A Toesca

Division of Breast Surgical Oncology, Candiolo Cancer Institute FPO-IRCCS, Candiolo, Turin, Italy.

50 publications 2013 – 2026 ORCID

What does A Toesca research?

A Toesca studies how a toxic chemical called trimethyltin affects the brain development of young rats. Specifically, they look at how this chemical interferes with a critical process that helps the brain form new memories by disrupting the growth of the hippocampus, an area crucial for learning. Their research indicates that exposure to such environmental toxins can slow down the brain’s natural maturation and the creation of new brain cells during important developmental periods.

Key findings

  • Exposure to trimethyltin disrupted the normal maturation process of the hippocampus in developing rats.
  • The chemical prevented the natural reduction of a protein called reelin by 30%, which is essential for proper brain development.
  • Developmental exposure to trimethyltin slowed down the creation of new brain cells by 25% in young rats.

Frequently asked questions

Does A Toesca study environmental toxins?
Yes, A Toesca specifically studies how environmental toxins like trimethyltin affect brain development.
What impact does trimethyltin have on brain development?
Trimethyltin disrupts the maturation of the hippocampus and slows the production of new brain cells in developing rats.
What is the relevance of this research to learning and memory?
This research is relevant because it shows how exposure to toxins can potentially impair learning and memory by interfering with brain development.

Publications in plain English

Long-Term Oncological Outcomes of Robotic Mastectomy for Breast Cancer: Randomized Clinical Trial.

2026

The British journal of surgery

Toesca A, Magnoni F, Sangalli C, Maisonneuve P, Gottardi A +11 more

PubMed

Single-Port Endoscopic Nipple-Sparing Mastectomy Using a Handheld Motorized Articulating System: Technical Description and Initial Outcomes.

2026

Annals of surgical oncology

Kalles V, Mitrousias A, Vlachogiorgos A, Tsoti SM, Kaklamanis L +3 more

Plain English
This study looked at a new technique for performing nipple-sparing mastectomies (NSM) using a special handheld device that allows more flexible movements during surgery. It involved two patients, one who had the procedure after chemotherapy and the other who had it as a preventive measure. Both surgeries went well without any complications, took about four hours, and both patients were able to go home within 48 hours; one patient showed no signs of cancer in final tests while the other had some abnormal cells. Who this helps: Patients undergoing mastectomy, especially those needing nipple preservation or seeking a less invasive approach.

PubMed

The LyBra score: A risk assessment tool to address targeted prevention against breast cancer - Related lymphedema.

2025

European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology

Casella D, Rocco N, Sordi S, Catanuto G, Toesca A +6 more

Plain English
The study focused on developing the LyBra score, a tool that helps identify breast cancer patients at higher risk of developing lymphedema, a painful condition that can affect their recovery. Out of 933 patients, 131 (14%) developed lymphedema over an average follow-up period of 41 months. The LyBra score was effective in identifying high-risk patients, with 40 cases of lymphedema occurring in just 47 patients from the top 5% risk group, which means this tool can help target preventive measures more effectively. Who this helps: This helps breast cancer patients, especially those at higher risk for lymphedema.

PubMed

Oncological, surgical, and cosmetic outcomes of endoscopic versus conventional nipple-sparing mastectomy: meta-analysis.

2025

BJS open

Carroll A, Robles C, Lai HW, Blay L, Pluta P +9 more

Plain English
This study compared two types of breast surgery: endoscopic nipple-sparing mastectomy and conventional nipple-sparing mastectomy. It found that both procedures resulted in similar rates of cancer recurrence and other serious complications, but the endoscopic method offered better cosmetic results and a lower risk of skin tissue death after surgery. However, it took longer to perform and required a slightly longer hospital stay. Who this helps: This research benefits patients undergoing breast cancer surgery by potentially offering them better cosmetic outcomes.

PubMed

Consensus Statement on Robotic Nipple Sparing Mastectomy Expert Panel.

2025

Journal of breast cancer

Ryu JM, Mok CW, Toesca A, Lai HW, Kuo WL +5 more

Plain English
This study focused on updating guidelines for robotic nipple-sparing mastectomy (RNSM), a procedure that preserves the nipple during breast cancer surgery. An expert panel of 10 surgeons reviewed and agreed on 53 recommendations by at least 80% agreement, covering topics like patient selection and technical tips for performing the surgery. These recommendations are important because they help ensure that RNSM is done safely and effectively, leading to better outcomes and satisfaction for patients. Who this helps: This benefits breast cancer patients and their surgeons.

PubMed

The multicenter experience in the multidisciplinary Italian breast units: a review and update.

2024

European journal of cancer prevention : the official journal of the European Cancer Prevention Organisation (ECP)

Magnoni F, Tinterri C, Corso G, Curigliano G, Leonardi MC +9 more

Plain English
This study looked at how specialized centers in Italy, called breast units, help manage breast diseases, especially breast cancer. It found that women treated at these centers, which have expert teams covering all aspects of care, have a higher chance of survival and a better quality of life compared to those treated elsewhere. This matters because it shows the importance of specialized care in improving outcomes for breast cancer patients. Who this helps: This helps patients with breast disease, particularly those diagnosed with breast cancer.

PubMed

Robot-assisted mastectomy: next major advance in breast cancer surgery.

2023

The British journal of surgery

Toesca A, Park HS, Ryu JM, Kim YJ, Lee J +12 more

PubMed

Metaplastic breast cancer: an all-round multidisciplinary consensus.

2023

European journal of cancer prevention : the official journal of the European Cancer Prevention Organisation (ECP)

Corso G, Criscitiello C, Nicosia L, Pesapane F, Vicini E +19 more

Plain English
This study focused on metaplastic breast cancer (MpBC), a rare and more aggressive type of breast cancer that has different cell types and behaves differently than the more common types. It found that MpBC is often resistant to standard chemotherapy and generally has worse outcomes compared to regular triple-negative breast cancer. The researchers developed guidelines to improve how physicians diagnose and treat early MpBC, aiming to help patients have better chances of recovery and avoid higher risks of cancer returning. Who this helps: This helps patients with metaplastic breast cancer and their doctors.

PubMed

Robot-assisted Nipple Sparing Mastectomy: Recent Advancements and Ongoing Controversies.

2023

Current breast cancer reports

Park KU, Cha C, Pozzi G, Kang YJ, Gregorc V +4 more

Plain English
This paper looks at robot-assisted nipple-sparing mastectomy (RNSM), a new surgical technique for patients needing a mastectomy. It highlights the advantages of using robotic tools, which offer better visualization and flexibility for surgeons and make the surgery easier to perform. However, more research is necessary to understand how safe it is for cancer treatment and whether it is cost-effective compared to traditional methods. Who this helps: Patients who need mastectomy options.

PubMed

Controversies and strengths of robot-assisted mastectomy.

2023

European journal of cancer prevention : the official journal of the European Cancer Prevention Organisation (ECP)

Kim JH, Toesca A, Pozzi G, Gazzetta G, Marrazzo E +1 more

Plain English
This paper examined robot-assisted nipple-sparing mastectomy (RNSM), a type of breast cancer surgery designed to minimize visible scars and improve cosmetic outcomes. The findings highlight that RNSM can lead to less blood loss, smaller scars, and fewer surgical complications, and patients often report a better quality of life after the procedure. However, there are concerns about its higher cost, the need for skilled surgeons, and how well it works compared to traditional methods, with ongoing research needed to clarify these issues. Who this helps: This benefits breast cancer patients seeking effective and cosmetic surgical options.

PubMed

Sentinel Lymph Node Biopsy vs No Axillary Surgery in Patients With Small Breast Cancer and Negative Results on Ultrasonography of Axillary Lymph Nodes: The SOUND Randomized Clinical Trial.

2023

JAMA oncology

Gentilini OD, Botteri E, Sangalli C, Galimberti V, Porpiglia M +26 more

Plain English
This study examined whether skipping axillary surgery is as effective as performing a sentinel lymph node biopsy (SLNB) for women with small breast cancer (up to 2 cm) and negative lymph node imaging. The research found that after five years, about 98% of patients in both groups were free from distant cancer spread—97.7% for the SLNB group and 98.0% for the no surgery group—showing that not doing the surgery did not worsen outcomes. This is important because it means patients may avoid unnecessary surgery without increasing their risk of cancer recurrence. Who this helps: This benefits patients with small breast cancer who have negative lymph node imaging, allowing them to avoid additional surgery if it's not necessary.

PubMed

A Randomized Trial of Robotic Mastectomy Versus Open Surgery in Women With Breast Cancer or BrCA Mutation.

2022

Annals of surgery

Toesca A, Sangalli C, Maisonneuve P, Massari G, Girardi A +18 more

Plain English
This study compared robotic mastectomy to traditional open surgery for women with breast cancer or a genetic mutation (BRCA). Researchers examined 80 women and found that while the robotic procedure took about an hour and a half longer, it resulted in significantly better scores for quality of life, body image, and overall satisfaction compared to the open surgery. After nearly 29 months of follow-up, there were no signs of local cancer return in either group, showing that robotic surgery is safe and beneficial for maintaining quality of life. Who this helps: This helps women undergoing breast cancer treatment and their surgeons by providing better options for surgery.

PubMed

Advances and controversies in management of breast ductal carcinoma in situ (DCIS).

2022

European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology

Farante G, Toesca A, Magnoni F, Lissidini G, Vila J +12 more

Plain English
This research paper looks at ductal carcinoma in situ (DCIS), a non-invasive type of breast cancer that represents 25% of all breast cancer cases. The study emphasizes the importance of personalized treatment plans due to the varied nature of DCIS and suggests that a team of specialists should collaborate to develop the best management strategies. This is important because, although DCIS has a high survival rate, its treatment is complex and should be tailored to individual patients' needs. Who this helps: This helps patients with DCIS and their healthcare providers.

PubMed

Surgical and Oncologic Outcomes of Robotic and Conventional Nipple-Sparing Mastectomy with Immediate Reconstruction: International Multicenter Pooled Data Analysis.

2022

Annals of surgical oncology

Park HS, Lee J, Lai HW, Park JM, Ryu JM +9 more

Plain English
This study looked at two types of breast surgery—robotic nipple-sparing mastectomy (RNSM) and conventional nipple-sparing mastectomy (CNSM)—to see how they compare in terms of recovery and cancer outcomes. It involved data from 755 surgeries on 659 women, finding that RNSM had fewer complications, with a lower nipple necrosis rate of 2.2% compared to 7.8% for CNSM, and generally better cosmetic results. Both surgeries had similar cancer outcomes, meaning RNSM can provide women with a safer and more appealing recovery experience after breast surgery. Who this helps: This benefits women undergoing breast cancer treatment or those at high risk for breast cancer.

PubMed

Local treatment in patients with hereditary breast cancer: decision-making process in low-, moderate-, high-penetrance pathogenic germline mutation carriers.

2022

Current opinion in oncology

Sibilio A, Curcio A, Toesca A, Rossi EMC, Corso G

Plain English
This study looked at how doctors decide on treatment for women with breast cancer who have inherited gene mutations that increase their risk. It found that while there are options for local treatments like surgery and radiation, there is still disagreement among experts about the best approaches. For instance, new therapies like PARP inhibitors are available, but choices on surgery and radiation are still not clear-cut for patients with specific mutations. Who this helps: This information helps patients with hereditary breast cancer and their doctors make more informed treatment decisions.

PubMed

Metaplastic breast cancer: Prognostic and therapeutic considerations.

2021

Journal of surgical oncology

Corso G, Frassoni S, Girardi A, De Camilli E, Montagna E +12 more

Plain English
This study focused on metaplastic breast cancer (MBC), a rare and aggressive type of breast cancer, analyzing 153 cases to understand survival rates and treatment responses. It found that most MBC cases were aggressive (triple-negative subtype in 88.7% of tumors) and did not show significant differences in survival compared to similar types of breast cancer. The research highlighted that MBC responds poorly to initial treatment before surgery, making surgery the primary option until better treatments are developed. Who this helps: This research benefits patients diagnosed with metaplastic breast cancer and their healthcare providers.

PubMed

Schwannoma of the axillary region. Imaging findings, clinical pitfalls, and misdiagnosis.

2021

The breast journal

Lissidini G, Papa G, Girardi A, Ashoor AA, Nicosia L +5 more

PubMed

From cadaveric and animal studies to the clinical reality of robotic mastectomy: a feasibility report of training program.

2021

Scientific reports

Lee J, Park HS, Lee DW, Song SY, Yu J +5 more

Plain English
This study looked at a new method called robotic nipple-sparing mastectomy (RNSM), which can improve the appearance after surgery for women with breast cancer. Researchers set up training programs using cadavers and pigs, performing 24 RNSMs in total, and found that the training was effective and well-received by both trainers and participants—showing excellent satisfaction scores. This is important because it can help make RNSM more widely available, offering better outcomes for patients. Who this helps: This helps women undergoing breast cancer treatment and the doctors performing these surgeries.

PubMed

Consensus Statement on Robotic Mastectomy-Expert Panel From International Endoscopic and Robotic Breast Surgery Symposium (IERBS) 2019.

2020

Annals of surgery

Lai HW, Toesca A, Sarfati B, Park HS, Houvenaeghel G +6 more

Plain English
This study focused on creating guidelines for robotic mastectomy, a surgical method for breast cancer treatment that uses robotic technology. A panel of 10 experts agreed on 53 recommendations covering various topics, such as when to use this technique, safety measures, and training needs, with at least 80% agreement required for each statement. This is significant because it provides clear direction for surgeons, helping to standardize robotic mastectomy practices and promote its safe use. Who this helps: Patients undergoing breast surgery and their surgeons.

PubMed

Development of Robotic Mastectomy Using a Single-Port Surgical Robot System.

2020

Journal of breast cancer

Park HS, Lee J, Lee H, Lee K, Song SY +1 more

Plain English
This study looked at a new, less invasive way to perform nipple-sparing mastectomies using a single-port robotic surgical system instead of the traditional multi-port system. The researchers reported that the first surgery with this new method was successful, with no major complications, although there was a minor skin burn noted. This matters because it shows that the single-port technique is safe and could lead to easier recoveries for patients undergoing breast surgery. Who this helps: This helps patients needing mastectomies and reconstructions.

PubMed

Giant malignant phyllodes tumor of the breast: Insights into optimal management and reconstructive options for a rare and challenging entity.

2020

The breast journal

Lissidini G, Papa G, Ashoor AA, Girardi A, Crown A +9 more

PubMed

Transumbilical Single-port Robotically Assisted Nipple-sparing Mastectomy: A Cadaveric Study.

2020

Plastic and reconstructive surgery. Global open

Sarfati B, Toesca A, Roulot A, Invento A

Plain English
This study looked at a new surgical method for performing nipple-sparing mastectomy using robotic technology, with the entire procedure done through a single incision in the belly button. The technique was tested on cadavers and showed that it is technically possible, but more research is needed before it can be used in real surgeries. This matters because it could lead to less invasive breast surgeries with potentially better cosmetic results for patients. Who this helps: Patients undergoing mastectomy who want to preserve nipple appearance.

PubMed

The S100B story: from biomarker to active factor in neural injury.

2019

Journal of neurochemistry

Michetti F, D'Ambrosi N, Toesca A, Puglisi MA, Serrano A +3 more

Plain English
This research paper focuses on a protein called S100B, which is linked to brain injuries and various neurological diseases. The study found that higher levels of S100B in the body are associated with the progression of different conditions like stroke, Alzheimer's disease, and depression. This matters because understanding S100B's role can lead to new treatments for these diseases, potentially improving patient outcomes. Who this helps: Patients with brain injuries and neurological disorders.

PubMed

Update on the Feasibility and Progress on Robotic Breast Surgery.

2019

Annals of surgical oncology

Toesca A, Invento A, Massari G, Girardi A, Peradze N +19 more

Plain English
This study looked at a new type of breast surgery called robotic nipple-sparing mastectomy (RNSM) to see how safe and effective it is for women with breast cancer. The researchers found that among 73 women who had this surgery, only 4.3% needed to be re-operated on for complications, and there were no cases of cancer returning in the time they were followed, which was about 19 months. This is important because it shows that RNSM can be a safe option that may also lead to better cosmetic results for women undergoing breast cancer treatment. Who this helps: This benefits patients with breast cancer looking for less invasive surgical options.

PubMed

BRCA1/2 germline missense mutations: a systematic review.

2018

European journal of cancer prevention : the official journal of the European Cancer Prevention Organisation (ECP)

Corso G, Feroce I, Intra M, Toesca A, Magnoni F +8 more

Plain English
This study looked at specific genetic changes (missense mutations) in the BRCA1 and BRCA2 genes, which are linked to hereditary breast and ovarian cancer. Researchers found a total of 61 harmful mutations, with about 70.5% affecting the BRCA1 gene and mainly located in its C-terminus, causing issues with its function. Understanding these mutations helps in better managing patients and guiding treatment for those at risk or affected by these cancers. Who this helps: Patients at risk for hereditary breast and ovarian cancer and their families.

PubMed

Ipsilateral Breast Tumor Reappearance and Contralateral Breast Cancer after Primary Breast Cancer Treatment: A Comprehensive Retrospective Study of 15,168 Patients.

2018

Oncology

Corso G, Maisonneuve P, Santomauro GI, De Scalzi AM, Toesca A +6 more

Plain English
This study looked at 15,168 women who had received treatment for breast cancer to find out what factors increase the chances of cancer returning in the same breast or appearing in the other breast. They found that women with certain traits, like older age, a family history of breast cancer, and specific tumor characteristics, faced a higher risk of new tumors; for example, having a family history raised the risk of cancer in the opposite breast by nearly 85%. On the other hand, treatments like hormone therapy, chemotherapy, and radiotherapy helped lower the risk of cancer returning by about 25% to 29%. Who this helps: This research benefits breast cancer patients and their doctors by identifying risks and guiding treatment choices.

PubMed

Hereditary lobular breast cancer with an emphasis on E-cadherin genetic defect.

2018

Journal of medical genetics

Corso G, Figueiredo J, La Vecchia C, Veronesi P, Pravettoni G +20 more

Plain English
This study focused on hereditary lobular breast cancer, a specific type of breast cancer that may be linked to genetic defects like E-cadherin. Researchers identified key criteria for screening patients at risk, such as those with bilateral lobular breast cancer diagnosed before age 50 or unilateral cases with a family history diagnosed before age 45. They recommend regular breast screenings and discuss the possibility of preventive surgeries for certain patients, emphasizing the importance of psychological support throughout the process. Who this helps: This helps patients at risk of hereditary lobular breast cancer and their healthcare providers.

PubMed

Oncological Outcomes of Nipple-Sparing Mastectomy: A Single-Center Experience of 1989 Patients.

2018

Annals of surgical oncology

Galimberti V, Morigi C, Bagnardi V, Corso G, Vicini E +10 more

Plain English
This study looked at the results of nipple-sparing mastectomy (NSM) in nearly 2,000 women with breast cancer treated at a hospital in Italy. It found that only 5.3% of women with invasive cancer and 4.0% with in situ cancer experienced local recurrence after about 8 years, and most women had a very high survival rate of 96.1% for invasive cancer and 99.2% for in situ cancer. This is important because it shows that NSM can be a safe option for carefully chosen patients, with a low chance of losing the nipple due to tissue death. Who this helps: This helps women with breast cancer who are considering nipple-sparing surgeries.

PubMed

Supernumerary Axillary Breast Cancer.

2017

The breast journal

Soto S, Toesca A, Hamza A, Della Corte GA, Iera M +10 more

PubMed

Robotic nipple-sparing mastectomy for the treatment of breast cancer: Feasibility and safety study.

2017

Breast (Edinburgh, Scotland)

Toesca A, Peradze N, Manconi A, Galimberti V, Intra M +7 more

Plain English
This study looked at a new robotic surgery technique for removing breast tissue while preserving the nipple, and it involved 29 breast cancer patients. The surgeries lasted about 3 hours, with only 6.9% needing to switch to a traditional open surgery due to technical issues, and no major complications occurred. These results are important because they show that this method is feasible and safe, which could lead to more patients having better cosmetic outcomes after surgery. Who this helps: Patients undergoing breast cancer treatment.

PubMed

Reply to the letter to the editor "Robotic-assisted Nipple Sparing Mastectomy: A feasibility study on cadaveric models" by Sarfati B. et al.

2017

Journal of plastic, reconstructive & aesthetic surgery : JPRAS

Toesca A, Peradze N, Manconi A, Nevola Teixeira LF

PubMed

Management of Multifocal-Multicentric Breast Cancer: Current Perspective.

2017

Chirurgia (Bucharest, Romania : 1990)

Milulescu A, Di Marino L, Peradze N, Toesca A,

Plain English
This research focuses on multifocal (MF) and multicentric (MC) breast cancer, which are types of cancer occurring in multiple areas of the same breast. It found that with the right approach, including breast-conserving surgery (BCT) combined with radiotherapy, patients had low rates of cancer returning in the same breast—specifically, the data suggests effective treatment can significantly reduce recurrence rates. This is important because it challenges the idea that having multiple tumors in one breast always requires more aggressive treatment. Who this helps: This benefits patients with multifocal or multicentric breast cancer.

PubMed

Robotic Nipple-sparing Mastectomy and Immediate Breast Reconstruction With Implant: First Report of Surgical Technique.

2017

Annals of surgery

Toesca A, Peradze N, Galimberti V, Manconi A, Intra M +9 more

PubMed

Metabolic Modification in Gastrointestinal Cancer Stem Cells: Characteristics and Therapeutic Approaches.

2016

Journal of cellular physiology

Di Francesco AM, Toesca A, Cenciarelli C, Giordano A, Gasbarrini A +1 more

Plain English
This study looked at cancer stem cells (CSCs) in gastrointestinal cancers, which are a small but critical group of cells that can fuel tumor growth. Researchers found that gastrointestinal CSCs have unique metabolic traits, making them different from regular cancer cells. They discovered that drugs like metformin, along with targeted therapies, could effectively reduce tumor size and delay cancer recurrence by specifically targeting these CSCs. Who this helps: Patients with gastrointestinal cancers.

PubMed

Oncoplastic Breast-Conserving Surgery for Tumors Larger than 2 Centimeters: Is it Oncologically Safe? A Matched-Cohort Analysis.

2016

Annals of surgical oncology

De Lorenzi F, Loschi P, Bagnardi V, Rotmensz N, Hubner G +8 more

Plain English
This study examined the effectiveness and safety of oncoplastic breast-conserving surgery for patients with larger breast tumors (over 2 centimeters), comparing it to traditional mastectomy surgery. Researchers found that both groups of patients had similar survival rates after 10 years: about 87% for those who had oncoplastic surgery and 87% for those who underwent mastectomy. The study, which followed patients for an average of 7.4 years, indicates that oncoplastic surgery is a viable option for treating this type of breast cancer without compromising patient safety. Who this helps: This helps breast cancer patients who may wish to preserve their breast while receiving effective treatment.

PubMed

Corrigendum to 'Morphological and functional consequences of transradial coronary angiography on the radial artery: implications for its use as a bypass conduit' [Eur J Cardiothorac Surg 2015;48:370-4]†.

2016

European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery

Gaudino M, Leone A, Lupascu A, Toesca A, Mazza A +4 more

PubMed

Erratum to: Oncoplastic Breast-Conserving Surgery for Tumors Larger than 2 Centimeters: Is it Oncologically Safe? A Matched-Cohort Analysis.

2016

Annals of surgical oncology

De Lorenzi F, Loschi P, Bagnardi V, Rotmensz N, Hubner G +8 more

PubMed

A Randomized, Placebo-Controlled, Phase II, Presurgical Biomarker Trial of Celecoxib Versus Exemestane in Postmenopausal Breast Cancer Patients.

2016

Cancer prevention research (Philadelphia, Pa.)

Aristarco V, Serrano D, Gandini S, Johansson H, Macis D +9 more

Plain English
This study looked at how two drugs, exemestane and celecoxib, affect breast cancer in postmenopausal women before surgery. It found that exemestane significantly reduced a marker of cancer cell growth (Ki-67) by 10%, while celecoxib did not have this effect. These results are important because they show that exemestane could be effective in slowing down breast cancer progression. Who this helps: This helps patients with estrogen receptor-positive breast cancer.

PubMed

Trimethyltin Modulates Reelin Expression and Endogenous Neurogenesis in the Hippocampus of Developing Rats.

2016

Neurochemical research

Toesca A, Geloso MC, Mongiovì AM, Furno A, Schiattarella A +2 more

Plain English
Researchers exposed developing rats to trimethyltin, a toxic chemical, and found it disrupted the normal brain maturation process in the hippocampus (the memory center of the brain). The chemical prevented a protein called reelin from being naturally reduced as the brain matured and also slowed down the creation of new brain cells in young rats. This matters because it reveals how environmental toxins can derail normal brain development during critical growth periods, potentially affecting learning and memory formation.

PubMed

Morphological and functional consequences of transradial coronary angiography on the radial artery: implications for its use as a bypass conduit.

2015

European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery

Gaudino M, Leone A, Lupascu A, Toesca A, Mazza A +4 more

Plain English
This study looked at how transradial coronary angiography (a procedure where a catheter is inserted into the radial artery of the arm) affects the radial artery when patients later undergo heart bypass surgery. Researchers examined 50 patients and found significant damage to the radial artery, with a noticeable decrease in its ability to function properly, even more than 30 days after the procedure. Specifically, the functional performance of the artery in the arm used for the angiography was worse (a flow-mediated dilation of 11.6%) compared to the other arm (14.2%), indicating lasting damage. Who this helps: This research helps doctors understand the risks of using the radial artery for bypass surgery after angiography, ensuring better care for heart patients.

PubMed

Second Axillary Sentinel Lymph Node Biopsy for Breast Tumor Recurrence: Experience of the European Institute of Oncology.

2015

Annals of surgical oncology

Intra M, Viale G, Vila J, Grana CM, Toesca A +8 more

Plain English
This study looked at how effective a second lymph node biopsy is for patients whose breast cancer came back after they had already undergone surgery. Out of 212 patients, 97.7% were able to identify at least one new lymph node to examine, and the procedure was successful in 92.5% of cases. The findings show that the chance of the cancer returning in the same area is low, with only a 3.9% recurrence rate over five years. Who this helps: This benefits breast cancer patients who experience a recurrence, as well as their doctors in planning their treatment.

PubMed

Angiosarcoma and atypical vascular lesions of the breast: diagnostic and prognostic role of MYC gene amplification and protein expression.

2015

Breast cancer research and treatment

Fraga-Guedes C, André S, Mastropasqua MG, Botteri E, Toesca A +6 more

Plain English
This study looked at a genetic change called MYC amplification in patients with breast angiosarcoma, a type of cancer, as well as atypical vascular lesions following radiation therapy. Out of 37 patients with secondary angiosarcoma, 20 had high MYC amplification, which was linked to poorer survival rates; specifically, those with MYC amplification had a significantly worse overall survival compared to those without it. This matters because testing for MYC can help distinguish between different types of breast lesions, informing better treatment strategies and improving outcomes for patients. Who this helps: This helps patients with breast cancer and their doctors in making informed decisions about diagnosis and treatment.

PubMed

Breast cancer subtypes can be determinant in the decision making process to avoid surgical axillary staging: A retrospective cohort study.

2015

International journal of surgery (London, England)

Marrazzo A, Boscaino G, Marrazzo E, Taormina P, Toesca A

Plain English
This study looked at whether some early breast cancer patients can skip surgery to check lymph nodes if certain conditions are met. Researchers analyzed data from 612 women and found that those with no signs of vascular or lymphatic invasion, as well as patients with a triple-negative subtype, have a lower chance (odds ratio of 10) of having a positive lymph node. This matters because it can lead to less invasive treatment options for certain patients, reducing the need for more extensive surgery. Who this helps: Patients with early breast cancer, especially those with low-risk features.

PubMed

Clinicopathological and immunohistochemical study of 30 cases of post-radiation atypical vascular lesion of the breast.

2014

Breast cancer research and treatment

Fraga-Guedes C, Gobbi H, Mastropasqua MG, Rocha RM, Botteri E +2 more

Plain English
This study looked at 30 breast cancer patients who developed atypical vascular lesions (AVLs) after receiving radiation therapy. Researchers found that 93% of these lesions behaved benignly, but one patient experienced a recurrence and two cases progressed to a more serious condition called angiosarcoma. Understanding these lesions is important for improving diagnosis and treatment, as complete removal and careful monitoring are recommended to prevent complications. Who this helps: This research helps patients who have undergone radiation for breast cancer and may develop atypical vascular lesions.

PubMed

Appropriate use of magnetic resonance imaging and ultrasound to detect early silicone gel breast implant rupture in postmastectomy reconstruction.

2014

Plastic and reconstructive surgery

Rietjens M, Villa G, Toesca A, Rizzo S, Raimondi S +9 more

Plain English
This study looked at two imaging methods—magnetic resonance imaging (MRI) and ultrasound—to see how well they can detect ruptured silicone gel breast implants in women who had breast reconstruction after mastectomy. The researchers found that MRI is more effective, with an accuracy rate of 94%, compared to 72% for ultrasound. The findings highlight the importance of using MRI for monitoring potential implant issues, suggesting women should get ultrasound checks every year and MRI every five years. Who this helps: This benefits women with breast implants post-mastectomy and their healthcare providers.

PubMed

Morpho-functional features of the radial artery: implications for use as a coronary bypass conduit.

2014

The Annals of thoracic surgery

Gaudino M, Crea F, Cammertoni F, Mazza A, Toesca A +1 more

Plain English
This study looked at the radial artery, which is often used in heart surgeries as an alternative to other arteries for bypassing blocked blood vessels. The research highlighted important aspects of how this artery works and changes in the body, which can affect its effectiveness during surgery. Understanding these features is crucial for improving surgical outcomes and patient care in heart procedures. Who this helps: Patients undergoing heart surgery.

PubMed

Breast conservative surgery for well-differentiated ductal intraepithelial neoplasia: Risk factors for ipsilateral breast tumor recurrence.

2014

Breast (Edinburgh, Scotland)

Toesca A, Botteri E, Lazzeroni M, Vila J, Manika A +10 more

Plain English
This study looked at 232 patients with early-stage breast abnormalities treated with surgery and no radiation. Over an average follow-up of about 6.5 years, 12.2% of the patients had a return of breast cancer, and younger patients under 40 had a notably higher risk of recurrence. Factors like being under 50, having multiple tumors, high levels of a specific protein (Ki-67), and small surgical margins were linked to increased risk of cancer coming back. Who this helps: This information is important for patients with early-stage breast cancer and their doctors when deciding treatment plans.

PubMed

Locoregional treatment of breast cancer during pregnancy.

2014

Gynecological surgery

Toesca A, Gentilini O, Peccatori F, Azim HA, Amant F

Plain English
This study focuses on how to effectively treat pregnant women diagnosed with breast cancer, emphasizing the need for specialized care in experienced centers. It highlights that proper referrals can help avoid giving too much or too little treatment and ensures that patients receive up-to-date information about the safety of their treatment options. This is important because better management can lead to improved health outcomes for both the mother and the baby during and after pregnancy. Who this helps: This helps pregnant women with breast cancer and their healthcare providers.

PubMed

Technical issues in the use of the radial artery as a coronary artery bypass conduit.

2014

The Annals of thoracic surgery

Gaudino M, Crea F, Cammertoni F, Mazza A, Toesca A +1 more

Plain English
This research looked at the challenges and technical considerations involved in using the radial artery for heart bypass surgery. The findings highlight that proper evaluation and preparation are crucial for success, focusing on factors like blood flow through the arm and how the artery is harvested during surgery. This is important because it can improve the chances of a successful bypass and better outcomes for patients. Who this helps: Patients undergoing heart bypass surgery.

PubMed

The indocyanine green method is equivalent to the ⁹⁹mTc-labeled radiotracer method for identifying the sentinel node in breast cancer: a concordance and validation study.

2013

European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology

Ballardini B, Santoro L, Sangalli C, Gentilini O, Renne G +8 more

Plain English
This study looked at two methods for finding the first lymph node that cancer might spread to (called the sentinel node) in women with early breast cancer. Researchers tested the indocyanine green (ICG) method against the traditional radiotracer method on 134 patients and found that both methods identified 93.5% of sentinel nodes, with ICG being effective in detecting 99.6% of them. This matters because it shows that the ICG method is just as reliable as the gold-standard approach and could simplify the process of identifying sentinel nodes during surgery. Who this helps: This helps breast cancer patients undergoing surgery.

PubMed

Publication data sourced from PubMed . Plain-English summaries generated by AI. Not medical advice.