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  1. Article: Triple combinations of immunotherapy and targeted therapy in patients with melanoma with brain metastases.

    Rutkowski, Piotr / Czarnecka, Anna M

    Annals of translational medicine

    2023  Volume 11, Issue 6, Page(s) 273

    Language English
    Publishing date 2023-01-16
    Publishing country China
    Document type Editorial ; Comment
    ZDB-ID 2893931-1
    ISSN 2305-5847 ; 2305-5839
    ISSN (online) 2305-5847
    ISSN 2305-5839
    DOI 10.21037/atm-2022-78
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Pembrolizumab for the adjuvant treatment of IIB or IIC melanoma.

    Rutkowski, Piotr / Czarnecka, Anna M

    Expert review of anticancer therapy

    2023  Volume 23, Issue 9, Page(s) 897–902

    Abstract: Introduction: Up to 30% of patients with stage IIB and 50% of stage IIC melanoma experience recurrence within 5 years after radical surgery. Adjuvant treatment is expected to improve this prognosis.: Areas covered: Pembrolizumab (MK-3475) is a ... ...

    Abstract Introduction: Up to 30% of patients with stage IIB and 50% of stage IIC melanoma experience recurrence within 5 years after radical surgery. Adjuvant treatment is expected to improve this prognosis.
    Areas covered: Pembrolizumab (MK-3475) is a humanized monoclonal antibody that acts against the programmed cell death 1 (PD-1) receptor. Pembrolizumab was first approved in monotherapy for the treatment of unresectable/metastatic melanoma based on the results of the prospective KEYNOTE-001, KEYNOTE-002, and KEYNOTE-006 trials. KEYNOTE-716 is the randomized phase III trial of pembrolizumab treatment in resected stage II melanoma. Treatment with pembrolizumab is statistically significant, reducing the risk of recurrence as well as distant metastases risk after primary tumor resection. Pembrolizumab treatment has a 24-month RFS rate of 81.2% (HR 0.64 vs placebo) and a DMFS rate of 88.1%.
    Expert opinion: 1-year adjuvant pembrolizumab treatment of stage IIB/C melanoma patients significantly reduces recurrence or death risk. The safety profile of adjuvant treatment is not different from previously reported and is manageable. Longer follow-up is required to fully understand the efficacy and safety of adjuvant therapy for stage II melanoma, as the number of patients needed to treat is twice as high as for stage III patients.
    MeSH term(s) Humans ; Prospective Studies ; Melanoma/pathology ; Skin Neoplasms/pathology ; Adjuvants, Immunologic ; Programmed Cell Death 1 Receptor ; Clinical Trials, Phase III as Topic ; Randomized Controlled Trials as Topic ; Melanoma, Cutaneous Malignant
    Chemical Substances pembrolizumab (DPT0O3T46P) ; Adjuvants, Immunologic ; Programmed Cell Death 1 Receptor
    Language English
    Publishing date 2023-08-13
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 2112544-2
    ISSN 1744-8328 ; 1473-7140
    ISSN (online) 1744-8328
    ISSN 1473-7140
    DOI 10.1080/14737140.2023.2247565
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Establishing biomarkers for soft tissue sarcomas.

    Czarnecka, Anna M / Chmiel, Paulina / Błoński, Piotr / Rutkowski, Piotr

    Expert review of anticancer therapy

    2024  , Page(s) 1–15

    Abstract: Introduction: Soft tissue sarcomas (STS) are a rare and diverse group of tumors. Curative options are limited to localized disease, with surgery being the mainstay. Advanced stages are associated with a poor prognosis. Currently, the prognosis of the ... ...

    Abstract Introduction: Soft tissue sarcomas (STS) are a rare and diverse group of tumors. Curative options are limited to localized disease, with surgery being the mainstay. Advanced stages are associated with a poor prognosis. Currently, the prognosis of the patient is based on histological classification and clinical characteristics, with only a few biomarkers having entered clinical practice.
    Areas covered: This article covers extensive recent research that has established novel potential biomarkers based on genomics, proteomics, and clinical characteristics. Validating and incorporating these biomarkers into clinical practice can improve prognosis, prediction of recurrence, and treatment response. Relevant literature was collected from PubMed, Scopus, and clinicaltrials.gov databases (November 2023).
    Expert opinion: Currently, defining prognostic markers in soft tissue sarcomas remains challenging. More studies are required, especially to personalize treatment through advanced genetic profiling and analysis using individual tumor and patient characteristics.
    Language English
    Publishing date 2024-04-30
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 2112544-2
    ISSN 1744-8328 ; 1473-7140
    ISSN (online) 1744-8328
    ISSN 1473-7140
    DOI 10.1080/14737140.2024.2346187
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Review on Lymph Node Metastases, Sentinel Lymph Node Biopsy, and Lymphadenectomy in Sarcoma.

    Chmiel, Paulina / Krotewicz, Maria / Szumera-Ciećkiewicz, Anna / Bartnik, Ewa / Czarnecka, Anna M / Rutkowski, Piotr

    Current oncology (Toronto, Ont.)

    2024  Volume 31, Issue 1, Page(s) 307–323

    Abstract: Soft tissue sarcomas (STS) originating from connective tissue rarely affect the lymph nodes. However, involvement of lymph nodes in STS is an important aspect of prognosis and treatment. Currently, there is no consensus on the diagnosis and management of ...

    Abstract Soft tissue sarcomas (STS) originating from connective tissue rarely affect the lymph nodes. However, involvement of lymph nodes in STS is an important aspect of prognosis and treatment. Currently, there is no consensus on the diagnosis and management of lymph node metastases in STS. The key risk factor for nodal involvement is the histological subtype of sarcoma. Radiological and pathological evaluation seems to be the most effective method of assessing lymph nodes in these neoplasms. Thus, sentinel lymph node biopsy (SLNB), which has been shown to be valuable in the management of melanoma or breast cancer, may also be a beneficial diagnostic option in some high-risk STS subtypes. This review summarizes data on the risk factors and clinical characteristics of lymph node involvement in STS. Possible management and therapeutic options are also discussed.
    MeSH term(s) Humans ; Sentinel Lymph Node Biopsy ; Lymphatic Metastasis ; Lymph Node Excision ; Sarcoma/surgery ; Lymph Nodes/surgery ; Soft Tissue Neoplasms
    Language English
    Publishing date 2024-01-05
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 1236972-x
    ISSN 1718-7729 ; 1198-0052
    ISSN (online) 1718-7729
    ISSN 1198-0052
    DOI 10.3390/curroncol31010020
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Molecular and Clinicopathological Biomarkers in the Neoadjuvant Treatment of Patients with Advanced Resectable Melanoma.

    Błoński, Piotr J / Czarnecka, Anna M / Ostaszewski, Krzysztof / Szumera-Ciećkiewicz, Anna / Rutkowski, Piotr

    Biomedicines

    2024  Volume 12, Issue 3

    Abstract: Neoadjuvant systemic therapy is emerging as the best medical practice in patients with resectable stage III melanoma. As different regimens are expected to become available in this approach, the improved optimization of treatment strategies is required. ... ...

    Abstract Neoadjuvant systemic therapy is emerging as the best medical practice in patients with resectable stage III melanoma. As different regimens are expected to become available in this approach, the improved optimization of treatment strategies is required. Personalization of care in each individual patient-by precisely determining the disease-related risk and the most efficient therapeutic approach-is expected to minimize disease recurrence, but also the incidence of treatment-related adverse events and the extent of surgical intervention. This can be achieved through validation and clinical application of predictive and prognostic biomarkers. For immune checkpoint inhibitors, there are no validated predictive biomarkers until now. Promising predictive molecular biomarkers for neoadjuvant immunotherapy are tumor mutational burden and the interferon-gamma pathway expression signature. Pathological response to neoadjuvant treatment is a biomarker of a favorable prognosis and surrogate endpoint for recurrence-free survival in clinical trials. Despite the reliability of these biomarkers, risk stratification and response prediction in the neoadjuvant setting are still unsatisfactory and represent a critical knowledge gap, limiting the development of optimized personalized strategies in everyday practice.
    Language English
    Publishing date 2024-03-17
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2720867-9
    ISSN 2227-9059
    ISSN 2227-9059
    DOI 10.3390/biomedicines12030669
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: The Role of Macrophages in Sarcoma Tumor Microenvironment and Treatment.

    Zając, Agnieszka E / Czarnecka, Anna M / Rutkowski, Piotr

    Cancers

    2023  Volume 15, Issue 21

    Abstract: Sarcomas are a heterogeneous group of malignant mesenchymal tumors, including soft tissue and bone sarcomas. Macrophages in the tumor microenvironment, involved in immunosuppression and leading to tumor development, are called tumor-associated ... ...

    Abstract Sarcomas are a heterogeneous group of malignant mesenchymal tumors, including soft tissue and bone sarcomas. Macrophages in the tumor microenvironment, involved in immunosuppression and leading to tumor development, are called tumor-associated macrophages (TAMs). TAMs are very important in modulating the microenvironment of sarcomas by expressing specific markers and secreting factors that influence immune and tumor cells. They are involved in many signaling pathways, such as p-STAT3/p-Erk1/2, PI3K/Akt, JAK/MAPK, and JAK/STAT3. TAMs also significantly impact the clinical outcomes of patients suffering from sarcomas and are mainly related to poor overall survival rates among bone and soft tissue sarcomas, for example, chondrosarcoma, osteosarcoma, liposarcoma, synovial sarcoma, and undifferentiated pleomorphic sarcoma. This review summarizes the current knowledge on TAMs in sarcomas, focusing on specific markers on sarcoma cells, cell-cell interactions, and the possibly involved molecular pathways. Furthermore, we discuss the clinical significance of macrophages in sarcomas as a potential target for new therapies, presenting clinical relevance, possible new treatment options, and ongoing clinical trials using TAMs in sarcoma treatment.
    Language English
    Publishing date 2023-11-05
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2527080-1
    ISSN 2072-6694
    ISSN 2072-6694
    DOI 10.3390/cancers15215294
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: MicroRNAs as Prognostic Biomarkers and Therapeutic Targets in Chondrosarcoma.

    Skipar, Palina / Dey, Mritunjoy / Piątkowski, Jakub / Sulejczak, Dorota / Rutkowski, Piotr / Czarnecka, Anna M

    International journal of molecular sciences

    2024  Volume 25, Issue 6

    Abstract: Chondrosarcoma, the second most common primary malignant bone tumor, originates from cartilaginous tissue and accounts for almost 20% of all primary bone tumors. The management of chondrosarcoma remains challenging due to its diverse clinical course and ... ...

    Abstract Chondrosarcoma, the second most common primary malignant bone tumor, originates from cartilaginous tissue and accounts for almost 20% of all primary bone tumors. The management of chondrosarcoma remains challenging due to its diverse clinical course and prognosis, which can range from benign to highly aggressive with a huge risk of metastasis. Emerging research has demonstrated the importance of microRNA (miRNA) dysregulation in the pathogenesis of chondrosarcoma. MiRNAs are small, noncoding RNA molecules that play an essential role in gene expression regulation by targeting specific messenger RNAs (mRNAs) for degradation or translational repression. This article provides an extensive review of current miRNA research in chondrosarcoma, focusing on diagnostic strategies, cell cycle regulation, drug resistance, biomarkers of progression, and stem cell phenotype. We will examine recent studies identifying differentially expressed miRNAs in chondrosarcoma compared to normal cartilage tissue, exploring their potential as diagnostic and prognostic biomarkers. Furthermore, we will discuss the role of miRNAs in regulating cell cycle progression and their potential as therapeutic targets to overcome drug resistance. We will also investigate the prospective utility of miRNAs as biomarkers of progression and their role in modulating the stem cell phenotype of chondrosarcoma cells. This article offers a comprehensive analysis of current miRNA research in chondrosarcoma, focusing on its potential as diagnostic and prognostic biomarkers, therapeutic targets, and regulators of disease progression. By integrating the latest discoveries in this field, we aim to contribute to the development of novel approaches to the prevention, diagnosis, and treatment of chondrosarcoma, ultimately enhancing patient outcomes.
    MeSH term(s) Humans ; MicroRNAs/metabolism ; Prognosis ; Gene Expression Regulation, Neoplastic ; Chondrosarcoma/diagnosis ; Chondrosarcoma/drug therapy ; Chondrosarcoma/genetics ; Bone Neoplasms/diagnosis ; Bone Neoplasms/drug therapy ; Bone Neoplasms/genetics ; Neoplasms, Second Primary/genetics ; Biomarkers, Tumor/genetics ; Biomarkers, Tumor/metabolism
    Chemical Substances MicroRNAs ; Biomarkers, Tumor
    Language English
    Publishing date 2024-03-09
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2019364-6
    ISSN 1422-0067 ; 1422-0067 ; 1661-6596
    ISSN (online) 1422-0067
    ISSN 1422-0067 ; 1661-6596
    DOI 10.3390/ijms25063176
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Kidney cancer: Intermittent sunitinib is an effective renal carcinoma treatment.

    Czarnecka, Anna M

    Nature reviews. Urology

    2017  Volume 14, Issue 5, Page(s) 264–266

    MeSH term(s) Antineoplastic Agents/administration & dosage ; Antineoplastic Agents/adverse effects ; Carcinoma, Renal Cell/diagnosis ; Carcinoma, Renal Cell/drug therapy ; Drug Administration Schedule ; Humans ; Kidney Neoplasms/diagnosis ; Kidney Neoplasms/drug therapy ; Sunitinib/administration & dosage ; Sunitinib/adverse effects ; Treatment Outcome
    Chemical Substances Antineoplastic Agents ; Sunitinib (V99T50803M)
    Language English
    Publishing date 2017-03-07
    Publishing country England
    Document type News
    ZDB-ID 2493737-X
    ISSN 1759-4820 ; 1759-4812
    ISSN (online) 1759-4820
    ISSN 1759-4812
    DOI 10.1038/nrurol.2017.36
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: An update on the safety of nivolumab for the treatment of advanced melanoma.

    Czarnecka, Anna M / Rutkowski, Piotr

    Expert opinion on drug safety

    2020  Volume 19, Issue 4, Page(s) 409–421

    Abstract: ... ...

    Abstract Introduction
    MeSH term(s) Antineoplastic Agents, Immunological/administration & dosage ; Antineoplastic Agents, Immunological/adverse effects ; Biomarkers/metabolism ; Humans ; Immune Checkpoint Inhibitors/administration & dosage ; Immune Checkpoint Inhibitors/adverse effects ; Immunotherapy/adverse effects ; Immunotherapy/methods ; Melanoma/drug therapy ; Melanoma/pathology ; Nivolumab/administration & dosage ; Nivolumab/adverse effects ; Skin Neoplasms/drug therapy ; Skin Neoplasms/pathology
    Chemical Substances Antineoplastic Agents, Immunological ; Biomarkers ; Immune Checkpoint Inhibitors ; Nivolumab (31YO63LBSN)
    Keywords covid19
    Language English
    Publishing date 2020-04-15
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 2088728-0
    ISSN 1744-764X ; 1474-0338
    ISSN (online) 1744-764X
    ISSN 1474-0338
    DOI 10.1080/14740338.2020.1757068
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Management Strategies for Adults with Locally Advanced, Unresectable or Metastatic Malignant Perivascular Epithelioid Cell Tumor (PEComa): Challenges and Solutions.

    Czarnecka, Anna M / Skoczylas, Jacek / Bartnik, Ewa / Świtaj, Tomasz / Rutkowski, Piotr

    Cancer management and research

    2023  Volume 15, Page(s) 615–623

    Abstract: PEComa (PEC tumor; perivascular epithelioid cell tumors) is a rare group of tumors of mesenchymal origin composed of perivascular epithelioid cells (PEC) with features of melanotic and smooth muscle differentiation. In this article, we would like to ... ...

    Abstract PEComa (PEC tumor; perivascular epithelioid cell tumors) is a rare group of tumors of mesenchymal origin composed of perivascular epithelioid cells (PEC) with features of melanotic and smooth muscle differentiation. In this article, we would like to present the current treatment options for this group of tumors. PEComas are classified as tumors of uncertain malignant potential because recurrences occur after radical treatment. The primary treatment is surgical resection with negative margins. Due to the different locations of the tumors, often the cooperation of multispecialty surgeons is required during the operations. In locally advanced cases, cytoreduction and HIPEC may be effective but still are an experimental treatment. For nonresectable PEComa chemotherapy, mTOR inhibitors and VEGFR inhibitors are used.
    Language English
    Publishing date 2023-07-07
    Publishing country New Zealand
    Document type Journal Article ; Review
    ZDB-ID 2508013-1
    ISSN 1179-1322
    ISSN 1179-1322
    DOI 10.2147/CMAR.S351284
    Database MEDical Literature Analysis and Retrieval System OnLINE

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