Publications by authors named "Meredith J McAdams"

Thymic epithelial tumors are a histologically diverse group of cancers arising from the epithelial compartment of the thymus. These tumors are characterized by a low tumor mutation burden, a lack of actionable genomic changes, and, especially with thymomas, defects in immune tolerance. Surgery is the mainstay of the management of resectable disease, whereas advanced, unresectable tumors are treated with platinum-based chemotherapy.

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Thymic epithelial tumors (TETs) are rare thoracic cancers that are broadly classified as thymomas and thymic carcinomas. Surgery is the cornerstone of management for early-stage disease. There are a limited number of effective treatment options for patients with advanced or recurrent disease.

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Immune checkpoint inhibitors (ICIs) have revolutionized the treatment of advanced cancers. However, activation of the immune system can occasionally cause life-threatening toxicity involving critical organs. Induction of immune-mediated toxicity is a significant concern for patients with thymic epithelial tumors (TETs) due to defects in immune tolerance.

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Article Synopsis
  • Defects in immune self-tolerance in patients with thymic epithelial tumors (TETs) can lead to autoimmune diseases and reactions to vaccines, prompting a study on COVID-19 mRNA vaccine tolerability in this group.
  • A survey was conducted among 54 participants who received the Pfizer and Moderna vaccines, assessing adverse events like injection site pain and autoimmune flares post-vaccination.
  • Results indicate that the vaccines are generally well-tolerated in TET patients, with few experiencing significant disease flares, suggesting that vaccination is advisable for these individuals.
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Background: Chronic Obstructive Pulmonary Disease (COPD) is a progressive illness characterized by airflow obstruction and dyspnea that afflicts over 12 million people and represents a leading cause of death in the United States. Not surprisingly, COPD is often associated with emotional distress and reduced psychosocial adjustment, which can negatively impact physical functioning and impair quality of life. However, the psychosocial consequences of COPD remain largely untreated.

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