63 results match your criteria: "University Hospital Marburg UKGM[Affiliation]"

Axillary Surgery in Breast Cancer - Primary Results of the INSEMA Trial.

N Engl J Med

December 2024

From the Department of Obstetrics and Gynecology, University of Rostock, Rostock, Germany (T.R., A.S., B.G.); University Hospital Ulm, Ulm, Germany (K.V., I.B.); Hospital Esslingen, Esslingen, Germany (T.K.); University Hospital Heidelberg, Heidelberg, Germany (J. Heil, M.G.); the Breast Unit, Sankt Elisabeth Hospital, Heidelberg, Germany (J. Heil, M.G.); Evang. Waldkrankenhaus Spandau, Berlin (S.P.); the Faculty of Medicine Mannheim, Department of Obstetrics and Gynecology, University of Heidelberg, Mannheim, Germany (F.M.); the Department of Obstetrics and Gynecology, Hanau City Hospital, Hanau, Germany (T.M.); the Department of Radiation Oncology, University Hospital Rostock, Rostock, Germany (G.H.); the Department of Radiotherapy and Radiation Oncology, University Hospital Hamburg-Eppendorf (UKE), Hamburg, Germany (D.K.); the Department of Radiation Oncology, University Medical Center Schleswig-Holstein, Kiel, Germany (D.K.); Medical School and University Medical Center OWL, Department of Gynecology and Obstetrics, Bielefeld University, Klinikum Lippe, Detmold, Germany (B.A.); Salzburg Regional Hospital, Salzburg, Austria (R.R.); Johanniter-Hospital Genthin-Stendal, Genthin, Germany (S.R.); the Institute of Pathology, Philipps-University Marburg and University Hospital Marburg (UKGM), Marburg, Germany (C.D.); Breast Center St. Gallen, Kantonsspital, St. Gallen, Switzerland (I.B.); SRH Wald-Klinikum Gera, Gera, Germany (D.-M.Z.); the Department of Gynecology and Gynecologic Oncology, Agaplesion Markus Hospital, Frankfurt am Main, Germany (M.T.); the German Breast Group, Neu-Isenburg, Germany (J. Holtschmidt, V.N., S.L.); and the Tumor and Breast Center Eastern Switzerland, St. Gallen, Switzerland (M.K.).

Background: Whether surgical axillary staging as part of breast-conserving therapy can be omitted without compromising survival has remained unclear.

Methods: In this prospective, randomized, noninferiority trial, we investigated the omission of axillary surgery as compared with sentinel-lymph-node biopsy in patients with clinically node-negative invasive breast cancer staged as T1 or T2 (tumor size, ≤5 cm) who were scheduled to undergo breast-conserving surgery. We report here the per-protocol analysis of invasive disease-free survival (the primary efficacy outcome).

View Article and Find Full Text PDF

Background: Patients with pathologic complete response (pCR) to neoadjuvant chemotherapy for invasive breast cancer (BC) have better outcomes, potentially warranting less extensive surgical and systemic treatments. Early prediction of treatment response could aid in adapting therapies.

Methods: On-treatment biopsies from 297 patients with invasive BC in three randomized, prospective neoadjuvant trials were assessed (GeparQuattro, GeparQuinto, GeparSixto).

View Article and Find Full Text PDF

The impact of the COVID-19 pandemic on administrative eating disorder prevalence in the outpatient sector and on severity of anorexia nervosa.

Eur Child Adolesc Psychiatry

July 2024

Division of Psychological and Social Medicine and Developmental Neurosciences, Faculty of Medicine, Technische Universität Dresden, 01307, Fetscherstraße 74, Dresden, Germany.

Article Synopsis
  • The COVID-19 pandemic significantly affected the mental health of children and adolescents, particularly leading to an increase in eating disorders, especially among girls aged 10 to 16 years.
  • Analysis of health insurance data revealed a rise in administrative prevalence of eating disorders in outpatient settings, while externalizing disorders saw a decrease.
  • Despite the rise in outpatient cases, the severity of anorexia nervosa in inpatients did not show pandemic-related changes, suggesting a possible shift in healthcare focus towards outpatient services during the pandemic.
View Article and Find Full Text PDF

Recent studies reveal a critical role of tumor cell-released extracellular vesicles (EVs) in pancreatic cancer (PC) progression. However, driver genes that direct EV function, the EV-recipient cells, and their cellular response to EV uptake remain to be identified. Therefore, we studied the role of Bcl-2-associated-anthanogene 6 (BAG6), a regulator of EV biogenesis for cancer progression.

View Article and Find Full Text PDF

Background: The GENEVIEVE study, comparing neoadjuvant cabazitaxel versus paclitaxel in triple-negative breast cancer (TNBC) and luminal B/human epidermal growth factor receptor 2 (HER2)-negative breast cancer (BC), previously reported significant differences in pathological complete response (pCR) rates. Effects on long-term outcome are unknown.

Patients And Methods: GENEVIEVE randomized patients with cT2-3, any cN or cT1, cN+/pN+, centrally confirmed TNBC or luminal B/HER2-negative BC (latter defined as estrogen/progesterone receptor-positive and >14% Ki-67-stained cells) to receive either cabazitaxel 25 mg/m q3w for four cycles or paclitaxel 80 mg/m weekly for 12 weeks.

View Article and Find Full Text PDF

Plasmapheresis as therapeutic option in a 16-year-old with EVALI: A case report.

Eur J Anaesthesiol

July 2024

From the Department of Anesthesiology and Intensive Care Medicine, University Hospital Giessen and Marburg, Campus Marburg, Philipps-University Marburg, Germany (CG, CA, HW), Neonatology and Pediatric Intensive Care Medicine, Department of Pediatrics, Philipps-University, Marburg, Germany (NM), Paediatric Pulmonology, Department of Pediatrics, Philipps-University, Marburg, Germany (MB), Clinic for Paediatric Pneumology, Allergology and Neonatology, Hannover Medical School, German Centre for Lung Research, Hannover, Germany (NS), Institute of Pathology, Philipps-University Marburg and University Hospital Marburg (UKGM), Universitaetsklinikum Marburg, Marburg, Germany (CW), Institute of Pathology, Agaplesion Diakonieklinikum Rotenburg Wümme gGmbH, Germany (IB).

Since 2019 when a cluster of cases with acute respiratory distress syndrome (ARDS) associated with e-cigarettes in the United States was reported, there have been increasing numbers of reports. Electronic-cigarette or Vaping Use-associated Lung Injury (EVALI) represents a recent entity of respiratory clinical syndromes, primarily in young adults. We report a previously healthy 16-year-old boy who developed severe ARDS following a brief nonspecific prodromal phase after excessive consumption of e-cigarettes.

View Article and Find Full Text PDF

Facts and trends in dental antibiotic and analgesic prescriptions in Germany, 2012-2021.

Clin Oral Investig

January 2024

Gesundheitszentrum Fulda | Praxis für MKG-Chirurgie/Plast. OP, Fulda, Germany.

Objectives: The study aims to overview German dentists' development of antibiotic and analgesic prescriptions from 2012 to 2021.

Materials And Methods: A longitudinal database analysis was performed based on the annual reports of the "Research Institute for Local Health Care Systems" (WIdO, Berlin).

Results: From 2012 until 2021, dental antibiotic prescriptions fell by 17.

View Article and Find Full Text PDF

Potential systemic effects of acquired CFTR dysfunction in COPD.

Respir Med

January 2024

Novartis Pharmaceuticals Corporation, East Hanover, New Jersey, USA.

Article Synopsis
  • * Cystic Fibrosis (CF) results from mutations in the CFTR gene and shares several respiratory issues with COPD, like airway obstruction and chronic inflammation, leading to similar systemic health problems.
  • * The article reviews how smoking and other factors can cause acquired CFTR dysfunction in COPD patients, which may contribute to additional health complications, but this dysfunction is typically less severe than that seen in cystic fibrosis.
View Article and Find Full Text PDF
Article Synopsis
  • The KEYNOTE-522 study found that adding pembrolizumab to neoadjuvant chemotherapy improved pathologic complete response (pCR) and event-free survival (EFS) in early triple-negative breast cancer cases compared to chemotherapy alone.
  • This analysis focused on patients from East/Southeast Asia diagnosed with early-stage, nonmetastatic triple-negative breast cancer, and involved a randomized, double-blind trial design with 1174 participants.
  • Patients received either pembrolizumab or a placebo alongside chemotherapy before surgery, with the study's main outcomes being the rates of pCR and EFS after treatment.
View Article and Find Full Text PDF

Purpose: The GeparX study investigated whether denosumab as add-on treatment to nab-paclitaxel-based neoadjuvant chemotherapy (NACT) with two different schedules (125 mg/m² weekly vs. day 1, 8 every 22 days) may increase pathologic complete response (pCR) rate. The addition of denosumab to NACT did not improve pCR rates as recently published.

View Article and Find Full Text PDF

Background: Approximately 35% of pituitary adenoma (PA) display an aggressive profile, resulting in low surgical total resection rates, high recurrence rates, and worse prognosis. However, the molecular mechanism of PA invasion remains poorly understood. Although "a disintegrin and metalloproteinases" (ADAMs) are associated with the progression of many tumors, there are no reports on ADAM22 in PA.

View Article and Find Full Text PDF

Corrigendum: The rationale for the treatment of long-COVID esymptoms-a cardiologist's view.

Front Cardiovasc Med

July 2023

Department of Cardiology, Angiology and Critical Care Medicine, University Hospital Marburg (UKGM), Philipps University Marburg, Marburg, Germany.

[This corrects the article DOI: 10.3389/fcvm.2022.

View Article and Find Full Text PDF
Article Synopsis
  • The study investigates the roles of EVI1 and PARP1 in high-grade serous ovarian cancer (HGSOC) to understand their impact on patient prognosis.
  • High expression levels of EVI1 are linked to better progression-free survival and overall survival in HGSOC patients, especially when combined with PARP1 expression.
  • The findings suggest that EVI1 and PARP1 could serve as reliable prognostic biomarkers, prompting further research into their interactions and implications for treatment.
View Article and Find Full Text PDF
Article Synopsis
  • The STEEP 2.0 criteria, updated in 2021, established standardized definitions for adjuvant breast cancer end points and emphasized the importance of defining neoadjuvant clinical trial end points separately.
  • A specialized working group, NeoSTEEP, focused on neoadjuvant systemic therapy end points, considering various factors like cancer subtypes, imaging, and FDA regulations.
  • The group recommended defining pathologic complete response (pCR) as no residual invasive cancer present and suggested additional methodologies for evaluating treatment efficacy, including unique end points for hormone receptor-positive cases.
View Article and Find Full Text PDF

An integrated cellular and molecular model of gastric neuroendocrine cancer evolution highlights therapeutic targets.

Cancer Cell

July 2023

Institute of Molecular Oncology and Functional Genomics, School of Medicine, Technische Universität München, 81675 Munich, Germany; Center for Translational Cancer Research (TranslaTUM), School of Medicine, Technische Universität München, 81675 Munich, Germany; German Cancer Consortium (DKTK), Heidelberg 69120, Germany; Department of Medicine II, Klinikum rechts der Isar, School of Medicine, Technische Universität München, 81675 Munich, Germany. Electronic address:

Gastric neuroendocrine carcinomas (G-NEC) are aggressive malignancies with poorly understood biology and a lack of disease models. Here, we use genome sequencing to characterize the genomic landscapes of human G-NEC and its histologic variants. We identify global and subtype-specific alterations and expose hitherto unappreciated gains of MYC family members in a large part of cases.

View Article and Find Full Text PDF

ESMO expert consensus statements (ECS) on the definition, diagnosis, and management of HER2-low breast cancer.

Ann Oncol

August 2023

Department of Oncology and Hemato-Oncology, University of Milan, Milan; European Institute of Oncology, IRCCS, Milan, Italy. Electronic address:

Article Synopsis
  • HER2-low breast cancer has gained attention as a treatable category due to successful clinical trials with anti-HER2 therapies, prompting the need for better treatment strategies.
  • A multidisciplinary panel of 32 experts from nine countries participated in a virtual consensus-building process by ESMO, focusing on areas lacking detailed guidelines related to HER2-low breast cancer.
  • The experts aimed to address the biology, diagnosis, clinical management, and trial design for HER2-low breast cancer, resulting in a set of consensus statements based on literature reviews and expert discussions.
View Article and Find Full Text PDF

Long-term survival of breast cancer patients with brain metastases: subanalysis of the BMBC registry.

ESMO Open

June 2023

Department of Gynecology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany; Department of Gynecology, University Hospital Zurich, Zürich, Switzerland. Electronic address:

Article Synopsis
  • Up to 30% of metastatic breast cancer patients develop brain metastases, which leads to poor prognosis and rarely long-term survival; thus, identifying factors that promote survival is crucial.
  • An analysis of 2889 patients showed that long-term survivors (887 patients) were generally younger, had more HER2-positive tumors, and better overall health status at diagnosis.
  • The median overall survival for long-term survivors was approximately 31 months, significantly higher than the cut-off of 15 months, indicating certain cancer characteristics and patient conditions improve survival outcomes.
View Article and Find Full Text PDF

Identification of Dysregulated microRNAs in Glioblastoma Stem-like Cells.

Brain Sci

February 2023

Department of Neurosurgery, Philipps-University Marburg, University Hospital Marburg (UKGM), Baldingerstrasse, 35043 Marburg, Germany.

Glioblastoma multiforme (GBM) is the most common malignant primary brain tumor in adults. Despite multimodal therapy, median survival is poor at 12-15 months. At the molecular level, radio-/chemoresistance and resulting tumor progression are attributed to a small fraction of tumor cells, termed glioblastoma stem-like cells (GSCs).

View Article and Find Full Text PDF

Immunohistochemical evaluation of estrogen receptor, progesterone receptor, and human epidermal growth factor receptor-2 status stratify the different subtypes of breast cancer and define the treatment course. Triple-negative breast cancer (TNBC), which does not register receptor overexpression, is often associated with worse patient prognosis. Mass spectrometry imaging transcribes the molecular content of tissue specimens without requiring additional tags or preliminary analysis of the samples, being therefore an excellent methodology for an unbiased determination of tissue constituents, in particular tumor markers.

View Article and Find Full Text PDF

Purpose: In KATHERINE, adjuvant T-DM1 reduced risk of disease recurrence or death by 50% compared with trastuzumab in patients with residual invasive breast cancer after neoadjuvant therapy (NAT) comprised of HER2-targeted therapy and chemotherapy. This analysis aimed to identify biomarkers of response and differences in biomarker expression before and after NAT.

Experimental Design: Exploratory analyses investigated the relationship between invasive disease-free survival (IDFS) and HER2 protein expression/gene amplification, PIK3CA hotspot mutations, and gene expression of HER2, PD-L1, CD8, predefined immune signatures, and Prediction Analysis of Microarray 50 intrinsic molecular subtypes, classified by Absolute Intrinsic Molecular Subtyping.

View Article and Find Full Text PDF

Comparison of intraocular lens power calculation formulas with and without total keratometry and ray tracing in patients with previous myopic SMILE.

J Cataract Refract Surg

May 2023

From the Department of Ophthalmology, University Hospital Marburg (UKGM), Philipps University of Marburg, Marburg, Germany (Elotmani, Messerschmidt-Roth, Nehme, Sekundo); Institute of Medical Bioinformatics and Biostatistics, Philipps University of Marburg, Marburg, Germany (Müller).

Purpose: To evaluate the prediction error (PE) variance and absolute median PE of different intraocular lens (IOL) calculation formulas including last-generation formulas such as Barrett True-K with K, Okulix and total keratometry (TK)-based calculations with Haigis, and Barrett True-K in a simulation model in post-small-incision lenticule extraction (SMILE) eyes.

Settings: Department of Ophthalmology, University Hospital Marburg, Marburg, Germany.

Design: Prospective study.

View Article and Find Full Text PDF
Article Synopsis
  • The overexpression of HER2 in breast cancer highlights the importance of molecular targeted therapy, with traditional treatments being effective only in HER2 high-expressing tumors.
  • Recent clinical trials show that the antibody-drug conjugate trastuzumab-deruxtecan can also treat tumors with low HER2 expression, prompting a need to reevaluate diagnostic criteria.
  • This shift necessitates rapid updates in diagnostic practices and raises new challenges for standardization in the assessment of tumors with low HER2 expression levels.
View Article and Find Full Text PDF

One year of COVID-19 pandemic: Health care workers' infection rates and economical burden in medical facilities for oral and maxillofacial surgery.

J Craniomaxillofac Surg

November 2022

Department of Internal Medicine III - Gastroenterology and Infectious Diseases, University Hospital Augsburg, Stenglinstraße 2, 86156, Augsburg, Germany.

The aim of this study was to create an overview on the COVID-associated burdens faced by the oral and maxillofacial surgery (OMS) workforce during 1 year of the pandemic. OMS hospitals and private practices nationwide were surveyed regarding health care worker (HCW) screening, infection status, pre-interventional testing, personal protective equipment (PPE), and economic impact. Participants were recruited via the German Society for Oral and Maxillofacial Surgery.

View Article and Find Full Text PDF

The rationale for the treatment of long-Covid symptoms - A cardiologist's view.

Front Cardiovasc Med

September 2022

Department of Cardiology, Angiology and Critical Care Medicine, University Hospital Marburg (UKGM), Philipps University Marburg, Marburg, Germany.

The ongoing coronavirus disease 2019 pandemic left us with thousands of patients suffering from neurological, cardiovascular, and psychiatric disorders named post-acute sequelae of COVID-19 or just . In parallel, the vaccination campaigns against SARS-CoV-2 spike protein saved millions of lives worldwide but long-Covid symptoms also appeared rarely following vaccination with a strong overlap to the "canonical" long-Covid symptoms. A therapeutic strategy targeting both, post-VAC and post-SARS-CoV-2 long-Covid symptoms is warranted since exposure to the S-protein either by vaccination or SARS-CoV-2 infection may trigger identical immuno-inflammatory cascades resulting in long-Covid symptoms.

View Article and Find Full Text PDF