28,005 results match your criteria: "Neoplasms Spinal Cord"

Novel Therapies for Primary Central Nervous System Lymphomas.

Curr Neurol Neurosci Rep

December 2024

Center for Neuro Oncology, Department of Medical Oncology, Dana Farber Cancer Institute, Boston, MA, USA.

Article Synopsis
  • Primary Central Nervous System Lymphoma (PCNSL) is a highly aggressive lymphoma affecting the brain and central nervous system, with poor survival rates (30-40% over five years), particularly for patients with relapsed or refractory cases.
  • *Recent research has identified key oncogenic drivers of PCNSL, including NFkB pathway activation and immune evasion, prompting the development of targeted therapies and immunotherapies.
  • *Emerging treatments, such as BTK inhibitors, immune checkpoint inhibitors, and CAR T-cell therapies, indicate a shift towards a multi-modality approach combining intensive chemotherapy and innovative therapies to improve patient outcomes.*
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Letter to the Editor: Fincher syndrome: Insights into a rare neurosurgical condition.

Neurosurg Rev

October 2024

Center for Global Health Research, Saveetha Medical College and Hospital, Saveetha Institute of Medical and Technical Sciences (SIMATS), Saveetha University, Thandalam, Chennai, 602105, Tamil Nadu, India.

Article Synopsis
  • - Fincher syndrome is a rare neurological condition involving both a spinal cord tumor and spinal subarachnoid hemorrhage occurring at the same time.
  • - The article discusses the causes, how the condition is diagnosed, and potential treatment options for Fincher syndrome.
  • - Gaining knowledge about this syndrome is crucial for medical professionals to ensure quick identification and effective treatment for patients.
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Reirradiation of bone metastasis: A narrative review of the literature.

Cancer Radiother

November 2024

Radiation Department, Institut de cancérologie de Lorraine, 54519 Vandœuvre-Lès-Nancy, France.

Article Synopsis
  • - Patients with bone metastasis often undergo palliative radiotherapy, with about 20% needing reirradiation to manage symptoms or control local progression of cancer lesions.
  • - Around two-thirds of patients experience pain relief from bone reirradiation, but spinal cord damage presents a risk, particularly with cumulative doses over 50 Gy.
  • - Effective reirradiation requires careful planning, a multidisciplinary team approach, assessing alternative treatment options, and ensuring that patients are monitored closely after the procedure.
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Article Synopsis
  • This study investigates the role of alpha-enolase (ENO1) in leukemia stem cells (LSCs) and its impact on the resistance to chemotherapy in acute myeloid leukemia (AML), particularly focusing on how ENO1 influences LSC self-renewal and differentiation.
  • Using single-cell RNA sequencing and bioinformatics, researchers found that ENO1 expression is significantly elevated in relapsed AML patients compared to healthy individuals, and high levels of ENO1 correlate with poor treatment response and outcomes.
  • Functional studies demonstrated that knocking down ENO1 in AML cell lines activated LSC differentiation and apoptosis while inhibiting cell proliferation, suggesting that targeting ENO1 could be a potential therapeutic strategy
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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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Article Synopsis
  • - The study aimed to identify factors predicting long-term outcomes in patients with spinal arachnoiditis (SA) who underwent surgical resection, using the Modified McCormick Scale to assess neurological status before and after surgery.
  • - It included 71 patients with an average follow-up of 57 months, finding that preoperative neurological status was a strong predictor for worsened long-term outcomes, along with factors like tumor type and MRI characteristics.
  • - The research concluded that clinical features, especially the presence or absence of spasticity, significantly influence long-term function in SA patients, with low-grade tumors associated with better survival rates.
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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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Article Synopsis
  • Spine metastases significantly affect cancer care, and a common treatment approach involves surgery followed by stereotactic body radiotherapy (SBRT); the study compares Carbon fiber-reinforced polyetheretherketone (CFR-PEEK) spinal instrumentation with titanium instrumentation in patients undergoing spinal fusion for metastatic disease.
  • A retrospective review of oncology patients from 2012 to 2023 matched 99 CFR-PEEK cases with 50 titanium cases based on tumor type and spinal instability neoplastic score (SINS), analyzing various outcomes including complications and progression-free survival (PFS).
  • Results indicated similar complication rates between CFR-PEEK and titanium groups, but CFR-PEEK patients experienced earlier local recurrence detection; further long-term studies are
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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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White matter microstructure damage measured by automated fiber quantification correlates with pain symptoms in lung cancer patients.

Brain Imaging Behav

December 2024

Department of Radiology, School of Medicine, Chongqing University Cancer Hospital, Chongqing University, No. 181, Hanyu Road, Shapingba District, Chongqing, China.

To investigative the white matter (WM) alterations in lung cancer patients with cancer pain (CP+), and explore the correlations between damaged WM fiber tracts and clinical indicators. Twenty-six CP+, 26 lung cancer patients without CP (CP-), and 31 healthy controls (HC) were recruited. All participants underwent diffusion tensor imaging (DTI) and clinical assessments.

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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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Isolated spinal demyelinating lesions are rare and often associated with multiple sclerosis. While initial radiological findings may suggest a tumor, a definitive diagnosis requires a histological diagnosis. A 45-year-old woman presented with progressive spastic tetraparesis for 1 week.

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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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