eng
Shiraz University of Medical Sciences
Middle East Journal of Cancer
2008-6709
2008-6687
2017-10-01
8
4
171
177
42084
Visfatin and its Role in Breast Cancer
Robab Sheikhpour
r.sheikhpour@yahoo.com
1
Hematology and Oncology Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
Breast cancer, the most common cancer in women, is a leading cause of cancer death among women worldwide. Obesity is associated with increased risk of breast cancer. Discovery of biomarkers that can be used for diagnosis, prognosis, and predictors of breast cancer is very important. Visfatin, a new adipokine found in visceral fat, plays a main role in metabolic and stress responses. There is an association between elevated expression of visfatin with malignant behavior and adverse prognosis in breast cancer. Visfatin promotes malignancy via signaling pathways that include Ras, Raf, MEK1/2, ERK, phosphoinositide 3-kinase (PI3K), Akt, and NF-κB. Visfatin up-regulates G1- S phase cell cycle progression through up-regulation of mRNA levels of cyclin D1 and CDK2. Visfatin plays a main role in metastasis and synthesis of genes that play a significant role in tumor-related angiogenesis such as vascular endothelial growth factor, progression and tumor invasion such as matrix metalloproteinases in cancer. Visfatin may increase breast cancer cell growth and metastasis capability through c- Abl and STAT3 activation (two oncoproteins). According to the results of these studies, visfatin expression appears to be associated with virulent behavior and its inhibition may be an effective treatment for breast cancer patients.
https://mejc.sums.ac.ir/article_42084_6a66959f48839fcbf30ab34ac9710041.pdf
eng
Shiraz University of Medical Sciences
Middle East Journal of Cancer
2008-6709
2008-6687
2017-10-01
8
4
179
186
42085
Evaluation of Promoter Hypermethylation of Tumor-Suppressor Genes p14 and p16 in Iranian Endometrial Carcinoma Patients
Mina Azizi
1
Golnaz Asaadi Tehrani
golnaz_asaadi@yahoo.com
2
Department of Genetics, Zanjan Branch, Islamic Azad University, Zanjan, Iran
Department of Genetics, Zanjan Branch, Islamic Azad University, Zanjan, Iran
Background: Endometrial cancer is a common gynecological malignancy with good prognosis in the early stages of the disease. The CpG island in the promoter region of tumor-suppressor genes are frequently methylated in various types of human cancers. In the present study, we have examined the methylation status of the p16INK4a and p14ARF genes in endometrial cancer and healthy endometrium with the aim to identify correlations between promoter hypermethylation, disease risk, and clinicopathological parameters.Methods: We collected 28 formalin fixed paraffin embedded samples and 26 blood samples from endometrial cancer patients and 22 controls. Methylation-specific PCR was applied to analyze the promoter methylation status of the p16INK4a and p14ARF genes in the studied population. The results were analyzed with SPSS software version 20.Results: There was a significant difference between the study groups and the presence of promoter CpG hypermethylation status in the p14 (P<0.0001) and p16 (P<0.05) genes. p14 hypermethylation in the blood samples was associated with depth of myometrial invasion in endometrial cancer (P=0.03). A significant association existed between p16methylation in tissue with endometrial cancer grade (P=0.06). No statistically significant difference existed between the p16INK4a and p14ARF promoter hypermethylations in blood (P=0.177) and formalin fixed paraffin embedded (P=0.221) samples. An association existed between p16INK4a and p14ARF gene hypermethylations in blood and tissue with diabetes.Conclusion: Our results have confirmed that epigenetic mechanisms play an important role in endometrial cancer incidence. They can be utilized as prognostic biomarkers for endometrial cancer. The lack of a significant difference between the p16INK4a and p14ARF promoter hypermethylations in blood and formalin fixed paraffin embedded samples has indicated that methylation status of a blood sample can be an early, non-invasive diagnostic marker in endometrial cancer.
https://mejc.sums.ac.ir/article_42085_41d302c687024e6f94d7746b96cdc575.pdf
eng
Shiraz University of Medical Sciences
Middle East Journal of Cancer
2008-6709
2008-6687
2017-10-01
8
4
187
193
42089
Adherence to a Standardized Order Form for Gastric Cancer in a Referral Chemotherapy Teaching Hospital, Mashhad, Iran
Mitra Asgarian
asgarianm@mums.ac.ir
1
Mohamad-Mehdi Kooshyar
kooshyarmm@mums.ac.ir
2
Sepideh Elyasi
elyasis@mums.ac.ir
3
Azar Fani Pakdel
4
Seyed Amir Aledavood
aledavoodsa@mums.ac.ir
5
Department of Clinical Pharmacy, Faculty of Pharmacy, Mashhad University of Medical Sciences, Mashhad, Iran
Department of Hematology and Oncology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
Department of Clinical Pharmacy, Faculty of Pharmacy, Mashhad University of Medical Sciences, Mashhad, Iran
Cancer Research Center, Faculty of Medicine, Omid Hospital, Mashhad University of Medical Sciences, Mashhad, Iran
Cancer Research Center, Faculty of Medicine, Omid Hospital, Mashhad University of Medical Sciences, Mashhad, Iran
Background: Standardized forms for prescription and medication administration are one solution to reduce medication errors in the chemotherapy process. Gastric cancer is the most common cancer in Iran. In this study, we have attempted to design and validate a standard printed chemotherapy form and evaluate adherence by oncologists and nurses to this form.Methods: We performed this cross-sectional study in a Mashhad, Iran teaching hospital from August 2015 until January 2016. A clinical pharmacist designed the chemotherapy form that included various demographic and clinical parameters and approved chemotherapy regimens for gastric cancer. Clinical oncologists that worked in this center validated the form. We included all eligible patients. A pharmacy student identified adherence by the oncologists and nurses to this form and probable medication errors. Results are mean ± standard deviation or number (percentages) for nominal variables. Data analysis was performed using the SPSS 16.0 statistical package.Results: We evaluated 54 patients and a total of 249 chemotherapy courses. In 146 (58.63%) chemotherapy sessions, the administered regimens lacked compatibility with the standard form. Approximately 66% of recorded errors occurred in the prescription phase and the remainder during the administration phase. The most common errors included improper dose (61%) and wrong infusion time (34%). We observed that 37 dose calculation errors occurred in 32 chemotherapy sessions.Conclusions: In general, adherence by oncologists and nurses with the developed form for chemotherapy treatment of gastric cancer was not acceptable. These findings indicated the necessity for a standardized order sheet to simplify the chemotherapy process for the clinicians, and reduce prescription and administration errors.
https://mejc.sums.ac.ir/article_42089_e558f70f8fb6c2298e7ab21f273a70b6.pdf
eng
Shiraz University of Medical Sciences
Middle East Journal of Cancer
2008-6709
2008-6687
2017-10-01
8
4
195
205
42090
Priorities in Supportive Care Needs for Non-metastatic Cancer Patients Undergoing Chemotherapy in Iran: The Oncologists’ Perceptions
Shahin Salarvand
shsalarvand@nm.mui.ac.ir
1
Simin Hemati
hematti@med.mui.ac.ir
2
Payman Adibi
3
Fariba Taleghani
taleghani@nm.mui.ac.ir
4
Students Research Committee, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
Radiotherapy and Oncology Department, Faculty of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
Faculty of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
Background: Cancer patients undergoing chemotherapy have unmet needs. Oncologists play a central role in their supportive treatment. This study aims to describe Iranian oncologists' perceptions in terms of priorities in supportive care needs for nonmetastatic cancer patients undergoing chemotherapy.Methods: We conducted this study using a descriptive, exploratory qualitative approach with a purposive sampling method. Interviews were conducted from July to October 2016 with medical oncologists (mean age: 47.5 years) who had a mean work experience of 15.8 years. Data saturation was achieved with 15 participants. Interviews were semi-structured. Graneheim and Lundman’s qualitative content analysis approach and MAXQDA software were used to analyze the data.Results: There were two main categories obtained from data analysis: 1. continued comprehensive support in the disease continuum from diagnosis to rehabilitation (education and consultation, social and treatment support for patients, consideration of family support, addressing cultural conditions, psychological support, and financial support) and 2. Prerequisites in the preparation of the care system (the need for creating multidisciplinary teams, development and improvement of health care settings to provide services, and empowering the healthcare team to provide quality care).Conclusion: Comprehensive care for these patients and integration of these supports are essential in routine care. Major needs which must be addressed more seriously in the Iranian care system include the need for continued comprehensive support in the disease continuum from diagnosis to rehabilitation and prerequisites in the preparation of the care system.
https://mejc.sums.ac.ir/article_42090_42876241c59530caa61236f6f85184ce.pdf
eng
Shiraz University of Medical Sciences
Middle East Journal of Cancer
2008-6709
2008-6687
2017-10-01
8
4
207
212
42091
Tumor Infiltrating Lymphocytes in Different Stages of Malignant Melanoma and Correlation with Tumor Stage and Other Prognostic Factors: A Retrospective Multicenter Study
Alireza Ghanadan
dermpath101@gmail.com
1
Amir-Hoshang Ehsani
ehsani@sina.tums.ac.ir
2
Ali-Mohammad Farahmand
mohammad_farahmandm@yahoo.com
3
Mojtaba Mirzaei
dr_mojy@yahoo.com
4
Department of Dermatopathology, Razi Dermatology Hospital, Tehran University of Medical Sciences, Tehran, Iran
Autoimmune Bullous Diseases Research Center, Department of Dermatology, Razi Dermatology Hospital, Tehran University of Medical Sciences, Tehran, Iran
Department of Dermatopathology, Razi Dermatology Hospital, Tehran University of Medical Sciences, Tehran, Iran
Department of Dermatopathology, Razi Dermatology Hospital, Tehran University of Medical Sciences, Tehran, Iran
Background: Melanoma is one of the most immunogenic tumors that causes a significant immune response. Tumor infiltrating lymphocytes are an important part of this response. Tumor infiltrating lymphocytes are lymphocytes in close association with tumor cells that have infiltrated tumor nests. In this study, we attempt to evaluate the relationship of tumor infiltrating lymphocytes in malignant melanoma with histopathologic findings, tumor stage, and other prognostic factors.
Method: This was a retrospective cross-sectional study. We re-evaluated patients’ specimens and categorized the tumor infiltrating lymphocytes as grades 0, 1, 2, or 3 based on density and distribution of the infiltrating lymphocytes.
Results: We enrolled 111 patients with a mean age of 59.33±14.68 years, and a male to female ratio of 1.09. There was no evidence of tumor infiltrating lymphocytes in 17.1% of patients. The melanoma subtypes had the following tumor infiltrating lymphocyte grades: 1 (47.7%), 2 (28.8%), and 3 (6.3%). Cancer stage significantly decreased with increasing grade of tumor infiltrating lymphocyte (P<0.001). Although numerous histopathologic findings had a relationship with tumor infiltrating lymphocytes, only microsatellitosis had a significant relation after adjustments for melanoma stage (P< 0.001).
Conclusion: Increased density of tumor infiltrating lymphocytes can show a more effective immune response against melanoma. This response can limit cancer progression and result in tumor diagnosis at lower stages of the disease.
https://mejc.sums.ac.ir/article_42091_2d273a76d6a3c22743b60d93a58b1665.pdf
Melanoma
Tumor infiltrating lymphocytes
Tumor stage
Immune response
Prognostic Factor
eng
Shiraz University of Medical Sciences
Middle East Journal of Cancer
2008-6709
2008-6687
2017-10-01
8
4
213
222
42092
Participation in Daily Life Activities among Children with Cancer
Mehdi Alizadeh Zarei
a.mehraban@iums.ac.ir
1
Ahmad Mohammadi
mohammadiah@tbzmed.ac.ir
2
Afsoon Mehraban
afsoonmehraban@hotmail.com
3
Shahla Ansari Damavandi
shahladamavandi@yahoo.com
4
Malek Amini
malekamini8@gmail.com
5
Department of Occupational Therapy, Iran University of Medical Sciences, Tehran, Iran
Department of Occupational Therapy, Iran University of Medical Sciences, Tehran, Iran
Department of Occupational Therapy, Iran University of Medical Sciences, Tehran, Iran
Department of Pediatric Oncology, Ali Asghar Hospital, Iran University of Medical Sciences, Tehran, Iran
Department of Occupational Therapy, Iran University of Medical Sciences, Tehran, Iran
Background: Participation in daily life activities is an essential aspect of health, which can facilitate a child’s development. Children with cancer are at risk of functional limitations and participation restrictions. The present study aims to investigate participation of children with cancer in daily life activities compared to healthy peers.Methods: This was a comparative cross-sectional study. In the first phase, we assessed the test-retest reliability of the Iranian Children Participation Assessment Scale in 30 children (6-12 years of age) diagnosed with cancer and their parents (child and parent versions). The second phase of the study included a comparison of daily life activities as measured by the Iranian Children Participation Assessment Scale between the children with cancer (diagnosed at least 4 months prior and currently receiving active treatment) and their age- and gender-matched healthy peers.Results: The child version had excellent reliability according to Cronbach’s alpha in diversity of activities (0.97), intensity of participation (0.95), with whom they participated (0.95), and enjoyment of daily activities (0.94). The parent version had excellent reliability (Cronbach’s alpha) as follows: 0.99 for diversity, 0.97 for intensity, 0.97 for with whom, 0.98 for enjoyment, and 0.98 for parents’ satisfaction. The coefficients of agreement were 0.77 (total scores of diversity), 0.63 (intensity), 0.60 (with whom), and 0.91 (enjoyment). The child version indicated that children with cancer had significantly lower scores in daily life activities items of diversity (P=0.000), intensity (P=0.000), with whom (P=0.000), and enjoyment (P=0.000) compared to healthy children. Based on the total scores in the parent version, children with cancer showed significantly lower scores in diversity (P=0.001), intensity (P=0.000), with whom (P=0.001), enjoyment (P=0.002), and satisfaction (P=0.000) compared to the healthy group.Conclusion: The findings of the present study show that cancer diagnosis and treatment can restrict children’s participation in daily life activities. Early planning and intervention to facilitate participation in these activities can minimize negative consequences and may mitigate or prevent adverse long-term functional effects of childhood cancer.
https://mejc.sums.ac.ir/article_42092_c68aed5a37141c6506fc2324a4e93fa6.pdf
eng
Shiraz University of Medical Sciences
Middle East Journal of Cancer
2008-6709
2008-6687
2017-10-01
8
4
223
228
42087
Middle East Special Report
Epidemiology of Lung Cancer in Iran: Sex Difference and Geographical Distribution
Salman Khazaei
salman.khazaei61@gmail.com
1
Kamyar Mansori
kamyarmansori@yahoo.com
2
Mokhtar Soheylizad
m.soheylizad@yahoo.com
3
Behzad Gholamaliee
bhzdgholami80@yahoo.com
4
Fatemeh Khosravi Shadmani
khosravi@yahoo.com
5
Zaher Khazaei
zaherkhazaei@ahoo.com
6
Erfan Ayubi
aubi65@gmail.com
7
Department of Epidemiology, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran
Department of Public Health, School of Public Health, Dezful University of Medical Sciences, Dezful, Iran
School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran
School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran
Modeling in Health Research Center, Institute for Future Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
Social Determinants of Health Research Center, Kurdistan University of Medical Sciences, Sanandaj, Iran
Department of Epidemiology, School of Public Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Background: Lung cancer is one of the most common cancers and most frequent cause of cancer-related death worldwide. In Iran, this cancer ranks second in cancerrelated deaths for men and third for women. The aim of this study is to discover the geographic distribution of the age-standardized incidence rate for lung cancer in both genders in Iran.Method: This ecological study used re-analysis medical records aggregated to provinces from the National Registry of Cancer and Disease Control and Prevention Report of the Ministry of Health and Medical Education for lung cancer in 2008. For each province, we calculated the average annual age-standardized incidence rate.Results: Our study showed that squamous cell carcinoma and adenocarcinoma were the most common histological types of lung cancer in males (28.6%) and females (28.8%). The central and southern Iranian provinces had the highest age-standardized incidence rates for lung cancer. The highest age-standardized incidence rates in both genders related to the 80-84 year age group for both males (131.51) and females (38.82).Conclusion: The central and southern Iranian provinces are lung cancer hot zones. Thus, implementation of prevention programs and increased access to screening services should be considered.
https://mejc.sums.ac.ir/article_42087_74d9ea8dceefa24f859dcbc0260b5586.pdf
Lung Cancer
Epidemiology
Incidence rate
eng
Shiraz University of Medical Sciences
Middle East Journal of Cancer
2008-6709
2008-6687
2017-10-01
8
4
229
232
42086
Left Carotid Sheath Meningioma
Noushin Afshar Moghadam
afsharmoghadam@med.mui.ac.ir
1
Mitra Shavakhi
mitra.shv@gmail.com
2
Behnaz Sabaghi
sabaghi_beh@yahoo.com
3
Alireza Momeni
dr.momeni49@yahoo.com
4
Department of Pathology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
Department of Pathology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
Department of Otolaryngology, Milad Hospital, Isfahan, Iran
Department of Otolaryngology, Milad Hospital, Isfahan, Iran
Although meningiomas are common tumors of the central nervous system, primary extracranial meningiomas are extremely rare. These tumors constitute approximately1% of all meningiomas. This study has reported a very rare case of meningioma on the left carotid sheath that presented as a left neck mass. We performed a core biopsy of the mass. Subsequently, the tumor was excised and histopathologic examination confirmed the diagnosis of primary extra cranial meningioma.
https://mejc.sums.ac.ir/article_42086_9392c44dc899b97b2c7e8b4f6bde2cab.pdf
eng
Shiraz University of Medical Sciences
Middle East Journal of Cancer
2008-6709
2008-6687
2017-10-01
8
4
233
239
42088
Congenital Giant Melanocytic Nevus with Malignant Melanoma of the Pleura: Do Primary Pleural Melanomas Exist?
Brijesh Sharma
brijsushma@gmail.com
1
Desh Deepak
drdeepak.rml@gmail.com
2
Mohammed Ali
aliofvmmmc@gmail.com
3
Mahender Rajput
rajputmahee@gmail.com
4
Rajni Parmar
rajni.parmar@oncquest.net
5
Rajesh Taneja
rajeshtaneja4@hotmail.com
6
Dr. Ram Manohar Lohia Hospital, Post-graduate Institute of Medical Education and Research, New Delhi, India
Dr. Ram Manohar Lohia Hospital, Post-graduate Institute of Medical Education and Research, New Delhi, India
Dr. Ram Manohar Lohia Hospital, Post-graduate Institute of Medical Education and Research, New Delhi, India
Dr. Ram Manohar Lohia Hospital, Post-graduate Institute of Medical Education and Research, New Delhi, India
Division of Histopathology, Oncquest Laboratories, New Delhi, India
Dr. Ram Manohar Lohia Hospital, Post-graduate Institute of Medical Education and Research, New Delhi, India
Cases of primary pleural and bronchial melanoma have been described in the literature in the absence of melanocytic cells in the pleura and bronchi. We described a case of congenital giant melanocytic nevus that had a presentation suggestive of primary pleural melanoma. However, biopsy of a chest wall lesion confirmed the presence of another melanoma deposit in a subcutaneous swelling concealed within the congenital giant melanocytic nevus. Histopathology with immunohistochemistry results showed that the pleural and chest wall swelling were similar. The difficult clinical detection of the primary tumor contributes to the fact that 24% of cases of congenital giant melanocytic nevus receive a diagnosis of metastatic melanoma without identification of the primary site. We propose that it is probable that the entity “primary pleural melanoma” may, in fact, not exist. Instead, all such reported tumors in the pleura may actually be metastatic from an unknown, regressed, or missed primary site.
https://mejc.sums.ac.ir/article_42088_76fc3f3af7a3f807e6df23e1ad520154.pdf
eng
Shiraz University of Medical Sciences
Middle East Journal of Cancer
2008-6709
2008-6687
2017-10-01
8
4
240
240
10.30476/mejc.2019.81447.1012
44732
Calendar of Events
Calendar of Events
https://mejc.sums.ac.ir/article_44732_3cd092ca807b5b1ae9235c26759d8176.pdf