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Comparative Analysis of Primary Tumour and Matched Metastases in Colorectal Cancer Patients: An Investigation of the Genomic, Proteomic and Post-Transcriptional Regulation Profiles 结直肠癌患者原发肿瘤和匹配转移瘤的比较分析:基因组、蛋白质组学和转录后调控谱的研究
Pub Date : 2022-06-30 DOI: 10.23937/2378-3419/1410180
Karim Hersh Ham, Negm Ola, Ahmad Narmeen, Ilyas Mohammad
Introduction: Approximately 50% of patients with primary colorectal carcinoma develop liver metastases. This study investigates the possible molecular discrepancies between primary colorectal cancer (pCRC) and their respective metastases. Methods: A total of 22 pairs of pCRC and metastases were tested. Mutation profiling of 26 cancer-associated genes was undertaken in 22/22primary-metastasis tumour pairs using next-generation sequencing, whilst the expression of a panel of six microRNAs (miRNAs) was investigated using qPCR in 21/22 pairs and 22 protein biomarkers was tested using Reverse Phase Protein Array (RPPA) in 20/22 patients’ tumour pairs. Results: Among the primary and metastatic tumours, the mutation rates for the individual genes are as follows: TP53 (86%), APC (44%), KRAS (36%), PIK3CA (9%), SMAD4 (9%), NRAS (9%) and 4% for FBXW7 , BRAF , GNAS and CDH1 . The primary-metastasis tumour mutation status was identical in 54/60 (90%) loci. However, there was discordance in heterogeneity status in 40/58 genetic loci (z-score = 6.246, difference = 0.3793, P < 0.0001). Furthermore, there was loss of concordance in miRNA
简介:大约50%的原发性结直肠癌患者会发生肝转移。本研究探讨了原发性结直肠癌(pCRC)及其各自转移之间可能的分子差异。方法:对22对pCRC及转移灶进行检测。采用新一代测序技术对22/22对原发转移瘤进行了26个癌症相关基因的突变分析,同时采用qPCR技术对21/22对患者肿瘤进行了6组microRNAs (miRNAs)的表达研究,并采用逆相蛋白阵列(RPPA)技术对22个蛋白质生物标志物进行了检测。结果:在原发性和转移性肿瘤中,单个基因的突变率分别为:TP53(86%)、APC(44%)、KRAS(36%)、PIK3CA(9%)、SMAD4(9%)、NRAS(9%)和FBXW7、BRAF、GNAS和CDH1的突变率分别为4%。60个基因座中有54个(90%)的原发转移瘤突变状态相同。然而,40/58个遗传位点的异质性存在差异(z-score = 6.246,差异= 0.3793,P < 0.0001)。此外,miRNA的一致性缺失
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引用次数: 0
Oncology and Reproductive Outcomes Over Sixteen Years of Malignant Ovarian Germ Cell Tumors Treated with Fertility Sparing Surgery 保留生育能力手术治疗恶性卵巢生殖细胞肿瘤16年的肿瘤和生殖预后
Pub Date : 2022-06-30 DOI: 10.23937/2378-3419/1410170
Rungoutok Muangloei, Suprasert Prapaporn
Background: Malignant Ovarian Germ Cell Tumors (MOGCT) are rare and frequently occur in the young reproductive age and the oncologic and reproductive outcome after Fertility-Sparing Surgery (FSS) this disease is still limited. Objective: To evaluate the oncology and reproductive outcome of MOGCT who underwent FSS. Method: All MOGCT who underwent FSS defined as the operation with a preserved uterus and at least one side of the ovary at our institute between January 2005 and December 2020 were retrospective reviews. Results: Sixty-two patients were recruited in this study. The median age was 22-year-old and over 77% were nulliparity. The three most common histology findings were immature teratoma (32.2%), dysgerminoma (24.2%), and yolk sac tumor (24.2%). The distribution of stage was as follows; stage I = 74.8%, stage II = 9.7%, stage III = 11.3% and stage IV = 4.8%. Forty-three (67.7%) patients received adjuvant chemotherapy. With a median follow-up time of 96.3 months, the ten-year progression-free survival and overall survival were 82.4% and 91%, respectively. For reproductive outcomes, 43 patients who received adjuvant chemotherapy, 18 (41.9%) had normal menstruation, and 17 cases (39.5%) resumed menstruation with a median time of four months. About 14 patients who desired to conceive, four cases were pregnant and delivered good outcomes. Only one case was aborted. Therefore, the successful pregnancy rate was 28.6%. Conclusion: The oncology and reproductive outcome of MOGCT treated with FSS were excellent. Many patients showed a long survival time with normal menstruation. However, the obstetric outcome was not quite high.
背景:恶性卵巢生殖细胞肿瘤(MOGCT)是一种罕见且多发生于年轻育龄妇女的疾病,其保留生育手术(FSS)后的肿瘤和生殖预后仍然有限。目的:评价MOGCT行FSS后的肿瘤及生殖预后。方法:回顾性分析我院2005年1月至2020年12月期间所有行FSS(保留子宫和至少一侧卵巢的手术)的MOGCT患者。结果:本研究共纳入62例患者。中位年龄为22岁,77%以上为无产。三种最常见的组织学表现为未成熟畸胎瘤(32.2%)、生殖细胞异常瘤(24.2%)和卵黄囊瘤(24.2%)。阶段分布如下:I期= 74.8%,II期= 9.7%,III期= 11.3%,IV期= 4.8%。43例(67.7%)患者接受了辅助化疗。中位随访时间为96.3个月,10年无进展生存期和总生存期分别为82.4%和91%。生殖结局方面,43例患者接受辅助化疗,18例(41.9%)月经正常,17例(39.5%)月经恢复,中位时间为4个月。约有14例患者希望怀孕,其中4例怀孕并取得了良好的结果。只有一例流产。因此,成功妊娠率为28.6%。结论:FSS治疗MOGCT肿瘤及生殖预后良好。许多患者生存时间较长,月经正常。然而,产科结果并不十分高。
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引用次数: 0
Chemoprevention of 1,2 Dimethyl Hydrazine-Induced Colon Tumor in Albino Rat by Meloxicam and its Correlation with Immunoassay of Serum CEA 美洛昔康对1,2 -二甲基肼诱导的白化大鼠结肠肿瘤的化学预防作用及其与血清CEA免疫测定的相关性
Pub Date : 2022-06-30 DOI: 10.23937/2378-3419/1410166
Mohamed Saeed Mahmoud Saeed, Amin Afaf Mosaad, Skander Suzanne William, Hewala Taha Ismail Mahmoud, Saleh Eithar Omer Mohamed, Salih Aisha Mohammed Osman, Al-Qadasi Sabah Ali Mugahed, Badawi Marwan Mustafa, Hamed Mahmoud Assem
Colorectal Cancer (CRC) is among the most common types of cancer in the world. Globally a steadily increasing proportion of elderly people in the world result in approximately 16 million new cases of cancer by the year 2021. Regarding treatment; Meloxicam was shown to prevent the initiation of chemical-induced tumors, and considered as anticancer agent by virtue of its anti-proliferative effect, capacity for cell cycle arrest, and pro-apoptotic effects, also acted as free radical scavenger, in particular superoxide anion oxidation scavenge. The aim of the current study was to clarify much important information on histopathology, histochemistry and immunoassay of CEA tumor marker characteristics of 1,2 DMH-induced colon tumor in albino rat and its relationship with the aberrant crypt mucosa as precursor in colon cancer progression. The study was carried out on 60 male albino rats, animals were divided into 5 groups; A: control group, B: animals received S.C. injections of 20 mg 1,2 DMH/Kg b.w, C: animals received 1,2 DMH with ad libitum access to water and high fat diet, D: animals fed high fat diet and water ad libitum. E: animals received S.C. injections of 1,2 DMH and oral 15 mg/Kg/day meloxicam/0.1 ml saline. Colon tissues from all studied groups were stained applying the following techniques: Hematoxylin & eosin, Alcian blue pH 2.5-acid mucopolysaccharide, Feulgen nuclear staining of DNA, Whole mount staining of colon and Immunoassay of serum CEA. The results confirmed the efficacy of meloxicam inhibiting or delaying growth of aberrant crypt foci in colon. Further research is needed to support presented findings.
结直肠癌(CRC)是世界上最常见的癌症类型之一。在全球范围内,到2021年,老年人比例稳步上升将导致约1600万新发癌症病例。关于治疗;美洛昔康被证明可以防止化学诱导肿瘤的发生,由于其抗增殖作用、细胞周期阻滞能力和促凋亡作用,被认为是抗癌药物,也可以作为自由基清除剂,特别是超氧阴离子氧化清除剂。本研究旨在阐明1,2 dmh诱导的白化大鼠结肠肿瘤的组织病理学、组织化学和CEA肿瘤标志物特征及其与异常隐窝粘膜作为结肠癌进展前体的关系。实验选用雄性白化大鼠60只,分为5组;A:对照组,B:注射sc 20 mg 1、2 DMH/Kg b.w, C:注射sc 20 mg 1、2 DMH可随意取水和高脂饲料,D:随意取水和高脂饲料。E:动物接受sc注射1,2 DMH和口服15 mg/Kg/天美洛昔康/0.1 ml生理盐水。各组结肠组织采用苏木精伊红染色、阿利新蓝pH值2.5酸性粘多糖染色、DNA Feulgen核染色、结肠全载染色和血清CEA免疫分析法进行染色。结果证实美洛昔康能抑制或延缓结肠异常隐窝病灶的生长。需要进一步的研究来支持目前的发现。
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引用次数: 0
Squamous Cell Carcinoma Arising from Inverted Papilloma 由内翻性乳头状瘤引起的鳞状细胞癌
Pub Date : 2022-05-28 DOI: 10.23937/2378-3419/1410168
Ruggeri Carlos Santiago, Aguirre Claudina, E. Claudia, Aragon Guillermo Sebastian
Introduction: Inverted papilloma (IP) may be associated with synchronously or metachronously rhinosinusal squamous cell carcinoma. Objectives: To determine the incidence of squamous cell carcinoma in patients with IP of the paranasal sinuses andlocal control in patients treated for cancer associated with IP. Methods: A descriptive and retrospective study was carried out. All patients who were treated in the rhinosinusology section of the otorhinolaryngology department of the Hospital Italiano de Buenos Aires with histopathology diagnosis of inverted papilloma between January 2005 and December 2021 were included. Those with associated malignant tumors were selected. Results: Sixty three patients with a histopathological diagnosis of inverted papiloma were treated. Five had a synchronous malignant tumors, 4 epidermoid carcinomas and one a verrucous carcinoma and two a metachronous cancer (11.11%). The treatment included surgery, radiotherapy and chemotherapy combined in different schemes according to the indication of the tumor committee. Conclusions: The incidence of malignant tumors associated with inverted papilloma found in our study was 11.11% (7 of 63 patients). Two patients had metachronous and 5 synchronous malignant tumors. In three patients local control of the disease was obtained. The prognosis of epidermoid and verrucous carcinoma associated with inverted papilloma is similar to rhinosinusal squamous carcinomas not associated with inverted papilloma.
简介:内翻性乳头状瘤(IP)可能与同步或异时性鼻鼻鳞状细胞癌有关。目的:了解鼻窦炎患者中鳞状细胞癌的发生率,以及鼻窦炎相关肿瘤患者的局部对照。方法:采用描述性和回顾性研究。2005年1月至2021年12月期间在布宜诺斯艾利斯意大利医院耳鼻喉科鼻内科接受组织病理学诊断为内翻性乳头状瘤治疗的所有患者均被纳入研究。选择伴有恶性肿瘤的患者。结果:63例经组织病理学诊断为内翻性乳头状瘤的患者均接受了治疗。同时性恶性肿瘤5例,表皮样癌4例,疣状癌1例,异时性癌2例(11.11%)。治疗包括手术、放疗和化疗,根据肿瘤委员会的适应症,采用不同方案联合治疗。结论:本组63例患者中有7例恶性肿瘤合并内翻性乳头状瘤的发生率为11.11%。异时性恶性肿瘤2例,同时性恶性肿瘤5例。其中3例获得局部控制。伴有内翻性乳头状瘤的表皮样癌和疣状癌的预后与不伴有内翻性乳头状瘤的鼻鼻鳞癌相似。
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引用次数: 0
Proposed Immunology of the Spontaneous Remission of Acute Myleiod 急性粒细胞增多症自发性缓解的免疫学研究
Pub Date : 2022-04-29 DOI: 10.23937/2378-3419/1410167
Niakan Behzad
It is suggested that the spontaneous remission of acute myeloid leukemia, particularly hypoplastic acute myeloid leukemia seen after G-CSF treatment is possibly due to G-CSF augmenting an acute inflammatory response. This acute inflammatory response is one occurring during a low count of activated platelets and a low hemoglobulin. It appears that hypoplastic acute myeloid leukemia treated with G-CSF would be more likely to result in a remission if accompanied by an acute inflammatory response. The timing between subcutaneous G-CSF administration and an acute inflammatory response seems to be crucial to obtain an optimum acute inflammatory response and the optimum activation of innate immunity. Spontaneous remission of leukemia may be preceded with a low platelet count and anemia. A low count of activated platelets may diminish the immunosuppressive effects of activated platelets on innate and adoptive immunity. Anemia or low hemoglobulin may result in anerobic tissue respiration followed by lactic acidosis. Lactic acidosis in activating the enzyme lactate dehydrogenase and thereby dysfunctional cancer cells.
提示急性髓性白血病,特别是发育不全的急性髓性白血病在G-CSF治疗后的自发缓解可能是由于G-CSF增强了急性炎症反应。这种急性炎症反应是一种发生在低计数的活化血小板和低血红蛋白。如果伴有急性炎症反应,那么用G-CSF治疗发育不全的急性髓系白血病更有可能导致缓解。皮下G-CSF给药和急性炎症反应之间的时间似乎对于获得最佳急性炎症反应和最佳先天免疫激活至关重要。白血病的自发缓解可能先于低血小板计数和贫血。低计数的活化血小板可能降低活化血小板对先天免疫和过继免疫的免疫抑制作用。贫血或低血红蛋白可导致无氧组织呼吸,随后发生乳酸酸中毒。乳酸酸中毒激活乳酸脱氢酶,从而使癌细胞功能失调。
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引用次数: 0
Treatment of Cancer Patients in the Era of the Covid-19 Pandemic 新冠肺炎大流行时代癌症患者的治疗
Pub Date : 2022-04-18 DOI: 10.23937/2378-3419/1410165
Budi Tulaka, H. Haroen, Linda Rotty, P. Lasut, C. Hendratta
Coronavirus Disease 2019 (COVID-19) is an outbreak of respiratory disease caused by novel coronavirus and has reached pandemic state. Cancer patients have increase susceptibility to infection caused by the malignancy itself and anticancer systemic therapy. Based on individual patient assessment, the oncologist's decision regarding the need for immediate oncological intervention classifies patients into 'urgent' and 'non-urgent' conditions. Consideration of risk and benefit for active intervention in the cancer population during an infectious disease pandemic must be individualized. Consideration for postponing elective surgery or chemotherapy for cancer patients with low risk of progression should be considered on a case-by-case basis. Options for treating or delaying treatment are best discussed with the patient in the context of multidisciplinary care.
2019冠状病毒病(COVID-19)是一种由新型冠状病毒引起的呼吸道疾病暴发,目前已达到大流行状态。癌症患者对恶性肿瘤本身引起的感染和抗癌系统治疗的易感性增加。根据个别患者的评估,肿瘤学家决定是否需要立即进行肿瘤干预,将患者分为“紧急”和“非紧急”两类。在传染病大流行期间,对癌症人群进行积极干预的风险和益处的考虑必须个体化。对于进展风险低的癌症患者,推迟择期手术或化疗应根据具体情况进行考虑。治疗或延迟治疗的选择最好在多学科护理的背景下与患者讨论。
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引用次数: 0
Proposed Biology of the Spontaneous Remission of Merkel Cell Carcinoma after Biopsy 默克尔细胞癌活检后自发性缓解的生物学机制
Pub Date : 2022-01-01 DOI: 10.23937/2378-3419/1410172
Niakan Behzad
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引用次数: 0
Awareness of Breast Cancer and Practice of Breast Self-Examination Amongst Female Students of a Tertiary Institution in South-South Nigeria 尼日利亚南南一所高等院校女学生对乳腺癌的认识和乳房自我检查的做法
Pub Date : 2022-01-01 DOI: 10.23937/2378-3419/1410175
PW Alabrah, A. Eguvbe, J. Agbo, D. Allagoa
Background: Breast cancer is the leading cause of cancer deaths presently, representing about 23% of all cancer cases and approximately 18% percent of deaths are attributed to it in Nigeria. It is presently the most prevalent kind of cancer worldwide, with 2.26 million cases reported in 2020. Breast Self-Examination (BSE) is a way to watch for signs of breast cancer. It is a step-by-step process women can use to examine their breasts. By looking at, and feeling their breasts regularly, they can observe abnormal changes. Aim: To assess the awareness of breast cancer and practice of breast self-examination amongst female students in a tertiary institution in South-South Nigeria. Methods: This was a cross-sectional descriptive study done amongst female students of the Federal University Otuoke from January to March 2018. Simple random sampling technique by simple balloting was used in the selection of the respondents until sample size was achieved. Data was collected using a semi-structured questionnaire and were analyzed using SPSS version 23. Results: Most, 406 (95.8%) of the respondents have heard about breast cancer. Just 52.1% of the respondents practice Breast Self-Examination (BSE) and 203 (47.9%) do not. Amongst those that practice BSE, majority 113 (54.1%) do it at least once a month. Amongst those that do not practice BSE, 48 (27.6%) do not consider it important. Age, ethnic group/tribe and the religion of respondents have a statistically significant association with been aware of breast cancer and also with practice of BSE (p > 0.05). Conclusion: Awareness about breast cancer was very high but practice of breast self-examination was on the average. There is need for more education on the risks of the disease in the general population and the need for early detection by practicing BSE and other screening measures.
背景:乳腺癌是目前癌症死亡的主要原因,约占所有癌症病例的23%,尼日利亚约18%的死亡归因于乳腺癌。它是目前世界上最常见的癌症,2020年报告的病例为226万例。乳房自检(BSE)是一种观察乳腺癌迹象的方法。这是一个循序渐进的过程,女性可以用它来检查自己的乳房。通过定期观察和触摸乳房,她们可以观察到不正常的变化。目的:评估尼日利亚南南一所高等教育机构的女学生对乳腺癌的认识和乳房自我检查的做法。方法:这是一项横断面描述性研究,于2018年1月至3月在奥图奥克联邦大学的女学生中进行。在调查对象的选择中,采用简单随机抽样的方法进行简单投票,直到达到样本量为止。使用半结构化问卷收集数据,并使用SPSS version 23进行分析。结果:406人(95.8%)的受访者听说过乳腺癌。只有52.1%的受访者进行乳房自我检查(BSE), 203人(47.9%)没有。在患有疯牛病的人中,大多数113人(54.1%)每月至少做一次。在没有患疯牛病的人中,48人(27.6%)认为不重要。调查对象的年龄、民族/部落和宗教信仰与乳腺癌意识和疯牛病实践有统计学意义的相关性(p < 0.05)。结论:乳腺癌的知晓率很高,但乳房自检的实现率一般。有必要就该疾病在普通人群中的风险进行更多的教育,并通过实施疯牛病和其他筛查措施进行早期发现。
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引用次数: 0
Malignant Neural Sheath Tumors of the Head and Neck 头颈部恶性神经鞘肿瘤
Pub Date : 2022-01-01 DOI: 10.23937/2378-3419/1410174
Ruggeri Carlos Santiago, Gonzalez Gabriel Rondón, Ragoni Ana Clara, Fagalde Inés
Introduction: Malignant neural sheath tumors located in the head and neck region are very rare. Surgical treatment if possible is the best option, trying to obtain wide resection margins free of tumor. Objects: To determine the incidence of malignant tumors of neural histology, in relation to nerve tumors originating in the head and neck and description of two clinical cases. Methods: A retrospective and descriptive study was carried out by reviewing the electronic medical records of all patients who were diagnosed and treated for neural histology tumors originating in the head and neck, between March 1998 and December 2021. Results: Eighteen patients were treated for nerve tumors originating in the head and neck. The benign tumors of neural origin were located in the nasal cavity and paranasal sinuses (6/18) and in the neck (10/18). Four originated from the facial nerve in the parotid, three from the cervical sympathetic nerve in the retro styloid carotid space, one in the submaxillary region, and two in the supraclavicular fossa. The incidence of malignant nerve tumors was 11.11% (2/18). Conclusions: The incidence of malignant neural sheath tumors in our study was 11.11%. Most neural sheath tumors are benign and can cause functional alterations due to compression of the nerve of origin or adjacent structures, but when the neoplasm grows rapidly malignancy should be suspected. The main treatment is surgery trying to obtain wide tumor-free margins.
恶性神经鞘肿瘤位于头颈部是非常罕见的。如果可能,手术治疗是最好的选择,尽量获得广泛的切除边缘无肿瘤。目的:探讨神经组织学恶性肿瘤的发病率与头颈部神经肿瘤的关系,并对两例临床病例进行描述。方法:通过回顾1998年3月至2021年12月期间诊断和治疗的所有头颈部神经组织学肿瘤患者的电子病历,进行回顾性和描述性研究。结果:18例患者接受了头颈部神经肿瘤的治疗。神经源性良性肿瘤位于鼻腔和鼻窦(6/18)和颈部(10/18)。4个起源于腮腺面神经,3个起源于颈茎突后方颈交感神经,1个在颌下区,2个在锁骨上窝。恶性神经肿瘤发生率为11.11%(2/18)。结论:本组神经鞘恶性肿瘤发生率为11.11%。大多数神经鞘肿瘤是良性的,可因压迫起源神经或邻近结构而引起功能改变,但当肿瘤生长迅速时应怀疑为恶性肿瘤。主要的治疗方法是手术,以获得更宽的无肿瘤边缘。
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引用次数: 0
Mucosal Reconstruction with Nasal Lateral Wall Flap after Rhinectomy: Two Case Reports 鼻切除术后鼻侧壁皮瓣重建粘膜2例报告
Pub Date : 2021-12-31 DOI: 10.23937/2378-3419/1410164
Zamar Claudia Esper, Pita Elián García, Cajelli Ana Laura, Ruggeri Carlos Santiago
Two patients who had squamous cell carcinomas of the nasal cavity with extension to the nasal septum and previous treatments with surgery and in another with surgery and radiotherapy were treated by rhinectomy. The reconstruction of the internal mucosal lining was done with mucoperiosteal flaps from the lateral nasal wall with anterior pedicle with the assistance of endoscopes. There are few descriptions in the literature of the use of this flap to reconstruct the inner lining after rhinectomy.
2例鼻腔鳞状细胞癌延伸至鼻中隔,既往有手术治疗,另1例有手术和放疗治疗,均行鼻切除术。在内窥镜的帮助下,用带前蒂的鼻侧壁粘骨膜瓣重建内粘膜。文献中很少有关于鼻切除术后使用该皮瓣重建鼻内壁的描述。
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引用次数: 0
期刊
International journal of cancer and clinical research
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