Cutaneous melanoma treatment has benefited from recent therapeutic innovations that effectively address tumor immune suppression mechanisms. These strategies have also been deployed in the context of ocular melanoma. This investigation, employing a bibliometric approach, endeavors to portray the current state and critical research themes in immunotherapy for ocular melanoma, and to further explore the field of malignant ocular melanoma immunotherapy.
To find literature on immunotherapy for ocular melanoma, the Web of Science Core Collection (WoSCC) and PubMed were used in this research. The application of VOSviewer, CiteSpace, the bibliometrix R package, and online bibliometric platforms, coupled with the construction and visualization of bibliometric networks, allowed for a comprehensive analysis of country/region, institutional, journal, author, and keyword trends to predict emerging trends in ocular melanoma and immunotherapy research.
Immunotherapy of ocular melanoma was the focus of 401 papers and 144 reviews, a total of which was included. The United States is the dominant force in the field, with the largest number of publications, highest total citations, and a notable H-index. The University of Texas System leads all other institutions in research activity, contributing the largest number of papers. Martine Jager is the most prolific author, while Richard Carvajal is the most frequently cited. In the oncology sphere, CANCERS achieves the highest publication output; J CLIN ONCOL, however, surpasses it in the number of citations. Beyond ocular melanoma and immunotherapy, uveal melanoma and targeted therapy were the most commonly used search queries. Uveal melanoma, immunotherapy, melanoma, metastases, bap1, tebentafusp, bioinformatics, conjunctival melanoma, immune checkpoint inhibitors, ipilimumab, pembrolizumab, and other prominent research areas exhibit a noticeable keyword co-occurrence and burst pattern, suggesting these will remain a critical focus in future research in this area.
This pioneering bibliometric study, completed over the past 30 years, offers the first in-depth mapping of the knowledge and trends in the study of ocular melanoma and immunotherapy. The research frontiers in ocular melanoma immunotherapy, as comprehensively summarized and identified in the results, are a crucial guide for scholars.
A unique and comprehensive mapping of knowledge structure and trends in ocular melanoma research, specifically related to immunotherapy, is presented in this bibliometric study, marking a significant advance in the field, unique within the last three decades. A comprehensive summary of the results identifies the leading research fronts in immunotherapy for ocular melanoma, guiding scholars.
The transoral endoscopic vestibular approach thyroidectomy (TOETVA) procedure's development has been constrained by inherent weaknesses, specifically mental nerve damage and the presence of carbon dioxide (CO2).
Complications arising from the use of ( ). This work introduces a novel approach that eliminates CO.
To improve upon the transoral endoscopic thyroidectomy (TOETVA) method, the gasless submental-transoral combined endoscopic thyroidectomy, known as STET, has been developed.
From November 2020 through November 2021, our institution reviewed 75 patients who successfully completed gasless STET procedures, utilizing innovative instruments. A 2-cm incision, strategically placed along the natural submental crease, was made and subsequently integrated with two vestibular incisions to finalize the surgical procedure. Surgical procedures, demographic data, and perioperative outcomes were documented in a retrospective manner.
A group of 13 men and 62 women, averaging 340.81 years in age, were recruited for this study. Seven patients presented with benign nodules, while sixty-eight had papillary thyroid carcinomas. Successfully performing all gasless STET procedures avoided the requirement of conversion to open surgery. The average length of time spent in the hospital following surgery was 42 to 18 days. A transient recurrent laryngeal nerve injury and two instances of transient hypoparathyroidism were noted. Three postoperative patients, on the first day following their procedures, noted a slight lack of sensation in the lower lip. Each occurrence involved a lymphatic fistula, a subcutaneous effusion, and incision swelling; all responded well to conservative treatment methods. The surgical procedure performed on one patient yielded a recurrence six months down the line.
Our proprietary suspension system ensures the technical safety and feasibility of gasless STET, yielding satisfactory operative and oncologic outcomes.
The implementation of our proprietary suspension system in the gasless STET procedure is technically safe and feasible, producing satisfactory operative and oncologic results.
Women's health is tragically affected by ovarian cancer, a cancer with high rates of illness and death. The primary therapeutic strategies for ovarian cancer encompass surgery and chemotherapy, with chemotherapy resistance emerging as a crucial determinant of prognosis, survival trajectory, and recurrence risk. CAY10683 price Using bibliometric software, this article explores ovarian cancer drug resistance literature, yielding novel directions and ideas for researchers.
Bibliometric software Citespace and Vosviewer are both implemented on the Java platform. Articles concerning ovarian cancer and drug resistance, sourced from the Web of Science Core Collection, were gathered between 2013 and 2022. From various angles, the development stage of this field was established through the analysis of countries, institutions, journals, authors, keywords, and references.
A notable increase was apparent in the findings of studies focusing on ovarian cancer and drug resistance, spanning the years 2013 to 2022. bio-dispersion agent This field benefited considerably from the contributions of Chinese institutions and the People's Republic of China.
The journal boasting the highest publication count published the most articles, and the journal with the most cited works was.
Li Li's authorship boasted the highest publication count, while Siegel RL garnered the most citations. Findings from burst detection show that research in this field predominantly concentrates on exploring the underlying mechanisms of drug resistance in ovarian cancer, and on the progress of PARP inhibitors and bevacizumab in ovarian cancer treatment.
Although significant research has been devoted to the mechanism of drug resistance in ovarian cancer, the intricacies and depth of these mechanisms remain a subject worthy of further exploration. Compared to conventional chemotherapy, PARP inhibitors and bevacizumab demonstrate improved efficacy, but preliminary results indicate an initial challenge of drug resistance with PARP inhibitors. A fundamental principle for the future of this field is to overcome the hurdles posed by current drug therapies and actively pursue the development of entirely new medications.
While research on the mechanics of drug resistance in ovarian cancers has made notable progress, a more thorough investigation into the fundamental mechanisms remains critical. PARP inhibitors and bevacizumab prove more effective than standard chemotherapy, though PARP inhibitors initially showed resistance to their therapeutic actions. The future direction of this field necessitates overcoming the resistance to existing medications and the purposeful development of new ones.
PSM, peritoneal surface malignancies, typically present insidiously, which often hinders accurate diagnosis. Existing literature provides insufficient data on how often and how long therapeutic delays in PSM occur, and the impact this has on cancer treatment results.
A prospective registry of patients with PSM who underwent Cytoreductive Surgery and Hyperthermic Intra-peritoneal Chemotherapy (CRS-HIPEC) was analyzed in a comprehensive review. medicinal leech Treatment delays were analyzed to identify their causes. Employing Cox proportional hazards modeling, we scrutinize how delayed presentation and treatment delays affect oncological results.
Over a span of six years, 319 patients underwent CRS-HIPEC procedures. In the end, this study encompassed a total of 58 patients. A mean of 1860 ± 371 days, with a range of 18 to 1494 days, was the duration between the emergence of symptoms and undergoing CRS-HIPEC. The average time lapse between the patient's self-reported symptom initiation and their initial medical assessment was 567 ± 168 days. Patients exhibiting delayed presentation, characterized by more than 60 days between symptom onset and presentation, constituted 207% (n=12) of the sample. Subsequently, 500% (n=29) of the cohort experienced a substantial treatment delay exceeding 90 days.
A presentation of the patient is foundational to the CRS-HIPEC procedure. Among the frequent reasons for delays in treatment were issues stemming from healthcare providers, including delayed or inappropriate referrals (431%), and patients' delayed presentations for care (310%). A delayed presentation of the condition was found to be significantly associated with lower disease-free survival (DFS), as observed through a hazard ratio of 4.67 (95% confidence interval of 1.11 to 19.69) and a p-value of 0.0036.
The presentation of cancer and subsequent treatment are frequently delayed, causing a potential impact on the therapeutic outcomes of the cancer procedures. The prompt need to enhance patient education and optimize healthcare processes in PSM management is undeniable.
Delays in presenting with cancer and delays in receiving treatment are commonplace, potentially impacting the course of the disease. To effectively manage PSM, there is a critical need to enhance patient education and optimize healthcare delivery systems.
Regorafenib, an authorized tyrosine kinase inhibitor (TKI), is prescribed for metastatic gastrointestinal stromal tumor (GIST), colorectal cancer, and hepatocarcinoma. In spite of this, the standard Regorafenib regimen's toxicity profile is frequently associated with poor patient adherence and a high discontinuation rate among patients.