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New Insights on Hyperbaric Oxygen Therapy for Cancer 高压氧疗法治疗癌症的新见解
Pub Date : 2024-06-12 DOI: 10.30683/1927-7229.2024.13.02
M. J. Gonzalez, J. Miranda-Massari, M. J. Gonzalez, J. Olalde, Miguel J. Berdiel, Liza Cardona
Hypoxia is a critical characteristic of malignant tumors and involves enhanced cell survival, angiogenesis, glycolytic metabolism, and metastasis. Hyperbaric oxygen treatment (HBOT) has been used to improve and cure disorders involving hypoxia and ischemia, HBOT enhances the amount of dissolved oxygen in the plasma and thereby increasing O2 delivery to the tissue. Studies on HBOT and cancer have mostly focused on whether enhanced oxygen may act as a promoter of cancer. As oxygen is believed to be required for all the major processes of wound healing, including angiogenesis, this particular idea would give the impression that HBOT will promote cancer growth and recurrence. Nevertheless, this is not the case since the use of HBOT in patients with malignancies should be considered safe and therapeutic. There is no evidence indicating that HBO neither acts as a stimulator of tumor growth nor as an enhancer of recurrence. On the other hand, there is evidence that implies that HBO has tumor-inhibitory effects, this manuscript pretends to expand our knowledge on the effect and the mechanisms behind tumor oxygenation by HBOT.
缺氧是恶性肿瘤的一个重要特征,涉及细胞存活、血管生成、糖代谢和转移的增强。高压氧治疗(HBOT)已被用于改善和治疗涉及缺氧和缺血的疾病,高压氧治疗可提高血浆中的溶氧量,从而增加向组织输送的氧气。有关 HBOT 和癌症的研究主要集中在增强的氧气是否会促进癌症的发生。由于氧气被认为是伤口愈合的所有主要过程(包括血管生成)所必需的物质,这一观点给人的印象是 HBOT 会促进癌症的生长和复发。然而,事实并非如此,因为在恶性肿瘤患者中使用 HBOT 是安全和有治疗作用的。没有证据表明,HBO 既不会刺激肿瘤生长,也不会促进复发。另一方面,有证据表明 HBO 具有抑制肿瘤的作用,本手稿旨在扩展我们对 HBOT 给肿瘤供氧的效果和机制的认识。
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引用次数: 0
Chemically Induced Brain Cancer in Sprague-Dawley Rats: Changed Lipidomics Mimics the Human Conditions 化学诱导的 Sprague-Dawley 大鼠脑癌:改变后的脂质组学模拟人类状况
Pub Date : 2024-04-22 DOI: 10.30683/1927-7229.2024.13.01
A. Leskanicova, P. Simko, M. Babinčák, A. Blicharova, M. Kertys, J. Kostolný, D. Maceková, T. Kiskova
Malignant gliomas are one of the most treatment-refractory cancers. Development of resistance to chemo- and radiotherapies contributes to these tumors’ aggressive phenotypes. Elevated lipid levels in gliomas have been reported for the last 50 years. However, the molecular mechanisms of how tumor tissues obtain lipids and utilize them are not well understood.In our study, 48.6% of phosphatidylcholines were significantly changed during an early stage of brain cancer in females, and 66.2% in males. As for lysophosphatidylcholines 57.1% metabolites were significantly changed in female, and 64.3% in male rats. We observed the most interesting results in the group of sphingomyelins, where 85.8% metabolites were significantly elevated during brain cancer. According to VIP projection, the most important metabolites were: PC ae C40:3, PC ae C38:1, PC ae C30:1, PC ae C38:3, PC ae C44:3, PC aa C40:2, PC aa C42:0, PC ae C30:2, SM C20:2, PC aa C42:1 in females, and PC ae C38:1, PC ae C40:3, PC ae C30:1, PC ae C42:1, SM C20:2, PC aa C34:4, PC ae C38:4, PC aa C32:2, PC aa C38:5, lysoPC a C14:0. The identification of lipid biomarkers during the early stage of cancer could improve patient prognosis.
恶性胶质瘤是最难治疗的癌症之一。对化疗和放疗产生抗药性是这些肿瘤具有侵袭性表型的原因之一。过去 50 年来,胶质瘤中脂质水平升高的报道屡见不鲜。在我们的研究中,48.6%的磷脂酰胆碱在女性脑癌早期发生了显著变化,而在男性中则为 66.2%。至于溶血磷脂酰胆碱,57.1%的代谢物在雌性大鼠和 64.3%的雄性大鼠中发生了明显变化。我们在鞘磷脂组观察到了最有趣的结果,其中 85.8%的代谢物在脑癌期间明显升高。根据 VIP 预测,最重要的代谢物是PC ae C40:3、PC ae C38:1、PC ae C30:1、PC ae C38:3、PC ae C44:3、PC aa C40:2、PC aa C42:0、PC ae C30:2、SM C20:2、PC aa C42:雌性为 PC ae C38:1、PC ae C40:3、PC ae C30:1、PC ae C42:1、SM C20:2、PC aa C34:4、PC ae C38:4、PC aa C32:2、PC aa C38:5、溶菌酶PC a C14:0。在癌症早期识别脂质生物标志物可改善患者的预后。
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引用次数: 0
Multiple Primary Malignant Tumours 多发性原发性恶性肿瘤
Pub Date : 2023-12-11 DOI: 10.30683/1927-7229.2023.12.09
Sajad Ahmad Salati, Amjaad Alkhezzi, Mohammad Ahmed Elmuttalut, Muhammad Munir Memon, Mushhood Memon
Two or more histologically distinct malignancies in one individual are termed as multiple primary malignant tumours (MPMT). The incidence of these cases has been rising over the past few decades, primarily due to improved methods for cancer screening, diagnosis, treatment, and follow-up. They can show up as metachronous lesions later on or synchronously with the index malignancy. The precise aetiology is still unknown; however, a number of epidemiological variables have been proposed as potential risk factors. Modern imaging techniques are very helpful in the diagnosing process. Physician awareness is essential in order to raise suspicions about the potential for MPMT and to conduct appropriate investigations. There are currently no universal protocols based on evidence; instead, management is empirical and dependent on the judgments made by interdisciplinary teams.
一个人同时患有两种或两种以上组织学上不同的恶性肿瘤被称为多发性原发性恶性肿瘤(MPMT)。在过去几十年中,这类病例的发病率一直在上升,这主要是由于癌症筛查、诊断、治疗和随访方法的改进。多发性恶性肿瘤可以是后来出现的间变性病变,也可以与原发恶性肿瘤同步出现。确切的病因尚不清楚,但有一些流行病学变量被认为是潜在的风险因素。现代成像技术对诊断过程非常有帮助。医生必须提高认识,以提高对 MPMT 潜在风险的怀疑,并进行适当的检查。目前还没有基于证据的通用方案;相反,管理是经验性的,取决于跨学科团队的判断。
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引用次数: 0
Magnetotherapy in Experimental and Clinical Neuro-Oncology: A Review 磁疗在实验和临床神经肿瘤:综述
Pub Date : 2023-10-12 DOI: 10.30683/1927-7229.2023.12.08
F.F. Borichevsky, I.S. Lioubichtchev, A.E. Sahun, A.S. Trus, D.A. Tzerkovsky
The purpose of this publication is not to state the fact of the high antitumor effectiveness of the gold standard treatment of malignant brain tumors (surgical intervention with adjuvant chemoradiotherapy), but to consider the possibility of using alternative therapeutic options, in particular, magnetotherapy, as a component of the treatment of patients with this serious pathology, as well as a method of preventing a number of postoperative adverse reactions.
本出版物的目的不是陈述恶性脑肿瘤金标准治疗(辅助放化疗手术干预)的高抗肿瘤有效性的事实,而是考虑使用替代治疗方案的可能性,特别是磁疗,作为治疗这种严重病理患者的一个组成部分,以及一种预防一些术后不良反应的方法。
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引用次数: 0
Uterine Metastasis from Carcinoma of Breast – A Systematic Analysis 乳腺癌子宫转移的系统分析
Pub Date : 2023-07-10 DOI: 10.30683/1927-7229.2023.12.07
Sajad Ahmad Salati, Mohammed Alfehaid, Lamees AlSulaim, S. Alsuwaydani, M. Elmuttalut
Breast cancer can metastasize to a wide range of organs, but reports about uterine metastases are rare. The current article systematically analyzes 55 patients reported in peer-reviewed literature from 2010–2022 with respect to nine variables, including: [i] age of the patient; [ii] clinical presentation of uterine metastasis; [iii] precise location of metastasis; [iv] primary (breast) cancer histopathology; [v] imaging modality utilized for detection of metastasis; [vi] timing of appearance of metastases: synchronous or metachronous; [vii] immunochemistry markers; [viii] management; and [ix] survival. Uterine metastases may appear in synchronous or metachronous fashion and may be asymptomatic or have symptoms like abnormal vaginal bleeding. Treatment of uterine metastases usually comprises of total abdominal hysterectomy with bilateral salpingo-oophorectomy along with chemotherapy. The long-term prognosis is unclear, but due to the development of metastases in other bodily parts, cases frequently have a poor outcome.
乳腺癌可以转移到广泛的器官,但关于子宫转移的报道很少。本文系统分析了2010-2022年同行评议文献中报告的55例患者,涉及9个变量,包括:[i]患者年龄;[ii]子宫转移的临床表现;[iii]准确的转移部位;[iv]原发性(乳腺癌)组织病理学;[v]肿瘤转移检测的影像学方法;[vi]转移出现的时间:同步或异时;[vii]免疫化学标记物;(八)管理;[ix]生存。子宫转移可能以同步或异时方式出现,可能无症状或有阴道异常出血等症状。子宫转移瘤的治疗通常包括全腹子宫切除术和双侧输卵管卵巢切除术以及化疗。长期预后尚不清楚,但由于其他身体部位转移的发展,病例往往预后不佳。
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引用次数: 0
True One Cell Chemical Analysis in Cancer Research: A Review 真单细胞化学分析在癌症研究中的应用综述
Pub Date : 2023-05-10 DOI: 10.30683/1927-7229.2023.12.06
Karen Reyes, G. Verbeck
True One Cell (TOC) analysis Is becoming highly critical for functional studies of cancer cells. This is partially because it is the only form of analysis that provides an avenue for studying the heterogeneity and cell-to-cell variations of individual cancer cells, thus providing unique insight into complex regulatory processes that govern TOC functions within a tumor. Additionally, true one cell techniques are playing an increasingly important role in current attempts to implement TOC metabolomic and proteomic studies, as well as emerging attempts to spatially resolve TOC information. In this review we provide a brief overview of the basis of the field and discuss its applications in TOC metabolomics and proteomics.
真单细胞(TOC)分析在癌细胞的功能研究中变得越来越重要。这部分是因为它是唯一的分析形式,为研究单个癌细胞的异质性和细胞间变异提供了途径,从而为控制肿瘤内TOC功能的复杂调节过程提供了独特的见解。此外,真正的单细胞技术在当前尝试实施TOC代谢组学和蛋白质组学研究以及空间解析TOC信息的新尝试中发挥着越来越重要的作用。本文简要介绍了该领域的基础,并讨论了其在TOC代谢组学和蛋白质组学中的应用。
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引用次数: 0
Survival Outcomes in High-Risk, Resected Colorectal Cancer with and without Maintenance Therapy 高风险、切除的结直肠癌患者接受和不接受维持治疗的生存结局
Pub Date : 2023-05-01 DOI: 10.30683/1927-7229.2023.12.05
M. Auber, S. Wen, Francesca Farran, G. Higa
Introduction: Deaths due to colorectal cancer are disproportionately higher than either breast or prostate cancers even though the majority of new cases are potentially curable at diagnoses. If only half of the losses is due to metastatic disease at diagnosis, then a share of the remaining deaths must be attributable to tumor recurrence after presumptively curative therapy of early-stage disease. If so, current management of the latter group is suboptimal for a considerable number of subjects, a perception which argues for an assessment of maintenance therapy. Moreover, most recurrences occur within 24 months after standard surgical and (neo)adjuvant therapies. Objective: To assess relapse-free and overall survival among patients with high-risk, resected tumors who did and did not receive maintenance therapy following completion of treatment according to accepted guidelines. Methods: Pertinent clinical details were collected on 85 subjects, 37 who were, and 48 who were not, treated with maintenance therapy. Descriptive statistical analyses related to survival outcomes were performed on accumulated data. Wilcoxon rank test and Fisher’s exact test were used to examine the continuous and categorical variables, respectively. Kaplan-Meier method and log-rank test were used to analyze between-group relapse-free and overall survival. Results: Of the entire cohort, 63 of 85 (74.1%) subjects have no evidence of disease, a median of 5 years from the end of adjuvant therapy. Kaplan-Meier analyses indicated statistically, but not necessarily clinically, non-significant differences in median 5-year relapse-free survival, 79.8% vs 69.2%, and overall survival, 87.8% vs 81.7% in the treated and untreated groups of patients, respectively. A total of 21 subjects died; three of seven (treated group) and all 14 (untreated group) due to cancer. Conclusion: Obscured is the hint that maintenance therapy is clinically more effective than what the p-value intimates. The results of this retrospective data collection and analyses suggest that some patients with early-stage, high-risk disease, will derive survival benefits with maintenance therapy.
导读:结直肠癌的死亡率比乳腺癌或前列腺癌高得多,尽管大多数新病例在诊断时是可以治愈的。如果只有一半的死亡是由于诊断时的转移性疾病,那么其余的一部分死亡必须归因于早期疾病的推定治愈治疗后的肿瘤复发。如果是这样的话,对于相当多的受试者来说,后一组的当前管理是次优的,这一观点主张对维持治疗进行评估。此外,大多数复发发生在标准手术和(新)辅助治疗后的24个月内。目的:评估高风险切除肿瘤患者在按照公认的指南完成治疗后接受和未接受维持治疗的无复发生存期和总生存期。方法:收集85例患者的相关临床资料,其中37例接受维持治疗,48例未接受维持治疗。对累积的数据进行与生存结果相关的描述性统计分析。分别采用Wilcoxon秩检验和Fisher精确检验对连续变量和分类变量进行检验。采用Kaplan-Meier法和log-rank检验分析组间无复发生存率和总生存率。结果:在整个队列中,85名受试者中有63名(74.1%)没有疾病证据,中位时间为辅助治疗结束后5年。Kaplan-Meier分析显示,治疗组和未治疗组患者的5年无复发生存中位数(79.8% vs 69.2%)和总生存中位数(87.8% vs 81.7%)在统计学上(但不一定是临床)无显著差异。共有21名受试者死亡;7人中的3人(治疗组)和全部14人(未治疗组)死于癌症。结论:维持治疗在临床上比p值更有效的提示被掩盖了。这项回顾性数据收集和分析的结果表明,一些早期、高风险疾病的患者通过维持治疗将获得生存益处。
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引用次数: 0
Efficacy of Photodynamic Therapy with Chlorine-Based Photosensitizer in the Treatment of Basal Cell Carcinomas 氯基光敏剂光动力疗法治疗基底细胞癌的疗效
Pub Date : 2023-04-03 DOI: 10.30683/1927-7229.2023.12.03
T. Artsemyeva, D. Tzerkovsky
The aim of this study is to evaluate a safety and antitumor efficacy of photodynamic therapy (PDT) with chlorine-based photosensitizer (PS) for treatment patients with basal cell skin carcinomas (BCC). Material and Methods: The work was performed on the basis of the Department of hyperthermia and photodynamic therapy. The object of the study were 172 patients with a verified diagnosis of BCC (T1N0M0, I stage), who received treatment from 2007 to 2022. PS «Photolon» (RUE «Belmedpreparaty», Republic of Belarus) was administrated intravenously at a dose of 2.0-2.5 mg/kg. The session of PDT was performed 2.5-3 h after intravenous injection of PS using semiconductor lasers (λ=660±5 nm) with exposure doses 50-250 J/cm² and power density – 0.15-0.5 W/cm². Frequency and severity of side effects after treatment session was assessed based on the criteria CTCAE (Version 4.03; 2010). The antitumor efficacy was evaluated 3 months after treatment. Clinical outcome was evaluated visually and morphologically by cytological or histopathological examination. Performance criteria were as follows (according to WHO, 1979). Results: The phenomenon of skin phototoxicity due to violation of the light regime (hyperemia, burning, slight swelling of the soft tissues of the face; CTCAE, I-II grades) was registered in 5.8% of cases (n=10). Serious adverse reactions (anaphylactic shock, Quincke's edema, severe pain syndrome) after the administration of PS and photoirradiation were not identified. Complete and partial regressions of tumors was observed in 93.0% and 4.7% of patients, respectively. The objective answer was 97.7%. The frequency of local relapses of the disease 1, 2, 3, 4 and 5 years after PDT was 3.1%, 3.1%, 4.6%, 4.6% and 6.9%, respectively. Сonclusion: PDT is a well-tolerated and highly effective therapeutic option in patients with BCC.
本研究的目的是评价氯基光敏剂(PS)光动力疗法(PDT)治疗基底细胞皮肤癌(BCC)的安全性和抗肿瘤疗效。材料与方法:本工作在热疗和光动力治疗科的基础上进行。该研究的对象是172例确诊为BCC (T1N0M0, I期)的患者,这些患者在2007年至2022年期间接受了治疗。PS«Photolon»(RUE«Belmedpreparaty»,白俄罗斯共和国)静脉注射剂量为2.0-2.5 mg/kg。采用半导体激光器(λ=660±5 nm),照射剂量为50 ~ 250 J/cm²,功率密度为0.15 ~ 0.5 W/cm²,静脉注射PS后2.5 ~ 3 h进行PDT。治疗后副作用的频率和严重程度根据CTCAE (Version 4.03;2010)。治疗3个月后评价抗肿瘤疗效。临床结果通过细胞学或组织病理学检查进行视觉和形态学评估。业绩标准如下(根据卫生组织,1979年)。结果:因违反光照制度引起的皮肤光毒性现象(面部软组织充血、灼烧、轻微肿胀;CTCAE (I-II级)占5.8% (n=10)。未发现PS和光疗后的严重不良反应(过敏性休克、Quincke水肿、剧烈疼痛综合征)。93.0%的患者肿瘤完全消退,4.7%的患者肿瘤部分消退。客观答案为97.7%。PDT术后1、2、3、4、5年局部复发率分别为3.1%、3.1%、4.6%、4.6%、6.9%。Сonclusion: PDT对于BCC患者是一种耐受性良好且非常有效的治疗选择。
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引用次数: 0
Virchow-Troisier's Node: A Review Virchow-Troisier's Node:综述
Pub Date : 2023-04-03 DOI: 10.30683/1927-7229.2023.12.04
Sajad Ahmad Salati, S. Alsuwaydani
Virchow-Troisier's node is an eponymous term referring to the enlargement of the left supraclavicular lymph node. It is a significant physical finding that generally indicates the late manifestation of a variety of malignancies. This review article briefly revisits the historical background, epidemiology, anatomical routes of metastasis, clinical presentation, differential diagnosis, and clinical significance of Virchow-Troisier's node.
Virchow-Troisier淋巴结是指左侧锁骨上淋巴结的肿大。这是一个重要的物理发现,通常表明各种恶性肿瘤的晚期表现。本文简要回顾了Virchow-Troisier淋巴结的历史背景、流行病学、转移的解剖途径、临床表现、鉴别诊断和临床意义。
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引用次数: 0
Sister Mary Joseph Nodule (SMJN) – A Review 玛丽·约瑟夫·诺杜勒修女(SMJN) -回顾
Pub Date : 2023-02-08 DOI: 10.30683/1927-7229.2023.12.02
Sajad Ahmad Salati, Lamees AlSulaim
Sister Mary Joseph Nodule is an eponymous term referring to an umbilical nodule harbouring malignant metastatic cancer. It is a physical finding that is uncommon yet significant since it indicates the late manifestation of a variety of deep-seated abdominopelvic malignancies. This review article briefly revisits the historical background, epidemiology, anatomical routes of metastasis, clinical presentation, differential diagnosis, diagnostic work-up, clinical significance and prognosis of Sister Mary Joseph’s nodule.
修女玛丽约瑟夫结节是一个同名的术语,指的是脐结节窝藏恶性转移癌。这是一种不常见但重要的物理发现,因为它表明了各种深盆腔恶性肿瘤的晚期表现。本文就玛丽·约瑟夫修女结节的历史背景、流行病学、转移的解剖途径、临床表现、鉴别诊断、诊断检查、临床意义及预后作一综述。
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引用次数: 0
期刊
Journal of Analytical Oncology
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