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Original Articles
Hematologic malignancy
Long-term Psychiatric and Endocrine Complications Following Hematopoietic Stem Cell Transplantation in Hematologic Disease in Korea: A Nation-Wide Cohort Study
Min Ji Jeon, Eunjin Noh, Seok Joo Moon, Eun Sang Yu, Chul Won Choi, Dae Sik Kim, Eun Joo Kang
Cancer Res Treat. 2024;56(4):1262-1269.   Published online May 9, 2024
DOI: https://doi.org/10.4143/crt.2024.047
AbstractAbstract PDFPubReaderePub
Purpose
Numerous patients experience long-term complications after hematopoietic stem cell transplantation (HSCT). This study aimed to identify the frequency and risk factors for psychiatric and endocrine complications following HSCT through big data analyses.
Materials and Methods
We established a cohort of patients with hematologic disease who underwent HSCT in Korea between 2010 and 2012 using the Health Insurance Review & Assessment Service data. A total of 3,636 patients were identified, and insurance claims were tracked using psychiatric and endocrine diagnostic International Classification of Diseases, 10th Revision codes for the ensuing decade. We identified the incidence rates of long-term complications based on the baseline disease and HSCT type. Prognostic factors for each complication were scrutinized using logistic regression analysis.
Results
A total of 1,879 patients underwent allogeneic HSCT and 1,757 patients received autologous HSCT. Post-HSCT, 506 patients were diagnosed with depression, 465 with anxiety disorders, and 659 with diabetes. The highest incidence of long-term complications occurred within the first year post-HSCT (12.2%), subsequently decreasing over time. Risk factors for depressive disorders after allogeneic HSCT included female sex, a total body irradiation–based conditioning regimen, and cyclosporine. Identified risk factors for diabetes mellitus comprised old age, total body irradiation–based conditioning regimen, and non-antithymocyte globulin protocol. Regarding autologous HSCT, only female sex was identified as a risk factor for depressive disorders, whereas elderly patients and those with multiple myeloma were identified as poor prognostic factors for diabetes mellitus.
Conclusion
The incidence of long-term psychiatric and endocrine complications post-HSCT remains high, and patients with risk factors for these complications require vigilant follow-up.

Citations

Citations to this article as recorded by  
  • Psychological Prehabilitation for People Undergoing Autologous Stem Cell Transplant: A Qualitative Study
    K. Wilkin, F. Lynch, J. Todd, V. White
    Psycho-Oncology.2026;[Epub]     CrossRef
  • 3,945 View
  • 106 Download
  • 2 Web of Science
  • 1 Crossref
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Lung and Thoracic cancer
Predictive Value of Interstitial Lung Abnormalities for Postoperative Pulmonary Complications in Elderly Patients with Early-stage Lung Cancer
Won Gi Jeong, Yun-Hyeon Kim, Jong Eun Lee, In-Jae Oh, Sang Yun Song, Kum Ju Chae, Hye Mi Park
Cancer Res Treat. 2022;54(3):744-752.   Published online September 28, 2021
DOI: https://doi.org/10.4143/crt.2021.772
AbstractAbstract PDFSupplementary MaterialPubReaderePub
Purpose
Identifying pretreatment interstitial lung abnormalities (ILAs) is important because of their predictive value for complications after lung cancer treatment. This study aimed to assess the predictive value of ILAs for postoperative pulmonary complications (PPCs) in elderly patients undergoing curative resection for early-stage non-small cell lung cancer (NSCLC).
Materials and Methods
Elderly patients (age ≥ 70 years) who underwent curative resection for pathologic stage I or II NSCLC with normal preoperative spirometry results (pre-bronchodilator forced expiratory volume in 1 s to forced vital capacity [FVC] ratio > 0.70 and FVC ≥ 80% of the predicted value) between January 2012 and December 2019 were retrospectively identified. Univariable and multivariable regression analyses were performed to assess risk factors for PPCs. The Kaplan–Meier method and log-rank test were used to analyze the relationship between ILAs and postoperative mortality. One-way analysis of variance was performed to assess the correlation between ILAs and hospital stay duration.
Results
A total of 262 patients (median age, 73 [interquartile range, 71–76] years; 132 male) were evaluated. A multivariable logistic regression model revealed that, among several relevant risk factors, fibrotic ILAs independently predicted both overall PPCs (adjusted odds ratio [OR], 4.84; 95% confidence interval [CI], 1.35–17.38; p=0.016) and major PPCs (adjusted OR, 8.72; 95% CI, 1.71–44.38; p=0.009). Fibrotic ILAs were significantly associated with higher postoperative mortality and longer hospital stay (F=5.21, p=0.006).
Conclusion
Pretreatment fibrotic ILAs are associated with PPCs, higher postoperative mortality, and longer hospital stay.

Citations

Citations to this article as recorded by  
  • Progression of interstitial lung abnormalities and its impact on mortality in patients with lung cancer resection
    Ruolin Mao, Haoyun Zhang, Qing Chang, Yilong Teng, Yanfen Ni, Jiani Chen, Mengnan Li, Ning Xu, Hai Zhang, Yuqing Chen, Jianqi Sun, Kian Fan Chung, Elisabetta A. Renzoni, Yi Lu, Huaping Dai, Feng Li
    Chinese Medical Journal Pulmonary and Critical Care Medicine.2026; 4(1): 81.     CrossRef
  • Automated quantification of interstitial lung abnormalities and emphysema on computed tomography: a predictive marker for postoperative pulmonary complications after esophagectomy
    Seong Yong Park, Yunjoo Im, Jonghoon Kim, You Jin Oh, Joonghyun Ahn, Yeong Jeong Jeon, Junghee Lee, Jong Ho Cho, Hong Kwan Kim, Yong Soo Choi, Jae Il Zo, Young Mog Shim, Hye Yun Park, Ho Yun Lee
    Esophagus.2026;[Epub]     CrossRef
  • Prevalence and prognostic significance of interstitial lung abnormalities in lung cancer: A meta-analysis
    Ruiyuan Yang, Haoyu Wang, Dan Liu, Weimin Li
    Lung Cancer.2025; 205: 108458.     CrossRef
  • Approach to the Evaluation and Management of Interstitial Lung Abnormalities: An Official American Thoracic Society Clinical Statement
    Anna J. Podolanczuk, Gary M. Hunninghake, Kevin C. Wilson, Yet H. Khor, Fayez Kheir, Brandon Pang, Ayodeji Adegunsoye, Gretchen Cararie, Tamera J. Corte, Jim Flanagan, Gunnar Gudmundsson, Lida P. Hariri, Hiroto Hatabu, Stephen M. Humphries, Bhavika Kaul,
    American Journal of Respiratory and Critical Care Medicine.2025; 211(7): 1132.     CrossRef
  • Korean Guidelines for Diagnosis and Management of Interstitial Lung Diseases
    Chul Park, Yoomi Yeo, A La Woo, Jung Wan Yoo, Goohyeon Hong, Jong Wook Shin, Sung Woo Park
    Tuberculosis and Respiratory Diseases.2025; 88(4): 654.     CrossRef
  • Pretreatment Interstitial Lung Abnormalities Detected on Abdominal Computed Tomography Scans in Prostate Cancer Patients
    Hyun Jin Kim, Won Gi Jeong, Jeong Yeop Lee, Hyo-Jae Lee, Byung Chan Lee, Hyo Soon Lim, Yun-Hyeon Kim
    Journal of Computer Assisted Tomography.2024; 48(3): 406.     CrossRef
  • Interstitial Lung Abnormalities
    Noriaki Wada, Gary M. Hunninghake, Hiroto Hatabu
    Clinics in Chest Medicine.2024; 45(2): 433.     CrossRef
  • Incidence and risk factors of pulmonary complications after lung cancer surgery: A systematic review and meta-analysis
    Ting Deng, Jiamei Song, Jinmei Tuo, Yu Wang, Jin Li, Lorna Kwai Ping Suen, Yan Liang, Junliang Ma, Shaolin Chen
    Heliyon.2024; 10(12): e32821.     CrossRef
  • Survival impact of fibrotic interstitial lung abnormalities in resected stage IA non-small cell lung cancer
    Won Gi Jeong, Yun-Hyeon Kim
    The British Journal of Radiology.2023;[Epub]     CrossRef
  • Radiologic Progression of Interstitial Lung Abnormalities following Surgical Resection in Patients with Lung Cancer
    Yoon Joo Shin, Jeong Geun Yi, Mi Young Kim, Donghee Son, Su Yeon Ahn
    Journal of Clinical Medicine.2023; 12(21): 6858.     CrossRef
  • Mycophenolate mofetil versus cyclophosphamide plus in patients with connective tissue disease-associated interstitial lung disease: Efficacy and safety analysis
    Pengfei Wang, Li Zhang, Qian Guo, Lifen Zhao, Yanyan Hao
    Open Medicine.2023;[Epub]     CrossRef
  • Clinical implication of interstitial lung abnormality in elderly patients with early‐stage non‐small cell lung cancer
    Seong Woo Cho, Won Gi Jeong, Jong Eun Lee, In‐Jae Oh, Sang Yun Song, Hye Mi Park, Hyo‐Jae Lee, Yun‐Hyeon Kim
    Thoracic Cancer.2022; 13(7): 977.     CrossRef
  • 9,656 View
  • 180 Download
  • 14 Web of Science
  • 12 Crossref
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General
The Fear of Cancer from the Standpoint of Oneself, the Opposite Sex and the Fear of Side Effects of Cancer Treatment
Keeho Park, Youngae Kim, Hyung Kook Yang, Hye Sook Min
Cancer Res Treat. 2020;52(4):993-1001.   Published online June 24, 2020
DOI: https://doi.org/10.4143/crt.2020.285
AbstractAbstract PDFSupplementary MaterialPubReaderePub
Purpose
It is important to understand the differences between men and women when it comes to attitudes and risk perception toward disease. This study aimed to explore the fear of cancer from the standpoint of themselves and the opposite sex by cancer type.
Materials and Methods
A cross-sectional survey with a representative sample was conducted.
Results
The least and the most feared cancers in men were thyroid cancer and lung cancer, respectively. When men assumed the perspective of women, the least and the most feared cancer were thyroid cancer and stomach cancer, respectively. The least and the most feared cancers in women were thyroid cancer and stomach cancer, respectively. When women assumed the perspective of men, the least and the most feared cancer were prostate cancer and lung cancer, respectively. When both men and women assume the perspective of the opposite sex, the fear of sex-specific cancer was relatively low compared to the actual responses of both men and women. The top six of the most feared side effects of cancer treatment were pain, psychological problems, general weakness, digestive dysfunction, fatigue, and appearance change. These were the same between men and women.
Conclusion
Health care providers and caregivers in the family should provide care with more attention to the differences in thoughts about cancer between men and women. Health care providers should provide care with more attention to the differences in these problems between men and women.

Citations

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  • “Teetering on a Tightrope”: Uncertainty and Information Management During the Cancer Pre-Diagnosis Phase
    Lisa Glebatis Perks, Andrew C. Tollison
    Western Journal of Communication.2025; 89(2): 349.     CrossRef
  • 9,422 View
  • 193 Download
  • 7 Web of Science
  • 1 Crossref
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Computed Tomography–Determined Sarcopenia Is a Useful Imaging Biomarker for Predicting Postoperative Outcomes in Elderly Colorectal Cancer Patients
Hailun Xie, Yizhen Gong, Jiaan Kuang, Ling Yan, Guotian Ruan, Shuangyi Tang, Feng Gao, Jialiang Gan
Cancer Res Treat. 2020;52(3):957-972.   Published online April 17, 2020
DOI: https://doi.org/10.4143/crt.2019.695
AbstractAbstract PDFPubReaderePub
Purpose
This study aimed to establish whether computed tomography (CT)–determined sarcopenia is a useful imaging biomarker for postoperative outcome in elderly colorectal cancer (CRC) patients, and construct sarcopenia-based nomograms to predict individual outcomes after surgery.
Materials and Methods
CT imaging data of 298 elderly CRC patients who underwent surgery in 2012-2014 were retrospectively analyzed. Skeletal muscle mass was determined by CT, and sarcopenia was diagnosed based on the optimal cutoff value determined by X-tile program. The correlation between sarcopenia and risk of preoperative nutrition and postoperative complications was evaluated. A Cox proportional hazards model was used to determine survival predictors. Sarcopenia-based nomograms were developed based on multivariate analysis, and calibrated using concordance index and calibration curves.
Results
A total 132 patients (44.3%) had sarcopenia based on the optimum cutoff values (29.9 cm2/m2 for women and 49.5 cm2/m2 for men). Sarcopenia was an independent risk factor for preoperative nutrition (p < 0.001; odds ratio [OR], 3.405; 95% confidence interval [CI], 1.948 to 5.954) and postoperative complications (p=0.008; OR, 2.192; 95% CI, 1.231 to 3.903). Sarcopenia was an independent predictor for poor progression-free survival (p < 0.001; hazard ratio [HR], 2.175; 95% CI, 1.489 to 3.179) and overall survival (p < 0.001; HR, 2.524; 95% CI, 1.721 to 3.703). Based on multivariate analysis, we produced four nomograms that had better predictive performance.
Conclusion
CT-determined sarcopenia is a useful imaging biomarker for predicting preoperative nutritional risk, postoperative complications, and long-term outcomes in elderly CRC patients. The sarcopenia-based nomograms can provide a scientific basis for guiding therapeutic schedule and follow-up strategies.

Citations

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  • Efficacy, safety, and population pharmacokinetics of eravacycline for carbapenem-resistant organism infections in immunocompromised hosts: A multicenter prospective cohort study
    Yifu Hou, Lijuan Zhang, Hong Li, Linhong Zhong, Hua Zhang, Tian Tang, Xiangde Zheng, Rui Zhou, Sheng Lv, Qing Que, Bo Tan, Li Chen, Yiyun Hsu, Huan Hu, Jun Shen, Ruiming Yue, Kai Chen, Wenjia Di, Lu Guo, Lu Chen, Hua Yu, Xiangning Huang, Xiaobo Huang, Chu
    International Journal of Antimicrobial Agents.2026; 67(6): 107795.     CrossRef
  • Prognostic value of computed tomography-based sarcopenia for overall and disease-free survival in rectal cancer: an updated systematic review and meta-analysis
    María Josefa Moreno Martínez, Antonio Jesús Láinez Ramos-Bossini, Ángela Reinoso Espín, David Luengo Gómez, Ángela Salmerón Ruiz, Andrea Torres Roa
    Revista Española de Enfermedades Digestivas.2026;[Epub]     CrossRef
  • The Weight of Nutrition on Post-Resection Oncologic Morbidity and Mortality: A Systematic Review and Meta-Analysis of Nutritional Indices
    Katherine Pierce, Jeremy Gaskins, Robert C G Martin II
    Nutrition Reviews.2025; 83(6): 988.     CrossRef
  • Comparative study of imputation strategies to improve the sarcopenia prediction task
    Shakhzod Karimov, Dilmurod Turimov, Wooseong Kim, Jiyoun Kim
    DIGITAL HEALTH.2025;[Epub]     CrossRef
  • The Impact of Sarcopenia on Postoperative Outcomes in Colorectal Cancer Surgery: An Updated Systematic Review and Meta-Analysis
    Sara Keshavjee, Tyler Mckechnie, Victoria Shi, Muhammad Abbas, Elena Huang, Nalin Amin, Dennis Hong, Cagla Eskicioglu
    The American Surgeon™.2025; 91(5): 887.     CrossRef
  • Sarcopenia as a Prognostic Factor for the Outcomes of Surgical Treatment of Colorectal Carcinoma
    Šimon Leščák, Martina Košíková, Sylvia Jenčová
    Healthcare.2025; 13(7): 726.     CrossRef
  • Preoperative body composition metrics as predictors for outcomes in colorectal cancer surgeries
    Dorsa Salabat, Asma Mousavi, Shayan Shojaei, Razman Arabzadeh Bahri, Hanieh Radkhah
    Annals of Medicine & Surgery.2025; 87(4): 2243.     CrossRef
  • Prognostic significance of anthropometric measurements in gastric cancer: a multicenter cohort study
    Hailun Xie, Lishuang Wei, Shuyao Wang, Hanping Shi, Junqiang Chen
    Supportive Care in Cancer.2025;[Epub]     CrossRef
  • Sarcopenia and Cachexia in Older Patients with Cancer: Pathophysiology, Diagnosis, Impact on Outcomes, and Management Strategies
    Efthymios Papadopoulos, Brian A. Irving, Justin C. Brown, Steven B. Heymsfield, Schroder Sattar, Shabbir M. H. Alibhai, Grant R. Williams, Richard F. Dunne
    Drugs & Aging.2025; 42(12): 1113.     CrossRef
  • Abdominal computed tomography–assessed muscle quality and its prognostic value in patients with advanced chronic kidney disease initiating hemodialysis
    Suyeon Han, Hwajin Park, Yu Ah Hong, Yunkyeong Hwang, Yoon-Kyung Chang, Zubing Mei
    PLOS One.2025; 20(11): e0334929.     CrossRef
  • Impact of New Inflammation/Nutrition‐Based Indicators on Prognosis in Elderly Patients With Colorectal Cancer
    Wenda Xu, Chen Qin, Hanyu Yang, Haoyu Cui, Shuo Liu, Zechen Lu, Wenchang Yang, Jilin Hu, William Raoul
    Mediators of Inflammation.2025;[Epub]     CrossRef
  • Decrease in Psoas Muscle Mass and Density Following Liver Transplantation Is Greatest in Patients With the Highest Muscle Quantity and Density Pre‐Transplant
    Michael G. Megaly, William C. Miller, Jessica Thul, Peter Gullickson, Abraham J. Matar, Michael Dryden, Matthew Wright, David Mathews, Jessica Fisher, Heidi Sarumi, Levi Teigen, Scott Lunos, Timothy L. Pruett
    Clinical Transplantation.2025;[Epub]     CrossRef
  • Recent advances in the research of sarcopenia in colorectal cancer
    Yang Wang, Yuliuming Wang, Ming Liu
    Holistic Integrative Oncology.2025;[Epub]     CrossRef
  • Radiological Assessment of Sarcopenia and Its Clinical Impact in Patients with Hepatobiliary, Pancreatic, and Gastrointestinal Diseases: A Comprehensive Review
    Shameema Farook, Saumya Soni, Arpit Shantagiri, Pankaj Gupta, Anindita Sinha, Mahesh Prakash
    Journal of Gastrointestinal and Abdominal Radiology.2024; 07(01): 027.     CrossRef
  • Developing sarcopenia during neoadjuvant therapy is associated with worse survival in esophageal adenocarcinoma patients
    Katherine Pierce, Prejesh Philips, Michael E Egger, Charles R Scoggins, Robert CG Martin
    Surgery.2024; 175(3): 718.     CrossRef
  • PEX26 Functions as a Metastasis Suppressor in Colorectal Cancer
    Bianbian Yan, Lichao Cao, Liyang Gao, Shangqing Wei, Mengwei Wang, Ye Tian, Jin Yang, Erfei Chen
    Digestive Diseases and Sciences.2024; 69(1): 112.     CrossRef
  • Post‐diagnosis adiposity and colorectal cancer prognosis: A Global Cancer Update Programme (CUP Global) systematic literature review and meta‐analysis
    Nerea Becerra‐Tomás, Georgios Markozannes, Margarita Cariolou, Katia Balducci, Rita Vieira, Sonia Kiss, Dagfinn Aune, Darren C. Greenwood, Laure Dossus, Ellen Copson, Andrew G. Renehan, Martijn Bours, Wendy Demark‐Wahnefried, Melissa M. Hudson, Anne M. Ma
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    Qiutong Su, Jia Shen, Zubing Mei
    PLOS ONE.2024; 19(5): e0303494.     CrossRef
  • CT‐determined low skeletal muscle index predicts poor prognosis in patients with colorectal cancer
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    Cancer Medicine.2024;[Epub]     CrossRef
  • Serum tumor marker and CT body composition scoring system predicts outcomes in colorectal cancer surgical patients
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    European Radiology.2024; 34(12): 7596.     CrossRef
  • Aminotransferase-to-lymphocyte ratio as a valuable prognostic marker for patients with stage I-III colorectal cancer: a retrospective study
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    Frontiers in Oncology.2024;[Epub]     CrossRef
  • Impact of sarcopenia on outcomes in surgical patients: a systematic review and meta-analysis
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    International Journal of Surgery.2023; 109(12): 4238.     CrossRef
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    Journal of Cachexia, Sarcopenia and Muscle.2023; 14(1): 382.     CrossRef
  • Impact of Sarcopenia on Clinical Course of Inflammatory Bowel Disease in Korea
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  • Perioperative Nutritional Considerations in Colon and Rectal Surgery
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    Clinics in Colon and Rectal Surgery.2023; 36(03): 192.     CrossRef
  • Prognostic significance of sarcopenia diagnosed based on the anthropometric equation for progression-free survival and overall survival in patients with colorectal cancer
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  • The prognostic value of the combination of body composition and systemic inflammation in patients with cancer cachexia
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  • Prognostic Significance of Preoperative Fibrinogen‐to‐Prealbumin Ratio in Patients with Stage I–III Colorectal Cancer Undergoing Surgical Resection: A Retrospective Cohort Study
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  • Oral Nutritional Supplements and Enteral Nutrition in Patients with Gastrointestinal Surgery
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  • Preoperative computed tomography-assessed sarcopenia as a predictor of complications and long-term prognosis in patients with colorectal cancer: a systematic review and meta-analysis
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  • Comparison of revised EWGSOP2 criteria of sarcopenia in patients with cancer using different parameters of muscle mass
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  • Impact of Computed Tomography-Based, Artificial Intelligence-Driven Volumetric Sarcopenia on Survival Outcomes in Early Cervical Cancer
    Qingling Han, Se Ik Kim, Soon Ho Yoon, Taek Min Kim, Hyun-Cheol Kang, Hak Jae Kim, Jeong Yeon Cho, Jae-Weon Kim
    Frontiers in Oncology.2021;[Epub]     CrossRef
  • Geriatric nutritional risk index as a predictor of complications and long-term outcomes in patients with gastrointestinal malignancy: a systematic review and meta-analysis
    Hailun Xie, Shuangyi Tang, Lishuang Wei, Jialiang Gan
    Cancer Cell International.2020;[Epub]     CrossRef
  • 15,449 View
  • 230 Download
  • 47 Web of Science
  • 47 Crossref
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Case Report
Two Pediatric Osteosarcoma Cases with Delayed Methotrexate Excretion: Its Clinical Course and Management
Kang Min Lee, Hee Woo Lee, Seung Yeon Kim, Hyeon Jeong Lee, Dong Hwan Kim, Joongbum Cho, Dong Ho Kim, Jung Sub Lim, Jin Kyung Lee, Jun Ah Lee
Cancer Res Treat. 2011;43(1):67-70.   Published online March 31, 2011
DOI: https://doi.org/10.4143/crt.2011.43.1.67
AbstractAbstract PDFPubReaderePub
High-dose methotrexate (MTX) chemotherapy extends the duration of hospitalization and introduces the risks of serious complications related to delayed MTX excretion. The treatment of delayed MTX excretion is largely dependent on invasive measures such as hemodialysis because the clinical data regarding the efficacy or safety of carboxypetidase G2 is limited. We report here on the cases of two pediatric osteosarcoma patients with delayed MTX excretion and who were successfully managed using supportive measures. Potential life-threatening complications were prevented by administering high doses of leucovorin.

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  • The Role of Single Nucleotide Polymorphisms in Transporter Proteins and the Folate Metabolism Pathway in Delayed Methotrexate Excretion: A Case Report and Literature Review
    Jun Wang, Yue-Tao Zhao, Meng-Jiao Sun, Feng Chen, Hong-Li Guo
    Pharmacogenomics and Personalized Medicine.2022; Volume 15: 919.     CrossRef
  • Toxicité rénale des anticancéreux
    Blandine Aloy, Nicolas Janus, Corine Isnard-Bagnis, Gilbert Deray, Vincent Launay-Vacher
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  • Delayed High-dose Methotrexate Excretion and Influencing Factors in Osteosarcoma Patients
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    Chinese Medical Journal.2016; 129(21): 2530.     CrossRef
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Original Articles
Laparoscopic Assisted Distal Rectal Cancer Resection with Preoperative Concurrent Chemoradiotherapy
Bong Hwa Lee, Mi Young Chang, Sung Kook Park, Taeik Eum, Hyun Joo Shin, Nam Kyu Ro, Chang Nam An, Hae Wan Lee, Lee Su Kim, Hyoung-Chul Park, Hoon Sik Bae, Dae Young Zang, Richard L Whelan
Cancer Res Treat. 2007;39(1):10-15.   Published online March 31, 2007
DOI: https://doi.org/10.4143/crt.2007.39.1.10
AbstractAbstract PDFPubReaderePub
Purpose

Anatomy of deep pelvis, narrow distal margin and tumor invasion into neighbor organ are obstacles for curative radical resection for advanced cancer of distal rectum. Technically, laparoscopic application after downstaging the tumor with preoperative concurrent chemotherapy (CCRT) may give a solution to overcome the anatomical difficulties. We compared the results of laparoscopic surgery in the patients who received CCRT with those of patients who had conventional surgery.

Materials and Methods

A continuous infusion of 5FU plus leucovorin and radiotherapy (50.4 Gy) in 28 fractions was given each patient as CCRT. They underwent D2 radical resection with TME and ANP for the rectal cancer in 4 weeks.

Results

Thirty three patients had laparoscopic resection such as LAR, colo-anal anastomosis and APR. The results were compared with 12 cases of the conventional resections. As a result of preoperative CCRT, the cancer was down-staged in 71%. Two year disease free survival was 75% and 74% in the group of conventional and laparoscopic resection, respectively (p=0.427). Ileus, voiding difficulty and leakage after surgery were not different between two groups. Weakness of ejaculation was noted in 9~11% of both groups. The DFS of the preoperative CCRT followed by radical resection in the groups with a response was more favorable than that in the group with progressive or stable disease.

Conclusion

Radical resection of advanced distal rectal cancer could be done with performing a laparoscopic assisted operation after CCRT induced down-staging. We may suggest that laparoscopic assisted resection is a good treatment option as it doesn't increase the complications and it has a compatible survival rate to conventional surgery.

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  • DPYD,TYMS,TYMP,TK1, andTK2Genetic Expressions as Response Markers in Locally Advanced Rectal Cancer Patients Treated with Fluoropyrimidine-Based Chemoradiotherapy
    Ming-Yii Huang, Chan-Han Wu, Chun-Ming Huang, Fu-Yen Chung, Ching-Wen Huang, Hsiang-Lin Tsai, Chin-Fan Chen, Shiu-Ru Lin, Jaw-Yuan Wang
    BioMed Research International.2013; 2013: 1.     CrossRef
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Complication of Intraoperative Radiation Therapy ( IORT ) Combined with External Irradiation and Chemotherapy in Gastric and Colorectal Cancer
Myung Se Kim, Seong Kyu Kim, Sun Kyo Song, Jae Hwang Kim, Hong Jin Kim, Min Chul Chim, Koing Bo Kwun, Heung Dae Kim
J Korean Cancer Assoc. 1994;26(1):16-24.
AbstractAbstract PDF
Although local recurrence is most troublesome problem even in early gastric and colorectal cancer, distant metastasis is the other cause of death among survivors. Department of Therapeutic Radiology & General Surgery in Yeungnam Medical Center tried prospective protocol which includes IORT and external irradiation for local control and various chemotherapy for systemic treatment since June 15, 1988. Total sixty eight patients(59 gastric, 9 colorectal) entered in our protocol. Fhysical examination, CBC, Chest X-Ray, and other biochemical examinations were performed on monthly basis, if it is necessary, CT, MRI and endoscopy were ordered. Sixty-one patients(53 gastric, 8 colorectal) were performed IORT(89.7%). Treatment related complications were found in 14 patients(23%) including 4 patients of gastro-intestinal bleedings (6.6%), 2 patients of bone marrow depressions(3.3%). 1 patient of perioperative abscess and sepsis(1.6%), 4 patients of intestinal obstructions(6.6%) and 4 patients of hand & leg edema(6.6%). Six of 14 patients with complications were dead(9.8%), probably due to complication. Our results are very encouraging, because only one patients with rectal cancer had local failure(1.6%) and complication rate is comparable with other published reports, in spite of our aggressive treatment. But reduced dose of chemotherapeutic agents, compromising of treatment sequence between chemotherapy and external irradiation and judicious perioperative care should be considered for further better results.
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The Effect of Ethanol on the Experimental Hepatocarcinogenesis Induced by 3'-methyl-4-dimethylaminoazobenzene
Hee Jeong Ahn, Charn Il Park
J Korean Cancer Assoc. 1994;26(1):24-41.
AbstractAbstract PDF
It has been generally accepted that sequential histological changes develop during the course of hepatocarcinogenesis as the precancerous lesions. However, the exact pathogenic mechanism and the relationship between these precancerous lesions and carcinoma remain contro- versiaL In 3'-methyl-4-dimethylaminoazobenzene(3'-MeDAB) induced hepatocarcinogenesis, the intermediate metabolites produced by cytochrome P, oxidase system of hepatocytes are thought to be the ultimate carcinogen, and conceivably such drugs as ethanol which is also oxidized by the same hepatic oxidase system may affect the 3-MeDAB induced hepatocarcinogenesis. The present study aimed to elucidate that the cytokinetic nature of the hepatic lesions developed by 3'-MeDAB administration and the effect of ethanol on the course of hepatocarcinogenesis. Sprague-Dawley male rats about 180 g were used for the experiment, and divided into 8 groups according to the duration and doses of 3-MeDAB and ethanol administered: I. normal control, IL 3-MeDAB only for 6 weeks, III. 3'-MeDAB only for 9 weeks, IV. 3'-MeDAB with a small dose(4 g/kg) of ethanol, V. 3'-MeDAB with a large dose(ll g/kg) of ehtanol, VL ethanol pretreatment for 3 weeks followed by 3'-MeDAB plus ethanol for 9 weeks, VII. Ethanol only for 9 weeks in a small dose, VIII. Ethanol only for 9 weeks in a large dose. Animals were sacrificed at 3, 6, 9, 12 and 15 weeks. The liver weight, the gross and microscopical changes of the liver were compered between the experimental groups. Cell kinetics of the various hepatic lesions developed in the hepatocarcinogenesis was examined by applying the immunohistochemical method for bromodeoxyuridine(BrdU). The results are as follows: 1) Liver weights tended to increase gradually in the experimental groups treated with 3'- MeDAB with or without ethanol, whereas it decreased in the animals given ethanoi alone. 2) The number and size of hepatic granules, nodules and masses continued to increaae in the
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Complications Following Pancreaticoduodenectomy
Hyuk Jai Jang, Sung Gyu Lee, Duck Jong Han, Hong Suck Joon, Kwang Min Park, Tae Won Kwon, Pyung Chul Min
J Korean Cancer Assoc. 1994;26(1):62-70.
AbstractAbstract PDF
Pancreaticoduodenectomy is a complex operation that previously carried high postoperative morbidity and mortality, but the operative mortality has decreased recently due to improvement in operative technique and perioperative care. This paper analyzes the postoperative complications after 64 pancreaticoduodenectomies performed during the past 3years and Gmonths from August, l989 to February, 1993 in the Department of Surgery, Asan Medical Center. 1) Postoperative major complications developed in 12 patients(l8.8%), including 3 intra-ab-dominal hemorrhage(4.7%), 3 gastrointestinal tract bleeding(4.7%), 3 intra-abdominal abscess (4.7% ), 2 pancreatic leakage(3.1%), and 1 bile leakage(1.6%). 2) The complications requiring relaparotomy in 3 patients(l intra-abdominal hemorrhage, 1 gastrointestinal tract bleeding, 1 Pancreatic leakage) ended fatally in 1 patient who died of gastrointestinal tract bleeding. Therefore, the overall martality rate was 1.6 percent. 3) A1though most complications could be managed conservatively, early reintervention should be done in dangerous complications such as uncontrolled pancreatic leaks and massive intraabdominal or gastrointestinal bleeding. 4) Based on our data, pancreaticoduodenectomy can be performed safely by experienced surgeons and can be used widely for suspicious periampullary tumorous lesions.
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Local Complications after Surgical Treatment for Thyroid carcinoma
Suk Hyung Kang, Ki Hoon Jung, Jeoung Won Bae
J Korean Cancer Assoc. 1996;28(1):88-94.
AbstractAbstract PDF
There is considerable controversy concerning the most appropriate surgica1 treatment of patients with differentiated thyroid cancer. This study was conducted to determine the op timal surgical operation by analysis of morbidity and mortality according to the operative method adopted. The clinical records were reviewed from 128 cases with thyroid cancer treated at the department of Surgery, Korea University Hospital. between January 1985 and December 1992. Local complications were defined as those occurring in the operative areas or as local results after the surgery during the hospitalization. Forty-five patients (35%) underwent total thyroidectomy, 30(23%) total thyroidectomy with radical lymph node dissection, 20(16%) subtotal thyroidectomy, and 33(26%) thyroid lobectomy. Nineteen patients(14.8%) experienced temporary local complications. Out of 19(14.8%) transient hypocalcemia, 1 case occurred after subtotal thyroidectomy and 18 cases after total thyroidectomy. Four cases(3%) of bleeding occured after various types of thyroidectomy(l case after lobectomy, 1 case after subtotal thyroidectomy, 2 cases after total thyroidectomy). One case of wound infection after lobectomy and one case of recurrent laryngeal nerve in jury after total thyroidectomy were also identified. There were no postoperative deaths. The most frequent morbidity was transient hypocalcemia following the total thyroidectomy. Although total thyroidectomy relatively induced more postoperative complications than other procedure, the temporary postoperative complications were less important. Our data suggest that total thyroidectomy could be considered as an operative treatment of the thyroid cancer.
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Comparison of Clinical Outcome in Para-aortic Lymph Node Dissection (PALD) and D2 for Advanced Gastric Cancer
Chan Dong Kim, Dae Hyun Yang, Ik Haeng Jo, Jin Pok Kim, Won Jin Choi, Il Myung Kim, Jin Youn, Sang Su Park, Byung Ook Yoo, Seung Ik Ahn, Sin Eun Choi
J Korean Cancer Assoc. 2000;32(5):844-851.
AbstractAbstract PDF
PURPOSE
We compared the clinical results of paraaortic lymph node dissection (PALD) with those of D2 to evaluate the survival gain and disadvantage of paraaortic lymph node dissection for advanced gastric cancer.
MATERIALS AND METHODS
We analysed the clinical data of 196 patients who underwent curative resection and D2 with or without paraaortic lymph node dissection (PALD or D2) for advanced gastric cancer from May 1990 to June 1999. The operative factors (operative time, the amounts of intraoperative transfusion and hospital stay), operative morbidity and mortality and 5 year survival rates were compared between D2 and PALD groups.
RESULTS
The operative time of subtotal gastrectomy was significantly longer in PALD group than D2 group. The operative morbidity rates were 9.2% in D2 group and 10.3% in PALD group. There were 3 operative mortalities in D2 group and none in PALD group. The 5 year survival rates (5YSR's) of stage IB, II, IIIA, IIIB, IV were 88.9%, 92.3%, 30.2%, 24.2%, 28.9% in D2 group and 93.3%, 75.5%, 61.0%, 0%, 0% in PALD group.
CONCLUSION
The paraaortic lymph node dissection was a rather safe procedure without significant increase of morbidity and mortality. There was no statistically significant difference in survival in any stage of this retrospective study with limited cases and follow-ups.
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