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Search Results (219)
  • Open Access

    REVIEW

    Research Advances on the Mechanisms and Clinical Outcomes of Hyperglycemia in Pregnancy Leading to Congenital Heart Disease in Offspring

    Jiafei He1,2, Ailixiati Alifu2, Haifan Wang2, Renwei Chen1,2,*

    Structural and Congenital Heart Disease, Vol.21, No.1, 2026, DOI:10.32604/schd.2026.075858 - 31 March 2026

    Abstract Hyperglycemia in pregnancy (HIP) is an important independent risk factor for congenital heart disease (CHD) in offspring. With an increasing number of women of childbearing age experiencing gestational hyperglycemia, the impact of an intrauterine hyperglycemic environment on fetal development has drawn significant attention. However, the teratogenic mechanisms underlying its effects on cardiac development remain incompletely understood. This review systematically analyzes relevant literature to summarize its underlying mechanisms and key findings: A hyperglycemic environment disrupts cardiac neural crest cell migration, differentiation, and the proliferation/apoptosis balance of cardiomyocytes by inducing oxidative stress, endoplasmic reticulum stress, and inflammatory… More >

  • Open Access

    REVIEW

    Surgery Alone Treatment vs. Surgery with Adjuvant Therapy for Laryngeal Mucoepidermoid Cancer: A Systematic Review

    Francesco Chiari1,*, Giovanni Motta2, Daria Maria Filippini3, Claudio Donadio Caporale1, Pierre Guarino1

    Oncology Research, Vol.34, No.4, 2026, DOI:10.32604/or.2026.073086 - 23 March 2026

    Abstract Objective: Mucoepidermoid carcinoma (MEC) of the larynx is an extremely rare malignancy, accounting for less than 1% of primary laryngeal tumors. The optimal role of adjuvant therapy, particularly radiotherapy (RT), remains unclear due to limited evidence. This systematic review aimed to evaluate oncologic outcomes and the impact of adjuvant treatment in patients with early- and advanced-stage laryngeal MEC. Methods: A systematic literature search was performed according to PRISMA 2020 guidelines in PubMed/Embase, Scopus, and Cochrane for studies published up to 31 July 2025. Results: Twenty-two studies, encompassing 55 patients, were included. Early-stage (T1–T2) patients (n =… More >

  • Open Access

    ARTICLE

    Oncological outcomes of I125 low dose brachytherapy in localized prostate cancer

    Gilberto Chéchile Toniolo1, Nuria Jornet1,*, Jady Rojas1, Natalia Tejedor1, Santiago Carrara1, Alicia Maccagno2, Teresa Brufau1

    Canadian Journal of Urology, Vol.33, No.1, pp. 93-103, 2026, DOI:10.32604/cju.2026.069182 - 28 February 2026

    Abstract Background: Low-dose rate (LDR) prostate brachytherapy is a recommended treatment of localized prostate cancer in current guidelines. The study aimed to determine biochemical relapse-free survival (BRFS) in patients treated with dynamic real-time low-dose rate (LDR) brachytherapy using Iodine 125 (I125). Methods: We retrospectively reviewed 499 patients with localized prostate cancer treated with I125 LDR real-time brachytherapy between 2003 and 2021. The mean patient age was 65 years (range: 45–84 years). Based on the National Comprehensive Cancer Network (NCCN) risk classification, 230 patients (46.1%) were categorized as low risk, 235 (47.1%) as intermediate risk, and 34 (6.8%)… More >

  • Open Access

    ARTICLE

    Initial case series and perioperative outcomes of single-port robotic radical prostatectomy: the Italian experience

    Gianluca Spena1, Francesco Passaro1, Achille Aveta1, Roberto Contieri1,*, Alessandro Izzo1, Giuseppe Quarto1, Giovanni Grimaldi1, Luigi Castaldo1, Dario Franzese1, Raffaele Muscariello1, Savio Domenico Pandolfo2, Antonio Tufano3, Sisto Perdonà1

    Canadian Journal of Urology, Vol.33, No.1, pp. 117-123, 2026, DOI:10.32604/cju.2025.068026 - 28 February 2026

    Abstract Background: The Da Vinci Single-Port Robotic System (Da Vinci-SP), introduced by Intuitive (CA, USA) in 2018 in the USA and in 2024 in Europe, integrates advanced features like a flexible camera and articulating instruments. It has garnered significant interest in urology. Our report presents the first described European series of Radical Prostatectomies using the Da Vinci SP at the leading Italian center, Istituto Nazionale Tumori di Napoli, IRCCS “G. Pascale” Foundation, detailing the technical differences and challenges faced by experienced multiport robotic surgeons. Methods: Sixteen patients have been enrolled and underwent Single-Port (SP) Robot-Assisted Radical… More >

  • Open Access

    ARTICLE

    Predicting Immunotherapy Outcomes in Colorectal Cancer Using Machine Learning and Multi-Omic Biomarkers: Development of a Real-Time Predictive Web Application

    Thomas Kidu1, Harini Kethar2, Haben Gebrekidan3, Haleem Farman4, Ahmed Sedik4,5, Walid El-Shafai6,7, Jawad Khan8,*

    CMES-Computer Modeling in Engineering & Sciences, Vol.146, No.2, 2026, DOI:10.32604/cmes.2026.076798 - 26 February 2026

    Abstract Colorectal cancer is the third most diagnosed cancer worldwide, and immune checkpoint inhibitors have shown promising therapeutic outcomes in selected patient groups. This study performed a comprehensive analysis of multi-omics data from The Cancer Genome Atlas colorectal adenocarcinoma cohort (TCGA-COADREAD), accessed through cBioPortal, to develop machine learning models for predicting progression-free survival (PFS) following immunotherapy. The dataset included clinical variables, genomic alterations in Kirsten Rat Sarcoma Viral Oncogene Homolog (KRAS), B-Raf Proto-Oncogene (BRAF), and Neuroblastoma RAS Viral Oncogene Homolog (NRAS), microsatellite instability (MSI) status, tumor mutation burden (TMB), and expression of immune checkpoint genes. Kaplan–Meier… More >

  • Open Access

    REVIEW

    The Role of the Gut Microbiome in Clinical Outcomes of Colorectal Cancer: A Systematic Review (2020–2025)

    Iara Santos1, Joana Liberal1,2, Paulo Teixeira1,3,4, Diana Martins1,2,5,6, Fernando Mendes1,2,5,6,7,*

    Oncology Research, Vol.34, No.3, 2026, DOI:10.32604/or.2025.070281 - 24 February 2026

    Abstract Background: The Colorectal Cancer (CRC) pathogenesis and therapeutic efficacy are influenced by the gut microbiome, making it a promising biomarker for predicting treatment responses and adverse effects. This systematic review aims to outline the gut microbiome composition in individuals with CRC undergoing the same therapeutic regimen and evaluate interindividual microbiome profile variations to better understand how these differences may influence therapeutic outcomes. Methods: Key studies investigating the microbiome’s role in therapeutic approaches for CRC were searched in both PubMed and Cochrane databases on 12 and 22 March 2025, respectively. Eligible studies included free full-text English-language… More > Graphic Abstract

    The Role of the Gut Microbiome in Clinical Outcomes of Colorectal Cancer: A Systematic Review (2020–2025)

  • Open Access

    ARTICLE

    Real-World Outcomes of First-Line Palbociclib Plus Endocrine Therapy for HR+/HER2− Metastatic Breast Cancer in Japan: A Single-Center Retrospective Study

    Keiko Yanagihara1,*, Masato Yoshida2, Kensaku Awaji2, Tamami Yamakawa1, Sena Kato1, Miki Tamura1, Koji Nagata3

    Oncology Research, Vol.34, No.1, 2026, DOI:10.32604/or.2025.073891 - 30 December 2025

    Abstract Background: Cyclin-dependent kinase 4/6 (CDK4/6) inhibitors have transformed the management of hormone receptor–positive/HER2–negative (HR+/HER2–) advanced breast cancer, yet evidence for elderly or poor-performance patients remains limited. This study examined real-world outcomes of palbociclib plus endocrine therapy in Asian patients, with additional subgroup analyses by age and performance status. Methods: We retrospectively analyzed 46 consecutive Asian patients with recurrent or de novo HR+/HER2− breast cancer treated with first-line palbociclib plus ET between April 2021 and March 2025. The primary endpoint was progression-free survival (PFS). Secondary endpoints included overall response rate (ORR), disease control rate (DCR), and safety.… More >

  • Open Access

    REVIEW

    Collaborating to Improve Outcomes in Congenital Heart Disease: The Pediatric Heart Network Experience

    Bryanna N. Schwartz*, Victoria L. Pemberton, D’Andrea Freemon, Kristin M. Burns, Gail D. Pearson

    Congenital Heart Disease, Vol.20, No.6, pp. 637-646, 2025, DOI:10.32604/chd.2025.073995 - 10 February 2026

    Abstract Background: In the 1990s, there were few multicenter research collaborations and pediatric cardiovascular clinical trials. The National Heart, Lung, and Blood Institute at the National Institutes of Health established the Pediatric Heart Network (PHN) in 2001 to stimulate multi-center collaboration and clinical studies in children and adults with congenital heart disease (CHD) and pediatric acquired heart disease. Methods: The PHN developed a flexible infrastructure for multi-center collaborative clinical research in children and adults with CHD and pediatric acquired heart disease. The objectives of the PHN are to improve health outcomes in individuals of all ages with… More >

  • Open Access

    ARTICLE

    Predictive Value of Echocardiography Combined with Cardiopulmonary Exercise Testing for Functional Status and Adverse Outcomes of Adult Patients with Congenital Heart Disease

    Ling Lin, Yasha Liang, Yunyu Chen, Rong Su, Hu Zhang, Ailing Yang*

    Congenital Heart Disease, Vol.20, No.6, pp. 703-716, 2025, DOI:10.32604/chd.2025.072819 - 10 February 2026

    Abstract Background: We aimed to explore the value of echocardiography plus cardiopulmonary exercise testing (CPET) for predicting the functional status and adverse outcomes of adult patients with congenital heart disease (CHD), and to develop a multivariate prediction model. Methods: Subjects (135 in total) in this single-center prospective cohort study were enrolled from adult patients suffering from CHD treated in this hospital during January 2021 and August 2023. Standardized echocardiography and CPET were conducted on all subjects at enrollment, with such indicators as left ventricular ejection fraction (LVEF), right ventricular function parameters, peak oxygen uptake (peak VO2), and carbon… More >

  • Open Access

    ARTICLE

    Adult urologic sarcomas: a single institution experience over 25 years

    Abdul Baseet Arham1, John M. Rieth2, Michael A. O’Donnell3,*

    Canadian Journal of Urology, Vol.32, No.6, pp. 605-620, 2025, DOI:10.32604/cju.2025.063632 - 30 December 2025

    Abstract Background: Genitourinary (GU) sarcomas are rare soft tissue malignancies, comprising around 2% of all GU cancers. Due to their rarity, limited data exist on optimal management and long-term outcomes. This study presents a 25-year single-institution experience, evaluating clinical presentation, treatment strategies, and survival outcomes, aims to identify trends over time and potential predictors of prognosis. Methods: A retrospective review was conducted of patients aged ≥18 years diagnosed with GU sarcomas at the University of Iowa Hospitals and Clinics (1998–2023). Data on tumor subtype, staging, histopathology, treatment modalities, and survival outcomes were analyzed. Kaplan-Meier analysis estimated… More >

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