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The potential influence of breast cancer estrogen receptors’ distribution on active DNA demethylation 乳腺癌雌激素受体分布对活性DNA去甲基化的潜在影响
Pub Date : 2019-05-27 DOI: 10.5114/wo.2019.85200
K. Linowiecka, Olga Urbanowska-Domańska, Jolanta Guz, M. Foksinski
Alterations in DNA methylation may cause disturbances in regulation of gene expression, including drug metabolism and distribution. Moreover, many cancers, including breast cancer, are characterized by DNA hypomethylation and a decreased 5-hydroxymethylcytosine level. The abnormal cell growth found in breast carcinoma might be the result of impaired up-regulation of breast cancer receptors. Receptors’ expression in breast cancer determines clinical outcome, and it is possible that they lead to different DNA methylation patterns. Excessive steroid exposure can affect DNA methylation by promoting demethylation of CpG islands in promoter regions of genes, and hence may have an impact on promotion and progression of breast cancer cells. Tamoxifen, as a leading drug in breast cancer hormone therapy, has an ability to act like estrogen or antiestrogen depending on the type and localization of the breast cancer receptor. Further studies are needed to determine whether tamoxifen, similarly to steroids, may evoke changes in methylation pattern.
DNA甲基化的改变可能导致基因表达调控的紊乱,包括药物代谢和分布。此外,包括乳腺癌在内的许多癌症都以DNA低甲基化和5-羟甲基胞嘧啶水平降低为特征。在乳腺癌中发现的异常细胞生长可能是乳腺癌受体上调受损的结果。受体在乳腺癌中的表达决定了临床结果,它们可能导致不同的DNA甲基化模式。过量的类固醇暴露可通过促进基因启动子区域CpG岛的去甲基化来影响DNA甲基化,因此可能对乳腺癌细胞的促进和进展产生影响。他莫昔芬作为乳腺癌激素治疗的主要药物,根据乳腺癌受体的类型和位置,具有类似雌激素或抗雌激素的作用。需要进一步的研究来确定他莫昔芬是否会像类固醇一样引起甲基化模式的改变。
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引用次数: 2
Comparison of the hypothetical 57Co brachytherapy source with the 192Ir source 假设的57Co近距离治疗源与192Ir源的比较
Pub Date : 2016-09-05 DOI: 10.5114/wo.2016.61854
M. Toossi, M. Ghorbani, A. Rostami, M. Khosroabadi, S. Khademi, C. Knaup
Aim of the study The 57Co radioisotope has recently been proposed as a hypothetical brachytherapy source due to its high specific activity, appropriate half-life (272 days) and medium energy photons (114.17 keV on average). In this study, Task Group No. 43 dosimetric parameters were calculated and reported for a hypothetical 57Co source. Material and methods A hypothetical 57Co source was simulated in MCNPX, consisting of an active cylinder with 3.5 mm length and 0.6 mm radius encapsulated in a stainless steel capsule. Three photon energies were utilized (136 keV [10.68%], 122 keV [85.60%], 14 keV [9.16%]) for the 57Co source. Air kerma strength, dose rate constant, radial dose function, anisotropy function, and isodose curves for the source were calculated and compared to the corresponding data for a 192Ir source. Results The results are presented as tables and figures. Air kerma strength per 1 mCi activity for the 57Co source was 0.46 cGyh–1 cm 2 mCi–1. The dose rate constant for the 57Co source was determined to be 1.215 cGyh–1U–1. The radial dose function for the 57Co source has an increasing trend due to multiple scattering of low energy photons. The anisotropy function for the 57Co source at various distances from the source is more isotropic than the 192Ir source. Conclusions The 57Co source has advantages over 192Ir due to its lower energy photons, longer half-life, higher dose rate constant and more isotropic anisotropic function. However, the 192Ir source has a higher initial air kerma strength and more uniform radial dose function. These properties make 57Co a suitable source for use in brachytherapy applications.
57Co放射性同位素由于其高比活度、适当的半衰期(272天)和中等能量光子(平均114.17 keV),最近被提议作为一种假设的近距离治疗源。在本研究中,对假设的57Co源计算并报告了43号任务组的剂量学参数。材料和方法在MCNPX中模拟了一个假想的57Co源,该源由一个长3.5 mm、半径0.6 mm的活性圆柱体封装在不锈钢胶囊中组成。57Co源利用了3种光子能量(136 keV [10.68%], 122 keV [85.60%], 14 keV[9.16%])。计算了该源的空气强度、剂量率常数、径向剂量函数、各向异性函数和等剂量曲线,并与192Ir源的相应数据进行了比较。结果实验结果以图表形式呈现。57Co源每1 mCi活性的空气kerma强度为0.46 cGyh-1 cm 2 mCi - 1。57Co源的剂量率常数为1.215 cGyh-1U-1。由于低能光子的多次散射,57Co源的径向剂量函数有增大的趋势。57Co源在不同距离处的各向异性函数比192Ir源更各向同性。结论57Co源具有光子能量低、半衰期长、剂量率常数高、各向同性各向异性功能强等优点。然而,192Ir源具有更高的初始气流强度和更均匀的径向剂量函数。这些特性使57Co成为近距离治疗应用的合适来源。
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引用次数: 2
Evaluation of a newly discovered breast cancer susceptibility locus at 6q25.1 in Iranian Azari-Turkish women 伊朗阿扎里-土耳其女性新发现的乳腺癌易感位点6q25.1的评估
Pub Date : 2016-09-05 DOI: 10.5114/wo.2016.61851
Ziba Garehdaghchi, S. Derakhshan, M. Khaniani
Aim of the study A recent breast cancer genome-wide association study (GWAS) identified single-nucleotide polymorphism (SNP) rs2046210 on 6q25.1 showing a strong association with breast cancer risk. Numerous association studies have been conducted to investigate the relationship between this polymorphism and breast cancer risk in various populations. There have been conflicting reports about the association of this locus with breast cancer risk in different ethnic groups. For the first time, this study has investigated the association of rs2046210 SNP with breast cancer risk in Iranian Azari-Turkish women in North West Iran. Material and methods In this study 192 breast cancer subjects and 186 healthy controls were genotyped using Taqman SNP genotyping assays for different SNP rs2046210 alleles. Results No significant association between rs2046210 SNP alleles and the risk of breast cancer was detected in Iranian Azari-Turkish women. Conclusions The data suggests that rs2046210SNP does not play a role in the aetiology of breast cancer in the Iranian Azari-Turkish population, and it indicates possible genetic differences for breast cancer between different population ancestries. Our result is an important contribution to the literature about genetic susceptibility for breast cancer in Asian populations. Additional studies are required to confirm our findings.
最近的一项乳腺癌全基因组关联研究(GWAS)发现6q25.1上的单核苷酸多态性(SNP) rs2046210与乳腺癌风险密切相关。已经进行了大量的关联研究来调查这种多态性与不同人群乳腺癌风险之间的关系。关于这一基因位点与不同种族人群乳腺癌风险之间的关系,有相互矛盾的报道。本研究首次研究了rs2046210 SNP与伊朗西北部伊朗阿扎里-土耳其女性乳腺癌风险的关系。材料与方法采用不同SNP rs2046210等位基因的Taqman SNP分型方法,对192例乳腺癌患者和186例健康对照进行基因分型。结果rs2046210 SNP等位基因与伊朗阿扎里-土耳其女性乳腺癌风险无显著相关性。结论rs2046210SNP在伊朗阿扎里-土耳其人群乳腺癌的病因学中不起作用,提示不同人群祖先之间乳腺癌可能存在遗传差异。我们的研究结果是对亚洲人群乳腺癌遗传易感性研究的重要贡献。需要更多的研究来证实我们的发现。
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引用次数: 2
Notch signalling pathway as an oncogenic factor involved in cancer development Notch信号通路作为致癌因子参与癌症发展
Pub Date : 2016-09-05 DOI: 10.5114/wo.2016.61845
M. Brzozowa-Zasada, A. Piecuch, Anna Dittfeld, Ł. Mielańczyk, M. Michalski, G. Wyrobiec, M. Harabin-Słowińska, J. Kurek, R. Wojnicz
Notch signalling is an evolutionarily conserved signalling pathway, which plays a significant role in a wide array of cellular processes including proliferation, differentiation, and apoptosis. Nevertheless, it must be noted that Notch is a binary cell fate determinant, and its overexpression has been described as oncogenic in a broad range of human malignancies. This finding led to interest in therapeutically targeting this pathway especially by the use of GSIs, which block the cleavage of Notch at the cell membrane and inhibit release of the transcriptionally active NotchIC subunit. Preclinical cancer models have clearly demonstrated that GSIs suppress the growth of such malignancies as pancreatic, breast, and lung cancer; however, GSI treatment in vivo is associated with side effects, especially those within the gastrointestinal tract. Although intensive studies are associated with the role of γ-secretase in pathological states, it should be pointed out that this complex impacts on proteolytic cleavages of around 55 membrane proteins. Therefore, it is clear that GSIs are highly non-specific and additional drugs must be designed, which will more specifically target components of the Notch signalling.
Notch信号是一种进化上保守的信号通路,在包括增殖、分化和凋亡在内的一系列细胞过程中起着重要作用。然而,必须指出的是,Notch是一个二元细胞的命运决定因素,其过表达已被描述为在广泛的人类恶性肿瘤中致癌。这一发现引起了人们对治疗这一途径的兴趣,特别是通过使用gsi, gsi可以阻断Notch在细胞膜上的切割并抑制转录活性NotchIC亚基的释放。临床前癌症模型清楚地表明,gsi抑制胰腺癌、乳腺癌和肺癌等恶性肿瘤的生长;然而,体内GSI治疗与副作用有关,特别是胃肠道内的副作用。尽管大量研究与病理状态下γ-分泌酶的作用有关,但应该指出的是,这种复合物影响约55种膜蛋白的蛋白水解裂解。因此,很明显gsi是高度非特异性的,必须设计额外的药物,这些药物将更特异性地靶向Notch信号的成分。
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引用次数: 37
Particular aspects in the cytogenetics and molecular biology of salivary gland tumours – current review of reports 唾液腺肿瘤的细胞遗传学和分子生物学的特殊方面-目前的报告综述
Pub Date : 2016-09-05 DOI: 10.5114/wo.2016.61847
Aleksandra Ochal-Choińska, E. Osuch-Wójcikiewicz
Salivary gland tumours are a group of lesions whose heterogeneity of biological and pathological features is widely reflected in the molecular aspect. This is demonstrated by an increasing number of studies in the field of genetics of these tumours. The aim of this study was to collect the most significant scientific reports on the cytogenetic and molecular data concerning these tumours, which might facilitate the identification of potential biomarkers and therapeutic targets. The analysis covered 71 papers included in the PubMed database. We focused on the most common tumours, such as pleomorphic adenoma, Warthin tumour, mucoepidermoid carcinoma, and others. The aim of this study is to present current knowledge about widely explored genotypic alterations (such as PLAG1 gene in pleomorphic adenoma or MECT1 gene in mucoepidermoid carcinoma), and also about rare markers, like Mena or SOX10 protein, which might also be associated with tumourigenesis and carcinogenesis of these tumours.
唾液腺肿瘤是一组病变,其生物学和病理特征的异质性在分子方面得到了广泛的反映。在这些肿瘤的遗传学领域,越来越多的研究证明了这一点。本研究的目的是收集有关这些肿瘤的细胞遗传学和分子数据的最重要的科学报告,这可能有助于确定潜在的生物标志物和治疗靶点。该分析涵盖了PubMed数据库中的71篇论文。我们着重于最常见的肿瘤,如多形性腺瘤、沃辛瘤、黏液表皮样癌等。本研究的目的是介绍目前广泛探索的基因型改变(如多形性腺瘤中的PLAG1基因或粘液表皮样癌中的MECT1基因),以及罕见的标记物,如Mena或SOX10蛋白,这些标记物也可能与这些肿瘤的肿瘤发生和癌变有关。
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引用次数: 8
Primary mediastinal B-cell lymphoma – metabolic and anatomical features in 18FDG-PET/CT and response to therapy 原发性纵隔b细胞淋巴瘤:18FDG-PET/CT的代谢和解剖特征及对治疗的反应
Pub Date : 2016-09-05 DOI: 10.5114/wo.2016.61849
A. Kocurek, B. Małkowski, A. Giza, W. Jurczak
Aim of the study Determining the role of PET/CT imaging in the evaluation of treatment efficacy in primary mediastinal B-cell lymphoma (PMBCL). Material and methods Retrospective analysis of seven PMBCL patients, treated at the University Hospital in Krakow, with interim PET/CT after the third course of chemo-immunotherapy.The analysis was based on the calculation of exact tumour volume and metabolic activity, compared with initial values (directly after diagnosis). Results Patients (five females, two males, average age 26.2 years, range 18–40 years), in clinical stage IIBX at diagnosis, were treated with eight cycles of R-CHOP-14 regimen, with radiotherapy consolidation (7/7) and central nervous system prophylaxis (6/7). The observed decrease in tumour volume between the initial staging and the interim PET ranged 72–89%. The mean ΔSUVmax reduction between initial (when available) and interim PET was 87% (range 84–89%). In 3/7 cases in the interim PET/CT, the uptake of the tumour was higher than the liver (Deauville Criteria score 4–5), and in 4/7 it was lower than the liver but higher than mediastinal blood pool structures (score 3 according to Deauville Criteria). After a median follow-up of 58 months – OS and EFS is 100%. Conclusions The excellent clinical outcome in the study group corresponds with very good metabolic and volumetric response in the interim PET. The ΔSUVmax seems to be easier in implementation and has a more significant impact than other measurements.
目的探讨PET/CT成像在评价原发性纵隔b细胞淋巴瘤(PMBCL)治疗效果中的作用。材料与方法回顾性分析克拉科夫大学医院治疗的7例PMBCL患者在第三疗程化疗免疫治疗后进行中期PET/CT检查。分析是基于精确的肿瘤体积和代谢活动的计算,与初始值(直接诊断后)进行比较。结果患者(女5例,男2例,平均年龄26.2岁,年龄范围18-40岁),诊断时临床分期为IIBX,接受8周期R-CHOP-14方案治疗,放疗巩固(7/7)和中枢神经系统预防(6/7)。观察到的肿瘤体积在初始阶段和中期PET之间的缩小幅度为72-89%。初始(可用时)和中期PET之间的平均ΔSUVmax降低率为87%(范围84-89%)。3/7的中期PET/CT显示肿瘤摄取高于肝脏(多维尔标准评分4-5分),4/7的病例肿瘤摄取低于肝脏但高于纵隔血池结构(多维尔标准评分3分)。中位随访58个月后,OS和EFS均为100%。结论研究组良好的临床结果与中期PET非常好的代谢和容量反应相对应。ΔSUVmax似乎比其他度量方法更容易实现,并且具有更重要的影响。
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引用次数: 3
Male breast cancer: a clinicopathological study of an Egyptian population (Alexandria experience) 男性乳腺癌:埃及人群的临床病理研究(亚历山大经验)
Pub Date : 2016-09-05 DOI: 10.5114/wo.2016.61855
M. Soliman, M. Hetnał
Aim of the study The purpose of this retrospective study is to evaluate the clinicopathological features and treatment results of male breast cancer presented to our tertiary referral center. Material and methods Between January 1998 and December 2005, a total of 39 men with breast cancer treated at Alexandria Main University Hospital and their medical records were reviewed. Results The median age of patients was 59 years. Only 3 (7.7%) patients had positive family history. All patients presented by breast swellings that were associated with axillary mass in about one third of them. Around 80% had hormone receptor positive (estrogen and/or progesterone receptors). Two third of patients had advanced T-stage (T3 and T4). Left sided breast cancer occurred in 51.3%. Infiltrating ductal carcinoma was the most common type of histology encountered and grade 2 was the predominant grade of tumor. Modified radical mastectomy was the most common (87.2%) type of surgery done followed by chemotherapy for 32 patients and loco-regional radiotherapy for 20 patients. Tamoxifen was administered in 31 patients. Distant relapse occurred in 7 patients (17.9%) and local recurrence occurred in 2 patients (5.1%). The 5-year disease-free survival (DFS) was 82% and the 5-year overall survival (OS) rate was 84%. Only negative axillary lymph node and positive hormone receptor status were significantly associated with favorable DFS and OS. T-stage, grade of tumor and type of chemotherapy given had no statistically significant impact on either DFS or OS. Conclusions Male breast cancer is still under-investigated and further researches are warranted.
本回顾性研究的目的是评估三级转诊中心男性乳腺癌的临床病理特征和治疗效果。材料和方法1998年1月至2005年12月,在亚历山大大学医院接受治疗的39名男性乳腺癌患者及其医疗记录进行了审查。结果患者中位年龄59岁。仅有3例(7.7%)患者有阳性家族史。所有患者均表现为乳房肿胀,其中约三分之一与腋窝肿块有关。大约80%的人有激素受体阳性(雌激素和/或孕激素受体)。三分之二的患者为晚期t期(T3和T4)。左侧乳腺癌发生率为51.3%。浸润性导管癌是最常见的组织学类型,2级是肿瘤的主要级别。改良根治性乳房切除术是最常见的手术类型(87.2%),其次是化疗32例,局部放疗20例。31例患者给予他莫昔芬。远处复发7例(17.9%),局部复发2例(5.1%)。5年无病生存率(DFS)为82%,5年总生存率(OS)为84%。只有腋窝淋巴结阴性和激素受体阳性与良好的DFS和OS显著相关。t分期、肿瘤分级和化疗类型对DFS和OS均无统计学意义。结论:男性乳腺癌的研究仍不充分,需要进一步的研究。
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引用次数: 4
Interferon-α reduces the gefitinib sensitivity of human non-small cell lung cancer 干扰素α降低人非小细胞肺癌对吉非替尼的敏感性
Pub Date : 2016-09-05 DOI: 10.5114/wo.2016.61853
Chi Pan, Shanshan Weng, Yin Duan, L. Ding, Su-zhan Zhang, Jian-jin Huang
Aim of the study Many studies have shown that interferon-α (IFN-α) enhances the antiproliferative effect of gefitinib in some solid tumours. We aimed to determine the effect of combining IFN-α with gefitinib in human non-small cell lung cancer (NSCLC) cell lines (A549, H1299, HCC827) with different EGFR and K-Ras gene statuses. Material and methods An MTT assay was used to assess cell proliferation. Apoptosis was detected by an Annexin V/propidium iodide assay using flow cytometry, and western blotting was used to determine the expression of epidermal growth factor receptor/phosphorylated epidermal growth factor receptor (EGFR/p-EGFR) and signal transducers and activators of transcription 3/phosphorylated signal transducers and activators of transcription 3 (STAT3/p-STAT3). Results There was an additive interaction when gefitinib was combined with IFN-α in all cell lines; however, there was antagonism when gefitinib followed IFN-α pretreatment in three cell lines. Notably, IFN-α pretreatment significantly reduced the gefitinib sensitivity of HCC827 cells. Surprisingly, while IFN-α inhibited STAT3 phosphorylation in cell lines, gefitinib could do so. Conclusions The results might confirm the hypothesis that IFN-α induces gefitinib sensitivity of NSCLC, and IFN-α inhibits phosphorylation of STAT3, which may be dependent on EGFR signal activation playing a role in the reduction of gefitinib sensitivity after IFN-α treatment in NSCLC cell lines.
研究目的许多研究表明,干扰素-α (IFN-α)可增强吉非替尼在某些实体肿瘤中的抗增殖作用。我们的目的是确定IFN-α联合吉非替尼对不同EGFR和K-Ras基因状态的人非小细胞肺癌(NSCLC)细胞系(A549, H1299, HCC827)的影响。材料与方法采用MTT法测定细胞增殖情况。采用流式细胞术Annexin V/碘化丙啶检测细胞凋亡,western blotting检测表皮生长因子受体/磷酸化表皮生长因子受体(EGFR/p-EGFR)和转录3信号转导及激活因子/磷酸化信号转导及转录3激活因子(STAT3/p-STAT3)的表达。结果吉非替尼与IFN-α联用在所有细胞系中均存在加性相互作用;然而,吉非替尼在IFN-α预处理后对三种细胞系有拮抗作用。IFN-α预处理显著降低了HCC827细胞对吉非替尼的敏感性。令人惊讶的是,当IFN-α抑制细胞系中STAT3的磷酸化时,吉非替尼可以这样做。结论IFN-α可诱导非小细胞肺癌对吉非替尼的敏感性,而IFN-α抑制STAT3的磷酸化可能依赖于EGFR信号的激活,从而降低非小细胞肺癌对吉非替尼的敏感性。
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引用次数: 0
Impact of mTOR expression on clinical outcome in paediatric patients with B-cell acute lymphoblastic leukaemia – preliminary report mTOR表达对儿童b细胞急性淋巴细胞白血病患者临床预后的影响——初步报告
Pub Date : 2016-09-05 DOI: 10.5114/wo.2016.61848
Edyta Ulińska, Katarzyna Mycko, Elżbieta Sałacińska-Łoś, A. Pastorczak, A. Siwicka, W. Młynarski, M. Matysiak
Aim of the study To characterise expression of mTOR (mammalian target of rapamycin) in childhood B-cell acute lymphoblastic leukaemia (ALL), and to evaluate a possible link between mTOR and clinical characteristics. Material and methods The examined group consisted of 21 consecutive patients, aged 1–18 years, diagnosed with B-cell ALL in 2010, and 10 relapsed B-cell ALL patients diagnosed for the first time between 2009 and 2011, who developed relapse before 2014. All subjects were treated in the Department of Paediatric Haematology and Oncology of the Medical University of Warsaw according to the ALL-IC BFM 2002 Protocol. We evaluated mTOR and phospho-mTOR expression by immunohistochemistry using rabbit monoclonal antibodies. Results mTOR expression was found to be significantly associated with the risk of relapse and was more frequent in ALL recurrence. No significant relationship was detected between mTOR expression and other features of high-risk disease in paediatric ALL. Conclusions mTOR activity could be considered a high-risk feature in paediatric B-cell ALL. Expression of mTOR kinase is observed remarkably more frequently in disease recurrence than at first diagnosis, indicating higher proliferative and survival potential of leukaemic cells in relapse. Routine analysis of mTOR activity could be performed to select patients that may potentially benefit from mTOR inhibitors (MTI) treatment.
研究目的:研究mTOR(哺乳动物雷帕霉素靶蛋白)在儿童b细胞急性淋巴细胞白血病(ALL)中的表达,并评估mTOR与临床特征之间的可能联系。材料与方法实验组包括21例2010年诊断为b细胞ALL的连续患者,年龄1-18岁,以及10例2009 - 2011年首次诊断,2014年之前复发的b细胞ALL患者。所有受试者在华沙医科大学儿科血液学和肿瘤学系根据All - ic BFM 2002年议定书进行治疗。我们利用兔单克隆抗体免疫组化检测mTOR和磷酸化mTOR的表达。结果mTOR表达与ALL复发风险显著相关,在ALL复发中更为常见。未发现mTOR表达与儿科ALL高危疾病的其他特征有显著关系。结论mTOR活性可被认为是儿童b细胞ALL的高危特征。mTOR激酶的表达在疾病复发时比首次诊断时更为频繁,这表明复发时白血病细胞的增殖和生存潜力更高。可以对mTOR活性进行常规分析,以选择可能从mTOR抑制剂(MTI)治疗中获益的患者。
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引用次数: 5
Patterns of care in patients with muscle-invasive bladder cancer – a retrospective cohort study 肌肉浸润性膀胱癌患者的护理模式——一项回顾性队列研究
Pub Date : 2016-09-05 DOI: 10.5114/wo.2016.61857
S. Poletajew, R. Biernacki, P. Buraczyński, J. Chojnacki, S. Czarniecki, D. Gajewska, T. Pohaba, J. Sondka, M. Skrzypczyk, T. Suchojad, D. Wojtkowiak, B. Zaforemski, Ł. Zapała, A. Zemła, P. Radziszewski
A potential reason for poor survival among patients with muscle-invasive bladder cancer (MIBC) in Poland is initial disqualification from curative treatment due to advanced stage of the disease or low performance status. The aim of this study was to describe patterns of care in patients with newly diagnosed MIBC. This is a multicentre retrospective cohort study involving 296 consecutive patients with primary histologically diagnosed MIBC. Therapeutic decisions and potentially underlying clinical factors were analysed. Full clinical data was available for 285 patients. One hundred and sixty-four (57.5%) patients were qualified for radical cystectomy (RC), 32 (11.2%) patients for a second step of transurethral resection of the bladder tumour (TURBT) intentionally followed by systemic chemotherapy, four (1.4%) patients after complete TURBT were qualified for adjuvant intravesical chemotherapy only, while the remaining 85 (29.8%) patients were qualified for palliative treatment in the form of chemotherapy and/or radiotherapy and/or best supportive care. Patients disqualified from curative treatment were older (78 vs. 69 years, p < 0.02), had lower BMI values (24.5 vs. 25.7 kg/m2, p < 0.02), lower haemoglobin concentration (11.6 vs. 12.9 mg/l, p < 0.02), declared lower rate of nicotine abuse (50.5% vs. 72.1%, p < 0.02), and had a shorter time interval between first symptom and diagnosis (30 vs. 60 days, p = 0.02). As the majority of Polish patients with primary MIBC receive curative treatment, the stage of the disease alone seems not to be the leading cause of poor survival. However, appropriateness of qualification for RC and treatment quality needs to be assessed for final conclusion on the factors influencing outcomes of treatment in Poland.
波兰肌肉浸润性膀胱癌(MIBC)患者生存率低的一个潜在原因是,由于疾病晚期或表现不佳,患者最初无法接受根治性治疗。本研究的目的是描述新诊断的MIBC患者的护理模式。这是一项多中心回顾性队列研究,涉及296例连续的原发性组织学诊断为MIBC的患者。分析了治疗决定和潜在的临床因素。285例患者有完整的临床资料。164例(57.5%)患者适合根治性膀胱切除术(RC), 32例(11.2%)患者适合经尿道膀胱肿瘤切除术(TURBT)的第二步,随后进行全身化疗,4例(1.4%)患者在完全TURBT后仅适合辅助膀胱化疗,而其余85例(29.8%)患者适合姑息治疗,包括化疗和/或放疗和/或最佳支持治疗。不能获得根治性治疗的患者年龄较大(78 vs 69岁,p < 0.02), BMI值较低(24.5 vs. 25.7 kg/m2, p < 0.02),血红蛋白浓度较低(11.6 vs. 12.9 mg/l, p < 0.02),尼古丁滥用率较低(50.5% vs. 72.1%, p < 0.02),首次症状和诊断之间的时间间隔较短(30 vs. 60天,p = 0.02)。由于大多数波兰原发性MIBC患者接受了治愈性治疗,疾病的分期似乎不是导致生存率低的主要原因。然而,需要评估RC资格的适当性和治疗质量,以最终得出影响波兰治疗结果的因素的结论。
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引用次数: 4
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Contemporary Oncology
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