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Breast cancer risk factors, prevention and patients empowerment 乳腺癌风险因素、预防和患者赋权
Pub Date : 2020-01-01 DOI: 10.37421/JIO.2020.S1.009
M. Josa
Breast cancer was the most common cancer in women worldwide in 2018, contributing 25.4% of the total number of cases diagnosed. Evidence says that less than 10% (between 6% and 7%) of the total is due to genetic missfailiures. Some mutations, particularly in BRCA1, BRCA2 and p53 might induce an increase of breast cancer. However, these mutations are rare and account for a small portion of the total breast cancer burden. (1) Risk factors Lifestyle is also determinant when it comes to cancer. Several researches have proven that unhealty diets, obesity (2), smoking (3), alchool intake (4) and a sedentary life style (5) might translate in an increase of all types of cancer risk, including breast cancer (6) Breast cancer prevention According to reserch there are several things that patients can do to prevent all types of cancer, including breast cancer (7),(8), (9) Patient empowerment Research has shown that a healthy lifestyle increases chances to overcome breast cancer. Passing this information on to patients is crucial for them to take an active part in their illness and improve their quality of live as well as their chances to recover health. (10)
2018年,乳腺癌是全球女性中最常见的癌症,占确诊病例总数的25.4%。有证据表明,不到10%(在6%到7%之间)的死亡是由于基因缺陷造成的。一些突变,特别是BRCA1、BRCA2和p53可能会导致乳腺癌的增加。然而,这些突变是罕见的,只占乳腺癌总负担的一小部分。生活方式也是患癌症的决定性因素。一些研究已经证明,不健康的饮食、肥胖(2)、吸烟(3)、摄入酒精(4)和久坐不动的生活方式(5)可能会增加所有类型的癌症风险,包括乳腺癌(6)乳腺癌预防根据研究,患者可以做几件事来预防所有类型的癌症,包括乳腺癌(7)、(8)、(9)患者赋权研究表明,健康的生活方式可以增加战胜乳腺癌的机会。将这些信息传递给患者,对于他们积极参与疾病治疗,提高生活质量以及恢复健康的机会至关重要。(10)
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引用次数: 0
Effect of Topical Anesthetic Cream on Pain During Periareolar Injection of Technetium Tc99m Sulfur Colloid for Sentinel Lymph Node Biopsy in Breast Cancer: A Randomized Control Trial 局部麻醉乳膏对乳晕周围注射锝Tc99m硫胶体用于乳腺癌前哨淋巴结活检时疼痛的影响:一项随机对照试验
Pub Date : 2020-01-01 DOI: 10.37421/JIO.2020.S1.012
S. Canning
Background: Injection of Tc99m to localize nodes for sentinel lymph node biopsy is reported by patients as very painful. The purpose of this study was to determine if anesthetic cream reduces pain associated with periareolar injection of Tc99m and to help elucidate conflicting literature regarding the efficacy of anesthetic cream for this procedure. Methods: A randomized, double-blind, placebo-controlled methodology was used for adult females with breast cancer undergoing periareolar injection of Tc99m for sentinel lymph node biopsy. Pain levels were compared using anesthetic cream (2.5% lidocaine/2.5% prilocaine) vs. placebo. Patient exclusion criteria included use of opioids or adjuvant pain medication or injecting Tc99m the day before surgery. The Numerical Rating Scale was used to assess pain levels immediately after the injections. Results: Comparing 23 experimental and 26 control pa tients, there was no significant difference between the experimental (median = 4) and the control group (median = 5) on level of pain experienced U=0.492, P > .05. Conclusions: The experimental group had a slightly lower median pain score; however, there was no statistically significant difference between those who used the cream compared with those who used a placebo, supporting the conclusion that anesthetic cream does not reduce pain during Tc99m injections. This study adds to the current literature to provide a stronger position that there is no benefit to using anesthetic cream for this procedure.
背景:患者报告,在前哨淋巴结活检中注射Tc99m定位淋巴结是非常痛苦的。本研究的目的是确定麻醉药膏是否能减轻与乳晕周围注射Tc99m相关的疼痛,并帮助阐明有关麻醉药膏在该手术中的疗效的相互矛盾的文献。方法:采用随机、双盲、安慰剂对照的方法,对成年女性乳腺癌患者行乳晕周围注射Tc99m前哨淋巴结活检。比较使用麻醉膏(2.5%利多卡因/2.5%普丙罗卡因)和安慰剂的疼痛水平。患者排除标准包括术前使用阿片类药物或辅助止痛药或注射Tc99m。注射后立即使用数值评定量表评估疼痛程度。结果:实验组23例与对照组26例比较,实验组(中位数= 4)与对照组(中位数= 5)疼痛程度差异无统计学意义(U=0.492, P > 0.05)。结论:实验组患者疼痛中位评分略低;然而,与使用安慰剂的患者相比,使用该药膏的患者之间没有统计学上的显著差异,这支持了麻醉药膏不能减轻注射Tc99m时疼痛的结论。这项研究增加了现有文献,提供了一个更强有力的立场,即在此过程中使用麻醉膏没有好处。
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引用次数: 0
Evaluation of predictors for behavioral intentions to adhere to cervical cancer treatment among aged 25-49 years in Botswana. 博茨瓦纳25-49岁人群坚持宫颈癌治疗的行为意向预测因素评估
Pub Date : 2020-01-01 DOI: 10.37421/JIO.2020.S1.007
Major, Koyabe, Ntsayagae, Molwane, Monare
There is evidence of ongoing research and investment in Africa to improve vaccination, screening, and treatment for cervical cancer (Finocchario-Kessler , Wexler , Maloba , Mabachi , Ndikum-Moffor , Bukusi; 2016). However, the majority (54.6 %) of cervical cancer research in Africa focused on secondary prevention (i.e., screening). This is followed by studies focusing on primary prevention (23.4 %) of cervical cancer, particularly HPV vaccination. Finocchario-Kessler, etc (2016) records that research focusing on tertiary prevention, which is the treatment of cervical cancer, is at the lowest (17.6 %). It is vital that research focusing on tertiary prevention for women diagnosed with abnormal cervical tissue is given equal attention as a matter of urgency for the overall survival (OS) for women with locally advanced cervical cancer. Studies on adherence to treatment regimen and schedule for cervical cancer will inform the innovation and improvement efforts towards treatment adherence and follow-up of women diagnosed with abnormal cervical tissue.
有证据表明,非洲正在进行研究和投资,以改善宫颈癌的疫苗接种、筛查和治疗(Finocchario-Kessler、Wexler、Maloba、Mabachi、Ndikum-Moffor、Bukusi;2016)。然而,非洲大多数(54.6%)宫颈癌研究侧重于二级预防(即筛查)。其次是关注宫颈癌一级预防(23.4%)的研究,特别是HPV疫苗接种。Finocchario-Kessler等(2016)的记录显示,关注三级预防(即宫颈癌的治疗)的研究最少(17.6%)。至关重要的是,对诊断为异常宫颈组织的妇女进行三级预防的研究,作为局部晚期宫颈癌妇女总生存期(OS)的紧迫问题,应得到同等重视。对宫颈癌治疗方案和时间表的依从性的研究将为诊断为异常宫颈组织的妇女在治疗依从性和随访方面的创新和改进工作提供信息。
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引用次数: 0
Global Summit On Oncology and Breast Cancer | March 05-06, 2020 | Vienna, Austria 全球肿瘤与乳腺癌峰会| 2020年3月05-06日|奥地利维也纳
Pub Date : 2020-01-01 DOI: 10.37421/JIO.2020.S1.01
N. Senhou
We’re pleased to bring you exciting news about next year’s “Global Summit On Oncology and Breast Cancer ”.Which is going to held on March 05-06, 2020 | Vienna, Austria . We have set a date and location that we hope for the foundation of a productive and enjoyable gathering. Oncology 2020 regards each one of the individuals to go to the “Oncology 2020” amidst March 05-06, 2020. which melds brief keynote presentations, speaker talks, Exhibition, Symposia, Workshops, Speaker sessions. Oncology 2020 will join world-class professors, scien­tists, researchers, students, Perfusionists, Oncologists to discuss methodology for ailment remediation for Cancer diseases, Breast Cancer and health disorders. Oncology 2020 are planned to give various information that will keep helpful specialists next to each other of the issues impacting the expectations, finding and treatment of Cancer diseases. The assembling of this event will be dealt with around the subject “Oncology 2020”.
我们很高兴为您带来关于明年“肿瘤和乳腺癌全球峰会”的激动人心的消息。将于2020年3月5日至6日在奥地利维也纳举行。我们已经确定了一个日期和地点,我们希望这是一次富有成效和愉快的聚会。2020肿瘤学年会邀请各位在2020年3月05-06日期间参加“2020肿瘤学年会”。它融合了简短的主题演讲,演讲者演讲,展览,专题讨论会,讲习班,演讲者会议。肿瘤学2020将与世界一流的教授,科学家,研究人员,学生,灌注师,肿瘤学家一起讨论癌症疾病,乳腺癌和健康疾病的疾病补救方法。2020年肿瘤学会议计划提供各种信息,使有帮助的专家在影响癌症疾病的期望、发现和治疗的问题上彼此保持联系。本次会议将围绕“肿瘤学2020”这一主题进行。
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引用次数: 0
Evaluation of endoscopic balloon dilatation as a treatment of eustachian tube dysfunction 内镜下球囊扩张术治疗咽鼓管功能障碍的疗效评价
Pub Date : 2019-01-25 DOI: 10.4172/2329-6771-c3-008
pFabio Fanfonip
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引用次数: 2
The Correlation between Squamous Cell Abnormalities by Liquid based Cytology and Histopathology 鳞状细胞液基细胞学异常与组织病理学的关系
Pub Date : 2019-01-01 DOI: 10.4172/2329-6771.1000222
Wilasinee Areeruk, T. Manchana
Objective: To evaluate the correlation between squamous cell abnormalities by liquid-based cytology and histopathology, and to evaluate the accuracy of liquid-based cytology in detecting cervical squamous cell abnormalities.Methods: A total of 943 patients with squamous cell abnormalities by liquid-based cytology underwent colposcopic examination from June 2014 until May 2017. The final histopathology was defined as the most severe lesion from colposcopic directed biopsy, excision procedure or hysterectomy.Results: A majority of abnormal cytology was LSIL (45.6%), followed by ASCUS, HSIL, ASC-H and SCC (29.6%, 13.5%, 9.7%, and 1.7%, respectively). LSIL/ASCUS cytology was confirmed to be CIN1 or less in approximately 90% of patients but coexisting high-grade lesions (CIN2/3) occurred in about 10% and invasive cancer was less than 1%. HSIL and ASC-H cytology yielded about 50% and 25% high-grade lesions, respectively; coexisting invasive cancer was diagnosed in 10.2% and 1.1%, respectively. Invasive cancers were diagnosed in 43.8% of patients with SCC cytology. The accuracy of liquid-based cytology for detecting cervical squamous cell abnormalities was 79.8%. There was a moderate correlation between cervical cytology and histopathology (Kappa=0.43, 95% CI=0.36-0.50).Conclusion: The correlation between cervical cytology and histopathology remained moderate. Despite, acceptable accuracy rate, it should only be used as a screening test. About 10% of the high-grade lesion was found in low-grade cytology and 10% of invasive lesion co-existed in high-grade cytology. Therefore, pathological confirmation should be made before definitive management especially in areas with high incidence of cervical cancers.
目的:评价液基细胞学检查与组织病理学检查的相关性,评价液基细胞学检查检测宫颈鳞状细胞异常的准确性。方法:2014年6月至2017年5月对943例液基细胞学检查为鳞状细胞异常的患者行阴道镜检查。最终的组织病理学定义为阴道镜引导活检,切除手术或子宫切除术中最严重的病变。结果:异常细胞学以LSIL(45.6%)居多,其次为ASCUS、HSIL、ASC-H和SCC(分别为29.6%、13.5%、9.7%和1.7%)。LSIL/ASCUS细胞学证实约90%的患者为CIN1或更低,但约10%的患者共存高级别病变(CIN2/3),侵袭性癌不到1%。HSIL和ASC-H细胞学分别产生约50%和25%的高级别病变;同时存在浸润性癌症的比例分别为10.2%和1.1%。43.8%的SCC细胞学检查患者诊断为浸润性癌。液基细胞学检测宫颈鳞状细胞异常的准确率为79.8%。宫颈细胞学检查与组织病理学检查有中度相关性(Kappa=0.43, 95% CI=0.36-0.50)。结论:宫颈细胞学检查与组织病理学检查的相关性为中等。尽管有可接受的准确率,但它只能用作筛选测试。约10%的高级别病变在低级别细胞学中发现,10%的侵袭性病变在高级别细胞学中共存。因此,在确定治疗前应进行病理确认,特别是在宫颈癌高发地区。
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引用次数: 3
Pilot Screening Study of the Angiogenesis Factor Pleiotrophin (PTN) in Serum Samples from Patients of Various Disease Groups 不同疾病组患者血清中血管生成因子多营养因子(PTN)的初步筛选研究
Pub Date : 2018-04-24 DOI: 10.4172/2329-6771.1000208
G. Zugmaier, A. Karalis, C. Knabbe, A. Aigner
Introduction: The secreted growth factor pleiotrophin (PTN) belongs to the midkine family of heparin-binding growth factors and is tightly regulated during embryogenesis. In contrast to its very limited expression in normal adult tissues, PTN protein levels are markedly increased in different tumors, with PTN showing mitogenic, chemotactic, transforming, pro-angiogenic, pro-invasive and pro-metastatic activity. However, little is known about PTN upregulation in diseases other than cancer. The aim of this study was to investigate PTN serum levels in patients with various non-malignant chronic or acute disorders, and in pregant women, compared to healthy nonpregnant blood donors as negative control group.Materials and Methods: PTN serum levels were determined by a sandwich ELISA.Results: PTN serum levels were found to be significantly elevated with a p-value of <0.05 in patients with the acute non-malignant disorders, acute inflammation, acute vascular disease and acute trauma. In patients with chronic leukemia and solid tumors, and pregnancy, increased PTN serum levels were detected as well.Conclusion: Beyond its described functions in solid tumors and in the central nervous system, these data indicate that PTN is an acute phase protein in the adult organism and that, due to its upregulation under various non-cancer conditions, special caution must be taken when exploring PTN serum levels as potential tumor marker.
PTN (secreted growth factor pleiotrophin)属于肝素结合生长因子midkine家族,在胚胎发生过程中受到严格调控。PTN蛋白在正常成人组织中的表达非常有限,但在不同肿瘤中PTN蛋白水平明显升高,表现出促有丝分裂、趋化、转化、促血管生成、促侵袭和促转移活性。然而,对于PTN在癌症以外的疾病中的上调知之甚少。本研究的目的是调查各种非恶性慢性或急性疾病患者和孕妇的血清PTN水平,并与健康的非妊娠献血者作为阴性对照组进行比较。材料与方法:采用夹心ELISA法测定血清PTN水平。结果:急性非恶性疾病、急性炎症、急性血管疾病和急性创伤患者血清PTN水平显著升高,p值<0.05。慢性白血病和实体瘤患者以及妊娠患者血清PTN水平升高。结论:除了在实体肿瘤和中枢神经系统中所描述的功能外,这些数据表明PTN在成人机体中是一种急性期蛋白,由于其在各种非癌症条件下上调,因此在探索PTN血清水平作为潜在肿瘤标志物时必须特别小心。
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引用次数: 0
Development of Comprehensive Yoga Program for Cervical Carcinoma 宫颈癌综合瑜伽项目的发展
Pub Date : 2018-03-25 DOI: 10.4172/2329-6771.1000206
H. Govardhan, N. Nelson, Khaleel, M. Roy
Background: Prior research reveal the benefits of yoga in managing fatigue, stress and psychosocial outcomes in cervical carcinoma; however, a definite structured yoga program is unavailable. In this study an effort is made to develop and validate a structured yoga program for cervical carcinoma. Methods: A detailed review of ancient and contemporary yoga literature was conducted to design a basic yoga program. Five yoga experts, who fulfilled the inclusion criteria validated the program. 27 practices were rated as (i) not essential, (ii) useful but not essential, and (iii) essential; Lawshe's content validity ratio (CVR) was calculated. Results: Eighteen practices exhibited significant content validity (cut-off value: 0.99, as calculated by applying Lawshe's formula for the CVR). One practice was added to the module by the experts, making a total of 19 practices including meditation. Yoga nidra was added as a special practice on days of high fatigue. Conclusions: The designed program received good content validity and thus is valid for cervical cancer. The program is to be applied on patients to assess its acceptability and feasibility.
背景:先前的研究揭示了瑜伽在控制宫颈癌患者的疲劳、压力和心理社会结局方面的益处;然而,一个明确的结构化瑜伽课程是不可用的。在这项研究中,努力开发和验证一个结构化的瑜伽计划宫颈癌。方法:详细查阅古今瑜伽文献,设计基本瑜伽课程。五位符合入选标准的瑜伽专家验证了该项目。27种做法被评为(i)非必要,(ii)有用但非必要,以及(iii)必要;计算Lawshe内容效度比(CVR)。结果:18个实践表现出显著的内容效度(截断值:0.99,应用Lawshe公式计算CVR)。专家们在模块中增加了一个练习,包括冥想在内总共有19个练习。瑜伽内德拉是在高度疲劳的日子里作为一种特殊的练习而增加的。结论:所设计的方案具有较好的内容效度,适用于宫颈癌的治疗。该方案将应用于患者,以评估其可接受性和可行性。
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引用次数: 1
A Red Skin Nodule 红色皮肤结节
Pub Date : 2018-01-08 DOI: 10.4172/2329-6771.1000I101
Baroni Adone
A 78-year-old woman presented with a 2-month-history of a cutaneous red nodule on her left leg (Figure 1). Differential diagnosis of nodular red lesions includes dermal nevus, pyogenic granuloma, angioma, amelanotic melanoma, eccrine poroma, Kaposi’s sarcoma, skin metastasis etc.
一位78岁女性,左腿有2个月的皮肤红色结节病史(图1)。结节红色病变的鉴别诊断包括真皮痣、化脓性肉芽肿、血管瘤、无色素黑色素瘤、内分泌脓肿、卡波西肉瘤、皮肤转移等。
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引用次数: 1
SIPA1 Gene Polymorphisms And The Risk Of Breast Carcinoma Among The Egyptian Females: A Pilot Study SIPA1基因多态性与埃及女性乳腺癌风险:一项初步研究
Pub Date : 2018-01-03 DOI: 10.4172/2329-6771.1000202
A. Mackawy, O. Megahed
Background: Multiple genes are known to influence the cancer metastasis but the effect of the germline heritable genetic polymorphisms on the predisposition and metastasis is not yet well known. Signal-induced proliferation associated gene1 (SIPA1) was considered as a modifying factor in the breast carcinoma (BC) metastasis process. Molecular studies on Sipa 1 gene suggested its essential role as cell adhesion regulator and metastasis modulator. The present study relied on the hypothesis that Sipa1 gene may be contributed to the risk of breast cancer occurrence and aggressiveness as well.Objective: We aimed to examine the association of SIPA1 single nucleotide polymorphisms (SNPs) and human breast cancer incidence and prognosis in Egyptian female patients.Patient and Methods: Two common SNPs (rs3741378 C>T and rs746429 A>G) were genotyped in 80 Egyptian females; 50 patients with breast cancer and 30 breast carcinoma free females.Results: The rs3741378 TT genotype enhanced the incidence of breast carcinoma in comparison with the genotypes rs3741378 CC and TC (X2=7.08, P=0.029), Sipa 1 rs3741378 T allele had a high frequency in BC cases compared to controls (OR (95%)=2.593 (1.339-5.02), P=0.04). Sipa 1 rs3741378 TT genotype also displayed significant association with clinical stages, grades and lymph node metastasis (X2=12.73, P=0.013), (X2=10.88, P=0.028), (X2=6.534, P=0.010; OR (95%)=0.324 [0.134-0.781]), respectively. Pointing to those patients carrying the rs3741378 TT genotype had a higher tumor progression rate with advanced tumor grades. Oppositely, these associations could not be detected for rs746429 A>G.Conclusion: Our results suggest that the Sipa1 promoter rs3741378 C>T SNP was contributed to BC risk and progression, which may be considered as a foretelling biomarker of BC risk and progression.
背景:已知多种基因影响肿瘤转移,但种系遗传多态性对肿瘤易感性和转移的影响尚不清楚。信号诱导增殖相关基因1 (SIPA1)被认为是乳腺癌(BC)转移过程中的一个修饰因子。Sipa - 1基因的分子研究表明其在细胞粘附调节和转移调节中具有重要作用。目前的研究基于Sipa1基因可能与乳腺癌发生和侵袭性风险有关的假设。目的:探讨SIPA1单核苷酸多态性(snp)与埃及女性乳腺癌发病率和预后的关系。患者和方法:对80名埃及女性的两个常见snp (rs3741378 C>T和rs746429 A>G)进行基因分型;50例乳腺癌患者和30例无乳腺癌女性。结果:与rs3741378 CC和TC基因型相比,rs3741378 TT基因型增加了乳腺癌的发病率(X2=7.08, P=0.029), sipa1 rs3741378 T等位基因在BC病例中出现的频率高于对照组(OR (95%)=2.593 (1.339 ~ 5.02), P=0.04)。Sipa 1 rs3741378 TT基因型与临床分期、分级、淋巴结转移也有显著相关性(X2=12.73, P=0.013)、(X2=10.88, P=0.028)、(X2=6.534, P=0.010;OR(95%)=0.324[0.134-0.781])。指出携带rs3741378 TT基因型的患者具有更高的肿瘤进展率和晚期肿瘤分级。相反,在rs746429 A>G中没有检测到这些关联。结论:我们的研究结果表明Sipa1启动子rs3741378 C>T SNP与BC风险和进展有关,可能被认为是BC风险和进展的预测性生物标志物。
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引用次数: 0
期刊
Journal of Integrative Oncology
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