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The non-small cell lung cancer diagnosis by thinprep cytology test and immunocytochemistry in sputum exfoliated cells 痰中脱落细胞的薄层细胞学检查和免疫细胞化学诊断非小细胞肺癌
Q4 Medicine Pub Date : 2014-04-01 DOI: 10.3969/J.ISSN.1007-3969.2014.03.005
Chen Jiang-fan, Li Chun-ying, Sun Xiu-juan, Zheng Shao-guang
Background and purpose:The non-small cell lung cancer(NSCLC) has been the highest disease incidence in lung cancer,sputum cytology diagnosis has become an important adjunct to the early diagnosis of lung cancer.The purpose of this study was to investigate the value of thinprep cytological and immunocytochemical method in differentiatial diagnosis of exfoliated cells of malignant sputum in NSCLC.Methods:Sputum samples were detected with thinprep cytology test,a total of 530 cases suspicious tumor cells and malignant tumor cells sputum specimens were randomly selected in continuous paraffin-embedded sections,respectively,NSCLC tumor cell markers CK7,CK5/6,TTF-1,P63,EMA were evaluted by immunocytochemical staining.Results:Of the 530 cases of malignant sputum,these were confirmed 265 cases of lung adenocarcinoma,246 cases of squamous carcinoma,19 cases of adeno-squamous carcinoma.Moreover,TTF-1 and CK7 were significantly higher expressed in adenocarcinoma,the positive rates were 92.45%(245/265) and 91.70%(243/265);CK5/6 and P63 were significantly higher expressed in squamous carcinoma,the positive rates were 97.15%(239/246) and 99.59%(245/246).Conclusion:Liquid-based cytology combined with immunocytochemistry had important clinical value in classification and identification of sputum samples,the combination of CK7,CK5/6,TTF-1,P63,EMA can be used for classification and identification of malignant sputum samples between NSCLC,is worthy of promoting in clinical cytopathology diagnosis.
背景与目的:非小细胞肺癌(NSCLC)一直是肺癌中发病率最高的疾病,痰细胞学诊断已成为肺癌早期诊断的重要辅助手段。本研究的目的是探讨薄层细胞学和免疫细胞化学方法在非小细胞肺癌恶性痰中脱落细胞鉴别诊断中的价值。方法:采用薄层细胞学检测痰液标本,随机抽取530例可疑肿瘤细胞和恶性肿瘤细胞痰液标本,连续石蜡包埋切片,分别采用免疫细胞化学染色法检测非小细胞肺癌肿瘤细胞标志物CK7、CK5/6、TTF-1、P63、EMA。结果:530例恶性痰中,确诊肺腺癌265例,鳞癌246例,腺鳞癌19例。此外,TTF-1和CK7在腺癌中表达量显著增高,阳性率分别为92.45%(245/265)和91.70%(243/265);CK5/6和P63在鳞癌中表达量显著增高,阳性率分别为97.15%(239/246)和99.59%(245/246)。结论:液基细胞学联合免疫细胞化学对痰标本的分型鉴别具有重要的临床价值,CK7、CK5/6、TTF-1、P63、EMA联合检测可用于非小细胞肺癌间恶性痰标本的分型鉴别,在临床细胞病理学诊断中值得推广。
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引用次数: 0
Surveillance and early diagnosis of small hepatocellular carcinoma with contrast-enhanced ultrasonography 小肝细胞癌的超声造影监测与早期诊断
Q4 Medicine Pub Date : 2014-04-01 DOI: 10.3969/J.ISSN.1007-3969.2014.03.008
Y. Mei, M. Qi, N. Juan, Qingmei Chen, XU Xiang-yong, Fu Qing-yin, Shang Hong-fang, Zhai Ling-yun, Wang Gang, Zhang Jing
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引用次数: 0
Experimental study of mustard seeds prevent colorectal tumor by antioxidation and immune deviation 芥菜籽抗氧化和免疫偏离作用的实验研究
Q4 Medicine Pub Date : 2014-03-07 DOI: 10.3969/J.ISSN.1007-3969.2014.02.003
Yuan Kui, G. Wen, Zhu Ming-gu
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引用次数: 0
The epidemic and characteristics of female breast cancer in China 中国女性乳腺癌的流行及特点
Q4 Medicine Pub Date : 2014-02-26 DOI: 10.3969/J.ISSN.1007-3969.2013.08.001
Zheng Ying, Wu Chunxiao, Zhang Minlu
The incidence, mortality and survivorship of female breast cancer in China, and the distribution of its several key characteristics were described briefly in this article. The breast cancer incidence and mortality rates among Chinese women were increasing rapidly, especially in rural area during the recent 10 years, though they were still in low level worldwidely. The distribution of breast cancer incidence and mortality among Chinese women by age and district were showing significant characters. The total survival rate was estimated to be closed to the average level of developing countries, while disparity between urban and rural area was recognized. Because of lacking population data, it is difficult to describe the characteristics on histological subtypes, stages on diagnosis and molecular subtypes nationwide. The national strategies on breast cancer prevention and control should be focused on disease surveillance,etiological research and survival study. Moreover, measurement should be taken to improve the capacity on breast cancer prevention, screening and clinical services in rural area, in order to narrow the gap of survivorship between urban and rural area and control the rapid increase of mortality in rural area.
本文简要介绍了中国女性乳腺癌的发病率、死亡率、生存率及其几个主要特征的分布。近10年来,中国妇女的乳腺癌发病率和死亡率迅速上升,特别是农村地区,但在世界范围内仍处于较低水平。中国妇女乳腺癌发病率和死亡率按年龄和地区分布具有显著性特征。估计总存活率接近发展中国家的平均水平,同时认识到城乡之间的差距。由于缺乏人口资料,很难描述全国范围内的组织学亚型、诊断分期和分子亚型的特征。国家乳腺癌预防和控制战略应侧重于疾病监测、病因研究和生存研究。此外,应采取措施提高农村地区乳腺癌预防、筛查和临床服务能力,以缩小城乡之间的生存差距,控制农村地区死亡率的快速增长。
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引用次数: 40
Adjuvant treatment for squamous cell carcinoma of head and neck after definitive surgery 头颈部鳞状细胞癌最终手术后的辅助治疗
Q4 Medicine Pub Date : 2014-02-17 DOI: 10.3969/J.ISSN.1007-3969.2013.12.004
Wen Jiang-mei, Lin Shao-jun
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引用次数: 0
Association between microRNA expression and chemotherapy in colorectal cancer microRNA表达与结直肠癌化疗的关系
Q4 Medicine Pub Date : 2014-02-14 DOI: 10.3969/J.ISSN.1007-3969.2014.01.011
YU Qi-he, Z. Wen
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引用次数: 0
Clinical research of individualized therapy in advanced non-small cell lung cancer guiding by detection of ERCC1 protein ERCC1蛋白检测指导晚期非小细胞肺癌个体化治疗的临床研究
Q4 Medicine Pub Date : 2013-01-01 DOI: 10.3969/J.ISSN.1007-3969.2013.05.002
Gao Zhiqiang, Han Baohui, Shen Ce, Jin Xian-qiao, Dong Jingcheng, Wan Huan-ying, T. Jie, S. Jie, Gu Ai-qin, Jiang Li-yan
Background and purpose: Excision repair cross-complementing 1(ERCC1) has been associated with cisplatin resistance.The study aimed to explore the role and clinical significance of detection of ERCC1 protein in individualized therapy of advanced non-small cell lung cancer(NSCLC) patients.Methods: From Aug.2006 to Jul.2009,222 stage ⅢB/Ⅳ NSCLC patients were enrolled.The expressions of ERCC1 protein in advanced stage NSCLC tissues were qualitatively detected by immunohistochemical methods.Patients were randomly assigned in a 2∶1 ratio to either the individualized treatment group or the standard treatment group before ERCC1 assessment.Patients in the control arm received gemcitabine plus cisplatin or vinorelbine plus cisplatin.In the genotypic arm,patients with low ERCC1 levels received gemcitabine plus cisplatin or vinorelbine plus cisplatin,and those with high levels received gemcitabine plus vinorelbine.Main outcome measures include response rate,overall survival and time to progression.Differences between the groups were statistically analyzed by chi-square test.Survival differences were analyzed by temporal inspection and Kaplan-Meier survival curves.Results: Follow-up data was up to Sep.30,2012.Objective response was obtained by 20 patients(26.6%) in the standard treatment group and 40 patients(27.2%) in the individualized treatment group(P=0.931).One year survival rate was 40.0% in the standard treatment group and 48.3% in the genotypic arm(P=0.24).The median survival time was 10.2 months(95%CI was 8.67 months to 11.73 months) in the standard treatment group and 13.3 months(95%CI was 12.46 months to 14.14 months) in the individualized treatment group(P=0.041).The time to progression was 4.8 months(95%CI was 4.12 months to 5.48 months) in the standard treatment group and 4.7 months(95%CI was 3.88 months to 5.52 months) in the individualized treatment group(P=0.395).Conclusion: The median survival time has extended in the individualized treatment group.But individualized therapy in advanced NSCLC guiding by detection of ERCC1 protein has not reflected advantage in response rate,overall survival and time to progression.Additional studies are warranted to optimize detections of biomarkers in guiding rational clinical chemotherapy regimens.
背景和目的:切除修复交叉互补1(ERCC1)与顺铂耐药有关。本研究旨在探讨ERCC1蛋白检测在晚期非小细胞肺癌(NSCLC)患者个体化治疗中的作用及临床意义。方法:2006年8月至2009年7月,222例ⅢB/Ⅳ期NSCLC患者入组。采用免疫组化方法定性检测ERCC1蛋白在晚期NSCLC组织中的表达。在进行ERCC1评估前,将患者按2∶1的比例随机分为个体化治疗组和标准治疗组。对照组患者接受吉西他滨加顺铂或长春瑞滨加顺铂治疗。在基因型组中,ERCC1水平低的患者接受吉西他滨加顺铂或长春瑞滨加顺铂治疗,ERCC1水平高的患者接受吉西他滨加长春瑞滨治疗。主要结局指标包括有效率、总生存期和进展时间。组间差异采用卡方检验进行统计学分析。通过时间检验和Kaplan-Meier生存曲线分析生存差异。结果:随访至2012年9月30日。标准治疗组20例(26.6%)患者获得客观缓解,个体化治疗组40例(27.2%)患者获得客观缓解(P=0.931)。标准治疗组1年生存率为40.0%,基因型组为48.3% (P=0.24)。标准治疗组的中位生存时间为10.2个月(95%CI为8.67 ~ 11.73个月),个体化治疗组的中位生存时间为13.3个月(95%CI为12.46 ~ 14.14个月)(P=0.041)。标准治疗组进展时间为4.8个月(95%CI为4.12个月~ 5.48个月),个体化治疗组进展时间为4.7个月(95%CI为3.88个月~ 5.52个月)(P=0.395)。结论:个体化治疗组中位生存时间延长。但是,以ERCC1蛋白检测为指导的晚期NSCLC个体化治疗在缓解率、总生存期和进展时间方面并未体现出优势。需要进一步的研究来优化生物标志物的检测,以指导合理的临床化疗方案。
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引用次数: 2
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中国癌症杂志
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