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Ghost is a Node.js CMS. An unused endpoint added during the development of 4.0.0 has left sites vulnerable to untrusted users gaining access to Ghost Admin. Attackers can gain access by getting logged in users to click a link containing malicious code. Users do not need to enter credentials and may not know they've visited a malicious site. Ghost(Pro) has already been patched. We can find no evidence that the issue was exploited on Ghost(Pro) prior to the patch being added. Self-hosters are impacted if running Ghost a version between 4.0.0 and 4.3.2. Immediate action should be taken to secure your site. The issue has been fixed in 4.3.3, all 4.x sites should upgrade as soon as possible. As the endpoint is unused, the patch simply removes it. As a workaround blocking access to /ghost/preview can also mitigate the issue.
Conclusion: These are the first multicentric data on the surgical concept of TMMR and tLNE for the treatment of cervical cancer FIGO IB-IIA. We were able to reproduce the excellent oncologic data described for the method albeit with a relatively short median observation time. A randomized controlled trial seems warranted to definitely establish TMMR+tLNE as the method of choice for the treatment of early cervical cancer.
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Objective: The surgical concept of total mesometrial resection (TMMR) and therapeutic lymphadenectomy (tLNE) for the treatment of early cervical cancer is based on the ontogenetic cancer field model. Unicentric data show excellent locoregional control rates without adjuvant chemoradiation. However, there are so far no prospective, multicentric data supporting the method.
Methods: The multicentric TMMR register study was designed to answer the question whether the concept of TMMR+tLNE could be transferred to different centers and surgeons without compromising the outstanding oncologic results described in a unicentric setting.
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Results: In 116 patients with cervical cancer stages IB-IIA, (International Federation of Gynecology and Obstetrics [FIGO] 2018), who underwent TMMR/tLNE, 25.0% were lymph node-positive. pT stages were pT1a in 3 patients (2.6%), pT1b1 in 82 (70.7%), pT1b2 in 18 (15.5%), pT2a in 4 (3.5%) and pT2b in 9 (7.8%). The overall recurrence rate was 7.8% in a median follow-up time of 24 months (6-80). Locoregional recurrences occurred in 6.0% of patients. One patient (0.9%) died from the disease during the observation period.