Publications by authors named "R Trifanescu"

Purpose: Mortality in pituitary adenomas (PAs) has been extensively compared to general population. However, direct comparisons between PA subtypes are scarce. We aimed to compare mortality in various subtypes of PA (acromegaly, Cushing's disease (CD), macroprolactinomas and non-functioning pituitary macroadenomas (MacroNFPA)), within a single referral center.

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Article Synopsis
  • The study analyzed mortality rates in patients with acromegaly over the past few decades, finding an overall improvement and identifying factors related to mortality before and after the implementation of treatment protocols.
  • A total of 399 patients were reviewed, with 31.07% cured and a significant but low mortality rate (0.017%) during an average follow-up of 13 years, indicating that factors like hormone levels and surgical treatment are crucial to survival.
  • Sex differences were observed, showing higher mortality risks for females (SMR = 1.63) compared to males (SMR = 0.99), with females diagnosed earlier having the highest ratios.
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Leptomeningeal metastases (LM) are a rare but rapidly fatal complication defined by the spread of tumor cells within the leptomeninges and the subarachnoid space, found in approximately 10% of patients with HER2-positive breast cancers. This pilot study evaluated the efficacy of local treatment with intrathecal Trastuzumab (IT) added to systemic treatment. The oncologic outcome of 14 patients with HER2-positive LM is reported.

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The microbiota is the complex community of microorganisms that populate a particular environment in the human body, whereas the microbiome is defined by the entire habitat-microorganisms and their environment. The most abundant and, therefore, the most studied microbiome is that of the gastrointestinal tract. However, the microbiome of the female reproductive tract is an interesting research avenue, and this article explores its role in disease development.

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