27,967 results match your criteria: "Neoplasms Spinal Cord"

The impact of fractionation on secondary malignancies in postoperative breast cancer irradiation.

Breast

December 2024

Department of Radiation Oncology, TUM School of Medicine and Health, TUM University Hospital, Klinikum rechts der Isar, Munich, Germany. Electronic address:

Article Synopsis
  • Randomized studies suggest that (ultra-)hypofractionation is just as effective as a traditional 5-week radiation schedule for treating postoperative breast cancer, but there's limited data on its long-term impact on secondary cancers.
  • A study involving 20 breast cancer patients examined different radiation schedules and found that (ultra-)hypofractionation significantly reduced the risk of secondary malignancies like lung cancer, contralateral breast cancer, and soft tissue sarcoma.
  • The results indicated that using (ultra-)hypofractionation could lower the risk of developing secondary malignancies more than conventional scheduling, with varying effects based on the radiation technique (3D-CRT vs. VMAT).
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Spinal cord glioma is a group of tumors originated from spinal cord glial cells. They typically have an insidious onset, with early symptoms in patients including sensory disturbances, motor disorder, and sphincter dysfunction. When the course of disease develops to a certain extent, it can lead to paralysis, dyspnea, and even result in death.

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Nanosystems for targeted drug Delivery: Innovations and challenges in overcoming the Blood-Brain barrier for neurodegenerative disease and cancer therapy.

Int J Pharm

December 2024

Department of Biomedical Engineering, Faculty of Engineering and Natural Sciences, Istinye University, Istanbul 34396, Turkiye; Graduate School of Biotechnology and Bioengineering, Yuan Ze University, Taoyuan 320315, Taiwan. Electronic address:

Article Synopsis
  • Advanced nanosystems are changing medicine, especially for diseases like Alzheimer's and cancer, by delivering drugs directly to the right places in the body.* -
  • One big challenge is getting these drugs past the blood-brain barrier, which is like a strong wall protecting the brain.* -
  • While nanosystems can help with drug delivery, there are still issues to solve, like making sure they're safe and effective for everyone.*
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Letter to the editor: 'Decoding pediatric spinal tumors: a single-center retrospective case series on etiology, presentation, therapeutic strategies, and outcomes'.

Neurosurg Rev

October 2024

RNA Biology Lab, Saveetha Institute of Medical and Technical Science (SIMATS), Saveetha Dental College and Hospital, Saveetha University, Chennai, 600077, Tamil Nadu, India.

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This study evaluates dosimetric differences in Stereotactic Body Radiation Therapy (SBRT) for lung tumors using plans of Gamma Knife, and Volumetric Modulated Arc Therapy (VMAT), Intensity-Modulated Radiation Therapy (IMRT) plans based on Linear Accelerator, aiming to inform the reader of appropriate treatment strategy selection. Ten patients with 23 lung tumor lesions treated with SBRT at Zhongshan Hospital of Dalian University were analyzed. Plans of Gamma Knife, and VMAT, IMRT plans based on Linear Accelerator were created for each lesion, totaling 18 plans per type.

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Article Synopsis
  • * The presented case resulted in significant spinal cord compression, leading to multisegment compression myelopathy, which is characterized by damage to multiple areas of the spinal cord.
  • * MPNSTs often go undetected until late due to vague symptoms; diagnosis depends on MRI and histopathology, particularly noting S_100 positivity, with this case highlighting the need for awareness of spindle cell MPNSTs and their poor prognosis.
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Background: In the context of left breast cancer radiotherapy, long term cardiopulmonary toxicity has been well-documented, significant efforts have been undertaken to mitigate such toxicity by using 4D gating, deep inspiration breath-hold(DIBH) and active breath control(ABC) techniques.

Purpose: To evaluate and compare the cardio-pulmonary radiation doses incurred during postmastectomy radiotherapy (PMRT) in two distinct breathing conditions such as DIBH and Free Breathing (FB), with a specific focus on the left chest wall with comprehensive regional nodal irradiation.

Materials And Methods: A prospective dosimetric study was conducted on 15 patients who received adjuvant loco-regional radiotherapy of chest-wall (CW), supraclavicular fossa(SCF), and internal mammary region(IMC), with or without axilla.

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Article Synopsis
  • The study focused on the importance of monitoring transcranial motor-evoked potentials (MEPs) during surgeries for extramedullary tumors in the cervical spine and how it relates to postoperative outcomes.
  • Fourteen patients were treated, with a mix of schwannomas and meningiomas, and the follow-up for neurological assessment lasted six months.
  • Results indicated that a significant drop in intraoperative MEPs often predicted postoperative motor deficits, while improvements in MEPs after tumor removal suggested potential recovery for patients with pre-existing motor issues.
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Intramedullary spinal cord glioblastoma (ISCG) is lethal due to lack of effective treatment. We previously established a rat C6-ISCG model and the antitumor effect of F3.CD-TK, an hNSC line expressing CD and TK, via producing cytocidal 5FU and GCV-TP.

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Article Synopsis
  • sLITT is a minimally invasive treatment for metastatic epidural spinal cord compression, offering benefits over traditional surgery.
  • A study analyzed outcomes for 129 patients who underwent sLITT, finding a one-year freedom from local failure rate of 80% and overall survival rate of 78%.
  • Key factors affecting treatment success included the location of the disease and post-treatment imaging scores, highlighting the importance of early treatment responses as potential prognostic markers.
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Article Synopsis
  • Pediatric spinal low-grade glioma (LGG-S) has no established treatment guidelines, but proton therapy (PT) could reduce toxicity and improve outcomes for these rare tumors.
  • A study examined eight pediatric patients with progressive LGG-S who received PT after initial surgery and showed promising results, including high local control (85%) and freedom from distant metastases (88%) over a 10-year follow-up.
  • Although one patient experienced malignant transformation, overall findings indicate that PT is a viable option for long-term disease control in children with unresectable LGG-S, suggesting it may be worth considering as a first-line treatment.
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Comment on, "Decoding pediatric spinal tumors: a single-center retrospective case series on etiology, presentation, therapeutic strategies, and outcomes".

Neurosurg Rev

September 2024

Lab in Biotechnology and Biosignal Transduction, Department of Orthodontics, Saveetha Dental College and Hospital, Saveetha Institute of Medical and Technical Sciences (SIMATS), Saveetha University, Chennai-77, Tamil Nadu, India.

The article "Decoding pediatric spinal tumors: a single-center retrospective case series on etiology, presentation, therapeutic strategies, and outcomes" by Lenga et al. (2024) provides essential insights into pediatric spinal tumors, a rare and challenging area of medical research. The authors present a thorough analysis of clinical presentations, treatment strategies, and patient outcomes, offering valuable data to refine therapeutic approaches and improve outcomes.

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Brain tumors are associated with impaired cognitive functioning, which may result from disruptions in brain structural connectivity. Estimating structural disconnections is a more advantageous representation of tumor impact and can be performed indirectly through normative brain atlases. Using a publicly available dataset of glioma and meningioma patient MRI scans and tumor masks, latent correlations were estimated between measures of structural disconnection and attention-based cognitive functioning.

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[Spinal metastases and metastatic spinal cord compression: interpretation for National Institute for Health and Care Excellence (NICE) 2023 guideline].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi

September 2024

Department of Orthopedics, the First Affiliated Hospital, Fujian Medical University, Fuzhou Fujian, 350005, P. R. China.

Article Synopsis
  • The spine is a frequent site for metastasis in cancer patients, which can cause issues like pain, fractures, and nerve compression.
  • In 2008, NICE established guidelines for diagnosing and managing metastatic spinal cord compression (MSCC), but recent advancements in medical technology necessitated an update.
  • In 2023, new NICE guidelines were introduced, focusing on pain management, corticosteroid use, bisphosphonates, assessment tools, radiation therapy, and surgical approaches, offering valuable insights for clinical practices in China.
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Article Synopsis
  • A multicenter study by the Neurospinal Society of Japan examined treatment strategies for spinal cord astrocytomas (WHO grade II), aiming to determine the best methods and predictors for improved outcomes.
  • Out of 1033 patients with spinal cord intramedullary tumors, 57 had diffuse astrocytoma; their treatment approaches included surgery alone, or combined with radiation or chemoradiotherapy, with outcomes analyzed based on treatment type and tumor proliferation rates.
  • The findings indicated that surgery (with or without radiation) led to better survival rates compared to chemoradiotherapy, with a significant correlation between tumor resection extent and longer survival; an MIB-1 SI under 4.0%
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Objective: Patients with spinal cord astrocytomas (SCAs) are at high risk for CNS dissemination, yet comprehensive data on characteristics of dissemination are lacking. This study depicts the exact incidence and patterns of dissemination by analyzing data from a large-scale dataset of SCA.

Methods: The authors included 94 patients with SCA based on the 2021 WHO classification from 2011 to 2022, retrospectively collected their clinical and pathological characteristics, and analyzed factors influencing SCA dissemination.

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Racial Disparities in Patients with Metastatic Tumors of the Spine: A Systematic Review.

World Neurosurg

December 2024

Department of Neurological Surgery, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York, USA. Electronic address:

Objective: Disparities in access and delivery of care have been shown to disproportionately affect certain racial groups. Studies have been conducted to assess these disparities within the spinal metastasis population, but the extent of their effects in the setting of other socioeconomic measures remains unclear. The purpose of this study was to perform a systematic review to understand the effect of racial disparities on outcomes in patients with metastatic spine disease.

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Case report on an extremely rare type of ependymoma arising from the thigh.

Int J Surg Case Rep

October 2024

Department of Orthopaedic Surgery, Hiroshima University, Graduate School of Biomedical and Health Sciences, Hiroshima, Japan. Electronic address:

Article Synopsis
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Purpose: This study evaluates deep learning (DL) based dose prediction methods in head and neck cancer (HNC) patients using two types of input contours.

Materials And Methods: Seventy-five HNC patients undergoing two-step volumetric-modulated arc therapy were included. Dose prediction was performed using the AIVOT prototype (AiRato.

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