Helicobacter, Volume 23, Issue 4, August 2018.
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Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00302841026182,00306932607174,alsfakia@gmail.com,
Ετικέτες
Πέμπτη 12 Ιουλίου 2018
Phase II study of accelerated Linac-based SBRT in five consecutive fractions for localized prostate cancer
Abstract
Aim
The goal was to evaluate feasibility, side effects and biochemical no evidence of disease (bNED) after stereotactic body radiation therapy (SBRT) delivered on 5 consecutive days for localized prostate cancer (PC).
Methods
The study was approved by the ethical committee and started in March 2014. Inclusion criteria were age ≤85 years, WHO performance status ≤2, histologically proven adenocarcinoma, low–intermediate risk, no previous surgery (except transurethral resection of the prostate), and a pre-SBRT International Prostatic Symptoms Score of 0–7. The radiotherapy regimen consisted of 35 Gy for low-risk and 37.5 Gy for intermediate-risk PC in 5 consecutive fractions.
Results
At the time of the analysis, 52 patients were recruited to the study (median age 73 years, range 55–83 years; median follow-up 34 months, range 12–49 months; 34 patients low-risk and 18 intermediate risk). The median initial prostate-specific antigen (PSA) was 5.9 ng/ml (range 1.8–15.7). Acute genitourinary (GU) toxicity was G0 (grade 0) 36/52 (69%), G1 11/52 (21%), G2 5/52 (10%), while acute rectal (GI) toxicity was G0 43/52 (83%), G1 8/52 (15%), G2 1/52 (2%). No acute toxicity ≥G3 was recorded. At the time of analysis late GU and GI toxicities were as follows: GU-G0 43/52 (83%), GU-G1 7/52 (13%), GU-G2 2/52 (4%); GI-G0 48/52 (92%), GI-G1 2/52 (4%), GI-G2 2/52 (4%). No late toxicities ≥G3 were recorded. bNED was 98%. One patient with intermediate PC had distant progression.
Conclusions
Accelerated SBRT for low-intermediate PC is feasible and well tolerated with comparable oncological outcome as described for other series with the same RT technique but treatment delivery on every other day. Longer follow-up is needed to the assess late toxicity profile and long-term clinical outcome.
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Psoriasis and cancer. An Australian/New Zealand narrative
Australasian Journal of Dermatology, EarlyView.
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Exome sequencing identifies novel compound heterozygous mutations in GJB3 gene that cause erythrokeratodermia variabilis et progressiva
Australasian Journal of Dermatology, EarlyView.
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Liver Biochemical Abnormalities in Turner Syndrome: a Comprehensive Characterisation of an Adult Population
Clinical Endocrinology, Volume 0, Issue ja, -Not available-.
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Inter‐related effects of insulin resistance, hyperandrogenism, sympathetic dysfunction and chronic inflammation in PCOS
Clinical Endocrinology, Volume 0, Issue ja, -Not available-.
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Hiding in a plain sight: a high prevalence of androgen deficiency due to primary hypogonadism among acute medical inpatients with anaemia
Clinical Endocrinology, Volume 0, Issue ja, -Not available-.
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Thyroid Storm and Complete Heart Block after Treatment with Radioactive Iodine.
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Thyroid Storm and Complete Heart Block after Treatment with Radioactive Iodine.
Case Rep Endocrinol. 2018;2018:8214169
Authors: Vennard K, Gilbert MP
Abstract
Thyroid storm is a rare endocrine emergency characterized by dysfunction of multiple organ systems. Thyroid storm is more common in Graves' disease and can be precipitated by surgery, trauma, infection, metabolic abnormalities, iodine load, and parturition. We present a diagnostically challenging case of thyroid storm precipitated by radioiodine therapy and accompanied by bradycardia, a rare but life-threatening complication related to treatment for hyperthyroidism.
PMID: 29992062 [PubMed]
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Role of AMPA and NMDA receptors on vasopressin and oxytocin secretion induced by hypertonic extracellular volume expansion
Journal of Neuroendocrinology, Volume 0, Issue ja, -Not available-.
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EEMCO—European group on efficacy measurement and evaluation of cosmetics and other products
Skin Research and Technology, Volume 24, Issue 3, Page 349-350, August 2018.
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Issue Information
Skin Research and Technology, Volume 24, Issue 3, Page i-iv, August 2018.
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Rare clinical manifestations of leukemia cutis
Journal of Cutaneous Pathology, Volume 0, Issue ja, -Not available-.
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Epithelial barrier dysfunctions in atopic dermatitis: a skin–gut–lung model linking microbiome alteration and immune dysregulation
British Journal of Dermatology, EarlyView.
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In situ bio‐distribution and residency of a topical anti‐inflammatory using fluorescence lifetime imaging microscopy
British Journal of Dermatology, Volume 0, Issue ja, -Not available-.
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Stratum corneum analysis provide a minimal invasive tool to study immune response and skin barrier in atopic dermatitis children
British Journal of Dermatology, Volume 0, Issue ja, -Not available-.
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Quality of life in patients with acquired pigmentation: An observational study
Journal of Cosmetic Dermatology, EarlyView.
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Nonsurgical treatment of earlobe aging in Mowlawi stages I and II earlobe ptosis with Hyaluronic acid fillers
Journal of Cosmetic Dermatology, EarlyView.
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