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Vitamin D and prostate cancer prevention

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World Journal of Clinical Oncology 2024年第6期15卷 691-694页

作者： Evita Krumina Abrahams Ocanto felipe couñago Department of Radiation Oncology GenesisCare GuadalajaraGuadalajara 19004Spain Department of Radiation Oncology San Francisco de Asís University HospitalGenesisCare MadridMadrid 28002Spain Department of Radiation Oncology Vithas La Milagrosa University HospitalGenesisCare MadridMadrid 28010Spain National Director GenesisCare Spain

Vitamin D is a hot topic nowadays,especially its relationship with cancer ***,vitamin D is associated with bone health principally,but the new research has discovered an impact on immune function and cellular sig-naling,even in same studies talk about a hormone,however,the most important relationship is its implication in cellular processes,inhibiting cancer *** now,the recent studies are oriented about a benefit and a cause-effect relationship between prostate cancer and normal levels of vitamin *** premise opens a lot of questions in this *** editorial highlighted the most important studies in this area.

关键词： Prostate cancer Vitamin D Screening Cancer Prevention

Current status of anaplastic thyroid carcinoma

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World Journal of Clinical Oncology 2024年第6期15卷 684-686页

作者： Abrahams Ocanto Lisselott Torres felipe couñago Department of Radiation Oncology San Francisco de Asís University HospitalGenesis CareMadrid 28002Spain Department of Radiation Oncology Vithas La Milagrosa University HospitalGenesis CareMadrid 28010Spain

In this editorial we comment on the article by Pavlidis et al,published in the recent issue of the World Journal of *** focus on the recent contributions in the management of anaplastic thyroid carcinoma,highlighting the importance of surgery and radiotherapy as first line therapies in its management and the introduction of new systemic therapies beyond chemotherapy,focused on molecular alterations,an essential step in the diagnosis and included in clinical guidelines for the selection of the ideal *** contrast to other neoplasms,immunotherapy,is still beginning in studies of this pathology with encouraging ***,multimodal management of the pathology together with new drugs seems to be the logical step to increase the survival of this neoplasm.

关键词： Anaplastic carcinoma Thyroid diseases Surgery Radiotherapy Immunoth-erapy

Hyoid metastasis an unusual location from lung cancer

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World Journal of Clinical Oncology 2024年第7期15卷 796-798页

作者： Miguel Montijano Abrahams Ocanto felipe couñago Department of Radiation Oncology San Francisco de Asís University HospitalGenesis CareMadrid 28002Spain Department of Radiation Oncology Vithas La Milagrosa University HospitalGenesis CareMadrid 28010Spain National Director Genesis CareMadrid 28043Spain

Bone metastases from lung cancer account for 8.5%,with those located in the hyoid bone being extremely *** this editorial,we made a review about Hsu et al case report highlighted the importance of palliative radiotherapy,even with an unusual but effective scheme in pain control in a patient with non-small cell lung cancer in stage IV.

关键词： Lung cancer Metastases Radiotherapy Palliative care Chemotherapy

Potential role of transmembrane 9 superfamily member 1 as a biomarker in urothelial cancer

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World Journal of Clinical Oncology 2024年第8期15卷 965-967页

作者： Alvaro Pinto Abrahams Ocanto felipe couñago Department of Medical Oncology University Hospital La PazPaseo Castellana 261Madrid 28046Spain Department of Radiation Oncology GenesisCareHospital Universitario San Francisco de AsísMadrid 28002Spain Department of Radiation Oncology GenesisCareVithas La Milagrosa University HospitalMadrid 28010Spain National Director GenesisCare Madrid 28043Spain

Bladder cancer is a urological tumor with high rates of recurrence despite recent advances in novel *** proteins involved in the molecular mechanisms are currently an enigma,especially the transmembrane 9 superfamily member 1 which has an unclear *** et al published the function and mechanism of this protein,and showed that it could participate in the proliferation,migration and invasion of tumor cells in bladder cancer,therefore treatments directed against this protein may be beneficial in avoiding this condition.

关键词： Bladder cancer Transmembrane 9 superfamily member 1 Biomarker Urothelial cancer Protein

Bridging the gap: Predicting brain metastasis in breast cancer

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World Journal of Clinical Oncology 2024年第2期15卷 356-359页

作者： Daniela Gonsalves Raquel Ciérvide felipe couñago Department of Radiation Oncology GenesisCare MadridMadrid 28043Spain Facultad de Medicina Salud y Deporte Universidad Europea de MadridMadrid 28670Spain Department of Radiation Oncology HM HospitalesMadrid 28050Spain

Chen et al explored clinicopathological features and prognostic factors,revealing advanced tumor stage,lung metastases,HER-2 overexpression,and triple-negative status as key *** research connects astrocytes'role in brain metastasis with signaling pathways and the impact of Trastuzumab on HER-2 tumor *** such as positive HER2 status,lack of estrogen receptor expression,and liver metastasis are identified as additional risk *** routine use of magnetic resonance imaging,insights into gene mutations associated with metastasis,and the role of radiotherapy,including prophylaxis possibilities,is controversial in clinical *** these risk factors in a multidisciplinary collaboration is precise for local treatments and targeted therapies,particularly for HER2+tumors,impacting directly on longer survival.

关键词： Brain metastases Breast cancer Clinicopathological features High-risk factors

Management of lateral pelvic lymph nodes in rectal cancer:Is it time to reach an Agreement?

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World Journal of Clinical Oncology 2024年第4期15卷 472-477页

作者： Sigfredo E Romero-Zoghbi Fernando López-Campos felipe couñago Department of Radiation Oncology GenesisCareTalavera de la Reina 45600ToledoSpain Department of Radiation Oncology Hospital Universitario Ramón Y CajalMadrid 28034Spain Department of Radiation Oncology GenesisCare-Hospital Universitario Vithas Madrid La MilagrosaMadrid 28010Spain

In this editorial,we proceed to comment on the article by Chua et al,addressing the management of metastatic lateral pelvic lymph nodes(mLLN)in stage II/III rectal cancer patients below the peritoneal *** treatment of this nodal area sparks significant controversy due to the strategic differences followed by Eastern and Western physicians,albeit with a higher degree of convergence in recent *** dissection of lateral pelvic lymph nodes without neoadjuvant therapy is a standard practice in Eastern *** contrast,in the West,preference leans towards opting for neoadjuvant therapy with chemoradiotherapy or radiotherapy,that would cover the treatment of this area without the need to add the dissection of these nodes to the total mesorectal *** the presence of high-risk nodal characteristics for mLLN related to radiological imaging and lack of response to neoadjuvant therapy,the risk of lateral local recurrence increases,suggesting the appropriate selection of strategies to reduce the risk of recurrence in each patient *** the heterogeneous and retrospective nature of studies addressing this area,an international consensus is necessary to approach this clinical scenario uniformly.

关键词： Rectal cancer Lateral pelvic lymph node metastases Pelvic lymph node dissection Total neoadjuvant therapy Selective management of the lateral pelvic nodes Prophylactic management of the lateral pelvic nodes Chemoradiotherapy Total mesorectal excision

Pembrolizumab autoimmune related diabetes:Moving forward,keep learning

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World Journal of Clinical Oncology 2024年第5期15卷 576-579页

作者： Jose Angel Garcia Diego Alcaraz Esther Holgado felipe couñago Department of Medical Oncology GenesisCare Spain-San Francisco de Asis University HospitalMadrid 28002Spain Department of Chief of Medical Oncology GenesisCare Spain-San Francisco de Asis University HospitalMadrid 28002Spain Department of Chief of Radiation Oncology GenesisCare-Vithas La Milagrosa HospitalMadrid 28010Spain

Immune checkpoint inhibitors(and more specifically programmed cell death 1/programmed cell death ligand 1 inhibitors as Pembrolizumab)initiated a revolution in the field of melanoma and have now expanded to several tumor subtypes and in increasingly broader clinical contexts,including the adjuvant and neoadjuvant setting,with potentially curable patients and prolonged *** side effects related to these drugs include a wide spectrum of manifestations,with endocrinological adverse events being some of the most ***-induced type 1 diabetes mellitus is an infrequent but potentially serious and not clearly reversible side effect that possesses characteristic clinical features and has high morbidity and mortality,with a chronic impact on quality of *** etiopathogenesis of this phenomenom needs to be further investigated and a collaborative effort through the involvement of oncologists and other medical specialists is necessary for the correct identification and management of patients at risk.

关键词： Immune checkpoints Pembrolizumab Immunotherapy Side effects Endocrine system Diabetes mellitus

Current challenges in the treatment of gliomas:The molecular era

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World Journal of Clinical Oncology 2024年第8期15卷 982-986页

作者： Castalia Fernández Juan Zafra-Martín felipe couñago Department of Radiation Oncology GenesisCare MadridMadrid 28043Spain Department of Radiation Oncology Hospital Universitario Vithas La MilagrosaGenesisCareMadrid 28010Spain Department of Radiation Oncology Hospital Universitario San Francisco de AsísGenesisCareMadrid 28002Spain Department of Radiation Oncology Hospital Universitario Virgen de la VictoriaMálaga 29010Spain

Gliomas originate from glial cells in the central nervous *** 80%-85%of malignant brain tumors in adults are *** most common central nervous system tumor in children is low-grade pediatric *** was determined by histological features until 2016 when the World Health Organization classification integrated molecular data with anatomopathological information to achieve a more integral *** characterization has led to better diagnostic and prognostic staging,which in turn has increased the precision of *** efforts are focused on more effective therapies to prolong survival and improve the quality of life of adult and pediatric patients with ***,improvements in survival have been ***,clinical guidelines,as well as the article by Mohamed et al accompanying this editorial piece,are adapting treatment recommendations(surgery,chemotherapy,and radiotherapy)according to diagnosis and prognosis guided by molecular ***,this paves the way for the design of clinical trials with new therapies,which is especially important in pediatric gliomas.

关键词： Gliomas Chemotherapy Radiotherapy Isocitrate dehydrogenase-type mutant Pediatric gliomas Astrocytoma Oligodendroglioma 1p/19q-codeleted

Neoadjuvant treatment of rectal cancer: Where we are and where we are going

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World Journal of Clinical Oncology 2024年第7期15卷 790-795页

作者： Elísabet González Del Portillo felipe couñago Fernando López-Campos Department of Radiation Oncología Hospital Universitario La PazMadrid 28046Spain Department of Radiation Oncology GenesisCare MadridMadrid 28010Spain Department of Radiation Oncology Hospital Universitario Ramón Y CajalMadrid 28034Spain

Locally advanced rectal cancer requires a multidisciplinary approach based on total neoadjuvant treatment with radiotherapy(RT)and chemotherapy(ChT),followed by deferred ***,alternatives to the standard total neoadjuvant therapy(TNT)are being explored,such as new ChT regimens or the introduction of *** standard TNT,up to a third of patients may achieve a complete pathological response(CPR),potentially avoiding ***,as of now,we lack predictive markers of response that would allow us to define criteria for a conservative organ *** presence of muta-tions,genes,or new imaging tests is helping to define these *** example of this is the diffusion coefficient in the diffusion-weighted sequence of magnetic resonance imaging and the integration of this imaging technique into RT *** allows for the monitoring of the evolution of this coefficient over successive RT sessions,helping to determine which patients will achieve CPR or those who may require intensification of neoadjuvant therapy.

关键词： Locally advanced rectal cancer Total neoadyuvant treatment Radiotherapy Biomarker Magnetic resonance imaging Conservative organ strategy Watch and wait