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Journal of Clinical Medicine, Volume 14, Issue 8

April-2 2025 - 323 articles

Cover Story: Metastatic hormone-sensitive prostate cancer (mHSPCa) may present de novo or as significant disease progression and typically requires systemic treatment. Recently, triplet therapy—integrating ADT, docetaxel, and an ARSI—has emerged as an effective approach, particularly in high-volume metastatic disease, as supported by ARASENS and PEACE-1. Advances in imaging, such as PSMA PET-CT, have improved disease detection, allowing for earlier detection of metastasis and timely initiation of appropriate therapy. Genomic profiling has enabled the development of biomarker-driven, personalized treatment strategies. As novel therapies, targeted agents, and immunotherapies undergo investigation, optimizing treatment selection based on disease burden, molecular characteristics, and patient factors will be essential. View this paper
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Articles (323)

  • Case Report
  • Open Access
1,522 Views
12 Pages

Transcatheter Aortic Valve Replacement Reverses Heyde Syndrome: A Case Report of Severe Aortic Stenosis and Gastrointestinal Bleeding

  • Claudiu Florin Rășinar,
  • Alexandru Tîrziu,
  • Rebeca Ionela Rășinar,
  • Florin Gîru,
  • Cristian Mornoș,
  • Dan Gaiță,
  • Constantin Tudor Luca and
  • Daniel Miron Brie

19 April 2025

Background: Heyde syndrome is a rare condition characterized by the triad of severe aortic stenosis, gastrointestinal bleeding, and acquired type 2A von Willebrand syndrome. This case report highlights the diagnostic and therapeutic approach for a 72...

  • Article
  • Open Access
950 Views
9 Pages

The Obesity Paradox in Patients Undergoing Surgical Repair of Degenerative Mitral Regurgitation

  • Hugo M. N. Issa,
  • Kenza Rahmouni,
  • Alex Nantsios,
  • David Messika-Zeitoun,
  • Marc Ruel,
  • Thierry Mesana and
  • Vincent Chan

19 April 2025

Background: The obesity paradox describes the beneficial influence of an elevated body mass index on health outcomes. Currently, few studies have evaluated BMI and its impact on survival following surgical repair of degenerative mitral regurgitation...

  • Article
  • Open Access
1,280 Views
22 Pages

Allogeneic Hematopoietic Stem Cell Transplantation in Patients with Prolymphocytic Leukemia

  • Christina Groiss,
  • Stefanie Kreissl,
  • Irene Strassl,
  • Olga Saini,
  • Dagmar Wipplinger,
  • Robert Milanov,
  • Emine Kaynak,
  • Petra Hasengruber,
  • Christoph Aichinger and
  • Stefanie Nocker
  • + 9 authors

19 April 2025

Background: T-prolymphocytic leukemia (T-PLL) is a rare lymphoid neoplasm with particularly poor prognosis. Although it is no longer recognized as a distinct entity by the World Health Organization (WHO), B-prolymphocytic leukemia (B-PLL) comprises c...

  • Systematic Review
  • Open Access
2 Citations
6,502 Views
20 Pages

Systematic Review of Accuracy Differences in NIPT Methods for Common Aneuploidy Screening

  • Tamas Marton,
  • Zsófia R. Erdélyi,
  • Minori Takai,
  • Balázs Mészáros,
  • Dorina Supák,
  • Nándor Ács,
  • Zoltán Kukor,
  • Zoltan Herold,
  • Beata Hargitai and
  • Sándor Valent

18 April 2025

Background/Objectives: Non-invasive prenatal testing (NIPT) has become a widely used method for screening common fetal aneuploidies due to its high sensitivity and specificity compared to traditional screening methods. With various NIPT technologies...

  • Article
  • Open Access
1,132 Views
12 Pages

Long-Term Performance and Safety of the Self-Expandable Carotid Stent MER: 5-Year Outcomes from the OCEANUS Study, with Subgroup Analysis Based on Predilatation Before Carotid Artery Stenting

  • Przemysław Nowakowski,
  • Mariola Sznapka,
  • Adam Kobayashi,
  • Jacek Bil,
  • Piotr Paluszek,
  • Eugeniusz Hrycek,
  • Zofia Nowakowska,
  • Michał Nowakowski,
  • Aleksandra Suchanek and
  • Piotr Pieniążek

18 April 2025

Background: Carotid artery stenting (CAS) with neuroprotection is a widely used treatment for carotid artery stenosis. This study aimed to evaluate the long-term outcomes of CAS using the MER stent (Balton, Poland) and various neuroprotection devices...

  • Article
  • Open Access
1,896 Views
11 Pages

Short Report: The Variants in CHEK2 in Metastatic Uveal Melanoma

  • Mizue Terai,
  • Rino Seedor,
  • Usman Ashraf,
  • Gretchen Hubbard,
  • Sergei Koshkin,
  • Marlana Orloff and
  • Takami Sato

18 April 2025

Background: Uveal melanoma (UM) is a rare subtype of melanoma with distinct clinical and molecular features compared to other melanoma subtypes. UM tumors are frequently detected with mutations in GNA11, GNAQ, EIF1AX, BAP1, and SF3B1 instead of the t...

  • Article
  • Open Access
1,603 Views
16 Pages

The Association Between Erythropoiesis Resistance Index and Clinical Outcomes in Hemodialysis Patients: A Nationwide Study

  • Seok-Hui Kang,
  • So-Young Park,
  • Yu-Jeong Lim,
  • Bo-Yeon Kim,
  • Ji-Young Choi,
  • Jun-Young Do and
  • A-Young Kim

18 April 2025

Background: Although erythropoiesis-stimulating agent (ESA) therapy is fundamental for correcting anemia, excessive ESA administration is associated with increased risks. This study aimed to investigate the impact of the erythropoietin resistance ind...

  • Article
  • Open Access
1 Citations
1,565 Views
14 Pages

Generating a Synthetic Lumbar CT from a Standard MRI Protocol

  • Yehiel Shilo,
  • Frank M. Phillips,
  • Timothy F. Witham,
  • Kornelis Poelstra,
  • Lital Hodeda and
  • Moshe Stavsky

18 April 2025

Background: Eliminating the need for a preoperative spine CT scan prior to spine surgery offers significant financial advantages, reduced radiation exposure, and a more streamlined workflow. This can be achieved by converting a standard-protocol MRI...

  • Review
  • Open Access
7,170 Views
17 Pages

Current Role of the Nonsteroid Treatment of Idiopathic Sudden Sensorineural Hearing Loss (ISSNHL): A Narrative Review

  • Concepción Rodríguez-Izquierdo,
  • Mayte Herrera,
  • Anastasiya Avdiyuk,
  • Daniel Rodríguez-Ocaña and
  • Guillermo Plaza

18 April 2025

Sudden sensorineural hearing loss (SSHNL) is an abruptly appearing hearing loss. The etiology remains unclear, although vascular pathologies, viral infections, or autoimmune disease contribute to the understanding of this pathology. Systematic steroi...

  • Review
  • Open Access
2,283 Views
20 Pages

Complement in Antibody-Mediated Rejection of the Kidney Graft: From Pathophysiology to Clinical Practice

  • Bogdan Marian Sorohan,
  • Dorina Tacu,
  • Constantin Gîngu,
  • Silviu Guler-Margaritis,
  • Bogdan Obrișcă,
  • Maria-Daniela Tănăsescu,
  • Gener Ismail and
  • Cătălin Baston

18 April 2025

Antibody-mediated rejection (AMR) is a leading cause of kidney graft failure. Complement activation is involved in the AMR process. Our aim is to provide the current understanding of the pathophysiology related to complement-mediated injury in AMR, t...

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J. Clin. Med. - ISSN 2077-0383