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Direct photogeneration of singlet oxygen in biological medium for cancer therapy 生物介质中单线态氧的直接光生用于癌症治疗
Pub Date : 2023-03-30 DOI: 10.31917/2401039
A. Bogdanov, A. Bogdanov, V. Klimenko, N. Verlov, V. Moiseyenko
Advances in cancer treatment require continuous improvement and the search for new therapies. Methods for direct photogeneration of singlet oxygen in tissue using IR lasers may be an effective alternative to photodynamic tumor therapy. The physical limitation for the direct photogeneration of singlet oxygen in a biological medium is the low absorption cross section of molecular oxygen. To overcome this limitation, it is necessary to use infrared radiation with a high power density, which in a living system is limited by thermal effects. A promising direction in the development of this approach could be the use of pulsed laser irradiation. By solving the problem of direct photogeneration of cytotoxic concentrations of singlet oxygen in a biological environment, including tumor tissue, without simultaneous heating to biocritical temperatures, it is possible to develop new effective and safe methods for the treatment of malignant neoplasms. Key words: single oxygen, direct photogeneration, reactive oxygen species, cancer therapy, photobiomodulation.
癌症治疗的进步需要不断改进和寻找新的治疗方法。利用红外激光在组织中直接产生单线态氧的方法可能是光动力肿瘤治疗的有效替代方法。单线态氧在生物介质中直接光生成的物理限制是分子氧的低吸收截面。为了克服这一限制,有必要使用具有高功率密度的红外辐射,这在生命系统中受到热效应的限制。在这种方法的发展中,一个有希望的方向是使用脉冲激光照射。通过解决在生物环境(包括肿瘤组织)中不同时加热到生物临界温度的单线态氧直接光产生细胞毒性浓度的问题,有可能开发出新的有效和安全的治疗恶性肿瘤的方法。关键词:单氧,直接光生,活性氧,癌症治疗,光生物调节。
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引用次数: 0
Stereotactic radiotherapy vs. surgery in the treatment of colorectal cancer liver oligometastases 立体定向放疗与手术治疗结直肠癌肝少转移的比较
Pub Date : 2023-03-30 DOI: 10.31917/2401048
A. Moskalenko, V. Lyadov, D. G. Ichshanov, M. Chernykh, I. Sagaydak, M. R. Garipov, V. Galkin
Results There were no severe radiation-induced morbidity in the SBRT group, only 9,5% of patients developed grade 1 toxicity. In the surgery group complication rate was 18%, 1 lethal outcome was noted. The median follow-up was 24.6 months in the radiotherapy group and 22.8 months in the surgery group (p>0,05). 2 year LC rates was 62% in the SBRT group and 80% in the surgery group (p=0,019), and the 2-year OS was69.5% in the SBRT group and 84.7% in the surgery group (p = 0,03). The median mean dose was 54 Gy. Dose ≥51 Gy, was s a significant factor of improved local control. Conclusion SBRT is a safe and effective method of providing local control of colorectal cancer liver oligometastases. High-dose SBRT in hypofractionation regimen in selected patients with colorectal liver oligometastaseses comparable in terms of local control with surgery. Further studies are required to individualize the indications for this treatment method and optimize its methodology. Key words: Stereotactic radiation therapy, colorectal cancer, oligometastatic liver disease, hepatic resection
结果SBRT组未出现严重的放射性并发症,仅有9.5%的患者出现1级毒性。手术组并发症发生率为18%,死亡1例。放疗组中位随访时间为24.6个月,手术组中位随访时间为22.8个月(p> 0.05)。SBRT组2年LC率为62%,手术组为80% (p= 0.019), SBRT组2年OS为69.5%,手术组为84.7% (p= 0.03)。中位平均剂量为54戈瑞。剂量≥51 Gy,是改善局部控制的重要因素。结论SBRT是一种安全有效的局部控制结直肠癌肝少转移的方法。低分割方案中高剂量SBRT治疗结肝寡转移患者的局部控制效果与手术相当。需要进一步的研究来个性化这种治疗方法的适应症并优化其方法。关键词:立体定向放疗,结直肠癌,少转移性肝病,肝切除术
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引用次数: 0
Antibody-drug conjugates 抗体药物配合
Pub Date : 2023-03-30 DOI: 10.31917/2401007
E. О. Stepanova, F. Moiseenko, V. Moiseyenko
This article is a literature review of the available data on the history of origin, mechanism of action, and the main currently available conjugate-linked monoclonal antibodies. The use of conjugate-linked monoclonal antibodies in the therapy of both solid and hematological malignancies is a promising direction of anti-tumor therapy.
本文对单克隆抗体的起源史、作用机制和目前可用的主要偶联单克隆抗体进行了文献综述。结合单克隆抗体用于实体和血液系统恶性肿瘤的治疗是抗肿瘤治疗的一个有前途的方向。
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引用次数: 0
Real-world evidence studies in oncology: a trend or a necessity? 肿瘤学的真实世界证据研究:趋势还是必要?
Pub Date : 2023-03-30 DOI: 10.31917/2401059
А.А. Zhuravkov, F. Moiseenko, A. Kolbin, V. Moiseyenko
Key words: real-world data, RWD, randomized clinical trial, oncology.
关键词:真实数据,RWD,随机临床试验,肿瘤学。
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引用次数: 0
Oncologic surgery in the era of drug therapy 药物治疗时代的肿瘤外科
Pub Date : 2023-03-30 DOI: 10.31917/2401027
Surgical oncology has undergone a number of tactical changes in the era of the development of drug therapy, but is still the only treatment that can cure most solid forms of cancer. Recently, surgical interventions are increasingly acquiring an individual approach to the patient. Surgical oncology is part of a multifaceted multidisciplinary team with a single philosophy in understanding the biology of tumor development, as well as the contribution of other disciplines to the treatment of cancer patients. Key words: surgical oncology, cytoreductive surgery, intraoperative chemotherapy.
外科肿瘤学在药物治疗发展的时代经历了许多战术上的变化,但仍然是唯一可以治愈大多数固体形式癌症的治疗方法。最近,手术干预越来越多地获得一个单独的方法来治疗病人。外科肿瘤学是一个多方面的多学科团队的一部分,在理解肿瘤发展的生物学以及其他学科对癌症患者治疗的贡献方面具有单一的理念。关键词:外科肿瘤学,细胞减缩术,术中化疗。
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引用次数: 0
SURGICAL RESULTS OF LUNG CANCER TREATMENT IT PATIENTS WITH CONCOMITANT CORONARY ARTERY DISEAS 肺癌合并冠状动脉疾病的手术疗效分析
Pub Date : 2023-03-30 DOI: 10.31917/2401080
S. Gerasimov, M. V. Serebryanskaya, M. Davydov, R. Akchurin, Y. Buziashvili, E. Golubev, E. Charchyan, D. V. Puzenko, P. Kononets
Results: the incidence of postoperative complications was 33,8% (22/65), mortality – 3,1% (2/65); with phased tactics, these figures were 31,7% (19/60) and 3,3% (2/60); after simultaneous operations – 60% (3/5) and 0%, respectively. When performing operations for lung cancer after preliminary myocardial revascularization, the incidence of postoperative myocardial infarction was 3,3% (2/63), with a fatal outcome of 1,6% (1/63). In the long term, the total 1-, 3- and 5-year survival rate of radically operated patients was: at stage I – 95,7%, 86,3%, 64,7%, with II – 82,6%, 62,4%, 49,9% and at III – 66,0%, 55,8% and 34,3%, respectively (p = 0,042). Conclusions: the implementation of prophylactic myocardial revascularization in patients with lung cancer with severe forms of concomitant coronary artery disease allows to expand the group of radically operated patients, to achieve satisfactory immediate and long-term treatment results. Key words: lung cancer, coronary artery disease, lobectomy, bilobectomy, pneumonectomy, coronary artery bypass surgery, coronary angioplasty
结果:术后并发症发生率33.8%(22/65),病死率3.1% (2/65);采用分阶段战术,这些数字分别为31.7%(19/60)和3.3% (2/60);同时操作后- 60%(3/5)和0%。肺癌患者在初步心肌血运重建术后行手术时,术后心肌梗死发生率为3.3%(2/63),死亡率为1.6%(1/63)。长期来看,根治性手术患者的1、3、5年总生存率分别为:I期为95,7%、86,3%、64,7%,II期为82,6%、62,4%、49,9%,III期为66,0%、55,8%和34,3% (p = 0,042)。结论:对肺癌合并重症冠状动脉疾病患者实施预防性心肌血运重建术,可扩大根治患者群体,取得满意的近期和远期治疗效果。关键词:肺癌,冠状动脉疾病,肺叶切除术,胆管切除术,全肺切除术,冠状动脉搭桥手术,冠状动脉成形术
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引用次数: 0
Tumor-infiltrating lymphocytes – from theory to real practice 肿瘤浸润淋巴细胞——从理论到实践
Pub Date : 2023-03-30 DOI: 10.31917/2401019
Adoptive therapy with tumor-infiltrating lymphocytes (TIL) has been studied since 1980s. Although some trials showed very high efficacy in melanoma and other tumors no enough data were available for approval of the method perhaps due to the cost, complexity and reproducibility limited to academic centers. Last year the results of prospective phase III trial comparing TIL therapy to standard immunotherapy for melanoma were reported which proved the efficacy and even superiority of the method. This paper reviews the principles of adoptive TIL therapy and the perspectives for further developement.
自20世纪80年代以来,肿瘤浸润淋巴细胞(TIL)的过继治疗已被研究。尽管一些试验显示出对黑色素瘤和其他肿瘤的非常高的疗效,但由于成本、复杂性和学术中心的可重复性限制,没有足够的数据来批准这种方法。去年,一项比较TIL疗法与标准免疫疗法治疗黑色素瘤的前瞻性III期试验结果被报道,证明了该方法的有效性甚至优越性。本文综述了过继性TIL治疗的原理及进一步发展的前景。
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引用次数: 0
Cancer evolution as a new target of treatment paradigm 肿瘤进化作为治疗范式的新靶点
Pub Date : 2023-03-30 DOI: 10.31917/2401033
V. Chubenko
In clinical practice, the cancer treatment is certainly resulted from the biology of tumor growth, the modern understanding of which is based on the theory of genetic changes. In this regard, the effective strategy is the research and target on trigger mutations in the tumor. Obviously, a malignant neoplasm is the set of the different populations of epithelial, stromal and immune cells as well as intercellular matrix with dynamically changing blood flow, nutrients, acid-base state and oxygen concentration, which is almost not taken into account by clinicians.
在临床实践中,肿瘤的治疗必然是由肿瘤生长的生物学规律引起的,而现代对肿瘤生长的认识是建立在基因变化理论的基础上的。在这方面,有效的策略是研究和瞄准肿瘤的触发突变。显然,恶性肿瘤是上皮细胞、基质细胞、免疫细胞以及细胞间基质的不同群体的集合,其血流、营养物质、酸碱状态、氧浓度等都是动态变化的,而临床医生几乎没有考虑到这一点。
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引用次数: 0
LIQUID BIOPSY IN CLINICAL ONCOLOGY 临床肿瘤学液体活检
Pub Date : 2022-12-30 DOI: 10.31917/2304211
E. Imyanitov, E. Kuligina, G. Januś
Liquid biopsy is the analysis of tumor fragments (entire cells, nucleic acids,proteins) in hysiological and pathological body liquids. This technology has already been included in standard procedures of detecting secondary mutations, which are associate with acquired drug resistance. Liquid biopsy is a promising tool for early cancer detection, evaluation of the success of radical cancer surgery, monitoring of residual tumor disease, assessment of treatment efficacy etc.
液体活检是对生理和病理体液中的肿瘤碎片(整个细胞、核酸、蛋白质)进行分析。这项技术已经被纳入检测与获得性耐药性相关的继发性突变的标准程序中。液体活检是一种很有前途的工具,可用于早期癌症检测、评估癌症根治手术的成功、监测肿瘤残余病变、评估治疗效果等。
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引用次数: 0
OPPORTUNITIES AND PROSPECTS OF ARTIFICIAL INTELLIGENCE IN THE PATHOLOGICAL IDENTIFICATION OF CANCER 人工智能在癌症病理鉴定中的机遇与前景
Pub Date : 2022-12-30 DOI: 10.31917/2304234
K. Shelekhova
Digitalization, artificial intelligence and machine learning are increasingly being introduced into medicine and pathology in particular. The review presents the definitions and modern concepts of this field, the possibilities and limitations, the advantages and disadvantages of their use. Examples from representative publications are discussed.
数字化、人工智能和机器学习越来越多地应用于医学和病理学领域。本文介绍了该领域的定义和现代概念,可能性和局限性,其使用的优点和缺点。讨论了代表性出版物中的例子。
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Reports of Practical Oncology
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