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Article ; Online: Commentary on "A Case of Paratesticular Leiomyosarcoma Successfully Treated with Orchiectomy and Chemotherapy".

Virgilio, Edoardo / Uccini, Stefania / Marchetti, Paolo / Mercantini, Paolo

Cancer research and treatment : official journal of Korean Cancer Association

2016 Volume 48, Issue 1, Page(s) 422–424

MeSH term(s)	Humans ; Leiomyosarcoma/surgery ; Orchiectomy ; Testicular Neoplasms/surgery
Language	English
Publishing date	2016-01
Publishing country	Korea (South)
Document type	Comment ; Letter
ZDB-ID	2133613-1
ISSN	2005-9256 ; 1598-2998
ISSN (online)	2005-9256
ISSN	1598-2998
DOI	10.4143/crt.2015.175
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Article ; Online: Giant extraluminal leiomyoma of the colon: rare cause of symptomatic pelvic mass.

Sagnotta, Andrea / Sparagna, Alessandra / Uccini, Stefania / Mercantini, Paolo

International surgery

2015 Volume 100, Issue 5, Page(s) 805–808

Abstract: Leiomyomas (LMs) may appear throughout the entire gastrointestinal tract but are rarely seen in the colon-rectum and only 5 of those measured greater than 15 cm in diameter. Pain and palpable abdominal mass are the most common symptoms. Surgical ... ...

Abstract	Leiomyomas (LMs) may appear throughout the entire gastrointestinal tract but are rarely seen in the colon-rectum and only 5 of those measured greater than 15 cm in diameter. Pain and palpable abdominal mass are the most common symptoms. Surgical resection is the treatment of choice for most LMs. We here describe a case of a 46-year-old woman who presented with a 3-month history of abdominal pain associated with worsening constipation and abdominal distension. A pelvic solid, polylobulate, left-sided mass was noted on examination. Preoperative findings revealed a dishomogeneous sigmoid mass with calcified spots compressing small intestine and bladder. At laparotomy, a large polylobulate and well-circumscribed mass arising from the descending colon mesentery and displacing small intestine, uterus, and ovaries. A segmental colon resection was performed. An extraluminal 18- × 12- × 5-cm paucicellular sigmoid colon leiomyoma was histologically diagnosed. Our case is one of the few giant (>15 cm) sigmoid colon LMs reported in the literature. Although rare and benign in nature, LMs of the colon can cause life-threatening complications that could require emergency treatment and they should be included in the differential diagnosis of large abdominopelvic masses. Follow-up after surgery is necessary for tumors with any atypia or mitotic activity.
MeSH term(s)	Colectomy ; Colonic Neoplasms/diagnosis ; Colonic Neoplasms/surgery ; Diagnosis, Differential ; Female ; Humans ; Leiomyoma/diagnosis ; Leiomyoma/surgery ; Middle Aged
Language	English
Publishing date	2015-05
Publishing country	Italy
Document type	Case Reports ; Journal Article
ZDB-ID	80343-1
ISSN	2520-2456 ; 0020-8868
ISSN (online)	2520-2456
ISSN	0020-8868
DOI	10.9738/INTSURG-D-14-00054.1
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Article: Metastasis to the colon from lung cancer presenting with severe hyponatremia and dyspnea in a young male: A case report and review of the literature.

Pezzuto, Aldo / Mariotta, Salvatore / Fioretti, Federica / Uccini, Stefania

Oncology letters

2013 Volume 5, Issue 5, Page(s) 1477–1480

Abstract: This study aimed to present the atypical clinical presentation and management of a metastatic lung cancer that had spread to an atypical location. Lung cancer is the most common cause of cancer-related mortality worldwide. The brain, liver, adrenal ... ...

Abstract	This study aimed to present the atypical clinical presentation and management of a metastatic lung cancer that had spread to an atypical location. Lung cancer is the most common cause of cancer-related mortality worldwide. The brain, liver, adrenal glands and bone are the most common sites of metastatic disease in patients with lung cancer. The reported incidence of symptomatic gastrointestinal metastases is 0.2-0.5%. Early diagnosis should be based on the observation of clinical symptoms and computed tomography (CT) imaging. In the present study, we describe the case of a 43-year-old male with a primary adenocarcinoma of the lung located in the lower right lobe. Following diagnosis, the patient underwent five lines of chemotherapy with a significant tumor reduction. Two years later, a mass located in the sigmoid colon was detected in the patient following a PET/CT scan. The clinical presentation was unusual with vomiting, headache, dyspnea and laboratory hyponatremia. A rare form of metastatic ulcerating adenocarcinoma was identified with colonoscopy, which was confirmed by immunohistochemical findings. A surgical approach was not performed due to the worsening condition of the patient. The patient demonstrated severe anemia and blood hypoxia, and one month later, the patient succumbed to disease. The metastasis may suggest an increase in tumor aggressiveness.
Language	English
Publishing date	2013-02-22
Publishing country	Greece
Document type	Journal Article
ZDB-ID	2573196-8
ISSN	1792-1082 ; 1792-1074
ISSN (online)	1792-1082
ISSN	1792-1074
DOI	10.3892/ol.2013.1208
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Article ; Online: PD-L1 expression in pediatric Epstein-Barr virus positive classic Hodgkin lymphoma is not associated with 9p24.1 amplification.

Uccini, Stefania / Al-Jadiry, Mazin F / Pepe, Giuseppina / Scarpino, Stefania / Al-Hadad, Salma A / Ruco, Luigi

Pediatric blood & cancer

2019 Volume 66, Issue 7, Page(s) e27757

MeSH term(s)	B7-H1 Antigen/biosynthesis ; B7-H1 Antigen/genetics ; Child ; Child, Preschool ; Chromosomes, Human, Pair 9/genetics ; Chromosomes, Human, Pair 9/metabolism ; Epstein-Barr Virus Infections/genetics ; Epstein-Barr Virus Infections/metabolism ; Epstein-Barr Virus Infections/virology ; Female ; Gene Expression Regulation, Neoplastic ; Herpesvirus 4, Human/metabolism ; Hodgkin Disease/genetics ; Hodgkin Disease/metabolism ; Hodgkin Disease/virology ; Humans ; Infant ; Male ; Neoplasm Proteins/biosynthesis ; Neoplasm Proteins/genetics
Chemical Substances	B7-H1 Antigen ; CD274 protein, human ; Neoplasm Proteins
Language	English
Publishing date	2019-04-11
Publishing country	United States
Document type	Letter ; Research Support, Non-U.S. Gov't
ZDB-ID	2131448-2
ISSN	1545-5017 ; 1545-5009
ISSN (online)	1545-5017
ISSN	1545-5009
DOI	10.1002/pbc.27757
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Article ; Online: Improving basic skills in celiac-like disease diagnosis: a case report.

Corleto, Vito Domenico / Di Marino, Vincenza Patrizia / Galli, Gloria / Antonelli, Giulio / Coluccio, Chiara / Di Cerbo, Arcangelo / Uccini, Stefania / Annibale, Bruno

BMC gastroenterology

2018 Volume 18, Issue 1, Page(s) 162

Abstract: Background: The diagnosis of Coeliac disease (CD) requires a combination of sign/symptoms, positivity of specific antibodies and duodenal histological evidence of villous atrophy. Duodenal villous atrophy, despite representing the CD landmark, is not ... ...

Abstract	Background: The diagnosis of Coeliac disease (CD) requires a combination of sign/symptoms, positivity of specific antibodies and duodenal histological evidence of villous atrophy. Duodenal villous atrophy, despite representing the CD landmark, is not specific since it is found in many gastrointestinal disorders. Giardiasis is one of the most common human intestinal protozoan infestations in industrialized countries whose histological duodenal mucosa damage could mimic that of CD. The present report shows how a wise clinical and laboratory assessment led us shortly to a correct diagnosis. Case presentation: A 42-year-old outpatient woman without previous significant gastrointestinal diseases, was referred with dyspeptic symptoms, fatigue and mild diarrhea from 4 months. Her first investigations including immunoglobulin A (IgA) anti-tissue transglutaminase antibodies (anti-tTG) and stool parasitological and cultural analysis were negative. An esophagogastroduodenoscopy (EGDS) showed no mucosal alteration. But histology demonstrated a Helicobacter Pylori (HP) pan-gastritis while duodenal mucosa showed villous atrophy consistent with a diagnosis of CD Marsh type 3b. While on gluten-free diet (GFD) the patient didn't experience any improvement of symptoms. Duodenal biopsies were then reviewed showing the presence of trophozoites of Giardia on the luminal surface of the duodenal wall and at the same time, a second stool examination revealed the presence of trophozoites and cysts of Giardia. Treated with metronidazole, 500 mg twice daily for 6 days the patient reduced diarrhea after few days. After about 2 months of GFD she was invited to discontinue it. At the same time stool examination was repeated with negative results. She subsequently performed eradication for Hp with triple therapy (Pylera®). Around 6 months later, the patient did not complain any gastrointestinal symptoms. Serological tests were normal and at a follow-up EGDS, duodenal mucosa had normal histology with normal finger-like villi and absence of Giardia trophozoites. Conclusion: This case report shows how CD diagnosis can sometimes be manifold. Intestinal villous atrophy alone may not automatically establish a diagnosis of CD. In the present case the clinical scenario could be fully explained by giardiasis. Indeed, different diagnostic tools and a multi-step approaches have been used to determine the final correct diagnosis.
MeSH term(s)	Adult ; Antiprotozoal Agents/therapeutic use ; Atrophy ; Celiac Disease/diagnosis ; Diagnosis, Differential ; Duodenum/pathology ; Female ; Giardiasis/diagnosis ; Giardiasis/drug therapy ; Humans ; Intestinal Mucosa/pathology ; Metronidazole/therapeutic use
Chemical Substances	Antiprotozoal Agents ; Metronidazole (140QMO216E)
Language	English
Publishing date	2018-11-03
Publishing country	England
Document type	Case Reports ; Journal Article
ISSN	1471-230X
ISSN (online)	1471-230X
DOI	10.1186/s12876-018-0894-8
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Article ; Online: In vivo

Magistri, Paolo / Battistelli, Cecilia / Toietta, Gabriele / Strippoli, Raffaele / Sagnotta, Andrea / Forgione, Antonello / Di Benedetto, Fabrizio / Uccini, Stefania / Vittorioso, Paola / D'Angelo, Francesco / Aurello, Paolo / Ramacciato, Giovanni / Nigri, Giuseppe

Journal of microscopy and ultrastructure

2019 Volume 7, Issue 3, Page(s) 136–140

Abstract: Background: In this study we aimed to develop a new : Methods: HCT 116 cells were transducted with pLenti6/V5-DEST-fLuc for constitutive expression of firefly luciferase. Infection was monitored analyzing endogenous bioluminescence using the IVIS ... ...

Abstract	Background: In this study we aimed to develop a new Methods: HCT 116 cells were transducted with pLenti6/V5-DEST-fLuc for constitutive expression of firefly luciferase. Infection was monitored analyzing endogenous bioluminescence using the IVIS Lumina II Results: We found that Conclusions: Our
Language	English
Publishing date	2019-08-28
Publishing country	India
Document type	Journal Article
ISSN	2213-8803
ISSN (online)	2213-8803
DOI	10.4103/JMAU.JMAU_51_18
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Article ; Online: Follicular dendritic cells display microvesicle-associated LMP1 in reactive germinal centers of EBV+ classic Hodgkin lymphoma.

Uccini, Stefania / Al-Jadiry, Mazin F / Pepe, Giuseppina / Pasquini, Anna / Alsaadawi, Adel R / Al-Hadad, Salma A / Di Napoli, Arianna / Tripodo, Claudio / Ruco, Luigi

Virchows Archiv : an international journal of pathology

2019 Volume 475, Issue 2, Page(s) 175–180

Abstract: Expression of the latent membrane protein-1 (LMP1) of Epstein-Barr virus (EBV) was investigated in 153 cases of EBV+ classic Hodgkin lymphoma (cHL); 120 cases were pediatric patients (< 14 years of age) from Iraq, and 33 cases were adult patients from ... ...

Abstract	Expression of the latent membrane protein-1 (LMP1) of Epstein-Barr virus (EBV) was investigated in 153 cases of EBV+ classic Hodgkin lymphoma (cHL); 120 cases were pediatric patients (< 14 years of age) from Iraq, and 33 cases were adult patients from Italy. We describe for the first time the presence of LMP1 protein in EBV-encoded RNA (EBER)-negative follicular dendritic cells (FDCs) of reactive germinal centers (GC) associated with EBV+ cHL. Presence of LMP1+ GCs was independent of geographic region and age of patients. Variable numbers of reactive GCs were present in 22.2% of cases (34 of 153), whereas LMP1 staining of FDCs was present in about a third of cases (10 of 34) with reactive GC. Most cases with LMP1+ GC were mixed-cellularity (MC) subtype, but some nodular sclerosis (NS) was also present. GC cells with LMP1+ FDCs were surrounded by numerous EBV-infected cells which were positive for EBER, LMP1, and CD30. Double immunolocalization analysis revealed that LMP1 was associated with CD63, an exosomal marker, and with CD21. The possibility is discussed that peri-follicular EBV-infected cells release LMP1 protein, perhaps through exosomes, and that the protein is then captured by FDCs and is presented to EBER-negative GC B cells.
MeSH term(s)	Adult ; Aged ; Cell-Derived Microparticles/metabolism ; Cell-Derived Microparticles/virology ; Child ; Dendritic Cells, Follicular/virology ; Epstein-Barr Virus Infections/virology ; Female ; Germinal Center/virology ; Hodgkin Disease/pathology ; Hodgkin Disease/virology ; Humans ; Male ; Middle Aged ; Viral Matrix Proteins/metabolism
Chemical Substances	EBV-associated membrane antigen, Epstein-Barr virus ; Viral Matrix Proteins
Language	English
Publishing date	2019-06-15
Publishing country	Germany
Document type	Journal Article
ZDB-ID	1184867-4
ISSN	1432-2307 ; 0945-6317
ISSN (online)	1432-2307
ISSN	0945-6317
DOI	10.1007/s00428-019-02605-w
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Article ; Online: Long-term results with the adapted LMB 96 protocol in children with B-cell non Hodgkin lymphoma treated in Iraq: comparison in two subsequent cohorts of patients.

Moleti, Maria Luisa / Al-Jadiry, Mazin Faisal / Shateh, Wafa Ablahad / Al-Darraji, Amir Fadhil / Mohamed, Sara / Uccini, Stefania / Piciocchi, Alfonso / Foà, Robin / Testi, Anna Maria / Al-Hadad, Salma

Leukemia & lymphoma

2019 Volume 60, Issue 5, Page(s) 1224–1233

Abstract: Since 2000, an adapted LMB 96 protocol was implemented at the Children-Welfare-Teaching-Hospital in Baghdad for the treatment of childhood B-cell non-Hodgkin lymphoma. The first experience (2000-2005) demonstrated efficacy and feasibility of this ... ...

Abstract	Since 2000, an adapted LMB 96 protocol was implemented at the Children-Welfare-Teaching-Hospital in Baghdad for the treatment of childhood B-cell non-Hodgkin lymphoma. The first experience (2000-2005) demonstrated efficacy and feasibility of this protocol in Iraq. In 2006, further adjustments were made in an attempt to reduce therapy-related toxicities. The outcome of the second cohort of 190 children (2006-2010) and the comparison with the previous study are hereby reported. Out of the 180 treated patients, 120 achieved a complete response; during treatment 51 died and 9 abandoned. The 60-month overall survival (OS) and event-free survival (EFS) were 64.7 and 56.3%, respectively. No differences were observed in the 24-month OS and EFS between the 2000-2005 and 2006-2010 cohorts (66.3% vs. 65.1%; p = .89 and 53.3% vs. 57.3%; p = .28, respectively). Therapeutic group-B in the second cohort showed better outcome, although not significant, compared to the first one (EFS 62.9% vs. 53.8%; p = .088). Therapy-related mortality remained high.
MeSH term(s)	Adolescent ; Antineoplastic Combined Chemotherapy Protocols/adverse effects ; Antineoplastic Combined Chemotherapy Protocols/therapeutic use ; Asparaginase/adverse effects ; Asparaginase/therapeutic use ; Biopsy ; Child ; Child, Preschool ; Combined Modality Therapy ; Cyclophosphamide/adverse effects ; Cyclophosphamide/therapeutic use ; Cytarabine/adverse effects ; Cytarabine/therapeutic use ; Doxorubicin/adverse effects ; Doxorubicin/therapeutic use ; Female ; Humans ; Hydrocortisone/adverse effects ; Hydrocortisone/therapeutic use ; Infant ; Iraq ; Leucovorin/adverse effects ; Leucovorin/therapeutic use ; Lymphoma, Non-Hodgkin/diagnosis ; Lymphoma, Non-Hodgkin/drug therapy ; Lymphoma, Non-Hodgkin/mortality ; Male ; Methotrexate/adverse effects ; Methotrexate/therapeutic use ; Methylprednisolone/adverse effects ; Methylprednisolone/therapeutic use ; Neoplasm Staging ; Prednisone/adverse effects ; Prednisone/therapeutic use ; Prognosis ; Remission Induction ; Survival Rate ; Treatment Outcome ; Vincristine/adverse effects ; Vincristine/therapeutic use
Chemical Substances	Cytarabine (04079A1RDZ) ; Vincristine (5J49Q6B70F) ; Doxorubicin (80168379AG) ; Cyclophosphamide (8N3DW7272P) ; Asparaginase (EC 3.5.1.1) ; Leucovorin (Q573I9DVLP) ; Prednisone (VB0R961HZT) ; Hydrocortisone (WI4X0X7BPJ) ; Methylprednisolone (X4W7ZR7023) ; Methotrexate (YL5FZ2Y5U1)
Language	English
Publishing date	2019-04-17
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	1042374-6
ISSN	1029-2403 ; 1042-8194
ISSN (online)	1029-2403
ISSN	1042-8194
DOI	10.1080/10428194.2018.1519810
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Article ; Online: High prevalence of ALK+/ROS1+ cases in pulmonary adenocarcinoma of adoloscents and young adults.

Scarpino, Stefania / Rampioni Vinciguerra, Gian Luca / Di Napoli, Arianna / Fochetti, Flavio / Uccini, Stefania / Iacono, Daniela / Marchetti, Paolo / Ruco, Luigi

Lung cancer (Amsterdam, Netherlands)

2016 Volume 97, Page(s) 95–98

Abstract: Objectives: To investigate prevalence and age-distribution of ALK- or ROS1-translocated adenocarcinomas in patients ≤50 years of age.: Materials and methods: Paraffin sections of pulmonary adenocarcinoma were analyzed for ALK (637 cases) and ROS1 ( ... ...

Abstract	Objectives: To investigate prevalence and age-distribution of ALK- or ROS1-translocated adenocarcinomas in patients ≤50 years of age. Materials and methods: Paraffin sections of pulmonary adenocarcinoma were analyzed for ALK (637 cases) and ROS1 (376 cases) translocations using FISH, and for EGFR mutations (789 cases) using mutant-specific Real-Time PCR. Results: ALK or ROS1 fusions were detected in 55 of 637 cases (8.6%). When patients were stratified for age, it was found that six of six cases (100%) of lung adenocarcinoma diagnosed in patients <30 years of age were translocated for ALK (4 cases) or ROS1 (2 cases). With the increase of age, there was a gradual decrease in the percentage of positive cases. In fact, ALK-translocated or ROS1-translocated cases were 5 of 17 cases (29%) in the 31-40 years age-group, 6 of 46 cases (13%) in the 41-50 years age-group, and 38 of 568 cases (7.0%) in patients older than 50 years. The six patients <30 years of age (5F/1M), including two pediatric patients (≤18 years old), presented with stage IV disease, were never or light smoker, and had no family history of pulmonary tumours. Four of the six patients, were treated with crizotinib and had an objective response. Conclusions: Our findings provide evidence that ALK or ROS1 translocations are crucial events in tumourigenesis of pulmonary adenocarcinoma of very young patients, including pediatric patients.
MeSH term(s)	Adenocarcinoma/genetics ; Adenocarcinoma/metabolism ; Adenocarcinoma/pathology ; Adenocarcinoma of Lung ; Adolescent ; Adult ; Aged ; Anaplastic Lymphoma Kinase ; Crizotinib ; ErbB Receptors/genetics ; Female ; Humans ; Italy/epidemiology ; Lung Neoplasms/genetics ; Lung Neoplasms/metabolism ; Lung Neoplasms/pathology ; Male ; Middle Aged ; Mutation ; Prevalence ; Protein Kinase Inhibitors/administration & dosage ; Protein Kinase Inhibitors/therapeutic use ; Protein-Tyrosine Kinases/genetics ; Protein-Tyrosine Kinases/metabolism ; Proto-Oncogene Proteins/genetics ; Proto-Oncogene Proteins/metabolism ; Pyrazoles/administration & dosage ; Pyrazoles/therapeutic use ; Pyridines/administration & dosage ; Pyridines/therapeutic use ; Receptor Protein-Tyrosine Kinases/metabolism ; Retrospective Studies ; Translocation, Genetic
Chemical Substances	Protein Kinase Inhibitors ; Proto-Oncogene Proteins ; Pyrazoles ; Pyridines ; Crizotinib (53AH36668S) ; ALK protein, human (EC 2.7.10.1) ; Anaplastic Lymphoma Kinase (EC 2.7.10.1) ; ErbB Receptors (EC 2.7.10.1) ; Protein-Tyrosine Kinases (EC 2.7.10.1) ; ROS1 protein, human (EC 2.7.10.1) ; Receptor Protein-Tyrosine Kinases (EC 2.7.10.1)
Language	English
Publishing date	2016-05-02
Publishing country	Ireland
Document type	Journal Article
ZDB-ID	632771-0
ISSN	1872-8332 ; 0169-5002
ISSN (online)	1872-8332
ISSN	0169-5002
DOI	10.1016/j.lungcan.2016.04.022
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Article ; Online: Burkitt lymphoma in Iraqi children: A distinctive form of sporadic disease with high incidence of EBV

Uccini, Stefania / Al-Jadiry, Mazin F / Cippitelli, Claudia / Talerico, Caterina / Scarpino, Stefania / Al-Darraji, Amir F / Al-Badri, Safaa A F / Alsaadawi, Adel R / Al-Hadad, Salma A / Ruco, Luigi

Pediatric blood & cancer

2018 Volume 65, Issue 12, Page(s) e27399

Abstract: Epstein-Barr virus (EBV)-related lymphoproliferative disorders are relatively common in Iraqi children. Burkitt lymphoma (BL) accounted for 40% of lymphoma cases. The mean age of 125 BL cases was 5.9 ± 3.1 years, and the male-to-female ratio was 3.6:1. ... ...

Abstract	Epstein-Barr virus (EBV)-related lymphoproliferative disorders are relatively common in Iraqi children. Burkitt lymphoma (BL) accounted for 40% of lymphoma cases. The mean age of 125 BL cases was 5.9 ± 3.1 years, and the male-to-female ratio was 3.6:1. Clinical presentation was abdominal in 66% and head and neck in 34%. Bone marrow involvement was higher (P < 0.001) in children with head and neck disease. Tumor cells had MYC translocation (96%) and were CD20
MeSH term(s)	Biomarkers, Tumor/analysis ; Burkitt Lymphoma/epidemiology ; Burkitt Lymphoma/pathology ; Burkitt Lymphoma/virology ; Child ; Child, Preschool ; Epstein-Barr Virus Infections/complications ; Epstein-Barr Virus Infections/epidemiology ; Female ; Head and Neck Neoplasms/epidemiology ; Head and Neck Neoplasms/pathology ; Head and Neck Neoplasms/virology ; Humans ; Incidence ; Interferon Regulatory Factors/biosynthesis ; Iraq/epidemiology ; Male
Chemical Substances	Biomarkers, Tumor ; Interferon Regulatory Factors ; interferon regulatory factor-4
Language	English
Publishing date	2018-09-11
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2131448-2
ISSN	1545-5017 ; 1545-5009
ISSN (online)	1545-5017
ISSN	1545-5009
DOI	10.1002/pbc.27399
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