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1.
Tech Coloproctol ; 21(9): 755, 2017 09.
Artigo em Inglês | MEDLINE | ID: mdl-28900885

RESUMO

Unfortunately, one of the author name was wrongly published in the original publication. The complete correct name should read as follows "Beatriz Camargo Azevedo". The original article was updated.

2.
Tech Coloproctol ; 21(9): 745-754, 2017 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-28819868

RESUMO

BACKGROUND: Neoadjuvant chemoradiation therapy (nCRT) for rectal cancer may lead to cure. As we currently lack reliable methods to clinically confirm the absence of disease, some patients undergo radical resection and have pathological complete response (pCR) still undergo surgery. Furthermore, it is uncertain if conventional one-level histopathological analysis is accurate enough to determine complete response. Confirming pCR is essential to determine the prognosis and to consider the patient's inclusion in trials of adjuvant therapy. The aim of this study was to determine whether the current 1-level approach is sufficient to confirm pCR. METHODS: Four hundred and thirty-five patients with rectal cancer who received nCRT followed by radical resection were analyzed. All cases identified as pCR by 1-level step section histological evaluation were reassessed with 3-level step sections and immunohistochemical analysis to verify the presence of residual disease. RESULTS: Out of 435 patients, 75 (17.2%) were staged as ypT0. Of these, 6 had lymph node involvement and 1 had distant metastasis, leaving 68 (15.6%) who had pCR. After the additional step sections, residual tumor was detected in 12 (17.6%) of these 68. The final pCR rate was 12.9%. Distant recurrence was detected in 7.1% of real-pCR patients compared to 16.7% in the false-pCR group (p = 0.291). Sensitivity of clinical assessment for detecting pCR was 35.7%, and the accuracy of 1-section histological evaluation to identify pCR was 82.4%. CONCLUSIONS: Histopathological analysis with 1-level step section is insufficient to determine complete tumor eradication. The 3-level sections methodology revealed residual tumor cells in patients initially classified as ypT0. Further studies with larger sample size are required to verify the clinical relevance of these residual tumor cells. Caution should continue to be applied to watch and wait strategies following nCRT.


Assuntos
Quimiorradioterapia Adjuvante/métodos , Terapia Neoadjuvante/métodos , Recidiva Local de Neoplasia/diagnóstico , Neoplasia Residual/diagnóstico , Neoplasias Retais/patologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Colectomia/métodos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Recidiva Local de Neoplasia/patologia , Estadiamento de Neoplasias , Neoplasia Residual/patologia , Prognóstico , Estudos Prospectivos , Neoplasias Retais/terapia , Reto/patologia , Estudos Retrospectivos , Resultado do Tratamento
3.
J Clin Pediatr Dent ; 31(4): 235-9, 2007.
Artigo em Inglês | MEDLINE | ID: mdl-19161057

RESUMO

This study aimed to validate clinical analysis of 20 pediatric dentists on occlusal groove-fossa-system of molar depth comparing to Cone-beam tomography. The 48 sound third molars were visually classified from the shallowest to the deepest. Images were taken from the Accuitomo 3DX. There was a fair correlation between clinical analysis and the tomographic scorings (rs = 0.238; P = 0.103). It was concluded that pediatric dentists were not able to classify the fissures depth by visual analysis correctly.


Assuntos
Tomografia Computadorizada de Feixe Cônico/métodos , Esmalte Dentário/diagnóstico por imagem , Fissuras Dentárias/diagnóstico por imagem , Dente Serotino/diagnóstico por imagem , Fatores Etários , Competência Clínica , Tomografia Computadorizada de Feixe Cônico/instrumentação , Esmalte Dentário/patologia , Fissuras Dentárias/patologia , Dentina/diagnóstico por imagem , Dentina/patologia , Humanos , Processamento de Imagem Assistida por Computador/instrumentação , Processamento de Imagem Assistida por Computador/métodos , Imageamento Tridimensional/instrumentação , Imageamento Tridimensional/métodos , Dente Serotino/patologia , Variações Dependentes do Observador , Odontopediatria/normas , Fatores de Tempo , Percepção Visual/fisiologia
4.
Revista da Associacao Paulista de Cirurgioes Dentistas;61(5): 354-364,
em Português | URUGUAIODONTO | ID: odn-20489
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