Casella Donato, Palumbo Paolo, Sandroni Sara, Caponi Claudio, Littori Francesca, Capuano Francesca, Grimaldi Luca, Marcasciano Marco, Cuomo Roberto
Oncological Breast Surgery, Department of Surgery, Santa Maria Alle Scotte Hospital, 53100 Siena, Italy.
Casa di cura Villa Fiorita-Prato, 59100 Prato, Italy.
J Clin Med. 2021 Dec 27;11(1):126. doi: 10.3390/jcm11010126.
The development of research in genetic and biochemical fields has made it possible to investigate certain metabolic aspects of the microenvironment of chronic skin lesions, including altered cell signalling, highlighting its importance in determining the blockage of repair processes. The purpose of this prospective observational study is to evaluate the efficacy of a medical device consisting of a polyester scaffold enriched with an oleic matrix with controlled release of ROS in the management of LABC skin lesions. During the period from October 2018 to March 2020, 20 patients with locally advanced breast cancer were enrolled and ten were treated with the devices abovementioned. After 30 days of treatment all patients treated reported a general improvement in local conditions with reduction in ulceration area, exudate and odour. The results suggest that the application of these devices even in particular conditions (healthy and neoplastic tissue) does not lead to the onset of negative effects due to the release of ROS, though their role in tissue repair requires further study to fully understand their potential and increase the fields of application of the device by exploiting its modulation capabilities.
遗传和生化领域研究的发展使得研究慢性皮肤损伤微环境的某些代谢方面成为可能,包括细胞信号传导改变,凸显了其在确定修复过程受阻方面的重要性。这项前瞻性观察研究的目的是评估一种由富含油酸基质且能控制活性氧释放的聚酯支架组成的医疗器械在治疗局部晚期乳腺癌(LABC)皮肤损伤中的疗效。在2018年10月至2020年3月期间,招募了20例局部晚期乳腺癌患者,其中10例接受了上述器械治疗。治疗30天后,所有接受治疗的患者均报告局部状况总体改善,溃疡面积、渗出物和气味减少。结果表明,即使在特定条件下(健康组织和肿瘤组织)应用这些器械,也不会因活性氧的释放而导致不良反应的发生,不过它们在组织修复中的作用需要进一步研究,以充分了解其潜力,并通过利用其调节能力扩大该器械的应用领域。
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