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Article ; Online: Exosomes in breast cancer management: Where do we stand? A literature review.

Triantafyllou, Alexandra / Gazouli, Maria / Theodoropoulos, Charalampos / Zografos, Eleni / Zografos, George C / Michalopoulos, Nikolaos V

Biology of the cell

2022 Volume 114, Issue 4, Page(s) 109–122

Abstract: Background: Exosomes constitute cellular molecular fingertips that participate in intercellular communication both in health and disease states. Hence, exosomes emerge as critical mediators of cancer development and progression, as well as potential ... ...

Abstract	Background: Exosomes constitute cellular molecular fingertips that participate in intercellular communication both in health and disease states. Hence, exosomes emerge as critical mediators of cancer development and progression, as well as potential biomarkers and novel therapeutic targets. Objective: To review literature data regarding applications of circulating exosomes in breast cancer management. Methods: This is a literature review of relevant published studies until April 2020 in PubMed and Google Scholar databases. Original papers in the English language concerning exosome related studies were included. Results: Exosomes represent molecular miniatures of their parent cells. Several homeostatic mechanisms control exosomal secretion and synthesis. Exosomal exchange among cells creates an intricate intercellular crosstalk orchestrating almost every tissue process, as well as carcinogenesis. Available data highlight exosomes as major mediators of cancer development and progression. The secretion of specific exosomal molecules, particularly miRNAs, correlates with the underlying processes and can be used as a means of tumor detection and prognostic assessment. Conclusions: Exosomal miRNAs expression profiles and levels closely relate to cancer extent, type and prognosis. Deep comprehension of such correlations and systematization of experimental outcomes will offer a novel approach in cancer detection and management.
MeSH term(s)	Biomarkers, Tumor/metabolism ; Breast Neoplasms/diagnosis ; Breast Neoplasms/metabolism ; Breast Neoplasms/therapy ; Cell Communication ; Exosomes/metabolism ; Exosomes/pathology ; Female ; Humans ; MicroRNAs/genetics ; MicroRNAs/metabolism
Chemical Substances	Biomarkers, Tumor ; MicroRNAs
Language	English
Publishing date	2022-02-03
Publishing country	England
Document type	Journal Article ; Review
ZDB-ID	245745-3
ISSN	1768-322X ; 0399-0311 ; 0248-4900
ISSN (online)	1768-322X
ISSN	0399-0311 ; 0248-4900
DOI	10.1111/boc.202100081
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Zs.A 758: Show issues

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Article ; Online: Type 2 diabetes mellitus status in obese patients following sleeve gastrectomy or one anastomosis gastric bypass.

Vrakopoulou, Gavriella Zoi / Theodoropoulos, Charalampos / Kalles, Vasileios / Zografos, George / Almpanopoulos, Konstantinos

Scientific reports

2021 Volume 11, Issue 1, Page(s) 4421

Abstract: This study aims to compare sleeve gastrectomy (SG) and one anastomosis gastric bypass (OAGB) in terms of remission of type 2 diabetes mellitus (T2DM) in obese patients. All T2DM patients were followed-up for at least 36 months. The primary outcome was ... ...

Abstract	This study aims to compare sleeve gastrectomy (SG) and one anastomosis gastric bypass (OAGB) in terms of remission of type 2 diabetes mellitus (T2DM) in obese patients. All T2DM patients were followed-up for at least 36 months. The primary outcome was remission of T2DM. Secondary endpoints included weight reduction and the procedure's impact on quality of life. In total, 53/1177 morbidly obese patients who underwent SG (Group A, n = 28) or OAGB (Group B, n = 25) had T2DM. Preoperatively, the mean Body Mass Index (BMI) values were 52.2 ± 8.5 kg/m
MeSH term(s)	Adult ; Aged ; Body Mass Index ; Diabetes Mellitus, Type 2/physiopathology ; Diabetes Mellitus, Type 2/surgery ; Female ; Gastrectomy/methods ; Gastric Bypass/methods ; Humans ; Male ; Middle Aged ; Obesity, Morbid/physiopathology ; Obesity, Morbid/surgery ; Quality of Life ; Retrospective Studies ; Weight Loss/physiology ; Young Adult
Language	English
Publishing date	2021-02-24
Publishing country	England
Document type	Journal Article
ZDB-ID	2615211-3
ISSN	2045-2322 ; 2045-2322
ISSN (online)	2045-2322
ISSN	2045-2322
DOI	10.1038/s41598-021-83807-8
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Article ; Online: Circulating miRNA Expression Profiling in Breast Cancer Molecular Subtypes: Applying Machine Learning Analysis in Bioinformatics.

Triantafyllou, Alexandra / Dovrolis, Nikolaos / Zografos, Eleni / Theodoropoulos, Charalampos / Zografos, George C / Michalopoulos, Nikolaos V / Gazouli, Maria

Cancer diagnosis & prognosis

2022 Volume 2, Issue 6, Page(s) 739–749

Abstract: Background/aim: Breast cancer is a leading worldwide cause of female cancer-related morbidity and mortality. Since molecular characteristics increasingly guide disease management, demystifying breast tumor miRNA signature emerges as an essential step ... ...

Abstract	Background/aim: Breast cancer is a leading worldwide cause of female cancer-related morbidity and mortality. Since molecular characteristics increasingly guide disease management, demystifying breast tumor miRNA signature emerges as an essential step toward personalized care. This study aimed to investigate the variations in circulating miRNA expression profiles between breast cancer subtypes and healthy controls and to identify relevant target genes and molecular functions. Materials and methods: MiRNA expression was tested by miScript™ miRNA PCR Array Human Cancer Pathway Finder kit, and subsequently, a machine learning approach was applied for miRNA profiling of the various breast cancer molecular subtypes. Results: Serum samples from patients with primary breast cancer (n=66) and healthy controls (n=16) were analyzed. MiR-21 was the single common molecule among all breast cancer subtypes. Furthermore, several miRNAs were found to be differentially expressed explicitly in the different subtypes; luminal A (miR-23b, miR-142, miR-29a, miR-181d, miR-16, miR-29b, miR-155, miR-181c), luminal B (miR-148a, let-7d, miR-92a, miR-34c, let-7b, miR-15a), HER2+ (miR-125b, miR-134, miR-98, miR-143, miR-138, miR-135b) and triple negative breast cancer (miR-17, miR-150, miR-210, miR-372, let-7f, miR-191, miR-133b, miR-146b, miR-7). Finally, miRNA-associated target genes and molecular functions were identified. Conclusion: Applying a machine learning approach to delineate miRNA signatures of various breast cancer molecular subtypes allows further understanding of molecular disease characteristics that can prove clinically relevant.
Language	English
Publishing date	2022-11-03
Publishing country	Greece
Document type	Journal Article
ISSN	2732-7787
ISSN (online)	2732-7787
DOI	10.21873/cdp.10169
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Article: Severe anaphylactic reaction after blue dye injection for sentinel lymph node biopsy in breast surgery: Report of two cases and literature review.

Frountzas, Maximos / Theodoropoulos, Charalampos / Karathanasis, Panagiotis / Nikolaou, Christina / Zografos, Constantinos G / Larentzakis, Andreas / Zografos, George C / Michalopoulos, Nikolaos V

Clinical case reports

2021 Volume 9, Issue 7

Abstract: Anaphylactic reactions, and especially the severe ones (types III and IV), should be kept in mind as considerable adverse effects while using blue dyes for SLNB. ...

Abstract	Anaphylactic reactions, and especially the severe ones (types III and IV), should be kept in mind as considerable adverse effects while using blue dyes for SLNB.
Language	English
Publishing date	2021-05-07
Publishing country	England
Document type	Case Reports
ZDB-ID	2740234-4
ISSN	2050-0904
ISSN	2050-0904
DOI	10.1002/ccr3.3904
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Article ; Online: Long-Term Manometric Impact of the Adjustable Gastric Band on Esophageal Motility: a Prospective Case-Control Study.

Triantafyllou, Tania / Eleftheriou, Malvina Maria / Theodoropoulos, Charalampos / Schizas, Dimitrios / Michalopoulos, Nikolaos / Archontovasilis, Fotios / Theodorou, Dimitrios

Obesity surgery

2021 Volume 31, Issue 7, Page(s) 3333–3336

MeSH term(s)	Case-Control Studies ; Esophageal Motility Disorders/surgery ; Gastroplasty/adverse effects ; Humans ; Laparoscopy ; Manometry ; Obesity, Morbid/surgery ; Prospective Studies
Language	English
Publishing date	2021-03-26
Publishing country	United States
Document type	Letter
ZDB-ID	1070827-3
ISSN	1708-0428 ; 0960-8923
ISSN (online)	1708-0428
ISSN	0960-8923
DOI	10.1007/s11695-021-05361-6
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Zs.A 3381: Show issues

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Article ; Online: Evaluation of plasma and tissue expression levels of Endothelins (ET-1, Big ET-1) and VEGF in lobular neoplasia of the breast.

Kalles, Vasileios / Papapanagiotou, Ioannis / Matiatou, Maria / Georgiou, Georgia / Theodoropoulos, Charalampos / Triantafyllou, Tania / Zografos, Eleni / Mitrousias, Apostolos / Provatopoulou, Xeni / Michalopoulos, Nikolaos

Journal of B.U.ON. : official journal of the Balkan Union of Oncology

2020 Volume 24, Issue 5, Page(s) 1913–1919

Abstract: Purpose: The endothelin system is involved in the evolution of multiple malignancies, participating in cancer cell proliferation, tumor invasion and angiogenesis. Our purpose was to simultaneously assess endothelin expression in the systemic circulation ...

Abstract	Purpose: The endothelin system is involved in the evolution of multiple malignancies, participating in cancer cell proliferation, tumor invasion and angiogenesis. Our purpose was to simultaneously assess endothelin expression in the systemic circulation of patients with lobular neoplasia (LN) of the breast and to investigate its correlation with vascular endothelial growth factor (VEGF) specimen expression levels as well as clinicopathologic findings. Methods: This was a retrospective analysis of prospectively collected data regarding 60 women examined in a single breast unit. Thirty of these women underwent stereotactic biopsy and were diagnosed with LN and the remaining 30 were healthy controls. Circulating levels of endothelin (ET)-1 and Big ET-1 were measured using ELISA, while tissue expression of ET-1 and VEGF in biopsy specimens were assessed using qualitative immunohistochemical staining. Results: The plasma levels of Big ET-1 were significantly increased in patients with LN compared to healthy controls. There was no significant difference in the plasma levels of ET-1 between the patient groups. In patients with LN, plasma expression of ET-1 and Big ET-1 did not correlate with ET-1 or VEGF tissue expression status, neither existed a relationship between tissue expressions of ET-1 and VEGF. Conclusions: Our results imply that Big ET-1 is a potential biomarker for LN. Further investigation of the endothelin system role in LN seems a promising research field.
MeSH term(s)	Adult ; Aged ; Aged, 80 and over ; Breast/metabolism ; Breast Neoplasms/blood ; Breast Neoplasms/metabolism ; Endothelin-1/blood ; Endothelin-1/metabolism ; Female ; Humans ; Middle Aged ; Neovascularization, Pathologic/blood ; Neovascularization, Pathologic/metabolism ; Precancerous Conditions/blood ; Precancerous Conditions/metabolism ; Retrospective Studies ; Vascular Endothelial Growth Factor A/blood ; Vascular Endothelial Growth Factor A/metabolism
Chemical Substances	Endothelin-1 ; Vascular Endothelial Growth Factor A
Language	English
Publishing date	2020-07-01
Publishing country	Greece
Document type	Journal Article
ZDB-ID	2040386-0
ISSN	2241-6293 ; 1107-0625
ISSN (online)	2241-6293
ISSN	1107-0625
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Zs.A 5438: Show issues

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Article ; Online: Kounis syndrome after patent blue dye injection for sentinel lymph node biopsy.

Frountzas, Maximos / Karathanasis, Panagiotis / Vrakopoulou, Gavriella Zoi / Theodoropoulos, Charalampos / Zografos, Constantinos G / Schizas, Dimitrios / Zografos, George C / Michalopoulos, Nikolaos V

Breast cancer (Tokyo, Japan)

2020 Volume 27, Issue 6, Page(s) 1191–1197

Abstract: Background: Kounis syndrome (KS) has been described as an acute coronary syndrome (ACS) associated with an anaphylactic reaction. Several triggers have been identified and the diagnostic and treatment process can be challenging.: Case: A 58-year-old, ...

Abstract	Background: Kounis syndrome (KS) has been described as an acute coronary syndrome (ACS) associated with an anaphylactic reaction. Several triggers have been identified and the diagnostic and treatment process can be challenging. Case: A 58-year-old, female patient diagnosed with breast cancer and no history of allergies had subcutaneous injection of patent blue V dye for sentinel lymph node biopsy (SLNB). Intraoperatively, she developed anaphylactic shock and was transferred to the intensive care unit (ICU). A few hours later, electrocardiographic alterations and elevation of blood troponin were observed. Emergency coronary angiography revealed no occlusive lesions in coronary vessels. Further investigation in the allergy department set the diagnosis of KS. Conclusion: There are just ten cases of perioperative KS in the literature so far and here we present the first one triggered by patent blue V dye for sentinel node biopsy.
MeSH term(s)	Anaphylaxis/diagnosis ; Anaphylaxis/drug therapy ; Anaphylaxis/etiology ; Breast Neoplasms/pathology ; Breast Neoplasms/surgery ; Carcinoma, Ductal, Breast/pathology ; Carcinoma, Ductal, Breast/surgery ; Coloring Agents/administration & dosage ; Coloring Agents/adverse effects ; Coronary Angiography ; Dual Anti-Platelet Therapy ; Electrocardiography ; Female ; Humans ; Injections, Subcutaneous ; Kounis Syndrome/diagnosis ; Kounis Syndrome/drug therapy ; Kounis Syndrome/etiology ; Lymphatic Metastasis/diagnosis ; Lymphatic Metastasis/pathology ; Mastectomy, Segmental ; Middle Aged ; Rosaniline Dyes/administration & dosage ; Rosaniline Dyes/adverse effects ; Sentinel Lymph Node/diagnostic imaging ; Sentinel Lymph Node/pathology ; Sentinel Lymph Node Biopsy/adverse effects ; Sentinel Lymph Node Biopsy/methods
Chemical Substances	Coloring Agents ; Rosaniline Dyes ; sulfan blue (FH1929ICIT)
Language	English
Publishing date	2020-06-29
Publishing country	Japan
Document type	Case Reports ; Journal Article
ZDB-ID	2052429-8
ISSN	1880-4233 ; 1340-6868
ISSN (online)	1880-4233
ISSN	1340-6868
DOI	10.1007/s12282-020-01129-5
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Article ; Online: Implant infections after breast reconstruction surgery following mastectomy: Experience from a Greek breast unit.

Michalopoulos, Nikolaos V / Frountzas, Maximos / Karathanasis, Panagiotis / Theodoropoulos, Charalampos / Kolia, Aikaterini / Zografos, Constantinos G / Triantafyllou, Tania / Larentzakis, Andreas / Danias, Nikolaos / Zografos, George C

Breast disease

2021 Volume 41, Issue 1, Page(s) 37–44

Abstract: Background: Despite the dominance of implant-based breast reconstruction after mastectomy, during recent years, it has been correlated to some complications. The aim of this study is to present the Greek experience about management of implant infections ...

Abstract	Background: Despite the dominance of implant-based breast reconstruction after mastectomy, during recent years, it has been correlated to some complications. The aim of this study is to present the Greek experience about management of implant infections after breast reconstructions and to investigate the relationship between possible risk factors and breast pocket fluid cultures. Methods: In total, 260 patients underwent implant-based breast reconstruction due to breast cancer in our center from 2016 until 2020. 46 patients, that underwent implant or expander replacement after breast reconstruction due to mastectomy were included in the present study. Results: 260 patients underwent breast reconstruction in our center and in 46 (18%) of them an implant replacement was required. 21 patients (8%) presented clinically with an implant infection, but 12 of them (5%) had positive cultures from the breast pocket fluid. On the contrary, 25 patients (10%) presented no clinical signs of implant infection, but 5 of them (2%) had a positive culture. In addition, we demonstrated a correlation between implant infection and positive cultures (p = 0.009), along with an association between chemotherapy before implant placements and negative cultures (p = 0.035). Finally, the most common pathogen was Staphylococcus epidermidis (29%), followed by Escherichia coli (24%) and Staphylococcus aureus (18%). Conclusion: Implant infection still remains a very serious complication after breast reconstruction surgery. The establishment of a therapeutic protocol, with specific antimicrobial and surgical targets seems as an effective strategy against implant infections.
MeSH term(s)	Adult ; Aged ; Bacteria/classification ; Bacteria/pathogenicity ; Bacterial Infections/etiology ; Breast Implantation/adverse effects ; Breast Implants/microbiology ; Breast Neoplasms/surgery ; Female ; Greece ; Humans ; Mammaplasty/adverse effects ; Mastectomy ; Middle Aged ; Postoperative Complications ; Reoperation/adverse effects ; Retrospective Studies ; Risk Factors
Language	English
Publishing date	2021-07-10
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	639267-2
ISSN	1558-1551 ; 0888-6008
ISSN (online)	1558-1551
ISSN	0888-6008
DOI	10.3233/BD-201077
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Article ; Online: A novel way of hook wire placement for surgical resection of suspicious breast lesions using the stereotactic vacuum assisted breast biopsy table.

Michalopoulos, Nikolaos V / Mitrousias, Apostolos / Karathanasis, Panagiotis V / Kalles, Vasileios / Frountzas, Maximos / Theodoropoulos, Charalampos / Alafaki, Maria / Zografos, Constantine G / Chronas, Angelos / Matiatou, Maria / Zografos, George C

The breast journal

2021 Volume 27, Issue 4, Page(s) 403–405

Abstract: Preoperative hook localization is a necessary procedure for targeting impalpable breast lesions. The aim of the current study is to introduce an alternative technique of wire placement by using the stereotactic biopsy device instead of the conventionally ...

Abstract	Preoperative hook localization is a necessary procedure for targeting impalpable breast lesions. The aim of the current study is to introduce an alternative technique of wire placement by using the stereotactic biopsy device instead of the conventionally used mammography device. Fifty-one patients with impalpable mammographic lesions, graded BIRADS 4 or 5, were prospectively enrolled. Mean duration was 7 ± 1.5 minutes. Lesion-to-wire distance was <1 cm in 96% (51/53). Hook wire placement using the stereotactic biopsy device is considered as a safe, accurate, fast, and well-tolerable for the patient procedure.
MeSH term(s)	Biopsy ; Biopsy, Needle ; Breast/diagnostic imaging ; Breast/surgery ; Breast Neoplasms/diagnostic imaging ; Breast Neoplasms/surgery ; Female ; Humans ; Mammography ; Stereotaxic Techniques
Language	English
Publishing date	2021-01-22
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.14164
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Article: Long-term outcome of myotomy and fundoplication based on intraoperative real-time high-resolution manometry in achalasia patients.

Triantafyllou, Tania / Theodoropoulos, Charalampos / Georgiou, Georgia / Kalles, Vasileios / Chrysikos, Demosthenis / Filis, Konstantinos / Zografos, Georgios / Theodorou, Dimitrios

Annals of gastroenterology

2018 Volume 32, Issue 1, Page(s) 46–51

Abstract: Background: Current treatment options for achalasia of the esophagus predominantly consist of endoscopic myotomy or laparoscopic myotomy combined with a partial fundoplication. The intraoperative use of conventional manometry has previously been ... ...

Abstract	Background: Current treatment options for achalasia of the esophagus predominantly consist of endoscopic myotomy or laparoscopic myotomy combined with a partial fundoplication. The intraoperative use of conventional manometry has previously been proposed with various results. The aim of the present study was to introduce the use of high-resolution manometry (HRM) during surgical treatment for achalasia and to assess the long-term outcome of this technique. Methods: We enrolled achalasia patients within the time period November 2013 to July 2016 who underwent HRM and evaluation of Eckardt scores (ES) before and after tailored laparoscopic myotomy and fundoplication with intraoperative recording using HRM. Results: Twenty patients were classified as having achalasia type I (20%), type II (55%), or type III (25%). During surgery, 9 myotomies were extended and 13 fundoplications were modified according to HRM findings. Mean resting (16.1 vs. 41.9 mmHg) and residual (9 vs. 28.7 mmHg) pressures of the lower esophageal sphincter and ES (0.7 vs. 6.9) were significantly eliminated postoperatively over a mean follow-up time of 17.7 months. Conclusions: The use of intraoperative HRM gives us the advantage of simultaneous real-time estimation of intraluminal pressures of the esophagus and the ability to identify the exact points that produce pressure during laparoscopy. Consequently, it may be the key to the tailoring of the Heller-Dor technique and improving the outcomes for achalasia patients.
Language	English
Publishing date	2018-11-14
Publishing country	Greece
Document type	Journal Article
ZDB-ID	2032850-3
ISSN	1108-7471
ISSN	1108-7471
DOI	10.20524/aog.2018.0326
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