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Differential expression of efferocytosis and phagocytosis associated genes in tumor associated macrophages exposed to African American patient derived prostate cancer microenvironment. 非裔美国患者源性前列腺癌微环境中肿瘤相关巨噬细胞中efferocysis和吞噬相关基因的差异表达
Pub Date : 2019-06-27 DOI: 10.5430/JST.V9N2P22
H. Banerjee, C. Krauss, Myla Worthington, Narendra Banerjee, Rayshawn Walker, Sasha Hodges, Lin Chen, Kuldeep Rawat, S. Dasgupta, Somiranjan Ghosh, S. Mandal
Macrophages are the first line of defense in the cellular environment in response to any antigenic or foreign invasion. Since cancer cells express antigenic molecules and create a tumor microenvironment quite different from the normal cellular environment, macrophages will attack this cancer cells as foreign Invaders. However, the cancer cells adept their ability to suppress macrophage activity by secreting compounds/proteins through unknown mechanisms and train these macrophages to aid in tumorigenesis. These macrophages are commonly known as tumor associated macrophages (TAM). In this study, our goal was to find out key regulatory molecules involved in this conversion of cancer-fighting macrophages to cancer friendly macrophages. We used African American(AA) patient derived established human prostate cancer cells along with the human derived macrophages followed by Affymetrix cDNA microarray analysis. Microarray analysis of the PCa cell exposed macrophages revealed appreciable decrease in mRNA expression of several genes associated with phagocytosis process. Aberrant expression of several noncoding RNAs that control the expression of such phagocytosis associated molecules were also evident. Increased expression of oncogenic miR such as, miR-148, 615, 515, 130, 139 and markedly decreased expression of tumor suppressive miR's MiR-3130, let7c,101,103, 383 were noted. Further, TARGET SCAN analysis demonstrated these differential expression of non-coding RNA's causing down regulation of phagocytosis promoting genes elf5A, Meg3, Tubb5, Sparcl-1, Uch-1, Bsg(CD147), Ube2v, GULP, Stabilin 1 and Pamr1. There is an increase of RAP1GAP gene that causes concomitant decrease in the expression of tubulin genes that promote cytoskeletal assembly in forming phagosomes. In addition Ingenuity pathway analysis of the gene expression data also showed upregulation of antiphagocytic genes IL-10, CD 16, IL-18 and MMP-9. Some core canonical pathways showing physiology of cellular signaling obtained by data analyzed by the Ingenuity software is confirmed a very complex mechanism still to be deciphered involved in the biology of TAM formation by which the rogue cancer cells tame their enemies, the macrophages and actually make them their helper cells to survive and propagate in the tumor microenvironment and thus prepare for epithelial mesenchymal transition for future metastasis and cancer stem cell formation and progression.
巨噬细胞是细胞环境中应对任何抗原或外来入侵的第一道防线。由于癌细胞表达抗原分子,形成与正常细胞环境截然不同的肿瘤微环境,巨噬细胞会作为外来入侵者攻击这些癌细胞。然而,癌细胞通过未知的机制分泌化合物/蛋白质来抑制巨噬细胞的活性,并训练这些巨噬细胞帮助肿瘤发生。这些巨噬细胞通常被称为肿瘤相关巨噬细胞(TAM)。在这项研究中,我们的目标是找到参与抗癌巨噬细胞向癌症友好型巨噬细胞转化的关键调控分子。我们使用非裔美国人(AA)患者来源的已建立的人前列腺癌细胞和人来源的巨噬细胞,然后进行Affymetrix cDNA微阵列分析。对PCa细胞暴露的巨噬细胞进行微阵列分析发现,与吞噬过程相关的几个基因的mRNA表达明显减少。一些控制吞噬相关分子表达的非编码rna的异常表达也很明显。发现致癌miR miR-148、615、515、130、139的表达增加,抑瘤miR miR- 3130、let7c、101,103、383的表达明显降低。进一步,TARGET SCAN分析表明,这些非编码RNA的差异表达导致吞噬促进基因elf5A、Meg3、Tubb5、Sparcl-1、Uch-1、Bsg(CD147)、Ube2v、GULP、Stabilin 1和Pamr1的下调。RAP1GAP基因的增加导致在吞噬体形成过程中促进细胞骨架组装的微管蛋白基因的表达减少。此外,基因表达数据的Ingenuity通路分析也显示抗吞噬基因IL-10、cd16、IL-18和MMP-9上调。独创性软件分析的数据显示,一些核心的典型信号通路显示了细胞信号的生理学,证实了一个非常复杂的机制,仍有待破译,涉及TAM形成的生物学,流氓癌细胞驯服它们的敌人。巨噬细胞实际上使它们成为辅助细胞,在肿瘤微环境中生存和繁殖,从而为上皮间充质转化做好准备,为未来的转移和癌症干细胞的形成和进展做好准备。
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引用次数: 5
BMI-1 and survivin expression with clinicopathological correlation and prognostic impact in B and T/NK- cell non-Hodgkin lymphoma BMI-1和survivin表达与B和T/NK细胞非霍奇金淋巴瘤的临床病理相关性及预后影响
Pub Date : 2019-06-09 DOI: 10.5430/JST.V9N2P11
N. Soliman, Lamia Abdalkader, D. Shams
Background: The pathogenesis of non-Hodgkin lymphoma is a complex process that involves several molecular changes. Alterations in polycomb group proteins as well as Survivin have been described but details are still lacking particularly in T/NK-cell lymphomas. Polycomb proteins have a big role in cell cycle and differentiation. Survivin is another recently recognized player in non-Hodgkin lymphoma.Objective: To study the pattern of Bmi-1 and Survivin in different categories of B- and T/NK- cell non-Hodgkin lymphomas, their association with the clinicopathological parameters, and their impact on the prognosis of non-Hodgkin lymphomas.Material& methods: Immunohistochemical staining was used to study paraffin samples of 267 patients’ biopsies. We used tonsils and reactive lymph node as normal control.Results: Both Bmi-1 and Survivin showed significant upregulation in several subtypes B- (P = .000-.02 for Bmi-1 and .00- .03 forSurvivin) and T/NK cell lymphomas (P= .009-.03 for Bmi-1 and 0.008- 0.009 for Survivin) compared to normal tissue. Significantpositive correlation between Bmi-1 and Survivin was detected in both B- (Co= 0.539**, P = .00) and T - cell lymphomas (Co= 0.560**, P = .000). A statistically significant difference between overall survival and expression of both BMI-1 and Survivin was detected (P = .00 for BMI-1and survivin).Conclusion: Bmi-1 and Survivin show significant upregulation as well correlation with clinicopathological parameters and overall survival of non-Hodgkin lymphomas.
背景:非霍奇金淋巴瘤的发病是一个复杂的过程,涉及多种分子变化。polycomb group蛋白和Survivin的改变已经被描述过,但细节仍然缺乏,特别是在T/ nk细胞淋巴瘤中。多梳蛋白在细胞周期和分化中起着重要的作用。Survivin是最近发现的另一种非霍奇金淋巴瘤。目的:探讨不同类型B细胞和T/NK细胞非霍奇金淋巴瘤中Bmi-1和Survivin的表达模式及其与临床病理参数的关系,以及对非霍奇金淋巴瘤预后的影响。材料与方法:采用免疫组织化学染色法对267例患者活检石蜡标本进行研究。我们以扁桃体和反应性淋巴结作为正常对照。结果:Bmi-1和Survivin在多个B-亚型中均有显著上调(P = 0.000)。Bmi-1为0.02,survivin为0.00 ~ 0.03)和T/NK细胞淋巴瘤(P= 0.009 ~ 0.03)。与正常组织相比,Bmi-1为0.03,Survivin为0.008- 0.009。B细胞淋巴瘤(Co= 0.539**, P = 0.00)和T细胞淋巴瘤(Co= 0.560**, P = 0.000)中Bmi-1与Survivin均呈显著正相关。总生存率与BMI-1和Survivin的表达差异有统计学意义(BMI-1和Survivin的表达P = .00)。结论:非霍奇金淋巴瘤患者Bmi-1和Survivin水平明显上调,并与临床病理参数和总生存率相关。
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引用次数: 0
Survival and factors affecting the outcome of synovial sarcoma in children and adolescents single institute experience 儿童和青少年滑膜肉瘤的生存率及影响预后的因素
Pub Date : 2019-04-14 DOI: 10.5430/JST.V9N2P6
E. E. Nadi, H. Hafez, A. Younes, Gehad Ahmed, M. Zaghloul, H. Taha, Naglaa Elkinaai, Maeha ELwakeel, Salma Elmenawi, Elham Khalid, S. Fadel, Soha Ahmed
Introduction: To check the impact of the clinical and pathologic features at diagnosis and treatment given, on the outcome of synovial sarcoma in children and adolescents.Methods: Retrospective analysis of patients below 18 years old diagnosed by synovial sarcoma and treated at Children CancerHospital Egypt 57,357 (CCHE) between July 2007 and December 2016. We reviewed Clinical characteristics, pathological information, treatment modalities and survival data.Results: We included thirty one patients with median age at diagnosis was 14.8 years. Initial surgical excision was possible in 10 patients (58.8%) while 5 (29.4%) patients underwent surgical excision after response to preoperative chemotherapy. Two patients had unresectable tumor, showed no response to chemotherapy and received radiotherapy as the only local control therapy. Adjuvant radiotherapy only was given in 2 patients and 5 patients received chemotherapy without local radiotherapy and 10 patients received both modalities. The estimated 5-year overall survival and failure free survival rates for the entire group were 84.4% ± 7.2% and 63.8% ± 9.7% respectively, the 5-year OS and FFS were studied in correlation to age of patient, tumor size, different pathological types, site of the lesion and methods of local control. In patients with tumor size below 5 cm when compared to size more than 5 cm with OS was (100%) in comparison to (79.3 ± 9.3) who underwent complete surgical excision either initial or post chemotherapy as it was 66.7% versus 55.6% for those with gross or microscopic residual (p-value = .38). Also, the 3-year failure free survival was 75% versus 56.3% for those smaller than or equal 5 cm and those larger than 5 cmrespectively (p-value = .3).Conclusion: Increasing number of patients to increase sample size to assess tumor size and complete surgical excision as important prognostic factors as in our study, we found them statistically insignificant. Preoperative chemotherapy can help for delayed excision in patients presented initially with unresectable tumors
前言:探讨儿童和青少年滑膜肉瘤的临床和病理特征对其预后的影响。方法:回顾性分析2007年7月至2016年12月在埃及儿童癌症医院57,357 (CCHE)诊断为滑膜肉瘤并治疗的18岁以下患者。我们回顾了临床特征、病理信息、治疗方式和生存数据。结果:我们纳入31例患者,诊断时中位年龄为14.8岁。10例(58.8%)患者可以进行首次手术切除,5例(29.4%)患者在术前化疗反应后进行手术切除。2例患者肿瘤不可切除,化疗无效,仅局部对照放疗。仅辅助放疗2例,化疗不局部放疗5例,双管齐下10例。估计全组5年总生存率和无失败生存率分别为84.4%±7.2%和63.8%±9.7%,5年OS和FFS与患者年龄、肿瘤大小、不同病理类型、病变部位和局部控制方法的相关性进行研究。在肿瘤大小小于5 cm的患者中,与大于5 cm的患者相比,OS为(100%),而在初始或化疗后进行完全手术切除的患者中,OS为(79.3±9.3),对于肉眼或显微镜下残留的患者,OS为66.7%,而55.6% (p值= .38)。此外,3年无失败生存率为75%,小于或等于5 cm和大于5 cm的患者分别为56.3% (p值= .3)。结论:增加患者数量以增加样本量来评估肿瘤大小和手术完全切除是我们研究中重要的预后因素,我们发现它们在统计学上不显著。术前化疗可以帮助患者延迟切除最初提出了不可切除的肿瘤
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引用次数: 0
Radiomic assessment of the progression of acoustic neuroma after gamma knife stereotactic radiosurgery 伽玛刀立体定向放射治疗后听神经瘤进展的放射学评价
Pub Date : 2019-04-09 DOI: 10.5430/JST.V9N2P1
G. Narayanasamy, Geoffrey G. Zhang, E. Siegel, G. Campbell, E. Moros, E. Galhardo, S. Morrill, J. Day, J. Peñagarícano
Introduction: The aim of this study was to determine whether radiomic features measured at baseline in Magnetic Resonance images (MRI) of acoustic neuromas (AN) can predict Gamma Knife (GK) treatment outcome.Methods: The study was conducted on pre- and post-GK MRI-T2 scans of 32 patients with AN who underwent stereotactic radiosurgery (SRS) for 12 Gy dose. Radiomic features extracted include Intensity, Fractals, Laplacian of Gaussian and textural Co-Occurrence, Run-length (RL), Size Zone, and Neighborhood Gray-Tone Difference matrices (NGTDM) features. Subjects were classified as treatment failures (TF) if tumor volume increased > 10%. Pre- and post-SRS audiology reports were utilized in hearing evaluation.Results: Fifteen subjects (47%) qualified as TFs. In univariate receiver operating characteristic (ROC) analysis, two radiomicfeatures, complexity in NGTDM and run percentage in RL, displayed areas under curves of > 0.65.Conclusion: This initial radiomic study establishes features that illustrates the prognostic ability of the SRS treatment in acousticneuroma. Hearing preservation was achieved in a majority of acoustic neuroma patients treated in Gamma Knife.
简介:本研究的目的是确定听神经瘤(AN)的磁共振图像(MRI)基线放射学特征是否可以预测伽玛刀(GK)治疗结果。方法:对32例接受立体定向放射手术(SRS)治疗12 Gy剂量的AN患者进行gk术前和术后MRI-T2扫描。提取的放射学特征包括强度、分形、高斯拉普拉斯和纹理共现、运行长度(RL)、大小区域和邻域灰度差矩阵(NGTDM)特征。如果肿瘤体积增加> 10%,则将受试者归类为治疗失败(TF)。使用srs前后的听力学报告进行听力评估。结果:15名受试者(47%)符合tf标准。在单变量受试者工作特征(ROC)分析中,NGTDM的复杂度和RL的运行率这两个放射组学特征的曲线下显示的面积> 0.65。结论:这项初步的放射组学研究建立了一些特征,说明了SRS治疗听神经瘤的预后能力。绝大多数听神经瘤患者在伽玛刀治疗后听力得以保留。
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引用次数: 3
Assessment of the impact of breast cancer on women in Gombe State, Northeastern Nigeria 尼日利亚东北部贡贝州乳腺癌对妇女影响的评估
Pub Date : 2019-01-29 DOI: 10.5430/JST.V9N1P33
Jonah H. Japhet, Dathini Hamina, Doka J. S. Pauline, Kever Robert Teryila, Habu Haruna, Uba M. Njida, Emma Yagana, L. Mshelia
Objective: The aim of the study is to assess the physical, financial, emotional and social impact of breast cancer on women in North east Nigeria.Methods: A qualitative transcendental phenomenological study design was adopted, using face-to face unstructured interview to collect data from 22 respondents who were recruited via purposive non-probability sampling technique. The interviews were recorded, transcribed verbatim and further analyzed using thematic analysis method into themes and sub-themes.Results: The result revealed excruciating pains that does not abate completely as the main physical impact, expensive cost of treatment as the major financial impact and crying as the major emotional impact of breast cancer on women. However, been diagnosed with breast cancer had no any consequences on participants’ relationship with spouse or family members.Conclusion: Breast cancer causes pain, makes women to cry and the treatment is very expensive but it does not cause relationship problems. There is therefore the need for Government and Non-governmental policies to be geared towards supporting women with breast cancer to overcome these challenges.
目的:该研究的目的是评估乳腺癌对尼日利亚东北部妇女的身体、经济、情感和社会影响。方法:采用定性先验现象学研究设计,采用面对面非结构化访谈法,采用有目的非概率抽样技术对22名被调查者进行数据采集。对访谈内容进行录音、逐字抄录,并采用专题分析法将访谈内容分成主题和副主题进行分析。结果:研究结果显示,乳腺癌对女性的主要生理影响是无法完全减轻的剧痛,主要的经济影响是昂贵的治疗费用,主要的情感影响是哭泣。然而,被诊断患有乳腺癌对参与者与配偶或家庭成员的关系没有任何影响。结论:乳腺癌会引起疼痛,让女性哭泣,治疗费用非常昂贵,但它不会造成人际关系问题。因此,政府和非政府组织的政策必须着眼于支持患乳腺癌的妇女克服这些挑战。
{"title":"Assessment of the impact of breast cancer on women in Gombe State, Northeastern Nigeria","authors":"Jonah H. Japhet, Dathini Hamina, Doka J. S. Pauline, Kever Robert Teryila, Habu Haruna, Uba M. Njida, Emma Yagana, L. Mshelia","doi":"10.5430/JST.V9N1P33","DOIUrl":"https://doi.org/10.5430/JST.V9N1P33","url":null,"abstract":"Objective: The aim of the study is to assess the physical, financial, emotional and social impact of breast cancer on women in North east Nigeria.Methods: A qualitative transcendental phenomenological study design was adopted, using face-to face unstructured interview to collect data from 22 respondents who were recruited via purposive non-probability sampling technique. The interviews were recorded, transcribed verbatim and further analyzed using thematic analysis method into themes and sub-themes.Results: The result revealed excruciating pains that does not abate completely as the main physical impact, expensive cost of treatment as the major financial impact and crying as the major emotional impact of breast cancer on women. However, been diagnosed with breast cancer had no any consequences on participants’ relationship with spouse or family members.Conclusion: Breast cancer causes pain, makes women to cry and the treatment is very expensive but it does not cause relationship problems. There is therefore the need for Government and Non-governmental policies to be geared towards supporting women with breast cancer to overcome these challenges.","PeriodicalId":17174,"journal":{"name":"Journal of Solid Tumors","volume":"31 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81007272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
IL-2 induces apoptosis, increases the production and expression of cytochrome-C and inhibits COX IV in cervical cancer cells IL-2诱导宫颈癌细胞凋亡,增加细胞色素c的产生和表达,抑制COX IV
Pub Date : 2019-01-25 DOI: 10.5430/JST.V9N1P21
E. I. Torres-Corioriles, I. D. Río-Ortiz, B. Weiss-Steider, M. Barrios-Maya, Leonardo Trujullo-Cirilo, T. Corona-Ortega, R. Rangel-Corona
It is known that cervical cancer cells express IL-2 receptor (IL-2R) and those high doses induce cell death. To identify the type of cell death two cervical cancer cell lines, CALO and INBL, were cultured with 100 IU/ml of IL-2. Our results showed the presence of apoptotic cell death by the significant expression of phosphatidylserine on the external surface of cellular membranes, the presence of a typical DNA fragmentation and the activation of caspase 3. We also observed that the expression of COX I, COX II and COX III was not significantly altered while that of COX IV was completely inhibited. An increased expression of cytochrome-C by confocal microscopy was observed. Finally, we speculate that the clinical effect and toxicities of IL-2 used in cancer therapies is mostly due to its apoptotic effect on the cancer cells themselves rather than, as thought, the cytotoxic contribution of leukocytes.
已知宫颈癌细胞表达IL-2受体(IL-2R),高剂量可诱导细胞死亡。用100 IU/ml IL-2培养宫颈癌细胞株CALO和INBL,以鉴定细胞死亡类型。我们的研究结果表明,细胞膜外表面磷脂酰丝氨酸的显著表达、典型的DNA片段的存在和caspase 3的激活是凋亡细胞死亡的存在。我们还观察到COX I、COX II和COX III的表达没有明显改变,而COX IV的表达完全被抑制。共聚焦显微镜观察到细胞色素c的表达增加。最后,我们推测IL-2用于癌症治疗的临床效果和毒性主要是由于其对癌细胞本身的凋亡作用,而不是像以前认为的那样,是白细胞的细胞毒性作用。
{"title":"IL-2 induces apoptosis, increases the production and expression of cytochrome-C and inhibits COX IV in cervical cancer cells","authors":"E. I. Torres-Corioriles, I. D. Río-Ortiz, B. Weiss-Steider, M. Barrios-Maya, Leonardo Trujullo-Cirilo, T. Corona-Ortega, R. Rangel-Corona","doi":"10.5430/JST.V9N1P21","DOIUrl":"https://doi.org/10.5430/JST.V9N1P21","url":null,"abstract":"It is known that cervical cancer cells express IL-2 receptor (IL-2R) and those high doses induce cell death. To identify the type of cell death two cervical cancer cell lines, CALO and INBL, were cultured with 100 IU/ml of IL-2. Our results showed the presence of apoptotic cell death by the significant expression of phosphatidylserine on the external surface of cellular membranes, the presence of a typical DNA fragmentation and the activation of caspase 3. We also observed that the expression of COX I, COX II and COX III was not significantly altered while that of COX IV was completely inhibited. An increased expression of cytochrome-C by confocal microscopy was observed. Finally, we speculate that the clinical effect and toxicities of IL-2 used in cancer therapies is mostly due to its apoptotic effect on the cancer cells themselves rather than, as thought, the cytotoxic contribution of leukocytes.","PeriodicalId":17174,"journal":{"name":"Journal of Solid Tumors","volume":"918 1","pages":"21"},"PeriodicalIF":0.0,"publicationDate":"2019-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90384302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The impact of proliferation and cancer stem cell upon the resistence to chemotherapy in salivary mucopepidermoid carcinoma 唾液黏液表皮样癌增殖和肿瘤干细胞对化疗耐药的影响
Pub Date : 2019-01-21 DOI: 10.5430/JST.V9N1P13
D. Esmaeil, R. Ahmed, Mohamed I. Mourad, E. Gaballah
Background and aim: Mucoepidermoid carcinoma is a common salivary tumor that affects both adults and children. Proliferation is one of the most fundamental biological processes of growth and maintenance of tissue homeostasis. CD-44 may be used as an indicator of aggressive behavior of some human malignancy. Multidrug resistance is one of the major obstacles for successful cancer chemotherapy. The present study was carried out for evaluation of the biological rules and the clinicopathological significance of Ki-67, CD-44 and MDR-1 expression in the different histopathological grades of MECs.Patients and methods: Eighty paraffin embedded MEC tissues were collected and classified to three groups according to their histological grades. Tissue sections were stained with Ki-67, CD-44 and MDR-1 then examined microscopically and analyzedstatistically.Result: High grade MEC cases showed the highest expression for Ki-67, CD-44 and MDR-1. Additionally, significant differences were found between the histopathological grades as well as between lymph node stages of the studied cases and the expression of the three utilized markers.Conclusion: Ki-67, CD-44 and MDR-1can be used to evaluate the degree of differentiation and to predict the prognosis of MECs, furthermore, high grade MEC cases with high proliferative indices might be resistant to chemotherapy.
背景与目的:黏液表皮样癌是一种常见的涎腺肿瘤,成人和儿童均可发病。增殖是组织生长和维持体内平衡的最基本的生物过程之一。CD-44可用作某些人类恶性肿瘤侵袭行为的指示物。多药耐药是癌症化疗成功的主要障碍之一。本研究旨在探讨Ki-67、CD-44和MDR-1在mec不同组织病理分级中表达的生物学规律及临床病理意义。患者与方法:收集MEC石蜡包埋组织80份,按组织分级分为3组。组织切片采用Ki-67、CD-44、MDR-1染色,镜检及统计学分析。结果:重度MEC患者Ki-67、CD-44、MDR-1表达最高。此外,在研究病例的组织病理分级和淋巴结分期之间,以及三种标志物的表达均存在显著差异。结论:Ki-67、CD-44和mdr -1可作为评价MEC分化程度和预测预后的指标,且增殖指数高的高分级MEC患者可能对化疗具有耐药性。
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引用次数: 0
Malignant obstructive jaundice; NCI Cairo University study: Review of 232 patients 恶性阻塞性黄疸;NCI开罗大学研究:对232例患者的回顾
Pub Date : 2019-01-15 DOI: 10.5430/JST.V9N1P10
A. Zakaria, Mohammed Gamil, N. A. El-Din, A. Mebed
Background: Obstructive jaundice is a common problem in the medical and surgical gastroenterological practice. Malignant obstructive jaundice can be caused by cancer head of pancreas, periampullary carcinoma, carcinoma of the gall bladder and cholangiocarcinomas.Objective: To review the etiological spectrum of malignant obstructive jaundice in NCI Cairo university during a period of 3 years (2008 till 2010).Patients and methods: Retrospective study including 232 patients who presented with malignant obstructive jaundice between (2008 to 2010). Data were collected from the biostatistics and cancer epidemiology department.Results: Out of 232 patients; 156 (67.2%) were male and 76 (32.8%) were female; the median age of the study population was 49 years (range 19-80 years). Our results indicate that the expression of CXCR4 and mTOR may be poor prognostic biomarkers in DLBCL. The commonest cause of malignant obstructive jaundice was pancreatic head cancer, 72% (167/232), followed by the ampullary carcinoma 15% (36/232). The last cause was cholangiocarcinoma 12.5% (29/233). Regarding the commonest symptom; clay colored stools (98.7%) was more frequent in patients with malignant disease whereas abdominal pain (97.7%) was2nd common symptom.Conclusion: Obstructive jaundice is more common among males and cancer head of pancreas is the commonest malignancy. US, ERCP and CT-Scan are important diagnostic modalities for evaluation of patient with obstructive jaundice with ERCP having the additional advantage of being therapeutic as well.
背景:梗阻性黄疸是内科和外科胃肠病学实践中的常见问题。恶性梗阻性黄疸可由胰头癌、壶腹周围癌、胆囊癌和胆管癌引起。目的:回顾开罗大学NCI 3年(2008 ~ 2010)恶性梗阻性黄疸的病因谱。患者和方法:回顾性研究包括2008 - 2010年232例恶性梗阻性黄疸患者。数据来自生物统计和癌症流行病学部门。结果:232例患者中;男性156例(67.2%),女性76例(32.8%);研究人群的中位年龄为49岁(范围19-80岁)。我们的研究结果表明,CXCR4和mTOR的表达可能是DLBCL预后不良的生物标志物。恶性梗阻性黄疸最常见的病因是胰头癌,占72%(167/232),其次是壶腹癌,占15%(36/232)。最后一个原因是胆管癌,占12.5%(29/233)。关于最常见的症状;粘土色便(98.7%)在恶性疾病患者中更为常见,而腹痛(97.7%)是第二常见症状。结论:梗阻性黄疸多见于男性,胰头癌是最常见的恶性肿瘤。US, ERCP和ct扫描是评估梗阻性黄疸患者的重要诊断方式,ERCP具有治疗性的额外优势。
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引用次数: 0
Assessment of cardiotoxicity in hormone positive postmenopausal breast cancer patients receiving aromatase inhibitors 激素阳性绝经后乳腺癌患者接受芳香酶抑制剂的心脏毒性评估
Pub Date : 2019-01-15 DOI: 10.5430/JST.V9N1P11
R. Faheim, Eman A. El-Shaarawy, D. Salem, Rehab G. Shaaban
Background: Aromatase inhibitors (AIs) represent an effective endocrine treatment for hormone receptor-positive postmenopausal breast cancer patients with early stage or metastatic disease.Objective: Assessment of Cardiotoxicity in Hormone positive Postmenopausal Breast Cancer Patients receiving AIs (upfront orswitch therapy).Methods: This cross sectional study included 123 postmenopausal breast cancer patients presented to the Clinical Oncology Department, Ain Shams University (Cairo, Egypt) in the interval from August 2016 to June 2017 with hormone receptor positive receiving Aromatase Inhibitors, To assess cardiotoxicity in these patients, they were subjected to blood pressure and lipid profile measurement, electrocardiography (ECG), and electrocardiography (ECHO) and classified into patients had Nolvadex then A.I (arm 1) and others had upfront A.I (arm 2).Results: The age of patients ranged from 41 years to 85 years with mean age of 61 years. Seventy one patients (57.7%) showed cardiotoxicity as assessed by ECHO. They showed significant correlation with rising age above 62 years, IHD, history of HTN and DM (p value: .001, .001, .017 and 0.035 respectively). However, correlation between cardiotoxity and blood pressure changes, lipid profile changes and ECG findings and ECHO changes in switch therapy and upfront A.I were not statistically significant (p value = .275, .116, .081 and .761 respectively).Conclusion: Assessment of cardiotoxicity in hormone positive postmenopausal breast cancer patients receiving Aromatase Inhibitors showed evidence of cardiotoxicity in half the patients (57.7%) as detected by ECHO only. They showed statistically non significant correlations either recievied switch therapy or upfront A.I.
背景:芳香酶抑制剂(AIs)是激素受体阳性的绝经后早期或转移性乳腺癌患者的有效内分泌治疗方法。目的:评价激素阳性绝经后乳腺癌患者接受AIs(前期或转换治疗)的心脏毒性。方法:本横断面研究纳入了2016年8月至2017年6月期间在埃及开罗艾因沙姆斯大学临床肿瘤科就诊的123例绝经后乳腺癌患者,这些患者接受了激素受体阳性的芳香酶抑制剂治疗。为了评估这些患者的心脏毒性,他们接受了血压和血脂测量、心电图(ECG)、结果:患者年龄41 ~ 85岁,平均年龄61岁。超声心动图显示心脏毒性71例(57.7%)。与年龄≥62岁、IHD、HTN病史、DM相关(p值分别为0.001、0.001、0.017、0.035)。然而,切换治疗和术前人工智能时,心脏毒性与血压变化、血脂变化、心电图和ECHO变化的相关性无统计学意义(p值分别为0.275、0.116、0.081和0.761)。结论:接受芳香酶抑制剂的激素阳性绝经后乳腺癌患者的心脏毒性评估显示,仅通过ECHO检测到的一半患者(57.7%)存在心脏毒性。他们在接受转换治疗或预先人工智能治疗时显示出统计学上不显著的相关性
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引用次数: 0
Determining resectability inpancreatic tumors: Review of 70 cases 确定胰腺肿瘤的可切除性:附70例报告
Pub Date : 2019-01-15 DOI: 10.5430/JST.V9N1P9
A. Zakaria, Mohammed Gami, H. Okasha, A. Mebed, R. Tabashy
Background: Endoscopic ultrasound (EUS) has gradually become the main stream method of the diagnosis and local treatment of pancreatic tumors. Endoscopic ultrasound (EUS) is frequently used in making the cytological diagnosis of pancreatic cancer and its great role in the pre-operative staging of pancreatic tumors.Objective: To evaluate the role of EUS in diagnosis and treatment of pancreatic tumors prospectively for 2 years study 2014-2015.Patients and methods: Prospective study including 70 patients who presented with pancreatic tumors underwent EUS at the endoscopy unit at Faculty of Medicine Cairo University and National Cancer Institute, Cairo University.Results: Out of 70 patients; median age was 55 years (range 32-73 years). Males were 32 (46%) and females were 38 (54%). Jaundice was the main symptom 47 (67%), clay colored stool 46 (65.7%), dark urine 47 (67%) and abdominal pain 50 (71%). There were 20 patients with benign disease and 50 patient with malignant disease. The following results showing the accuracy of the EUS in detecting malignant pancreatic tumors; Sensitivity: 96.0%, specificity: 75%, PPV: 90.6%, NPV: 88.2%, accuracy: 90.0%.Conclusion: EUS can clarify locoregional spread when CT/MR are equivocal. EUS Elastography is a new application in the field of the endosonography and seems to be able to differentiate fibrous and benign tissue from malignant lesions. The combination of superior detection, good staging, tissue diagnosis and potential therapy makes EUS guided FNA a cost-effective modality.
背景:超声内镜(EUS)已逐渐成为胰腺肿瘤诊断和局部治疗的主流方法。内镜超声(EUS)是胰腺癌细胞学诊断的常用手段,在胰腺肿瘤术前分期中具有重要作用。目的:通过2014-2015年为期2年的前瞻性研究,评价EUS在胰腺肿瘤诊断和治疗中的作用。患者和方法:前瞻性研究包括70例胰腺肿瘤患者,他们在开罗大学医学院和开罗大学国家癌症研究所的内窥镜部门接受了EUS检查。结果:70例患者中;中位年龄为55岁(32-73岁)。男性32人(46%),女性38人(54%)。主要症状为黄疸47例(67%),大便呈泥色46例(65.7%),尿色深47例(67%),腹痛50例(71%)。良性病变20例,恶性病变50例。以下结果显示EUS检测胰腺恶性肿瘤的准确性;灵敏度:96.0%,特异性:75%,PPV: 90.6%, NPV: 88.2%,准确率:90.0%。结论:在CT/MR不明确的情况下,EUS能明确病灶的局部扩散。EUS弹性成像是超声成像领域的一项新应用,似乎可以区分纤维组织和良性组织与恶性病变。优越的检测、良好的分期、组织诊断和潜在的治疗使EUS引导下的FNA成为一种经济有效的方式。
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Journal of Solid Tumors
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