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| 1 | Preoperative markers for the prediction of high-risk features in endometrial cancer显示文摘BACKGROUND Preoperative evaluations aiming to assess high-risk features in clinical stage 1 endometrial cancer patients are crucial to refer these patients to gynecologic oncologists.Cancer antigen 125(CA125)and human epididymis protein 4(HE4)have been reported in endometrial cancer patients with poor prognostic factors.AIM To evaluate the association between preoperative levels of CA125 and HE4 and high-risk features and establish optimal cut-off values in clinical stage 1 endometrial cancer.METHODS A retrospective study was conducted in clinical stage 1 endometrial cancer patients who underwent primary surgery between January 2013 and December 2018.A total of 128 patients had preoperative serum CA125 and HE4 measurements.High-risk features included grade 3 tumors,large tumor sizes(more than 2 cm),deep myometrial invasion(more than 50%),lymphovascular space invasion(LVSI),cervical involvement,extrauterine involvement and node metastasis.Receiver operating characteristic(ROC)curves were generated to analyze the optimal cut-off values.RESULTS The mean age of the patients was 57.4 years,and 69.5%of them were postmenopausal.Most patients presented with stage I disease(67.2%)and had the endometrioid subtype(97.7%).The median CA125 and HE4 levels in all patients were 22.1 U/mL and 104.7 pmol/L,respectively.CA125 and HE4 levels were significantly elevated in those with large tumor sizes,deep myometrial invasion,LVSI,extrauterine metastasis,and advanced stage,but node metastasis was associated with elevated CA125 only.According to the ROC curve,both serum markers had statistical significance for the prediction of high-risk features only in postmenopausal patients,with an optimal cut-off value of 20 U/mL for CA125[area under the concentration-time curve(AUC)=0.72,P=0.002]and 113 pmol/L for HE4(AUC=0.70,P=0.006).The combination of both serum markers had 80%sensitivity and 64.4%positive predictive value.Significantly worse 5-year disease-free survival was observed in patients with high levels of CA125 and HE4(78.4%and 100%,respectively;P=0.01).CONCLUSION Preoperative CA125 levels greater than 20 U/mL or HE4 levels greater than 113 pmol/L are associated with an increased risk of having high-risk features and present as prognostic factors in clinical stage 1 postmenopausal endometrial cancer patients.This information is helpful for general gynecologists to refer high-risk patients to gynecologic oncologists to perform complete surgical staging. | Pinyada Panyavaranant Tarinee Manchana | 2020 | World Journal of Clinical Oncology2020，11，6： | 4 |
| 2 | Susceptibility of Musca domestica and Chrysomya megacephala to Permethrin and Deltamethrin in Thailand显示文摘 | Kom S Tarinee C Jiraporn T | 2005 | J Med Entomol2005，42，5： | 1 |
| 3 | Lower urinary tract dysfunction and quality of life in cervical cancer survivors after concurrent chemoradiation versus radical hysterectomy显示文摘 | Chanita Katepratoom Tarinee Manchana Napapat Amornwichet | 2014 | International Urogynecology Journal2014，，1： | 1 |
| 4 | Effects of human contraceptive on reproduction and offspring in Chrysomya megacephala显示文摘Objective:To investigate the effect of human contraceptive(HC) as ability to suppress the reproductive success of blow fly,Chrysomya megacephala(Fabricius)(C.megacephala) and offspring under controlled laboratory conditions.Methods:Adult C.megacephala were fed with low(0.036 mg/mL) and high dose(0.072 mg/mL) HC(Microgest~?,Thailand),containing levonorgestrel and ethinyl estradiol,in their drinking water for 7 days.Three experiments were set;experimentⅠwith fed only in parental males,experimentⅡwith fed only in parental females and experimentⅢwith fed in both males and females.All experiments were then maintained for 3 generations after crossing and inbreeding.Results:A lower ovariole production and less fully mature ovarioles were evident in F1,F2 and F3 than control when parent males,females and both had been fed with high dose HC.Cellular changes during spermatogenesis in F1,F2 and F3 testes was confirmed using transmission electron microscopy(TEM),showing the low level of condensed chromatin,necrotic chromatin,irregularities and degenerated nuclear envelope in the nucleus. In the cytoplasm,mitochondrial swelling,rough endoplasmic reticulum swelling as well as vacuolated cytoplasm were noticed.As for the sperm per se,we found the degenerated nuclei and/ or incomplete mitochondrial derivative,axoneme and vacuolated flagella.Regarding deformity in F1,F2 and F3 ovariole,ultrastructural alteration observed by scanning electron microscopy (SEM) included malformations involving fragile enveloping peritoneal sheath,cracked ovarioles, peel away chorion,crumbled eggshell and incomplete development;whereas TEM presented malformed and disorganized mass of cells,proteic yolk granules and vacuolated vesicles. Conclusions:Administer of HC to adult C.megacephala caused ovariole reduction,less matured ovariole and affected cellular changes in testes and ovariole of offspring up to F3. | Tarinee Chaiwong Kabkaew L Sukontason Urai Chaisri Hiromu Kurahashi Michelle Sanford Kom Sukontason | 2011 | Asian Pacific Journal of Tropical Medicine2011，4，4： | 1 |
| 5 | Efficacy of acupuncture in prevention of delayed chemotherapy induced nausea and vomiting in gynecologic cancer patients显示文摘 | Kulthida R Tarinee M Lanchasak A | 2015 | Gynecologic Oncology2015，136，： | 1 |
| 6 | Blood transfusion reduction with intravenous iron in gynecologic cancer patients receiving chemotherapy显示文摘 | Penkae Dangsuwan Tarinee Manchana | 2009 | Gynecologic Oncology2009，，3： | 1 |
| 7 | A modified ferrous oxidation-xylenol orange assay for lipoxygenase activity in rice grains显示文摘 | Tarinee Timabud Jirawat Sanitchon Paweena Pongdontri | 2013 | Food Chemistry2013，，3： | 1 |
| 8 | Germline mutations in Thai patients with nonmucinous epithelial ovarian cancer显示文摘BACKGROUND Genetic testing is widely recommended for all epithelial ovarian cancer(EOC)patients.However,an increased probability of identifying germline mutations has been reported in selected patients with risk factors such as a family history or personal history of cancer and high-grade serous carcinoma(HGSC)subtype.HGSC has been reported to be the most common subtype of EOC worldwide(approximately 70%).However,this subtype is less prevalent in Thai patients(reported as only 20%).The difference in the distribution of various subtypes of EOC may reflect the incidence of germline mutations in Thai EOC patients.AIM To evaluate the frequencies of germline mutations in EOC patients and to compare the frequencies in those with and without clinical risk factors for hereditary ovarian cancer.METHODS This cross-sectional study included 112 nonmucinous EOC patients who underwent primary surgery at our tertiary care hospital.Clinical risk factors for hereditary ovarian cancer were defined as follows:Age below 40 years,a significant family history of cancer,synchronous ovarian and endometrial cancer,and HGSC.Comprehensive germline mutations were detected by nextgeneration sequencing.RESULTS Of a total of 112 patients,82(73.2%)patients had≥1 risk factor and 30(26.8%)patients had no risk factors.Germline mutations were detected in 26 patients:20(17.8%)patients had BRCA1/2 mutations,but 6(5.4%)patients had mutations in other genes,including 1 in MLH1,1 in MSH2,1 in RAD51C,2 in ATM and 1 in CDH1.Germline mutations were only detected in patients with risk factors(26 of 82,31.7%),not in patients without risk factors(P<0.001).A significant family history of cancer and HGSC were the only two significant risk factors associated with a higher proportion of germline mutations(56.3%vs 10%for those with and without a history of cancer,respectively,40.8%vs 9.5%for those with and without HGSC).Germline BRCA mutations were detected in 38.8%of patients with HGSC but in only 1.6%of those with non-HGSC.An age below 40 years,personal history of breast cancer,and synchronous ovarian and endometrial cancer were not significant factors(14.3%vs 23.5%,33.3%vs 21%,22.2%vs 22.3%).CONCLUSION Approximately one-third of EOC patients with risk factors had germline mutations.Almost all germline BRCA mutations were found in patients with the HGSC subtype.Selected patients with HGSC and a family history of cancer should be initially considered for genetic analysis in Thailand. | Tarinee Manchana Prasit Phowthongkum Chinachote Teerapakpinyo | 2019 | World Journal of Clinical Oncology2019，10，11： | 0 |
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