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Assessing the Clinical Impact of Lutetium-177 DOTATATE Peptide Receptor Radionuclide Therapy (PRRT) on Metastatic Neuroendocrine Tumors: A Multicenter Real-World Data from Türkiye 评估黄体-177 DOTATATE肽受体放射性核素治疗(PRRT)对转移性神经内分泌肿瘤的临床影响:来自<s:1> rkiye的多中心真实世界数据
Pub Date : 2023-01-01 DOI: 10.14744/ejmo.2023.48337
Caglar Unal
Objectives: This study aimed to evaluate the clinical outcomes, including progression-free survival (PFS), overall survival (OS), Objective Response Rate (ORR)
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引用次数: 0
Immunotherapy Combined with Microwave Ablation and Radiotherapy Reversed the Biological Behavior of Penile Squamous Cell Carcinoma: A Case Report and Literature Review 免疫治疗联合微波消融和放疗逆转阴茎鳞状细胞癌的生物学行为1例报告并文献复习
Pub Date : 2023-01-01 DOI: 10.14744/ejmo.2023.43161
Liang Xiao
P enile cancer (PeCa) is a rare disease representing 0.4– 0.6% of all male malignant cancers, and more than 95% of patients were histologically classified as penile squamous cell carcinoma (pSCC). [1] PSCC primarily presents as a painless ulcer or lump on the glans penis, recognized by invasive growth and early lymphatic metastasis. [2,3] As for Penile squamous cell carcinoma (pSCC) is a rare malignancy of urinary system. Patients with advanced and metastasized pSCC are associated with poor prognosis due to the limited treatments options of pSCC. In our case report, we describe a patient diagnosed with early stage (stage IIA) and well differentiated pSCC. However, the well differentiated penile squamous cell carcinoma had showed an unexpected aggressiveness. The patient had two times rapid relapse with local advanced and metastasis after two radical operation. As received multimodal treatments including chemotherapy, immunotherapy and local ablation therapy and radiotherapy, the patient had got progression free survival (PFS) exceeding 26 months and overall survival (OS) exceeding 44 months. Immunotherapy combined with ablation therapy and radiotherapy may reverse the biological behavior of penile squamous cell carcinoma.
阴茎癌(PeCa)是一种罕见的疾病,占所有男性恶性肿瘤的0.4 - 0.6%,95%以上的患者组织学分类为阴茎鳞状细胞癌(pSCC)。[1] PSCC主要表现为阴茎龟头无痛性溃疡或肿块,可通过侵袭性生长和早期淋巴转移来识别。[2,3]阴茎鳞状细胞癌(pSCC)是一种罕见的泌尿系统恶性肿瘤。由于pSCC的治疗选择有限,晚期和转移性pSCC患者预后较差。在我们的病例报告中,我们描述了一位诊断为早期(IIA期)和分化良好的pSCC的患者。然而,分化良好的阴茎鳞状细胞癌表现出意想不到的侵袭性。患者经两次根治性手术后两次快速复发,局部进展及转移。经化疗、免疫治疗、局部消融治疗和放疗等多模式治疗,患者无进展生存期(PFS)超过26个月,总生存期(OS)超过44个月。免疫治疗联合消融治疗和放疗可能逆转阴茎鳞状细胞癌的生物学行为。
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引用次数: 0
Differences between Hyperprogressive Disease and Progressive Disease in Patients Receiving Immunotherapy 接受免疫治疗的患者中超进行性疾病与进行性疾病的差异
Pub Date : 2022-09-01 DOI: 10.14744/ejmo.2022.78280
H. Yıldırım
DOI: 10.14744/ejmo.2022.78280 EJMO 2022;6(1):59–63 Eurasian Journal of Medicine and Oncology
DOI: 10.14744/ EJMO .2022.78280 EJMO 2022;6(1): 59-63欧亚医学与肿瘤学杂志
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引用次数: 3
Patient on Antithrombotics Drugs: Communication Between the Dentist and the Physician 患者使用抗血栓药物:牙医和医生之间的沟通
Pub Date : 2022-01-01 DOI: 10.14744/ejmo.2021.65852
S. Mahalakshmi
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引用次数: 0
Prevalence of MAFLD-Related Hepatocellular Carcinoma mafld相关肝细胞癌的患病率
Pub Date : 2022-01-01 DOI: 10.14744/ejmo.2022.77974
yi hau lu
We read with great interest the article by Vitale et al.,[1] who examined 6882 patients with hepatocellular carcinoma (HCC) in Italy to estimate the prevalence of metabolic-associated fatty liver disease (MAFLD).[1] They found the prevalence of MAFLD to be increasing rapidly among such patients in Italy. They also found that patients with MAFLD-related HCC were at a lower risk of HCC-related death than patients with other HCC subtypes. We applaud the investigators for providing important insights into the prevalence of MAFLD-related HCC. However, we wish to draw attention to some points to place their findings in perspective. Vitale et al. reported that they diagnosed patients with MAFLD if they were overweight or obese, defined as a body mass index > 25 kg/m2, or had type 2 diabetes mellitus, or showed evidence of metabolic disorders.[1] This is not entirely consistent with international consensus guidelines, according to which MAFLD should be diagnosed based on the presence of fatty liver as well as one of the following: overweight/obesity, type 2 diabetes mellitus, or lean/normal weight with evidence of metabolic disorders.[2] In addition, Vitale et al. apparently did not assess waist circumference, insulin resistance, or levels of C-reactive protein, which should also be taken into account when diagnosing MAFLD. Even if the prevalence reported by Vitale et al. can be taken to reflect bona fide MAFLD, we are concerned about whether it can be extrapolated to the larger population of HCC patients in Italy or elsewhere. Among the 6882 patients whom Vitale et al. enrolled consecutively from January 2002 to December 2019, 17.1% had single-etiology MAFLD and 51.2% had mixed-etiology MAFLD, while 31.6% did not have MAFLD. These proportions differed significantly from the corresponding proportions of 10.9%, 30.1%, and 59.0% from another sample of Italian HCC patients[3] (p<0.001, Fig. 1a) despite the fact that the enrollment window of the second sample lay within that of the sample of Vitale et al., and some patients in both samples came from the same medical center. Vitale et al. combined the prevalences of singleand mixed-etiology MAFLD to give an overall prevalence of MAFLD-related HCC of 68.3%,[1] which is significantly higher than the 12.8%[4] or 19.8%[5] in Mainland China or 38.8% in Taiwan[6] (both p<0.001, Fig. 1a). The latter two prevalences seem more reasonable to us given recent estimates of the global prevalence of MAFLD as 39.2% in the general Yu-Xian Teng,1 Hao-Tian Liu,1 Zhu-Jian Deng,1 Jia-Yong Su,1 Yi-Hua Lu,1 Jian-Hong Zhong1,2
我们饶有兴趣地阅读了Vitale等人的文章[1],他们在意大利检查了6882例肝细胞癌(HCC)患者,以估计代谢相关脂肪性肝病(MAFLD)的患病率[1]。他们发现,在意大利的这类患者中,MAFLD的患病率正在迅速上升。他们还发现,与其他HCC亚型相比,mafld相关HCC患者发生HCC相关死亡的风险较低。我们赞赏研究人员对mafld相关HCC患病率提供的重要见解。然而,我们希望提请注意一些要点,以便正确地看待他们的调查结果。Vitale等人报道,如果患者超重或肥胖,即体重指数> 25 kg/m2,或患有2型糖尿病,或有代谢紊乱的迹象,则诊断为MAFLD。[1]这与国际共识指南并不完全一致,根据国际共识指南,MAFLD的诊断应基于脂肪肝的存在以及以下情况之一:超重/肥胖、2型糖尿病或瘦/正常体重并伴有代谢紊乱的证据。[2]此外,Vitale等人显然没有评估腰围、胰岛素抵抗或c反应蛋白水平,这些在诊断MAFLD时也应考虑在内。即使Vitale等人报告的患病率可以反映真正的mald,我们也担心它是否可以外推到意大利或其他地方更大的HCC患者群体。在Vitale等人于2002年1月至2019年12月连续入组的6882例患者中,17.1%为单一病因性MAFLD, 51.2%为混合病因性MAFLD, 31.6%为无MAFLD。这些比例与另一个意大利HCC患者样本的10.9%、30.1%和59.0%的相应比例有显著差异[3](p<0.001,图1a),尽管第二个样本的入组窗口与Vitale等人的样本相同,而且两个样本中的一些患者来自同一医疗中心。Vitale等人结合单一病因和混合病因的MAFLD患病率,得出MAFLD相关HCC的总体患病率为68.3%[1],显著高于中国大陆的12.8%[4]、19.8%[5]和台湾的38.8% [6](p均<0.001,图1a)。后两种流行对我们来说似乎更合理,因为最近估计,在一般人群中,滕育贤、刘浩天、邓祝建、苏家勇、陆义华、钟建红1,2的全球患病率为39.2%
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引用次数: 1
Evaluation of MicroRNA Expressions in Ovarian Cancer 卵巢癌中MicroRNA表达的评价
Pub Date : 2022-01-01 DOI: 10.14744/ejmo.2023.79236
husnu tore yavuzsen
com-Objectives: The present study aims to evaluate the relationship between microribonucleic acid (miRNA) and target gene expressions with clinical and histopathological data in ovarian cancer. Methods: We evaluated 96 archival samples of paraffin-embedded tissue. Some potentially significant miRNA and target gene expressions were evaluated in different histopathological characteristics. These were quantified using real-time–polymerase chain reaction (RT–PCR) in tumor and normal tissue. In miRNA expressions, twofold changes are accepted as significant. Results: According to histopathological groups, 38 (39.6%) were endometroid adenocarcinoma, 11 (11.5%) were borderline serous, 29 (30.2%) were serous, and 18 (18.8%) were mucinous carcinoma. When evaluated according to their stages, 26 (27.1%) patients were stage 1A/1B. A relationship was found between miR200a and miR200c and histopathologic groups, between miR141 and estrogen receptors, between CXCL1 and survival status, and between KEAP1 and ki67. Additionally, miR200a in endometrial and miR200c in mucinous adenocarcinoma were overexpressed. When the relationship between all miRNAs and histopathological groups was evaluated, a significant change was found only in miR200c expression. It was significantly higher in serous than endometrial tumors and significantly higher in mucinous than endometroid tumors. Conclusion: These suggested that miR200a and 200c expressions might be useful for the evaluation of histopathological subgroups of ovarian cancer.
目的:本研究旨在探讨卵巢癌中miRNA和靶基因表达与临床和组织病理学的关系。方法:对96份石蜡包埋组织档案标本进行评价。在不同的组织病理特征中评估一些潜在的显著miRNA和靶基因表达。在肿瘤和正常组织中使用实时聚合酶链反应(RT-PCR)进行定量。在miRNA表达中,双重变化被认为是显著的。结果:按组织病理学分组,子宫内膜样腺癌38例(39.6%),交界性浆液癌11例(11.5%),浆液癌29例(30.2%),黏液癌18例(18.8%)。根据分期进行评估时,26例(27.1%)患者为1A/1B期。miR200a和miR200c与组织病理组、miR141与雌激素受体、CXCL1与生存状态、KEAP1与ki67之间存在相关性。此外,子宫内膜miR200a和粘液腺癌miR200c过表达。当评估所有mirna与组织病理组之间的关系时,发现只有miR200c表达有显著变化。浆液性肿瘤明显高于子宫内膜瘤,黏液性肿瘤明显高于子宫内膜瘤。结论:miR200a和200c的表达可用于卵巢癌组织病理亚组的评估。
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引用次数: 0
Varicella-Zoster Virus Infection and Brivudine Therapy: Unexpected Response in Sarcoma Patient 水痘带状疱疹病毒感染和布里夫定治疗:肉瘤患者的意外反应
Pub Date : 2022-01-01 DOI: 10.14744/ejmo.2022.26330
O. Kostek
DOI: 10.14744/ejmo.2022.26330 EJMO 2022;6(2):182–185
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引用次数: 0
Surrogate Indicators of Overall Survival in Advanced Hepatocellular Carcinoma 晚期肝细胞癌总生存率的替代指标
Pub Date : 2022-01-01 DOI: 10.14744/ejmo.2021.21883
Hao Liu
For more than a decade, the targeted drug sorafenib[1, 2] has been the dominant first-line treatment for patients with advanced hepatocellular carcinoma (HCC). However, due to the low overall response rate and high drug resistance rate, many new targeted drugs have been developed, including sunitinib, brivanib, linifanib, nintedanib, dovitinib, sorafenib plus erlotinib, lenvatinib, and donafenib. On the other hand, with the increasing use of immune checkpoint inhibitors in solid tumors, several trials investigated the efficacy and safety of immune checkpoint inhibitors in advanced HCC. Among these trials, only lenvatinib and donafenib as monotherapy were non-inferior to sorafenib in overall survival in untreated advanced HCC. Most of other trials did not meet their primary end point of overall survival. However, the efficacy of the combination therapy with PD-1 or PD-L1 inhibitor plus bevacizumab (VEGF inhibitor) is amazing.[3, 4] An expert panel convened by the American Association for the Study of Liver Diseases recommended time to progression as the primary endpoint in randomized phase 2 trials and overall survival as the main endpoint to measure effectiveness in phase 3 trials.[5, 6] In real world clinical practice, subsequent antitumor therapies after tumor progression and/or therapies for concurrent liver disease can confound the assessment of clinical benefit. In the recent issue of Journal of Hepatology, on behalf of EASL, Bruix and coworkers updated the recommendations of systemic treatment of HCC.7 This review proposed that “overall survival is the sole robust endpoint to assess the benefit from any intervention in advanced HCC” and “all proposed surrogates lack adequate validation”. Here, we tried to reveal the relationship among objective response rate (ORR), median overall survival (OS) time and median progression-free survival (PFS) time by presenting them in a same curve graph. The potential relationship between PFS and OS is revealed by representing the hazard ratio (with 95% confidence interval) of PFS and OS with a forest plot. We systematically searched PubMed and EMBASE databases and analyzed phase 3 clinical trials with large sample size. A total of 11 trials about first-line systemic therapies for advanced HCC published from 2008 to 2021 were included into analysis. All these 11 trials included a group of patients treated with sorafenib. In addition, 7 trials about second-line systemic therapies published from 2015 to 2021 were also included into analysis. The control group received placebo treatment in all these 7 trials. All these 18 trials reported ORR, median PFS and OS time. The ORR according to RECIST 1.1 in the sorafenib group ranged from 0.7% to 11.9% (median 6.1%). Among patients with sorafenib therapy, the median PFS and OS time was 3.75 (range 2.8 to 5.5) and 10.4 (range 6.5 to 14.7) months, reHao-Tian Liu,2 Yu-Hong Sun,1 Zhu-Jian Deng,2 Zi-Yi Zhang,2 Da-Long Yang,2 Kun-Jun Wu2 Xiao-Bu Lan,1
十多年来,靶向药物索拉非尼[1,2]一直是晚期肝细胞癌(HCC)患者的主要一线治疗药物。然而,由于总有效率低,耐药率高,许多新的靶向药物被开发出来,包括舒尼替尼、布里伐尼、利尼法尼、尼达尼、多维替尼、索拉非尼联合厄洛替尼、lenvatinib和多纳非尼。另一方面,随着免疫检查点抑制剂在实体肿瘤中的应用越来越多,一些试验研究了免疫检查点抑制剂在晚期HCC中的疗效和安全性。在这些试验中,只有lenvatinib和donafenib单药治疗未治疗的晚期HCC的总生存率不低于sorafenib。其他大多数试验没有达到总生存期的主要终点。然而,PD-1或PD-L1抑制剂加贝伐单抗(VEGF抑制剂)联合治疗的疗效是惊人的。[3,4]由美国肝病研究协会召集的专家小组建议将进展时间作为随机2期试验的主要终点,将总生存期作为衡量3期试验有效性的主要终点。[5,6]在现实世界的临床实践中,肿瘤进展后的后续抗肿瘤治疗和/或并发肝脏疾病的治疗可能会混淆临床获益的评估。在最近一期的《国际肝病杂志》上,Bruix及其同事代表EASL更新了HCC全身治疗的建议。该综述提出,“总生存期是评估晚期HCC干预获益的唯一可靠终点”,“所有建议的替代指标都缺乏足够的验证”。在这里,我们试图揭示客观缓解率(ORR)、中位总生存期(OS)时间和中位无进展生存期(PFS)时间之间的关系,将它们呈现在同一曲线图中。通过用森林图表示PFS和OS的风险比(95%置信区间),揭示了PFS和OS之间的潜在关系。我们系统地检索了PubMed和EMBASE数据库,分析了大样本量的3期临床试验。2008年至2021年间发表的11项关于晚期HCC一线全身治疗的试验被纳入分析。所有这11项试验都包括一组接受索拉非尼治疗的患者。此外,2015年至2021年发表的7项二线全身治疗试验也被纳入分析。在这7项试验中,对照组均接受安慰剂治疗。这18项试验均报告了ORR、中位PFS和OS时间。根据RECIST 1.1,索拉非尼组的ORR范围为0.7%至11.9%(中位数为6.1%)。在接受索拉非尼治疗的患者中,中位PFS和OS时间分别为3.75个月(2.8 ~ 5.5个月)和10.4个月(6.5 ~ 14.7个月),刘浩天,孙玉红,邓竹建,张子怡,杨大龙,吴坤军,兰小步,1
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引用次数: 0
Chest X-Ray Scoring System in COVID-19 Pneumonia: An Added Value in the Evaluation of the Disease Severity 新型冠状病毒肺炎胸片评分系统:疾病严重程度评价的附加价值
Pub Date : 2022-01-01 DOI: 10.14744/ejmo.2021.70171
M. Fogante
Objectives: To analyze the added value of a new CXR scoring system in the evaluation of the COVID-19 pneumonia severity. Methods: This retrospective study included, from March to April 2020, 169 (132M/37F) hospitalized COVID-19 patients, mean age 65.6±10.8 years;57 had low-pressure ventilation (Group A), 50 positive-pressure ventilation (Group B) and 62 invasive ventilation (Group C). Two radiologists in consensus evaluated the CXRs using an 18-points scoring system. CXR scores were compared in each Group and among the three Groups. Then in each Group CXR scores were correlated with Pa02/Fi02 and, in Group C, with Simplified Acute Physiology Score (SAPS). Non-parametric tests were used. Results: In Group A the median score at admission was 8 [Interquartile range (IR) 7-9] and the median of the highest scores was 9 [IR 8-10](p=0.0738). Median scores at admission and before the start of the ventilation (pre-ventilation) are resulted, in Group B, 10 [IR 8-10] and 11 [IR 10-14](p<0.0001) and, in Group C, 10 [IR 8-11] and 12 [IR 11-13](p<0.0001). In Group A the CXR scores at admission were lower than in Group C (p=0.0257), and the highest scores were lower than the pre-ventilation ones of Groups B (p=0.0018) and C (p=0.0001). The CXR scores correlated negatively with Pa02/Fi02 and positively with SAPS. Conclusion: CXR scoring system could be an added value in the evaluation of COVID-19 pneumonia severity. With lowpressure ventilation, the CXR scores were lower than with positive-pressure and invasive ventilation. Furthermore, CXR scores showed negative correlation with Pa02/Fi02 and positive with SAPS. Implications for practice: This new CXR scoring system could be a useful diagnostic tool to quantify the COVID-19 pneumonia severity and to guide to choice of the correct ventilation support. © 2021 by Eurasian Journal of Medicine and Oncology.
目的:分析一种新的CXR评分系统在评估COVID-19肺炎严重程度中的附加价值。方法:回顾性研究纳入2020年3月至4月住院的新冠肺炎患者169例(132M/37F),平均年龄65.6±10.8岁,其中低压通气57例(A组),正压通气50例(B组),有创通气62例(C组)。两位放射科医师一致采用18分制对cxr进行评估。比较各组及三组间的CXR评分。然后各组CXR评分与Pa02/Fi02相关,C组与简化急性生理评分(SAPS)相关。采用非参数检验。结果:A组患者入院时评分中位数为8[四分位间距(IR) 7 ~ 9],最高评分中位数为9 [IR 8 ~ 10](p=0.0738)。入院时和通气(预通气)开始前的中位评分,B组为10 [IR 8-10]和11 [IR 10-14](p<0.0001), C组为10 [IR 8-11]和12 [IR 11-13](p<0.0001)。A组患者入院时CXR评分低于C组(p=0.0257),最高评分低于B组(p=0.0018)和C组(p=0.0001)。CXR评分与Pa02/Fi02呈负相关,与SAPS呈正相关。结论:CXR评分系统可作为评估COVID-19肺炎严重程度的一种附加价值。低压通气组的CXR评分低于正压通气组和有创通气组。此外,CXR评分与Pa02/Fi02呈负相关,与SAPS呈正相关。实践意义:这种新的CXR评分系统可能是量化COVID-19肺炎严重程度和指导选择正确通气支持的有用诊断工具。©2021 by Eurasian Journal of Medicine and Oncology。
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引用次数: 0
The Involvement of Interleukin-10 Promoter Genetic Polymorphism in Epstein-Barr Virus-Associated Nasopharyngeal Carcinoma from North Africa 白细胞介素-10启动子基因多态性在北非eb病毒相关鼻咽癌中的作用
Pub Date : 2022-01-01 DOI: 10.14744/ejmo.2022.78475
M. Khyatti
In-Objectives: Interleukin-10 (IL10) is a pro-inflammatory cytokine that plays a pivotal role in inflammatory diseases as well as in the pathogenesis of diverse tumors, including nasopharyngeal carcinoma (NPC). The present study was designed to evaluate the importance of the functional promoter polymorphisms of IL10 (-1082 A>G and -592 A>C) in the development of NPC. Methods: A total of 384 patients with NPC were recruited into this study, together with 375 matched control subjects. Polymorphisms within the promoter region of IL10 gene were analysed using PCR-RFLP method. Results: We report a lack of association between IL10 polymorphisms and NPC in the overall population (P>0.05). How-ever, the 1082 A>G polymorphism was significantly associated with the susceptibility to NPC among young patients (age ≤30 years). The GG genotype was found to be associated with a significantly higher risk of NPC as compared with the AA genotype among young patients (OR=2.534; 95% CI, 1.189–5.398, P=0.016). Conclusion: The results of the present study indicate an association between IL10 -1082 GG genotype and NPC among young North African subjects. This difference in IL10 polymorphism association with different ages at the onset of NPC suggests that the younger and older onset patients are genetically different and may involve different mechanisms. Abstract Article: Moumad K, Khaali W, Benider A, Ayoub WB, Cherif MH, Boualga K, et al. The Involvement of Interleukin-10 Promoter Genetic Polymorphism in Epstein-Barr Virus-Associated Nasopharyngeal Carcinoma from North Africa.
研究目的:白细胞介素-10 (Interleukin-10, IL10)是一种促炎细胞因子,在炎症性疾病以及包括鼻咽癌(NPC)在内的多种肿瘤的发病过程中起着关键作用。本研究旨在评估il -10 (-1082 A>G和-592 A>C)的功能启动子多态性在NPC发展中的重要性。方法:本研究共招募384例鼻咽癌患者,同时招募375名匹配的对照组。采用PCR-RFLP方法分析il - 10基因启动子区域的多态性。结果:我们报告了总体人群中il - 10多态性与NPC之间缺乏相关性(P>0.05)。然而,1082 A>G多态性与年轻患者(年龄≤30岁)鼻咽癌易感性显著相关。在年轻患者中,GG基因型与鼻咽癌发生风险显著高于AA基因型(OR=2.534;95% ci, 1.189-5.398, p =0.016)。结论:本研究结果表明,IL10 -1082 GG基因型与北非年轻人鼻咽癌之间存在关联。这种il - 10多态性与鼻咽癌发病年龄的差异表明,较年轻和较年长的发病患者存在遗传差异,可能涉及不同的机制。摘要:Moumad K, Khaali W, Benider A, Ayoub WB, Cherif MH, Boualga K,等。白细胞介素-10启动子基因多态性在北非eb病毒相关鼻咽癌中的作用
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引用次数: 0
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Eurasian Journal of Medicine and Oncology
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