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Author Chih Long Chang

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The 6th International Workshop of the Asian Society of Gynecologic Oncology, December 19th to 20th, 2020.

Ling Lim, Chih Long Chang,

J Gynecol Oncol (Journal of gynecologic oncology)
[2021, 32(3):e55]

Cited: 0 times

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DNA methylation marker for the triage of hrHPV positive women in cervical cancer screening: Real-world evidence in Taiwan.

Chih-Long Chang, Shih-Chu Ho, Yee-Fun Su, Yi-Chen Juan, Chueh-Yi Huang, An-Shine Chao, Zen-Shing Hsu, Chi-Feng Chang, Chyng-Wen Fwu, Ting-Chang Chang,

<h4>Objective</h4>Human papillomavirus (HPV) testing as the primary cervical cancer screening followed by reflex cytology if high-risk HPV is present (hrHPV+) is recently adopted in some countries. However, reflex cytology's sensitivity is variable, and a suitable triage approach for hrHPV+ remains controversial. Here, we compared the performance of three triage tools ... Read more >>

Gynecol Oncol (Gynecologic oncology)
[2021, :]

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Association of bowel radiation dose-volume with skeletal muscle loss during pelvic intensity-modulated radiotherapy in cervical cancer.

Jie Lee, Jhen-Bin Lin, Meng-Hao Wu, Chih-Long Chang, Ya-Ting Jan, Fang-Ju Sun, Yu-Jen Chen,

<h4>Background</h4>Radiation-induced bowel damage may compromise nutrient absorption and digestion and affect body composition during pelvic radiotherapy in patients with locally advanced cervical cancer (LACC). This study aimed to evaluate the relationship between bowel radiation dose-volume and body composition changes during pelvic radiotherapy.<h4>Methods</h4>Data of 301 LACC patients treated with chemoradiotherapy were ... Read more >>

Support Care Cancer (Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer)
[2021, :]

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Immune vulnerability of ovarian cancer stem-like cells due to low CD47 expression is protected by surrounding bulk tumor cells.

Chih-Long Chang, Chao-Chih Wu, Yun-Ting Hsu, Yi-Chiung Hsu,

Recurrence of advanced epithelial ovarian cancer is common despite optimal surgical debulking and initial favorable responses to chemotherapy. Evidences suggest that cancer stem cells (CSCs) have inherent resistance to conventional therapies such as chemotherapy and play a decisive role in cancer recurrence. Cancer stem cells are also believed to be ... Read more >>

Oncoimmunology (Oncoimmunology)
[2020, 9(1):1803530]

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Outcomes in Advanced Stage Epithelial Ovarian, Fallopian Tubal, and Peritoneal Cancer after Primary Surgery and Adjuvant Chemotherapies: A Single-Institute Real-World Experience.

Chia-Hua Chang, Hsiao-Li Kuo, Tzu-Chien Chen, Chia-Sui Weng, Ling Lim, Wan-Chun Huang, Chih-Long Chang, Tsung-Hsien Su, Kuo-Gon Wang, Kung-Liahng Wang, Yuh-Cheng Yang, Jen-Ruei Chen,

Debulking surgery followed by systemic chemotherapy-including three-weekly intravenous paclitaxel and carboplatin (GOG-158)-is the cornerstone for advanced epithelial ovarian, fallopian tubal, and peritoneal cancer (EOC) treatment. In this scenario, Federation of Gynecology and Obstetrics (FIGO) stage, cell types, completeness of surgery, lymph nodes (LN) status, adjuvant chemotherapy regimens, survival status, progression-free ... Read more >>

Int J Environ Res Public Health (International journal of environmental research and public health)
[2020, 17(10):]

Cited: 1 time

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Muscle Loss after Chemoradiotherapy as a Biomarker of Distant Failures in Locally Advanced Cervical Cancer.

Jie Lee, Jhen-Bin Lin, Meng-Hao Wu, Chih-Long Chang, Ya-Ting Jan, Yu-Jen Chen,

This study aimed to evaluate whether computed tomography (CT)-based muscle measurement predicts distant failure in patients with locally advanced cervical cancer (LACC). Data from 278 patients with LACC who underwent chemoradiation therapy (CCRT) between 2004 and 2017 were analysed. Changes in the skeletal muscle index (SMI), skeletal muscle density, and ... Read more >>

Cancers (Basel) (Cancers)
[2020, 12(3):]

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Muscle loss during primary debulking surgery and chemotherapy predicts poor survival in advanced-stage ovarian cancer.

Chueh-Yi Huang, Yuh-Cheng Yang, Tze-Chien Chen, Jen-Ruei Chen, Yu-Jen Chen, Meng-Hao Wu, Ya-Ting Jan, Chih-Long Chang, Jie Lee,

<h4>Background</h4>Sarcopenia is commonly observed in patients with advanced-stage epithelial ovarian cancer (EOC). However, the effect of body composition changes-during primary debulking surgery (PDS) and adjuvant platinum-based chemotherapy-on outcomes of patients with advanced-stage EOC is unknown. This study aimed to evaluate the association between body composition changes and outcomes of patients ... Read more >>

J Cachexia Sarcopenia Muscle (Journal of cachexia, sarcopenia and muscle)
[2020, 11(2):534-546]

Cited: 5 times

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Healthy life styles, sleep and fatigue in endometrial cancer survivors: A cross-sectional study.

Chia-Hui Yu, Tsae-Jyy Wang, Chih-Long Chang, Shu-Yuan Liang, Shu-Fang Wu, Chieh-Yu Liu, Yu Ying Lu,

AIMS AND OBJECTIVES:The primary aim of this study is to explore the influence of obesity, healthy lifestyle and sleep quality of endometrial cancer survivors on their fatigue level. BACKGROUND:As many as 30% of endometrial cancer survivors still suffer from fatigue 5 years after completing therapy. Fatigue may hinder cancer survivors from ... Read more >>

J Clin Nurs (Journal of clinical nursing)
[2020, 29(7-8):1372-1380]

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Retrospective Analysis Of Comparative Outcomes In Recurrent Platinum-Sensitive Ovarian Cancer Treated With Pegylated Liposomal Doxorubicin (Lipo-Dox) And Carboplatin Versus Paclitaxel And Carboplatin.

Chia-Sui Weng, Chao-Chih Wu, Tze-Chien Chen, Jen-Ruei Chen, Chueh-Yi Huang, Chih-Long Chang,

Purpose:The aim of this study is to analyze the outcomes of platinum-sensitive (PS) recurrent ovarian cancer treated with pegylated liposomal doxorubicin and carboplatin (CD) versus paclitaxel and carboplatin (CP). Clinical features were examined to characterize the patient population that would benefit from CD. Materials and methods:This is a retrospective review ... Read more >>

Cancer Manag Res (Cancer management and research)
[2019, 11:9899-9905]

Cited: 1 time

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Effect of Chemotherapy, Laparoscopy, and Cytology on Stage IC Ovarian Clear Cell Carcinoma: A Long-Term, Single-Center Study.

Hao-Ting Chang, Mei-Ling Chiu, Tao-Yuean Wang, Tzu-Chien Chen, Chih-Long Chang, Tsung-Hsien Su, Kuo-Gong Wang, Kung-Liahng Wang, Yuh-Cheng Yang, Jen-Ruei Chen,

Ovarian clear cell carcinoma (OCCC) is the second common histology of epithelial ovarian cancer in Taiwan. Stage IC is common, especially during minimally invasive surgery. Adjuvant chemotherapy in stage IC OCCC is unavoidable, and paclitaxel-based chemotherapy in Taiwan is self-paid. However, surgical spillage from minimally invasive surgery as a cause ... Read more >>

Int J Environ Res Public Health (International journal of environmental research and public health)
[2020, 17(2):]

Cited: 3 times

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Muscle radiodensity loss during cancer therapy is predictive for poor survival in advanced endometrial cancer.

Jie Lee, Jhen-Bin Lin, Meng-Hao Wu, Ya-Ting Jan, Chih-Long Chang, Chueh-Yi Huang, Fang-Ju Sun, Yu-Jen Chen,

<h4>Background</h4>Treatment-related toxicities and decreased levels of patient performance during cancer therapy might contribute to body composition changes and thereby impact outcomes. However, the effect of longitudinal body composition changes on outcomes in patients with advanced endometrial cancer is unknown. This study investigated the association between body composition changes during staging ... Read more >>

J Cachexia Sarcopenia Muscle (Journal of cachexia, sarcopenia and muscle)
[2019, 10(4):814-826]

Cited: 8 times

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Clinical significance of c-Met and phospho-c-Met (Tyr1234/1235) in ovarian cancer.

Ling Lim, Chao-Chih Wu, Yun-Ting Hsu, Fang-Ju Sun, Chih-Long Chang,

<h4>Objective</h4>c-Met is expressed in human ovarian cancer tissues, and its phosphorylation activates signaling cascades that might affect the behavior of cancer cells. In this study, we evaluated the association of c-Met and phosphorylated c-Met (phospho-c-Met) expressions with the clinical outcomes of ovarian cancer patients.<h4>Materials and methods</h4>Archived tissue from surgical specimens ... Read more >>

Taiwan J Obstet Gynecol (Taiwanese journal of obstetrics & gynecology)
[2019, 58(1):105-110]

Cited: 2 times

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Malignant transformation of ovarian mature cystic teratoma into squamous cell carcinoma: a Taiwanese Gynecologic Oncology Group (TGOG) study.

An Jen Chiang, Min Yu Chen, Chia Sui Weng, Hao Lin, Chien Hsing Lu, Peng Hui Wang, Yu Fang Huang, Ying Cheng Chiang, Mu Hsien Yu, Chih Long Chang,

<h4>Objective</h4>The malignant transformation (MT) of ovarian mature cystic teratoma (MCT) to squamous cell carcinoma (SCC) is very rare. This study analyzed cases from multiple medical centers in Taiwan to investigate the clinicopathologic characteristics, treatment, and prognostic factors of this disease and reviewed related literature.<h4>Methods</h4>Pathological reports of 16,001 patients with primary ... Read more >>

J Gynecol Oncol (Journal of gynecologic oncology)
[2017, 28(5):e69]

Cited: 6 times

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Antitumor effects of BMS-777607 on ovarian cancer cells with constitutively activated c-MET.

Chao-Chih Wu, Chia-Sui Weng, Yun-Ting Hsu, Chih-Long Chang,

<h4>Objective</h4>Tyrosine-protein kinase MET (c-MET) has been reported to be a prognostic marker and suitable therapeutic target for ovarian cancer. BMS-777607, a small molecule, can inhibit MET and other protein kinase activities. The present study was conducted to investigate the mechanism of action and antitumor effect of BMS-777607 on ovarian cancer ... Read more >>

Taiwan J Obstet Gynecol (Taiwanese journal of obstetrics & gynecology)
[2019, 58(1):145-152]

Cited: 2 times

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Less circulating mucosal-associated invariant T cells in patients with cervical cancer.

Wan-Chun Huang, Yu-Chia Hsiao, Chao-Chih Wu, Yun-Ting Hsu, Chih-Long Chang,

<h4>Objective</h4>Mucosal-associated invariant T cells (MAITs) are important for immune defense against infectious pathogens and regulation of various inflammatory diseases. However, their roles in cancer are rarely reported. Since cervical cancer is one of the diseases involving mucosal tissue, we try to investigate the association between circulating MAITs and cervical cancer.<h4>Materials ... Read more >>

Taiwan J Obstet Gynecol (Taiwanese journal of obstetrics & gynecology)
[2019, 58(1):117-121]

Cited: 2 times

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Effect of hyperthermia on improving neutrophil restoration after intraperitoneal chemotherapy.

Wan-Chun Huang, Chao-Chih Wu, Yun-Ting Hsu, Chih-Long Chang,

Purpose: Intraperitoneal (IP) chemotherapy has several benefits but also can have severe hematologic side effects. We compared the effects of hyperthermic intraperitoneal chemotherapy (HIPEC) and conventional IP chemotherapy on bone marrow suppression and evaluated whether HIPEC increased neutrophil recovery.Methods: HIPEC or IP chemotherapy was administered to ovarian cancer-bearing mice. Bone ... Read more >>

Int J Hyperthermia (International journal of hyperthermia : the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group)
[2019, 36(1):1255-1263]

Cited: 1 time

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The Effect of Body Mass Index and Weight Change on Late Gastrointestinal Toxicity in Locally Advanced Cervical Cancer Treated With Intensity-modulated Radiotherapy.

Jie Lee, Chih-Long Chang, Jhen-Bin Lin, Meng-Hao Wu, Fang-Ju Sun, Chieh-Ju Wu, Hung-Chi Tai, Shih-Ming Hsu, Yu-Jen Chen,

<h4>Objective</h4>To evaluate the effects of body mass index (BMI) and weight change during radiotherapy on the development of toxicity in patients with locally advanced cervical cancer (LACC) treated with intensity-modulated radiotherapy (IMRT).<h4>Methods</h4>A total of 245 patients were analyzed after undergoing definitive IMRT treatment between 2004 and 2015 for stage IB2 ... Read more >>

Int J Gynecol Cancer (International journal of gynecological cancer : official journal of the International Gynecological Cancer Society)
[2018, 28(7):1377-1386]

Cited: 3 times

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Skeletal Muscle Loss Is an Imaging Biomarker of Outcome after Definitive Chemoradiotherapy for Locally Advanced Cervical Cancer.

Jie Lee, Chih-Long Chang, Jhen-Bin Lin, Meng-Hao Wu, Fang-Ju Sun, Ya-Ting Jan, Shih-Ming Hsu, Yu-Jen Chen,

<b>Purpose:</b> This study investigates the association between body composition change during concurrent chemoradiotherapy (CCRT) and outcome in patients with locally advanced cervical cancer (LACC).<b>Experimental Design:</b> Pre- and posttreatment CT images of 245 patients with LACC who were treated between 2004 and 2015 were analyzed. Skeletal muscle index (SMI) and density ... Read more >>

Clin Cancer Res (Clinical cancer research : an official journal of the American Association for Cancer Research)
[2018, 24(20):5028-5036]

Cited: 8 times

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Impact of para-aortic recurrence risk-guided intensity-modulated radiotherapy in locally advanced cervical cancer with positive pelvic lymph nodes.

Jie Lee, Jhen-Bin Lin, Chih-Long Chang, Fang-Ju Sun, Meng-Hao Wu, Ya-Ting Jan, Yu-Jen Chen,

A previous study has suggested the benefit of sub-renal vein radiotherapy (SRVRT) for pelvic lymph node (PLN)-positive cervical cancer. In order to better select patients for SRVRT, this study aimed to evaluate the value of a risk-based radiation field based on PLN location and number in PLN-positive cervical cancer.We reviewed ... Read more >>

Gynecol Oncol (Gynecologic oncology)
[2018, 148(2):291-298]

Cited: 10 times

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Prophylactic lower para-aortic irradiation using intensity-modulated radiotherapy mitigates the risk of para-aortic recurrence in locally advanced cervical cancer: A 10-year institutional experience.

Jie Lee, Jhen-Bin Lin, Chih-Long Chang, Ya-Ting Jan, Fang-Ju Sun, Meng-Hao Wu, Yu-Jen Chen,

<h4>Objective</h4>To evaluate the effects of prophylactic sub-renal vein radiotherapy (SRVRT) using intensity-modulated radiotherapy (IMRT) for cervical cancer.<h4>Methods</h4>A total of 206 patients with FIGO stage IB2-IVA cervical cancer and negative para-aortic lymph nodes (PALNs) who underwent pelvic IMRT (PRT) or SRVRT between 2004 and 2013 at our institution were reviewed. SRVRT ... Read more >>

Gynecol Oncol (Gynecologic oncology)
[2017, 146(1):20-26]

Cited: 5 times

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Safety and efficacy of semiextended field intensity-modulated radiation therapy and concurrent cisplatin in locally advanced cervical cancer patients: An observational study of 10-year experience.

Jie Lee, Jhen-Bin Lin, Fang-Ju Sun, Yu-Jen Chen, Chih-Long Chang, Ya-Ting Jan, Meng-Hao Wu,

Patients with locally advanced cervical cancer (LACC) are at risk of para-aortic lymph node (PALN) metastasis. Pelvic concurrent chemoradiotherapy, the current standard treatment for LACC, has a PALN failure rate of 9% according to the Radiation Therapy Oncology Group Trial 90-01, suggesting that it may not completely eliminate all microscopic ... Read more >>

Medicine (Baltimore) (Medicine)
[2017, 96(10):e6158]

Cited: 8 times

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Uterine sarcoma part III-Targeted therapy: The Taiwan Association of Gynecology (TAG) systematic review.

Ming-Shyen Yen, Jen-Ruei Chen, Peng-Hui Wang, Kuo-Chang Wen, Yi-Jen Chen, Heung-Tat Ng, ,

Uterine sarcoma is a very aggressive and highly lethal disease. Even after a comprehensive staging surgery or en block cytoreduction surgery followed by multimodality therapy (often chemotherapy and/or radiation therapy), many patients relapse or present with distant metastases, and finally die of diseases. The worst outcome of uterine sarcomas is ... Read more >>

Taiwan J Obstet Gynecol (Taiwanese journal of obstetrics & gynecology)
[2016, 55(5):625-634]

Cited: 3 times

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Uterine sarcoma Part I-Uterine leiomyosarcoma: The Topic Advisory Group systematic review.

Kuo-Chang Wen, Huann-Cheng Horng, Peng-Hui Wang, Yi-Jen Chen, Ming-Shyen Yen, Heung-Tat Ng, ,

Uterine sarcomas account for 3-7% of all uterine cancers. Because of their rarity, unknown etiology, and highly divergent genetic aberration, there is a lack of consensus on risk factors for occurrence and predictive poor outcomes as well as optimal therapeutic choices. Tumor types according to the World Health Organization classification ... Read more >>

Taiwan J Obstet Gynecol (Taiwanese journal of obstetrics & gynecology)
[2016, 55(4):463-471]

Cited: 10 times

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Women with endometriosis have higher comorbidities: Analysis of domestic data in Taiwan.

Sen-Wen Teng, Huann-Cheng Horng, Chi-Hong Ho, Ming-Shyen Yen, Hsiang-Tai Chao, Peng-Hui Wang, ,

Endometriosis, defined by the presence of viable extrauterine endometrial glands and stroma, can grow or bleed cyclically, and possesses characteristics including a destructive, invasive, and metastatic nature. Since endometriosis may result in pelvic inflammation, adhesion, chronic pain, and infertility, and can progress to biologically malignant tumors, it is a long-term ... Read more >>

J Chin Med Assoc (Journal of the Chinese Medical Association : JCMA)
[2016, 79(11):577-582]

Cited: 13 times

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Uterine sarcoma Part II-Uterine endometrial stromal sarcoma: The TAG systematic review.

Huann-Cheng Horng, Kuo-Chang Wen, Peng-Hui Wang, Yi-Jen Chen, Ming-Shyen Yen, Heung-Tat Ng, ,

Endometrial stromal tumors are rare uterine tumors (<1%). Four main categories include endometrial stromal nodule, low-grade endometrial stromal sarcoma (LG-ESS), high-grade endometrial stromal sarcoma (HG-ESS), and uterine undifferentiated sarcoma (UUS). This review is a series of articles discussing the uterine sarcomas. LG-ESS, a hormone-dependent tumor harboring chromosomal rearrangement, is an ... Read more >>

Taiwan J Obstet Gynecol (Taiwanese journal of obstetrics & gynecology)
[2016, 55(4):472-479]

Cited: 11 times

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