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Clinicodiagnostic management and bacteriological etiology of non-puerperal mastitis in the population of Southern China 华南地区非产褥期乳腺炎的临床诊断、管理及细菌学病因分析
Pub Date : 2018-06-01 DOI: 10.1097/JBR.0000000000000004
Yandan Yao, B. Dong, Wei Wu, Quan Li, Yang Chen, Baiji Chen, Y. Jiang, Mingxia Zhang, Shi Liang, Yonghua Li, Songyin Huang
Abstract This study aimed to describe the clinicopathologic characteristics of non-puerperal mastitis and to investigate spectrum of organisms causing it in the population of Southern China. We retrospectively registered 364 female patients with histological confirmation of inflammatory disease of the breast in the non-lactational phase, who were admitted to our institution over an 11-year period (2005–2016). Clinical, laboratory, and radiographic imaging features, as well as their bacteriological etiology, were analyzed in detail. In this study, 117 patients were diagnosed with periductal mastitis (PDM)/mammary duct ectasia (MDE) and 247 patients were diagnosed with idiopathic granulomatous mastitis (IGM). There were significant differences in terms of mean age of onset, menstruation period, and menstruation history. Nipple discharge, inverted nipple, and the ratio of abscess and fistula were more spontaneous in women with PDM/MDE compared to IGM. The inflammatory biomarkers including leukocyte count, neutrophil percentage, and high-sensitivity C-reactive protein in PDM/MDE group were significantly higher than IGM group. For bacteriological etiology, the most commonly isolated organism was Corynebacterium kroppenstedtii (C kroppenstedtii) in the IGM group and Staphylococcus in the PDM/MDE group. The study shows that the combination of demographic characteristics and clinicopathological characteristics was helpful in differential diagnosis of PDM/MDE and IGM. IGM can be associated with C kroppenstedtii, providing a possible effective therapeutic and preventive method by targeting this kind of bacilli.
摘要本研究旨在描述中国南方非产褥期乳腺炎的临床病理特征,并调查引起乳腺炎的微生物谱。我们回顾性登记了364例组织学证实为乳腺炎症性疾病的非哺乳期女性患者,这些患者在11年期间(2005-2016年)入院。临床,实验室和影像学特征,以及他们的细菌学病因进行了详细分析。在本研究中,117例患者被诊断为导管周炎(PDM)/乳腺导管扩张(MDE), 247例患者被诊断为特发性肉芽肿性乳腺炎(IGM)。在平均发病年龄、月经周期和月经史方面存在显著差异。与IGM相比,PDM/MDE女性的乳头溢液、乳头内陷、脓肿和瘘管的比例更自然。PDM/MDE组炎症标志物白细胞计数、中性粒细胞百分比、高敏c反应蛋白均显著高于IGM组。在细菌学病原学方面,IGM组中最常见的分离菌为克罗氏棒状杆菌(C kroppenstedtii), PDM/MDE组中最常见的分离菌为葡萄球菌。研究表明,结合人口学特征和临床病理特征有助于PDM/MDE和IGM的鉴别诊断。IGM可能与克氏杆菌相关,为针对这种杆菌提供了一种可能的有效治疗和预防方法。
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引用次数: 0
Genomic alterations and precise medicine of esophageal squamous cell carcinoma 食管鳞状细胞癌的基因组改变及精准治疗
Pub Date : 2018-06-01 DOI: 10.1097/JBR.0000000000000006
Qionghua Cui, Chen Wu, D. Lin
Human cancer is a complex disease caused by the interaction of multiple genes and environmental factors. It is known that environmental factors such as smoking, drinking, and food carcinogens are implicated in the development of certain types of cancer including esophageal squamous cell carcinoma (ESCC). However, only a small portion of exposed individuals finally developed cancer, indicating that genetic makeup also plays an important role in the tumorigenesis. Genome-wide association studies (GWAS) have found numerous susceptible genes or loci for cancers, providing new ideas and directions for precision prevention and treatment of cancers. With the advances in the field of next-generation sequencing (NGS), the genomic landscapes of many types of human cancer have comprehensively been characterized. Here, we review the progresses of GWAS and NGS in revealing genomic variations of ESCC, one of the most common cancers in China, and discuss the potential applications of these results in precision medicine of ESCC. Key words: esophageal cancer; genomic alteration; precise medicine
人类癌症是多种基因和环境因素共同作用下的复杂疾病。众所周知,吸烟、饮酒和食物致癌物等环境因素与某些类型的癌症包括食管鳞状细胞癌(ESCC)的发展有关。然而,只有一小部分暴露个体最终发展为癌症,这表明基因构成在肿瘤发生中也起着重要作用。全基因组关联研究(GWAS)发现了许多癌症的易感基因或位点,为癌症的精准预防和治疗提供了新的思路和方向。随着新一代测序技术(NGS)的发展,许多类型的人类癌症的基因组景观已经被全面表征。本文综述了GWAS和NGS在揭示ESCC(中国最常见的癌症之一)基因组变异方面的进展,并讨论了这些结果在ESCC精准医学中的潜在应用。关键词:食管癌;基因改造;精确的医学
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引用次数: 2
Welcome to Journal of Bio-X Research 欢迎来到生物x研究杂志
Pub Date : 2018-06-01 DOI: 10.1097/JBR.0000000000000005
Lin He
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引用次数: 0
Corrigendum: CRISPR/Cas9-mediated mutation of asparagine-linked glycosylation 13 transcript variant 1 causes epilepsy in mice 勘误:CRISPR/ cas9介导的天冬酰胺连接糖基化13转录物变体1突变导致小鼠癫痫
Pub Date : 1900-01-01 DOI: 10.1097/jbr.0000000000000097
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引用次数: 0
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Journal of Bio-X Research
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