Publications by authors named "M Z Tokar"

Introduction: This study aimed to evaluate the long-term outcomes of stage I breast cancer (BC) patients diagnosed during the current era of screening mammography, immunohistochemistry receptor testing, and systemic adjuvant therapy.

Methods: A retrospective cohort study was conducted on 328 stage I BC patients treated consecutively in a single referral center with a follow-up period of at least 12 years. The primary endpoints were invasive disease-free survival (IDFS) and overall survival (OS).

View Article and Find Full Text PDF

Data on using the 21-gene Recurrence Score (RS) testing on second breast cancer (BC; second primary or local recurrence) are lacking. This cohort study examined patients with first and second BC, who underwent 21-gene testing both times. It included a 'study-cohort' (60 N0/N1mi/N1 ER + HER2‒ BC patients with ≥2 RS results >1 year apart) and a 'general 21-gene-tested BC-cohort' (2044 previously described N0/N1mi/N1 patients).

View Article and Find Full Text PDF
Article Synopsis
  • A real-world study assessed the benefit of adjuvant chemotherapy (CT) in early-stage breast cancer patients with a Recurrence Score (RS) of 26-30, using data from 534 patients.
  • The study found that, despite imbalances in risk factors between CT-treated and untreated groups, overall survival (OS) and distant recurrence-free survival (DRFS) were similar for N0 patients regardless of treatment.
  • In N1mi/N1 patients, while OS and DRFS were comparable between treatment groups, a notable difference in breast cancer-specific mortality (BCSM) was observed, indicating a potential benefit of CT for those patients.
View Article and Find Full Text PDF

This case report describes the occurrence of hyperbilirubinemia as a complication of metastatic melanoma. A 72-year-old male patient was diagnosed with BRAF V600E-mutated melanoma with metastases in the liver, lymph nodes, lungs, pancreas, and stomach. Due to a lack of clinical data and specific guidelines for the treatment of mutated metastatic melanoma patients with hyperbilirubinemia, a conference of specialists debated between initiating treatment or providing supportive care.

View Article and Find Full Text PDF

Grain refiner particles, which are intended to induce the formation of fine equiaxed grain structure during the solidification of aluminum alloys, are prone to settling during the holding of the liquid metal, which phenomenon can affect not only the grain size but the spatial distribution of the double oxide films in the melt. In this study, the settling of AlTi inoculant particles, as well as its effects on melt quality and grain refinement, were studied. During the experiments, the Ti-concentration of a liquid Al-Si-Mg-Cu alloy was increased to 0.

View Article and Find Full Text PDF