The Role of Pemetrexed in the Treatment of Gastrointestinal Malignancy

2004 ◽  
Vol 4 (3) ◽  
pp. 190-195 ◽  
Author(s):  
Howard S. Hochster
2021 ◽  
Vol 103 (7) ◽  
pp. e227-e230
Author(s):  
D Wignall ◽  
R Sawant ◽  
A Gkentzis ◽  
L Lee

Adenocarcinoma of the bladder is a rare form of malignancy accounting for fewer than 2% of bladder tumours. It is most commonly a result of direct invasion from prostatic, rectal or gynaecological primaries and less commonly presents from distant haematological or lymphatic metastasis. We report a rare case of oesophageal carcinoma metastasising to the bladder. It involves a 71-year-old man with progressive dysphagia and diagnostic computerised tomography findings of thickening in the oesophagus, bladder and common bile duct. Subsequent endoscopic biopsies of the oesophageal and bladder abnormalities showed immunohistochemical features consistent with upper gastrointestinal malignancy. This report aims to add to current clinical evidence of this route of metastasis and also highlight some of the key markers used by pathologists in interpretation of specimens. It also emphasises the essential role of a multidisciplinary approach for the diagnosis of such rare conditions.


2018 ◽  
Author(s):  
Vaishali Patel ◽  
Field Willingham

Enteral stents are tubular devices that can reestablish the patency of the gastrointestinal (GI) lumen in the setting of high-grade obstruction. Although they have been more commonly used in the palliation of malignant obstruction, they now have expanding roles for benign luminal strictures and stenoses. Familiarity with the indications and contraindications for enteral stent placement can enable consideration of a less invasive and morbid therapeutic option for many patients with symptomatic obstructions. The development of self-expandable metal stents and the subsequent emergence of lumen-apposing coaxial metal stents have expanded the role of enteral stents in the management of various GI disorders. This review contains 49 references, 5 figures, and 5 tables. Key Words: coaxial, enteral, gastrointestinal malignancy, lumen-apposing, obstruction, palliation, stent


2017 ◽  
Vol 183 ◽  
pp. 137-154 ◽  
Author(s):  
Jessica A. Howell ◽  
Shahid A. Khan ◽  
Susanne Knapp ◽  
Mark R. Thursz ◽  
Rohini Sharma

2021 ◽  
Vol 10 ◽  
Author(s):  
Yang Wu ◽  
Chun Zhang ◽  
Kuirong Jiang ◽  
Jens Werner ◽  
Alexandr V. Bazhin ◽  
...  

Pancreatic ductal adenocarcinoma (PDAC) is a gastrointestinal malignancy with a dismal clinical outcome. Accumulating evidence suggests that activated pancreatic stellate cells (PSCs), the major producers of extracellular matrix (ECM), drive the severe stromal/desmoplastic reaction in PDAC. Furthermore, the crosstalk among PSCs, pancreatic cancer cells (PCCs) as well as other stroma cells can establish a growth-supportive tumor microenvironment (TME) of PDAC, thereby enhancing tumor growth, metastasis, and chemoresistance via various pathways. Recently, targeting stroma has emerged as a promising strategy for PDAC therapy, and several novel strategies have been proposed. The aim of our study is to give a profound review of the role of PSCs in PDAC progression and recent advances in stroma-targeting strategies.


2018 ◽  
Author(s):  
Vaishali Patel ◽  
Field Willingham

Enteral stents are tubular devices that can reestablish the patency of the gastrointestinal (GI) lumen in the setting of high-grade obstruction. Although they have been more commonly used in the palliation of malignant obstruction, they now have expanding roles for benign luminal strictures and stenoses. Familiarity with the indications and contraindications for enteral stent placement can enable consideration of a less invasive and morbid therapeutic option for many patients with symptomatic obstructions. The development of self-expandable metal stents and the subsequent emergence of lumen-apposing coaxial metal stents have expanded the role of enteral stents in the management of various GI disorders. This review contains 49 references, 5 figures, and 5 tables. Key Words:coaxial, enteral, gastrointestinal malignancy, lumen-apposing, obstruction, palliation, stent


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