1.Long-term outcomes of cervical cancer patients with complete metabolic response after definitive chemoradiotherapy
Cem ONAL ; Ozan Cem GULER ; Mehmet REYHAN ; Ali Fuat YAPAR
Journal of Gynecologic Oncology 2021;32(5):e74-
Objective:
We investigated the importance of metabolic parameters measured with 18F-fluorodeoxyglucose positron-emission tomography integrated with computed tomography (FDG-PET/CT) for predicting progression-free survival (PFS) and overall survival (OS) in cervical cancer with complete metabolic response (CMR) after chemoradiotherapy (ChRT).
Methods:
The clinical data and PET parameters including standardized uptake value (SUV), metabolic tumor volume (MTV), and total lesion glycolysis (TLG) of 122 patients having CMR in post-treatment 18F-FDG-PET/CT delivered a median of 3.9 months after ChRT completion were analyzed.
Results:
With a median follow-up of 8.4 years, 55 patients (45%) presented with disease a median of 19.7 months after ChRT. For SUVp, MTVp, TLGp, SUVln, MTVln, and TLGp, the cut-off values for OS determined by receiver operating curve analysis were 15.8, 48.7 cm3, 552.3, 8.7, 7.0 cm3, respectively. All metabolic PET parameters were significant prognostic factors for OS and PFS in univariate analysis. International Federation of Gynecology and Obstetrics (FIGO) stage was predictive of both OS and PFS, while pelvic and/or para-aortic lymph node metastasis were predictive of OS only. In multivariate analysis, FIGO stage ≥IIB, MTVp ≥49.8 cm3, and TLGp ≥597.4 were predictive of worse OS. Advanced stage, presence of lymph node metastasis, higher TLGp, and larger MTVln were significant factors for poor PFS rates.
Conclusion
We found that advanced stage and higher TLGp values were significant predictors for poor survival and higher progression rates. Volumetric PET parameters could be used to predict treatment outcomes in patients with CMR after definitive ChRT.
2.Levels of Salivary Sialic Acid in Children with Autism Spectrum Disorder; Could It Be Related to Stereotypes and Hyperactivity?
Esra DEMIRCI ; Yunus GULER ; Sevgi OZMEN ; Mehmet CANPOLAT ; Sefer KUMANDAS
Clinical Psychopharmacology and Neuroscience 2019;17(3):415-422
OBJECTIVE: Sialic acid (Sia) is an essential nutrient for brain development, learning, memory and cognition and plays a role in neurodevelopment of infants. The aim of this study was to determine whether Sia levels are significantly associated with the autism spectrum disorder (ASD). METHODS: Forty-six ASD children and 30 typically developing children aged 3 to 10 years were included in the study. Behavioral symptoms in ASD children was assessed by the Autism Behavior Checklist (AuBC), the Childhood Autism Rating Scale, and the Aberrant Behavior Checklist (ABC). After the collection of saliva samples, the supernatant was separated. All the samples kept at −80°C until Sia analysis was done. RESULTS: Sia level was found to be significantly lower in the ASD group when compared to healthy controls (p = 0.013). There was no correlation between severity of ASD and salivary Sia levels. We found a negative correlation between AuBC scores and Sia levels and a negative correlation in both ABC Stereotypic Behavior and Hyperactivity/Noncompliance subscales with Sia levels in ASD group. CONCLUSION: The obtained data indicate that Sia levels could have an effect on autism-like behaviors, particularly on stereotypes and hyperactivity.
Autism Spectrum Disorder
;
Autistic Disorder
;
Behavioral Symptoms
;
Brain
;
Checklist
;
Child
;
Cognition
;
Humans
;
Infant
;
Learning
;
Memory
;
N-Acetylneuraminic Acid
;
Saliva
3.The Correlation between IL-1β-C31T Gene Polymorphism and Susceptibility to Breast Cancer
Nazan ERAS ; Ferah Tuncel DALOGLU ; Tahsin ÇOLAK ; Mehmet GULER ; Etem AKBAS
Journal of Breast Cancer 2019;22(2):210-218
PURPOSE: Interleukin-1 beta (IL-1β), a pro-inflammatory cytokine, has been shown to influence breast cancer susceptibility. The relationship between its risk of breast cancer and IL-1β-C31T polymorphism has been demonstrated, but the results remain controversial. Therefore, our study aimed to investigate the correlation between the IL-1β-C31T gene polymorphism and susceptibility to breast cancer. METHODS: The genotype frequencies of IL-1β-C31T polymorphism were compared between 204 breast cancer cases and 210 controls using polymerase chain reaction and restriction fragment length polymorphism techinques. Further multivariate binary logistic regression analyses were used to assess the association between IL-1β-C31T polymorphism and breast cancer risk. RESULTS: The frequency of the T allele of IL-1β-C31T polymorphism in breast cancer cases was significantly higher than that in the controls (56.1% vs. 47.9%). The frequencies of genotypes CC, CT, and TT in the cases were 22.1%, 43.6%, and 34.3%, respectively, while in the control group they were 24.3%, 55.7%, and 20.0%, respectively. There was a significant difference between the prevalence of TT genotype in the 2 groups (adjusted odds ratio [OR], 2.06; 95% confidence interval [CI], 1.16–3.66; p = 0.014). Breast cancer risk increased in women with TT genotype, body mass index (BMI) ≥ 25 kg/m2 (OR, 2.19; 95% CI, 1.09–4.36), late age at first birth (OR, 2.43; 95% CI, 1.29–4.56), postmenopausal status (OR, 3.15; 95% CI, 1.39–7.16), and negative smoking history (OR, 2.52; 95% CI, 1.32–4.82). Furthermore, increase in breast cancer risk among women diagnosed with invasive ductal carcinoma was associated with CT/TT genotypes (OR, 2.82; 95% CI, 1.38–5.76). CONCLUSION: The IL-1β-C31T polymorphism affects breast cancer susceptibility, especially in women with late age at first birth, high BMI, postmenopausal status, negative smoking history, and invasive ductal carcinoma. Our study adds to the evidence about the importance of IL-1β-C31T polymorphism in breast cancer susceptibility.
Alleles
;
Birth Order
;
Body Mass Index
;
Breast Neoplasms
;
Breast
;
Carcinoma, Ductal
;
Female
;
Genetic Predisposition to Disease
;
Genotype
;
Humans
;
Interleukin-1beta
;
Logistic Models
;
Odds Ratio
;
Polymerase Chain Reaction
;
Polymorphism, Genetic
;
Polymorphism, Restriction Fragment Length
;
Prevalence
;
Smoke
;
Smoking
4.Alveolar echinococcosis localized in the liver, lung and brain.
Seyit Mehmet KAYACAN ; Sezai VATANSEVER ; Suleyman TEMIZ ; Bora USLU ; Dilek KAYACAN ; Vakur AKKAYA ; Osman ERK ; Bülent SAKA ; Aytac KARADAG ; Kultigin TURKMEN ; Fatih YAKAR ; Kerim GULER
Chinese Medical Journal 2008;121(1):90-92
Aged
;
Brain
;
parasitology
;
Echinococcosis, Hepatic
;
diagnosis
;
etiology
;
therapy
;
Echinococcosis, Pulmonary
;
diagnosis
;
etiology
;
therapy
;
Female
;
Humans
;
Lymphoma, T-Cell
;
complications

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