Publications by authors named "Jacobs Celine"

Background: Adjuvant treatment of malignant melanoma has improved the outcomes for patients. However, real-world data on efficacy and safety are limited. We investigated outcomes of melanoma patients treated with adjuvant immune checkpoint inhibitors (ICI) in the Ghent University Hospital.

View Article and Find Full Text PDF

Purpose: The aim of this study was to assess whether coaching doctors to enhance ethical decision-making in teams improves (1) goal-oriented care operationalized via written do-not-intubate and do-not attempt cardiopulmonary resuscitation (DNI-DNACPR) orders in adult patients potentially receiving excessive treatment (PET) during their first hospital stay and (2) the quality of the ethical climate.

Methods: We carried out a stepped-wedge cluster randomized controlled trial in the medical intensive care unit (ICU) and 9 referring internal medicine departments of Ghent University Hospital between February 2022 and February 2023. Doctors and nurses in charge of hospitalized patients filled out the ethical decision-making climate questionnaire (ethical decision-making climate questionnaire, EDMCQ) before and after the study, and anonymously identified PET via an electronic alert during the entire study period.

View Article and Find Full Text PDF
Article Synopsis
  • Recent changes in treating desmoid-type fibromatosis (DF) favor "watchful waiting" over surgery, with systemic therapies like sorafenib recommended for progressive cases.
  • A study at Ghent University Hospital reviewed 11 DF patients treated with sorafenib, revealing a median treatment duration of 20.4 months and varying outcomes: 36.4% had partial responses, while 54.5% experienced stable disease.
  • Most patients (81.8%) faced notable toxicity, particularly skin issues, and many required dose adjustments, highlighting that while sorafenib is effective, careful monitoring for side effects is crucial.
View Article and Find Full Text PDF

Introduction: This case report demonstrates the possibility of successful eye and vision-sparing therapy for caruncular melanoma.

Case Presentation: We present an atypical presentation of a caruncular melanoma. After excisional biopsy, residual flat conjunctival melanosis resolved using topical chemotherapy (5-fluorouracil), which was well tolerated.

View Article and Find Full Text PDF
Article Synopsis
  • Nivolumab is now an approved immunotherapy for adjuvant treatment in patients with completely resected stage III or IV melanoma, and the PRESERV MEL study seeks to evaluate its real-world effectiveness and safety in Belgium and Luxembourg.* -
  • The study enrolled 152 patients over a 2-year period and includes both prospective and retrospective data, with key outcomes measured over a follow-up duration of at least 11.4 months.* -
  • Results show that at 12 and 18 months, the relapse-free survival rates were 74.7% and 68.4%, indicating promising initial outcomes for patients treated with nivolumab.*
View Article and Find Full Text PDF

Introduction: The introduction of BRAF/MEK inhibitors has significantly improved overall survival of patients with BRAF V600-mutant advanced or metastatic melanoma. Most patients treated with BRAF/MEK inhibitors will experience adverse events during the course of their treatment. Kidney impairment, however, was rarely reported in the pivotal trials.

View Article and Find Full Text PDF

Purpose: This longitudinal survey study aimed to investigate the self-reported outcome measures of COVID-19 peritraumatic distress, depression, anxiety, stress, quality of life (QOL), and their associated factors in a cohort of cancer patients treated at a tertiary care hospital during the SARS-CoV-2 pandemic.

Methods: Surveys were administered at four time points between 1 April 2020 and 18 September 2020. The surveys included the CPDI, DASS-21, and WHOQOL-BREF questionnaires.

View Article and Find Full Text PDF

Background: Clear cell chondrosarcoma (CCCS) is a rare subtype of chondrosarcoma and comprises between 1.6% and 2.5% of all chondrosarcoma.

View Article and Find Full Text PDF

Soft tissue sarcomas are a group of rare mesenchymal tumors with more than 70 subtypes described. Treatment of these subtypes in an advanced setting is mainly according to a one-size-fits-all strategy indicating a high unmet need of new and more targeted therapeutic options in order to optimize survival. The introduction of advanced molecular techniques in cancer has led to better diagnostics and identification of new therapeutic targets, leading to more personalized treatment and improved prognosis for several cancer types.

View Article and Find Full Text PDF

: To give a brief literature overview of current knowledge regarding FGFR inhibition in bladder cancer.: The deeper molecular understanding of bladder urothelial carcinoma (UC) has reshaped the diagnostic and therapeutic landscape of this malignancy. Rapid technological development, including the frequent use of next-generation sequencing (NGS) in clinical practice, has boosted identification and development of potential biomarkers and targeted therapies.

View Article and Find Full Text PDF

Introduction: Adenoid cystic carcinoma (ACC) of the head and neck is a rare malignancy of the salivary glands that accounts for approximately 10% of salivary gland carcinoma. Despite aggressive local therapy, local recurrence and distant metastases occur frequently. Response rates (RR) to potential curative and palliative chemotherapy are limited, so new strategies are needed.

View Article and Find Full Text PDF