The effect of overall treatment time of radiation therapy on local control of T1-stage squamous cell carcinoma of the glottis

Reactions of the complex ion [Mo2O4(C2O4)2(H2O)2]2− (I) have been investigated. On acidification with perchloric acid and hydrochloric acid, complex (I) gave molybdenum(V) aqua-dimer ion [Mo2O4(H2O)6]2+, which was converted into the monomeric species [MoOCl5]2− in concentrated hydrochloric acid. The initial reaction of complex (I) with mercaptoacetic acid, giving a complex of stoichiometry 1 ligand: 1 Mo, was followed by a slower reaction which probably gave higher complexes. In the reactions with o-aminophenol and 2,2′-bipyridyl, complexes of stoichiometry 1 ligand: 1 Mo and 1 ligand: 2 Mo, respectively, were formed in solutions. The following complexes have been isolated: Mo2O4(dtc)2, Mo2O3(dtc)4 (dtc=diethyldithiocarbamate), MoOCl3. phen (phen=1,10-phenanthroline), and Mo2O3Cl4(bpy)2 (bpy=2,2′-bipyridyl). The infrared and electronic spectra of the complexes and their probable structures are given. The relative ease of replacement of ligands from complex (I) has been discussed.

Reactions of the Di-μ-oxo-bis[aquaoxalatooxomolybdate(V)] Ion

Sacrococcygeal teratoma is one of the most common congenital tumors in newborns and infancy. The incidence is 1 per 20,000–40,000 live births. Ultrasonography is an optimal method for prenatal screening and diagnosis of fetal sacrococcygeal teratoma. MRI can be used to assist in the diagnosis. However, sacrococcygeal teratoma in the twin pregnancy is rare. We reported a case of one twin with sacrococcygeal teratoma in dichorionic-diamniotic twin pregnancy.One twin with sacrococcygeal teratoma was diagnosed at the second trimester by ultrasonic examination and another twin was normal. A regular and careful antenatal care was conducted by the multidisciplinary team. The parents refused to perform the fetal MRI and examine the chromosome of both twin.At 37 + 1 of gestation, planned cesarean section was performed. The healthy male co-twin (twin A) weighed 2880 g.The male twin with SCT (twin B) weighed 2900 g, complying with 6 × 3 × 3 cm cystic and solid mass in sacrococcygeal region. At four days of age twin B underwent excisional surgery of the sacrococcygeal teratoma and coccyx and discharged 7 days after surgery. The mother and both babies were followed up and are all in good health until now. Sacrococcygeal teratoma in twin pregnancy is rare. Early antenatal diagnosis is important. Once the sacrococcygeal teratoma is diagnosed, clinicians should be aware of the associated maternal and fetal complications. Expecting parents should be counseled by the multidisciplinary team about the management and prognosis of the STC twin and co-twin. Prompt surgical excision of the sacrococcygeal teratoma after birth should be suggested.

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Sacrococcygeal teratoma in one twin: a case report and literature review.

Distant metastasis in choroidal melanoma with spontaneous corneal perforation and intratumoral calcification: A case report

Distant metastasis in choroidal melanoma with spontaneous corneal perforation and intratumoral calcification: A case report.

Studies on hypophosphites of quinquivalent molybdenum

Chemistry of oxometal ions-IX. Studies on molybdenyl phosphates

Uveal melanoma is a cancer (melanoma) of the eye involving the iris, ciliary body, or choroid (collectively referred to as the uvea). The liver is a frequent site for metastasis in patients with uveal melanoma. The interval between the diagnosis of the uveal melanoma and the diagnosis of the metastatic lesion can vary. Despite therapy, the median survival of those with liver metastasis is 5-7 months. We report here a rare case of choroidal melanoma in a 45-year-old male smoker presented with liver metastasis within just 8 months after completion of initial treatments consists of enucleation of eye and 3 Dimensional conformal radiation therapy (3D-CRT). The metastasis is an incidental finding on imaging after having some vague symptoms. This type of very early metastasis after completing initial treatment is very rare and proves the aggressiveness of the disease.

Choroidal melanoma of left eye with very early liver metastasis.

The study was performed with 50 patients, 24 patients in Arm A and 26 patients in Arm B. Arm A—Conventional Telecobalt RT 66 Gy/33 fraction in stage T1N0M0 and stage T2N0M0 and Arm B—3D-CRT 66 Gy/33 fraction in T1N0M0 and T2N0M0 used. At the end of RT, 6 weeks, 3 months acute and late toxicities were noted by RTOG/EORTC morbidity scoring criteria for skin reaction, dysphagia and laryngeal toxicity. Fiber optic Laryngoscopy clinical assessment criteria were used to assess response after 6 weeks, 3 months of treatment completion. At 6 weeks of follow-up—Both Arm A and B complete response rate were 83.3% and 88.5% respectively and at 3 months rate were 85.0% and 95.7% respectively. There was no superiority of results with 3D-CRT over 2DRT. At the end of RT dysphagia grade 3 toxicity seen 1 patient (4.2%) but in Arm B (total 26 patients) no grade 3 toxicity found. At the end of 6 week and 3 month, one patient (4.3%) had grade 3 toxicity on Arm B only at 3 month. All these results are comparable. At the end of RT, one patient (3.8%) had incidentally dermatitis grade 3 toxicity in Arm B only. But all the results are comparable. On follow up, 6 week and 3 months, no grade 3 toxicity noted. At the end of RT, grade 3 laryngeal toxicity noted in 3 (12.5%) in Arm A and 2 (7.7%) in Arm B, not statistically significant. At 6 week, grade 3 toxicity found in 3/24 (12.5%) in Arm A and 2/26 (7.7%) in Arm B, at 3 months, 1/26 (4.3%) patient had incidental grade 3 toxicity only in Arm B. As conformal radiotherapy is more time consuming, less available in India and more costly than 2DRT, we can consider Conventional 2D planning for patients in India where most of people belong to low economic profile. Due to limitation in sample size and long-term follow-up further randomized studies are needed to validate the results.

Sanchayan Mandal

Papers

Chemistry of oxometal ions-IX. Studies on molybdenyl phosphates

Choroidal melanoma of left eye with very early liver metastasis.

Prospective Observational Comparative Study of Response and Toxicities in Early Glottic Cancer Using Telecobalt Versus 3D-CRT