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  1. Article: Genetic Susceptibility to Endometrial Cancer: Risk Factors and Clinical Management.

    Dörk, Thilo / Hillemanns, Peter / Tempfer, Clemens / Breu, Julius / Fleisch, Markus C

    Cancers

    2020  Volume 12, Issue 9

    Abstract: Endometrial cancer (EC) is the most common cancer affecting the female reproductive organs in higher-income states. Apart from reproductive factors and excess weight, genetic predisposition is increasingly recognized as a major factor in endometrial ... ...

    Abstract Endometrial cancer (EC) is the most common cancer affecting the female reproductive organs in higher-income states. Apart from reproductive factors and excess weight, genetic predisposition is increasingly recognized as a major factor in endometrial cancer risk. Endometrial cancer is genetically heterogeneous: while a subgroup of patients belongs to cancer predisposition syndromes (most notably the Lynch Syndrome) with high to intermediate lifetime risks, there are also several common genomic polymorphisms contributing to the spectrum of germline predispositions. Germline variants and somatic events may act in concert to modulate the molecular evolution of the tumor, where mismatch-repair deficiency is common in endometrioid endometrial tumors whereas homologous recombinational repair deficiency has been described for non-endometrioid endometrial tumors. In this review, we will survey the currently known genomic predispositions for endometrial cancer and discuss their relevance for clinical management in terms of counseling, screening and novel treatments.
    Language English
    Publishing date 2020-08-25
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2527080-1
    ISSN 2072-6694
    ISSN 2072-6694
    DOI 10.3390/cancers12092407
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Hereditäre Endometriumkarzinome - Zunehmende Aufmerksamkeit für eine seltene Entität

    Fleisch, Markus C. / Möslein, Gabriela / Hepp, Philipp

    Onkologie heute

    2018  Volume 17, Issue 5, Page(s) 29

    Language German
    Document type Article
    ZDB-ID 2147741-3
    ISSN 1612-006X
    Database Current Contents Medicine

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  3. Article ; Online: Machine learning for non-invasive sensing of hypoglycaemia while driving in people with diabetes.

    Lehmann, Vera / Zueger, Thomas / Maritsch, Martin / Kraus, Mathias / Albrecht, Caroline / Bérubé, Caterina / Feuerriegel, Stefan / Wortmann, Felix / Kowatsch, Tobias / Styger, Naïma / Lagger, Sophie / Laimer, Markus / Fleisch, Elgar / Stettler, Christoph

    Diabetes, obesity & metabolism

    2023  Volume 25, Issue 6, Page(s) 1668–1676

    Abstract: Aim: To develop and evaluate the concept of a non-invasive machine learning (ML) approach for detecting hypoglycaemia based exclusively on combined driving (CAN) and eye tracking (ET) data.: Materials and methods: We first developed and tested our ML ...

    Abstract Aim: To develop and evaluate the concept of a non-invasive machine learning (ML) approach for detecting hypoglycaemia based exclusively on combined driving (CAN) and eye tracking (ET) data.
    Materials and methods: We first developed and tested our ML approach in pronounced hypoglycaemia, and then we applied it to mild hypoglycaemia to evaluate its early warning potential. For this, we conducted two consecutive, interventional studies in individuals with type 1 diabetes. In study 1 (n = 18), we collected CAN and ET data in a driving simulator during euglycaemia and pronounced hypoglycaemia (blood glucose [BG] 2.0-2.5 mmol L
    Results: Here, we show that our ML approach detects pronounced and mild hypoglycaemia with high accuracy (area under the receiver operating characteristics curve 0.88 ± 0.10 and 0.83 ± 0.11, respectively).
    Conclusions: Our findings suggest that an ML approach based on CAN and ET data, exclusively, enables detection of hypoglycaemia while driving. This provides a promising concept for alternative and non-invasive detection of hypoglycaemia.
    MeSH term(s) Humans ; Hypoglycemia/chemically induced ; Hypoglycemia/diagnosis ; Diabetes Mellitus, Type 1/complications ; Diabetes Mellitus, Type 1/diagnosis ; Blood Glucose ; Insulin/adverse effects
    Chemical Substances Blood Glucose ; Insulin
    Language English
    Publishing date 2023-03-06
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1454944-x
    ISSN 1463-1326 ; 1462-8902
    ISSN (online) 1463-1326
    ISSN 1462-8902
    DOI 10.1111/dom.15021
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Laparoskopische Lymphonodektomie: Technik und Ergebnisse.

    Fleisch, Markus C / Rein, Daniel T

    Gynakologisch-geburtshilfliche Rundschau

    2009  Volume 49, Issue 3, Page(s) 117–125

    Abstract: For 20 years laparoscopic pelvic and para-aortal lymph node dissection has become increasingly popular as part of minimally invasive surgical treatment concepts for women suffering from gynaecological malignancies. Especially patients suffering from ... ...

    Title translation Laparoscopic lymph node dissection: technique and results.
    Abstract For 20 years laparoscopic pelvic and para-aortal lymph node dissection has become increasingly popular as part of minimally invasive surgical treatment concepts for women suffering from gynaecological malignancies. Especially patients suffering from early-stage cervical or endometrial cancers can benefit from the general advantages of a minimally invasive procedure if a comparable degree of radical surgery is achieved. The feasibility and case-control studies published so far suggest comparable indicators of radicality, such as the number of dissected lymph nodes, but also demonstrate potential advantages like a lower intra-operative blood loss, shorter hospital stay and lower postoperative complication rate in comparison with the conventional approach. Regarding long-term survival, reliable data from prospective randomized studies are still lacking but can be expected to be available in the near future.
    MeSH term(s) Female ; Genital Neoplasms, Female/pathology ; Genital Neoplasms, Female/secondary ; Genital Neoplasms, Female/surgery ; Humans ; Laparoscopy/trends ; Lymph Node Excision/methods ; Lymphatic Metastasis
    Language German
    Publishing date 2009
    Publishing country Switzerland
    Document type English Abstract ; Journal Article ; Review
    ZDB-ID 1115393-3
    ISSN 1423-0011 ; 1018-8843
    ISSN (online) 1423-0011
    ISSN 1018-8843
    DOI 10.1159/000213060
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: The Prevention of Positioning Injuries During Gynecologic Surgery. Guideline of the DGGG, OEGGG and SGGG (S2k Level, AWMF Registry Number 015/077, October 2020).

    Fleisch, Markus C / Bader, Werner / Balzer, Kai / Bennefeld, Luisa / Boeing, Carsten / Bremerich, Dorothee / Gass, Paul / Geissbuehler, Verena / Koch, Martin C / Nothacker, Monika J / Pietzner, Klaus / Renner, Stefan P / Römer, Thomas / Roth, Stephan / Schütz, Florian / Schulte-Mattler, Wilhelm / Sehouli, Jalid / Lippach, Kristina / Tamussino, Karl /
    Teichmann, Alexander / Tempfer, Clemens / Thill, Marc / Tinneberg, Hans-Rudolf / Zarras, Konstantinos

    Geburtshilfe und Frauenheilkunde

    2021  Volume 81, Issue 4, Page(s) 447–468

    Abstract: ... ...

    Abstract Purpose
    Language English
    Publishing date 2021-04-14
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 80111-2
    ISSN 1438-8804 ; 0016-5751 ; 1615-3359
    ISSN (online) 1438-8804
    ISSN 0016-5751 ; 1615-3359
    DOI 10.1055/a-1378-4209
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Diagnostic delay in moderately/poorly differentiated breast cancer types.

    Elfgen, Constanze / Baumgartner, Sabrina / Varga, Zsuzsanna / Reeve, Kelly / Tausch, Christoph J / Bjelic-Radisic, Vesna / Fleisch, Markus / Güth, Uwe

    European journal of cancer prevention : the official journal of the European Cancer Prevention Organisation (ECP)

    2021  Volume 31, Issue 2, Page(s) 152–157

    Abstract: Background: Diagnostic delay of breast cancer related to the false-negative assessment of the healthcare provider leads to tumor progression and might worsen the outcome. Previous studies found some factors associated with provider-related diagnostic ... ...

    Abstract Background: Diagnostic delay of breast cancer related to the false-negative assessment of the healthcare provider leads to tumor progression and might worsen the outcome. Previous studies found some factors associated with provider-related diagnostic delay; however, tumor biology has tended not to be considered. The aim of our study was to find differences in diagnostic delay of poorly differentiated breast cancer types.
    Methods: Data of 970 patients with newly diagnosed moderately/poorly differentiated (G2/3) breast cancer at the age ≥40 years was retrospectively analyzed regarding breast cancer type, diagnostic delay and its consequence, clinical factors and physician's assessment. Multivariate analysis was used to evaluate associated factors with diagnostic delay.
    Results: We observed a diagnostic delay in 3.8% (n = 37) of all patients. Mean delay time was 128 days, and clinically relevant tumor growth was observed in 43.2% of these cases. Delay was significantly higher in the group of triple-negative breast cancer (9.9% versus 2.7, 5.3 and 1.8% in hormonal receptor (HR)+/human epidermal growth factor receptor 2 (HER2)-, HR-/Her2+ and HR+/Her2+, respectively; P value <0.001). Age, breast density and reason for presentation were not correlated to diagnostic delay.
    Conclusion: Patients with triple-negative breast cancer are at higher risk of receiving a false-negative assessment and experiencing a diagnostic delay. Our results emphasize the importance of a detailed consideration of clinical risk factors and provider training and suggest a broad indication for a core needle biopsy.
    MeSH term(s) Adult ; Biomarkers, Tumor/metabolism ; Breast Neoplasms/diagnosis ; Breast Neoplasms/drug therapy ; Breast Neoplasms/epidemiology ; Delayed Diagnosis ; Female ; Humans ; Receptor, ErbB-2 ; Retrospective Studies ; Triple Negative Breast Neoplasms/diagnosis ; Triple Negative Breast Neoplasms/epidemiology
    Chemical Substances Biomarkers, Tumor ; Receptor, ErbB-2 (EC 2.7.10.1)
    Language English
    Publishing date 2021-05-05
    Publishing country England
    Document type Journal Article
    ZDB-ID 1137033-6
    ISSN 1473-5709 ; 0959-8278
    ISSN (online) 1473-5709
    ISSN 0959-8278
    DOI 10.1097/CEJ.0000000000000681
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Structural Insight into IAPP-Derived Amyloid Inhibitors and Their Mechanism of Action.

    Niu, Zheng / Prade, Elke / Malideli, Eleni / Hille, Kathleen / Jussupow, Alexander / Mideksa, Yonatan G / Yan, Li-Mei / Qian, Chen / Fleisch, Markus / Messias, Ana C / Sarkar, Riddhiman / Sattler, Michael / Lamb, Don C / Feige, Matthias J / Camilloni, Carlo / Kapurniotu, Aphrodite / Reif, Bernd

    Angewandte Chemie (International ed. in English)

    2020  Volume 59, Issue 14, Page(s) 5771–5781

    Abstract: Designed peptides derived from the islet amyloid polypeptide (IAPP) cross-amyloid interaction surface with Aβ (termed interaction surface mimics or ISMs) have been shown to be highly potent inhibitors of Aβ amyloid self-assembly. However, the molecular ... ...

    Abstract Designed peptides derived from the islet amyloid polypeptide (IAPP) cross-amyloid interaction surface with Aβ (termed interaction surface mimics or ISMs) have been shown to be highly potent inhibitors of Aβ amyloid self-assembly. However, the molecular mechanism of their function is not well understood. Using solution-state and solid-state NMR spectroscopy in combination with ensemble-averaged dynamics simulations and other biophysical methods including TEM, fluorescence spectroscopy and microscopy, and DLS, we characterize ISM structural preferences and interactions. We find that the ISM peptide R3-GI is highly dynamic, can adopt a β-like structure, and oligomerizes into colloid-like assemblies in a process that is reminiscent of liquid-liquid phase separation (LLPS). Our results suggest that such assemblies yield multivalent surfaces for interactions with Aβ40. Sequestration of substrates into these colloid-like structures provides a mechanistic basis for ISM function and the design of novel potent anti-amyloid molecules.
    MeSH term(s) Amino Acid Sequence ; Amyloid beta-Peptides/antagonists & inhibitors ; Amyloid beta-Peptides/metabolism ; Islet Amyloid Polypeptide/chemistry ; Microscopy, Fluorescence ; Molecular Dynamics Simulation ; Nuclear Magnetic Resonance, Biomolecular ; Peptide Fragments/antagonists & inhibitors ; Peptide Fragments/metabolism ; Peptides/chemistry ; Peptides/metabolism ; Substrate Specificity
    Chemical Substances Amyloid beta-Peptides ; Islet Amyloid Polypeptide ; Peptide Fragments ; Peptides ; amyloid beta-protein (1-40)
    Language English
    Publishing date 2020-01-28
    Publishing country Germany
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2011836-3
    ISSN 1521-3773 ; 1433-7851
    ISSN (online) 1521-3773
    ISSN 1433-7851
    DOI 10.1002/anie.201914559
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Endometrial Cancer. Guideline of the DGGG, DKG and DKH (S3-Level, AWMF Registry Number 032/034-OL, September 2022). Part 1 with Recommendations on the Epidemiology, Screening, Diagnosis and Hereditary Factors of Endometrial Cancer, Geriatric Assessment and Supply Structures.

    Emons, Günter / Steiner, Eric / Vordermark, Dirk / Uleer, Christoph / Paradies, Kerstin / Tempfer, Clemens / Aretz, Stefan / Cremer, Wolfgang / Hanf, Volker / Mallmann, Peter / Ortmann, Olaf / Römer, Thomas / Schmutzler, Rita K / Horn, Lars-Christian / Kommoss, Stefan / Lax, Sigurd / Schmoeckel, Elisa / Mokry, Theresa / Grab, Dieter /
    Reinhardt, Michael / Steinke-Lange, Verena / Brucker, Sara Y / Kiesel, Ludwig / Witteler, Ralf / Fleisch, Markus C / Friedrich, Michael / Höcht, Stefan / Lichtenegger, Werner / Mueller, Michael / Runnebaum, Ingo / Feyer, Petra / Hagen, Volker / Juhasz-Böss, Ingolf / Letsch, Anne / Niehoff, Peter / Zeimet, Alain Gustave / Battista, Marco Johannes / Petru, Edgar / Widhalm, Simone / van Oorschot, Birgitt / Panke, Joan Elisabeth / Weis, Joachim / Dauelsberg, Timm / Haase, Heidemarie / Beckmann, Matthias W / Jud, Sebastian / Wight, Edward / Prott, Franz-Josef / Micke, Oliver / Bader, Werner / Reents, Nicola / Henscher, Ulla / Schallenberg, Miriam / Rahner, Nils / Mayr, Doris / Kreißl, Michael / Lindel, Katja / Mustea, Alexander / Strnad, Vratislav / Goerling, Ute / Bauerschmitz, Gerd J / Langrehr, Jan / Neulen, Joseph / Ulrich, Uwe Andreas / Nothacker, Monika J / Blödt, Susanne / Follmann, Markus / Langer, Thomas / Wenzel, Gregor / Weber, Sylvia / Erdogan, Saskia

    Geburtshilfe und Frauenheilkunde

    2023  Volume 83, Issue 8, Page(s) 919–962

    Abstract: ... ...

    Abstract Summary
    Language English
    Publishing date 2023-08-15
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 80111-2
    ISSN 1438-8804 ; 0016-5751 ; 1615-3359
    ISSN (online) 1438-8804
    ISSN 0016-5751 ; 1615-3359
    DOI 10.1055/a-2066-2051
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: Women in early-phase clinical drug trials: have things changed over the past 20 years?

    Fleisch, Jeanette / Fleisch, Markus C / Thürmann, Petra A

    Clinical pharmacology and therapeutics

    2005  Volume 78, Issue 5, Page(s) 445–452

    MeSH term(s) Adult ; Clinical Trials, Phase I as Topic/statistics & numerical data ; Clinical Trials, Phase I as Topic/trends ; Clinical Trials, Phase II as Topic/statistics & numerical data ; Clinical Trials, Phase II as Topic/trends ; Female ; Humans ; Male ; Pharmaceutical Preparations/metabolism ; Sex Characteristics ; United States ; Women
    Chemical Substances Pharmaceutical Preparations
    Language English
    Publishing date 2005-11
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 123793-7
    ISSN 1532-6535 ; 0009-9236
    ISSN (online) 1532-6535
    ISSN 0009-9236
    DOI 10.1016/j.clpt.2005.08.016
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Clinical Imaging of the Heterogeneous Group of Triple-negative Breast Cancer.

    Müller, Martin / Güth, Uwe / Varga, Zsuzsanna / Reeve, Kelly / Bjelic-Radisic, Vesna / Fleisch, Markus / Tausch, Christoph J / Elfgen, Constanze

    Anticancer research

    2020  Volume 40, Issue 4, Page(s) 2125–2131

    Abstract: Background/aim: Triple-negative breast cancer (TNBC) can be divided into subtypes of basal-like (BL), mesenchymal-like (ML), luminal androgen receptor (LAR), and immunomodulatory (IM). The aim of our study was to assess whether there are distinct ... ...

    Abstract Background/aim: Triple-negative breast cancer (TNBC) can be divided into subtypes of basal-like (BL), mesenchymal-like (ML), luminal androgen receptor (LAR), and immunomodulatory (IM). The aim of our study was to assess whether there are distinct radiologic features within the different TNBC subtypes and whether this has potential clinical impact.
    Patients and methods: Imaging pictures of 135 patients with TNBC were re-evaluated. TNBC subtyping was performed on asservated tumor tissue using a panel of antibodies.
    Results: Mammographic margins of LAR-TNBC were more often spiculated (24.3% versus 0-4.1%). BL-TNBC presented more frequent a mass without calcification in mammogram than other subtypes (71.4% versus 48.6-57.9%). In ultrasound, ML and LAR were described more often with smooth borders.
    Conclusion: The histopathological subtype of TNBC influences its presentation in ultrasound and mammogram. This can reflect a different growth pattern of the subtypes and may have an impact on the early diagnosis of TNBC.
    MeSH term(s) Adult ; Biomarkers, Tumor/genetics ; Cell Proliferation/genetics ; Female ; Gene Expression Profiling ; Gene Expression Regulation, Neoplastic ; Humans ; Mammography/methods ; Middle Aged ; Receptors, Androgen/genetics ; Triple Negative Breast Neoplasms/classification ; Triple Negative Breast Neoplasms/diagnostic imaging ; Triple Negative Breast Neoplasms/genetics ; Triple Negative Breast Neoplasms/pathology
    Chemical Substances AR protein, human ; Biomarkers, Tumor ; Receptors, Androgen
    Language English
    Publishing date 2020-03-31
    Publishing country Greece
    Document type Journal Article
    ZDB-ID 604549-2
    ISSN 1791-7530 ; 0250-7005
    ISSN (online) 1791-7530
    ISSN 0250-7005
    DOI 10.21873/anticanres.14171
    Database MEDical Literature Analysis and Retrieval System OnLINE

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