CASE REPORT In this study, we report a case of a 8-year-old female child with a cystic-solid mass, measuring 3 x 1.7 x 1.2 cm, characterised by mixed odontogenic tumour, with AF in most of the lesion, with areas characterised by GC, while ameloblastic and ameloblastic fibrodontoma areas were also detected. Other histological sections showed only AF tissue, with areas of Calcifying Odontogenic Cyst. The immunohistochemical characterisation of the lesion was also performed. A comparative table of the immunoistochemical staining of the AF and COC areas revealed some differences in the expression of markers.
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Affiliation(s)
- T Cutilli
- Department of Life, Health and Environmental Sciences, University of L'Aquila, Maxillofacial Surgery Operative Unit, San Salvatore City Hospital, L'Aquila, Italy
| | - G Coletti
- Department of Life, Health and Environmental Sciences, University of L'Aquila, Pathology Operative Unit, San Salvatore City Hospital, L'Aquila, Italy
| | - M W Fatayer
- Department of Life, Health and Environmental Sciences, University of L'Aquila, Pathology Operative Unit, San Salvatore City Hospital, L'Aquila, Italy
| | - S Caruso
- Dental School, Department of Life, Health and Environmental Sciences, University of L’Aquila, Italy
| | - S Tecco
- Dental School, Vita-Salute San Raffaele University, Milan, Italy
| | - R Gatto
- Dental School, Department of Life, Health and Environmental Sciences, University of L'Aquila, Italy
| | - P Leocata
- Department of Life, Health and Environmental Sciences, University of L'Aquila, Pathology Operative Unit, San Salvatore City Hospital, L'Aquila, Italy
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Giuliani A, Romano L, Coletti G, Walid A Fatayer M, Calvisi G, Maffione F, Muolo C, Vicentini V, Schietroma M, Carlei F. Lymphangiomatosis of the ileum with perforation: A case report and review of the literature. Ann Med Surg (Lond) 2019; 41:6-10. [PMID: 30992989 PMCID: PMC6449703 DOI: 10.1016/j.amsu.2019.03.010] [Citation(s) in RCA: 21] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2019] [Accepted: 03/24/2019] [Indexed: 01/10/2023] Open
Abstract
Lymphangiomatosis is a benign proliferation of lymph vessels. Lymphatic diseases can vary from small lymphangioma to generalized lymphangiomatosis, which is a rare condition and can have several clinical manifestations. The gastrointestinal tract may be affected, but the incidence in the intestinal wall is very low. We propose in our study a case of ileal lymphangiomatosis presenting with perforation, in which the diagnosis was made after the pathological analysis of the resected intestinal tract. Although rare and not described in the literature, intestinal lymphangiomatosis could manifest itself with acute abdomen and could be a surgical urgency. This disease should be considered when intestinal perforation is observed. Lymphangiomatosis is a multisystemic disorder. The GI tract may be affected, but the incidence of lymphangioma of the intestinal wall is very low. Lymphangiomatosis of the small bowel is a rare disease, so it is easy for a clinician to make a misdiagnosis. Intestinal lymphangiomatosis could manifest itself with an acute abdomen and surgical urgency. The pathologist should keep it in mind in the differential diagnosis, when he analyses a case of perforation.
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Affiliation(s)
| | - Lucia Romano
- Department of Surgery, University of L'Aquila, Italy
- Corresponding author. University of L'Aquila, Dipartimento di Scienze Chirurgiche, Ospedale San Salvatore, 67100, Coppito, AQ, Italy.
| | - Gino Coletti
- UOC Anatomia Patologica, ASL1 Abruzzo, Ospedale San Salvatore, L'aquila, Italy
| | | | - Giuseppe Calvisi
- UOC Anatomia Patologica, ASL1 Abruzzo, Ospedale San Salvatore, L'aquila, Italy
| | | | - Chiara Muolo
- Department of Surgery, University of L'Aquila, Italy
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Carubbi F, Alunno A, Cipriani P, Coletti G, Bigerna B, Manetti M, Di Benedetto P, Bistoni O, Cipolloni G, Liakouli V, Ruscitti P, Bartoloni E, Giacomelli R, Gerli R. Different operators and histologic techniques in the assessment of germinal center-like structures in primary Sjögren's syndrome minor salivary glands. PLoS One 2019; 14:e0211142. [PMID: 30682150 PMCID: PMC6347225 DOI: 10.1371/journal.pone.0211142] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2018] [Accepted: 01/08/2019] [Indexed: 12/21/2022] Open
Abstract
Objective A standardization of minor salivary gland (MSG) histopathology in primary Sjögren’s syndrome (pSS) has been recently proposed. Although there is strong agreement that germinal center (GC)-like structures should be routinely identified, due to their prognostic value, a consensus regarding the best protocol is still lacking. Aim of this study was to compare the performance of different histological techniques and operators to identify GC-like structures in pSS MSGs. MSG biopsies from 50 pSS patients were studied. Methods Three blinded operators (one pathologist and two rheumatologists with different years of experience in pSS MSG assessment) assessed 50 MSGs of which one slide was stained with haematoxylin and eosin (H&E) and consecutive slides were processed to investigate CD3/CD20, CD21 and Bcl-6 expression. Results By assessing 225 foci, the best agreement was between H&E-stained sections evaluated by the rheumatologist with more years of experience in pSS MSG assessment and CD3/CD20 segregation. In the foci with CD21 positivity, the agreement further increased. Bcl-6- foci could display a GC, detected with other staining, but not vice versa. Conclusion GC assessment on H&E-stained sections should be performed with caution, being operator-dependent. The combination of H&E with CD3/CD20 and CD21 staining should be recommended as it is reliable, feasible, able to overcome the bias of operator experience and easily transferrable into routine practice.
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Affiliation(s)
- Francesco Carubbi
- Rheumatology Unit, Department of Biotechnological and Applied Clinical Science, School of Medicine, University of L'Aquila, Italy
- Department of Medicine, ASL1 Avezzano-Sulmona-L’Aquila, L’Aquila, Italy
| | - Alessia Alunno
- Rheumatology Unit, Department of Medicine, University of Perugia, Perugia, Italy
| | - Paola Cipriani
- Rheumatology Unit, Department of Biotechnological and Applied Clinical Science, School of Medicine, University of L'Aquila, Italy
| | - Gino Coletti
- Pathology Unit, Biomedical Department, ASL1 Avezzano-Sulmona-L’Aquila, L'Aquila, Italy
| | - Barbara Bigerna
- Institute of Haematology, Department of Medicine, University of Perugia, Perugia, Italy
| | - Mirko Manetti
- Department of Experimental and Clinical Medicine, Section of Anatomy and Histology, University of Florence, Florence, Italy
| | - Paola Di Benedetto
- Rheumatology Unit, Department of Biotechnological and Applied Clinical Science, School of Medicine, University of L'Aquila, Italy
| | - Onelia Bistoni
- Rheumatology Unit, Department of Medicine, University of Perugia, Perugia, Italy
| | - Gianluca Cipolloni
- Pathology Unit, Biomedical Department, ASL1 Avezzano-Sulmona-L’Aquila, L'Aquila, Italy
| | - Vasiliki Liakouli
- Rheumatology Unit, Department of Biotechnological and Applied Clinical Science, School of Medicine, University of L'Aquila, Italy
| | - Piero Ruscitti
- Rheumatology Unit, Department of Biotechnological and Applied Clinical Science, School of Medicine, University of L'Aquila, Italy
| | - Elena Bartoloni
- Rheumatology Unit, Department of Medicine, University of Perugia, Perugia, Italy
| | - Roberto Giacomelli
- Rheumatology Unit, Department of Biotechnological and Applied Clinical Science, School of Medicine, University of L'Aquila, Italy
- * E-mail:
| | - Roberto Gerli
- Rheumatology Unit, Department of Medicine, University of Perugia, Perugia, Italy
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Bortolami A, Fucci C, de Cicco G, Latini L, di Matteo D, Aquino T, Prencipe A, Coletti G. RF18 EDGE TO EDGE PROCEDURE AS AN ALTERNATIVE TO QUADRANGOLAR RESECTION OF ISOLATED PROLAPSE OF POSTERIOR MITRAL LEAFLET. J Cardiovasc Med (Hagerstown) 2018. [DOI: 10.2459/01.jcm.0000550015.11743.3b] [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: 11/05/2022]
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Abstract
Primary epididymal lymphoma is an unusual observation. Only 2 cases of non-Hodgkin's lymphoma of the epididymis have been previously reported. We describe the clinical and pathologic features and management of a primary high-grade malignant lymphoma of the epididymis in which a tentative diagnosis of lymphoma was made on the basis of cytologic examination and immunochemical staining of the material obtained from an aspiration needle biopsy.
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Affiliation(s)
- L Ginaldi
- Dipartimento di Medicina Interna e Sanità Pubblica, Università dell'Aquila, Italy
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Abstract
Granular cell tumor (GCT) is a relatively rare neoplasm, and almost always benign in its prognostic behavior. Location of this tumor in the breast presents serious problems for differential diagnosis, both from a clinical point of view and at gross pathological examination, because of its resemblance to carcinoma. Fine needle aspiration biopsy and intraoperative frozen section examination may not be of any further help. The histogenesis of these lesions has been widely debated in the past, but no universally accepted conclusion has been reached. Most GCTs appear to be derived from Schwann cells, but many different neoplastic and non-neoplastic lesions show granular cell changes. Therefore, GCT should not be considered as a single entity but as the result of a cytoplasmic change due to still unknown metabolic alterations that may occur in various cell types. No firm conclusions can be drawn regarding the suspected hormonal influence on the development of breast GCT. The authors describe three typical cases of breast GCT that occurred in patients of different ages, and discuss the most important questions concerning this lesion.
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Affiliation(s)
- L Ventura
- Department of Experimental Medicine, University of L'Aquila, Coppito, Italy.
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Abstract
The Authors report on a rare case of malignant conjunctival epibulbar fibrous histiocytoma with orbital invasion. Fibrous histiocytoma is a tumour of mesenchymal origin, which, although among the most common adult age soft tumours, appears very rarely at the conjunctival level. In fact the most frequent site is the orbit. So far only 15 cases concerning conjunctiva have been described in the Literature only 4 of those have been reported as malignant. We observed a male patient, who 6 years ago, at the age of 53, noticed a neoformation on the temporal portion of the bulbar conjunctiva. In June 1988, after three successive operations, with a histological diagnosis of inflammatory granuloma, he came to our Clinic, where, because of the characteristics of the orbit infiltrations, only a partial excision was carried out for a biopsy. The histological examination, associated with immunohistochemical techniques, gave the result of malignant fibrous histiocytoma. Consequently in, July 1988, the patient underwent an exenteratio orbitae. To date, the patient enjoys good health without a trace of recurrence. Besides the clinical presentation of the case, histopathological and immunohistochemical findings concerning this type of lesion are presented and discussed, with a comparison of our findings with those reported in the literature.
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Ventura T, Discepoli S, Coletti G, Leocata P, Francavilla S, Properzi G, Santiemma V, Martini E. Light Microscopic, Immunocytochemical and Ultrastructural Study of a Case of Sertoli Cell Tumor of the Testis. Tumori 2018; 73:649-53. [PMID: 3324410 DOI: 10.1177/030089168707300618] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [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: 11/15/2022]
Abstract
A case of testicular specialized gonadal stroma tumor was evaluated by histologic, ultrastructural and immunohistochemical techniques in a young adult male patient. The neoplastic cells were organized in cords or tubular structures delimited by a basement membrane. The ultrastructural findings suggested a diagnosis of a partially differentiated Sertoli cell tumor. This was also supported by the presence of a vimentin rich cytoskeleton, which is normally present in Sertoli and Leydig cells. The tumor cells did not secrete steroid hormones, as suggested by clinical findings, as well as by hormonal, immunohistochemical, and ultrastructural observations.
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Affiliation(s)
- T Ventura
- Servizio di Anatomia ed Istologia Patologica, Ospedale S. Salvatore, L'Aquila, Italy
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Bruera G, Di Staso M, Bonfili P, Galvano A, Manetta R, Coletti G, Vicentini R, Guadagni S, Ficorella C, Di Cesare E, Russo A, Ricevuto E. Dose-finding study of oxaliplatin associated to capecitabine-based preoperative chemoradiotherapy in locally advanced rectal cancer. Oncotarget 2018; 9:17906-17914. [PMID: 29707156 PMCID: PMC5915164 DOI: 10.18632/oncotarget.24665] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2017] [Accepted: 02/27/2018] [Indexed: 12/18/2022] Open
Abstract
Introduction Proper administration timing, dose-intensity, efficacy/toxicity ratio of oxaliplatin added to fluoropyrimidin should be improved to safely perform two-drugs intensive preoperative chemoradiotherapy in locally advanced rectal cancer (LARC). This dose-finding study investigated recommended oxaliplatin dose, safety of oxaliplatin/capecitabine regimen and preliminary activity. Methods Schedule: oxaliplatin dose-levels, 35-40 mg/m2/week; capecitabine 825 mg/m2/ twice daily, radiotherapy on rectum/nodes, 50/45 Gy, 45 and 9 boost/45 Gy, in first 5 and subsequent patients, 5 days/week, respectively; for 5 weeks. Pathologic complete response (pCR) 10% was projected in order to positively affect clinical outcome. Results Seventeen fit <75 years patients enrolled: median age 60; young-elderly 4 (23%); T3/T4, 15/2, N0/N1/N2, 7/9/1. At first dose-level, no dose-limiting toxicity (DLT). At second, 2 DLT, G3 mucositis, G3 thrombocytopenia, in 2/6 patients (33%). Oxaliplatin recommended dose, 40 mg/m2/week. Cumulative G3-4 toxicities: mucositis 6%, thrombocytopenia 6%. Limiting toxicity syndromes 18%, 25% in young-elderly, all single site. Objective response rate intent-to-treat 94%. Sphinter preservation 87%, pCR 6%. After 17 months follow-up, progression-free survival and overall survival were not reached. Conclusions Oxaliplatin can be safely added to preoperative capecitabine-based chemoradiotherapy at the recommended dose 40 mg/m2/week, in LARC, with promising pCR and high activity.
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Affiliation(s)
- Gemma Bruera
- Oncology Territorial Care, S. Salvatore Hospital, Oncology Network ASL1 Abruzzo, University of L'Aquila, L'Aquila, Italy.,Department of Biotechnological and Applied Clinical Sciences, University of L'Aquila, L'Aquila, Italy
| | - Mario Di Staso
- Radiotherapy, S. Salvatore Hospital, Oncology Network ASL1 Abruzzo, University of L'Aquila, L'Aquila, Italy
| | - Pierluigi Bonfili
- Radiotherapy, S. Salvatore Hospital, Oncology Network ASL1 Abruzzo, University of L'Aquila, L'Aquila, Italy
| | - Antonio Galvano
- Medical Oncology, Department of Surgical, Oncological and Stomatological Sciences, University of Palermo, Palermo, Italy
| | - Rosa Manetta
- Radiology, S. Salvatore Hospital, L'Aquila, Oncology Network ASL1 Abruzzo, Italy
| | - Gino Coletti
- Pathology, S. Salvatore Hospital, L'Aquila, Oncology Network ASL1 Abruzzo, Italy
| | - Roberto Vicentini
- Hepatobiliar-pancreatic Surgery, S. Salvatore Hospital, L'Aquila, Oncology Network ASL1 Abruzzo, Italy
| | - Stefano Guadagni
- Department of Biotechnological and Applied Clinical Sciences, University of L'Aquila, L'Aquila, Italy.,Universitary General Surgery, S. Salvatore Hospital, Oncology Network ASL1 Abruzzo, University of L'Aquila, L'Aquila, Italy
| | - Corrado Ficorella
- Department of Biotechnological and Applied Clinical Sciences, University of L'Aquila, L'Aquila, Italy.,Medical Oncology, S. Salvatore Hospital, Oncology Network ASL1 Abruzzo, University of L'Aquila, L'Aquila, Italy
| | - Ernesto Di Cesare
- Department of Biotechnological and Applied Clinical Sciences, University of L'Aquila, L'Aquila, Italy.,Radiotherapy, S. Salvatore Hospital, Oncology Network ASL1 Abruzzo, University of L'Aquila, L'Aquila, Italy
| | - Antonio Russo
- Medical Oncology, Department of Surgical, Oncological and Stomatological Sciences, University of Palermo, Palermo, Italy
| | - Enrico Ricevuto
- Oncology Territorial Care, S. Salvatore Hospital, Oncology Network ASL1 Abruzzo, University of L'Aquila, L'Aquila, Italy.,Department of Biotechnological and Applied Clinical Sciences, University of L'Aquila, L'Aquila, Italy
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Ciccone F, Ciccone A, Di Ruscio M, Vernia F, Cipolloni G, Coletti G, Calvisi G, Frieri G, Latella G. IgG4-Related Disease Mimicking Crohn's Disease: A Case Report and Review of Literature. Dig Dis Sci 2018; 63:1072-1086. [PMID: 29417330 DOI: 10.1007/s10620-018-4950-6] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/16/2017] [Accepted: 01/26/2018] [Indexed: 02/06/2023]
Affiliation(s)
- Fabiana Ciccone
- Gastroenterology, Hepatology and Nutrition Division, Department of Life, Health and Environmental Sciences, University of L'Aquila, Piazza S. Tommasi, 1, Coppito, 67100, L'Aquila, Italy
| | - Antonio Ciccone
- Gastroenterology, Hepatology and Nutrition Division, Department of Life, Health and Environmental Sciences, University of L'Aquila, Piazza S. Tommasi, 1, Coppito, 67100, L'Aquila, Italy
| | - Mirko Di Ruscio
- Gastroenterology, Hepatology and Nutrition Division, Department of Life, Health and Environmental Sciences, University of L'Aquila, Piazza S. Tommasi, 1, Coppito, 67100, L'Aquila, Italy
| | - Filippo Vernia
- Gastroenterology, Hepatology and Nutrition Division, Department of Life, Health and Environmental Sciences, University of L'Aquila, Piazza S. Tommasi, 1, Coppito, 67100, L'Aquila, Italy
| | - Gianluca Cipolloni
- Pathology Unit, San Salvatore Hospital, Via Lorenzo Natali, 1, Coppito, 67100, L'Aquila, Italy
| | - Gino Coletti
- Pathology Unit, San Salvatore Hospital, Via Lorenzo Natali, 1, Coppito, 67100, L'Aquila, Italy
| | - Giuseppe Calvisi
- Pathology Unit, San Salvatore Hospital, Via Lorenzo Natali, 1, Coppito, 67100, L'Aquila, Italy
| | - Giuseppe Frieri
- Gastroenterology, Hepatology and Nutrition Division, Department of Life, Health and Environmental Sciences, University of L'Aquila, Piazza S. Tommasi, 1, Coppito, 67100, L'Aquila, Italy
| | - Giovanni Latella
- Gastroenterology, Hepatology and Nutrition Division, Department of Life, Health and Environmental Sciences, University of L'Aquila, Piazza S. Tommasi, 1, Coppito, 67100, L'Aquila, Italy.
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13
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Gabrieli D, Ciccone F, Capannolo A, Viscido A, Valerii G, Serva D, Necozione S, Coletti G, Calvisi G, Melideo D, Frieri G, Latella G. Subtypes of chronic gastritis in patients with celiac disease before and after gluten-free diet. United European Gastroenterol J 2017; 5:805-810. [PMID: 29026594 PMCID: PMC5625871 DOI: 10.1177/2050640616684698] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/09/2016] [Accepted: 11/21/2016] [Indexed: 12/27/2022] Open
Abstract
BACKGROUND Celiac disease (CD) often manifests with dyspeptic symptoms and chronic gastritis is a common finding. AIM To evaluate the frequency of lymphocytic gastritis (LG), chronic active gastritis (CAG), and chronic inactive gastritis (CIG) in patients with CD, before and after gluten-free diet (GFD). METHODS A five-year prospective study including all consecutive patients with a new diagnosis of CD was conducted. Gastric and duodenal biopsy specimens taken both at the time of the CD diagnosis and at the first endoscopic control after 18-24 months on GFD were evaluated. RESULTS 213 patients with CD were enrolled. At the time of the diagnosis, 42 patients (19.7%) showed normal gastric mucosa, 34 (15.9%) LG, 67 (31.5%) CAG, and 70 (32.9%) CIG. Out of the 34 patients with LG, all were Helicobacter pylori negative and the majority of them showed an improvement both of gastritis (94.1%) and duodenal lesions (82.3%) after GFD. GFD did not show significant effects on CAG and CIG. CONCLUSIONS LG is present in 16% of CD patients, it is not associated with H. pylori infection, and it improves after GFD. Both CAG and CIG are also frequently associated with CD, but fail to respond to a GFD.
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Affiliation(s)
- Dolores Gabrieli
- Gastroenterology Unit, Department of Life, Health and Environmental Sciences, University of L’Aquila, L’Aquila, Italy
| | - Fabiana Ciccone
- Gastroenterology Unit, Department of Life, Health and Environmental Sciences, University of L’Aquila, L’Aquila, Italy
| | - Annalisa Capannolo
- Gastroenterology Unit, Department of Life, Health and Environmental Sciences, University of L’Aquila, L’Aquila, Italy
| | - Angelo Viscido
- Gastroenterology Unit, Department of Life, Health and Environmental Sciences, University of L’Aquila, L’Aquila, Italy
| | - Giorgio Valerii
- Gastroenterology Unit, Department of Life, Health and Environmental Sciences, University of L’Aquila, L’Aquila, Italy
| | - Donatella Serva
- Gastroenterology Unit, Department of Life, Health and Environmental Sciences, University of L’Aquila, L’Aquila, Italy
| | - Stefano Necozione
- Epidemiology Unit, Department of Life, Health and Environmental Sciences, University of L’Aquila, L’Aquila, Italy
| | - Gino Coletti
- Pathology Unit, S. Salvatore Hospital, L’Aquila, Italy
| | | | - Dina Melideo
- Gastroenterology Unit, Department of Life, Health and Environmental Sciences, University of L’Aquila, L’Aquila, Italy
| | - Giuseppe Frieri
- Gastroenterology Unit, Department of Life, Health and Environmental Sciences, University of L’Aquila, L’Aquila, Italy
| | - Giovanni Latella
- Gastroenterology Unit, Department of Life, Health and Environmental Sciences, University of L’Aquila, L’Aquila, Italy
- Giovanni Latella, Gastroenterology Unit, Department of Life, Health and Environmental Sciences, University of L'Aquila, Piazza S. Tommasi, 1- Coppito, 67100 L'Aquila, Italy.
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Capannolo A, Viscido A, Sollima L, Marinucci A, Coletti G, Pasetti A, Frieri G, Bassotti G, Villanacci V, Latella G. Mastocytic enterocolitis: Increase of mast cells in the gastrointestinal tract of patients with chronic diarrhea. Gastroenterología y Hepatología 2017; 40:467-470. [PMID: 27436817 DOI: 10.1016/j.gastrohep.2016.05.005] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/04/2016] [Revised: 04/27/2016] [Accepted: 05/23/2016] [Indexed: 12/14/2022]
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15
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Altobelli E, Latella G, Morroni M, Licini C, Tossetta G, Mazzucchelli R, Profeta VF, Coletti G, Leocata P, Castellucci M, Guerrieri M, Petrocelli R, De Berardis B, De Padova M, Di Leonardo G, Paladini A, Mignosi F, Quaglione G, Fagnano R, Marzioni D. Low HtrA1 expression in patients with long‑standing ulcerative colitis and colorectal cancer. Oncol Rep 2017; 38:418-426. [PMID: 28586045 DOI: 10.3892/or.2017.5700] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [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: 12/22/2016] [Accepted: 03/31/2017] [Indexed: 11/05/2022] Open
Abstract
The association between inflammatory bowel disease (IBD) and colorectal cancer (CRC) is being increasingly investigated. HtrA1 overexpression inhibits cell growth and proliferation by influencing apoptosis, invasiveness and migration of tumour cells. In the present study, HtrA1 expression was analysed in 228 colon tissue samples from patients with CRC, adenoma with high-grade dysplasia (AHD), adenoma with low-grade dysplasia (ALD), ulcerative colitis of >10 year duration (UCL), ulcerative colitis of <5 year duration (UCS) and colonic diverticulitis (D), and was compared with its expression in normal colon tissues (NCTs) collected 5 cm from the CRC lesion and in healthy colon mucosa (HC), to establish whether HtrA1 can serve as a biomarker for these conditions. All tissue specimens came from Italian Caucasian subjects. The main finding of the present study was that HtrA1 expression was significantly reduced in CRC and UCL tissues compared with that observed in both NCT and HC samples and with tissues from the other patients. In particular, a similar HtrA1 expression was detected in the stromal compartment of UCL and CRC samples. In contrast, the HtrA1 level was significantly lower (p=0.0008) in UCL compared with UCS tissues, suggesting an inverse relationship between HtrA1 expression and ulcerative colitis duration. HtrA1 immunostaining in the stromal compartment of AHD and ALD tissues showed no differences compared with the HC tissues. No data are available on the immunohistochemical localization of HtrA1 in CRC or IBD. The present findings suggest that HtrA1 could serve as a marker to identify UCL patients at high risk of developing CRC.
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Affiliation(s)
- Emma Altobelli
- Epidemiology and Biostatistics Unit, Teramo, Department of Life, Health and Environmental Sciences, University of L'Aquila, L'Aquila, Italy
| | - Giovanni Latella
- Gastroenterology Unit, Department of Life, Health and Environmental Sciences, University of L'Aquila, L'Aquila, Italy
| | - Manrico Morroni
- Department of Experimental and Clinical Medicine, Università Politecnica Delle Marche, Ancona, Italy
| | - Caterina Licini
- Department of Experimental and Clinical Medicine, Università Politecnica Delle Marche, Ancona, Italy
| | - Giovanni Tossetta
- Department of Experimental and Clinical Medicine, Università Politecnica Delle Marche, Ancona, Italy
| | - Roberta Mazzucchelli
- Pathological Anatomy, Department of Medical Sciences and Public Health, Università Politecnica Delle Marche, United Hospitals, Ancona, Italy
| | | | - Gino Coletti
- Pathology Unit, San Salvatore Hospital, L'Aquila, Italy
| | - Pietro Leocata
- Pathology Unit, Department of Life, Health and Environmental Sciences, University of L'Aquila, L'Aquila, Italy
| | - Mario Castellucci
- Department of Experimental and Clinical Medicine, Università Politecnica Delle Marche, Ancona, Italy
| | - Mario Guerrieri
- Unit of Surgery, Università Politecnica delle Marche, Ospedali Riuniti, Ancona, Italy
| | | | | | - Marina De Padova
- Pathology Unit, Department of Life, Health and Environmental Sciences, University of L'Aquila, L'Aquila, Italy
| | - Gabriella Di Leonardo
- Epidemiology and Biostatistics Unit, Teramo, Department of Life, Health and Environmental Sciences, University of L'Aquila, L'Aquila, Italy
| | - Antonella Paladini
- Department of Life, Health and Environmental Sciences, University of L'Aquila, L'Aquila, Italy
| | - Filippo Mignosi
- Department of Information Engineering, Computer Science and Mathematics, University of L'Aquila, L'Aquila, Italy
| | | | | | - Daniela Marzioni
- Department of Experimental and Clinical Medicine, Università Politecnica Delle Marche, Ancona, Italy
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16
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Raysi Dehcordi S, Ricci A, Di Vitantonio H, De Paulis D, Luzzi S, Palumbo P, Cinque B, Tempesta D, Coletti G, Cipolloni G, Cifone MG, Galzio R. Stemness Marker Detection in the Periphery of Glioblastoma and Ability of Glioblastoma to Generate Glioma Stem Cells: Clinical Correlations. World Neurosurg 2017; 105:895-905. [PMID: 28559081 DOI: 10.1016/j.wneu.2017.05.099] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2017] [Revised: 05/16/2017] [Accepted: 05/18/2017] [Indexed: 12/18/2022]
Abstract
BACKGROUND Recent studies suggested glioma stem cells (GSCs) are key contributors to therapeutic resistance of glioblastoma multiforme (GBM) and are responsible for GBM recurrence. METHODS We characterized the phenotype of cancer cells in the core and periphery of 20 GBM tumors, correlating clinical outcome to the ability to form GSCs and distinguishing survival based on Ki-67 staining. RESULTS Similar levels of methylguanine-deoxyribonucleic acid methyltransferase were found in the core and periphery of GBM tumors, whereas Ki-67 was reduced in the periphery. Similar levels of stemness markers in the periphery and in the core of all GBM cultures were found. Only cells expressing >30% SOX2 levels were able to produce neurospheres. Immunophenotypic analysis showed higher levels of stemness markers in GSC cultures than in all GBM primary cultures. GSC in vitro production and coexpression of Ki-67 >5% negatively correlated with outcome. CONCLUSIONS Not all GBM cultures can generate GSCs, and this capacity is linked to >30% SOX2 levels. The ability to form spheres negatively correlated to survival, and the detection of >5% Ki-67 levels may be useful to identify patients at risk of disease progression. The presence of GSC-/SOX-2-/Ki-67- cells may be regarded as a new prognostic factor. The presence of stemness markers and methylguanine-deoxyribonucleic acid methyltransferase in the periphery of GBM tumors may be the reason for treatment failure and recurrence. Development of stem cell-targeted therapies and elaboration of more aggressive treatments represent an opportunity to eliminate the GBM source and the nidus of recurrence.
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Affiliation(s)
- Soheila Raysi Dehcordi
- Operative Unit of Neurosurgery, San Salvatore Hospital, L'Aquila, Italy; Department of Life, Health and Environmental Sciences, University of L'Aquila, L'Aquila, Italy.
| | - Alessandro Ricci
- Operative Unit of Neurosurgery, San Salvatore Hospital, L'Aquila, Italy
| | | | - Danilo De Paulis
- Operative Unit of Neurosurgery, San Salvatore Hospital, L'Aquila, Italy
| | - Sabino Luzzi
- Operative Unit of Neurosurgery, San Salvatore Hospital, L'Aquila, Italy
| | - Paola Palumbo
- Department of Life, Health and Environmental Sciences, University of L'Aquila, L'Aquila, Italy
| | - Benedetta Cinque
- Department of Life, Health and Environmental Sciences, University of L'Aquila, L'Aquila, Italy
| | - Daniela Tempesta
- Department of Biotechnological and Applied Clinical Sciences, University of L'Aquila, L'Aquila, Italy
| | - Gino Coletti
- Operative Unit of Pathology, San Salvatore Hospital, L'Aquila, Italy
| | | | - Maria Grazia Cifone
- Department of Life, Health and Environmental Sciences, University of L'Aquila, L'Aquila, Italy
| | - Renato Galzio
- Operative Unit of Neurosurgery, San Salvatore Hospital, L'Aquila, Italy; Department of Life, Health and Environmental Sciences, University of L'Aquila, L'Aquila, Italy
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17
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Ricci A, Di Vitantonio H, De Paulis D, Del Maestro M, Dehcordi SR, Murrone D, Coletti G, Calvisi G, Galzio RJ. Systemic sclerosis associated with colliquative necrosis in the cerebellum. Surg Neurol Int 2017; 8:44. [PMID: 28480106 PMCID: PMC5402329 DOI: 10.4103/sni.sni_401_16] [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] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2016] [Accepted: 01/28/2017] [Indexed: 11/09/2022] Open
Abstract
Background: The scleroderma is a complex autoimmune collagen disorder that can affect many organs simultaneously, as it occurs in the systemic sclerosis (SS), or only the skin, as it occurs in the localized scleroderma (LS). The neurological presentation is extremely uncommon, and even more uncommon are the symptoms of the scleroderma in the cerebellum. Case Description: We report the case of a 56-year-old male with cerebellar lesions mimicking a brain abscess. After surgical excision, the histopathological diagnosis deposed for an ischemic necrosis caused by a vasculopathy. All the bacteriological and viral exams were negative, whereas the rheumatologic tests were compatible with the scleroderma pattern. Conclusion: Up to now, the literature has described only 5 cases of scleroderma in the posterior cranial fossa. The authors report a case of SS causing colliquative necrosis in the cerebellum. Pathogenetic mechanisms, clinical aspects, and radiological features are discussed along with the pertinent literature.
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Affiliation(s)
- Alessandro Ricci
- Department of Neurosurgery, San Salvatore city Hospital, L'Aquila, Italy
| | - Hambra Di Vitantonio
- Department of Life, Health & Environmental Sciences (MESVA), University of L'Aquila, Italy
| | - Danilo De Paulis
- Department of Neurosurgery, San Salvatore city Hospital, L'Aquila, Italy
| | - Mattia Del Maestro
- Department of Life, Health & Environmental Sciences (MESVA), University of L'Aquila, Italy
| | - Soheila Raysi Dehcordi
- Department of Life, Health & Environmental Sciences (MESVA), University of L'Aquila, Italy
| | - Domenico Murrone
- Department of Life, Health & Environmental Sciences (MESVA), University of L'Aquila, Italy
| | - Gino Coletti
- Department of Pathology, San Salvatore city Hospital, L'Aquila, Italy
| | - Giuseppe Calvisi
- Department of Pathology, San Salvatore city Hospital, L'Aquila, Italy
| | - Renato Juan Galzio
- Department of Life, Health & Environmental Sciences (MESVA), University of L'Aquila, Italy
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Cocciolone V, Cannita K, Bruera G, Bafile A, Coletti G, Resta V, Ciccozzi A, Dalmas A, Ficorella C, Ricevuto E. P218 Primary dose-dense epirubicin/cyclophosphamide→docetaxel in breast cancer: preliminary results. Breast 2015. [DOI: 10.1016/s0960-9776(15)70252-3] [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: 10/23/2022] Open
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19
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20
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Fucci C, DeCicco G, Latini L, DiMatteo G, Coletti G. Triple-orifice repair in severe barlow disease with multiple-jet regurgitation: report of mid-term experience. J Cardiothorac Surg 2013. [PMCID: PMC3844722 DOI: 10.1186/1749-8090-8-s1-o275] [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] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/02/2022] Open
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21
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Bruera G, Cannita K, Di Giacomo D, Lamy A, Troncone G, Dal Mas A, Coletti G, Frébourg T, Sabourin JC, Tosi M, Ficorella C, Ricevuto E. Prognostic value of KRAS genotype in metastatic colorectal cancer (MCRC) patients treated with intensive triplet chemotherapy plus bevacizumab (FIr-B/FOx) according to extension of metastatic disease. BMC Med 2012; 10:135. [PMID: 23136868 PMCID: PMC3520760 DOI: 10.1186/1741-7015-10-135] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/21/2012] [Accepted: 11/08/2012] [Indexed: 01/31/2023] Open
Abstract
BACKGROUND Bevacizumab (BEV) plus triplet chemotherapy can increase efficacy of first-line treatment of metastatic colorectal cancer (MCRC), particularly integrated with secondary liver surgery in liver-limited (L-L) patients. The prognostic value of the KRAS genotype in L-L and other or multiple metastatic (O/MM) MCRC patients treated with the FIr-B/FOx regimen was retrospectively evaluated. METHODS Tumoral and metastatic samples were screened for KRAS codon 12 and 13 and BRAF mutations by SNaPshot and/or direct sequencing. Fit MCRC patients <75 years were consecutively treated with FIr-B/FOx regimen: weekly 12-h timed flat-infusion/5-fluorouracil (TFI 5-FU) 900 mg/m2, days 1, 2, 8, 9, 15, 16, 22 and 23; irinotecan (CPT-11) 160 mg/m2 plus BEV 5 mg/kg, days 1, 15; oxaliplatin (OXP) 80 mg/m2, days 8, 22; every 4 weeks. MCRC patients were classified as L-L and O/MM. Activity and efficacy were evaluated and compared using log-rank test. RESULTS In all, 59 patients were evaluated: 31 KRAS wild-type (53%), 28 KRAS mutant (47%). At 21.5 months median follow-up, objective response rate (ORR), progression-free survival (PFS) and overall survival (OS) were, respectively: KRAS wild-type 90%, 14 months, 38 months; KRAS mutant 67%, 11 months, 20 months. PFS and OS were not significantly different. PFS and OS were significantly different in L-L compared to O/MM evaluable patients. In KRAS wild-type patients, clinical outcome of 12 L-L compared to 18 O/MM was significantly different: PFS 21 versus 12 months and OS 47 versus 28 months, respectively. In KRAS mutant patients, the clinical outcome of 13 L-L compared to 14 O/MM was not significantly different: PFS 11 months equivalently and OS 39 versus 19 months, respectively. CONCLUSIONS The KRAS genotype wild-type and mutant does not significantly affect different clinical outcomes for MCRC patients treated with the first-line FIr-B/FOx intensive regimen. KRAS wild-type patients with L-L disease may achieve a significantly prolonged clinical outcome due to integration with secondary liver surgery, with respect to KRAS mutant patients.
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Affiliation(s)
- Gemma Bruera
- Medical Oncology, S, Salvatore Hospital, University of L'Aquila, L'Aquila, Italy
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Thelakkadan AS, Coletti G, Guastavino F, Fina A. Effect of clay dispersion methods on the mechano-dynamical and electrical properties of epoxy–organoclay nanocomposites. Polym Bull (Berl) 2012. [DOI: 10.1007/s00289-012-0815-x] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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23
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Di Cesare A, Sera F, Gulia A, Coletti G, Micantonio T, Fargnoli MC, Peris K. The spectrum of dermatoscopic patterns in blue nevi. J Am Acad Dermatol 2012; 67:199-205. [DOI: 10.1016/j.jaad.2011.08.018] [Citation(s) in RCA: 18] [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] [Received: 04/22/2011] [Revised: 07/27/2011] [Accepted: 08/15/2011] [Indexed: 10/15/2022]
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24
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Bruera G, Cannita K, Di Giacomo D, Lamy A, Troncone G, Dal Mas A, Coletti G, Frébourg T, Sabourin JC, Tosi M, Ficorella C, Ricevuto E. P-0266 Worse Prognosis of Kras C.35 G>A Mutant Mcrc Patients Treated with Intensive Triplet Chemotherapy Plus Bevacizumab (FIR-B/FOX). Ann Oncol 2012. [DOI: 10.1016/s0923-7534(20)30196-4] [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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25
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Masciocchi C, Lanni G, Conti L, Conchiglia A, Fascetti E, Flamini S, Coletti G, Barile A. Soft-tissue inflammatory myofibroblastic tumors (IMTs) of the limbs: potential and limits of diagnostic imaging. Skeletal Radiol 2012; 41:643-9. [PMID: 21946938 DOI: 10.1007/s00256-011-1263-7] [Citation(s) in RCA: 37] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/21/2011] [Revised: 07/06/2011] [Accepted: 08/21/2011] [Indexed: 02/02/2023]
Abstract
OBJECTIVE The objective of this work was to evaluate the potential of diagnostic imaging in the identification, localization, and characterization of soft-tissue inflammatory myofibroblastic tumors (IMTs) of limbs with correlation to differential diagnosis and therapy. MATERIALS AND METHODS From a retrospective analysis of 324 histologically verified soft-tissue lesions of limbs and extremities diagnosed in our institute from January 2002 to July 2010, we selected seven cases of histologically proven IMT. These included six males and one female, aged between 28 and 81 years (mean age, 57 years). Lesions were localized in three cases to the thigh, in two cases to the popliteal space, and in the remaining two cases, to the shoulder girdle. All patients were evaluated on the basis of US, CT, and MRI. RESULTS Ultrasound detected the presence of a non-homogeneous solid formation in all cases and calcifications in three cases. CT showed the presence and type of calcification/ossification and bone reaction. On MRI, all cases had low signal intensity on SE T1-weighted sequences and an intermediate-low signal intensity on SE and FSE T2-weighted sequences in six of them; only one case had an intermediate-high signal intensity on SE and FSE T2-weighted sequences. Both contrast-enhanced CT and MRI showed precocious enhancement in association with multiple peripheral hypertrophic blood vessels. CONCLUSIONS On the basis of integrated imaging data obtained by US, CT, and MRI, it is possible to evaluate the lesion extension to provide a loco-regional staging, to characterize IMTs, and to allow an optimal therapeutical planning.
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Affiliation(s)
- Carlo Masciocchi
- Department of Radiology, University of L'Aquila, S. Salvatore Hospital, Coppito, 67100, L'Aquila, Italy
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Marzi S, De Paulis D, Ricci A, Taddei G, Dehcordi SR, Coletti G, Maselli G, Galzio RJ. Meningioangiomatosis Without Neurofibromatosis Type 2. World J Oncol 2012; 3:127-133. [PMID: 29147294 PMCID: PMC5649792 DOI: 10.4021/wjon470w] [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] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/14/2012] [Indexed: 12/03/2022] Open
Abstract
Meningioangiomatosis (MA) is a rare, benign hamartomatous lesion found in cerebral cortex and leptomeninges. It occurs mostly in 5 - 15 year old children in form isolated or diffuse; the diffuse form may be associated with neurofibromatosis type 2 (NF2). The sporadic type in the adults is less common.The patient was a 37 year-old man with a long history of frontal headache. In suspected sinusitis, the patient underwent cerebral MRI that showed hypointense lesion in the right frontal lobe with heterogeneous contrast enhancement after gadolinium administration. There were no stigmata or family history of neurofibromatosis. A right pterional approach with a supraorbital craniotomy was performed. The lesion was removed with complete remission of the headache in the postoperative time. MA enters into differential diagnosis with several other diseases and a correct diagnosis is mandatory. The total surgical removal is the treatment of choice, and the prognosis after surgery is usually excellent for the absence of recurrence in sporadic cases.
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Affiliation(s)
- Sara Marzi
- Department of Neurosurgery, San Salvatore Hospital, L'Aquila, Italy
| | - Danilo De Paulis
- Department of Neurosurgery, San Salvatore Hospital, L'Aquila, Italy
| | - Alessandro Ricci
- Department of Neurosurgery, San Salvatore Hospital, L'Aquila, Italy
| | - Graziano Taddei
- Department of Neurosurgery, San Salvatore Hospital, L'Aquila, Italy
| | | | - Gino Coletti
- Department of Pathology, San Salvatore Hospital, L'Aquila, Italy
| | - Giuliano Maselli
- Department of Neurosurgery, San Salvatore Hospital, L'Aquila, Italy
| | - Renato J Galzio
- Department of Neurosurgery, San Salvatore Hospital, L'Aquila, Italy.,Department of Health Sciences, San Salvatore Hospital, L'Aquila, Italy
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Bruera G, Cannita K, Di Giacomo D, Lamy A, Troncone G, Dal Mas A, Coletti G, Frébourg T, Sabourin JC, Tosi M, Ficorella C, Ricevuto E. Different clinical outcome of metastatic colorectal cancer (MCRC) patients treated with intensive triplet chemotherapy plus bevacizumab (FIr-B/FOx) according to KRAS genotype and disease extension. J Clin Oncol 2012. [DOI: 10.1200/jco.2012.30.15_suppl.e14010] [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
e14010 Background: Bevacizumab (BEV) plus triplet chemotherapy can increase efficacy of first-line treatment of MCRC, particularly if integrated with secondary liver surgery in liver-limited (L-L) patients (pts). Clinical outcome of FIr-B/FOx regimen was evaluated according to KRAS genotype in L-L and other MCRC pts. Methods: Tumoral and metastatic samples were screened for KRAS codon 12 and 13, and BRAF mutations by SNaPshot and/or direct sequencing. MCRC pts were classified as L-L and other or multiple metastatic (O/MM). Activity and efficacy were evaluated and compared using log-rank test. Results: Fifty-nine pts were evaluated: 31 KRAS wild-type, 53%; 28 KRAS mutant, 47%. At 21.5 months median follow-up, objective response rate (ORR), progression-free survival (PFS) and overall survival (OS) were, respectively: KRAS wild-type 90%, 14 months, 38 months; KRAS mutant 67%, 11 months, 20 months. PFS and OS were, respectively: overall in 25 L-L compared to 32 O/MM evaluable pts, 17 and 12 months, 47 and 21 months, significantly different; in KRAS wild-type, 12 L-L compared to 18 O/MM, 21 and 12 months, 47 and 28 months, significantly different; in KRAS mutant, 13 L-L compared to 14 O/MMS, 11 months equivalently, 39 and 19 months, not significantly different. Conclusions: First line FIr-B/FOx regimen can increase activity and efficacy of KRAS wild-type and mutant MCRC pts; integration with secondary liver surgery significantly discriminates increased clinical outcome in KRAS wild-type L-L compared to O/MM pts while not in KRAS mutant pts.
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Affiliation(s)
- Gemma Bruera
- Medical Oncology, S. Salvatore Hospital, University of L'Aquila, L'Aquila, Italy
| | - Katia Cannita
- Medical Oncology, S. Salvatore Hospital, University of L'Aquila, L'Aquila, Italy
| | - Daniela Di Giacomo
- Department of Experimental Medicine, University of L'Aquila, L'Aquila, Italy
| | - Aude Lamy
- Department of Pathology, Rouen University Hospital, Rouen, France
| | - Giancarlo Troncone
- Department of Biomorfologic and Functional Sciences, University Federico II, Napoli, Italy
| | | | - Gino Coletti
- Pathology, S. Salvatore Hospital, L'Aquila, Italy
| | | | | | - Mario Tosi
- INSERM U614, University of Rouen, Rouen, France
| | - Corrado Ficorella
- Medical Oncology, S. Salvatore Hospital, University of L'Aquila, L'Aquila, Italy
| | - Enrico Ricevuto
- Medical Oncology, S. Salvatore Hospital, University of L'Aquila, L'Aquila, Italy
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Taddei G, Marzi S, Coletti G, De Paulis D, Ricci A, Galzio RJ. Brain Metastasis From Prostate Adenocarcinoma: Case Report and Review of Literature. World J Oncol 2012; 3:83-86. [PMID: 29147285 PMCID: PMC5649894 DOI: 10.4021/wjon442w] [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] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/14/2011] [Indexed: 11/27/2022] Open
Abstract
It is rare for prostate carcinoma to metastasize to the central nervous system. It often represents a terminal event with death in one year frequently due to the advanced systemic disease. Starting by a case report, we also reviewed the relevant literature to focus on this uncommon entity from epidemiology to clinical manifestation and therapeutic strategies. In this article, a case of multiple brain prostate metastasis is reported and a review of relevant literature is also discussed. Treatments available for intracranial metastasis include neurosurgery, external beam radiation and hormonal manipulation. Surgery associated with whole brain radiotherapy seems to be effective in the control of brain lesions both relieving neurological symptoms and prolonging survival, even if prognosis remains dismal. From this case, we concluded that brain metastasis from prostate carcinoma is a rare, terminal event with death in one year frequently due to the advanced systemic disease. A better understanding of the biology of prostate carcinoma will help clarify the basis for its metastasis to the brain.
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Affiliation(s)
- Graziano Taddei
- University of L'Aquila, Italy.,Division of Neurosurgery, S. Salvatore Hospital, L'Aquila, Italy
| | - Sara Marzi
- Division of Neurosurgery, S. Salvatore Hospital, L'Aquila, Italy
| | - Gino Coletti
- Division of Pathology, S. Salvatore Hospital, L'Aquila, Italy
| | - Danilo De Paulis
- Division of Neurosurgery, S. Salvatore Hospital, L'Aquila, Italy
| | - Alessandro Ricci
- Division of Neurosurgery, S. Salvatore Hospital, L'Aquila, Italy
| | - Renato J Galzio
- Division of Neurosurgery, S. Salvatore Hospital, L'Aquila, Italy.,Department of Health Sciences, University of L'Aquila, Italy
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Bruera G, Cannita K, Di Giacomo D, Lamy A, Troncone G, Dal Mas A, Coletti G, Frébourg T, Sabourin JC, Tosi M, Ficorella C, Ricevuto E. Worse prognosis of KRAS C.35 G > A mutant metastatic colorectal cancer (MCRC) patients treated with intensive triplet chemotherapy plus bevacizumab (FIr-B/FOx). J Clin Oncol 2012. [DOI: 10.1200/jco.2012.30.4_suppl.521] [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
521 Background: Bevacizumab (BEV) addition to doublet chemotherapy significantly increases efficacy without differentially affecting prognosis in KRAS wild-type (wt) and mutant (m) MCRC. Present study evaluates clinical outcome of BEV added to triplet chemotherapy, FIr-B/FOx (Bruera G et al, BMC Cancer 2010, 10:567), according to KRAS genotype. Methods: MCRC patients (pts) were treated with first line FIr-B/FOx regimen including BEV (5 mg/kg, days 1,15) and triplet chemotherapy, weekly alternating irinotecan (160 mg/m2 days 1,15) or oxaliplatin (80 mg/m2, days 8, 22) associated to fluorouracil (900 mg/m2, days 1-2, 8-9, 15-16, 22-23); every 4 weeks. Tumoral samples were simultaneously screened for KRAS codon 12 and 13, and BRAF c.1799 T > A mutations by SNaPshot multiplex assay (Di Fiore F, Br J Cancer 2007;96(8):1166-1169) and/or direct sequencing. Activity and efficacy were evaluated and compared using log-rank test. Results: Forty-five MCRC pts were evaluated: 25 KRAS wt (56%), 20 KRAS m (44%). After 30 months median follow-up, objective response rate (ORR), progression-free survival (PFS) and overall survival (OS) were, respectively: KRAS wt 88% (C.I. ± 14), 14 months, 38 months; KRAS m 80% (C.I. ± 19), 12 months, 21 months. PFS and OS were not significantly different. Among KRAS m pts, ORR, PFS and OS at 19 months median follow-up in c.35 G > A (13 pts) were 69% (C.I. ± 26), 9 months, 11 months, respectively. OS of c.35 G > A KRAS m was significantly worse compared to KRAS wt (p = 0.003) and to other than c.35 G > A mutant pts (p = 0.022). Conclusions: First line FIr-B/FOx intensive regimen adding BEV to triplet chemotherapy can further increase activity and efficacy without significantly affecting different clinical outcome in KRAS wt and m MCRC pts. A significant interaction between the most prevalent c.35 G > A KRAS mutation and worse prognosis was observed, compared to KRAS wt pts and to other than c.35 G > A KRAS exon 2 mutations, depending from different biological aggressiveness and sensitivity to BEV addition to triplet chemotherapy.
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Affiliation(s)
- Gemma Bruera
- Medical Oncology, S. Salvatore Hospital, University of L'Aquila, L'Aquila, Italy; Department of Experimental Medicine, University of L'Aquila, L'Aquila, Italy; Department of Pathology, Rouen University Hospital, Rouen, France; Department of Biomorfologic and Functional Sciences, University Federico II, Napoli, Italy; Pathology, S. Salvatore Hospital, L’Aquila, Italy; Pathology, S. Salvatore Hospital, L'Aquila, Italy; CHU Rouen, Rouen, France; INSERM U614, University of Rouen, Rouen, France
| | - Katia Cannita
- Medical Oncology, S. Salvatore Hospital, University of L'Aquila, L'Aquila, Italy; Department of Experimental Medicine, University of L'Aquila, L'Aquila, Italy; Department of Pathology, Rouen University Hospital, Rouen, France; Department of Biomorfologic and Functional Sciences, University Federico II, Napoli, Italy; Pathology, S. Salvatore Hospital, L’Aquila, Italy; Pathology, S. Salvatore Hospital, L'Aquila, Italy; CHU Rouen, Rouen, France; INSERM U614, University of Rouen, Rouen, France
| | - Daniela Di Giacomo
- Medical Oncology, S. Salvatore Hospital, University of L'Aquila, L'Aquila, Italy; Department of Experimental Medicine, University of L'Aquila, L'Aquila, Italy; Department of Pathology, Rouen University Hospital, Rouen, France; Department of Biomorfologic and Functional Sciences, University Federico II, Napoli, Italy; Pathology, S. Salvatore Hospital, L’Aquila, Italy; Pathology, S. Salvatore Hospital, L'Aquila, Italy; CHU Rouen, Rouen, France; INSERM U614, University of Rouen, Rouen, France
| | - Aude Lamy
- Medical Oncology, S. Salvatore Hospital, University of L'Aquila, L'Aquila, Italy; Department of Experimental Medicine, University of L'Aquila, L'Aquila, Italy; Department of Pathology, Rouen University Hospital, Rouen, France; Department of Biomorfologic and Functional Sciences, University Federico II, Napoli, Italy; Pathology, S. Salvatore Hospital, L’Aquila, Italy; Pathology, S. Salvatore Hospital, L'Aquila, Italy; CHU Rouen, Rouen, France; INSERM U614, University of Rouen, Rouen, France
| | - Giancarlo Troncone
- Medical Oncology, S. Salvatore Hospital, University of L'Aquila, L'Aquila, Italy; Department of Experimental Medicine, University of L'Aquila, L'Aquila, Italy; Department of Pathology, Rouen University Hospital, Rouen, France; Department of Biomorfologic and Functional Sciences, University Federico II, Napoli, Italy; Pathology, S. Salvatore Hospital, L’Aquila, Italy; Pathology, S. Salvatore Hospital, L'Aquila, Italy; CHU Rouen, Rouen, France; INSERM U614, University of Rouen, Rouen, France
| | - Antonella Dal Mas
- Medical Oncology, S. Salvatore Hospital, University of L'Aquila, L'Aquila, Italy; Department of Experimental Medicine, University of L'Aquila, L'Aquila, Italy; Department of Pathology, Rouen University Hospital, Rouen, France; Department of Biomorfologic and Functional Sciences, University Federico II, Napoli, Italy; Pathology, S. Salvatore Hospital, L’Aquila, Italy; Pathology, S. Salvatore Hospital, L'Aquila, Italy; CHU Rouen, Rouen, France; INSERM U614, University of Rouen, Rouen, France
| | - Gino Coletti
- Medical Oncology, S. Salvatore Hospital, University of L'Aquila, L'Aquila, Italy; Department of Experimental Medicine, University of L'Aquila, L'Aquila, Italy; Department of Pathology, Rouen University Hospital, Rouen, France; Department of Biomorfologic and Functional Sciences, University Federico II, Napoli, Italy; Pathology, S. Salvatore Hospital, L’Aquila, Italy; Pathology, S. Salvatore Hospital, L'Aquila, Italy; CHU Rouen, Rouen, France; INSERM U614, University of Rouen, Rouen, France
| | - Thierry Frébourg
- Medical Oncology, S. Salvatore Hospital, University of L'Aquila, L'Aquila, Italy; Department of Experimental Medicine, University of L'Aquila, L'Aquila, Italy; Department of Pathology, Rouen University Hospital, Rouen, France; Department of Biomorfologic and Functional Sciences, University Federico II, Napoli, Italy; Pathology, S. Salvatore Hospital, L’Aquila, Italy; Pathology, S. Salvatore Hospital, L'Aquila, Italy; CHU Rouen, Rouen, France; INSERM U614, University of Rouen, Rouen, France
| | - Jean-Christophe Sabourin
- Medical Oncology, S. Salvatore Hospital, University of L'Aquila, L'Aquila, Italy; Department of Experimental Medicine, University of L'Aquila, L'Aquila, Italy; Department of Pathology, Rouen University Hospital, Rouen, France; Department of Biomorfologic and Functional Sciences, University Federico II, Napoli, Italy; Pathology, S. Salvatore Hospital, L’Aquila, Italy; Pathology, S. Salvatore Hospital, L'Aquila, Italy; CHU Rouen, Rouen, France; INSERM U614, University of Rouen, Rouen, France
| | - Mario Tosi
- Medical Oncology, S. Salvatore Hospital, University of L'Aquila, L'Aquila, Italy; Department of Experimental Medicine, University of L'Aquila, L'Aquila, Italy; Department of Pathology, Rouen University Hospital, Rouen, France; Department of Biomorfologic and Functional Sciences, University Federico II, Napoli, Italy; Pathology, S. Salvatore Hospital, L’Aquila, Italy; Pathology, S. Salvatore Hospital, L'Aquila, Italy; CHU Rouen, Rouen, France; INSERM U614, University of Rouen, Rouen, France
| | - Corrado Ficorella
- Medical Oncology, S. Salvatore Hospital, University of L'Aquila, L'Aquila, Italy; Department of Experimental Medicine, University of L'Aquila, L'Aquila, Italy; Department of Pathology, Rouen University Hospital, Rouen, France; Department of Biomorfologic and Functional Sciences, University Federico II, Napoli, Italy; Pathology, S. Salvatore Hospital, L’Aquila, Italy; Pathology, S. Salvatore Hospital, L'Aquila, Italy; CHU Rouen, Rouen, France; INSERM U614, University of Rouen, Rouen, France
| | - Enrico Ricevuto
- Medical Oncology, S. Salvatore Hospital, University of L'Aquila, L'Aquila, Italy; Department of Experimental Medicine, University of L'Aquila, L'Aquila, Italy; Department of Pathology, Rouen University Hospital, Rouen, France; Department of Biomorfologic and Functional Sciences, University Federico II, Napoli, Italy; Pathology, S. Salvatore Hospital, L’Aquila, Italy; Pathology, S. Salvatore Hospital, L'Aquila, Italy; CHU Rouen, Rouen, France; INSERM U614, University of Rouen, Rouen, France
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Thelakkadan A, Coletti G, Guastavino F, Fina A. Thermomechanical and electrical characterization of epoxy-organoclay nanocomposites. POLYM ENG SCI 2011. [DOI: 10.1002/pen.22164] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
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Bruera G, Cannita K, Giacomo DD, Lamy A, Troncone G, Dal Mas A, Coletti G, Frebourg T, Sabourin JC, Tosi M, Ficorella C, Ricevuto E. Abstract C5: Worse prognosis of KRAS c.35 G > A mutant metastatic colorectal cancer (MCRC) patients treated with intensive triplet chemotherapy plus bevacizumab (FIr-B/FOx). Mol Cancer Ther 2011. [DOI: 10.1158/1535-7163.targ-11-c5] [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: 11/16/2022]
Abstract
Abstract
Introduction: Bevacizumab (BEV) addition to doublet chemotherapy significantly increases efficacy without differentially affecting prognosis in KRAS wild-type (wt) and mutant (m) MCRC. Present study evaluates clinical outcome of BEV added to triplet chemotherapy, FIr-B/FOx (Bruera G et al, BMC Cancer 2010, 10:567), according to KRAS genotype.
Methods: MCRCpatients (pts) were treated with first line FIr/FOx regimen including BEV and triplet chemotherapy (weekly alternating irinotecan or oxaliplatin associated to fluorouracil). Treatment schedule: weekly 12h-timed-flat-infusion/5-fluorouracil 900 mg/m2, days 1–2, 8–9, 15–16, 22–23; irinotecan 160 mg/m2 plus BEV 5 mg/kg, days 1,15; oxaliplatin, 80 mg/m2, days 8, 22; every 4 weeks. Tumoral samples were simultaneously screened for KRAS codon 12 and 13, and BRAF c.1799 T > A mutations by SNaPshot multiplex assay (Di Fiore F, Br J Cancer 2007;96(8):1166–1169) and/or direct sequencing. Activity and efficacy were evaluated and compared using log-rank test.
Results: Forty-five MCRC pts were evaluated: 25 KRAS wt (56%), 20 KRAS m (44%). After 30 months median follow-up, objective response rate (ORR), progression-free survival (PFS) and overall survival (OS) were, respectively: KRAS wt 88% (C.I. × 14), 14 months, 38 months; KRAS m 80% (C.I. × 19), 12 months, 21 months. PFS and OS were not significantly different. Among KRAS m pts, ORR, PFS and OS at 19 months median follow-up in c.35 G > A (13 pts) were 69% (C.I. × 26), 9 months, 11 months, respectively. OS of c.35 G > A KRAS m was significantly worse compared to KRAS wt (p = 0.003) and to other than c.35 G > A mutant pts (p = 0.022).
Conclusions: First line FIr-B/FOx intensive regimen adding BEV to triplet chemotherapy can further increase activity and efficacy without significantly affecting different clinical outcome in KRAS wt and m MCRC pts. For the first time in MCRC pts treated with BEV-containing chemotherapy, present study shows a significant interaction between the most prevalent c.35 G > A KRAS mutation and worse prognosis compared to KRAS wt pts and to other than c.35 G > A KRAS exon 2 mutations, depending from different biological aggressiveness and sensitivity to BEV addition to triplet chemotherapy.
Citation Format: {Authors}. {Abstract title} [abstract]. In: Proceedings of the AACR-NCI-EORTC International Conference: Molecular Targets and Cancer Therapeutics; 2011 Nov 12-16; San Francisco, CA. Philadelphia (PA): AACR; Mol Cancer Ther 2011;10(11 Suppl):Abstract nr C5.
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Affiliation(s)
- Gemma Bruera
- 1Medical Oncology, S. Salvatore Hospital, University of L'Aquila, L'Aquila, Italy
| | - Katia Cannita
- 1Medical Oncology, S. Salvatore Hospital, University of L'Aquila, L'Aquila, Italy
| | - Daniela Di Giacomo
- 2Department of Experimental Medicine, University of L'Aquila, L'Aquila, Italy
| | - Aude Lamy
- 3Laboratory of Tumor Genetics, University Hospital, Rouen, France
| | - Giancarlo Troncone
- 4Department of Biomorfologic and functional sciences, University Federico II, Napoli, Italy
| | | | - Gino Coletti
- 5Pathology, S. Salvatore Hospital, L'Aquila, Italy
| | | | | | - Mario Tosi
- 6INSERM U614, University of Rouen, Rouen, France
| | - Corrado Ficorella
- 1Medical Oncology, S. Salvatore Hospital, University of L'Aquila, L'Aquila, Italy
| | - Enrico Ricevuto
- 1Medical Oncology, S. Salvatore Hospital, University of L'Aquila, L'Aquila, Italy
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Bruera G, Cannita K, Di Giacomo D, Troncone G, Marchetti A, Coletti G, Sabourin J, Tosi M, Ficorella C, Ricevuto E. Effectiveness of triplet chemotherapy plus bevacizumab intensive regimen (FIr-B/FOx) and secondary liver surgery according to KRAS genotype in metastatic colorectal cancer (MCRC). J Clin Oncol 2011. [DOI: 10.1200/jco.2011.29.15_suppl.e14028] [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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Rizza V, Coletti G, Grimaldi A, Clemente K, Di Cocco P, D'Angelo M, Delreno F, Famulari A, Pisani F. A Rare Case of Herpes Simplex Type 1 Bronchopneumonia Associated With Cardiomegaly in Renal Transplantation. Transplant Proc 2011; 43:1210-2. [DOI: 10.1016/j.transproceed.2011.01.152] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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De Paulis D, Di Cola F, Marzi S, Ricci A, Coletti G, Galzio RJ. A rare case of greater petrosal nerve schwannoma. Surg Neurol Int 2011; 2:60. [PMID: 21697967 PMCID: PMC3114313 DOI: 10.4103/2152-7806.80352] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2011] [Accepted: 04/09/2011] [Indexed: 11/06/2022] Open
Abstract
Background: Facial nerve schwannomas include only 0.8% of all intrapetrous mass lesions, and schwannomas originating exclusively from the greater petrosal nerve (GPN) are extremely rare. To date, only 13 reports have been described. In this case, the tumor was thought to originate from the GPN on the basis of clinical, radiological, and operative findings. Case Description: A 23-year-old girl presented an acute left facial palsy, a disturbance in tear secretion of the ipsilateral eye, and a left-sided conductive hypoacusia. Computed tomography (CT) scan and magnetic resonance imaging (MRI) showed an extradural mass in the left middle fossa. A subtemporal approach was performed and the lesion, originating from the proximal portion of the GPN, was excised. The post-operative course was satisfactory, except for a xerophtalmia, which was treated with artificial teardrops. Conclusion: GPN schwannomas can originate anywhere alongside the course of the nerve, from its proximal segment near the facial hiatus to its distal segment near the foramen lacerum. For these reasons, it requires differential diagnosis with trigeminal nerve schwannomas or with injuries arising from the geniculate ganglion, because it can be easily confused with those lesions. However, in less severe cases, an early diagnosis can be able to preserve the function of the facial nerve by reducing iatrogenic injuries caused by surgical maneuvers.
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Affiliation(s)
- Danilo De Paulis
- Department of Neurosurgery, Second University of Naples, viale Colli Aminei 21, Naples, Italy
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Bruera G, Cannita K, Di Giacomo D, Troncone G, Marchetti A, Coletti G, Sabourin J, Tosi M, Ficorella C, Ricevuto E. Predictive and prognostic implications of KRAS genotype in patients with metastatic colorectal cancer (MCRC) treated with FIr-B/FOx association. J Clin Oncol 2011. [DOI: 10.1200/jco.2011.29.4_suppl.457] [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
457 Background: FIr-B/FOx association, consisting of triplet chemotherapy (FIr/FOx) plus bevacizumab, increases activity, efficacy, and resection rate of liver metastases in MCRC patients (Bruera G et al, submitted 2010). Even if bevacizumab-containing chemotherapy is also active in KRAS m MCRC patients, ORR, PFS, and OS seem to be lower compared to KRAS wt patients (Hurwitz et al, Oncologist 2009). Present data evaluates activity and efficacy of FIr-B/FOX according to KRAS genotype. Methods: Treatment schedule: weekly alternating bevacizumab (5 mg/kg days 1,15)/irinotecan (160 mg/m2) or oxaliplatin (80 mg/m2) associated to weekly 5- fluorouracil (12h-timed-flat-infusion, 900 mg/m2/d 1-2, 8-9, 15-16, 22-23); every 4 weeks. KRAS genotype was analyzed by direct sequencing or SNaPshot (Di Fiore et al, BJC'07) for KRAS codon 12 and 13 mutations. Results: Forty-two (84%) out of 50 enrolled patients (pts) in the FIr-B/FOx phase II study were evaluated: ORR 86% (C.I. ± 11), median PFS 13 months (3-46+), median OS 28 months (8-47). Liver metastasectomies (LM) were performed in 11 pts (26%): 42% of the 26 liver-MCRC pts; 58% of the 19 pts with liver-only MCRC pts. Twenty-five pts (59.5%) were KRAS wild-type (wt), 17 pts (40.5%) KRAS mutated (m). Clinical features were balanced. Among the 25 KRAS wt pts: ORR 88% (C.I. ± 14); median PFS 14 months (3-46+); median OS 31 months (8-47). LM were performed in 9 KRAS wt pts (36%): 56% of the 16 liver-MCRC pts; 82% of the 11 liver-only MCRC pts. Among the 17 KRAS m pts: ORR 82% (C.I. ± 19); median PFS 12 months (4-37+); median OS 19 months (8-44). LM were performed in 3 KRAS m pts (18%): 30% of the 10 liver-MCRC pts; 37.5% of the 8 liver-only MCRC pts. Conclusions: Triplet chemotherapy plus bevacizumab (FIr-B/FOx association) shows equivalent high activity (ORR) and efficacy (PFS) in KRAS wt and KRAS m MCRC pts; a trend toward a worse prognosis (OS) is confirmed in KRAS m pts. No significant financial relationships to disclose.
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Affiliation(s)
- G. Bruera
- Medical Oncology, S. Salvatore Hospital, University of L'Aquila, L'Aquila, Italy; Department of Experimental Medicine, University of L'Aquila, L'Aquila, Italy; Department of Biomorfologic and Functional Sciences, University Federico II, Napoli, Italy; Civil Hospital, University G. D'Annunzio, Chieti, Italy; S. Salvatore Hospital, L'Aquila, Italy; Department of Pathology, Rouen University Hospital, Rouen, France; INSERM U614, University of Rouen, Rouen, France
| | - K. Cannita
- Medical Oncology, S. Salvatore Hospital, University of L'Aquila, L'Aquila, Italy; Department of Experimental Medicine, University of L'Aquila, L'Aquila, Italy; Department of Biomorfologic and Functional Sciences, University Federico II, Napoli, Italy; Civil Hospital, University G. D'Annunzio, Chieti, Italy; S. Salvatore Hospital, L'Aquila, Italy; Department of Pathology, Rouen University Hospital, Rouen, France; INSERM U614, University of Rouen, Rouen, France
| | - D. Di Giacomo
- Medical Oncology, S. Salvatore Hospital, University of L'Aquila, L'Aquila, Italy; Department of Experimental Medicine, University of L'Aquila, L'Aquila, Italy; Department of Biomorfologic and Functional Sciences, University Federico II, Napoli, Italy; Civil Hospital, University G. D'Annunzio, Chieti, Italy; S. Salvatore Hospital, L'Aquila, Italy; Department of Pathology, Rouen University Hospital, Rouen, France; INSERM U614, University of Rouen, Rouen, France
| | - G. Troncone
- Medical Oncology, S. Salvatore Hospital, University of L'Aquila, L'Aquila, Italy; Department of Experimental Medicine, University of L'Aquila, L'Aquila, Italy; Department of Biomorfologic and Functional Sciences, University Federico II, Napoli, Italy; Civil Hospital, University G. D'Annunzio, Chieti, Italy; S. Salvatore Hospital, L'Aquila, Italy; Department of Pathology, Rouen University Hospital, Rouen, France; INSERM U614, University of Rouen, Rouen, France
| | - A. Marchetti
- Medical Oncology, S. Salvatore Hospital, University of L'Aquila, L'Aquila, Italy; Department of Experimental Medicine, University of L'Aquila, L'Aquila, Italy; Department of Biomorfologic and Functional Sciences, University Federico II, Napoli, Italy; Civil Hospital, University G. D'Annunzio, Chieti, Italy; S. Salvatore Hospital, L'Aquila, Italy; Department of Pathology, Rouen University Hospital, Rouen, France; INSERM U614, University of Rouen, Rouen, France
| | - G. Coletti
- Medical Oncology, S. Salvatore Hospital, University of L'Aquila, L'Aquila, Italy; Department of Experimental Medicine, University of L'Aquila, L'Aquila, Italy; Department of Biomorfologic and Functional Sciences, University Federico II, Napoli, Italy; Civil Hospital, University G. D'Annunzio, Chieti, Italy; S. Salvatore Hospital, L'Aquila, Italy; Department of Pathology, Rouen University Hospital, Rouen, France; INSERM U614, University of Rouen, Rouen, France
| | - J. Sabourin
- Medical Oncology, S. Salvatore Hospital, University of L'Aquila, L'Aquila, Italy; Department of Experimental Medicine, University of L'Aquila, L'Aquila, Italy; Department of Biomorfologic and Functional Sciences, University Federico II, Napoli, Italy; Civil Hospital, University G. D'Annunzio, Chieti, Italy; S. Salvatore Hospital, L'Aquila, Italy; Department of Pathology, Rouen University Hospital, Rouen, France; INSERM U614, University of Rouen, Rouen, France
| | - M. Tosi
- Medical Oncology, S. Salvatore Hospital, University of L'Aquila, L'Aquila, Italy; Department of Experimental Medicine, University of L'Aquila, L'Aquila, Italy; Department of Biomorfologic and Functional Sciences, University Federico II, Napoli, Italy; Civil Hospital, University G. D'Annunzio, Chieti, Italy; S. Salvatore Hospital, L'Aquila, Italy; Department of Pathology, Rouen University Hospital, Rouen, France; INSERM U614, University of Rouen, Rouen, France
| | - C. Ficorella
- Medical Oncology, S. Salvatore Hospital, University of L'Aquila, L'Aquila, Italy; Department of Experimental Medicine, University of L'Aquila, L'Aquila, Italy; Department of Biomorfologic and Functional Sciences, University Federico II, Napoli, Italy; Civil Hospital, University G. D'Annunzio, Chieti, Italy; S. Salvatore Hospital, L'Aquila, Italy; Department of Pathology, Rouen University Hospital, Rouen, France; INSERM U614, University of Rouen, Rouen, France
| | - E. Ricevuto
- Medical Oncology, S. Salvatore Hospital, University of L'Aquila, L'Aquila, Italy; Department of Experimental Medicine, University of L'Aquila, L'Aquila, Italy; Department of Biomorfologic and Functional Sciences, University Federico II, Napoli, Italy; Civil Hospital, University G. D'Annunzio, Chieti, Italy; S. Salvatore Hospital, L'Aquila, Italy; Department of Pathology, Rouen University Hospital, Rouen, France; INSERM U614, University of Rouen, Rouen, France
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Carta G, Crisman G, Margiotta G, Mastrocola N, Di Fonso A, Coletti G. Uterine tumors resembling ovarian sex cord tumors. A case report. EUR J GYNAECOL ONCOL 2010; 31:456-458. [PMID: 20882895] [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: 05/29/2023]
Abstract
Uterine tumors resembling ovarian sex cord tumors (UTROSCT) are rare, usually benign, polypoid or nodular neoplasms which generally arise in the fourth to sixth decade of life. We report a case of a 74-year-old woman who presented with vaginal bleeding and remarkable uterine enlargement. Abdominal hysterectomy with bilateral salpingo-oophorectomy was performed and a diagnosis of UTROSCT was made. Immunohistochemistry is mandatory for a correct diagnosis and a panel of at least two markers of sex cord differentiation is recommended. Differential diagnoses include leiomyosarcoma, UTROSCT and ESTSCLE, mixed müllerian tumor and metastatic ovarian sex cord tumor.
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Affiliation(s)
- G Carta
- Department Surgical Sciences, University of L'Aquila, Italy
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Di Stefano L, Accurti V, Coletti G, D'Alfonso A, Carta G. p16INK4a and low-grade cervical intraepithelial neoplasia. Diagnostic and therapeutic implications. EUR J GYNAECOL ONCOL 2010; 31:411-414. [PMID: 20882883] [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: 05/29/2023]
Abstract
The objectives of this study were to evaluate the evolution of a LSIL associated with p16INK4a overexpression and on the basis of this association, identify patients who would benefit from immediate treatment rather than a later follow-up. Two hundred and forty-five cervical biopsies were studied: 199 (81.2%) were classified CIN 1, 18 (7.4%) CIN 2/3 while 28 (11.4%) were not pathological. Immunohistochemistry revealed that 22 of the 217 CIN samples (11%) were positive for the p16INK4a antigen. The results of the PCR-ELISA for the research and typing of the HPV in these 22 cases were: 14 (63.6%) HPV 16; three (13.6%) HPV 31; 2 (9%) HPV 33; one (4.6%) HPV 43; one (4.6%) HPV 45; one (4.6%) HPV 18. Colposcopic and histological tests performed at four- and eight-month follow-ups in these patients revealed worsening of the initial lesion. Hence, we conclude that immediate therapy would be of benefit in these patients.
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Affiliation(s)
- L Di Stefano
- Department of Surgical Sciences, University of L'Aquila, Italy
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Benedetti E, Galzio R, Laurenti G, D'Angelo B, Melchiorre E, Cifone M, Fanelli F, Muzi P, Coletti G, Alecci M, Sotgiu A, Cerù M, Cimini A. Lipid Metabolism Impairment in Human Gliomas: Expression of Peroxisomal Proteins in Human Gliomas at Different Grades of Malignancy. Int J Immunopathol Pharmacol 2010; 23:235-46. [DOI: 10.1177/039463201002300121] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Gliomas are histologically graded by cellularity, cytological atypia, necrosis, mitotic figures, and vascular proliferation, features associated with biologically aggressive behaviour. However, abundant evidence suggests the presence of unrecognized, clinically relevant subclasses of the diffuse gliomas, both in respect to their underlying molecular phenotype and their clinical response to therapy. It is well-known that patient prognosis and therapeutic decisions rely on accurate pathological grading. Recently, it was reported that human gliomas accumulate lipid droplets during progression, suggesting a lipid metabolism impairment. Considering the crucial role of peroxisomes in lipid metabolism, in the present work we studied the expression profiles of proteins either exclusively localized to peroxisomes, such as peroxin14 (PEX14), peroxisomal membrane protein 70Kda (PMP70), acyl-CoA oxidase, thiolase, or partially associated to peroxisomes such as Hydroxymethylglutaryl-CoA reductase (HMGCoA-red) and peroxisomal-related proteins, namely PPARa, in human glioma specimens at different grades of malignancy. Moreover, Nile red staining of lipid droplets, thin layer chromatography (TLC) and proton nuclear magnetic resonance spectroscopy (NMR) were carried out in order to correlate the biochemical results with the lipid content of tumor tissues. The results obtained indicate that correlating the malignancy grade with the expression of peroxisomal genes and proteins, may constitute a sensitive tool to highlight possible subtypes not recognized by the classical histological techniques.
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Affiliation(s)
| | - R. Galzio
- Department of Health Sciences, University of L'Aquila
| | | | | | - E. Melchiorre
- Department of Health Sciences, University of L'Aquila
| | - M.G. Cifone
- Department of Health Sciences, University of L'Aquila
| | - F. Fanelli
- Department of Biology, University of Rome3
| | - P. Muzi
- Department of Experimental Medicine, University of L'Aquila
| | - G. Coletti
- San Salvatore Hospital, Division of Anatomopathology, L'Aquila, Italy
| | - M. Alecci
- Department of Health Sciences, University of L'Aquila
| | - A. Sotgiu
- Department of Health Sciences, University of L'Aquila
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Vitale AR, Compilato D, Coletti G, Calvisi G, Ciuffitelli V, Barbera D, Craxì A, Campisi G, Leocata P. Metastatic hepatocellular carcinoma of the parotid region without lung metastasis: a case report. Int J Oral Maxillofac Surg 2009; 38:696-8. [PMID: 19261440 DOI: 10.1016/j.ijom.2009.01.015] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2008] [Accepted: 01/29/2009] [Indexed: 10/21/2022]
Abstract
Parotid gland metastatic tumours are rare, usually arising from a primary mucosal or cutaneous cancer located in the ipsilateral head and neck region, although metastases from a primary cancer outside the head and neck region are possible. Hepatocellular carcinoma (HCC) rarely metastasizes to the head and neck region and the parotid glands are an even more unusual site. The authors describe the case of an 82-year-old male who presented with a right parotid mass. Percutaneous incisional biopsy with histological and immunohistochemical studies suggested metastatic HCC. Radiological investigations excluded other metastatic lesions. This case illustrates the difficulties that may be encountered when seeking a definitive diagnosis of parotid gland masses and underlines the need for collaboration between clinicians and pathologists when diagnosing a parotid enlargement.
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Affiliation(s)
- A R Vitale
- Department of Experimental Medicine, University of L'Aquila, L'Aquila, Italy
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41
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Audisio P, Brustel H, Carpaneto GM, Coletti G, Mancini E, Trizzino M, Antonini G, De Biase A. Data on molecular taxonomy and genetic diversification of the European Hermit beetles, a species complex of endangered insects (Coleoptera: Scarabaeidae, Cetoniinae,Osmoderma). J ZOOL SYST EVOL RES 2009. [DOI: 10.1111/j.1439-0469.2008.00475.x] [Citation(s) in RCA: 40] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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42
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Fargnoli MC, Tabilio A, Coletti G, Peris K. Efalizumab-induced immune thrombocytopenia during retreatment. J Am Acad Dermatol 2008; 58:S125-7. [DOI: 10.1016/j.jaad.2007.07.025] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2007] [Revised: 06/27/2007] [Accepted: 07/18/2007] [Indexed: 11/16/2022]
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Buanne P, Di Carlo E, Caputi L, Brandolini L, Mosca M, Cattani F, Pellegrini L, Biordi L, Coletti G, Sorrentino C, Fedele G, Colotta F, Melillo G, Bertini R. Crucial pathophysiological role of CXCR2 in experimental ulcerative colitis in mice. J Leukoc Biol 2007; 82:1239-46. [PMID: 17656654 DOI: 10.1189/jlb.0207118] [Citation(s) in RCA: 79] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
Polymorphonuclear leukocyte infiltration and activation into colonic mucosa are believed to play a pivotal role in mediating tissue damage in human ulcerative colitis (UC). Ligands of human CXC chemokine receptor 1 and 2 (CXCR1/R2) are chemoattractants of PMN, and high levels were found in the mucosa of UC patients. To investigate the pathophysiological role played by CXCR2 in experimental UC, we induced chronic experimental colitis in WT and CXCR2(-/-) mice by two consecutive cycles of 4% dextran sulfate sodium administration in drinking water. In wild-type (WT) mice, the chronic relapsing of DSS-induced colitis was characterized by clinical signs and histopathological findings that closely resemble human disease. CXCR2(-/-) mice failed to show PMN infiltration into the mucosa and, consistently with a key role of PMN in mediating tissue damage in UC, showed limited signs of mucosal damage and reduced clinical symptoms. Our data demonstrate that CXCR2 plays a key pathophysiological role in experimental UC, suggesting that CXCR2 activation may represent a relevant pharmacological target for the design of novel pharmacological treatments in human UC.
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Affiliation(s)
- Pasquale Buanne
- Department of Preclinical Pharmacology, Dompé pha r ma s p a, Via Campo di Pile, 67100, L'Aquila, Italy
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44
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Cattani F, Gallese A, Mosca M, Buanne P, Biordi L, Francavilla S, Coletti G, Pellegrini L, Melillo G, Bertini R. The role of CXCR2 activity in the contact hypersensitivity response in mice. Eur Cytokine Netw 2006; 17:42-8. [PMID: 16613762] [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] [Accepted: 12/13/2005] [Indexed: 05/08/2023]
Abstract
The recruitment of polymorphonuclear neutrophil leukocytes (PMN) into a challenge site, and their subsequent activation, are thought to play a role in the elicitation of the contact hypersensitivity (CHS) response. The present study investigated the role played by CXCR2 activity in tissue PMN infiltration and subsequent triggering of CHS. Our results show that the cutaneous infiltration by PMN, induced by hapten challenge was dramatically inhibited in sensitized, CXCR2-deficient (CXCR2(-/-)) mice. Inhibition of PMN recruitment into the hapten-challenged ears of CXCR2(-/-) mice was associated with a consistent reduction of the CHS response (ear swelling) in CXCR2(-/-) mice as compared with that observed in neutropenic, wild-type (CXCR2(+/+)) mice. Prevention of skin PMN infiltration and the ear swelling response by the absence of functional CXCR2 was observed regardless of the hapten used. These data clearly suggest that CXCR2 activity plays an essential role in mediating cutaneous recruitment and activation of PMN, and thus indirectly regulates recruitment of hapten-primed T cells into challenge sites, with the subsequent elicitation of the CHS response. The role played by CXCR2 activity in the CHS response provides the rationale for testing CXCR2 inhibitors as a new therapeutic approach to skin diseases.
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Affiliation(s)
- Franca Cattani
- Research Center, Department of Preclinical Pharmacology, Dompé SpA, via Campo di Pile, 67100 L'Aquila, Italy
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Di Stefano L, Coppola G, Moro S, Colageo E, Cellini A, Coletti G. Cervical-vaginal disease in HIV immunosuppressed patients: management and present screening programme. EUR J GYNAECOL ONCOL 2006; 27:267-70. [PMID: 16800255] [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: 05/10/2023]
Abstract
The aim of this study was to evaluate the rate of the cervical intraepithelial neoplasia (L-SIL and H-SIL) in HIV-positive patients using cytological, colposcopic and histological examinations. The correlations between these cervical lesions, the role of HPV and the clinical and immunological aspects of HIV infection and inflammatory cervical-vaginal disease were studied. We believe that HPV infection and preneoplastic and/or neoplastic lesions occur more often in immunodepressed HIV-positive patients, and that on the grounds of the high risk of precancerous lesions in this population and the low sensibility of the Pap test, it is advisable to perform a colposcopic examination to discover early lesions that must undergo a specific biopsy.
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Affiliation(s)
- L Di Stefano
- Department Obstetrics and Gynaecology, Department of Surgery Science, University of L'Aquila, Italy
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Oneglia C, Rusconi C, Coletti G, Gualeni A. Life-threating thrombus across patent foramen ovale free-floating in the left ventricular outflow tract. Minerva Cardioangiol 2004; 52:237-9. [PMID: 15194987] [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: 04/29/2023]
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Ceconi C, La Canna G, Alfieri O, Cargnoni A, Coletti G, Curello S, Zogno M, Parrinello G, Rahimtoola SH, Ferrari R. Revascularization of hibernating myocardium: rate of metabolic and functional recovery and occurrence of oxidative stress. Eur Heart J 2002; 23:1877-85. [PMID: 12445537 DOI: 10.1053/euhj.2002.3364] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
Abstract
BACKGROUND Left ventricular (LV) dysfunction due to coronary artery disease (CAD) may improve after revascularization in patients with hibernating myocardium (HM). METHODS AND RESULTS We compared the rate of metabolic (arterial-great cardiac vein differences of lactate, glucose and pyruvate) and functional (intra-operative transesophageal and epicardial echocardiography) recovery and occurrence of oxidative stress (myocardial release of oxidized glutathione (GSSG)) early after surgical revascularization, in patients with CAD, LV dysfunction and HM (n=16) vs those with preserved LV function (n=15). By comparing the two groups, we observed that, after de-clamping, in patients with HM (a) the kinetic of lactate production was converted to extraction (P<0.01 at 1, 5, 10 and 20 min after revascularization), (b) myocardial extraction of pyruvate increased (P<0.01 during the first 5 min after revascularization), (c) GSSG release was less and of shorter duration (P<0.01 at all times), (d) segmental wall motion score improved from 2.4+/-0.3 to 1.7+/-0.5 (P<0.01) as did the thickening of the akinetic territories corresponding to the antero-distal septum and to the distal anterior wall regions (to 36+/-23%, and to 36+/-13%, respectively). There was a correlation between the rate of recovery of metabolic and functional indices. CONCLUSIONS The contractile and metabolic recovery of HM is more rapid than that of non-HM, and it is not accompanied by oxidative stress.
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Affiliation(s)
- C Ceconi
- Cardiovascular Pathophysiology Research Center, Salvatore Maugeri Foundation, University of Ferrara, Via Pinidolo 23, 25064 Gussago, Brescia, Italy
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Lorusso R, La Canna G, Ceconi C, Borghetti V, Totaro P, Parrinello G, Coletti G, Minzioni G. Long-term results of coronary artery bypass grafting procedure in the presence of left ventricular dysfunction and hibernating myocardium. Eur J Cardiothorac Surg 2001; 20:937-48. [PMID: 11675178 DOI: 10.1016/s1010-7940(01)00945-9] [Citation(s) in RCA: 40] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
OBJECTIVE Long-term left ventricular (LV) performance and patient outcome after coronary artery bypass grafting (CABG) procedure in the presence of depressed LV function and hibernating myocardium (HM) have been poorly determined. Therefore, we prospectively evaluated patients undergoing CABG with severe LV dysfunction and HM to elucidate postoperative prognosis. METHODS We enrolled 120 consecutive patients undergoing CABG with severe LV dysfunction and HM as assessed by dobutamine echocardiography and by rest-redistribution radionuclide (Thallium-201) study. Mean patient age was 60+/-9 years (range 31-77 years). Mean preoperative LVEF was 28%+/-9 (range 10-40%). All patients underwent echocardiographic study to assess LV recovery of function intraoperatively, prior to hospital discharge, at 3 months, at 1 year, and yearly during the follow-up. Univariate and multivariate analysis were performed to to evaluate predictors of postoperative survival. RESULTS There were 2 hospital (1.6%) and 15 late (12.5%) deaths, mainly for heart failure, leading to an actuarial survival of 80+/-6% and 60+/-9% at 5 and 8 years, respectively. LVEF significantly improved perioperatively (from 28+/-9% to 40+/-2%, P<0.01). Increase in LVEF, however, was gradually offset over the time (EF of 33+/-9%, 32+/-8%, and 30+/-9% at 3 months, and 12 months, and 8 years after surgery, respectively). Furthermore, patients who experienced limited LV functional recovery perioperatively had a more remarkable decline of LVEF thereafter, and suffered from recurrence of heart failure symptoms (freedom from heart failure 82+/-5% and 60+/-8% at 4 and 8 years respectively). Advanced preoperative NYHA Class, and age were independent risks factors for reduced postoperative survival. Preoperative angina and use of arterial conduits apparently did not influence patient morbidity and mortality at long term. CONCLUSION CABG procedure in the presence of HM enhances LV recovery of function and has a favourable prognosis. Functional benefit of the left ventricle, however, appears to be time-limited, despite remarkable improvement in patient functional capacity. Advanced preoperative heart failure, minimal perioperative improvement of LVEF, and age account for a poor long-term prognosis.
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Affiliation(s)
- R Lorusso
- Cardiac Surgery Division, Civic Hospital, 25125, Brescia, Italy.
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Lorusso R, Borghetti V, Totaro P, Parrinello G, Coletti G, Minzioni G. The double-orifice technique for mitral valve reconstruction: predictors of postoperative outcome. Eur J Cardiothorac Surg 2001; 20:583-9. [PMID: 11509283 DOI: 10.1016/s1010-7940(01)00828-4] [Citation(s) in RCA: 25] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
Abstract
OBJECTIVE The 'double-orifice' (DO) technique has been recently proposed as an additional option in mitral valve repair (MVR). However, little is known regarding the long-term postoperative outcome and the predictors of DO results. Therefore, the aim of this study was to evaluate our clinical series and to identify prognostic factors of DO repair. METHODS From 1992, 75 patients underwent DO procedure because of severe mitral regurgitation. The study population consisted of 48 male and 27 female patients with a mean age of 58+/-13 years (range 16-80 years). The aetiology of mitral incompetence was Barlow disease in 30 cases, rheumatic disease in 18 cases, acute or healed endocarditis in 16 cases and other causes in 11 cases. Carpentier rigid ring was used in 38 patients, whereas autologous pericardium was used in 24 patients. Thirteen patients had no annuloplasty procedure. Statistical analysis included univariate and multivariate Cox proportional models to evaluate the predictors of the DO failure. RESULTS There were four hospital and three late deaths with a survival rate of 92% at 8 years. Mean follow-up was 42+/-24 months (range 1-93 months). Twelve patients underwent reoperation (five cases of early failure) and had valve replacement, leading to 80% freedom from reoperation at 8 years. At follow-up, 13 patients had no mitral regurgitation, 36 patients had trivial or mild mitral incompetence, whereas eight patients had moderate or severe mitral insufficiency at transthoracic echocardiography. Preoperative low left ventricular ejection faction, pulmonary arterial hypertension and marked left atrial enlargement were predictors (P<0.05) of DO failure at univariate analysis. Pericardial annuloplasty was also a risk factor (P<0.05) for unsuccessful DO repair at long term. Cox proportional multivariate analysis confirmed left atrial dilatation, pulmonary hypertension and pericardial annuloplasty as independent predictors of unfavourable postoperative results. CONCLUSIONS This study suggests that preoperative factors, like pulmonary hypertension and severe left atrial dilatation, may predict late DO failure. Our findings also indicate that pericardial annuloplasty may negatively influence mitral valve reconstruction at long term when DO is employed in MVR.
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Affiliation(s)
- R Lorusso
- Cardiac Surgery Division, Civic Hospital, Brescia, Italy.
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50
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Lanzi S, Borghetti V, Pulcini G, Coletti G, Totaro P, Biasca F, Giampaoli F, Pouché A, Minzioni G. [Acute postoperative mediastinitis: retrospective analysis of various treatment methods]. Chir Ital 2001; 53:665-72. [PMID: 11723898] [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: 02/22/2023]
Abstract
Infective acute mediastinitis is a postoperative complication reported in 0.5-1% of patients undergoing open chest operations. The treatment of choice for this life-threatening complication is still a matter of debate. The aim of this study was to retrospectively analyse the efficacy of different therapeutic approaches in the treatment of postoperative infective mediastinitis. In the 2nd Division of Cardiac Surgery, from October 1986 to May 2000, 10,234 patients underwent cardiac surgery operations. In 42 patients (0.4%) the operation was complicated by acute infective mediastinitis requiring surgical treatment. On the basis of the treatment opted for, these patients were subdivided into 5 groups: 23 patients underwent continuous iodopovidone (Betadine) mediastinal irrigation (GL) associated with surgical omentoplasty in 8 patients (GLO); 5 patients underwent isolated omentoplasty (GO), and 4 patients were treated with a pectoral muscle flap (GF). In 8 patients other different procedures were performed (GS). There were no deaths in GF and GS despite 24% and 20% mortality reported among patients who underwent mediastinal irrigation (GL) and isolated omentoplasty (GO), respectively. The mean hospital stay was 15 +/- 1 days in GF, 16 +/- 1 days in GS, 25 +/- 11 in patients who underwent omentoplasty and 27 +/- 14 in patients who underwent mediastinal irrigation. Predictors of death were low cardiac output syndrome (P < or = 0.009) and respiratory insufficiency (P < or = 0.032) when found before treatment. Our study suggests that surgical omentoplasty should be the treatment of choice in deep mediastinal infections, whereas wound sterilisation, associated with surgical chest wall reconstruction, seems to be a better procedure in superficial infective disease. A more extended clinical series would be needed to confirm these preliminary data.
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Affiliation(s)
- S Lanzi
- Cattedra di Semeiotica e Metodologia Chirurgica, Università degli Studi di Brescia, III Divisione di Chirurgia Generale U.D.A., Spedali Civili di Brescia
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