Publications by authors named "Jesse Lopes da Silva"

Tumor-associated myeloid-derived cells (MDCs) significantly impact cancer prognosis and treatment responses due to their remarkable plasticity and tumorigenic behaviors. Here, we integrate single-cell RNA-sequencing data from different cancer types, identifying 29 MDC subpopulations within the tumor microenvironment. Our analysis reveals abnormally expanded MDC subpopulations across various tumors and distinguishes cell states that have often been grouped together, such as TREM2+ and FOLR2+ subpopulations.

View Article and Find Full Text PDF

By presenting a comprehensive analysis of low-grade serous carcinomas (LGSCs), a subset of epithelial ovarian cancers, this review delves into their distinct molecular characteristics, clinicopathological features and systemic therapy options, emphasizing their differences from high-grade serous carcinomas (HGSCs). Notably, LGSCs exhibit prevalent RAS/RAF/MEK/MAPK pathway activation, KRAS and BRAF mutations, and infrequent p53 mutations. While chemotherapy is commonly employed, LGSCs display lower responsiveness compared to HGSCs.

View Article and Find Full Text PDF

Background: The place of death profoundly affects end-of-life care quality, particularly in cancer. Assisting individuals at home enhances support, privacy, and control, reducing healthcare costs. This study seeks to elucidate factors associated and trends in place of death by cancer in Brazil.

View Article and Find Full Text PDF
Article Synopsis
  • The study examines breast cancer (BC) rates and outcomes among different racial groups in Brazil from 2010 to 2015, focusing on White and Black women.
  • Findings showed that White women had a higher incidence of BC (101.3 per 100,000) compared to Black women (59.7 per 100,000), but Black women were more likely to have advanced-stage diagnoses and lived in poorer conditions.
  • The research highlights significant increases in BC mortality rates, especially for Black women, emphasizing the need for targeted healthcare policies to improve early detection and treatment access for disadvantaged populations.
View Article and Find Full Text PDF

Purpose: This study aimed to describe the demographic and clinical characteristics of cancer patients with COVID-19, exploring factors associated with adverse outcomes.

Patients And Methods: This retrospective cohort study methodically extracted and curated data from electronic medical records (EMRs) of numerous healthcare institutions on cancer patients diagnosed with a confirmed SARS-CoV-2 infection between May 2020 and August 2021, to identify risk factors linked to extended hospitalization and mortality. The retrieved information encompassed the patients' demographic and clinical characteristics, including the incidence of prolonged hospitalization, acute complications, and COVID-19-related mortality.

View Article and Find Full Text PDF

Background: Uterine Carcinosarcomas (UCS) are a rare type of cancer composed of an admixture of high-grade carcinomatous and sarcomatous elements. Clinicopathological prognostic factors in UCS are well established, but studies that approach the impact of biomarkers in this unusual disease are scarce. The study objective was to evaluate the prevalence and prognostic impact of a panel of prominent biomarkers in uterine carcinosarcoma (UCS) using an immunohistochemical characterization with four biomarkers.

View Article and Find Full Text PDF
Article Synopsis
  • This study compared the clinical behavior, characteristics, and outcomes of patients with early-stage triple-negative breast cancer (TNBC) in HER2-low and HER2-zero subgroups.
  • It analyzed 170 women who underwent neoadjuvant chemotherapy and followed up with curative surgery, focusing on residual cancer burden, event-free survival, and overall survival.
  • Results indicated no significant differences in clinical features or survival outcomes between the HER2 subgroups, suggesting similar behavior for both HER2-low and HER2-zero TNBC patients.
View Article and Find Full Text PDF
Article Synopsis
  • - The study aimed to investigate cervical cancer incidence and mortality trends in Brazil, particularly highlighting the racial disparities affecting different groups, such as black and indigenous women.
  • - Analysis of data from 2010 to 2015 showed that black women had a 44% higher risk of developing cervical cancer compared to white women, while mortality rates from 2000 to 2020 indicated a 27% increased death risk for black women and an alarming 82% for indigenous women.
  • - The researchers emphasized the need for better HPV vaccination and effective Pap smear screening in these vulnerable populations to address the significant health disparities observed.
View Article and Find Full Text PDF
Article Synopsis
  • The study focused on identifying clinical and demographic characteristics of cervical cancer patients and examining factors that contribute to the extended use of opioids after treatment.
  • A total of 214 women diagnosed with cervical cancer between January 2014 and December 2015 were analyzed, with a significant percentage (65.0%) continuing to use opioids beyond six months post-therapy.
  • Key findings indicated that the prescription of strong opioids and disease recurrence were linked to prolonged opioid use, highlighting the need for improved support programs and stricter prescription guidelines.
View Article and Find Full Text PDF

Objective: To examine the prevalence and prognostic role of tumor microenvironment (TME) markers in uterine carcinosarcoma (UCS) through immunohistochemical characterization.

Methods: The internal database of our institution was queried out for women with UCS who underwent surgery and thereafter postoperative chemotherapy with carboplatin and paclitaxel between January 2012 and December 2017. Tissue microarrays containing surgical samples of UCS from 57 women were assessed by immunohistochemistry for CD3, CD4, CD8, FOXP3, PD-1, PD-L1, and PD-L2.

View Article and Find Full Text PDF

Objective: This study aimed to examine the prevalence and prognostic role of tumor microenvironment (TME) in triple-negative breast cancer (TNBC) after neoadjuvant chemotherapy (NACT) through immunohistochemical characterization.

Methods: The internal database of the Brazilian National Cancer Institute for women diagnosed with TNBC who underwent NACT and thereafter curative surgery between January 2010 and December 2014 was queried out. Core biopsy specimens and tissue microarrays containing surgical samples of TNBC from 171 and 134 women, respectively, were assessed by immunohistochemistry for CD3, CD4, CD8, CD14, CD56, CD68, CD117, FOXP3, PD-1, PD-L1, and PD-L2.

View Article and Find Full Text PDF

BACKGROUND Gastrointestinal stromal tumors (GISTs) are rare mesenchymal cancers that affect the gastrointestinal tract and are most often located in the stomach and proximal small intestine. The most common molecular genetic abnormalities underlying GIST carcinogenesis are mutations in the tyrosine kinase gene (KIT) and in the platelet-derived growth factor receptor alpha (PDGFRA) gene. To the best of our knowledge, no cases have been reported so far of synchronous diagnosis of GIST in 2 monozygotic twins presenting with clinical and morphological features of sporadic disease.

View Article and Find Full Text PDF

Objective: This study aimed to investigate the influence of immunohistochemical (IHC) biomarkers in the response to neoadjuvant chemotherapy (NACT) and survival outcomes in the subset of locally advanced triple-negative breast cancer (TNBC).

Materials And Methods: The epidermal growth factor receptor (EGFR), androgen receptor (AR), cytokeratins (CK5/6, CK14 and CK17), Ki67 and p53 immunohistochemistry were evaluated on 171 cases of TNBC submitted to NACT and subsequently to surgery. Intensity and percentage of the expression of these biomarkers were combined to formulate a specific score, that was correlated with prognostic features and assessed for survival outcomes.

View Article and Find Full Text PDF

Objective: To evaluate the association of sociodemographic, clinical, and pathological factors with response and survival in triple negative breast cancer (TNBC) undergoing neoadjuvant chemotherapy (NACT).

Methods: Clinical-pathological and sociodemographic data were obtained from medical records of 235 eligible women with TNBC diagnosed between 2010 and 2014 undergoing NACT and surgery at the Brazilian National Cancer Institute. They have been assessed for pathological complete response (pCR), event-free survival (EFS), and overall survival (OS).

View Article and Find Full Text PDF

Triple-negative breast cancer (TNBC) is defined as a type of breast cancer with lack of expression of estrogen receptor (ER), progesterone receptor (PR) and HER2 protein. The tumorigenesis is not likely to be driven by hormonal or HER2 pathway. In comparison to other types of breast cancer, TNBC stands out for its aggressive behavior, more prone to early recurrence.

View Article and Find Full Text PDF

For many decades, cancer treatment has been strongly directed toward the development of cytotoxic and cytostatic drugs, quite often leading to disappointing results due to the inter- and intra-tumoral heterogeneity. Lately, this intra-cellular look has given way to the understanding of the tumor microenvironment, thus enabling modification of the immunological dynamics between tumor cells and their host. An era of new drugs aiming to unlock the host immune system against tumor cells is steadily increasing.

View Article and Find Full Text PDF

Endometrial cancer (EC) is the most frequent gynecologic malignancy in the world. Metastatic and recurrent disease confers a worse prognosis, and the side effects of the current cytotoxic agents are the main cause of treatment disruption. Recently, the genetic alterations that facilitate the start, development and progression of EC have been elucidated, reclassifying the disease in distinct subtypes with different mechanisms of carcinogenesis.

View Article and Find Full Text PDF

Objective: Ovarian germ cell malignancies are a rare group of chemosensitive malignances that predominantly occur in young women. Bleomycin, etoposide, cisplatin (BEP) regimen was consolidated, by previous studies, as the standard treatment. This Brazilian single institutional study was performed to evaluate our experience in treating patients with ovarian germ cell tumors (OGCTs).

View Article and Find Full Text PDF