Publications by authors named "Jirapat Wonglhow"

: In advanced-stage esophageal squamous cell carcinoma (ESCC), treatment of both the primary tumor and metastatic sites is imperatively required. Consequently, an optimal treatment modality should effectively control both aspects. Therefore, the benefits of concurrent chemoradiotherapy (CCRT) in cases of advanced-stage ESCC should be evaluated.

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  • Orbital metastasis from hepatocellular carcinoma (HCC) is uncommon and often presents without prior liver disease history.
  • A case study of a 65-year-old man revealed blurred vision and proptosis as initial symptoms, leading to the diagnosis of metastatic HCC via biopsy and imaging.
  • Treatment with dual immunotherapy (durvalumab and tremelimumab) combined with palliative radiotherapy showed significant clinical improvement and reduced symptoms, highlighting the need for proactive diagnosis and treatment options for this rare condition.
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Background: The ability of the survival nomogram developed in the EACH study and albumin-bilirubin (ALBI) grade to predict the survival of advanced hepatocellular carcinoma (HCC) patients receiving oxaliplatin plus 5-fluorouracil/leucovorin (FOLFOX4) remains unvalidated. Here, we comprehensively evaluated these prognostic tools.

Methods: The survival nomogram and ALBI grade of each patient were assessed, and the area under the receiver operating curve (AUROC) and Harrell's C-index for the risk classification model were calculated.

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: Although cisplatin plus 5-fluorouracil (5-FU) is the standard first-line treatment for advanced-stage esophageal squamous cell carcinoma (ESCC), carboplatin was substituted for cisplatin in cisplatin-ineligible patients. The efficacy of carboplatin plus 5-FU for advanced-stage ESCC remains unreported. : This retrospective study analyzed first-line treatment-carboplatin plus 5-FU, cisplatin plus 5-FU, or best supportive care (BSC)-in advanced-stage ESCC patients at a tertiary hospital in Thailand (2012-2022).

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Background: No widely used prognostic tool exists to demonstrate the benefit of oxaliplatin plus 5-fluorouracil/leucovorin (FOLFOX4) in patients with advanced hepatocellular carcinoma (HCC). We aimed to establish a prognostic score and demonstrate the real-world efficacy of FOLFOX4 chemotherapy in Thai patients.

Methods: Between August 2017 and December 2021, we identified 58 FOLFOX4-treated patients with HCC.

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Objective: Combination fluoropyrimidine-based chemotherapy is the standard first-line treatment for metastatic colorectal cancer (CRC). We performed a propensity score (PS)-based analysis to report our real-world experience with long-term follow-up of this regimen for metastatic CRC.

Methods: In this retrospective study, 170 patients with newly diagnosed metastatic CRC treated with first-line combination chemotherapy between January 2003 and March 2021 were identified.

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  • Testicular neuroendocrine tumors related to teratomas are uncommon, with limited reported cases, especially those involving visceral metastasis.
  • The presence of somatic malignant transformation (SMT) in teratomas generally indicates a poorer prognosis, and previous treatment recommendations have primarily focused on certain cancer subtypes.
  • This case study highlights a patient with testicular neuroendocrine carcinoma linked to teratoma who had a favorable response to chemotherapy, suggesting potential effectiveness of current regimens in rare instances.
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Background: Capsule endoscopy (CE) is the preferred diagnostic test of choice in the investigation of obscure gastrointestinal bleeding (OGIB). Although, a conservative strategy is recommended in the short-term, for cases with a negative result from CE, the impact of CE on long-term re-bleeding still remains unclear. Hence, the aim of this study was to determine the long-term re-bleeding rate along with predictors after CE in patients with OGIB.

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