Publications by authors named "Tezer Kutluk"

Rhabdomyosarcoma constitutes 3% to 4% of childhood cancers, with nearly half seen in the head and neck location. We aimed to investigate the clinical features and treatment outcomes of 65 children diagnosed and treated for head and neck rhabdomyosarcoma (RMS) between 2004 and 2018. The median age was 5.

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Purpose: To report a rare case of immune checkpoint inhibitor (ICI)- associated bilateral choroidal neovascularization (CNV) and sunset glow fundus appearance in a pediatric patient receiving long-term nivolumab therapy.

Method: Observational case report.

Case Report: A 15-year-old male with metastatic myoepithelial carcinoma, on nivolumab for 2.

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Purpose: This study aims to assess oncological outcomes in children and young adults with diffuse infiltrative pontine glioma (DIPG) who have progressed after initial radiotherapy (RT), with an emphasis on the role of re-irradiation.

Methods: Data from 33 patients aged 25 years or younger with progressive disease after initial RT were retrospectively analyzed.

Results: The median age at diagnosis was 8 years (range 4-24 years), and the median initial RT dose was 54 Gy (range 39-54 Gy).

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Aim: To evaluate the oncological outcomes and the prognostic factors for children with ependymoma who receive radiotherapy (RT) ± chemotherapy after surgery.

Material And Methods: The medical records of 71 children with ependymoma who received RT between 2001 and 2022 were retrospectively evaluated. Survival outcomes and prognostic factors were analyzed using log-rank and cox-regression tests.

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Inflammation-based scores have been demonstrated to be independent prognostic factors in predicting outcomes in adult adrenocortical carcinoma (ACC). We aimed to investigate the prognostic role of these scores in pediatric adrenocortical carcinoma (pACC) patients. An international multicenter analysis was conducted on a pediatric cohort from 21 ACC centers.

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Background: Hepatoblastoma and hepatocellular carcinoma (HCC) are the most common primary malignant liver tumors in children. Although some characteristic imaging findings have been described in both hepatoblastoma and HCC, it is difficult to distinguish between these two tumors over the 5 years of age.

Objective: To investigate clinical and radiological findings that may help differentiate hepatoblastoma and HCC over 5 years of age.

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Background: Primary breast lymphoma is extremely rare and constitutes approximately 1% of all non-Hodgkin's lymphomas (NHL). Only 1-5% of them are Burkitt type. We present a case of childhood primary breast Burkitt lymphoma (BL).

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Objective: Childhood cancer treatment disrupts vaccination schedules and weakens or eliminates vaccine-induced immunity. In addition, post-treatment vaccine responses vary. This study aimed to assess post-treatment serum antibody levels and vaccine responses in children.

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More than a billion people live in fragile, conflict-affected, and vulnerable settings requiring humanitarian support, where cancer is a substantial health issue. Despite its substantial effect on populations, cancer care remains underprioritised in emergency preparedness and response frameworks and humanitarian operational planning. This Policy Review summarises the perspectives and actionable recommendations from the First Global High-Level Technical Meeting on Non-communicable Diseases in Humanitarian Settings, with a focus on cancer.

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Article Synopsis
  • Türkiye has more than 3.5 million Syrian refugees, many of whom faced challenges accessing reproductive health services during the COVID-19 pandemic.
  • A study conducted from April to December 2021 surveyed 637 married Syrian refugee women in Ankara, finding a significant increase in missed antenatal and postpartum care, with a worrying number giving birth at home without professional support.
  • The findings highlight the urgent need for policy changes and targeted interventions to improve access to reproductive health services for this vulnerable population.
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Background: Children with cancer have a higher morbidity and mortality due to COVID-19. Vaccination of children with cancer is important. In this study, we aimed to investigate the effectiveness and side effects of the COVID-19 vaccines in children and adolescents with cancer.

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  • The study highlights Turkey's increasing need for palliative care (PC) due to rising cancer rates, revealing that the healthcare system primarily focuses on curative measures and lacks comprehensive PC integration.
  • Through interviews with 21 PC professionals, key themes emerged, including the need for integrated care, addressing social needs, enhancing PC education, and discussing end-of-life decisions.
  • The overall findings emphasize the urgency of developing national policies that promote collaboration among healthcare providers and prioritize culturally sensitive, patient-centered approaches to palliative care.
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  • Pediatric Burkitt lymphoma (pBL) is a fast-growing cancer in children that requires timely diagnosis and treatment, with microRNAs (miRNAs) playing a critical role in understanding the disease's prognosis.
  • The study utilized microRNA sequencing to identify differentially expressed miRNAs in both tumor tissues and plasma from pBL patients, highlighting their potential as diagnostic and prognostic biomarkers.
  • The results showed that specific circulating and tissue miRNAs were significantly higher in pBL cases, opening avenues for improved diagnostic methods and survival predictions.
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Background: Pulmonary Langerhans cell histiocytosis (pLCH) is a rare disease, mostly a component of multisystemic LCH. We aimed to investigate the clinical features and treatment results in children with pLCH.

Methods: We retrospectively reviewed the clinical, radiological, and treatment data of 37 patients with pLCH, diagnosed from 1974 to 2022.

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Indolent lymphomas are rare in children and mostly consist of pediatric type follicular (PTFL) and pediatric marginal zone lymphomas (PMZL) and extranodal marginal zone lymphoma (ENMZL). Twenty children with indolent lymphoma (10 PTFL, 6 PMZL, 3 ENMZL, 1 mixed type) among 307 Non-Hodgkin Lymphoma (NHL) were retrospectively evaluated. The mean age of the entire group was 10.

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  • The article aims to explore and describe the imaging characteristics of primary lung tumors in children, as existing literature primarily focuses on surgical aspects.
  • Researchers reviewed medical records of 24 pediatric patients diagnosed with lung tumors from 2007 to 2023, analyzing demographic data and various imaging findings.
  • The study found that out of the tumors, 62.5% were benign (including inflammatory myofibroblastic tumors and hemangiomas) and 37.5% were malignant (such as pleuropulmonary blastoma), with common symptoms being cough, fever, and dyspnea, and most tumors were located in the right lung.
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Aim: To evaluate the treatment results, prognostic parameters, and treatment-related toxicity in patients with Ewing sarcoma (ES)/primitive neuroectodermal tumor (PNET) of the chest wall who underwent surgery, chemotherapy, and radiotherapy (RT) in a tertiary referral center.

Methods: The data of 24 patients under 18 years of age with a histologic diagnosis of ES/PNET in the chest wall that received RT in our department between February 2003 and July 2020 were retrospectively evaluated. RT was applied to the primary site±whole involved chest wall and to the whole lung in patients with lung metastasis.

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Purpose: Cancer is a major burden across Middle East, North Africa, Türkiye (MENAT). Many MENAT countries experience multiple conflicts that compound vulnerabilities, but little research investigates the linkages between vulnerability and cancer research. This study examines the current level and the potential for cancer research among vulnerable populations in the MENAT region, aiming to provide direction toward developing a research agenda on the region's vulnerable populations.

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Article Synopsis
  • Esophageal carcinoma is very rare in children and adolescents, with two reported cases showing progressive dysphagia and no specific underlying risk factors.
  • One case was adenocarcinoma, which responded well to treatment, while the other was squamous cell carcinoma, which was unresponsive and led to the patient's death.
  • A review of literature on pediatric esophageal carcinoma revealed a high incidence of progressive dysphagia, a common occurrence of squamous cell carcinoma, and a poor prognosis due to metastasis in many cases at diagnosis, highlighting the need for collaborative treatment efforts.
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