TY  - JOUR
A1  - Kuon, Jonas
A1  - Blasi, Miriam
A1  - Unsöld, Laura
A1  - Vogt, Jeannette
A1  - Mehnert, Anja
A1  - Alt-Epping, Bernd
A1  - Oorschot, Birgitt van
A1  - Sistermanns, Jochen
A1  - Ahlborn, Miriam
A1  - Ritterbusch, Ulrike
A1  - Stevens, Susanne
A1  - Kahl, Christoph
A1  - Ruellan, Anne
A1  - Matthias, Kathrin
A1  - Kubin, Thomas
A1  - Stahlhut, Kerstin
A1  - Heider, Andrea
A1  - Lordick, Florian
A1  - Thomas, Michael
T1  - Impact of molecular alterations on quality of life and prognostic understanding over time in patients with incurable lung cancer: a multicenter, longitudinal, prospective cohort study
JF  - Supportive Care in Cancer
N2  - Purpose
The purpose of this study is to investigate changes over time in quality of life (QoL) in incurable lung cancer patients and the impact of determinants like molecular alterations (MA).

Methods
In a prospective, longitudinal, multicentric study, we assessed QoL, symptom burden, psychological distress, unmet needs, and prognostic understanding of patients diagnosed with incurable lung cancer at the time of the diagnosis (T0) and after 3 (T1), 6 (T2) and 12 months (T3) using validated questionnaires like FACT-L, National Comprehensive Cancer Network (NCCN) Distress Thermometer (DT), PHQ-4, SCNS-SF-34, and SEIQoL.

Results
Two hundred seventeen patients were enrolled, 22 (10%) with reported MA. QoL scores improved over time, with a significant trend for DT, PHQ-4, and SCNS-SF-34. Significant determinants for stable or improving scores over time were survival > 6 months, performance status at the time of diagnosis, and presence of MA. Patients with MA showed better QoL scores (FACT-L at T1 104.4 vs 86.3; at T2 107.5 vs 90.0; at T3 100.9 vs 92.8) and lower psychological distress (NCCN DT at T1 3.3 vs 5; at T2 2.7 vs 4.5; at T3 3.7 vs 4.5; PHQ-4 at T1 2.3 vs 4.1; at T2 1.7 vs 3.6; at T3 2.2 vs 3.6), but also a worsening of the scores at 1 year and a higher percentage of inaccurate prognostic understanding (27 vs 17%) compared to patients without MA.

Conclusion
Patients with tumors harboring MA are at risk of QoL deterioration during the course of the disease. Physicians should adapt their communication strategies in order to maintain or improve QoL.
KW  - lung cancer
KW  - quality of life
KW  - molecular alterations
KW  - prognostic awareness
Y1  - 2022
U6  - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-308211
SN  - 0941-4355
SN  - 1433-7339
VL  - 30
IS  - 4
ER  - 
TY  - JOUR
A1  - Lorini, Luigi
A1  - Bescós Atín, Coro
A1  - Thavaraj, Selvam
A1  - Müller-Richter, Urs
A1  - Alberola Ferranti, Margarita
A1  - Pamias Romero, Jorge
A1  - Sáez Barba, Manel
A1  - de Pablo García-Cuenca, Alba
A1  - Braña García, Irene
A1  - Bossi, Paolo
A1  - Nuciforo, Paolo
A1  - Simonetti, Sara
T1  - Overview of oral potentially malignant disorders: from risk factors to specific therapies
JF  - Cancers
N2  - Oral squamous cell carcinoma (OSCC) is a very aggressive cancer, representing one of the most common malignancies worldwide. Oral potentially malignant disorders (OPMDs) regroup a variegate set of different histological lesions, characterized by the potential capacity to transform in OSCC. Most of the risk factors associated with OSCC are present also in OPMDs' development; however, the molecular mechanisms and steps of malignant transformation are still unknown. Treatment of OSCC, including surgery, systemic therapy and radiotherapy (alone or in combination), has suffered a dramatic change in last years, especially with the introduction of immunotherapy. However, most cases are diagnosed during the advanced stage of the disease, decreasing drastically the survival rate of the patients. Hence, early diagnosis of premalignant conditions (OPMDs) is a priority in oral cancer, as well as a massive education about risk factors, the understanding of mechanisms involved in malignant progression and the development of specific and more efficient therapies. The aim of this article is to review epidemiological, clinical, morphological and molecular features of OPMDs, with the purpose to lay the foundation for an exhaustive comprehension of these lesions and their ability of malignant transformation and for the development of more effective and personalized treatments.
KW  - oral potentially malignant disorders
KW  - risk factors and etiology
KW  - morphological features
KW  - molecular alterations
KW  - treatment
Y1  - 2021
U6  - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-242779
SN  - 2072-6694
VL  - 13
IS  - 15
ER  -