Publications by authors named "Hyun Jo Youn"

Purpose: This study evaluated the effectiveness of different surveillance intensities on morbidity and mortality in women with breast cancer.

Methods: This retrospective study included patients who had undergone breast cancer surgery in the Republic of Korea between 2009 and 2011. The patients were divided into two groups based on the intensity of their postsurgical surveillance: intensive surveillance group (ISG) and less-intensive surveillance group.

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NADPH oxidases (NOXs) are a family of membrane proteins responsible for intracellular reactive oxygen species (ROS) generation by facilitating electron transfer across biological membranes. Despite the established activation of NOXs by protein kinase C (PKC), the precise mechanism through which PKC triggers NOX activation during breast cancer invasion remains unclear. The present study aimed to investigate the role of NOX1 and NOX5 in the invasion of MCF‑7 human breast cancer cells.

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Article Synopsis
  • Current guidelines advise against routine imaging for asymptomatic breast cancer patients, yet advancements in treatments prompt a reevaluation of intensive imaging's role in survival outcomes.
  • A study of 4,130 patients from 11 Korean hospitals found that high-intensity imaging was linked to shorter distant metastasis-free survival, particularly for bone or lung metastases, while overall 5-year breast cancer-specific survival rates were high.
  • Despite earlier metastasis detection from frequent imaging, there was no significant correlation between screening intensity and breast cancer-specific survival, indicating that current treatments may diminish the benefits of intensive surveillance.
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Background: Breast cancer-related lymphedema (BCRL) is a secondary lymphedema that occurs after breast cancer related treatments. BCRL develops from damage or dysfunction of the normally functioning lymphatic system due to surgery, radiation therapy, and rarely due to cancer recurrence. This nationwide, retrospective study was aimed at investigating the incidence and risk factors of BCRL using the database of the Korean National Health Insurance Service (NHIS).

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  • The study evaluates whether patients who are predicted to have a pathologic complete response (pCR) after neoadjuvant systemic therapy (NST) for breast cancer can safely skip surgery, using MRI and vacuum-assisted biopsy (VAB) as diagnostic tools.
  • It involves a multicenter trial across 17 hospitals in South Korea, focusing on patients who meet specific criteria, including having a clip marker in the tumor and favorable MRI results post-NST.
  • The research aims to potentially change clinical practices by demonstrating that omitting surgery could lead to a similar 5-year disease-free survival rate, ultimately enhancing the quality of life for patients who respond exceptionally well to treatment.
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  • - This study examined how following the American Cancer Society's lifestyle guidelines on nutrition and physical activity affects inflammation in breast cancer survivors, focusing on 409 women who had surgery at least a year prior.
  • - Findings revealed that higher adherence to these guidelines correlated with lower levels of a specific inflammatory marker (hs-CRP) and higher levels of adiponectin, particularly related to body mass index (BMI) adherence.
  • - The researchers concluded that these healthy lifestyle habits positively influence inflammation levels in breast cancer survivors, especially through the BMI component, highlighting the need for more studies to explore these relationships over time.
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Fisetin is a flavonoid found in plants and has been reported to be effective in various human diseases. However, the effective mechanisms of ultraviolet-A (UVA)-mediated skin damage are not yet clear. In this study, we investigated the protective mechanisms of fisetin regarding UVA-induced human dermal fibroblasts (HDFs) and human epidermal keratinocytes (HEKs) damages.

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Purpose: Fertility preservation (FP) is an important issue for young survivors of breast cancer. Although international guidelines recommend pre-treatment fertility counseling for women with breast cancer, there is no standardized protocol or referral system for FP in South Korea. There are also barriers to discussing FP that make patient-centered decision making difficult.

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We aimed to examine the association between dietary isoflavone intake and the risk of breast cancer recurrence and summarize evidence on the role of dietary isoflavone intake in breast cancer prognosis. This prospective study included 592 breast cancer survivors who completed a dietary assessment. Hazard ratios (HRs) and 95% confidence intervals (CIs) were estimated using Cox proportional hazards models.

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(1) Background: Breast core needle biopsy (CNB) is preferred over fine needle aspiration (FNA) as it has higher sensitivity and specificity and enables immunohistochemical evaluation. However, breast FNA remains widely used because of its low cost, minimally invasive nature, and quick results. Studies analyzing the effects of each test on the prognoses of patients with breast cancer are scarce and controversial, and the criteria for test selection remain unknown.

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Lymph node (LN) metastasis is known to impact the prognosis of patients with well-differentiated thyroid cancer. Herein, we aimed to determine the effect of NX stage on the prognosis of patients with papillary thyroid cancer who underwent thyroid lobectomy. We initially selected 1257 patients who underwent thyroid cancer surgery from 2012 to 2015.

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Purpose: We provide evidence for the reclassification of the :c.5017_5019del variant by presenting the clinicopathological characteristics, clinical outcomes, and family history of breast or ovarian cancer in 17 patients with this variant.

Methods: This study included breast or ovarian cancer patients tested for genes between January 2008 and June 2020 at 10 medical centers in Korea.

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Purpose: This study aimed to evaluate the incidence and prognosis of second non-breast primary cancer (SNBPC) among Korean survivors of breast cancer.

Materials And Methods: Data from the Korean National Health Insurance Service were searched to identify women who received curative surgery for initial breast cancer (IBC) between 2003 and 2008 (n=64,340). Among them, patients with the following characteristics were excluded: other cancer diagnosis before IBC (n=10,866), radiotherapy before IBC (n=349), absence of data on sex or age (n=371), or male (n=248).

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Background: Women from Asian and western countries have vastly different ages of onset of breast cancer, with the disease tending to occur at an older age in the West. Through an investigation of the patterns of old-onset breast cancer (OBC) in Korean women, we aimed to identify the characteristics of Korean OBC and evaluate whether these patterns are changing in relation to increasing westernization.

Methods: This study retrospectively evaluated 102,379 patients who underwent surgical treatment of primary breast cancer between January 1, 2000 and December 31, 2013 in Korea.

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In recent years, postponing childbearing has increased the prevalence of pregnancy-associated breast cancer (PABC). PABC has a poorer prognosis than breast cancer not associated with pregnancy (non-PABC) due to delayed diagnosis and aggressive subtype. Additionally, pregnancy itself predicts a poor prognosis; but, this is a subject of debate.

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Peroxisome proliferator-activated receptor-γ (PPAR-γ) acts as a key factor in breast cancer metastasis. Notably, PPAR-γ can inhibit metalloproteinase (MMP), which is involved in cancer metastasis. Our previous study revealed that PPAR-γ was related to breast cancer metastasis.

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Purpose: Although breast cancer is known to show a left predominance, the clinical characteristics and causes underlying this finding remain unclear. In addition, no related studies on breast cancer laterality have been conducted in patients with breast cancer in Korea. Therefore, we aimed to analyze differences in breast cancer laterality and the associated clinicopathological characteristics and prognosis among Korean patients with breast cancer.

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  • The study investigates how lipid metabolism affects obesity in breast cancer (BC) survivors, particularly if changes in lipid profiles can influence body weight.
  • Researchers analyzed data from 348 BC survivors in Korea, using advanced techniques to measure plasma lipid biomarkers and defining obesity based on BMI.
  • Results indicate a connection where higher triglyceride levels are linked to increased BMI, while higher levels of HDL-cholesterol are associated with lower BMI, particularly among premenopausal survivors, highlighting the need for further longitudinal research to solidify these findings.
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The term 'pregnancy-associated breast cancer' is no longer used as it has been consistently reported that breast cancer during pregnancy and breast cancer after delivery (postpartum breast cancer) have different characteristics and prognosis. The purpose of this study is to define postpartum breast cancer by analyzing the incidence rate, related factors, and prognosis according to the timing of breast cancer. Data from the Korean National Health Insurance Service were used to analyze 1,292,727 women aged 20-49 years who birthed their first child between 2007 and 2012.

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Sirtuin 6 (SIRT6) regulation is involved in carcinogenesis. However, its role in breast cancer (BC) metastasis remains unclear. We investigated the effects of SIRT6 on protein kinase C activator- and cytokine-mediated cancer cell invasion and migration in MCF-7 and MDA-MB-231 cells and the association between SIRT6 and matrix metalloproteinase-9 (MMP-9) expression.

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  • Microinvasive breast cancer (MIBC) is a rare form of cancer with tumors smaller than 1 mm, and this study aimed to evaluate its connection to lymph node metastasis (LNM) and the need for axillary staging.
  • Among 2,427 MIBC patients studied from the Korean Breast Cancer Society registry, only 4.0% had LNM, with certain factors like age, hormone receptor status, and lymphovascular invasion significantly influencing LNM occurrence.
  • The findings suggest that less aggressive axillary surgical interventions may be appropriate for MIBC patients, recommending that treatment decisions be personalized based on individual risk factors to enhance survivors' quality of life.
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Aim: This study examined the associations of body mass index (BMI) and weight change with inflammatory markers among breast cancer survivors in Korea.

Methods: A total of 495 women were included who had been diagnosed with primary breast cancer and survived for at least 6 months since the surgery. Information on the body weight and height of the participants was collected both at the study enrollment and diagnosis.

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  • Scientists looked at two types of breast cancer, invasive lobular carcinoma (ILC) and invasive ductal carcinoma (IDC), to see how they compare in terms of patient health and survival.
  • They found that ILC patients tend to have more advanced cases and more positive hormone receptors, while IDC patients usually have more severe disease features, but survival rates for both types were similar overall.
  • It was noted that the hormone receptor status, especially ER negative and PR negative, could affect survival outcomes, suggesting that doctors should pay extra attention to these factors when treating patients.
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This study evaluated the incidence, the survival outcomes and its prognostic factors for male breast cancer (MBC) in Korea. Using the National Health Insurance Service database of Korea, we identified MBC patients who had the new claim code of C50. Medical records including type of surgeries and radiotherapy within one year of the first claim and death records were reviewed.

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