Cintia Mayumi Sakurai Kimura

PROGNOSTIC FACTORS AND SURVIVAL ANALYSIS IN ESOPHAGEAL CARCINOMA

ABSTRACT Background: Despite recent advances in diagnosis and treatment, esophageal cancer still has high mortality. Prognostic factors associated with patient and with disease itself are multiple and poorly explored. Aim: Assess prognostic variables in esophageal cancer patients. Methods: Retrospective review of all patients with esophageal cancer in an oncology referral center. They were divided according to histological diagnosis (444 squamous cell carcinoma patients and 105 adenocarcinoma), and their demographic, pathological and clinical characteristics were analyzed and compared to clinical stage and overall survival. Results: No difference was noted between squamous cell carcinoma and esophageal adenocarcinoma overall survival curves. Squamous cell carcinoma presented 22.8% survival after five years against 20.2% for adenocarcinoma. When considering only patients treated with curative intent resection, after five years squamous cell carcinoma survival rate was 56.6 and adenocarcinoma, 58%. In patients with squamous cell carcinoma, poor differentiation histology and tumor size were associated with worse oncology stage, but this was not evidenced in adenocarcinoma. Conclusion: Weight loss (kg), BMI variation (kg/m²) and percentage of weight loss are factors that predict worse stage at diagnosis in the squamous cell carcinoma. In adenocarcinoma, these findings were not statistically significant.

Five cases of sexual addiction under Short-term Psychodynamic Group Psychotherapy

, and because of this, psychodynamic psychotherapy is a good choice of treatment. We aim to report the evolution of five sex addicts, who underwent short-term psychodynamic group psychotherapy (STPGP). Our specific goal is investigate the effect of the STPGP on SC.The five patients also had impulse control disorder or drug/alcohol dependence, and were all Brazilian men over 18 years of the Institute of Psychiatry at Clinicas’ Hospital of University of Sao Paulo Medical School (HC-FMUSP). All of them met the Goodman’s criteria for sex addiction