Publications by authors named "Majewski Wojciech"

Polar ecosystems are considered very fragile, however, due to the short observation record it is hard to assess the recovery processes of the coastal and fjord environments after a major disturbance. Here, we provide a unique case study from South Georgia (sub-Antarctic), an area seriously affected by the whaling industry. The study focuses on King Edward Cove, serving as a sheltered harbor for the former whaling station at Grytviken, as well as other parts of Cumberland Bay considered to represent generally pristine areas.

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  • Surgery is the standard treatment for primary renal cell carcinoma (RCC), but stereotactic body radiotherapy (SBRT) is being explored as an alternative, particularly for patients who cannot or choose not to undergo surgery.
  • A systematic review of 13 studies showed that SBRT resulted in high local control (98% at one year) and overall survival rates (95% at one year), with low rates of serious adverse events (3%).
  • However, the studies had limitations such as short follow-up periods and inconsistent reporting of kidney function, indicating that more research is needed to evaluate its long-term effectiveness.
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Purpose: External beam radiotherapy (EBRT) with or without brachytherapy boost (BTB) has not been compared in prospective studies using guideline-recommended radiation dose and recommended androgen-deprivation therapy (ADT). In this multicenter retrospective analysis, we compared modern-day EBRT with BTB in terms of biochemical control (BC) for intermediate-risk (IR) and high-risk (HR) prostate cancer.

Methods: Patients were treated for primary IR or HR prostate cancer during 1999-2019 at three high-volume centers.

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Purpose: Local recurrences after radical prostatectomy (RP) and postoperative radiotherapy (RT) are challenging for salvage treatment. Retrospective analysis of own experiences with salvage re-irradiation was performed.

Methods: The study included all consecutive patients treated with salvage stereotactic body radiotherapy (sSBRT) for prostate bed recurrence following RP and postoperative RT at a single tertiary center between 2014 and 2021.

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Although prostate cancer treatment is increasingly effective, its toxicities pose a major concern. The aim of our study was to assess the rate of adverse events (AEs) and the prognostic value of dose-volume histogram (DVH) parameters for the occurrence of treatment toxicity in patients treated with post-prostatectomy prostate bed radiotherapy (RT). The AEs were scored according to the CTCAE v.

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Objective: The study is a retrospective comparison of the usefulness of salvage surgery between a group of previously radiotherapy-treated patients (RTPs) and a group of patients who previously underwent partial surgery with both local and ± nodal recurrence.

Study Design: Retrospective study.

Setting: Multi-center academic hospital.

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Article Synopsis
  • This study investigates the survival benefits of combining external beam radiotherapy (EBRT) with brachytherapy boost (BTB) for patients with intermediate- to high-risk prostate cancer, aiming to provide real-world data on survival outcomes.
  • Data was gathered from 1,641 patients treated between 2003 and 2014, analyzing overall survival, freedom from distant metastases, and metastases-free survival using statistical models.
  • Results showed that patients receiving BTB had significantly better overall survival and reduced rates of metastases compared to those treated with EBRT alone, indicating BTB's effectiveness in improving treatment outcomes for prostate cancer.
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The aim of this retrospective study was to assess the adverse effects and outcomes of salvage re-irradiation with stereotactic body radiotherapy (sSBRT) for local recurrence of prostate cancer (PCa) after definitive radiotherapy (RT). The study was focused on the adverse effects and prognostic factors for treatment toxicity, followed by an analysis of patterns of failure and survival. Patients treated with sSBRT between 2012 and 2020 at a tertiary institution were included.

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The prognostic value of inflammatory indices, such as the absolute monocyte count (AMC), has been a subject of interest in recent prostate cancer (PCa) studies, while hemoglobin concentration (HGB) has been recognized as a survival factor in castration-resistant metastatic prostate cancer, but its value remains unclear in localized diseases. The aim of this study was to test the prognostic value of these two simple and inexpensive biomarkers for survival and was based on a cohort of 1016 patients treated with primary radiotherapy and androgen deprivation therapy for localized or locally advanced intermediate- or high-risk PCa. Complete survival data were available for all cases and were based on the National Cancer Registry, with a median observation time of 120 months (Interquartile Range (IQR) 80.

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A cohort of 650 patients treated for localized prostate cancer (PCa) with CyberKnife ultra-hypofractionated radiotherapy between 2011 and 2018 was retrospectively analyzed in terms of survival, patterns of failure, and outcomes of second-line definitive salvage therapies. The analysis was performed using survival analysis including the Kaplan-Meier method and Cox regression analysis. At a median follow-up of 49.

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Based on molecular and morphological data, we describe three new genera and four new species of monothalamids from the sublittoral zone (21-250 m) in South Georgia fjords that belong to different monothalamid clades. Limaxia alba gen. nov.

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  • The study examined how changes in Gleason scores affect prognosis in prostate cancer patients after radiotherapy.
  • Most patients (69%) were upgraded from initial Gleason scores, with significant findings related to Gleason grades impacting biochemical control and disease-free survival rates.
  • Higher Gleason grades (4-5) were linked to lower survival rates, while a cribriform pattern significantly increased the risk of biochemical failure.
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Prostate Imaging-Reporting and Data System (PI-RADS) has been widely implemented as a diagnostic tool for significant prostate cancer (PCa); less is known about its prognostic value, especially in the setting of primary radiotherapy. We aimed to analyze the association between PI-RADS v. 2.

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Purpose/objectives: The debate on whether radiotherapy (RT) is an essential part of primary treatment in patients with grade II ependymoma (G2E) is still ongoing, and this study aimed to evaluate its role.

Materials/methods: A retrospective analysis of all the consecutive patients treated due to G2E in years 1985-2019 was performed. The group consisted of 116 patients with a small predominance of woman (55% vs.

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Purpose: Serum prostate-specific antigen (PSA) kinetics has been linked to prognosis in prostate cancer (PCa) patients. Our goal was to analyze the association between PSA kinetics and metastasis-free survival (MFS) in patients with localized PCa treated with high-dose-rate (HDR) brachytherapy (BT) boost combined with external beam radiotherapy (EBRT).

Material And Methods: We retrospectively analyzed multiple PSA kinetics related to PSA nadir (nPSA), PSA bouncing, and biochemical recurrence (BCR) in 186 PCa patients treated with neoadjuvant androgen deprivation therapy (ADT), followed by EBRT combined with HDR-BT boost.

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Objective: Current research indicates that weakness of glucose metabolism plays an important role in silencing of invasiveness and growth of hypoxic tumors such as GBM. Moreover, there are indications that DXM, frequently used in treatment, may support GBM energy metabolism and provoke its recurrence.

Methods: We carried out in vitro experiments on the commercial T98G cell line and two primary GBM lines (HROG02, HROG17) treated with TMZ and/or DXM in physiological oxygen conditions for GBM (2.

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The Antarctic coastal fauna is characterized by high endemism related to the progressive cooling of Antarctic waters and their isolation by the Antarctic Circumpolar Current. The origin of the Antarctic coastal fauna could involve either colonization from adjoining deep-sea areas or migration through the Drake Passage from sub-Antarctic areas. Here, we tested these hypotheses by comparing the morphology and genetics of benthic foraminifera collected from Antarctica, sub-Antarctic coastal settings in South Georgia, the Falkland Islands and Patagonian fjords.

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Background: The aim of the study was to analyse the prognostic factors in postoperative prostate cancer irradiation and develop a nomogram for disease-free survival (DFS).

Patients And Methods: This retrospective study included 236 consecutive prostate cancer patients who had radical prostatectomy followed by radiotherapy (RT) at a single tertiary institution between 2009 and 2014. The main outcome was DFS analysed through uni- and multivariable analysis, Kaplan-Meier curves, log-rank testing, recursive partitioning analysis, and nomogram development.

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Aim: To evaluate our experience with radical radiotherapy and chemotherapy in patients with muscle-invasive bladder cancer.

Patients And Methods: The study consisted of 27 patients treated with cisplatin-based chemoradiation (CCRT), 48 treated with radiation alone (RT), and 42 with locally advanced disease treated with neoadjuvant chemotherapy and radiation (neoCRT).

Results: The incidence of acute grade 3 or more genitourinary (GU) toxicity in the RT, CCRT and neoCRT groups was: 25%, 11% and 19%, respectively (p=0.

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Article Synopsis
  • The study compared clinical outcomes of prostate cancer patients treated with two types of image guidance for radiotherapy: bone-based (BB) vs. fiducial-based (FB).
  • Results showed similar rates of acute genitourinary and gastrointestinal toxicities between the two groups, with a 5-year overall survival rate of 80% for BB and 91% for FB.
  • There were no significant differences in sexual function, but the intermediate-risk group showed a notable contrast in 5-year overall survival rates (93% for FB vs. 75% for BB).
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Background: The purpose of this study was to compare hematologic adverse effects and hematologic toxicity (HT) of pelvic irradiation in patients treated with conformal radiotherapy (CRT) and intensity modulated radiotherapy (IMRT) for radical treatment of prostate and bladder cancer. Methods: A group of 115 patients with prostate or bladder cancer treated with definitive radical radiotherapy was evaluated retrospectively. Blood test were taken before and after treatment comprising of following indices: white blood cells (WBC) hemoglobin (HGB), red blood cell (RBC), lymphocyte (LC), neutrophil (NC) and platelet (PLT) count.

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Background: The objective of this study was to evaluate the long term treatment results of patients with primary mediastinal seminoma.

Methods: Sixteen patients aged 21-46 diagnosed with primary mediastinal seminoma between 1983 and 2014. Mean size of the tumor was 65 cm.

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  • Malignant melanoma lesions vary by location due to environmental, genetic, sociological, and demographic factors, especially in populations from Central and Eastern Europe, where limited data exists.
  • A study analyzed medical records of 363 patients diagnosed with malignant melanoma in Poland from 2010-2014, revealing that women often have lesions on their lower extremities, while men have them more frequently on their torsos (with significant differences noted).
  • The study found that lesion locations are also age-dependent, with older patients more likely to have lesions on the head and neck, whereas younger patients typically have lesions on the lower extremities, indicating a potential link between demographic factors and melanoma distribution.
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Background: Oxidative stress contributes to both intraocular pressure regulation and glaucomatous neuropathy. The systemic redox status (solitary determination) was examined in primary open-angle glaucoma (POAG) patients with cataract and nonglaucomatous cataract patients. Cataract-matched group comparisons appear more precise in the context of oxidative stress evaluation.

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Introduction: Falls in elderly women producing fractures are a public health problem that could be largely preventable. The aim of this study was to determine the effect of visual impairment on functional status, falls and fractures in women.

Material And Methods: We examined 623 women aged ≥ 55 years in order to assess the association between visual status and functional status and the risk of falls and fractures.

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