Kosin Medical Journal

Original article

Cribriform Pattern at the Surgical Margin is Highly Predictive of Biochemical Recurrence in Patients Undergoing Radical Prostatectomy: Kyung Hwan Kim, Ja Yoon Ku, Chan Ho Lee, Won Young Park, Hong Koo Ha; Kosin Med J. 2019;34(2):95-105. Published online December 31, 2019; DOI: https://doi.org/10.7180/kmj.2019.34.2.95

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Objectives

We investigated the relationship between cribriform patterns and biochemical recurrence in patients with positive surgical margins after radical prostatectomy.

Methods

This study was based on radical prostatectomy specimens obtained from 817 patients (165 with margin-positive status) collected at a single center between 2010 and 2016. We retrospectively analyzed and compared body mass index, preoperative prostate-specific antigen, Gleason score, operative methods, postoperative Gleason score, pathological T-stage, tumor percentage involvement, lymphatic and perineural invasion, prostate-specific antigen nadir, location and length of the positive margin, cribriform pattern status, and Gleason grade at the surgical margin in terms of their association with biochemical recurrence. Risk factors for biochemical recurrence were also investigated.

Results

21% (31/146) of surgical margin-positive patients had a cribriform pattern. Nadir prostate-specific antigen, perineural invasion and biochemical recurrence rates were significantly higher in cribriform pattern present group than absent group (P = 0.031, 0.043 and 0.045, respectively). According to the Cox regression model, postoperative Gleason score, tumor percentage involvement, location and length of the positive margin, and the presence of a cribriform pattern at the surgical margin were significant predictive factors of biochemical recurrence (P = 0.022, < 0.001, 0.015, 0.001, and 0.022, respectively). Moreover, the biochemical recurrence risk was approximately 3-fold higher in patients with a cribriform pattern at the surgical margin than in those without (HR: 3.41, 95% CI 1.20-9.70, P = 0.022).

Conclusions

A cribriform pattern at the surgical margin is a significant predictor of biochemical recurrence in patients who undergo radical prostatectomy.

Citations

Citations to this article as recorded by

Length of positive surgical margins after radical prostatectomy: Does size matter? – A systematic review and meta-analysis
Athul John, Alicia Lim, Rick Catterwell, Luke Selth, Michael O’Callaghan
Prostate Cancer and Prostatic Diseases.2023; 26(4): 673. CrossRef

Case reports

A Case of an Infant Diagnosed with Cow's Milk Allergy and Concurrent Meat Allergy via ImmunoCAP ISAC®: So Yoon Jo, Chan Ho Lee, Sung Won Kim, Yoon Ha Hwang; Kosin Med J. 2019;34(1):72-77. Published online June 30, 2019; DOI: https://doi.org/10.7180/kmj.2019.34.1.72

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Abstract PDF PubReader ePub

Approximately 13–20% of infants with milk allergies concurrently exhibit beef allergies. Here, we report a 24-month-old infant who exhibited both pork and beef allergies, concurrently with a milk allergy. The infant's laboratory test results were: 3.73 ISU-E (ISAC standardized unit for IgE) for cow milk β-lactoglobulin, 23.8 ISU-E for casein, 12.8 ISU-E for cow milk Bos d 6 of serum albumin, and 4.85 ISU-E for cat Fel d 2. This case report summarizes an infant patient diagnosed with a meat allergy that was associated with cow's milk allergy, using ImmunoCAP ISAC®. Not only ImmunoCAP ISAC® but also immunocap can be used to diagnose milk allergy and meat allergy at the same time, immunocap testing for component antigen is rare. ImmunoCAP ISAC® is used to diagnose these allergies in our case study, as it has advantage that only 1ml of blood is needed to run various component antigen tests.

Citations

Citations to this article as recorded by

Preparation, Identification and Application of β-Lactoglobulin Hydrolysates with Oral Immune Tolerance
Linghan Tian, Qianqian Zhang, Yanjun Cong, Wenjie Yan
Foods.2023; 12(2): 307. CrossRef
Benefits, perceived and actual risks and barriers to egg consumption in low- and middle-income countries
Chhavi Tiwari, Mulubrhan Balehegn, Adegbola T. Adesogan, Sarah L. McKune
Frontiers in Animal Science.2023;[Epub] CrossRef

Mycoplasma Pneumoniae-Associated Necrotizing Pneumonia in Children: a case-report: Chan ho Lee, So Yoon Jo, Keon Woo Na, Sung Won Kim, Yoon Ha Hwang; Kosin Med J. 2019;34(1):57-64. Published online June 30, 2019; DOI: https://doi.org/10.7180/kmj.2019.34.1.57

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Abstract PDF PubReader ePub

Mycoplasma pneumoniae is the most common bacterial strain causing atypical pneumonia in children and adolencents. Although it is known to cause mild symptoms, it can also cause severe pulmonary or extrapulmonary complications in rare cases. Necrotizing pneumonia (NP) is often reported as a complication of Streptococcus pneumoniae and is very rarely caused by M. pneumoniae. We report a case in which a 5-year-old boy was diagnosed with lobar pneumonia with symptoms that aggravated even with macrolide antibiotic treatment. Anti-mycoplasma pneumoniae Ig-M test yielded high values, and direct polymerase chain reaction results were also positive. NP caused by M. pneumoniae was confirmed on computed tomography. After treatment involving tosufloxacin and systemic steroid, the lesion decreased in size and improved gradually when followed-up for more than 1 year. The patient did not have any predisposing or risk factors for NP.

Citations

Citations to this article as recorded by

Unveiling the Unexpected—Role of Unique Pathogens in Necrotizing Cavitary Pneumonia of Sickle Cell Disease: A Case Report
Jayalekshmi Jayakumar, Manasa Ginjupalli, Fiqe Khan, Meher Ayyazuddin, Giovannie Isaac Coss, Muhammad Ashar Ali, Asmat Ullah
Journal of Investigative Medicine High Impact Case Reports.2025;[Epub] CrossRef
Cavitatory necrotising pneumonia with extrapulmonary multi-systemic involvement — a rare presentation of macrolide-resistant Mycoplasma pneumoniae
Namitha Mohan, Vishal Dnyaneshwar Sawant, Alpana Kondekar
The Egyptian Journal of Internal Medicine.2023;[Epub] CrossRef

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