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Research paper thumbnail of Maintenance therapy with a poly(ADP-ribose) polymerase inhibitor (PARP) in patients with newly diagnosed ovarian cancer: A systematic review and meta-analysis

Journal of Clinical Oncology

e17587 Background: PARP inhibitors (PARPi) have been approved for maintenance therapy in newly di... more e17587 Background: PARP inhibitors (PARPi) have been approved for maintenance therapy in newly diagnosed ovarian cancer patients with or without homologous recombination deficiency (HRD). In this meta-analysis, the latest clinical data to assess the efficacy and safety of this approach across different subgroups were synthesized. Methods: PubMed, Scopus, and Cochrane databases were searched for randomized controlled trials that compared maintenance PARPi with placebo in newly diagnosed ovarian cancer. The outcomes of interest included progression-free survival (PFS) according to HRD status, overall survival (OS), second PFS (PFS2), and time-to-first subsequent treatment (TFST). Heterogeneity was examined with I2 statistics. A random-effects model was used for outcomes with high heterogeneity. Results: A total of 6 Randomized clinical trials with 3609 patients were included, of whom 2348 (65%) received maintenance PARPi. PFS was significantly longer for HRD-positive patients receivin...

Research paper thumbnail of Brazilian Society of Surgical Oncology consensus on fertility‐sparing surgery for cervical cancer

Journal of Surgical Oncology, Jul 1, 2022

Research paper thumbnail of Paraganglioma Retroperitonial – Relato de Caso

Os paragangliomas sao tumores originarios de celulas provenientes do sistema neuroendocrino. Assi... more Os paragangliomas sao tumores originarios de celulas provenientes do sistema neuroendocrino. Assim como o feocromocitoma, sao produtores de catecolaminas, entretanto diferem na sua localizacao que e extra-adrenal. O relato de caso presente e de uma paciente do sexo feminino, 25 anos, com quadro de dor abdominal, astenia e, ao exame fisico, lesao fixa e palpavel em mesogastrio de 4 cm. A investigacao diagnostica constatou, atraves da tomografia, uma imagem de massa retroperitonial junto aos gânglios de zuckerlandl. O tratamento cirurgico foi indicado. Durante a cirurgia apresentou sintomas adrenergicos com baixa resposta a drogas vasoativas. Apos a retirada por completo da lesao, cessaram os sintomas. A biopsia mostrou se tratar de paraganglioma maligno. O feocromocitoma apresenta grande espectro de sintomatologia clinicas, principalmente relacionados a liberacao de catecolaminas, repercutindo em alteracoes cardiovasculares, como crises hipertensivas. A unica forma de tratamento pote...

Research paper thumbnail of Useful Pelvic Retroperitoneal Neuroanatomy for Benign Gynecologic Surgery: A Cadaveric Dissection

Journal of Minimally Invasive Gynecology

Research paper thumbnail of Stepwise Laparoscopic Myomectomy and the Baseball Closure

Journal of Minimally Invasive Gynecology

Research paper thumbnail of Brazilian Society of Surgical Oncology guidelines for surgical treatment of endometrial cancer in regions with limited resources

Journal of Surgical Oncology

Research paper thumbnail of Surgery in ovarian cancer - Brazilian Society of Surgical Oncology consensus

BJOG : an international journal of obstetrics and gynaecology, Jan 14, 2018

Surgical management in epithelial ovarian cancer (EOC) has a significant impact in overall surviv... more Surgical management in epithelial ovarian cancer (EOC) has a significant impact in overall survival (OS) and progression free survival (PFS). Brazilian Society of Surgical Oncology (BSSO) supported a taskforce with experts for consensus: experienced and specialized trained surgeons, in cancer centers, provide the best EOC surgery. Laparoscopic and/or radiological staging prognosticate the possibility of complete cytoreduction (CC0) and help to reduce unnecessary laparotomies. Surgical techniques were reviewed. Multidisciplinary input is essential for treatment planning. Quality assurance criteria are proposed and need national consensus. Genetic testing is mandatory. This consensus states the final recommendations from BSSO for management of EOC. This article is protected by copyright. All rights reserved.

Research paper thumbnail of Retalho diafragmático em sutura esofagiana: estudo experimental em cães

Revista Do Medico Residente, Jan 3, 2010

Research paper thumbnail of Paraganglioma Retroperitonial – Relato de Caso

Revista Do Medico Residente, Jan 6, 2013

Research paper thumbnail of Maintenance therapy with a poly(ADP-ribose) polymerase inhibitor (PARP) in patients with newly diagnosed ovarian cancer: A systematic review and meta-analysis

Journal of Clinical Oncology

e17587 Background: PARP inhibitors (PARPi) have been approved for maintenance therapy in newly di... more e17587 Background: PARP inhibitors (PARPi) have been approved for maintenance therapy in newly diagnosed ovarian cancer patients with or without homologous recombination deficiency (HRD). In this meta-analysis, the latest clinical data to assess the efficacy and safety of this approach across different subgroups were synthesized. Methods: PubMed, Scopus, and Cochrane databases were searched for randomized controlled trials that compared maintenance PARPi with placebo in newly diagnosed ovarian cancer. The outcomes of interest included progression-free survival (PFS) according to HRD status, overall survival (OS), second PFS (PFS2), and time-to-first subsequent treatment (TFST). Heterogeneity was examined with I2 statistics. A random-effects model was used for outcomes with high heterogeneity. Results: A total of 6 Randomized clinical trials with 3609 patients were included, of whom 2348 (65%) received maintenance PARPi. PFS was significantly longer for HRD-positive patients receivin...

Research paper thumbnail of Brazilian Society of Surgical Oncology consensus on fertility‐sparing surgery for cervical cancer

Journal of Surgical Oncology, Jul 1, 2022

Research paper thumbnail of Paraganglioma Retroperitonial – Relato de Caso

Os paragangliomas sao tumores originarios de celulas provenientes do sistema neuroendocrino. Assi... more Os paragangliomas sao tumores originarios de celulas provenientes do sistema neuroendocrino. Assim como o feocromocitoma, sao produtores de catecolaminas, entretanto diferem na sua localizacao que e extra-adrenal. O relato de caso presente e de uma paciente do sexo feminino, 25 anos, com quadro de dor abdominal, astenia e, ao exame fisico, lesao fixa e palpavel em mesogastrio de 4 cm. A investigacao diagnostica constatou, atraves da tomografia, uma imagem de massa retroperitonial junto aos gânglios de zuckerlandl. O tratamento cirurgico foi indicado. Durante a cirurgia apresentou sintomas adrenergicos com baixa resposta a drogas vasoativas. Apos a retirada por completo da lesao, cessaram os sintomas. A biopsia mostrou se tratar de paraganglioma maligno. O feocromocitoma apresenta grande espectro de sintomatologia clinicas, principalmente relacionados a liberacao de catecolaminas, repercutindo em alteracoes cardiovasculares, como crises hipertensivas. A unica forma de tratamento pote...

Research paper thumbnail of Useful Pelvic Retroperitoneal Neuroanatomy for Benign Gynecologic Surgery: A Cadaveric Dissection

Journal of Minimally Invasive Gynecology

Research paper thumbnail of Stepwise Laparoscopic Myomectomy and the Baseball Closure

Journal of Minimally Invasive Gynecology

Research paper thumbnail of Brazilian Society of Surgical Oncology guidelines for surgical treatment of endometrial cancer in regions with limited resources

Journal of Surgical Oncology

Research paper thumbnail of Surgery in ovarian cancer - Brazilian Society of Surgical Oncology consensus

BJOG : an international journal of obstetrics and gynaecology, Jan 14, 2018

Surgical management in epithelial ovarian cancer (EOC) has a significant impact in overall surviv... more Surgical management in epithelial ovarian cancer (EOC) has a significant impact in overall survival (OS) and progression free survival (PFS). Brazilian Society of Surgical Oncology (BSSO) supported a taskforce with experts for consensus: experienced and specialized trained surgeons, in cancer centers, provide the best EOC surgery. Laparoscopic and/or radiological staging prognosticate the possibility of complete cytoreduction (CC0) and help to reduce unnecessary laparotomies. Surgical techniques were reviewed. Multidisciplinary input is essential for treatment planning. Quality assurance criteria are proposed and need national consensus. Genetic testing is mandatory. This consensus states the final recommendations from BSSO for management of EOC. This article is protected by copyright. All rights reserved.

Research paper thumbnail of Retalho diafragmático em sutura esofagiana: estudo experimental em cães

Revista Do Medico Residente, Jan 3, 2010

Research paper thumbnail of Paraganglioma Retroperitonial – Relato de Caso

Revista Do Medico Residente, Jan 6, 2013

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