11 results on '"Marrazzo, Antonio"'
Search Results
2. Woven EndoBridge Device for Unruptured Wide-Neck Bifurcation Aneurysm: A Multicenter 5-Year Follow-up
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Semeraro, Vittorio, Palmisano, Vitanio, Limbucci, Nicola, Comelli, Simone, Comelli, Chiara, Ganimede, Maria Porzia, Lozupone, Emilio, Barone, Michele, Marrazzo, Antonio, Paladini, Andrea, della Malva, Giuseppina, Briatico Vangosa, Alessandra, Laiso, Antonio, Renieri, Leonardo, Capasso, Francesco, Gandini, Roberto, Di Stasi, Carmine, Resta, Maurizio, Mangiafico, Salvatore, and Burdi, Nicola
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- 2024
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3. In Reply: Clinical Impact and Predictors of Aneurysmal Rebleeding in Poor-Grade Subarachnoid Hemorrhage: Results From the National POGASH Registry
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Panni, Pietro, Ambrosi, Alessandro, Riccio, Lucia, Cao, Roberta, Alessandra Barzaghi, Lina Raffaella, Da Passano, Camillo Ferrari, Donofrio, Carmine Antonio, Albano, Luigi, Simionato, Franco, Scomazzoni, Francesco, Caterina, Michelozzi, Anzalone, Nicoletta, Dell’Acqua, Antonio, Calvi, Maria Rosa, Cozzi, Silvano, Azzolini, Maria Luisa, Zotti, Margherita, Pedicelli, Alessandro, Marchese, Enrico, Caricato, Anselmo, Alexandre, Andrea, Valente, Iacopo, Di Bonaventura, Rina, Grilli, Fulvio, Scavone, Angela, Pisapia, Luca, Gelormini, Camilla, Feletti, Alberto, Testa, Mattia, Zanatta, Paolo, Mauro, Luigi, Liviero, Marilena Casartelli, Venza, Alessia, Robbi, Helena, Piva, Simone, Gitti, Nicola, Mardighian, Dikran, Latronico, Nicola, Rasulo, Frank A., Semeraro, Vittorio, Nardin, Giordano, Marrazzo, Antonio, Burdi, Nicola, Ganimede, Maria Porzia, Cacciapaglia, Michele, Lozupone, Emilio, Paiano, Gianfranco, Paladini, Adriana, Pauciulo, Alfredo, Mastria, Donatella, Pulito, Giuseppe, Picetti, Edoardo, Petranca, Massimo, Montanaro, Vito, Menozzi, Roberto, Cerasti, Davide, Giombelli, Ermanno, Bortolotti, Carlo, Scibilia, Nino, Cirillo, Luigi, Aspide, Raffaele, Castioni, Carlo Alberto, Lanterna, Andrea Luigi, Bernucci, Claudio, Costi, Emanuele, and Fanti, Andrea
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- 2023
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4. Craniofacial Sutural Pattern and Surgical Management in Patients With Different Degrees of Trigonocephaly Severity
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Calandrelli, Rosalinda, Pilato, Fabio, Massimi, Luca, Panfili, Marco, Marrazzo, Antonio, Di Rocco, Concezio, and Colosimo, Cesare
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The aim of this study was to identify quantitative tools to classify the severity of trigonocephaly to guide surgical management and predict outcome.
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- 2020
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5. Balloon-Assisted Tracking Plus Modified Dotter (BAT-mDOT) Technique for Tandem Acute Ischemic Stroke
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Semeraro, Vittorio, Ganimede, Maria Porzia, Marrazzo, Antonio, Palmisano, Vitanio, Gandini, Roberto, Stasi, Carmine Di, and Burdi, Nicola
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- 2023
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6. Breast cancer subtypes can be determinant in the decision making process to avoid surgical axillary staging: A retrospective cohort study.
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Marrazzo, Antonio, Boscaino, Giovanni, Marrazzo, Emilia, Taormina, Pietra, and Toesca, Antonio
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AGE distribution ,AXILLA ,BREAST tumors ,CANCER invasiveness ,CELL receptors ,SURGICAL excision ,LONGITUDINAL method ,LYMPH node surgery ,METASTASIS ,TUMOR classification ,RETROSPECTIVE studies ,SENTINEL lymph node biopsy - Abstract
Introduction: The need for performing axillary lymph-node dissection in early breast cancer when the sentinel lymph node (SLN) is positive has been questioned in recent years. The purpose of this study was to identify a low-risk subgroup of early breast cancer patients in whom surgical axillary staging could be avoided, and to assess the probability of having a positive lymph-node (LN).Methods: We evaluated the cohort of 612 consecutive women affected by early breast cancer. We considered age, tumor size, histological grade, vascular invasion, lymphatic invasion and cancer subtype (Luminal A, Luminal B HER-2+, Luminal B HER-2-, HER-2+, and Triple Negative) as variables for univariate and multivariate analyses to assess probability of there being a positive SLN o nonsentinel lymph node (NSLN). Chi-square, Fisher's Exact test and Student's t tests were used to investigate the relationship between variables; whereas logit models were used to estimate and quantify the strength of the relationship among some covariates and SLN or the number of metastases.Results: A significant positive effect of vascular invasion and lymphatic invasion (odds ratios are 4 and 6), and a negative effect of TN (odds ratios is 10) were noted. With respect to positive NSLN, size alone has a significant (positive) effect on tumor presence, but focusing on the number of metastases, also age has a (negative) significant effect.Conclusion: This work shows correlation between subtypes and the probability of having positive SLN. Patients not expressing vascular invasion, lymphatic invasion and, moreover, a triple-negative tumor subtype may be good candidates for breast conservative surgery without axillary surgical staging. [ABSTRACT FROM AUTHOR]- Published
- 2015
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7. Phase I–II Parallel Study of Docetaxel on a Bimonthly Schedule in Refractory Metastatic Breast Carcinoma
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Gebbia, Vittorio, Borsellino, Nicolò, Testa, Antonio, Tirrito, Maria, Ferrera, Patrizia, Colombo, Alfredo, Mauceri, Gaetano, Marrazzo, Antonio, Porretto, Ferdinando, and Musso, Maurizio
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Background. The 3-week schedule with docetaxel (DTC) 75–100 mg/m2is associated with severe neutropenia, gastro-intestinal side-effects and fluid retention in a significant proportion of patients, which may be of concern in more elderly or poor performance status patients. A phase I–II trial was carried out to test the feasibility and the activity of a new bimonthly schedule of DCT. Patients and methods. The trial included a phase I study which aimed at the identification of dose-limiting toxicity (DLT) and maximal tolerated dose (MTD) of DCT on a bimonthly schedule. The first group of three patients received DCT 40 mg/m2, and in absence of DLT, DCT dosage was escalated by 10 mg/m2/cycle until DLT was reached. In the phase II study, patients were randomized to receive: (a) standard 3-weekly DCT at the dose of 75 mg/m2(calibration arm); or (b) bimonthly schedule with DCT at the dose recommended in the phase I study. All patients were pretreated with chemotherapy, mostly anthracycline-based regimens, for advanced/metastatic disease. Analysis of response rates, toxicity, and dose-intensity were the main aims of the study. Results. The DLT was represented by severe myelosuppression which was recorded in all patients treated at 70 mg/m2dose level. Therefore, the MTD was 60 mg/m2on a bimonthly schedule. However, the dose recommended for the phase II trial was 50 mg/m2, because no difference in delivered dose-intesity was seen between the 50 and 60 mg/m2dose levels, and the latter dosage was still associated with grade 3 neutropenia in most patients. The parallel phase II study showed that the bimonthly schedule of DCT (50 mg/m2) allows to deliver the same dose-intensity of DCT 75 mg/m2every 3 weeks. Grade 3–4 side-effects were rather infrequent in patients treated with the bimonthly schedule. Overall response rate (ORR) was 41 and 44% for the DCT 50 mg/m2bimonthly and the DCT 75 mg/m2every 3 weeks, respectively. Conclusions. Data achieved in the phase I part of the study showed that DCT 50 mg/m2every 15 days is the recommended dose for phase II studies, while results achieved in the phase II trial suggest that DCT 50 mg/m2in a bimonthly schedule is active as second-line chemotherapy for MBC being able to induce an ORR in the range reported for DCT 75–100 mg/m2every 3 weeks. The bimonthly schedule is, however, associated with relatively low toxicity. This characteristic may render the bimonthly schedule particularly attractive for future phase II trials of DCT in combination with other antineoplastic agents.
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- 2003
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8. Benign Breast Surgical Biopsies: Are They Always Justified?
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Ciatto, Stefano, Bonardi, Rita, Ravaioli, Alberto, Canuti, Debora, Foglietta, Flavia, Modena, Stefano, Zanconati, Fabrizio, Cressa, Cristina, Ferrara, Paola, and Marrazzo, Antonio
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Aim of the study To evaluate the indications for open surgical biopsy of breast lesions resulting in a benign histologic report.Methods A consecutive series of 754 benign breast biopsies was collected from six Italian centers previously participating in a multicenter study on the benign/malignant biopsy ratio. Histologic diagnosis, diagnostic tests performed, final clinical diagnosis and the indication for surgical biopsy were compared.Results Fibrocystic alterations represented the most frequent histologic type (43.2%), followed by fibroadenomas (34.5%). Atypical hyperplasia, phyllode tumors and cancerlike lesions (radial scar, sclerosing adenosis) accounted for a minority of cases. The diagnostic approach was different among centers, with mammography, ultrasonography or cytology being underused in some of them. Suspicion of cancer was an indication for surgical biopsy in 66.7% of cases. In the remaining cases the final report was negative or benign, but biopsy was advised for growing lesions (11.3%) or for cosmetic (3%) or psychological reasons (8.2%). In 4% of cases surgical biopsy was presumably advised for the concurrent influence of high-risk conditions such as previous breast cancer (0.7%), family history of breast cancer (2%) or contralateral synchronous breast cancer (1.3%). In 6.8% of the cases biopsy was advised elsewhere for unknown reasons. The indications for biopsy differed among centers, with one center having a low rate of suspicious cases (37%) and a high rate of reported “cosmetic” or “psychological” reasons (47%).Conclusions Leaving aside differences in diagnostic approach and aggressiveness, two thirds of all lesions were biopsied in order to exclude cancer. The routine use of a more complete diagnostic protocol and/or alternative methods to obtain a histologic diagnosis (e.g. core biopsy) might substantially reduce the need for open surgical biopsy.
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- 1998
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9. Time Trends of Benign/Malignant Breast Biopsy Ratios a Multicenter Italian Study
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Ciatto, Stefano, Del Turco, Marco Rosselli, Marrazzo, Antonio, Mazzoleni, Guido, Foglietta, Flavia, Cappelli, Maria Cristina, Ravaioli, Alberto, Bonzanini, Mariella, Camaghi, Pierluigi, Nava, Donatella, Modena, Stefano, Zanza, Antonella, Benassuti, Chiara, Falconieri, Giovanni, and Zappa, Marco
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Aims and background Although they have been decreasing over time due to improved specificity of diagnostic assessment, benign biopsies of the breast are still common. Benign biopsies should be regarded as negative events, due to their economical and psychological cost and their possible negative impact on cosmesis and on further diagnostic evaluation.Methods Retrospective data on benign/malignant breast biopsies ratio (B/M) were collected in 9 Italian centers for a period of 10-15 years. The time trend of B/M and its association to age or to single centers was evaluated.Results Overall 31,001 cases were considered. A strong association of B/M to age was evident (average B/M values were 5.0, 1.3, 0.6, and 0.2 for women aged <40, 40-49, 50-59, and >59 years). A significant trend of decreasing B/M over time was observed only for one center. Age standardized B/M was significantly different (P<0.000001) between centers, ranging between 0.34 and 1.69. Multivariate analysis confirmed an independent significant association of age and center to B/M.Conclusions Marked differences in B/M are evident between centers, which cannot be explained by the confounding effect of age or by any apparent difference in the diagnostic protocol. The observed differences are likely ascribed to individual variations in diagnostic aggressivity. A progressive increase of the predictive value of calls for surgical biopsy may be achieved over time and centers with a high B/M should make every effort to optimize their performance. Acceptable (<40=5, 40-49=1.5, 50-59=0.75, >59=0.3) and desirable (2.5, 0.75, 0.35, 0.15) age specific reference standards for B/M are proposed.
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- 1996
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10. "Pure" large cell neuroendocrine carcinoma of the gallbladder. Report of a case and review of the literature.
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Buscemi, Salvatore, Orlando, Elisabetta, Damiano, Giuseppe, Portelli, Francesca, Palumbo, Vincenzo Davide, Valentino, Alessandro, Marrazzo, Antonio, Buscemi, Giuseppe, and Lo Monte, Attilio Ignazio
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Primary Neuroendocrine Tumours (NETs) of the gallbladder are rare. Among all NETs of the gallbladder, large cell neuroendocrine carcinoma (LCNEC) is exceedingly rare. In most of the cases LCNECs are combined with other histological components. We reviewed clinical presentation and management of all patients with "pure" LCNEC from published literature since the first case was published in 2000, as well as one patient from our experience. Only 7 cases of "pure" LCNEC has been described in the last 15 years, our case is the eighth. The diagnosis of gallbladder NETs is rarely made preoperatively since the presentation generally consists of non-specific symptoms including upper abdominal pain, discomfort, jaundice, weight loss. The majority of patients are identified incidentally at the time of cholecystectomy for cholelithiasis. It is not possible to differentiate preoperatively between gallbladder adenocarcinoma and gallbladder neuroendocrine carcinoma (NEC) with imaging techniques. The only curative therapeutic modality for LCNECs is a complete en bloc surgical resection, including regional lymph node clearances and hepatic lobectomy, but only in patients without multiple metastasis. LCNECs benefit from an aggressive surgical resection in combination with chemotherapy, if resectability is possible. If the tumour is non-resectable, the primary management is therefore medical and not surgical. All patients with LCNEC presented a poor prognosis with a median survival of 10 months after the initial diagnosis. Only in five patients (62.5%) a wide surgical excision was performed, while in the other cases the tumour was non-resectable or multiple liver metastases were present at diagnosis. [ABSTRACT FROM AUTHOR]
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- 2016
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11. Localization of sentinel lymph node in breast cancer. A prospective study.
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Marrazzo, Antonio, Palumbo, Vincenzo Davide, Marrazzo, Emilia, Taormina, Pietra, Damiano, Giuseppe, Buscemi, Salvatore, Buscemi, Giuseppe, and Lo Monte, Attilio Ignazio
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Introduction Sentinel Lymph Node Biopsy (SLNB) is the standard of care for staging axillary lymph nodes in women with breast cancer and clinically negative nodes. It is associated with reduced arm morbidity, moderated or severe lymphoedema, and a better quality of life in comparison with standard axillary treatment. Unfortunately, skip metastases makes all minimally invasive approaches, such as axillary sampling, unreliable. The aim of the present clinical prospective study is to evaluate the position of SLN in an important number of cases and establish the real incidence of skip metastases in clinically node-negative patients. Patients and methods A cohort of 898 female patients with breast carcinoma was considered, from 2001 to 2008. Once SLN was localized, by means of radio-colloid or blue dye staining, and isolated, a biopsy was performed. Only those positive for metastases were submitted to axillary dissection. Results Only in nine cases a SLN was not isolated. We had 819 cases of first level SLN (group A) and 69 cases of second level SLN (group B). Considering all of 889 cases, SLN was localized in the second level in 69 patients (7.8%); but if we consider metastatic SLN alone (340 cases), it was in the second level in 23 subjects (6.8%). In total, we had a positive second level SLN in 2.3% of cases (23/889). Conclusion Second level SLN could be considered only an anomalous lymphatic axillary drainage and it does not linked to particular histological variants of the primitive tumour. In our study, skip metastases were recognized in only 2.6% of cases, therefore, whenever a SLN is not isolated for any reason, the first level sampling represent a viable operative choice. [ABSTRACT FROM AUTHOR]
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- 2014
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