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Book: Photopheresis in the treatment of cutaneous T-cell lymphoma

Zic, John A.

current status

(Current opinion in oncology ; 24, Suppl. 1)

2012

Author's details	[John A. Zic]
Series title	Current opinion in oncology ; 24, Suppl. 1
Collection
Language	English
Size	S10 S. : Ill.
Publisher	Wolters Kluwer Health/Lippincott Williams & Wilkins
Publishing place	London
Publishing country	Great Britain
Document type	Book
HBZ-ID	HT017124314
Database	Catalogue ZB MED Medicine, Health

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Article ; Online: Diagnosis and Management of Cutaneous Lymphomas Including Cutaneous T-cell Lymphoma.

Zic, John A

The Medical clinics of North America

2021 Volume 105, Issue 4, Page(s) 737–755

Abstract: The cutaneous lymphomas are malignancies of T-cell and B-cell lymphocytes in which the skin is the primary organ of involvement. The cutaneous T-cell lymphomas include variants that can mimic the presentation of common skin diseases or arthropod bites. ... ...

Abstract	The cutaneous lymphomas are malignancies of T-cell and B-cell lymphocytes in which the skin is the primary organ of involvement. The cutaneous T-cell lymphomas include variants that can mimic the presentation of common skin diseases or arthropod bites. Mycosis fungoides, the most common cutaneous T-cell lymphoma, usually presents as fixed asymptomatic patches or plaques in sun-protected areas. The cutaneous B-cell lymphomas have fewer variants that often present as papules or nodules that can mimic nonmelanoma skin cancers. Some therapies for cutaneous lymphoma have unique side effects such as central hypothyroidism, hyperlipidemia, and peripheral neuropathy.
MeSH term(s)	Aged ; Aged, 80 and over ; Animals ; Antineoplastic Agents/adverse effects ; Antineoplastic Agents, Immunological/adverse effects ; Arthropods ; Bexarotene/adverse effects ; Bites and Stings/diagnosis ; Brentuximab Vedotin/adverse effects ; Diagnosis, Differential ; Humans ; Hyperlipidemias/chemically induced ; Hypothyroidism/chemically induced ; Lymphoma, Primary Cutaneous Anaplastic Large Cell/diagnosis ; Lymphoma, T-Cell, Cutaneous/classification ; Lymphoma, T-Cell, Cutaneous/diagnosis ; Lymphoma, T-Cell, Cutaneous/therapy ; Lymphomatoid Papulosis/diagnosis ; Mycosis Fungoides/diagnosis ; Peripheral Nervous System Diseases/chemically induced ; Prognosis ; Sezary Syndrome/diagnosis ; Skin Diseases/diagnosis ; Skin Diseases/pathology ; Skin Neoplasms/pathology
Chemical Substances	Antineoplastic Agents ; Antineoplastic Agents, Immunological ; Brentuximab Vedotin (7XL5ISS668) ; Bexarotene (A61RXM4375)
Language	English
Publishing date	2021-05-31
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	215710-x
ISSN	1557-9859 ; 0025-7125
ISSN (online)	1557-9859
ISSN	0025-7125
DOI	10.1016/j.mcna.2021.04.010
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Article ; Online: Evaluating the Role of Competency-Based Behavioral Interviewing in Holistic Medical School Admissions.

Davidson, Mario A / Russell, Regina G / Walker, Philip D / Zic, John A / Churchill, Larry R / Fuchs, D Catherine / Miller, Bonnie M

Academic medicine : journal of the Association of American Medical Colleges

2024

Abstract: Problem: Holistic review is a multifaceted concept that aims to increase diversity and applicant fit with program needs by complementing traditional academic requirements with appraisal of a wider range of personal characteristics and experiences. ... ...

Abstract	Problem: Holistic review is a multifaceted concept that aims to increase diversity and applicant fit with program needs by complementing traditional academic requirements with appraisal of a wider range of personal characteristics and experiences. Behavioral interviewing has been practiced and studied in human resources, business, and organizational psychology for over 50 years. Its premise is that future performance can be anticipated from past actions. However, many of the interview approaches within the holistic framework are resource intensive and logistically challenging. Approach: The Vanderbilt University School of Medicine instituted a competency-based behavioral interview (CBBI) to augment the selection process in 2012. Behavioral interviews are based on key competencies needed for entering students and require applicants to reflect on their actual experiences and what they learned from them. The authors reviewed 5 years of experience (2015-2019) to evaluate how CBBI scores contributed to the overall assessment of applicants for admission. Outcomes: The final admission committee decision for each applicant was determined by reviewing multiple factors, with no single assessment determining the final score. The CBBI and summary interview scores showed a strong association (P < .005), suggesting that the summary interviewer, who had access to the full applicant file, and the CBBI interviewer, who did not, assessed similar strengths despite the 2 different approaches, or that the strengths assessed tracked in the same direction. Students whose 2 interview scores were not aligned were less likely to be accepted to the school. Next steps: The review raised awareness about the cultural aspects of interpreting the competencies and the need to expand our cultural framework throughout interviewer training. Findings indicate that CBBIs have the potential to reduce bias related to over-reliance on standardized metrics; however, additional innovation and research are needed.
Language	English
Publishing date	2024-03-25
Publishing country	United States
Document type	Journal Article
ZDB-ID	96192-9
ISSN	1938-808X ; 1040-2446
ISSN (online)	1938-808X
ISSN	1040-2446
DOI	10.1097/ACM.0000000000005708
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Article ; Online: Extracorporeal Photopheresis in the Treatment of Mycosis Fungoides and Sézary Syndrome.

Zic, John A

Dermatologic clinics

2015 Volume 33, Issue 4, Page(s) 765–776

Abstract: Extracorporeal photopheresis (ECP) is an immunomodulating procedure that leads to an expansion of peripheral blood dendritic cell populations and an enhanced TH1 immune response in cutaneous T-cell lymphoma (CTCL). Because of its excellent side effect ... ...

Abstract	Extracorporeal photopheresis (ECP) is an immunomodulating procedure that leads to an expansion of peripheral blood dendritic cell populations and an enhanced TH1 immune response in cutaneous T-cell lymphoma (CTCL). Because of its excellent side effect profile and moderate efficacy, ECP is considered first-line therapy for erythrodermic mycosis fungoides (MF) and Sézary syndrome. Patients with a measurable but low blood tumor burden are most likely to respond to ECP, and the addition of adjunctive immunostimulatory agents may also increase response rates. There may be a role for ECP in the treatment of refractory early stage MF, but data are limited.
MeSH term(s)	Antineoplastic Agents/therapeutic use ; Chemotherapy, Adjuvant/methods ; Humans ; Immunomodulation ; Methoxsalen/pharmacokinetics ; Methoxsalen/therapeutic use ; Mycosis Fungoides/drug therapy ; Mycosis Fungoides/mortality ; Photopheresis/adverse effects ; Photopheresis/methods ; Photosensitizing Agents/pharmacokinetics ; Photosensitizing Agents/therapeutic use ; Sezary Syndrome/drug therapy ; Sezary Syndrome/mortality ; Skin Neoplasms/drug therapy ; Skin Neoplasms/mortality ; Treatment Outcome
Chemical Substances	Antineoplastic Agents ; Photosensitizing Agents ; Methoxsalen (U4VJ29L7BQ)
Language	English
Publishing date	2015-10
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	82798-8
ISSN	1558-0520 ; 0733-8635
ISSN (online)	1558-0520
ISSN	0733-8635
DOI	10.1016/j.det.2015.05.011
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Article ; Online: Photopheresis in the treatment of cutaneous T-cell lymphoma: current status.

Zic, John A

Current opinion in oncology

2012 Volume 24 Suppl 1, Page(s) S1–10

Abstract: Cutaneous T-cell lymphoma is the overall name for a group of malignancies in which malignant T-lymphocytes localize at the skin. Of the current 20 recognized subtypes of the disease, the most common are mycosis fungoides and Sézary syndrome. ... ...

Abstract	Cutaneous T-cell lymphoma is the overall name for a group of malignancies in which malignant T-lymphocytes localize at the skin. Of the current 20 recognized subtypes of the disease, the most common are mycosis fungoides and Sézary syndrome. Extracorporeal photopheresis (ECP), an immunomodulating procedure that treats pheresed blood with a photoactive agent, received US Food and Drug Administration approval in 1988 as a medical device for the treatment of CTCL patients, one of many treatment options for such patients. This was followed in 2003 by guidelines in the United Kingdom that recommended ECP for patients with advanced CTCL, particularly after skin-directed treatment options have failed. ECP is now under investigation for use in patients with earlier stages of CTCL. This article reviews the evolution of the ECP technique--for example, the most recent generation of the device requires a lower extracorporeal volume of blood than the previous version did, thus making it possible for more patients to be candidates for the procedure. In addition, there has been progress in understanding how ECP works at the cellular level.
MeSH term(s)	Humans ; Lymphoma, T-Cell, Cutaneous/drug therapy ; Photopheresis/methods ; Photopheresis/trends ; Skin Neoplasms/drug therapy
Language	English
Publishing date	2012-01
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't ; Review
ZDB-ID	1049384-0
ISSN	1531-703X ; 1040-8746
ISSN (online)	1531-703X
ISSN	1040-8746
DOI	10.1097/01.cco.0000410158.56500.c4
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Article ; Online: Controversies in the management of the cutaneous T cell lymphomas.

Zic, John A

Dermatologic therapy

2009 Volume 22, Issue 5, Page(s) 407–417

Abstract: The primary cutaneous T cell lymphomas (CTCL) encompass all malignancies of the T cell where the skin is the primary organ of involvement. The diagnosis of a CTCL variant can be detoured by a number of obstacles including the slow evolution of the ... ...

Abstract	The primary cutaneous T cell lymphomas (CTCL) encompass all malignancies of the T cell where the skin is the primary organ of involvement. The diagnosis of a CTCL variant can be detoured by a number of obstacles including the slow evolution of the disease into a classic clinical and pathologic pattern. A realistic goal of early stage treatment is to reduce the likelihood of progression to a more advanced stage, not to achieve a cure. No studies have adequately compared the different systemic agents in patients with advanced CTCL so the clinician is left to act in the best interest of the patient with what evidence is available. When using the systemic agents, a "start low and go slow" strategy may offer patients several advantages. Dermatologists are uniquely trained to diagnose and to manage all but the most advanced stage patients with CTCL.
MeSH term(s)	Dermatology/organization & administration ; Disease Progression ; Humans ; Lymphoma, T-Cell, Cutaneous/diagnosis ; Lymphoma, T-Cell, Cutaneous/pathology ; Lymphoma, T-Cell, Cutaneous/therapy ; Mycosis Fungoides/diagnosis ; Mycosis Fungoides/therapy ; Neoplasm Staging ; Referral and Consultation ; Skin Neoplasms/diagnosis ; Skin Neoplasms/pathology ; Skin Neoplasms/therapy
Language	English
Publishing date	2009-09
Publishing country	United States
Document type	Journal Article
ZDB-ID	1354801-3
ISSN	1529-8019 ; 1396-0296
ISSN (online)	1529-8019
ISSN	1396-0296
DOI	10.1111/j.1529-8019.2009.01257.x
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Article ; Online: Clinical Best Practices for Radiation Safety During Lutetium-177 Therapy.

Cappon, Derek John / Fang, Susanna / Berry, Kendall / Capone, Gina / Carlton, Gina L / Chrétien, Mario / Gough, John / Kamen, Jacob / Khoorshed, Anne / Miller, Andy / Nelli, Stephen / Petric, M Peter / Tourneur, Frank / Zic, Josip J

Health physics

2022 Volume 124, Issue 2, Page(s) 139–146

Abstract: Importance: 177 Lu therapy as part of theranostic treatment for cancer is expanding but it can be a challenge for sites with limited radiation protection staff to implement the radiation safety program required for therapeutic nuclear medicine.: ... ...

Abstract	Importance: 177 Lu therapy as part of theranostic treatment for cancer is expanding but it can be a challenge for sites with limited radiation protection staff to implement the radiation safety program required for therapeutic nuclear medicine. Objective: To increase the adoption of 177 Lu therapy, especially in smaller centers and clinics, by providing a collection of radiation safety best practices and operational experience. To provide a resource for radiation safety officers supporting the implementation of a 177 Lu therapy program. Methods: A panel of 11 radiation safety professionals representing sites across Canada and the United States with experience delivering 177 Lu therapy was assembled and discussed their responses to a list of questions focused on the following radiation safety topics: facility layout and design; radiation safety program; and drug management and patient care. Results: A comprehensive set of best practice guidelines for clinical radiation safety during 177 Lu therapy has been developed based on the collective operational experience of a group of radiation safety professionals. Significant findings included that 177 Lu therapy is often safely administered in unshielded rooms, that staff radiation exposure associated with 177 Lu therapy is minimal relative to other nuclear medicine programs, and that some relatively simple preparation in advance including papering of common surfaces and planning for incontinence can effectively control contamination during therapy. Conclusion: The guidance contained in this paper will assist radiation safety professionals in the implementation of safe, effective 177 Lu therapy programs, even at smaller sites with limited to no experience in therapeutic nuclear medicine.
MeSH term(s)	Humans ; Radioisotopes/adverse effects ; Radiation Protection ; Lutetium/therapeutic use ; Nuclear Medicine
Chemical Substances	Lutetium-177 (BRH40Y9V1Q) ; Radioisotopes ; Lutetium (5H0DOZ21UJ)
Language	English
Publishing date	2022-12-10
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2406-5
ISSN	1538-5159 ; 0017-9078
ISSN (online)	1538-5159
ISSN	0017-9078
DOI	10.1097/HP.0000000000001644
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Article ; Online: Intraocular involvement of mycosis fungoides associated with immunophenotypic switch from CD4

Braue, Jonathan A / Daniels, Anthony B / Zwerner, Jeffrey P / Kim, Stephen J / Zic, John A

Blood

2018 Volume 131, Issue 8, Page(s) 932–935

MeSH term(s)	Aged ; CD4 Antigens/immunology ; CD4 Antigens/metabolism ; CD8 Antigens/immunology ; CD8 Antigens/metabolism ; Eye Diseases/complications ; Eye Diseases/immunology ; Eye Diseases/metabolism ; Eye Diseases/pathology ; Female ; Humans ; Immunophenotyping ; Middle Aged ; Mycosis Fungoides/complications ; Mycosis Fungoides/immunology ; Mycosis Fungoides/metabolism ; Mycosis Fungoides/pathology ; Prognosis ; Skin Neoplasms/complications ; Skin Neoplasms/immunology ; Skin Neoplasms/metabolism ; Skin Neoplasms/pathology
Chemical Substances	CD4 Antigens ; CD8 Antigens
Language	English
Publishing date	2018-01-03
Publishing country	United States
Document type	Case Reports ; Letter ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
ZDB-ID	80069-7
ISSN	1528-0020 ; 0006-4971
ISSN (online)	1528-0020
ISSN	0006-4971
DOI	10.1182/blood-2017-11-814194
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Article ; Online: Prospective observational trial of low-dose skin electron beam therapy in mycosis fungoides using a rotational technique.

Newman, Neil B / Patel, Chirayu G / Ding, George X / Zic, John A / Zwerner, Jeffrey / Osmundson, Evan C / Kirschner, Austin N

Journal of the American Academy of Dermatology

2020 Volume 85, Issue 1, Page(s) 121–127

Abstract: Introduction: Low-dose total skin electron beam therapy provides a durable treatment response for skin lesions caused by cutaneous T-cell lymphoma. We prospectively assessed the durability of response and quality of life for patients receiving low-dose ... ...

Abstract	Introduction: Low-dose total skin electron beam therapy provides a durable treatment response for skin lesions caused by cutaneous T-cell lymphoma. We prospectively assessed the durability of response and quality of life for patients receiving low-dose total skin electron beam therapy using a novel rotational technique and dosing regimen. Methods: Patients completed baseline Skindex-29 quality-of-life surveys and had baseline Modified Severity-Weighted Assessment Tool score recorded. Patients received 12 Gy in 12 fractions with a dual-field rotational technique. The primary outcome was overall response rate, with the secondary outcomes being time to treatment response, duration of clinical benefit, and quality-of-life change. Results: We enrolled 20 patients and recorded an overall response rate of 90%. The median time to treatment response was 6.5 weeks. The baseline Modified Severity-Weighted Assessment Tool score was 55.6 and it declined to a median of 2.2 at last follow-up (P < .001). The median duration of clinical benefit was 21 months. There was a decline in the Skindex-29 total score and every subdomain when each follow-up visit was compared (P = .004). Conclusions: This prospective study demonstrated a very high overall response rate and improvement in skin-related quality of life. Low-dose rotational total skin electron beam therapy can be implemented routinely in clinical practice.
MeSH term(s)	Aged ; Female ; Humans ; Male ; Middle Aged ; Mycosis Fungoides/radiotherapy ; Prospective Studies ; Quality of Life ; Radiotherapy/methods ; Radiotherapy Dosage ; Severity of Illness Index ; Skin Neoplasms/radiotherapy ; Surveys and Questionnaires ; Time-to-Treatment ; Treatment Outcome
Language	English
Publishing date	2020-12-14
Publishing country	United States
Document type	Journal Article ; Observational Study
ZDB-ID	603641-7
ISSN	1097-6787 ; 0190-9622
ISSN (online)	1097-6787
ISSN	0190-9622
DOI	10.1016/j.jaad.2020.12.023
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Article ; Online: Single-cell immunopathology of systemic contact allergy associated with corticosteroids.

Hertzman, Rebecca J / Deshpande, Pooja / White, Katie D / Gangula, Rama / Chopra, Abha / Ram, Ramesh / Zic, John A / Zwerner, Jeffrey P / Gibson, Andrew / Phillips, Elizabeth J

Journal of dermatological science

2021 Volume 105, Issue 2, Page(s) 137–140

MeSH term(s)	Adrenal Cortex Hormones/adverse effects ; Dermatitis, Allergic Contact ; Humans ; Patch Tests
Chemical Substances	Adrenal Cortex Hormones
Language	English
Publishing date	2021-12-17
Publishing country	Netherlands
Document type	Letter
ZDB-ID	1024446-3
ISSN	1873-569X ; 0923-1811
ISSN (online)	1873-569X
ISSN	0923-1811
DOI	10.1016/j.jdermsci.2021.12.005
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