Publications by authors named "Muneeb Niazi"

Purpose: Oropharyngeal squamous cell cancers (OPSCCs) are traditionally managed with surgery and, if indicated, adjuvant radiation therapy (RT) with or without chemotherapy. NCCN recommends keeping the time from surgery to the start of RT (TSRT) within 6 weeks to avoid possibly compromising patient outcomes. HPV+ OPSCCs behave more favorably than HPV- OPSCCs.

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  • Gliomatosis cerebri (GC) is a rare and aggressive brain tumor that affects multiple lobes and is associated with a poorer prognosis compared to other gliomas, despite being classified differently under new WHO guidelines.
  • The case study describes a 64-year-old male with GBM and extensive GC who responded well to treatment with tumor-treating fields (TTFields) combined with radiation and chemotherapy, showing significant improvement in his condition shortly after treatment.
  • Though his glioma recurred 11 months after surgery, the aggressive GC remained under control, leading to a progression-free survival of 11 months and an overall survival of 17 months before his passing.
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  • Radiation therapy is crucial for treating glioblastoma (GBM), but it can cause scalp toxicity, affecting patient quality of life.
  • This study compared traditional radiation techniques to a scalp-sparing volumetric modulated arc therapy (SSV) in GBM patients to see if it could minimize scalp radiation exposure while still effectively targeting the tumor.
  • Results showed SSV significantly reduced doses to the scalp without affecting the radiation exposure to the tumor or surrounding critical structures.
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Background: Glioblastoma (GBM) is the most common primary malignant brain tumor in adults. Despite enormous research efforts, GBM remains a deadly disease. The standard-of-care treatment for patients with newly diagnosed with GBM as per the National Cancer Comprehensive Cancer Network (NCCN) is maximal safe surgical resection followed by concurrent chemoradiation and maintenance temozolomide (TMZ) with adjuvant tumor treating fields (TTF).

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Unlabelled: Current standard of care for glioblastoma (GBM) includes concurrent chemoradiation and maintenance temozolomide (TMZ) with Tumor Treating Fields (TTFields). Preclinical studies suggest TTFields and radiation treatment have synergistic effects. We conducted a pilot clinical trial of concurrent chemoradiation with TTFields and report pattern of progression.

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Background And Objective: With a phase 3 clinical trial (EF-32, ClinicalTrials.gov: NCT04471844) currently underway examining the potential benefit of concurrent chemoradiation and tumor treating fields (TTFields) for patients with glioblastoma (GBM), we present the following narrative review to highlight the current evidence that supports this approach. The current management paradigm for GBM includes maximal safe surgical resection followed by concurrent chemoradiation with further temozolomide (TMZ) and TTFields used as maintenance therapy.

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Immune checkpoint inhibitors (ICIs) have led recent advances in the field of cancer immunotherapy improving overall survival in multiple malignancies with abysmal prognoses prior to their introduction. The remarkable efficacy of ICIs is however limited by their potential for systemic and organ specific immune-related adverse events (irAEs), most of which present with mild to moderate symptoms that can resolve spontaneously, with discontinuation of therapy or glucocorticoid therapy. Cardiac irAEs however are potentially fatal.

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Introduction: Standard-of-care treatment for patients with newly diagnosed glioblastoma (GBM) after surgery or biopsy includes concurrent chemoradiation followed by maintenance temozolomide (TMZ) with tumor treating fields (TTFields). Preclinical studies suggest TTFields and radiotherapy work synergistically. We report the results of our trial evaluating the safety of TTFields used concurrently with chemoradiation.

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