Diagnosis and therapy of gestational breast cancer: a review.

Abstract:

PURPOSE:In spite of the general consensus on the issue, to point to major dilemmas which appear in this matter of multidisciplinary interest, and to review current concepts on how to achieve optimal diagnostic and therapeutic outcome. RESULTS:Recent literature data show that the rate of gestational breast cancer, according to most protocols, range from 0.2% to 3.8%. By definition, the clinical manifestation of this type of carcinoma is expected to occur during pregnancy or within one year after delivery. The mode of treatment and prognosis is identical to those of women with breast carcinoma beyond pregnancy, except for radiotherapy that is not indicated during pregnancy and selective use of cytostatics in polychemotherapy during the first trimester. The only exceptions to this practice are women with any advanced stage of the disease due to delayed diagnosis. Results of large studies indicate that the therapy for breast cancer has no adversarial effect on the prognosis of subsequent pregnancy. CONCLUSION:The evaluation and management of women with gestational breast cancer requires a multidisciplinary approach. A chemotherapeutic regimen should be individualised to a maximum reduction of risk, if applied in the second and third trimester. Surgical therapy may include mastectomy and sparing operative procedures. Sentinel node biopsy should be considered in node negative patients. Radiotherapy should be postponed to the postpartum period.

journal_name

Adv Med Sci

authors

Fajdić J,Gotovac N,Hrgović Z,Fassbender WJ

doi

10.2478/v10039-008-0037-5

subject

Has Abstract

pub_date

2008-01-01 00:00:00

pages

167-71

issue

2

eissn

1896-1126

issn

1898-4002

pii

397Q25X112081W42

journal_volume

53

pub_type

杂志文章,评审
  • Analysis of the tumor necrosis factor superfamily member 11 gene polymorphism with bone mineral density and bone fracture frequency in patients with postmenopausal osteoporosis.

    abstract:PURPOSE:We aimed to examine the polymorphism of the promoter and exon 5 of the TNFSF11 gene and their impact on bone mineral density (BMD) and the frequency of bone fractures. TNFSF11 encodes the receptor activator of the NF-kB ligand (RANKL), a key regulator of bone metabolism and osteoporosis drug targets. BMD is an ...

    journal_title:Advances in medical sciences

    pub_type: 杂志文章

    doi:10.1016/j.advms.2020.05.001

    authors: Wawrzyniak A,Skrzypczak-Zielinska M,Krela-Kazmierczak I,Michalak M,Marszalek D,Marcinkowska M,Zakerska-Banaszak O,Slomski R

    更新日期:2020-09-01 00:00:00

  • Vitamin D deficiency in children with recurrent respiratory infections, with or without immunoglobulin deficiency.

    abstract:PURPOSE:The objective of this study was to evaluate thevitamin D concentration in patients with recurrent respiratory infections with or without immunoglobulin G, A or M (IgG, IgA, IgM) deficiency, and to find a correlation between the vitamin D concentration and the response to hepatitis B vaccination. MATERIALS AND ...

    journal_title:Advances in medical sciences

    pub_type: 杂志文章

    doi:10.1016/j.advms.2017.08.001

    authors: Dąbrowska-Leonik N,Bernatowska E,Pac M,Filipiuk W,Mulawka J,Pietrucha B,Heropolitańska-Pliszka E,Bernat-Sitarz K,Wolska-Kuśnierz B,Mikołuć B

    更新日期:2018-03-01 00:00:00

  • Serum adiponectin level in obstructive sleep apnea: Relation of adiponectin to obesity and long-term continuous positive airway pressure therapy.

    abstract:PURPOSE:The study aimed to determine the effect of OSA and obesity on the plasma levels of adiponectin and the long-term effect of CPAP on its plasma levels and obesity parameters. MATERIAL/METHODS:A prospective observational study included 159 newly diagnosed OSA patients. The cohort was divided into CPAP treated (n=...

    journal_title:Advances in medical sciences

    pub_type: 杂志文章

    doi:10.1016/j.advms.2015.10.004

    authors: Hobzová M,Salzman R,Stejskal D,Zapletalová J,Kolek V

    更新日期:2016-03-01 00:00:00

  • Activity of coagulation and fibrinolytic system components in the vein thrombus.

    abstract:PURPOSE:Behaviour of the vein thrombus is determined by the activity ratio of coagulation factors to factors of fibrinolytic system. The aim of the study is to evaluate activity of some coagulation and fibrinolytic factors in the vein thrombus. MATERIAL AND METHODS:The activity of platelets aggregating factors, tissue...

    journal_title:Advances in medical sciences

    pub_type: 杂志文章

    doi:

    authors: Guzowski A,Gacko M,Worowska A,Kowalewski R,Ostapowicz R,Ploński A

    更新日期:2006-01-01 00:00:00

  • Systemic prostacyclin and thromboxane production in obstructive sleep apnea.

    abstract:PURPOSE:Obstructive sleep apnea increases the risk of cardiovascular diseases. Alternations in prostacyclin and thromboxane concentrations and balance could constitute one of mechanisms linking sleep apnea and cardiovascular events. Thus we aimed to assess the concentrations of 6-keto-prostaglandin F1α (6-keto-PGF1α) (...

    journal_title:Advances in medical sciences

    pub_type: 杂志文章

    doi:10.1016/j.advms.2015.12.001

    authors: Mejza F,Kania A,Nastalek P,Nizankowska-Jedrzejczyk A,Nizankowska-Mogilnicka E

    更新日期:2016-03-01 00:00:00

  • Pelvic confined idiopathic retroperitoneal fibrosis mimicking a large tumor.

    abstract::Idiopathic retroperitoneal fibrosis (IRF) entirely confined to the pelvic cavity is an extremely rare clinical entity. Herein, is described the case of a 36- year old male who presented with clinical and imaging manifestations of a large pelvic tumor. Exploratory laparotomy revealed a large mass in the right pelvis or...

    journal_title:Advances in medical sciences

    pub_type: 杂志文章

    doi:10.2478/v10039-009-0029-0

    authors: Salemis NS,Tsiambas E,Tsohataridis E

    更新日期:2009-01-01 00:00:00

  • Cell adhesion molecules in endometrial cancer - A systematic review.

    abstract::Adhesive molecules are responsible for the cell-cell interaction and the surrounding intercellular environment creating normal tissue architecture. The role of adhesion proteins in cancer refers to angiogenesis, loss of tissue continuity, and deprivation of intercellular contact with the extracellular matrix, promotin...

    journal_title:Advances in medical sciences

    pub_type: 杂志文章,评审

    doi:10.1016/j.advms.2019.08.003

    authors: Lewczuk Ł,Pryczynicz A,Guzińska-Ustymowicz K

    更新日期:2019-09-01 00:00:00

  • New therapeutic options for advanced non-resectable malignant melanoma.

    abstract::Melanoma is a malignant tumor which is inclined to metastasize promptly into the lymphatic system and other organs such as lung, liver, brain or bone. Therefore early diagnosis remains crucial for improving clinical outcome for melanoma patients. Current chemotherapy and chemo-immunotherapy regimes have shown little c...

    journal_title:Advances in medical sciences

    pub_type: 杂志文章,评审

    doi:10.1016/j.advms.2014.12.002

    authors: Stadler S,Weina K,Gebhardt C,Utikal J

    更新日期:2015-03-01 00:00:00

  • Treatment of insulin dependent diabetes mellitus with intravascular transplantation of pancreatic islet cells without immunosuppressive therapy.

    abstract:PURPOSE:To evaluate intravascular xenotransplantation of macroencapsulated pancreatic islet cells in the process of the treatment of diabetes mellitus type 1 without immunosuppressive therapy. MATERIAL AND METHODS:Xenogenic intravascular transplantation was performed in 19 patients with diabetes mellitus (type 1) havi...

    journal_title:Advances in medical sciences

    pub_type: 杂志文章

    doi:10.2478/v10039-008-0045-5

    authors: Prochorov AV,Tretjak SI,Goranov VA,Glinnik AA,Goltsev MV

    更新日期:2008-01-01 00:00:00

  • Influence of selected HLA tissue compatibility antigens on the course and efficacy of viral hepatitis C treatment--actual knowledge position.

    abstract::Hepatitis C virus (HCV) infection is a common problem. Combined treatment with interferon and ribavirin improved treatment efficacy, but still high percentage of infected patients has not reached virus elimination. It was found that HCV infection course, but also treatment efficacy among other things can depend on pat...

    journal_title:Advances in medical sciences

    pub_type: 杂志文章,评审

    doi:10.2478/v10039-009-0002-y

    authors: Łoś-Rycharska E,Szaflarska-Popławska A

    更新日期:2009-01-01 00:00:00

  • Short-term response of metabolic hormones to coronary artery bypass surgery.

    abstract:PURPOSE:To explore the response pattern of plasma adipokine and ghrelin levels to coronary artery bypass graft (CABG) surgery in patients with (on-pump) and without (off-pump) cardiopulmonary bypass (CPB). MATERIAL/METHODS:Sixteen consecutive patients (age: 62 ± 10 years, male: 10) with obstructive coronary artery dis...

    journal_title:Advances in medical sciences

    pub_type: 杂志文章

    doi:10.1016/j.advms.2014.04.002

    authors: Németh Á,Cziráki A,Sulyok E,Horváth IG,Alotti N,Rauh M,Rascher W,Szabados S

    更新日期:2014-09-01 00:00:00

  • Does prematurity affect platelet indices?

    abstract:PURPOSE:The current study objective was to compare blood platelet indices in preterm newborns (PTN) and full term newborns (FTN). MATERIALS AND METHODS:We introduced to our study 51 PTN (25 females, 26 males) and 55 FTN (25 females, 30 males). Platelet indices were estimated in blood samples collected from the umbilic...

    journal_title:Advances in medical sciences

    pub_type: 杂志文章

    doi:10.2478/v10039-009-0034-3

    authors: Wasiluk A,Osada J,Dabrowska M,Szczepański M,Jasinska E

    更新日期:2009-01-01 00:00:00

  • Specific inhibition of fibroblast activation protein (FAP)-alpha prevents tumor progression in vitro.

    abstract:PURPOSE:Solid tumors modulate their environment to keep non-malignant stromal cells in a tumor-promoting state. The main cells in the stroma of epithelial derived tumors are cancer associated fibroblasts (CAF) that are critical to tumorigenesis and angiogenesis. CAFs also supply the tumor cells with growth factors and ...

    journal_title:Advances in medical sciences

    pub_type: 杂志文章

    doi:10.1016/j.advms.2015.04.006

    authors: Teichgräber V,Monasterio C,Chaitanya K,Boger R,Gordon K,Dieterle T,Jäger D,Bauer S

    更新日期:2015-09-01 00:00:00

  • Lack of change in serum sCD36 concentration in children with non-alcoholic fatty liver disease - A preliminary study.

    abstract:PURPOSE:Non-alcoholic fatty liver disease (NAFLD) is increasingly being recognized in the pediatric population, therefore, the search for non-invasive parameters to predict progression of NAFLD is of great interest. The aim of this study was to assess serum concentration of sCD36 in children with obesity and to determi...

    journal_title:Advances in medical sciences

    pub_type: 杂志文章

    doi:10.1016/j.advms.2020.11.004

    authors: Bobrus-Chociej A,Wasilewska N,Harasim-Symbor E,Flisiak-Jackiewicz M,Wojtkowska M,Chabowski A,Lebensztejn D

    更新日期:2020-12-01 00:00:00

  • Cytotoxicity of Aspergillus strains isolated from the neonatal intensive care unit environment.

    abstract:PURPOSE:It is essential in the medical care for immunocompromised patients that the environment should create minimal infection risk. Particularly, it concerns fungal infections. Fungi belonging to the Aspergillus genus are second frequent group of nosocomial pathogens producing opportunistic infections. MATERIAL AND ...

    journal_title:Advances in medical sciences

    pub_type: 杂志文章

    doi:10.2478/v10039-010-0039-y

    authors: Gniadek A,Macura AB,Twaruzek M,Grajewski J

    更新日期:2010-01-01 00:00:00

  • Natural history and risk factors of long-term mortality in acute coronary syndrome patients with cardiogenic shock.

    abstract:PURPOSE:Cardiogenic shock (CS) is a severe complication of acute coronary syndromes (ACS). Intra-aortic balloon pump (IABP) is considered important mechanical therapy for acute CS. We aimed to analyze the natural history and possible prognostic factors in patients with CS complicating ACS. PATIENTS/METHODS:All 126 pat...

    journal_title:Advances in medical sciences

    pub_type: 杂志文章

    doi:10.1016/j.advms.2013.12.003

    authors: Kamiński KA,Tycińska AM,Stepek T,Szpakowicz A,Olędzka E,Dobrzycki S,Musiał WJ

    更新日期:2014-09-01 00:00:00

  • Breast cancer expression of E-cadherin does not differ between patients with positive and negative oncological history.

    abstract:PURPOSE:The question of whether or not non-sporadic breast malignancies have different immunohistochemical features than sporadic malignancies has not been investigated previously. Consequently, the purpose of this study was to compare the expression of E-cadherin (EC) in breast cancer patients with positive and negati...

    journal_title:Advances in medical sciences

    pub_type: 杂志文章

    doi:10.2478/v10039-008-0007-y

    authors: Bruzewicz S,Matkowski R,Swiatoniowski G,Suder E,Setta M,Połozowski A,Zychowicz K,Szynglarewicz B,Kornafel J

    更新日期:2008-01-01 00:00:00

  • The relationship between masticatory efficiency and the state of dentition at patients with non rehabilitated partial lost of teeth.

    abstract:UNLABELLED:Factors believed to affect masticatory efficiency include loss of postcanine teeth, bite force, severity of malocclusion, occlusal contact area, body size and oral motor function. THE AIM:to record if there is relationship between masticatory efficiency and the state of dentition at patients whose occlusion...

    journal_title:Advances in medical sciences

    pub_type: 杂志文章

    doi:

    authors: Sierpińska T,Gołebiewska M,Długosz JW

    更新日期:2006-01-01 00:00:00

  • Assessment of serum levels of DIO1 and DIO3 in patients diagnosed with COPD.

    abstract:PURPOSE:Chronic obstructive pulmonary disease is the most common chronic lung disease, which may be caused by different pathological processes, including inflammation. Furthermore, signs of changes in thyroid hormone levels are found in some patients. Deiodinases (DIOs) are selenoproteins (enzymes) involved in the synt...

    journal_title:Advances in medical sciences

    pub_type: 杂志文章

    doi:10.1016/j.advms.2019.04.001

    authors: Gałecka E,Kumor-Kisielewska A,Górski P

    更新日期:2019-09-01 00:00:00

  • Utility of HE4 to identify patients with endometrioid endometrial cancer who may require lymphadenectomy.

    abstract:PURPOSE:The aim of the study was to establish whether preoperative serum levels of HE4 and CA125 could be a good predictor for lymphadenectomy in the early stage of endometrioid adenocarcinoma of the uterus. MATERIAL AND METHODS:Preoperative serum HE4 and CA125 were measured in 78 postmenopausal patients treated surgi...

    journal_title:Advances in medical sciences

    pub_type: 杂志文章

    doi:10.1016/j.advms.2015.07.010

    authors: Dobrzycka B,Mackowiak-Matejczyk B,Terlikowska KM,Kinalski M,Terlikowski SJ

    更新日期:2016-03-01 00:00:00

  • Fetal membranes as a source of stem cells.

    abstract::In recent years, a constant growth of knowledge and clinical applications of stem cells have been observed. Mesenchymal stromal cells, also described as mesenchymal stem cells (MSCs) represent a particular cell type for research and therapy because of their ability to differentiate into mesodermal lineage cells. The m...

    journal_title:Advances in medical sciences

    pub_type: 杂志文章,评审

    doi:10.2478/ams-2013-0007

    authors: Kmiecik G,Niklińska W,Kuć P,Pancewicz-Wojtkiewicz J,Fil D,Karwowska A,Karczewski J,Mackiewicz Z

    更新日期:2013-01-01 00:00:00

  • Synergistic effects of NGF, CNTF and GDNF on functional recovery following sciatic nerve injury in rats.

    abstract:PURPOSE:To investigate the synergistic effects of nerve growth factor (NGF), ciliary neurotrophic factor (CNTF) and glia cell line-derived neurotrophic factor (GDNF) on survival and growth of sensory neurons and motoneurons, as well as on the functional recovery following sciatic nerve injury in rats. METHODS:Experime...

    journal_title:Advances in medical sciences

    pub_type: 杂志文章

    doi:10.2478/v10039-010-0020-9

    authors: Chen J,Chu YF,Chen JM,Li BC

    更新日期:2010-01-01 00:00:00

  • Lung cancer in situs inversus totalis (SIT)--literature review.

    abstract::We present 21 studies of cases of lung cancer in patients with situs inversus totalis (SIT) published worldwide. The first case was described in 1952. Thirteen patients were from Japan, 4 from Eastern Europe, including 2 Polish cases from the authors` center (Department of Thoracic Surgery, Pomeranian Medical Universi...

    journal_title:Advances in medical sciences

    pub_type: 杂志文章,评审

    doi:10.2478/v10039-012-0083-x

    authors: Wójcik J,Grodzki T,Bielewicz M,Wojtyś M,Kubisa B,Pieróg J,Wójcik N

    更新日期:2013-01-01 00:00:00

  • Satisfaction of women after mastectomy for nursing care.

    abstract:PURPOSE:The assessment of satisfaction of women after mastectomy for nursing care. MATERIAL AND METHODS:The research was carried out on a group of 217 patients after radical mastectomy and took place at Surgical Clinic of Swietokrzyskie Oncology Centre in Kielce. Authors' assessment scale was used in research. RESULT...

    journal_title:Advances in medical sciences

    pub_type: 杂志文章

    doi:

    authors: Wrońska P,Stepień R,Dobrowolska B

    更新日期:2007-01-01 00:00:00

  • Changes in desmin expression in patients with cardiac diastolic dysfunction and preserved or reduced ejection fraction.

    abstract:PURPOSE:Desmin regulates function of mitochondria, T-tubular system and cytosolic Ca(2+) transients. We investigated whether desmin remodeling correlates with diastolic dysfunction and whether progressive desmin abnormalities are accompanied by increasing diastolic dysfunction stages. PATIENTS AND METHODS:Eighty five ...

    journal_title:Advances in medical sciences

    pub_type: 杂志文章

    doi:10.1016/j.advms.2015.01.009

    authors: Pawlak A,Gil RJ,Nasierowska-Guttmejer AM,Kasprzak JD

    更新日期:2015-03-01 00:00:00

  • Metalloproteinase 9 and TIMP-1 expression in retina and optic nerve in absolute angle closure glaucoma.

    abstract:PURPOSE:Glaucoma is one of the most important reason causes of the blindness, associated with retinal ganglion cells (RGC) death. This process is not fully understood, however apoptosis due to hypoxia is one of the most important processes leading to RGC death. Glaucomatous optic neuropathy is characterized by remodeli...

    journal_title:Advances in medical sciences

    pub_type: 杂志文章

    doi:10.1016/j.advms.2015.07.007

    authors: Zalewska R,Reszeć J,Kisielewski W,Mariak Z

    更新日期:2016-03-01 00:00:00

  • The influence of bexarotene, a selective agonist of the retinoid receptor X (RXR), and tazarotene, a selective agonist of the retinoid acid receptor (RAR), on bone metabolism in rats.

    abstract:PURPOSE:The purpose of this study was to investigate the influence of selective agonists of the retinoid receptor X (RXR) and the retinoid acid receptor (RAR) on bone metabolism in rats. METHODS:Thirty six male Wistar rats were divided into three groups: receiving bexarotene, or tazarotene, or to control group. Serum ...

    journal_title:Advances in medical sciences

    pub_type: 杂志文章

    doi:10.1016/j.advms.2015.09.001

    authors: Nowak B,Matuszewska A,Filipiak J,Nikodem A,Merwid-Ląd A,Pieśniewska M,Fereniec-Gołębiewska L,Kwiatkowska J,Szeląg A

    更新日期:2016-03-01 00:00:00

  • Urinary incontinence in women as a health and social problem.

    abstract:PURPOSE:Urinary incontinence is a disease due to which women have suffered for many centuries. But there is some optimistic side to the problem, too; such illnesses can be treated and prevented. The aim of the work was to evaluate the frequency of occurring such cases among women and to evaluate the chosen risk factors...

    journal_title:Advances in medical sciences

    pub_type: 杂志文章

    doi:

    authors: Leśniczak B,Krasomski G,Stelmach W,Kowalska A

    更新日期:2007-01-01 00:00:00

  • Interaction of tiagabine with valproate in the mouse pentylenetetrazole-induced seizure model: an isobolographic analysis for non-parallel dose-response relationship curves.

    abstract:PURPOSE:To characterize the interaction between tiagabine (TGB) and valproate (VPA)--two antiepileptic drugs in the mouse pentylenetetrazole (PTZ)-induced clonic seizure model, type I isobolographic analysis for non-parallel dose-response relationship curves (DRRCs) was used. MATERIAL AND METHODS:Clonic seizures were ...

    journal_title:Advances in medical sciences

    pub_type: 杂志文章

    doi:10.2478/v10039-009-0006-7

    authors: Luszczki JJ,Krzyzanowski M,Swiader MJ

    更新日期:2009-01-01 00:00:00

  • Improvements in self-curing composites.

    abstract:PURPOSE:The purpose of this study was to test the influence of a barbituric acid derivative acting as a catalyst and small amounts of pyrolytic silica in acrylic resins on color stability, solubility and sorption of a composite. MATERIALS AND METHODS:A series of two-component powder/liquid resin systems were prepared....

    journal_title:Advances in medical sciences

    pub_type: 杂志文章

    doi:10.1016/j.advms.2017.04.006

    authors: Raszewski Z,Jałbrzykowski M

    更新日期:2017-09-01 00:00:00