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  1. Article ; Online: Stereotactic body radiation therapy versus conventional external beam radiation therapy for painful bone metastases: A systematic review and meta-analysis of randomized trials.

    Lee, Chia Ching / Soon, Yu Yang / Cheo, Timothy / Vellayappan, Balamurugan / Tey, Jeremy

    Critical reviews in oncology/hematology

    2022  Volume 178, Page(s) 103775

    Abstract: Purpose: To compare the efficacy and safety of stereotactic body radiation therapy (SBRT) and conventional external beam radiation therapy (cEBRT) in patients with previously unirradiated painful bone metastases (BM).: Methods: We searched biomedical ...

    Abstract Purpose: To compare the efficacy and safety of stereotactic body radiation therapy (SBRT) and conventional external beam radiation therapy (cEBRT) in patients with previously unirradiated painful bone metastases (BM).
    Methods: We searched biomedical databases for eligible randomized controlled trials (RCTs). The outcomes of interest were pain response, local progression, overall survival (OS) and adverse events. We used established tools to assess the quality of the individual trials and certainty of the pooled evidence. We performed meta-analyses using random effects models.
    Results: Six RCTs were identified. SBRT improved complete pain response rates at 3 months (OR, 3.38; 95% CI, 1.88-6.07; high certainty), reduced local progression rates (OR, 0.19; 95% CI, 0.06-0.62; high certainty) and increased pain flare rates. There were no differences for other outcomes.
    Conclusion: Among patients with previously unirradiated painful BM, SBRT significantly improved complete pain response rates at 3 months, delayed local progression and increased pain flare rates.
    MeSH term(s) Bone Neoplasms/radiotherapy ; Bone Neoplasms/secondary ; Humans ; Pain/etiology ; Pain/radiotherapy ; Radiosurgery/adverse effects ; Randomized Controlled Trials as Topic ; Symptom Flare Up
    Language English
    Publishing date 2022-07-30
    Publishing country Netherlands
    Document type Journal Article ; Meta-Analysis ; Review ; Systematic Review
    ZDB-ID 605680-5
    ISSN 1879-0461 ; 0737-9587 ; 1040-8428
    ISSN (online) 1879-0461
    ISSN 0737-9587 ; 1040-8428
    DOI 10.1016/j.critrevonc.2022.103775
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Survival rates and safety associated with chemoradiotherapy followed by surgery and chemoradiotherapy alone for patients with T4 esophageal cancer: a systematic review and meta-analysis.

    Lee, Chia Ching / Soon, Yu Yang / Vellayappan, Balamurugan / Ho, Francis / Tey, Jeremy C S

    Acta oncologica (Stockholm, Sweden)

    2022  Volume 61, Issue 6, Page(s) 738–748

    Abstract: Background: The optimal treatment approach for T4 esophageal cancer is not well established. We aimed to perform a systematic review and meta-analysis to determine the survival rates and safety of chemoradiotherapy followed by surgery (CRT-S) and ... ...

    Abstract Background: The optimal treatment approach for T4 esophageal cancer is not well established. We aimed to perform a systematic review and meta-analysis to determine the survival rates and safety of chemoradiotherapy followed by surgery (CRT-S) and chemoradiotherapy alone (CRT) in patients with T4 N
    Materials and methods: We searched databases for eligible prospective or retrospective studies. The outcomes of interest were overall survival (OS) at 1, 3 and 5 years, treatment-related fistula formation and mortality rates. Meta-analyses were performed using the random effects models separately for studies evaluating CRT-S and CRT. Subgroup analyses were performed based on histology, radiation dose, chemotherapy regimen and duration of the interval between CRT and surgery.
    Results: We identified 23 studies including 1,119 patients with predominantly squamous cell carcinoma (93%) and adenocarcinoma (3%) histology. The OS rates of patients receiving CRT-S were 65%, 36% and 20% at 1, 3 and 5 years, respectively. The OS rates of patients receiving CRT were 30%, 11% and 10% at 1, 3 and 5 years, respectively. Treatment-related fistula formation rates were 4% for CRT-S and 9% for CRT. Treatment-related mortality rates were 3% for both groups. Subgroup analyses showed that the interval of >2 months between CRT and surgery was associated with significantly improved OS rates at 1, 3 and 5 years.
    Conclusion: Chemoradiotherapy is an efficacious treatment approach for T4 esophageal cancer, with clinically acceptable rates of treatment-related fistula formation and mortality. Tri-modality approach with surgery can be considered in carefully selected patients. Our study findings should be interpreted with caution due to the lack of high-quality evidence. Randomized controlled trials are warranted to confirm these findings.
    MeSH term(s) Chemoradiotherapy/adverse effects ; Esophageal Neoplasms/pathology ; Esophagectomy ; Humans ; Prospective Studies ; Retrospective Studies ; Survival Rate
    Language English
    Publishing date 2022-04-21
    Publishing country England
    Document type Journal Article ; Meta-Analysis ; Systematic Review
    ZDB-ID 896449-x
    ISSN 1651-226X ; 0349-652X ; 0284-186X ; 1100-1704
    ISSN (online) 1651-226X
    ISSN 0349-652X ; 0284-186X ; 1100-1704
    DOI 10.1080/0284186X.2022.2062680
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Cross-sectional study assessing health outcome priorities of older adults with multimorbidity at a primary care setting in Singapore.

    Ng, Xin Rong / Tey, Yu Xuan Sheryl / Lew, Kaiwei Jeremy / Lee, Poay Sian Sabrina / Lee, Eng Sing / Sim, Sai Zhen

    BMJ open

    2023  Volume 13, Issue 12, Page(s) e079990

    Abstract: Objectives: Managing older adults with multimorbidity may be challenging due to the conflicting benefits and harms of multiple treatments. Thus, it is important to identify patients' health outcome priorities to align treatment goals with their health ... ...

    Abstract Objectives: Managing older adults with multimorbidity may be challenging due to the conflicting benefits and harms of multiple treatments. Thus, it is important to identify patients' health outcome priorities to align treatment goals with their health preferences. This study aimed to use the Outcome Prioritisation Tool (OPT) to describe the health outcome priorities of older adults with multimorbidity and determine the factors associated with these priorities. Additionally, it aimed to assess the ease of completing the OPT in Singapore's primary care population.
    Design: Cross-sectional study conducted from January to March 2022.
    Setting: A public primary care centre in Singapore.
    Participants: 65 years and older with multimorbidity.
    Outcome measures: Primary outcome measure was the most important health outcome priorities on the OPT. Secondary outcome measures were factors affecting these priorities and ease of completing the OPT.
    Results: We enrolled 180 participants (mean age: 73.2±6.1 years). Slightly more than half (54.4%) prioritised 'staying alive', while the remainder (45.6%) prioritised 'maintaining independence' (25.6%), 'relieving pain' (10.6%) and 'relieving other symptoms' (9.4%). Participants with six or more chronic conditions were three times (OR 3.03 (95% CI1.09 to 8.42)) more likely to prioritise 'staying alive' compared with participants with three conditions. Most participants (69.4%) agreed that the OPT was easy to complete, and the mean time taken to complete the OPT was 3.8±1.6 minutes.
    Conclusion: 'Staying alive' was the most important health outcome priority, especially for older adults with six or more chronic conditions. The OPT was easily completed among older adults with multimorbidity in primary care. Further qualitative studies can be conducted to understand the factors influencing patients' priorities and explore the relevance of the OPT in guiding treatment decisions.
    MeSH term(s) Humans ; Aged ; Multimorbidity ; Cross-Sectional Studies ; Singapore/epidemiology ; Chronic Disease ; Primary Health Care ; Outcome Assessment, Health Care
    Language English
    Publishing date 2023-12-11
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2599832-8
    ISSN 2044-6055 ; 2044-6055
    ISSN (online) 2044-6055
    ISSN 2044-6055
    DOI 10.1136/bmjopen-2023-079990
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Stroke Risk in Survivors of Head and Neck Cancer.

    Yip, Pui Lam / Zheng, Huili / Cheo, Timothy / Tan, Teng Hwee / Lee, Shing Fung / Leong, Yiat Horng / Wong, Lea Choung / Tey, Jeremy / Ho, Francis / Soon, Yu Yang

    JAMA network open

    2024  Volume 7, Issue 2, Page(s) e2354947

    Abstract: Importance: Survivors of head and neck cancers (HNC) have increased risk of stroke. A comprehensive report using standardized methods is warranted to characterize the risk and to inform on survivorship strategy.: Objective: To determine the stroke ... ...

    Abstract Importance: Survivors of head and neck cancers (HNC) have increased risk of stroke. A comprehensive report using standardized methods is warranted to characterize the risk and to inform on survivorship strategy.
    Objective: To determine the stroke risk in subpopulations of survivors of HNC in Singapore.
    Design, setting, and participants: This national, registry-based, cross-sectional study aimed to estimate stroke risk in subgroups of the HNC population between January 2005 and December 2020. Participants were identified from the Singapore Cancer Registry, the Singapore Stroke Registry, and the Registry of Birth and Deaths using relevant International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) and International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, Australian Modification (ICD-10-AM) codes. HNC subgroups were defined based on patient demographic, disease, and treatment factors. Data were analyzed from September 2022 to September 2023.
    Exposure: Diagnosis of HNC.
    Main outcomes and measures: Both ischemic and hemorrhagic stroke were studied. The age-standardized incidence rate ratio (SIRR) and age-standardized incidence rate difference (SIRD) were reported. The Singapore general population (approximately 4 million) served as the reference group for these estimations.
    Results: A total of 9803 survivors of HNC (median [IQR] age at diagnosis, 58 [49-68] years; 7166 [73.1%] male) were identified. The most common HNC subsites were nasopharynx (4680 individuals [47.7%]), larynx (1228 individuals [12.5%]), and tongue (1059 individuals [10.8%]). A total of 337 individuals (3.4%) developed stroke over a median (IQR) follow-up of 42.5 (15.0-94.5) months. The overall SIRR was 2.46 (95% CI, 2.21-2.74), and the overall SIRD was 4.11 (95% CI, 3.37-4.85) strokes per 1000 person-years (PY). The cumulative incidence of stroke was 3% at 5 years and 7% at 10 years after HNC diagnosis. The SIRR was highest among individuals diagnosed at younger than 40 years (SIRR, 30.55 [95% CI, 16.24-52.35]). All population subsets defined by age, sex, race and ethnicity, HNC subsites (except tongue), stage, histology, and treatment modalities had increased risk of stroke compared with the general population. The SIRR and SIRD were significantly higher among individuals who had a primary radiation treatment approach (SIRR, 3.01 [95% CI, 2.64-3.43]; SIRD, 5.12 [95% CI, 4.18-6.29] strokes per 1000 PY) compared with a primary surgery approach (SIRR, 1.64 [95% CI, 1.31-2.05]; SIRD, 1.84 [95% CI, 0.923.67] strokes per 1000 PY).
    Conclusions and relevance: In this cross-sectional study of survivors of HNC, elevated stroke risks were observed across different age, subsites, and treatment modalities, underscoring the importance of early screening and intervention.
    MeSH term(s) Humans ; Male ; Middle Aged ; Aged ; Female ; Australia ; Cross-Sectional Studies ; Survivors ; Stroke/epidemiology ; Stroke/etiology ; Head and Neck Neoplasms/epidemiology
    Language English
    Publishing date 2024-02-05
    Publishing country United States
    Document type Journal Article
    ISSN 2574-3805
    ISSN (online) 2574-3805
    DOI 10.1001/jamanetworkopen.2023.54947
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Indirect Treatment Comparison of First-Line CDK4/6-Inhibitors in Post-Menopausal Patients with HR+/HER2- Metastatic Breast Cancer.

    Zhao, Joseph J / Fong, Khi Yung / Chan, Yiong Huak / Tey, Jeremy / Dawood, Shaheenah / Lee, Soo Chin / Finn, Richard S / Sundar, Raghav / Lim, Joline S J

    Cancers

    2023  Volume 15, Issue 18

    Abstract: Background: ...

    Abstract Background:
    Language English
    Publishing date 2023-09-14
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2527080-1
    ISSN 2072-6694
    ISSN 2072-6694
    DOI 10.3390/cancers15184558
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  6. Article ; Online: Cross-sectional study assessing health outcome priorities of older adults with multimorbidity at a primary care setting in Singapore

    Eng Sing Lee / Poay Sian Sabrina Lee / Sai Zhen Sim / Kaiwei Jeremy Lew / Xin Rong Ng / Yu Xuan Sheryl Tey

    BMJ Open, Vol 13, Iss

    2023  Volume 12

    Abstract: Objectives Managing older adults with multimorbidity may be challenging due to the conflicting benefits and harms of multiple treatments. Thus, it is important to identify patients’ health outcome priorities to align treatment goals with their health ... ...

    Abstract Objectives Managing older adults with multimorbidity may be challenging due to the conflicting benefits and harms of multiple treatments. Thus, it is important to identify patients’ health outcome priorities to align treatment goals with their health preferences. This study aimed to use the Outcome Prioritisation Tool (OPT) to describe the health outcome priorities of older adults with multimorbidity and determine the factors associated with these priorities. Additionally, it aimed to assess the ease of completing the OPT in Singapore’s primary care population.Design Cross-sectional study conducted from January to March 2022.Setting A public primary care centre in Singapore.Participants 65 years and older with multimorbidity.Outcome measures Primary outcome measure was the most important health outcome priorities on the OPT. Secondary outcome measures were factors affecting these priorities and ease of completing the OPT.Results We enrolled 180 participants (mean age: 73.2±6.1 years). Slightly more than half (54.4%) prioritised ‘staying alive’, while the remainder (45.6%) prioritised ‘maintaining independence’ (25.6%), ‘relieving pain’ (10.6%) and ‘relieving other symptoms’ (9.4%). Participants with six or more chronic conditions were three times (OR 3.03 (95% CI1.09 to 8.42)) more likely to prioritise ‘staying alive’ compared with participants with three conditions. Most participants (69.4%) agreed that the OPT was easy to complete, and the mean time taken to complete the OPT was 3.8±1.6 minutes.Conclusion ‘Staying alive’ was the most important health outcome priority, especially for older adults with six or more chronic conditions. The OPT was easily completed among older adults with multimorbidity in primary care. Further qualitative studies can be conducted to understand the factors influencing patients’ priorities and explore the relevance of the OPT in guiding treatment decisions.
    Keywords Medicine ; R
    Subject code 300
    Language English
    Publishing date 2023-12-01T00:00:00Z
    Publisher BMJ Publishing Group
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  7. Article ; Online: Risk of Stroke in Nasopharyngeal Cancer Survivors: A National Registry-Based Population Cohort Study.

    Tan, Teng Hwee / Zheng, Huili / Cheo, Timothy / Tey, Jeremy / Soon, Yu Yang

    Neurology

    2021  Volume 98, Issue 2, Page(s) e115–e124

    Abstract: Background and objectives: We aim to determine the risk of stroke and death within 30 days after stroke in nasopharyngeal cancer (NPC) survivors.: Methods: We conducted a population-based cohort study of patients diagnosed with NPC from January 1, ... ...

    Abstract Background and objectives: We aim to determine the risk of stroke and death within 30 days after stroke in nasopharyngeal cancer (NPC) survivors.
    Methods: We conducted a population-based cohort study of patients diagnosed with NPC from January 1, 2005, to December 31, 2017. Using the cancer and stroke disease registries and the Singapore general population as the reference population, we report the age-standardized incidence rate differences (SIRDs) ratios (SIRs) and the cumulative incidence of stroke and the standardized mortality rate differences (SMRDs) and ratios (SMRs) for all causes of death within 30 days after stroke for NPC survivors.
    Results: At a median follow-up of 48.4 months (interquartile range 19.8-92.9 months) for 3,849 patients diagnosed with NPC, 96 patients developed stroke. The overall SIRD and SIR for stroke were 3.12 (95% confidence interval [CI] 2.09-4.15) and 2.54 (95% CI 2.08-3.10), respectively. The SIRD was highest for the age group 70 to 79 years old (8.84 cases per 1,000 person-years, 95% CI 0.46-17.21), while the SIR was highest for the age group 30 to 39 years old (16.41, 95% CI 6.01-35.82). The SIRD and SIR for stage 1 disease were (6.96 cases per 1000 person-years, 95% CI 2.16-11.77) and (4.15, 95% CI 2.46-7.00), respectively. The SMRD and SMR for all cause deaths within 30 days of stroke were (3.20 cases per 100 persons, 95% CI -3.87 to 10.28) and (1.34, 95% CI 0.76-2.37), respectively.
    Discussion: The overall risk of stroke was markedly elevated in survivors of NPC, especially in stage 1 disease, compared to the general population. The risk of death within 30 days of stroke was not significantly higher for NPC survivors.
    Classification of evidence: This study provides Class II evidence of the increased risk of stroke in survivors of NPC compared to the general population.
    MeSH term(s) Adult ; Aged ; Cohort Studies ; Humans ; Incidence ; Nasopharyngeal Neoplasms/epidemiology ; Neoplasms ; Registries ; Risk Factors ; Stroke/epidemiology ; Survivors
    Language English
    Publishing date 2021-11-12
    Publishing country United States
    Document type Journal Article
    ZDB-ID 207147-2
    ISSN 1526-632X ; 0028-3878
    ISSN (online) 1526-632X
    ISSN 0028-3878
    DOI 10.1212/WNL.0000000000013058
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Effectiveness of Immune Checkpoint Inhibitors in Patients With Advanced Esophageal Squamous Cell Carcinoma: A Meta-analysis Including Low PD-L1 Subgroups.

    Yap, Dominic Wei Ting / Leone, Alberto Giovanni / Wong, Nicky Zhun Hong / Zhao, Joseph J / Tey, Jeremy Chee Seong / Sundar, Raghav / Pietrantonio, Filippo

    JAMA oncology

    2022  Volume 9, Issue 2, Page(s) 215–224

    Abstract: Importance: Immune checkpoint inhibitors (ICIs) have improved survival outcomes of patients with advanced esophageal squamous cell carcinoma in both first- and second-line settings. However, the benefit of ICIs in patients with low programmed death ... ...

    Abstract Importance: Immune checkpoint inhibitors (ICIs) have improved survival outcomes of patients with advanced esophageal squamous cell carcinoma in both first- and second-line settings. However, the benefit of ICIs in patients with low programmed death ligand 1 (PD-L1) expression remains unclear.
    Objective: To derive survival data for patient subgroups with low PD-L1 expression from clinical trials comparing ICIs with chemotherapy in esophageal squamous cell carcinoma and to perform a pooled analysis.
    Data sources: Kaplan-Meier curves from the randomized clinical trials were extracted after a systematic search of Scopus, Embase, PubMed, and Web of Science from inception until October 1, 2021.
    Study selection: Randomized clinical trials that investigated the effectiveness of anti-PD-1-based regimens for advanced esophageal squamous cell carcinoma and that reported overall survival (OS), progression-free survival, or duration of response were included in this meta-analysis.
    Data extraction and synthesis: Kaplan-Meier curves of all-comer populations, subgroups with high PD-L1, and those with low PD-L1 (when available) were extracted from published articles. A graphic reconstructive algorithm was used to calculate time-to-event outcomes from these curves. In studies with unreported curves for subgroups with low PD-L1 expression, KMSubtraction was used to impute survival data. KMSubtraction is a workflow to derive unreported subgroup survival data with from subgroups. An individual patient data pooled analysis including previously reported and newly imputed subgroups was conducted for trials with the same treatment line and PD-L1 scoring system. Data analysis was conducted from January 1, 2022, to June 30, 2022.
    Main outcomes and measures: Primary outcomes included Kaplan-Meier curves and hazard ratios (HRs) for OS for subgroups with low PD-L1 expression. Secondary outcomes included progression-free survival and duration of response.
    Results: The randomized clinical trials CheckMate-648, ESCORT-1st, KEYNOTE-590, ORIENT-15, KEYNOTE-181, ESCORT, RATIONALE-302, ATTRACTION-3, and ORIENT-2 were included, totaling 4752 patients. In the pooled analysis of first-line trials that evaluated a tumor proportion score (CheckMate-648 and ESCORT-1st), no significant benefit in OS was observed with immunochemotherapy compared with chemotherapy in the subgroup of patients who had a tumor proportion score lower than 1% (HR, 0.91; 95% CI, 0.74-1.12; P = .38) compared with chemotherapy. In the pooled analysis of first-line trials that evaluated combined positive score (KEYNOTE-590 and ORIENT-15), there was a significant but modest OS benefit for immunochemotherapy compared with chemotherapy in the subgroup with a combined positive score lower than 10 (HR, 0.77; 95% CI, 0.62-0.94; P = .01).
    Conclusions and relevance: Findings suggest a lack of survival benefit of ICI-based regimens in the first-line setting compared with chemotherapy alone in the subgroup with a tumor proportion score lower than 1%.
    MeSH term(s) Humans ; Lung Neoplasms/drug therapy ; Immune Checkpoint Inhibitors/therapeutic use ; B7-H1 Antigen ; Esophageal Squamous Cell Carcinoma/drug therapy ; Esophageal Neoplasms/drug therapy
    Chemical Substances Immune Checkpoint Inhibitors ; CD274 protein, human ; B7-H1 Antigen
    Language English
    Publishing date 2022-12-05
    Publishing country United States
    Document type Meta-Analysis ; Journal Article ; Research Support, Non-U.S. Gov't
    ISSN 2374-2445
    ISSN (online) 2374-2445
    DOI 10.1001/jamaoncol.2022.5816
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  9. Article ; Online: Frequency of discordance in programmed death-ligand 1 (PD-L1) expression between primary tumors and paired distant metastases in advanced cancers: a systematic review and meta-analysis.

    Lee, Chia Ching / Soon, Yu Yang / Lum, Jeffrey Huey Yew / Tan, Char Loo / Tey, Jeremy Chee Seong

    Acta oncologica (Stockholm, Sweden)

    2020  Volume 59, Issue 6, Page(s) 696–704

    Abstract: Background: ...

    Abstract Background:
    MeSH term(s) B7-H1 Antigen/metabolism ; Bias ; Confidence Intervals ; Humans ; Neoplasm Metastasis ; Neoplasm Proteins/metabolism ; Neoplasms/metabolism ; Neoplasms/pathology ; Retrospective Studies
    Chemical Substances B7-H1 Antigen ; CD274 protein, human ; Neoplasm Proteins
    Keywords covid19
    Language English
    Publishing date 2020-03-20
    Publishing country England
    Document type Journal Article ; Meta-Analysis ; Systematic Review
    ZDB-ID 896449-x
    ISSN 1651-226X ; 0349-652X ; 0284-186X ; 1100-1704
    ISSN (online) 1651-226X
    ISSN 0349-652X ; 0284-186X ; 1100-1704
    DOI 10.1080/0284186X.2020.1741678
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  10. Article ; Online: Management of locally advanced synchronous colorectal and prostate cancers: A case report.

    Tey, Yi Qing / Ravi, Kavimalar / Chong, Choon Seng / Chiong, Edmund / Ho, Jingshan / Tey, Jeremy Chee Seong / Ho, Francis

    Medicine

    2020  Volume 99, Issue 22, Page(s) e20336

    Abstract: Introduction: Synchronous colorectal and prostate malignancies are uncommon, with standard treatment guidelines not yet established. Chemoradiation therapy is involved in both colorectal and prostate cancers. However, differing dosage regimens and ... ...

    Abstract Introduction: Synchronous colorectal and prostate malignancies are uncommon, with standard treatment guidelines not yet established. Chemoradiation therapy is involved in both colorectal and prostate cancers. However, differing dosage regimens and effects of irradiation field on anatomical planes for surgery makes management of the synchronous cancers challenging. We report the first case of synchronous prostate and rectal cancer being treated with a combination of treatment modalities with a unique addition of high dose rate prostate brachytherapy boost.
    Patient concerns: The patient, a 69-year-old Chinese gentleman, presented with per-rectal bleeding with alternating bowel habits and a hemoglobin drop. He also had a history of urinary urge incontinence.
    Diagnosis: Following diagnostic workup, he was diagnosed with synchronous rectal adenocarcinoma (T3N1M0) and prostate malignancy (T2bN0M0).
    Interventions: The management consisted of neoadjuvant androgen deprivation therapy (ADT) and pelvic chemoradiation, followed by high dose rate prostate brachytherapy boost and subsequently anterior resection.
    Outcomes: Following therapy, the patient has no evidence of local recurrence or distant metastasis.
    Conclusion: We suggest a new feasible treatment strategy for the management of synchronous colorectal and prostate cancers.
    MeSH term(s) Aged ; Androgen Antagonists/therapeutic use ; Chemoradiotherapy/methods ; Humans ; Male ; Prostatic Neoplasms/complications ; Prostatic Neoplasms/therapy ; Rectal Neoplasms/complications ; Rectal Neoplasms/therapy
    Chemical Substances Androgen Antagonists
    Language English
    Publishing date 2020-04-29
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 80184-7
    ISSN 1536-5964 ; 0025-7974
    ISSN (online) 1536-5964
    ISSN 0025-7974
    DOI 10.1097/MD.0000000000020336
    Database MEDical Literature Analysis and Retrieval System OnLINE

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