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  1. Article: A Review and Comparative Analysis of Transoral Surgical Treatment versus Conservative Management in Early-Stage Oropharyngeal Cancer.

    Rujan, Simona Andreea / Bertesteanu, Serban Vifor Gabriel / Grigore, Raluca / Popescu, Bogdan / Condeescu-Cojocarita, Mihnea / Alexandru, Nicolaescu / Bertesteanu, Gloria Simona / Schipor-Diaconu, Teodora Elena / Cirstea, Anca Ionela / Tudosie, Mihai Dumitru / Popescu, Irina-Doinita / Taher, Bianca Petra

    Journal of personalized medicine

    2024  Volume 14, Issue 3

    Abstract: Introduction: Oropharyngeal cancer requires a comprehensive evaluation of treatment options, including surgery, radiation therapy, and chemotherapy. It is crucial to customize these treatments based on the stage of the tumor and the overall health of ... ...

    Abstract Introduction: Oropharyngeal cancer requires a comprehensive evaluation of treatment options, including surgery, radiation therapy, and chemotherapy. It is crucial to customize these treatments based on the stage of the tumor and the overall health of the patient, enabling personalized or combined approaches. Transoral surgical techniques have regained popularity due to the advancements and limitations of non-surgical strategies. The potential influence of surgical procedures on patients' quality of life highlights the need for careful intervention selection; among them, the transoral approach has proven to be especially beneficial for early-stage oropharyngeal neoplasms.
    Methods: To explore potential treatments for early-stage oropharyngeal malignancies, this study carefully reviews the literature, using information from papers, current research, and global databases. The review protocol commenced on November 2023. A comprehensive search of the PUBMED database was undertaken, employing pertinent terms associated with oropharyngeal, transoral surgery or radiotherapy, robotic surgery, and chemotherapy.
    Results: Treating early-stage oropharyngeal neoplasms is particularly intriguing due to the multitude of variables influencing treatment decisions, leading to ongoing debates in specialized literature. Regardless of the chosen approach, maintaining a high quality of life is crucial. To assess this, standardized questionnaires from the European Organization for Research and Treatment of Cancer were employed, revealing superior outcomes for patients solely undergoing surgical intervention. Additionally, in the realm of specialized literature, cases of HPV-positive oropharyngeal neoplasms are recognized for their heightened radiosensitivity and more favorable long-term prognosis.
    Conclusions: Surgical intervention and radiotherapy are the main treatment options for oropharyngeal cancer, and they can be used separately or together for maximum effectiveness. Amid ongoing discussions, determining the superior effectiveness between the two options continues to be a matter of debate. This study provides a comprehensive analysis, offering valuable perspectives for future discussions. Neoplasm in the oropharynx can be effectively treated using transoral microsurgery.
    Language English
    Publishing date 2024-03-04
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2662248-8
    ISSN 2075-4426
    ISSN 2075-4426
    DOI 10.3390/jpm14030283
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Management of Locally Advanced Laryngeal Cancer-From Risk Factors to Treatment, the Experience of a Tertiary Hospital from Eastern Europe.

    Cîrstea, Anca-Ionela / Berteșteanu, Șerban Vifor Gabriel / Scăunașu, Răzvan-Valentin / Popescu, Bogdan / Bejenaru, Paula Luiza / Simion-Antonie, Catrinel Beatrice / Berteșteanu, Gloria Simona / Diaconu, Teodora Elena / Taher, Petra Bianca / Rujan, Simona-Andreea / Oașă, Irina-Doinița / Grigore, Raluca

    International journal of environmental research and public health

    2023  Volume 20, Issue 6

    Abstract: Laryngeal cancer is an important oncological entity in which prognosis depends on the establishment of appropriate preventive and diagnostic measures, especially in high-risk populations. We present a retrospective two-year study (January 2021 to ... ...

    Abstract Laryngeal cancer is an important oncological entity in which prognosis depends on the establishment of appropriate preventive and diagnostic measures, especially in high-risk populations. We present a retrospective two-year study (January 2021 to December 2022) with 152 patients diagnosed with laryngeal cancer from a tertiary hospital in Romania. The average age of the patients was 62 years old for both sexes, with a range from 44 to 83 years. The most frequent symptom was dysphonia with or without dyspnea in 142 cases (93.42%), followed by dyspnea alone in nine patients (5.92%) and dysphagia in one case (0.66%). Surgical treatment in this study consisted of partial laryngectomy (CO
    MeSH term(s) Male ; Female ; Humans ; Adult ; Middle Aged ; Aged ; Aged, 80 and over ; Laryngeal Neoplasms/epidemiology ; Laryngeal Neoplasms/surgery ; Retrospective Studies ; Tertiary Care Centers ; Laryngectomy/methods ; Risk Factors ; Treatment Outcome
    Language English
    Publishing date 2023-03-08
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2175195-X
    ISSN 1660-4601 ; 1661-7827
    ISSN (online) 1660-4601
    ISSN 1661-7827
    DOI 10.3390/ijerph20064737
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Quality-of-Life Assessment after Head and Neck Oncological Surgery for Advanced-Stage Tumours.

    Bejenaru, Paula Luiza / Popescu, Bogdan / Oancea, Alina Lavinia Antoaneta / Simion-Antonie, Catrinel Beatrice / Berteșteanu, Gloria Simona / Condeescu-Cojocarița, Mihnea / Cîrstea, Anca Ionela / Oașă, Irina Doinița / Schipor-Diaconu, Teodora Elena / Popescu, Dan / Grigore, Raluca

    Journal of clinical medicine

    2022  Volume 11, Issue 16

    Abstract: Squamous cell carcinoma of the head and neck (HNSCC) is a common malignancy often diagnosed in the advanced stage with a complex negative influence on the patient's quality of life (QoL). Given its multi-modal treatment, the first step is to adequately ... ...

    Abstract Squamous cell carcinoma of the head and neck (HNSCC) is a common malignancy often diagnosed in the advanced stage with a complex negative influence on the patient's quality of life (QoL). Given its multi-modal treatment, the first step is to adequately balance the needs of the patient, and the second step includes the consultations, interventions, and care provided by the medical team, with the purpose of improving the overall management of the HNSCC. Current attempts to develop and validate quality-of-life instruments specific to cancers of the head and neck have been reported, and certain questionnaires are now available. We performed a retrospective study in a tertiary centre, involving 89 patients who survived 3 years after HNSCC surgery. A patient-related outcome measurement was made using the European Organization for Research and Treatment of Cancer (EORTC) QLQ-C30 and QLQ-H&N35 instruments to assess QoL at admission and 3 years after treatment. The 3-year survivors reported an overall improvement in QoL compared with those in the pre-treatment period. The unique details of head and neck cancer treatments outline the importance of considering the characteristics of the patient population in quality-of-life research and also identify how quality-of-life data can contribute to the care provided by the multi-disciplinary team involved in a patient's follow-up.
    Language English
    Publishing date 2022-08-19
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2662592-1
    ISSN 2077-0383
    ISSN 2077-0383
    DOI 10.3390/jcm11164875
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Targeted metabolomics detects a putatively diagnostic signature in plasma and dried blood spots from head and neck paraganglioma patients.

    De Fabritiis, Simone / Valentinuzzi, Silvia / Piras, Gianluca / Cicalini, Ilaria / Pieragostino, Damiana / Pagotto, Sara / Perconti, Silvia / Zucchelli, Mirco / Schena, Alberto / Taschin, Elisa / Berteşteanu, Gloria Simona / Esposito, Diana Liberata / Stigliano, Antonio / De Laurenzi, Vincenzo / Schiavi, Francesca / Sanna, Mario / Del Boccio, Piero / Verginelli, Fabio / Mariani-Costantini, Renato

    Oncogenesis

    2023  Volume 12, Issue 1, Page(s) 10

    Abstract: Head and neck paragangliomas (HNPGLs), rare chemoresistant tumors curable only with surgery, are strongly influenced by genetic predisposition, hence patients and relatives require lifetime follow-up with MRI and/or PET-CT because of de novo disease risk. ...

    Abstract Head and neck paragangliomas (HNPGLs), rare chemoresistant tumors curable only with surgery, are strongly influenced by genetic predisposition, hence patients and relatives require lifetime follow-up with MRI and/or PET-CT because of de novo disease risk. This entails exposure to electromagnetic/ionizing radiation, costs, and organizational challenges, because patients and relatives are scattered far from reference centers. Simplified first-line screening strategies are needed. We employed flow injection analysis tandem mass spectrometry, as used in newborn metabolic screening, to compare the plasma metabolic profile of HNPGL patients (59 samples, 56 cases) and healthy controls (24 samples, 24 cases). Principal Component Analysis (PCA) and Partial Least Discriminant Analysis (PLS-DA) highlighted a distinctive HNPGL signature, likely reflecting the anaplerotic conversion of the TCA cycle to glutaminolysis and catabolism of branched amino acids, DNA damage and deoxyadenosine (dAdo) accumulation, impairment of fatty acid oxidation, switch towards the Warburg effect and proinflammatory lysophosphatidylcholines (LPCs) signaling. Statistical analysis of the metabolites that most impacted on PLS-DA was extended to 10 acoustic neuroma and 2 cholesteatoma patients, confirming significant differences relative to the HNPGL plasma metabolomic profile. The best confusion matrix from the ROC curve built on 2 metabolites, dAdo and C26:0-LPC, provided specificity of 94.29% and sensitivity of 89.29%, with positive and negative predictive values of 96.2% and 84.6%, respectively. Analysis of dAdo and C26:0-LPC levels in dried venous and capillary blood confirmed that dAdo, likely deriving from 2'-deoxy-ATP accumulated in HNPGL cells following endogenous genotoxic damage, efficiently discriminated HNPGL patients from healthy controls and acoustic neuroma/cholesteatoma patients on easily manageable dried blood spots.
    Language English
    Publishing date 2023-02-25
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2674437-5
    ISSN 2157-9024
    ISSN 2157-9024
    DOI 10.1038/s41389-023-00456-4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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