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Dosimetric impact of rotational setup errors in H&N patients undergoing VMAT with respect to clinical target volume coverage and parotid complication probability H&N患者行VMAT时旋转设置错误对临床靶体积覆盖率和腮腺并发症概率的剂量学影响
Pub Date : 2019-05-24 DOI: 10.15406/jcpcr.2019.10.00393
E. Kamperis, C. Kodona, K. Hatziioannou, M. Topalidou, O. Kimoundri, P. Papavasileiou, Georgios Ballas, Louiza Kountouriotou, Georgia Gazani, V. Giannouzakos
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引用次数: 0
Proposed mechanism in cancer cure claim. The lipid connection 癌症治疗声称中的拟议机制。脂质连接
Pub Date : 2019-05-09 DOI: 10.15406/jcpcr.2019.10.00392
Abraham A Embi
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引用次数: 2
Apoptosis’ activation associated to BH3 only domain and BCL-2 homology domain proteins: new way to design anti-cancer drugs 凋亡激活与BH3结构域和BCL-2同源结构域蛋白相关:设计抗癌药物的新途径
Pub Date : 2019-05-06 DOI: 10.15406/jcpcr.2019.10.00391
Yamixa Delgado, Anamaris Torres, M. Milián
Apoptosis or programmed cell dead is a genetically controlled mechanism that plays a crucial role in regulation and maintaining tissue homeostasis leading the elimination of old or damaged cells. Cancer is a disease that appears when a group of malignant or abnormal cells growth out of control dividing too quickly invading and destroying adjacent tissues forgetting how to die in the body. For these reasons, control the pathway of apoptosis could help to find or improve treatments for a lot of diseases, especially cancer. Decrease or increase in apoptosis, plays a key role in a great many diseases because unhealthy cells become immortal or on the contrary, healthy cells are indiscriminate killed, respectively.
细胞凋亡或程序性细胞死亡是一种基因控制的机制,在调节和维持组织稳态中起着至关重要的作用,导致衰老或受损细胞的消除。癌症是一种疾病,当一群恶性或异常细胞生长失控,分裂过快,侵入并破坏邻近组织,忘记了如何在体内死亡。因此,控制细胞凋亡的途径有助于发现或改善许多疾病的治疗方法,尤其是癌症。细胞凋亡的减少或增加,在许多疾病中起着关键作用,因为不健康的细胞长生不老,相反,健康的细胞被任意杀死。
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引用次数: 3
Weekly single agent irinotecan versus irinotecan, 5-flurouracil, and folinic acid (FOLFIRI) in advanced colorectal cancer 每周单药伊立替康与伊立替康、5-氟尿嘧啶和叶酸(FOLFIRI)治疗晚期结直肠癌
Pub Date : 2019-04-01 DOI: 10.15406/jcpcr.2019.10.00390
A. H. Mohammed, A. Zedan, Khalaf Sm
Colorectal cancer is a common cancer worldwide. As regards the incidence, CRC considered the third cancer among men after prostate and lung cancer and the second among women after breast cancer.1 CRC represent about 15% of all cancers and considered the second leading cause of cancer deaths among western countries. About 50% of CRC patients developed metastatic disease despite of adjuvant therapy.2 Palliative chemotherapy plays a major role in treatment of colorectal cancer (CRC) patients by improving quality of life and prolonging the survival. 5-Flurouracil (FU) and Leucovorin (LV) combination were the standard of care for about 40 years in spite of their minimal impact on survival.3 Oxaliplatin and irinotecan demonstrate remarkable activity against advanced CRC and showed survival improvement, either alone or in combination with 5-FULV.4 Irinotecan is one of the topoisomerase I inhibitors. Topoisomerase I inhibition leads to double-strand DNA breaks which stimulate cell apoptosis. Addition of irinotecan to 5 FULV significantly improves survival in advanced CRC patients.5 So, US Food and Drug Administration (FDA) approved FOLFIRI regimen as first line therapy in metastatic CRC.4 In advanced CRC patients progressed after 5-FU based therapy, weekly single agent irinotecan show promising result either by disease control or improving survival.6 We conducted this study to compare the efficacy and tolerability of two irinotecan regimens (weekly irinotecan and FOLFIRI regimen) in advanced colorectal cancer.
结直肠癌是世界范围内常见的癌症。在发病率方面,结直肠癌是男性中仅次于前列腺癌和肺癌的第三大癌症,是女性中仅次于乳腺癌的第二大癌症结直肠癌约占所有癌症的15%,被认为是西方国家癌症死亡的第二大原因。尽管进行了辅助治疗,约50%的CRC患者仍发生转移性疾病姑息性化疗可提高结直肠癌患者的生活质量,延长患者的生存期,在结直肠癌患者的治疗中发挥着重要作用。5-氟尿嘧啶(FU)和亚叶酸素(LV)联合治疗是大约40年的标准治疗,尽管它们对生存的影响很小奥沙利铂和伊立替康单独或联合5-FULV.4治疗晚期结直肠癌显示出显著的活性,并显示出生存改善伊立替康是拓扑异构酶I抑制剂之一。拓扑异构酶I抑制导致双链DNA断裂,从而刺激细胞凋亡。伊立替康加用5fu / LV可显著提高晚期结直肠癌患者的生存率因此,美国食品和药物管理局(FDA)批准FOLFIRI方案作为转移性CRC的一线治疗方案。4在以5-FU为基础的治疗后进展的晚期CRC患者中,每周单药伊立替康在疾病控制或改善生存方面显示出令人鼓舞的结果我们进行了这项研究,以比较两种伊立替康方案(每周伊立替康和FOLFIRI方案)对晚期结直肠癌的疗效和耐受性。
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引用次数: 0
Breast cancer risk factors 乳腺癌危险因素
Pub Date : 2019-03-21 DOI: 10.15406/JCPCR.2019.10.00389
Afifa Akbar Ali, Samra Mobeen, Amna H. Mukhtar, Nur Ul Ain, Amna Amer, A. Noureen
Background: To assess the level of awareness of risk factors of breast carcinoma among women of reproductive age group (15-45 years). Methods: In this descriptive cross sectional study 100 female patients, presented in Gynaecology and Obstetrics OPD’s for their regular antenatal checkup or some gynecological issues, were included. They were not cases of any breast disease or carcinoma breast. Attendants accompanying patients, subject presenting with sign and symptoms suggestive of any breast disease and women with any patient of carcinoma breast in immediate family were excluded. Patient’s awareness was assessed by formal interview in which intrinsic, extrinsic risk factors and common myths regarding breast cancer were interpreted among women of reproductive age group. Based on the correctness of the responses of the study participants, to operationalize their knowledge into a quantitative indicator, a scoring system was devised. Result: Awareness about carcinoma breast varies with 46.66% had adequate knowledge. Almost 50% patients had some awareness regarding risk factors of breast CA with familial predisposition (31.5%), increasing age (19%), breast feeding influence (22.5%), obesity (36.7%) and smoking (44.4 %).The mean score of the knowledge in the sample was -0.54 (+ 5.21), the lowest being -12 and highest attained was +8.Statistically significant association of formal education with knowledge was determined (p=0.009). Conclusion: Majority of participants had limited knowledge about risk factors of breast cancer.
背景:评价育龄妇女(15-45岁)乳腺癌危险因素的认知水平。方法:采用描述性横断面研究方法,选取100例在妇产科门诊接受常规产前检查或某些妇科问题的女性患者作为研究对象。他们没有任何乳房疾病或乳房癌的病例。排除患者随行人员、出现提示乳腺疾病体征和症状的受试者以及直系亲属中有乳腺癌患者的女性。通过对育龄妇女的正式访谈,对其乳腺癌的内在、外在危险因素和常见误区进行了分析。基于研究参与者回答的正确性,将他们的知识转化为定量指标,设计了一个评分系统。结果:乳腺癌相关知识知别率参差不齐,46.66%知别率高。近50%的患者对乳腺癌的危险因素有一定的了解,包括家族易感性(31.5%)、年龄增长(19%)、母乳喂养影响(22.5%)、肥胖(36.7%)和吸烟(44.4%)。样本知识平均得分为-0.54(+ 5.21)分,最低得分为-12分,最高得分为+8分。正规教育与知识有统计学意义的关联(p=0.009)。结论:大多数参与者对乳腺癌危险因素的了解有限。
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引用次数: 1
Knowledge, attitude and practice towards testicular self-examination among regular undergraduate non-health sciences university students, Debre Tabor, Amhara Regional State, North West Ethiopia 埃塞俄比亚西北部阿姆哈拉州德布雷塔博尔普通本科非卫生科学专业学生睾丸自我检查的知识、态度和做法
Pub Date : 2019-03-21 DOI: 10.15406/JCPCR.2019.10.00388
Shegaw Zeleke
Testicular-self-examination (TSE) refers to the procedure in which a man checks the appearance as well as the consistency of his testicles. TSE is a simple, painless procedure, easy-to-learn and requires about three minutes to complete and it is an important clinical tool for early detection of testicular cancer (TC).1,2 It has been recommended that young men between the ages of 15 35 years should practice TSE every month.3 This recommendation is supported by the fact that nine out of every ten TC is first found by the individual himself.4 Worldwide, TC accounts for approximately 1% of all cancers in men and it is increased twofold in the last 40 years.5 The prevalence and incidence of TC in Africa are rising and also the mortality rate of TC in Sub-Saharan Africa is increasing due to poor awareness of TSE.6 In Ethiopia, TC cases account 5.4% of all new male cancer patients aged greater than 15 years in the oncology unit of Black Lion Specialized Hospital; the only oncology unit in Ethiopia.7 Early detection and treatment is very important in TC. One of the method to detect TC is regular self-exam of testicles.8 It is highly recommended to seek medical help if one experiences some of the following symptoms; lump in one testis or hardening of one of the testicles, significant increase or decrease in the size of one testis, abnormal sensitivity, loss of sexual activity, blood in or watery semen, generally feeling tired and buildup of fluid within the scrotum.9 As American Cancer Society (ACS) recommendation, all men should examine their testicles by themselves monthly after puberty.10
睾丸自检(TSE)是指男性检查睾丸外观和一致性的过程。TSE是一种简单、无痛、易学、只需约三分钟即可完成的手术,是早期发现睾丸癌的重要临床工具。建议年龄在15至35岁之间的年轻男性应每月进行TSE练习这一建议得到以下事实的支持:十分之九的TC首先是由个人自己发现的在世界范围内,TC约占男性所有癌症的1%,在过去40年中增加了两倍非洲地区TC的患病率和发病率正在上升,撒哈拉以南非洲地区TC的死亡率也在上升,原因是对tse的认识不足。6在埃塞俄比亚,黑狮专科医院肿瘤科15岁以上男性癌症新发患者中,TC病例占5.4%;埃塞俄比亚唯一的肿瘤科。7早期发现和治疗对TC非常重要。检测TC的方法之一是定期睾丸自检如果出现以下症状,强烈建议寻求医疗帮助;一个睾丸肿块或一个睾丸硬化,一个睾丸的大小明显增加或减少,异常敏感,性活动丧失,精液中有血或水样,通常感到疲倦,阴囊内积液正如美国癌症协会(ACS)建议的那样,所有男性在青春期后都应该每月自己检查睾丸
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引用次数: 3
Myelofibrosis: the present and the future-a review article 骨髓纤维化:现在和未来-综述文章
Pub Date : 2019-03-20 DOI: 10.15406/jcpcr.2019.10.00387
H. Anis
Currently, there is no drug option that is curative. The goal for most patients is to relieve symptoms, reduce an enlarged spleen, improve blood cell counts and minimize the risk of complications. Myelofibrosis is a disease with few approved treatment options, but many new agents are being investigated and developed. For highrisk disease, stem cell transplant is often considered. The standard of care for myelofibrosis is ruxolitinib (Jakafi, Incyte), which is the only therapy approved by the US Food and Drug Administration for the disease. Ruxolitinib inhibits JAK1 and JAK2, and it can be effective regardless of which molecular mutations a patient has. The data show that ruxolitinib will improve splenomegaly in most patients. In approximately half of patients, this improvement will meet the response criteria from the International Working Group for Myelofibrosis. Most patients will also experience improvement in other symptoms. Additionally, clinical trials demonstrate that ruxolitinib increases survival, when accounting for crossover. That being said, ruxolitinib is not considered a curative therapy. A limitation of ruxolitinib is that it typically does not improve anemia or thrombocytopenia. Ruxolitinib has been tried in at least 10 different combinations to date. Those studies are largely ongoing, so there are no final conclusions. At this time, there are no clear data to support the use of a particular combination outside of a clinical trial.
目前,还没有一种药物可以治愈。大多数患者的目标是缓解症状,减少脾脏肿大,提高血细胞计数,并尽量减少并发症的风险。骨髓纤维化是一种很少被批准的治疗选择的疾病,但许多新的药物正在研究和开发中。对于高危疾病,干细胞移植通常被考虑。骨髓纤维化的标准治疗是ruxolitinib (Jakafi, Incyte),这是美国食品和药物管理局批准的唯一治疗该疾病的药物。Ruxolitinib抑制JAK1和JAK2,无论患者有哪种分子突变,它都是有效的。数据显示,ruxolitinib可以改善大多数患者的脾肿大。在大约一半的患者中,这种改善将满足国际骨髓纤维化工作组的反应标准。大多数患者的其他症状也会有所改善。此外,临床试验表明,当考虑到交叉时,ruxolitinib增加了生存率。话虽如此,鲁索利替尼并不被认为是一种治愈性疗法。鲁索利替尼的局限性是它通常不能改善贫血或血小板减少症。迄今为止,Ruxolitinib已经以至少10种不同的组合进行了试验。这些研究在很大程度上仍在进行中,因此没有最终结论。目前,没有明确的数据支持在临床试验之外使用特定的组合。
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引用次数: 0
Alpha particles irradiation: a paradigm change in cancer brachytherapy α粒子照射:癌症近距离治疗的范式改变
Pub Date : 2019-03-20 DOI: 10.15406/jcpcr.2019.10.00386
A. Fymat
All matter is composed of individual entities called elements. Each element is distinguishable from the others by the physical and chemical properties of its basic component – the atom. Each atom consists of a small central core, the nucleus (radius 10-14 m), where most of the atomic mass is located and a “cloud” of electrons moving in orbits (radius 10-10 m) around the nucleus. The properties of the atoms are derived from the constitution of their nuclei and the number and organization of the orbital electrons. The nucleus contains two kinds of fundamental particles: protons (positively electrically charged) and neutrons (no charge). The number of protons is equal to that of the electrons, making the atom electrically neutral. Thus represented, the atoms are also called nuclides. On the basis of different proportions of neutrons and protons in the nuclei, atoms have been classified into the following categories: isotopes (nuclei having the same numbers of protons but different numbers of neutrons), isotones (same numbers of neutrons but different numbers of protons), isobars (same total numbers of protons and neutrons), and isomers (same numbers of protons and neutrons). Certain combinations of neutrons and protons result more in stable (non-radioactive) nuclides than others.
所有物质都是由称为元素的个体实体组成的。每一种元素都是通过其基本成分原子的物理和化学性质来区别于其他元素的。每个原子由一个小的中心核心组成,原子核(半径10-14米),大部分原子质量都位于这里,还有一个电子“云”在原子核周围的轨道上(半径10-10米)运动。原子的性质是由原子核的组成和轨道电子的数目和组织决定的。原子核包含两种基本粒子:质子(带正电)和中子(不带电荷)。质子数等于电子数,使原子呈电中性。这样表示的原子又称为核素。根据原子核中中子和质子的不同比例,原子被分为以下几类:同位素(质子数相同但中子数不同的原子核)、等压(中子数相同但质子数不同的原子核)、等压(质子和中子总数相同)和同分异构体(质子和中子数相同)。中子和质子的某些组合比其他组合产生更稳定(非放射性)的核素。
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引用次数: 0
"Dark matter of genome” in cancer 癌症中的“基因组暗物质”
Pub Date : 2019-02-14 DOI: 10.15406/jcpcr.2019.10.00385
T. Lushnikova
Since late 60-th it is known that the most of genomic DNA of eukaryotic organisms consists from non-coding proteins sequences, various repetitive sequences. Later among repetitive and non-coding “junk” DNA or “dark matter of genome” retrotransposons were found, short interspersed nuclear elements SINEs or long short interspersed nuclear elements and LINE,9 gene controlling elements. For many years the scientists were focused on DNA sequences of genes, a small portion of genome coding proteins. Carcinogen aflatoxin B1 covalently binding to DNA showed that DNA repair was deficient in repetitive satellite DNA compare in bulk DNA despite of the initial level of modification was the same in both DNAs.10 Microsatellite mutations associate with cancers and aging.11 Tumor suppressor p53 is multifunctional transcription factor, “the guardian of the genome”, the most frequently mutated gene in tumors contributes in silencing of repeats and noncoding RNAs. The p53 protein mediates expression ~1000 genes and transcription of the repeats and ncRNAs.12 Many p53 binding sites reside in transposable repeats.13 Mouse oncogene Mdm2 is a negative regulator of p53 and DNA repair genes, is overexpressed in tumors and contributes to chromosomal breaks (double-strand breaks, DSBs) and CIN at higher rate in transgenic Mdm2 mice with aging than in wild-type mice.14 The DNA sequences associated with chromosomal breaks and rearrangements are not well understood. The DNA breaks are formed as mistakes in DNA replication, transposition of mobile elements or by environmental agents. DSBs are random but some of them occurred on fragile sites what are near telomere or centromere. The precise genome-mapping of DSBs in human chromosomes revealed non-random fragmentation and DSB hot spots.15
自60年代后期以来,人们已经知道真核生物的大部分基因组DNA是由非编码蛋白质序列和各种重复序列组成的。后来在重复和非编码的“垃圾”DNA或“基因组暗物质”反转录转座子中发现了短穿插核元件SINEs或长穿插核元件LINE,9基因控制元件。多年来,科学家们一直专注于基因的DNA序列,这是基因组编码蛋白质的一小部分。与DNA共价结合的致癌物黄曲霉毒素B1表明,尽管两种DNA的初始修饰水平相同,但与大量DNA相比,重复卫星DNA的DNA修复缺陷微卫星突变与癌症和衰老有关肿瘤抑制因子p53是多功能转录因子,是“基因组的守护者”,是肿瘤中最常发生突变的基因,参与重复序列和非编码rna的沉默。p53蛋白介导约1000个基因的表达以及重复序列和ncrnas的转录许多p53结合位点位于转座重复序列中小鼠致癌基因Mdm2是p53和DNA修复基因的负调控因子,在肿瘤中过度表达,并在转基因Mdm2小鼠中以比野生型小鼠更高的比例导致染色体断裂(双链断裂,DSBs)和CIN与染色体断裂和重排有关的DNA序列尚不清楚。DNA断裂是由DNA复制中的错误、可移动元件的转位或环境因素造成的。dsb是随机的,但其中一些发生在端粒或着丝粒附近的脆弱部位。人类染色体中DSB的精确基因组定位揭示了非随机片段化和DSB热点
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引用次数: 0
Late distant metastasis from papillary carcinoma of thyroid gland 甲状腺乳头状癌晚期远处转移
Pub Date : 2019-02-14 DOI: 10.15406/jcpcr.2019.10.00384
K. Aryana, R. Zakavi, N. Majdi
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引用次数: 0
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Journal of Cancer Prevention & Current Research
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