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Advances in Surgical Research of Hepatocellular Carcinoma with Bile Duct Tumor Thrombus 肝细胞癌合并胆管肿瘤血栓的外科研究进展
Pub Date : 2018-01-01 DOI: 10.4172/2157-2518.1000323
Fu Houwei
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引用次数: 0
Role of Computed Tomography in the Pre operative Diagnosis of Clear Cell Renal Carcinoma 计算机断层扫描在透明细胞肾癌术前诊断中的作用
Pub Date : 2017-12-15 DOI: 10.4172/2157-2518.1000309
K. U. Rahman, A. Jesrani, Mubarak Ali
Background: Renal cell carcinoma (RCC) accounts for 3% of all human malignant tumors. The behavior of RCC apparently depends on its subtype. CT scan can provide detailed information about the tumor itself and regarding its precise extension. The pre-histological diagnosis of clear cell renal carcinoma could be made with more precision on the basis of CT scan features and would ultimately play a major role in the prognosis and management of the disease. Objective: To determine the diagnostic accuracy of computed tomography in the diagnosis of clear cell renal carcinoma taking histopathological findings as gold standard. Methods: Total 100 patients had renal mass were included. All patients underwent contrast enhanced CT scan. On the basis of CT scan features a pre-surgical diagnosis of histological subtype of RCC, clear cell renal carcinoma was made. The patients were followed by nephrectomy. The diagnostic accuracy of CT scan was determined. Results: The male to female ratio was 3.2:1.0. Out of total study subjects 85.0% patients turned out to be renal cell carcinomas and among these 40 (47%) were right sided and 45 (53%) were left sided. The mean size of tumor was 12.75 cm. The sensitivity, specificity, and diagnostic accuracy of CT scan were 89.0%, 72.7%, and 86.0% respectively. Conclusion: The CT scan was helpful in diagnosing clear cell renal carcinoma. The most valuable parameter was the degree of enhancement of clear cell renal carcinoma with other parameters playing supplemental role.
背景:肾细胞癌(RCC)占人类所有恶性肿瘤的3%。碾压细胞的行为显然取决于其亚型。CT扫描可以提供有关肿瘤本身及其精确扩展的详细信息。透明细胞肾癌的组织学前诊断可以在CT扫描特征的基础上更加精确,最终对疾病的预后和治疗起重要作用。目的:探讨以组织病理表现为金标准的计算机断层扫描诊断透明细胞肾癌的准确性。方法:收集100例肾脏肿块患者。所有患者均行CT增强扫描。根据CT扫描特征术前诊断为肾细胞癌组织学亚型,明确肾透明细胞癌。术后行肾切除术。确定CT扫描的诊断准确性。结果:男女比例为3.2:1.0。在全部研究对象中,85.0%的患者为肾细胞癌,其中40例(47%)为右侧肾细胞癌,45例(53%)为左侧肾细胞癌。肿瘤平均大小12.75 cm。CT扫描的敏感性为89.0%,特异性为72.7%,诊断准确率为86.0%。结论:CT扫描有助于透明细胞肾癌的诊断。最有价值的参数是透明细胞肾癌的强化程度,其他参数起补充作用。
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引用次数: 0
Bio-mineralogy of Selected Skin Cancers 选定皮肤癌的生物矿物学研究
Pub Date : 2017-10-18 DOI: 10.4172/2157-2518.1000307
M. Pawlikowski, M. Miler
Investigation of Carcinoma basocellulare solidum exulcerans, Carcinoma basocellulare superficiale multicentricum, and Trichoepithelioma was performed using histology and bio-mineralogical methods. Obtained data confirmed elevated levels of some elements in altered skin tissues. Moreover, rare micrograins of phosphates were observed. Additionally, examination of bio mineralization of human tissues suggests that higher local mineralization (of tissue fluids) may lead to mistakes in DNA code at the moment of cell division. It is possible that cancer tissues are secondarily mineralized by activity of cancer cells. Further research is needed to answer questions that arose.
采用组织学和生物矿物学方法对嗜碱性细胞癌、浅表性多心型嗜碱性细胞癌和毛上皮瘤进行了研究。获得的数据证实,皮肤组织中某些元素的水平升高。此外,还观察到罕见的磷酸盐微颗粒。此外,对人体组织的生物矿化的检查表明,较高的局部矿化(组织液)可能导致细胞分裂时DNA密码出现错误。癌细胞的活动可能使癌组织发生二次矿化。需要进一步的研究来回答由此产生的问题。
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引用次数: 1
Inhibitory Effects of BVAN08 on the Growth of Experimental Tumor Cell Lines both In Vivo and In Vitro BVAN08对实验性肿瘤细胞系体内外生长的抑制作用
Pub Date : 2017-10-16 DOI: 10.4172/2157-2518.1000305
Bo Zhang, Sai Hu, Lantao Liu, Zi-jian Yu, H. Guan, Lijing Geng, P. Zhou
In order to study the mechanism of a novel vanillin derivative BVAN08, provide evidence and experimental data for developing it as a new potential anticancer drug. Hepatic cancer HepG2 cells and normal LO2 cells were used to investigate cytotoxicity of BVAN08. The MTT and colony-forming ability assays showed that BVAN08 significantly sensitized HepG2 cells to radiation rather than LO2 cells. Moreover, BVAN08 inhibited the growth of HepG2 cells in nude mice and exerted no effects on body weight and the number of the peripheral white blood cells. The immunohistochemistry results indicated that the DNA-PKcs expression the BVAN08 group tumor was lower than that of control group. BVAN08 obviously inhibits proliferation of HepG2 cells in vitro and in vivo supporting it as a promising anticancer drug candidate.
为了研究一种新型香兰素衍生物BVAN08的作用机制,为其作为一种潜在的抗癌新药的开发提供依据和实验数据。以肝癌HepG2细胞和正常LO2细胞为研究对象,观察BVAN08的细胞毒性。MTT和集落形成能力实验表明,BVAN08对HepG2细胞比LO2细胞更敏感。BVAN08对裸鼠HepG2细胞生长有抑制作用,对体重和外周血白细胞数量无影响。免疫组化结果显示,BVAN08组肿瘤DNA-PKcs表达低于对照组。BVAN08在体外和体内均能明显抑制HepG2细胞的增殖,支持其作为一种有前景的抗癌候选药物。
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引用次数: 1
Adjuvant Capecitabine and Oxaliplatin vs. Capecitabine and Paclitaxel in Gastric Cancer Patients after D2 Gastrectomy 胃癌D2胃切除术后辅助卡培他滨和奥沙利铂对比卡培他滨和紫杉醇
Pub Date : 2017-10-16 DOI: 10.4172/2157-2518.1000306
Jing Sun, Shaohua He, P. Lin, Ping Li, Xiaomin Cai, Lele Li, J. Qian, Chong Liu, Xiao Li, Yi-qian Liu, O. Røe, Y. Shu, Yanhong Gu, Xiaofeng Chen
Objective: This retrospective study was carried out to compare the safety and efficacy of adjuvant capecitabine/ oxaliplatin (XELOX) versus capecitabine/paclitaxel (XP) in gastric cancer patients after D2 gastrectomy. Methods: The hospital records of the First Affiliated Hospital of Nanjing Medical University from 2008-2012 were searched to identify patients treated with adjuvant XELOX or XP after D2 gastrectomy and their clinicopathological data were retrieved. Disease-free survival (DFS) and overall survival (OS) were analyzed by Kaplan-Meier method with log-rank test. Results: A total of 144 stage I-III patients who received adjuvant XELOX (n=89) or XP (n=55) after D2 gastrectomy were identified. The median follow-up time was 47.0 (25.0-80.0) months. The 3-year DFS and OS rate was 67.0% versus 50.8% (p=0.047) and 74.8% versus 63.5% (p=0.184) in the XELOX and XP group respectively. XELOX significantly reduced the risk of relapse at three years (HR 0.60, 95% CI 0.36-0.99) but did not reduced the risk of death at the third year (HR 0.66, 95% CI 0.36-1.22) compared with that treated with XP. Conclusions: These results indicate that adjuvant XELOX after D2 gastrectomy has a clinical advantage over XP; however, prospective studies are needed to verify this finding.
目的:本回顾性研究比较D2胃切除术后辅助卡培他滨/奥沙利铂(XELOX)与卡培他滨/紫杉醇(XP)在胃癌患者中的安全性和有效性。方法:检索南京医科大学附属第一医院2008-2012年的住院记录,找出D2胃切除术后辅助使用XELOX或XP的患者,并检索其临床病理资料。采用Kaplan-Meier法和log-rank检验分析无病生存期(DFS)和总生存期(OS)。结果:共有144例I-III期患者在D2胃切除术后接受辅助XELOX (n=89)或XP (n=55)。中位随访时间为47.0(25.0 ~ 80.0)个月。XELOX组和XP组3年DFS和OS分别为67.0%和50.8% (p=0.047)和74.8%和63.5% (p=0.184)。与接受XP治疗的患者相比,XELOX显著降低了三年复发风险(HR 0.60, 95% CI 0.36-0.99),但未降低第三年死亡风险(HR 0.66, 95% CI 0.36-1.22)。结论:D2胃切除术后辅助XELOX较XP有临床优势;然而,需要前瞻性研究来验证这一发现。
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引用次数: 0
A Mouse Model for Barrett’s Esophagus: Surgery and Histology 小鼠Barrett食管模型:手术与组织学
Pub Date : 2017-08-21 DOI: 10.4172/2157-2518.1000304
A. Taddei, T. Lottini, M. Fazi, M. Ringressi, E. Lastraioli, P. Bechi, A. Arcangeli
Purpose: Barrett’s esophagus (BE) is the sole precursor lesion of esophageal adenocarcinoma (EA) identified so far. The progression towards EA is estimated to affect 2 to 10% of BE patients, hence endoscopic surveillance of at-risk subjects is mandatory. Surveillance endoscopic procedures imply high cost, discomfort and risks for the patient, as well as the non-infrequent missing of small, focal lesions signaling progression to EA. Hence, it is important to search for new potential markers to better identify BE patients at risk of EA progression. The aim of this study was to produce a mouse model of BE, suitable for further molecular and genetic analyses. Methods: Forty-four CD1 mice were operated upon by means of an esophago-jejunal anastomosis. Five CD1 mice underwent a sham operation. The animals were sacrificed 10 months later and histological analysis was performed with Hematoxylin & Eosin and Alcian Blue staining. Results: The overall postoperative mortality rate was 11%. Of the 39 operated animals 14% developed histologically detectable intestinal metaplasia in the lower esophagus. No histologically detectable lesions were shown in the sham group. Conclusions: The mice model we propose could be applied because of its technical feasibility and acceptable mortality and can be used in transgenic mice too, in order to better understand molecular progression from BE to esophageal adenocarcinoma.
目的:Barrett食管(BE)是目前发现的唯一一种食管腺癌(EA)的前体病变。据估计,2 - 10%的BE患者会发展为EA,因此必须对有风险的受试者进行内窥镜监测。内窥镜检查对患者来说意味着高昂的费用、不适和风险,而且通常会丢失指示EA进展的小的局灶性病变。因此,寻找新的潜在标记物来更好地识别有EA进展风险的BE患者是很重要的。本研究的目的是建立一种适合进一步分子和遗传分析的BE小鼠模型。方法:采用食道-空肠吻合术对44只CD1小鼠进行手术。5只CD1小鼠接受了假手术。10个月后处死动物,采用苏木精&伊红染色和阿利新蓝染色进行组织学分析。结果:术后总死亡率为11%。在39只手术动物中,14%在食管下部发生组织学可检测的肠化生。假手术组未见组织学上可检测到的病变。结论:所建立的小鼠模型具有技术可行性和可接受的死亡率,并可用于转基因小鼠,以更好地了解从be到食管癌的分子进展。
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引用次数: 2
Metformin and mTOR Inhibitors: Allies against Ovarian and Breast Cancers 二甲双胍和mTOR抑制剂:对抗卵巢癌和乳腺癌的盟友
Pub Date : 2017-07-25 DOI: 10.4172/2157-2518.1000299
I. S. Guimarães, N. Tessarollo, Di, ra Zipinotti dos Santos, M. L. L. D. Souza, T. B. Henriques, I. V. Silva, L. B. Rangel
Cancer is one of the leading causes of death worldwide. Every year 8.2 million people die from the disease. In this context, breast and ovarian cancer are the most incidental among women. Elucidation of cell growth pathways and the observation that these pathways are altered in human cancer have encouraged the search for specific inhibitors. The phosphatidylinositol-3cinase (PI3K)/Protein kinase b (AKT)/Mammalian Target of Rapamycin (mTOR) is an important pathway involved in cell growth, tumorigenesis, cell invasion, and resistance to therapies. This pathway is often activated in breast and ovarian cancers and the deregulation of its signaling can contribute to tumor growth, angiogenesis and metastasis. Metformin is one of the most commonly prescribed antidiabetic drugs in the world whose anticancer effects, mediated by reduced mTOR signaling, have become notable. Therefore, this review provides an overview of signaling pathway PI3K/AKT/mTOR in the ovarian and breast cancers as well as for target therapies of mTOR signaling, with an emphasis on its mechanisms, clinical applicability and future perspectives.
癌症是世界范围内导致死亡的主要原因之一。每年有820万人死于这种疾病。在这种情况下,乳腺癌和卵巢癌在妇女中是最偶然的。细胞生长途径的阐明以及这些途径在人类癌症中发生改变的观察鼓励了对特异性抑制剂的研究。磷脂酰肌醇-3 - cinase (PI3K)/蛋白激酶b (AKT)/哺乳动物雷帕霉素靶点(mTOR)是参与细胞生长、肿瘤发生、细胞侵袭和治疗抵抗的重要途径。该通路常在乳腺癌和卵巢癌中被激活,其信号通路的失调可促进肿瘤生长、血管生成和转移。二甲双胍是世界上最常用的抗糖尿病药物之一,其抗癌作用是通过减少mTOR信号传导介导的。因此,本文就卵巢癌和乳腺癌中PI3K/AKT/mTOR信号通路及mTOR信号通路的靶向治疗进行综述,并对其机制、临床适用性及未来展望进行综述。
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引用次数: 1
Soluble Epoxide Hydrolase: Potential Target for Inflammation and Inflammation-Driven Cancer 可溶性环氧化物水解酶:炎症和炎症驱动的癌症的潜在靶点
Pub Date : 2017-05-22 DOI: 10.4172/2157-2518.1000294
Chao Lou, Liping Zhang, Xiaobin Wang, Xiaoping Ma, Cuiyun Qin, Wei Li, Ting Jia, Qing-ling Nan, R. Qiang
Arachidonic acid can be catalyzed by three different kind of metabolizing enzyme: cyclooxygenase (COX), lipoxygenase (LOX) and/or cytochrome P450 (CYP), and they produce prostaglandins, monohydroxys, leukotrienes and epoxyeicosanoids respectively. Through the cytochrome P450 pathway, arachidonic acid can be converted to two kinds of eicosanoid acids: epoxyeicosanoids acid (EET) by cytochrome P450 and hydroxyeicosatetraenoic acids (HETEs) formed by CYP α-oxidases.
花生四烯酸可被环氧合酶(COX)、脂氧合酶(LOX)和/或细胞色素P450 (CYP)三种不同的代谢酶催化,分别生成前列腺素、单羟基、白三烯和环氧二十烷。通过细胞色素P450途径,花生四烯酸可转化为两种类二十烷酸:由细胞色素P450转化为环氧类二十烷酸(EET)和由CYP α-氧化酶形成的羟基二十烷酸(HETEs)。
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引用次数: 1
Risk of Prostate Cancer and Cyclin D1 A870G polymorphism; a Study of Correlation 前列腺癌风险与细胞周期蛋白D1 A870G多态性的关系相关性研究
Pub Date : 2017-05-19 DOI: 10.4172/2157-2518.1000293
Firdous Hussain, A. Hamid, Rita Singh Majumdhar
Cyclin D1 (CCND1) is a critical gene in regulating the progression of cell cycle from G1 to S phases. Like other cyclins, cyclin D1 is frequently dysregulated in multiple cancers. Various clinical and epidemiological studies have suggested the possible association of cyclin D1 A870G polymorphism with the development of various cancers. Hence, we investigated the role of cyclin D1 A870G polymorphism in modulating the risk of prostate cancer (CaP) in a Kashmiri population. We examined a case–control study in which 129 CaP cases were studied for cyclin D1 A870G polymorphism against 221 controls taken from the general population by employing the polymerase chain reaction–restriction length fragment polymorphism technique. We observed the cyclin D1 A allele was more frequently present in the CaP group than the control group. Furthermore, men with AA genotype have an increased risk for developing CaP as compared to the control groups. We found AA genotype statistically significantly associated with dwelling, lymph node metastases, histopathological grade, and PSA levels. Therefore, our findings suggest that A870G polymorphism is a risk factor for CaP development. Furthermore, men with AA genotype have an increased risk of developing CaP.
Cyclin D1 (CCND1)是调控细胞周期从G1期向S期进展的关键基因。与其他细胞周期蛋白一样,细胞周期蛋白D1在多种癌症中经常失调。各种临床和流行病学研究表明,cyclin D1 A870G多态性可能与多种癌症的发生有关。因此,我们研究了cyclin D1 A870G多态性在克什米尔人群中调节前列腺癌(CaP)风险中的作用。我们采用聚合酶链反应-限制性长度片段多态性技术,对129例CaP病例和221例对照进行了细胞周期蛋白D1 A870G多态性研究。我们观察到cyclin D1 A等位基因在CaP组比对照组更频繁地出现。此外,与对照组相比,AA基因型男性患CaP的风险更高。我们发现AA基因型与居住、淋巴结转移、组织病理学分级和PSA水平有统计学意义。因此,我们的研究结果表明A870G多态性是CaP发生的危险因素。此外,AA基因型男性患CaP的风险增加。
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引用次数: 0
Perspectives and Challenges in Molecular-Based Diagnostics and Personalized Treatment for Recurrent High-Grade Gliomas 复发性高级别胶质瘤分子诊断和个性化治疗的前景和挑战
Pub Date : 2017-04-24 DOI: 10.4172/2157-2518.1000290
D. Kalasauskas, M. Renovanz, Sven-Ernö Bikár, A. Buzdin, A. Enam, S. Kantelhardt, A. Giese, Ella L. Kim
Glioblastoma is the most common and most malignant type of intrinsic brain tumor in adults. The standard of care for glioblastoma consists of surgical debulking followed by combined radiochemotherapy. The clinical efficacy of standard therapies for newly diagnosed glioblastomas is rather modest with the highest survival rate at 5-years being less than 10%. Inevitable recurrence after cytotoxic therapies poses the major challenge in the clinical management of high grade gliomas. For recurrent glioblastomas, there is no standard therapy with lack of level one evidence for treatment efficacy. Recent evidence indicates that post-therapy recurrence in gliomas is a consequence of a plethora of molecular and cellular factors including intratumoural heterogeneity, functional hierarchy of distinct types of glioma cells, dynamic changes in the molecular landscapes and cellular composition of the tumour during therapy and the impact of particular treatment modalities. There is an emerging consensus that molecular distinctions within and between individual tumours is an important factor determining clinical outcomes. Consequently, integrated approaches based on the combination of molecular profiling with traditional methods such as immunohistochemical phenotyping, karyotyping and/or non-quantitative methylation-specific PCR have emerged as a promising venue towards increasing the predictive value of diagnostics for malignant brain tumors. The high level of inter-and intra-tumoural molecular diversity in gliomas underscores the need of integrating high throughput molecular profiling and pharmacogenomics into a diagnostic paradigm for gliomas and raises the possibility that molecular-instructed personalized treatments may provide clinical benefit to patients with glioblastoma, particularly in the setting of post-treatment recurrence. Here we discuss potential prospects and challenges of patient-tailored diagnostics and personalized treatment strategies for recurrent glioblastomas.
胶质母细胞瘤是成人最常见和最恶性的内在脑肿瘤。胶质母细胞瘤的标准治疗包括手术切除和联合放化疗。对于新诊断的胶质母细胞瘤,标准疗法的临床疗效相当有限,最高5年生存率不到10%。细胞毒治疗后不可避免的复发是高级别胶质瘤临床治疗的主要挑战。对于复发性胶质母细胞瘤,没有标准的治疗方法,缺乏一级证据证明治疗效果。最近的证据表明,胶质瘤治疗后复发是多种分子和细胞因素的结果,包括肿瘤内异质性、不同类型胶质瘤细胞的功能层次、治疗期间肿瘤分子景观和细胞组成的动态变化以及特定治疗方式的影响。有一个正在形成的共识,即单个肿瘤内部和之间的分子差异是决定临床结果的重要因素。因此,基于分子谱分析与传统方法(如免疫组织化学表型分型、核型和/或非定量甲基化特异性PCR)相结合的综合方法已成为提高恶性脑肿瘤诊断预测价值的有希望的途径。胶质瘤中肿瘤间和肿瘤内的高水平分子多样性强调了将高通量分子谱分析和药物基因组学整合到胶质瘤诊断范式中的必要性,并提出了分子指导个性化治疗可能为胶质瘤患者提供临床益处的可能性,特别是在治疗后复发的情况下。在这里,我们讨论了针对复发性胶质母细胞瘤患者量身定制的诊断和个性化治疗策略的潜在前景和挑战。
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引用次数: 4
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Journal of carcinogenesis & mutagenesis
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