Alma Contegiacomo's research while affiliated with University of Naples Federico II and other places

Publications (57)

Article
Purpose: To compare phenotype features and survival of triple negative breast cancers (TNBCs) versus non-TNBCs detected during a multimodal annual screening of high-risk women. Experimental design: Analysis of data from asymptomatic high-risk women diagnosed with invasive breast cancer during the HIBCRIT-1 study with median 9.7-year follow-up....
Article
: To prospectively compare clinical breast examination, mammography, ultrasonography, and contrast-enhanced magnetic resonance imaging (MRI) in a multicenter surveillance of high-risk women. : We enrolled asymptomatic women aged ≥ 25: BRCA mutation carriers; first-degree relatives of BRCA mutation carriers, and women with strong family history of b...
Article
Approximately 5 to 10% percent of cancers are hereditary. Individuals who have inherited a genetic mutation that confers susceptibility to specific cancer have an increased lifetime risk to develop cancers. In the western world, the hereditary breast/ovarian cancers (HBOC) and the Hereditary non Polyposis Colorectal Cancer (HNPCC) are common heredi...
Article
Full-text available
Although most BRCA sequence variants are clearly deleterious and unequivocally pathogenetic, several are still classified as variants of unknown significance. We followed families undergoing oncogenetic counseling from risk identification to risk definition by genetic testing and risk management. We identified two germline mutations in the BRCA2 ge...
Chapter
Multiple factors are associated with an increased risk of developing breast cancer, including age, family history, exposure to reproductive hormones, dietary factors, benign breast diseases, and environmental factors. Recently, increasing interest has been devoted to the interaction between environmental and genetic factors. Family history has been...
Article
We conducted a psychological assessment during oncogenetic counseling for hereditary breast/ovarian cancer. Anxiety and depression were assessed with the HAD scale, and family functioning and satisfaction with FACES III. HAD was administered at baseline (t 1), at risk communication (t 2), at genetic test result communication, or at first surveillan...
Article
To prospectively compare clinical breast examination (CBE), mammography, ultrasonography (US), and contrast material-enhanced magnetic resonance (MR) imaging for screening women at genetic-familial high risk for breast cancer and report interim results, with pathologic findings as standard. Institutional review board of each center approved the res...
Article
Full-text available
The expansion of triplet repeat microsatellite sequences is the molecular correlate of anticipation in a number of rare Mendelian neurodegenerative disorders. This finding prompted us to study these sequences in primary breast cancer in which there is evidence of genetic anticipation. We used a PCR/silver stain method to determine whether triplet-r...
Article
The scientific, social and financial aspects of prostate cancer (PC) organized or opportunistic screening to identify early PC are hotly debated. The incidence of prostate cancer is lower in Italy than in America and North Europe and data on PC incidence and pathological characteristics are scarce. To determine PC incidence and whether screening wo...
Article
Neuroendocrine tumors represent a heterogeneous category of neoplasm, with conflicting diagnostic and therapeutic demands. We here describe the case of a 72-yr-old woman with evidence of a poorly differentiated small-cell neuroendocrine carcinoma (NEC) localized in different endocrine glands and other non-endocrine organs. In particular, a large ov...
Article
Inactivation of DNA mismatch repair genes (MRG) is a recently described pathway of cancer development and progression resulting in genetic instability. Germline mutations in MRG have been studied predominantly in patients with hereditary non-polyposis colorectal cancer (HNPCC) where it is associated with microsatellite instability (MSI). The expres...
Article
This report presents the preliminary results of the first phase (21 months) of a multi-centre, non-randomised, prospective study, aimed at evaluating the effectiveness of contrast-enhanced magnetic resonance imaging (MRI), X-ray mammography (XM) and ultrasound (US) in early diagnosis of breast cancer (BC) in subjects at high genetic risk. This Ital...
Article
p53 and p185 expression in primary breast cancer with microsatellite instability (MSI) is still largely unexplored. To investigate the relationship between these oncoproteins and the pathways of genomic instability, we examined 52 primary invasive breast cancers stratified by the presence and absence of MSI. We determined the status of eight micros...
Article
Full-text available
Chronic subcutaneous rIL-2 at low doses produces long-lasting immunomodulatory effects and is considered an effective treatment for renal cell carcinoma with marginal activity in malignant melanoma and colorectal cancer. In this study we evaluated, by Minnesota Multiphasic Personality Inventory (MMPI), the psychological changes induced by rIL-2 in...
Article
We analysed the differential expression pattern of the three distinct TAG-72 carbohydrate epitopes detected by monoclonal antibodies (MAbs) B72.3, CC83 and CC49 in a consecutive series of 114 patients with primary breast cancer and in 39 synchronous lymph node metastases. B72.3, CC83 and CC49 were expressed in respectively 81 (71%), 68 (60%) and 96...
Article
Full-text available
Protein truncation test (PTT) and single-strand conformation polymorphism (SSCP) assay were used to scan the BRCA1 and BRCA2 genes in 136 unrelated Italian breast/ovarian cancer patients. In the sample tested, BRCA1 and BRCA2 equally contributed to site-specific breast cancer patients who reported one to two breast cancer-affected first-/ second-de...
Article
Clinical data of 92 patients with primary breast carcinomas previously analysed for the pattern of immunohistochemical expression of three distinct carbohydrate epitopes of the TAG-72 molecule were reviewed. The clinical outcome of the patients after a median follow-up of 66 months was determined in 84 out of 92 patients. Clinicopathological charac...
Article
Full-text available
We analyzed 81 cases of primary breast carcinoma and 7 cases of fibroadenoma for microsatellite instability at eight loci. Twenty-seven cases (33.3%) manifested aberrant microsatellite alleles: 7 (8.6%) at one locus and 20 (24.7%) at two or more loci [tumors with replication error-positive (RER+) phenotype]. No evidence of microsatellite instabilit...
Article
Genomic instability plays a key role in hereditary non-polyposis colorectal cancer and in a significant sub-set of non-hereditary colorectal tumors. Recent evidence suggests that microsatellite instability also occurs in various sub-sets of common, non-hereditary forms of extra-colorectal carcinoma. To investigate the role of microsatellite instabi...
Article
Gastrin has been suggested to be involved in the promotion and progression of colon cancer. Mice colon cancers and colon-carcinoma cell lines are stimulated to grow by gastrin, and gastrin receptors have been found in the majority of human colon-tumor specimens. High serum gastrin levels have been reported in patients with colon polyps and cancers,...
Article
Full-text available
Cell kinetics is a predictive parameter of breast-cancer aggressiveness, and mutations occurring in mammary tumorigenesis may favor uncontrolled cell proliferation. In this study, cell kinetics, clinico-pathological characteristics and genetic alterations at the int-2, bcl-1, c-myc, c-erbB-2, and DF3 loci were analyzed and correlated in 54 primary...
Article
Full-text available
Cell kinetics is a predictive parameter of breast-cancer aggressiveness, and mutations occurring in mammary tumorigenesis may favor uncontrolled cell proliferation. In this study, cell kinetics, clinico-pathological characteristics and genetic alterations at the int-2, bcl-1, c-myc, c-erbB-2, and DF3 loci were analyzed and correlated in 54 primary...
Article
Full-text available
We analysed the immunohistochemical expression pattern of the distinct carbohydrate epitopes of the TAG-72 molecule, defined by the monoclonal antibodies (MAbs) B72.3, CC-49 and CC-83, in 92 breast carcinomas of different histological type, and in other histological components identified in the mammary tissue samples studied. The results were corre...
Article
Full-text available
Background: human colon cancer cells have been found to express gastrin receptors and a role for gastrin in the growth of colon cancer has been postulated. Both mouse colon cancers and colon carcinoma cell lines are stimulated to grow by gastrin. In the present study we investigated the effects of pentagastrin and the gastrin receptor antagonists p...
Article
CCNU and methotrexate were employed as salvage treatment in 34 small cell lung cancer patients resistant to CAV/PE alternating induction chemotherapy. In the 33 evaluable patients we observed an objective response rate of 21.2% and 3% complete response; median survival was 4 months with 2 patients alive 18 months from starting salvages chemotherapy...
Article
Sixty-nine patients, 32 with limited and 37 with extensive small cell lung cancer (SCLC), were admitted to the present study. Patients with limited disease underwent alternating combination chemotherapy consisting of CAV (cyclophosphamide, adriamycin, vincristine) and PE (cisplatin and etoposide) regimens and concurrent high dose thoracic radiother...
Article
Twenty-six primary breast carcinomas were studied to evaluate cell proliferation as assessed by thymidine labeling index (TLI), and antigenic phenotype, as defined by immunohistochemistry using eight monoclonal antibodies (MAbs) to tumor-associated antigens (TAAs). The majority of tumors had low TLI values. Reactivity to MAbs B72.3, CC49, CC83 (ant...
Article
Diamine oxidase (DAO) is an enzyme located almost exclusively in villus tip enterocytes. Its plasma activity is enhanced by intravenous heparin which releases the enzymes from small bowel enterocytes into the blood. Plasma postheparin DAO (PHD) values have been shown to be significantly lower in patients with malabsorption and villous atrophy, thus...
Article
Between May 1984 and September 1986, 40 patients with intermediate or high grade non Hodgkin's lymphoma were treated with a novel protocol, which alternated a conventional regimen consisting of cyclophosphamide, doxorubicin, vincristine, bleomycin, and prednisone (CAVBP) with a second chemotherapy regimen, including two drugs with newly discovered...
Article
Full-text available
The intracellular concentrations of the polyamines are highly regulated and high polyamine concentrations are associated with rapidly proliferating cells. Hormones, nutrients and growth factors that stimulate the proliferation of the intestinal epithelium, increase the intracellular polyamine concentration mainly by activating ODC expression. Other...
Article
Seventy-six patients with advanced breast cancer were entered into the current study. They were randomized to receive either idarubicin (IDA) 45 mg/m2 orally or doxorubicin (DX) 75 mg/m2 intravenously (IV), both drugs being administered every 3 weeks. Among 37 evaluable patients who received DX treatment the overall response rate was 46%, whereas i...
Article
Full-text available
The human colon carcinoma cell line CaCo-2, grown in vitro under standard culture conditions and in the absence of differentiation inducers, spontaneously exhibits structural and functional characteristics of mature small bowel enterocytes. Differentiation is complete at late confluency. High activities of ornithine decarboxylase and diamine oxidas...
Article
We report on a 54-year-old woman with disseminated histiocytosis X who had a complete regression of all mucocutaneous lesions within 1 month from the completion of radiation therapy (4500 cGy) to the hypothalamic-hypophyseal (H-H) area. This response lasted 12 months, after which new cutaneous and bone lesions appeared.
Article
We report our experience in the treatment of pleural effusion in 25 patients with metastatic breast cancer. Seventeen patients received initial systemic therapy and in 13 of them local intrapleural therapy was subsequently employed; the remaining 8 patients received local therapy only. Several modalities of local treatment were used: intrapleural c...
Article
The effect of adjuvant CMF (cyclophopshamide, methotrexate, and 5-fluorouracil) and tamoxifen (TM) on hypothalamic-pituitary-ovarian function was studied in 120 women with stage I-II operable breast cancer. Sixty patients were premenopausal, of whom 25 were treated with CMF for 9 cycles, 25 with CMF for 9 cycles + TM for 2 years, started concurrent...
Chapter
The endocrine profile of patients with breast cancer has been the object of extensive studies during the past several years. Abnormal secretion of a variety of hormones has been described on different occasions in patients with breast cancer (Gambrell, 1982; Henderson et al., 1982; Kirschner et al., 1982; Kwa and Wang, 1977; Ohgo et al., 1976), and...

Citations

... Thirteen publications were excluded due to lack of thyroid hormone measurements, whereas 16 publications on tamoxifen evaluated thyroid hormones were eligible for inclusion in the systematic review. [25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40] A detailed flow diagram is shown in Figure 1. ...
... An increased intracellular concentration of polyamines is necessary for the activation of DNA synthesis and cell replication [1][2][3][4]. The intestinal replicating cells are particularly capable of accumulating polyamines promoting both their synthesis, through the activation of the enzyme ornithine decarboxylase, and their uptake from the extracellular space [5][6][7][8][9]. Caco-2 cells, derived from a human colon carcinoma, after confluence spontaneously differentiate assuming morphological and functional features similar to those of the small intestinal enterocytes. ...
... Literature data showed that presence of pre-existing psychological distress and concerns are the best know psychological prognostic factors [14]. This is one of the reasons why most individuals apply for genetic counseling on their own, having high selfperceived risk of genetic predisposition [15][16][17][18]. In a review article by Gopie et al. (2012), it appeared that young age, perception of high risk, pre-existing psychological distress, a passive way of coping, little social support and family members with cancer were predictive of psychological problems and/or reduced quality of life. ...
... Approximately, 15-20% of all BCs diagnosed lies in the category of TNBC tumors (13). Compared with other types of tumors, TNBC tumors have an aggressive appearance, a poor prognosis, and high recurrence rates (14)(15)(16)(17)(18)(19)(20)(21). These breast cancer subtypes have pool of genes involved in different pathways associated to each other of the aforementioned receptors due to activation or suppression of different genes. ...
... IR leads to cellular and molecular damages via direct or indirect actions. Therefore, chromosomal aberrations, cell death, alterations in the oxidation status of cells and alterations in cellular haemostasis in tumours as well as normal tissues are expected after irradiation (3). Prominent effects of sparsely IR such as X-rays or gamma rays include the formation of free radicals that interact with nucleic acids and lead to DNA damage. ...
... Six of 88 breast cancers (7%) showed MSI, and then four of six had ER-and PgR negative features. However, it is difficult to determine the features of MSI breast cancer, because MSI is remarkably rare in breast cancer [33,34]. A study reported that in 267 breast cancers, no tumors had MSI using PCR at 104 primers, including markers considered to be highly reliable for detection of MSI in colorectal cancers and reported previously to have in breast cancers [7]. ...
... Вариабельность показателя чувствительности МРТ колебалась от 75,2 до 100 %, в среднем превышая 80 %; специфичность -от 83 до 98,4 % (исследование EVA и итальянское исследование HIBCRIT-1) [39,40]. Использование короткого протокола МРТ Kuhl et al, ассоциируется с сокращением времени сканирования в среднем на 18,8 мин и интерпретации изображений -на 4,9 мин. ...
... The significance of such deletions in the 13th and 23rd introns are unknown, despite being found in 11 and 3 samples, respectively. Previous research has suggested that variants in the splicing site of intron 13 altered the maturation of mRNA and may play a role in breast and ovarian cancer [28], but no definite associations in PC can be made. However, intronic variants newly discovered from GWAS studies rather than conventional exome-based analyses have been linked to cellular signaling and differentiation that ultimately result in PC progression [29], and as such, these novel mutations may play a role in metastatic conversion. ...
... In these studies, the single administration of CPT-11 or ETOP produced good results, with response rates of 16 -47% and an MST of 3.5 -6.2 months (Einhorn et al, 1990;Johnson et al, 1990;Masuda et al, 1992;Le Chevalier et al, 1997). Moreover, CPT-11 or ETOP-containing combined chemotherapy regimens showed favourable results, with response rates of 20 -88% and an MST of 4.7 -8.7 months (Table 4) (Evans et al, 1985;Masuda et al, 1990;Sculier et al, 1990;Gridelli et al, 1991;Roth et al, 1992;Faylona et al, 1995;Kubota et al, 1997;Masuda et al, 1998;Groen et al, 1999;Nakanishi et al, 1999;von Pawel et al, 1999;Domine et al, 2001;Kosmas et al, 2001). Therefore, these two drugs are considered to be key drugs for the treatment of relapsed SCLC. ...
... Nejlépe prozkoumaným a charakterizovaným stimu- látorem uvolňování DAO je heparin, který je uvolňo- ván z granulí aktivovaných žírných buněk a bazofilů společně s histaminem (22,40). Snížená schopnost uvolňovat a generovat DAO po stimulaci intravenóz- ně aplikovaným heparinem je dobře dokumentována u pacientů s poškozenou střevní sliznicí, ale byla po- zorována také u jiných onemocnění a korespondu- je s aktivitou a koncentrací DAO nalézanou v séru (8,9,10,14,38). Nezodpovězenou otázkou však zůstá- vá, nakolik koresponduje předpokládaná zvýšená ak- tivita enterocytů střevní sliznice, způsobená stimulací histaminem podaným přímo do střeva, spojená s pro- dukcí DAO s aktivitou a koncentrací DAO nalézanou po této stimulaci v séru. ...