Pathological response and clinical outcomes in operable triple-negative breast cancer with cisplatin added to standard neoadjuvant chemotherapy.

BACKGROUND: Response to neoadjuvant chemotherapy is associated with improved outcomes for patients with triple negative breast cancer (TNBC). Patients with residual disease are at increased risk of relapse and death from breast cancer. In this retrospective study, we aimed to evaluate the efficacy and safety of cisplatin added to standard neoadjuvant chemotherapy for locally advanced TNBC. MATERIALS AND METHODS: All TNBC treated with neoadjuvant cisplatin 60mg/m2 once in 3 weeks with weekly paclitaxel for 12 weeks, following 8 weeks of dose-dense epirubicin 90mg/m2 or doxorubicin 60mg/m2 with cyclophosphamide 600mg/m2 were analyzed retrospectively. The data related to pathological complete response, adherence to planned therapy, disease-free survival and overall survival were collected. RESULTS: Eighty-three patients were included, of whom 80% had stage III disease. Pathological complete response in both breast (T0/Tis) and axilla (N0) was observed in 48.1% of patients. Miller Payne grade 5 pathological response in the breast was seen in 61% of patients. Good partial responses (Miller Payne grades 3,4) were observed in 32.5% of patients. The remaining 6.5% were poor responders. Seventy-seven patients underwent surgery. The disease-free survival at 1 and 3 years for those who had a pathological complete response was 96.7% and 77.6%, respectively, and 92.3% and 62.7% for those who did not, respectively. The predominant adverse events were hematological, with anemia being the most common one. CONCLUSION: The addition of cisplatin to neoadjuvant chemotherapy with anthracycline and taxane in TNBC was tolerable and produced a high rate of pathological complete response. Cisplatin added to standard chemotherapy in patients with locally advanced TNBC could improve clinical outcomes.

Data on Heavy metal in coastal sediments from South East Coast of Tamilnadu, India using Energy Dispersive X-ray Fluorescence (EDXRF) Technique.

This article contains the chemical and geographical data and figures for the chemical data in sediments of East Coast (Pattipulam to Dhevanampattinam) of Tamilnadu. The obtained data are related to the research article "Heavy Metal Assessment in Sediment Samples Collected From Pattipulam to Dhevanampattinam along the East Coast of Tamil Nadu Using EDXRF Technique" (Chandramohan et al., 2016) [1]. Chemical data are collected from Energy dispersive X-ray fluorescence spectrometer (EDXRF). Furthermore, the obtained chemical data describes it in more detail in the figures.

Assessments of radioactivity concentration of natural radionuclides and radiological hazard indices in sediment samples from the East coast of Tamilnadu, India with statistical approach.

This paper reports on the distribution of three natural radionuclides (238)U, (232)Th and (40)K in coastal sediments from Pattipulam to Devanampattinam along the East coast of Tamilnadu to establish baseline data for future environmental monitoring. Sediment samples were collected by a Peterson grab samples from 10m water depth parallel to the shore line. Concentration of natural radionuclides were determined using a NaI(Tl) detector based γ-spectrometry. The mean activity concentration is ⩽2.21, 14.29 and 360.23Bqkg(-1) for (238)U, (232)Th and (40)K, respectively. The average activity of (232)Th, (238)U and (40)K is lower when compared to the world average value. Radiological hazard parameters were estimated based on the activity concentrations of (238)U, (232)Th and (40)K to find out any radiation hazard associated with the sediments. The radiological hazard parameters such as radium equivalent activity (Raeq), absorbed gamma dose rates in air (DR), the annual gonadal dose equivalent (AGDE), annual effective dose equivalent (AEDE), external hazard index (Hex) internal hazard index (Hin), activity utilization index (AUI) and excess lifetime cancer (ELCR) associated with the radionuclides were calculated and compared with internationally approved values and the recommended safety limits. Pearson correlation, principal component analysis (PCA) and hierarchical cluster analysis (HCA) have been applied in order to recognize and classify radiological parameters in sediments collected at 22 sites on East coast of Tamilnadu. The values of radiation hazard parameters were comparable to the world averages and below the recommended values. Therefore, coastal sediments do not to pose any significant radiological health risk to the people living in nearby areas along East coast of Tamilnadu. The data obtained in this study will serve as a baseline data in natural radionuclide concentration in sediments along the coastal East coast of Tamilnadu.

Multivariate statistical analysis of radiological data of building materials used in Tiruvannamalai, Tamilnadu, India.

Using γ spectrometry, the concentration of the naturally occurring radionuclides (226)Ra, (232)Th and (40)K has been measured in soil, sand, cement, clay and bricks, which are used as building materials in Tiruvannamalai, Tamilnadu, India. The radium equivalent activity (Raeq), the criterion formula (CF), indoor gamma absorbed dose rate (DR), annual effective dose (HR), activity utilization index (AUI), alpha index (Iα), gamma index (Iγ), external radiation hazard index (Hex), internal radiation hazard index (Hin), representative level index (RLI), excess lifetime cancer risk (ELCR) and annual gonadal dose equivalent (AGDE) associated with the natural radionuclides are calculated to assess the radiation hazard of the natural radioactivity in the building materials. From the analysis, it is found that these materials used for the construction of dwellings are safe for the inhabitants. The radiological data were processed using multivariate statistical methods to determine the similarities and correlation among the various samples. The frequency distributions for all radionuclides were analyzed. The data set consisted of 15 measured variables. The Pearson correlation coefficient reveals that the (226)Ra distribution in building materials is controlled by the variation of the (40)K concentration. Principal component analysis (PCA) yields a two-component representation of the acquired data from the building materials in Tiruvannamalai, wherein 94.9% of the total variance is explained. The resulting dendrogram of hierarchical cluster analysis (HCA) classified the 30 building materials into four major groups using 15 variables.

Excision of a submandibular gland: a safe day case procedure?

There are considerable benefits, both for patients and hospitals, if operations are done as day case procedures. Excision of a submandibular gland is a relatively common operation and it is usual practice for surgeons to be cautious, admit the patient for an overnight stay, and leave a drain in place. To assess the amount of postoperative bleeding into the wound (and hence potential risk to the airway) we have studied prospectively the amount of drainage that occurs. Sixty consecutive patients admitted for overnight postoperative monitoring after excision of a submandibular gland had a suction drain placed as part of the procedure. Drainage was measured by departmental staff at regular intervals during the following 24h. Nearly all the patients drained 40ml or less (mean 18ml) and in all cases there was a clear decrease in the volumes drained over the first 6-8h postoperatively. Drainage then became negligible. The plateau in drainage was evident regardless of the initial volume drained. Surgeons should be confident that drainage will cease after 6-8h in most patients, and residual drainage is negligible.