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Article: Splenectomy for Solitary Splenic Metastasis in Recurrent Papillary Thyroid Cancer. A Case Report and Literature Review.

Maffuz-Aziz, Antonio / Garnica, Gabriel / López-Hernández, Silvia / Pineda-Diaz, Janet / Baquera-Heredia, Javier / López-Jiménez, Patricia

Case reports in oncological medicine

2020 Volume 2020, Page(s) 2084847

Abstract: Thyroid cancer is the most common endocrine malignancy, presenting with 23 500 new cases per year in the United States. About 7-23% of the patients will present recurrent metastases disease during follow-up. The classic variant of papillary carcinoma is ... ...

Abstract	Thyroid cancer is the most common endocrine malignancy, presenting with 23 500 new cases per year in the United States. About 7-23% of the patients will present recurrent metastases disease during follow-up. The classic variant of papillary carcinoma is less aggressive compared to its other variants like diffuse sclerosing, tall cell or columnar cell, and insular variants, and the sites to which this metastasizes is already well identified. Metastasis to the spleen is an extremely rare manifestation of papillary thyroid cancer. To date, only 3 cases have been reported in the literature. Herein, we present a 52-year-old male, who developed spleen metastases, 2.4 years after total thyroidectomy and central neck dissection followed by radioactive iodine ablation and seven months after treatment with sorafenib for lung metastases. The splenic lesion was detected in surveillance studies. This case highlights that splenic metastasis, although rare, may occur even in a patient with a locoregional and systemic controlled thyroid cancer and that it can be treated safely with surgical resection.
Language	English
Publishing date	2020-05-04
Publishing country	United States
Document type	Case Reports
ZDB-ID	2629911-2
ISSN	2090-6714 ; 2090-6706
ISSN (online)	2090-6714
ISSN	2090-6706
DOI	10.1155/2020/2084847
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Article: Carcinoma metaplásico de mama y repercusión de la expresión de p63 y citoqueratina 5/6: experiencia de 40 pacientes.

Sherwell-Cabello, S / Maffuz-Aziz, A / Hernández-Hernández, B / Bautista-Piña, V / Labastida-Almendaro, S / Rodríguez-Cuevas, S

Ginecologia y obstetricia de Mexico

2016 Volume 84, Issue 3, Page(s) 127–135

Abstract: Background: Metaplasic carcinoma of the breast was initially described by Huvos in 1974. It is a rare and aggressive entity characterized by the presence of mesenchymal and epithelial components.: Objective: To know the incidence and biologic ... ...

Title translation	Metaplastic carcinoma of the breast and the impact of the p63 and cytokeratin 5/6: experience of 40 patients.
Abstract	Background: Metaplasic carcinoma of the breast was initially described by Huvos in 1974. It is a rare and aggressive entity characterized by the presence of mesenchymal and epithelial components. Objective: To know the incidence and biologic behaviour of the metaplasic carcinoma of the breast at the Instituto de Enfermedades de la Mama, FUCAM, AC. Methods: Data on women diagnosed with metaplasic carcinoma of the breast between January 2005 and December 2014 was collected by retrospectively reviewing in FUCAM. Clinical, pathological and immunohistochemical characteristics were assessed. The five-year disease-free survival (DFS) and overall survival (OS) were evaluated. Results: a total of 4198 patients have been diagnosed with breast cancer in our institution, 40 (0.95%) of them with metaplasic carcinoma. The median age of the patients was 46 years (27-73). 60% of the patients were diagnosed with an advanced clinical stage (III) and the triple-negative subtype was the most frequently found. A mean follow-up of 24 months showed rates of overall survival and disease-free survival of 80% and 69.9%, respectively. The presence of both, cytokeratins 5/6 and p63, seems to have a negative impact in local recurrence. Conclusion: this study demonstrates that metaplasic carcinoma is a rare and aggressive disease. Expression of both tumor cytokeratins was associated with a worse outcome.
MeSH term(s)	Adult ; Aged ; Breast Neoplasms/metabolism ; Breast Neoplasms/mortality ; Carcinoma/metabolism ; Carcinoma/mortality ; Female ; Humans ; Keratin-5/biosynthesis ; Keratin-6/biosynthesis ; Middle Aged ; Prognosis ; Retrospective Studies ; Survival Rate ; Transcription Factors/biosynthesis ; Tumor Suppressor Proteins/biosynthesis
Chemical Substances	Keratin-5 ; Keratin-6 ; TP63 protein, human ; Transcription Factors ; Tumor Suppressor Proteins
Language	Spanish
Publishing date	2016-03
Publishing country	Mexico
Document type	English Abstract ; Journal Article
ZDB-ID	731087-0
ISSN	0300-9041 ; 0072-453X
ISSN	0300-9041 ; 0072-453X
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Article: Robotic surgery at ABC Medical Center: first 500 procedures experience.

Vásquez-Lastra, Carlos / Decanini-Terán, Cesar / Maffuz-Aziz, Antonio / Alfaro-Alfaro, Jaime / Huante-Pérez, José A / Wolpert-Barraza, Enrique / Sánchez-Marle, Luis F / Gutiérrez-Hernández, Arturo

Gaceta medica de Mexico

2021 Volume 157, Issue 2, Page(s) 181–186

Abstract: Background: Robotic surgery is a technological advance that is used in multiple surgical specialties in the world. Its acceptance in various areas has been supported by comparative studies with laparoscopic surgery and open surgery.: Objective: To ... ...

Title translation	Cirugía robótica en el Centro Médico ABC: experiencia en los primeros 500 procedimientos realizados.
Abstract	Background: Robotic surgery is a technological advance that is used in multiple surgical specialties in the world. Its acceptance in various areas has been supported by comparative studies with laparoscopic surgery and open surgery. Objective: To document the robotic surgery program initial experience in a private hospital of Mexico City by analyzing its results and complications. Material and method: The first 500 robotic surgeries practiced at ABC Medical Center were included, covering a three-year period (January 2017 to December 2019). The following was documented: specialties involved, surgeries broken down by specialty and type of surgery, surgical times, complications and number of doctors involved in the initial experience. Results: Out of 500 patients, 367 (73.4 %) were males and 133 (26.4 %) were females. The three most common surgeries were radical prostatectomy (269), hysterectomy (64) and inguinal repair (33). Average age was 58 years (range: 18 to 90 years). A total of 40 certified surgeons from five specialties performed all the procedures. Conclusions: Starting a program in a private medical center has several implications. The creation of a robotic surgery committee made up of certified robotic surgery specialists from each specialty and hospital authorities for the accreditation of guidelines for both certification and recertification of their doctors can benefit programs like ours by creating a center of excellence in robotic surgery and thus reduce complications and improve results.
MeSH term(s)	Adult ; Age Distribution ; Aged ; Aged, 80 and over ; Female ; Hospitals, Private/statistics & numerical data ; Humans ; Hysterectomy/statistics & numerical data ; Inguinal Canal/surgery ; Male ; Mexico ; Middle Aged ; Operative Time ; Postoperative Complications/epidemiology ; Prostatectomy/statistics & numerical data ; Robotic Surgical Procedures/adverse effects ; Robotic Surgical Procedures/statistics & numerical data ; Surgeons/statistics & numerical data ; Time Factors ; Young Adult
Language	English
Publishing date	2021-07-16
Publishing country	Mexico
Document type	Journal Article
ZDB-ID	425456-9
ISSN	0016-3813
ISSN	0016-3813
DOI	10.24875/GMM.M21000545
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Article: Características clinicopatológicas del cáncer de mama en una población de mujeres en México.

Maffuz-Aziz, Antonio / Labastida-Almendaro, Sonia / Espejo-Fonseca, Aura / Rodríguez-Cuevas, Sergio

Cirugia y cirujanos

2017 Volume 85, Issue 3, Page(s) 201–207

Abstract: Background: Breast cancer is the most common among women in our country, and its treatment is based on prognostic factors to categorize patients into different risk groups. In this study, the clinical and pathological features that play a role as a ... ...

Title translation	Clinical and pathological features of breast cancer in a population of Mexico.
Abstract	Background: Breast cancer is the most common among women in our country, and its treatment is based on prognostic factors to categorize patients into different risk groups. In this study, the clinical and pathological features that play a role as a prognostic factor in a representative population with breast cancer in México are described. Material and methods: A descriptive analysis of the clinical and pathological features of women diagnosed with breast cancer, in a period from June 2005 to May 2014; registered in a database and calculated by simple frequencies. Results: A total of 4,411 patients were included, the average age at diagnosis was 53 years, 19.7% were diagnosed by mammography screening program and 80.3% derived from any signs or symptoms. Regarding the stages at diagnosis, 6.8% were carcinoma in situ, 36% at early stages (I and IIA), 45% locally advanced (IIB to IIIC), 7.7% metastatic and 3.9% unclassifiable. A 79% were ductal histology, lobular 7.8% and the rest, other types. Of ductal carcinomas, 9.1% were grade I, 54.1% grade II, and 34.6% grade III. Regarding the biological subtypes, 65.7% were luminal, 10.9% luminal Her positive, 8.7% pure Her 2 positive and 14.6% triple negative. Conclusion: In the present study, we described the clinical and pathologic features of a group of Mexican women with breast cancer that might reflect a national landscape, and represent the prognostic factors to determine groups of risk and treatment decisions.
Language	Spanish
Publishing date	2017-05
Publishing country	Spain
Document type	English Abstract ; Journal Article
ZDB-ID	730699-4
ISSN	0009-7411
ISSN	0009-7411
DOI	10.1016/j.circir.2016.08.004
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Article: Supervivencia de pacientes con cáncer de mama. Análisis por factores pronóstico, clínicos y patológicos.

Maffuz-Aziz, A / Labastida-Almendaro, S / Sherwell-Cabello, S / RuvalcabaLimón, E / Domínguez-Reyes, C A / Tenorio-Torres, J A / Rodríguez-Cuevas, S

Ginecologia y obstetricia de Mexico

2016 Volume 84, Issue 8, Page(s) 498–506

Title translation	Breast Cancer Survival: Clinical andPathological Prognostic Factors Analysis.
MeSH term(s)	Adult ; Aged ; Breast Neoplasms/diagnosis ; Breast Neoplasms/pathology ; Disease-Free Survival ; Female ; Humans ; Kaplan-Meier Estimate ; Mammography/methods ; Mass Screening/methods ; Middle Aged ; Neoplasm Staging ; Prognosis ; Retrospective Studies ; Survival Rate
Language	Spanish
Publishing date	2016
Publishing country	Mexico
Document type	Journal Article
ZDB-ID	731087-0
ISSN	0300-9041 ; 0072-453X
ISSN	0300-9041 ; 0072-453X
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Article ; Online: Primary mucoepidermoid carcinoma of the breast.

Sherwell-Cabello, Santiago / Maffuz-Aziz, Antonio / Ríos-Luna, Nina Paola / Pozo-Romero, Mariela / López-Jiménez, Patricia Verónica / Rodriguez-Cuevas, Sergio

The breast journal

2017 Volume 23, Issue 6, Page(s) 753–755

Language	English
Publishing date	2017
Publishing country	United States
Document type	Journal Article
ZDB-ID	1289960-4
ISSN	1524-4741 ; 1075-122X
ISSN (online)	1524-4741
ISSN	1075-122X
DOI	10.1111/tbj.12819
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Article ; Online: Change in therapeutic management after the EndoPredict assay in a prospective decision impact study of Mexican premenopausal breast cancer patients.

Villarreal-Garza, Cynthia / Lopez-Martinez, Edna Anakarenn / Deneken-Hernandez, Zuratzi / Maffuz-Aziz, Antonio / Muñoz-Lozano, Jose Felipe / Barragan-Carrillo, Regina / Ramos-Elias, Pier / Moreno, Brizio / Diaz-Perez, Hector / Peña-Curiel, Omar / Curiel-Valdez, Jose de Jesus / Bautista-Piña, Veronica

PloS one

2020 Volume 15, Issue 3, Page(s) e0228884

Abstract: Objective: To evaluate the change in adjuvant therapeutic decision in a cohort of young women with breast cancer discussed by a multidisciplinary team, before and after EndoPredict testing.: Patients and methods: 99 premenopausal women with hormone ... ...

Abstract	Objective: To evaluate the change in adjuvant therapeutic decision in a cohort of young women with breast cancer discussed by a multidisciplinary team, before and after EndoPredict testing. Patients and methods: 99 premenopausal women with hormone receptor-positive, HER2-negative, T1-T2, and N0-N1 breast cancer were included. Clinicopathological characteristics were recorded and cases were presented in a multidisciplinary tumor board. Consensual therapeutic decisions before and after EndoPredict results were registered. Medical records were reviewed at six-month follow-up to determine physicians' adherence to therapeutic recommendations. Pearson chi-square and McNemar's tests were used to analyze differences between groups and changes in treatment recommendations, respectively. Results: Median age at diagnosis was 43 years. The most frequent tumor size was pT2 (53.5%) and 27% of patients had 1-3 positive lymph nodes. 46% of patients had a low-risk EPclin result. Nodal status and tumor grade were significantly associated with EPclin result (p < .00001 and p = .0110, respectively), while Ki67 levels and age ≤40 years were not. A change in chemotherapy decision was registered in 19.2% of patients (p = .066), with the greatest impact in de-escalation (9% net reduction). A change in chemotherapy or endocrine therapy regimen was suggested in 19% and 20% of cases, respectively, after EPclin results were available. A significant difference was found in the median EPclin score between patients with a low- vs. high-intensity chemotherapy and endocrine therapy regimen recommendation (p = 0.049 and p = 0.0001, respectively). Tumor board treatment recommendation adherence with the EndoPredict result was 95% and final treatment adherence to EPclin result was 93%. Conclusions: The EndoPredict test successfully assisted the clinical decision-making process in premenopausal patients, with a clinically significant change in overall decision-making, with the greatest impact seen in chemotherapy reduction, and a high rate of therapeutic adherence.
MeSH term(s)	Adult ; Antineoplastic Agents, Hormonal/therapeutic use ; Breast Neoplasms/drug therapy ; Breast Neoplasms/metabolism ; Chemotherapy, Adjuvant/methods ; Clinical Decision-Making ; Cohort Studies ; Decision Making ; Female ; Humans ; Mexico ; Middle Aged ; Neoplasm Grading ; Premenopause ; Transcriptome
Chemical Substances	Antineoplastic Agents, Hormonal
Language	English
Publishing date	2020-03-11
Publishing country	United States
Document type	Journal Article
ISSN	1932-6203
ISSN (online)	1932-6203
DOI	10.1371/journal.pone.0228884
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Article ; Online: Salivary gland-like breast carcinomas: An infrequent disease.

Sherwell-Cabello, Santiago / Maffuz-Aziz, Antonio / Ríos-Luna, Nina Paola / Bautista-Piña, Verónica / Rodríguez-Cuevas, Sergio

Pathology, research and practice

2016 Volume 212, Issue 11, Page(s) 1034–1038

Abstract: Objective: To show the incidence, as well as the clinical and histopathological characteristics, of patients diagnosed with mammary salivary gland-like carcinomas at our institution.: Materials and methods: A retrospective study was conducted in all ... ...

Abstract	Objective: To show the incidence, as well as the clinical and histopathological characteristics, of patients diagnosed with mammary salivary gland-like carcinomas at our institution. Materials and methods: A retrospective study was conducted in all women diagnosed with breast cancer at our institution from January 2005 to February 2016. Patients with diagnosis of salivary gland-like breast carcinomas were included. Results: In this period, 6384 patients were diagnosed with breast cancer at our institution; salivary gland-like carcinomas were found in 7 patients (0.1%), adenoid cystic carcinoma was diagnosed in 5 patients (0.07%), acinic cell carcinoma in 1 patient (0.015%) and mucoepidermoid carcinoma in 1 patient (0.015%). The triple-negative subtype was found in all of the tumors. Median follow-up was 66.3 months (range, 1-108 months). No patient developed local or distant recurrence. Conclusions: Salivary gland-like breast tumors are extremely rare. We found a global incidence of 0.1%. Adenoid cystic, acinic cell and mucoepidermoid carcinomas were the three histologic types diagnosed. Although the triple-negative subtype is mainly found, good prognosis is expected.
MeSH term(s)	Adult ; Aged ; Aged, 80 and over ; Carcinoma, Acinar Cell/pathology ; Carcinoma, Adenoid Cystic/pathology ; Carcinoma, Mucoepidermoid/pathology ; Female ; Humans ; Male ; Middle Aged ; Prognosis ; Retrospective Studies ; Triple Negative Breast Neoplasms/pathology
Language	English
Publishing date	2016-11
Publishing country	Germany
Document type	Journal Article
ZDB-ID	391889-0
ISSN	1618-0631 ; 0344-0338
ISSN (online)	1618-0631
ISSN	0344-0338
DOI	10.1016/j.prp.2016.09.001
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Article ; Online: Loss of function of miR-342-3p results in MCT1 over-expression and contributes to oncogenic metabolic reprogramming in triple negative breast cancer.

Romero-Cordoba, Sandra L / Rodriguez-Cuevas, Sergio / Bautista-Pina, Veronica / Maffuz-Aziz, Antonio / D'Ippolito, Elvira / Cosentino, Giulia / Baroni, Sara / Iorio, Marilena V / Hidalgo-Miranda, Alfredo

Scientific reports

2018 Volume 8, Issue 1, Page(s) 12252

Abstract: Triple-negative breast cancer (TNBC) is a heterogeneous and aggressive neoplasia lacking the expression of hormonal receptors and human epidermal growth factor receptor-2. Accumulating evidence has highlighted the importance of miRNAs dysregulation in ... ...

Abstract	Triple-negative breast cancer (TNBC) is a heterogeneous and aggressive neoplasia lacking the expression of hormonal receptors and human epidermal growth factor receptor-2. Accumulating evidence has highlighted the importance of miRNAs dysregulation in the establishment of cancer programs, but the functional role of many miRNAs remains unclear. The description of miRNAs roles might provide novel strategies for treatment. In the present work, an integrated analysis of miRNA transcriptional landscape was performed (N = 132), identifying the significant down-modulation of miR-342-3p in TNBC, probably because of the aberrant activity of estrogen receptor, which serves as a transcription factor of the miRNA, as demonstrated by a siRNA-knockdown approach. The enhanced expression of miR-342-3p significantly decreased cell proliferation, viability and migration rates of diverse TN cells in vitro. Bioinformatic and functional analyses revealed that miR-342-3p directly targets the monocarboxylate transporter 1 (MCT1), which promotes lactate and glucose fluxes alteration, thus disrupting the metabolic homeostasis of tumor cells. Optical metabolic imaging assay defined a higher optical redox ratio in glycolytic cells overexpressing miR-342-3p. Furthermore, we found that hypoxic conditions and glucose starvation attenuate miR-342-3p expression, suggesting a crosstalk program between these metabolic factors. Consistently, miR-342-3p down-modulation is associated with an increased MCT1 expression level and glycolytic score in human triple negative tumors. Overall, we described for the first time the regulatory activity of miR-342-3p on relevant metabolic carcinogenic pathways in TN breast cancers.
MeSH term(s)	Carcinogenesis ; Cell Line, Tumor ; Cell Movement/genetics ; Cell Proliferation/genetics ; Cell Survival/genetics ; Gene Expression Regulation, Neoplastic/genetics ; Glucose/metabolism ; Glycolysis ; Homeostasis/genetics ; Humans ; Lactic Acid/metabolism ; MicroRNAs/genetics ; Monocarboxylic Acid Transporters/genetics ; Oxidative Phosphorylation ; Receptors, Estrogen/metabolism ; Symporters/genetics ; Triple Negative Breast Neoplasms/genetics ; Triple Negative Breast Neoplasms/metabolism ; Triple Negative Breast Neoplasms/pathology
Chemical Substances	MIRN342 microRNA, human ; MicroRNAs ; Monocarboxylic Acid Transporters ; Receptors, Estrogen ; Symporters ; monocarboxylate transport protein 1 ; Lactic Acid (33X04XA5AT) ; Glucose (IY9XDZ35W2)
Language	English
Publishing date	2018-08-16
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2615211-3
ISSN	2045-2322 ; 2045-2322
ISSN (online)	2045-2322
ISSN	2045-2322
DOI	10.1038/s41598-018-29708-9
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Article: Factibilidad y resultado estético de la cirugía oncoplástica en el tratamiento de cáncer de mama.

Sherwell-Cabello, Santiago / Maffuz-Aziz, Antonio / Villegas-Carlos, Felipe / Domínguez-Reyes, Carlos / Labastida-Almendaro, Sonia / Rodríguez-Cuevas, Sergio

Cirugia y cirujanos

2015 Volume 83, Issue 3, Page(s) 199–205

Abstract: Background: Breast cancer is the leading oncological cause of death in Mexican women over 25 years old. Given the need to improve postoperative cosmetic results in patients with breast cancer, oncoplastic surgery has been developed, which allows larger ... ...

Title translation	Feasibility and cosmetic outcome of oncoplastic surgery in breast cancer treatment.
Abstract	Background: Breast cancer is the leading oncological cause of death in Mexican women over 25 years old. Given the need to improve postoperative cosmetic results in patients with breast cancer, oncoplastic surgery has been developed, which allows larger tumour resections and minor cosmetic alterations. Objective: To determine the oncological feasibility and cosmetic outcome of oncoplastic surgery at the Instituto de Enfermedades de la Mama, FUCAM, AC. Material and methods: A review was conducted from January 2010 to July 2013, which included patients with breast cancer diagnosis treated with conventional breast-conserving surgery or with oncoplastic surgery in the Institute of Diseases of the Breast, FUCAM AC. Clinical and histopathological parameters were compared between the two groups, and a questionnaire of cosmetic satisfaction and quality of life was applied. Results: Of the 171 patients included, 95 of them were treated with conventional breast-conserving surgery and 76 with oncoplastic surgery. Pathological tumour size was significantly larger in patients treated with oncoplastic surgery (p = 0.002). There were no differences found between the groups as regards the number of patients with positive surgical margin, the rate of complications, and cosmetic satisfaction. Conclusion: This study demonstrates the oncological feasibility and high cosmetic satisfaction of oncoplastic surgery with minimal psycho-social impact on patients.
MeSH term(s)	Adult ; Aged ; Aged, 80 and over ; Breast Neoplasms/surgery ; Esthetics ; Feasibility Studies ; Female ; Humans ; Mastectomy ; Mastectomy, Segmental ; Middle Aged ; Prospective Studies ; Retrospective Studies ; Treatment Outcome
Language	Spanish
Publishing date	2015-05
Publishing country	Spain
Document type	English Abstract ; Journal Article
ZDB-ID	730699-4
ISSN	0009-7411
ISSN	0009-7411
DOI	10.1016/j.circir.2015.05.015
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