Publications by authors named "Yi-Ju A Chen"

Objective: Homologous recombination (HR) comprises series of interrelated pathways that repair double-stranded DNA breaks and inter-strand crosslinks. It provides support for DNA replication to recover stalled or broken replication forks. Compared with homologous recombination proficiency (HRP), cancers with homologous recombination deficiency (HRD) are more likely to undergo cell death when treated with DNA-damaging agents, such as platinum agents, and have better disease control.

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Introduction: There are risks of developing distant metastases over time for both early- and advanced-stage endometrial cancer. Axillary lymph node metastasis as the first site of recurrence, whether isolated or non-isolated, is uncommon, and there are currently no established treatment guidelines for such cases. This study highlights four cases of recurrent endometrial cancer that manifested axillary lymph node metastasis, providing a comprehensive review of their distinctive clinical behavior and the treatment strategies employed.

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Objectives: To assess the degree to which removal of FDA' Pregnancy Categories (PC) of medications (A, B, C, and D) from labeling, affects the likelihood that providers will prescribe those medications.

Methods: Over a one-year period a convenience sample of providers was recruited into a randomized, survey-based, study. Two versions of the survey were randomly distributed; version 1 presented clinical vignettes, drug information, and PC, while version 2, presented the identical information without the PC.

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Article Synopsis
  • The FDA's 2016 ban on transvaginal mesh has increased scrutiny over synthetic mesh slings for treating female stress urinary incontinence (SUI), prompting a growing interest in biological alternatives like autologous fascial slings (AFSs).
  • This article reviews 20 years of data comparing the effectiveness of AFSs and synthetic slings, analyzing multiple factors such as success rates, recurrence, and complications.
  • Results from the review of 1382 articles revealed that both AFSs and synthetic slings have similar success rates and low recurrence, but AFSs require more operative time and hospital stay, while synthetic slings have a higher incidence of bladder perforation.
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Objective: To assess the contemporary incidence of cancers using American Samoa as a learning set for insights into similar populations.

Methods: A retrospective observational analysis of de-identified data held in public-access databases (2004-2014) and data on uterine cancer from a hospital, both in American Samoa (2015-2016).

Results: There were 341 new cases of cancer in 2004-2014 (111 per 100 000 women/year), including breast (20.

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Objectives: Paclitaxel is widely used in the treatment of gynecologic malignancies. It targets tumor cells in the M phase of the cell cycle. Cells in other phases survive the insult and repopulate the tumor.

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