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Types, Symptoms and Stages of Pancreatic Cancer 胰腺癌的类型、症状和分期
Pub Date : 2021-01-01 DOI: 10.35248/2684-1266.21.7.E106
S. Vale
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引用次数: 0
Merkel Cell Carcinoma: Symptoms, Causes, Diagnosis and Treatment 默克尔细胞癌:症状、原因、诊断和治疗
Pub Date : 2021-01-01 DOI: 10.35248/2684-1266.21.7.133
Anas Alsharawneh
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引用次数: 0
Research Progress of Epstein Barr Virus Associated Lymphoma eb病毒相关淋巴瘤的研究进展
Pub Date : 2021-01-01 DOI: 10.12677/WJCR.2021.112006
郝 园园
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引用次数: 0
An Origin of Cutaneous Structure 皮肤结构的起源
Pub Date : 2021-01-01 DOI: 10.35248/2684-1266.21.S2.002
T. Michelakos
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引用次数: 0
A Case of Concurrent Sickle Cell Trait, Alpha Thalassemia, and G6PD Deficiency in a Pediatric Patient 镰状细胞特征、α地中海贫血和G6PD缺乏症患儿一例
Pub Date : 2021-01-01 DOI: 10.35248/2684-1266.21.7.129
Vinay Krupadev, Joshua Kirbens, Amina Rafique
Objective: The aim of this study is to highlight the hospital course of a pediatric patient with concurrent sickle cell trait, alpha thalassemia, and G6PD deficiency. Methods: The patient’s direct bilirubin remained less than 0.2 mg/dl throughout his hospitalization but his total bilirubin peaked at 18.7 mg/dl at 84 hours of life. While the patient’s bilirubin levels decreased after this, the decline was not as rapid as anticipated so a peripheral smear was performed which showed spherocytosis. Hemoglobin electrophoresis was also conducted just prior to discharge after the patient’s hyperbilirubinemia had resolved. Results: The results of the patient’s hemoglobin electrophoresis revealed that the patient was a sickle cell trait carrier and also showed evidence of trace Hb Barts consistent with alpha thalassemia. In addition, given the patient’s peripheral smear showing spherocytosis, G6PD levels were also assessed and found to be low consistent with mild to moderate G6PD deficiency. The patient’s family was educated about precautions to take to reduce the risk of excessive oxidative stress that could precipitate acute hemolytic anemia episodes in the future. Conclusion: The concurrent presentation of sickle cell trait, alpha thalassemia, and G6PD deficiency is rare and it is theorized that each trait respectively confers an evolutionary advantage against malaria.
目的:本研究的目的是强调合并镰状细胞特征、α地中海贫血和G6PD缺乏症的儿科患者的住院过程。方法:患者的直接胆红素在住院期间保持在0.2 mg/dl以下,但总胆红素在84小时时达到18.7 mg/dl的峰值。虽然患者的胆红素水平在此之后下降,但下降速度没有预期的那么快,因此进行了外周涂片检查,显示球形红细胞增多。在患者高胆红素血症消退后,在出院前进行血红蛋白电泳。结果:患者血红蛋白电泳结果显示患者为镰状细胞特征携带者,同时显示微量Hb Barts与α地中海贫血一致。此外,考虑到患者的外周涂片显示球形细胞增多,也评估了G6PD水平,发现低与轻度至中度G6PD缺乏症一致。患者家属接受了预防措施的教育,以减少未来可能引发急性溶血性贫血发作的过度氧化应激风险。结论:镰状细胞性状、α地中海贫血和G6PD缺乏症同时出现的情况很少见,从理论上讲,这两种性状分别赋予了抗疟疾的进化优势。
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引用次数: 0
BRCA1 Protein Deficiency in Breast Cancer Microbiopsy Lysate Delineates Patient Survival Time 乳腺癌显微活检裂解液中BRCA1蛋白缺乏描述患者生存时间
Pub Date : 2020-12-25 DOI: 10.12691/JCRT-9-1-1
Sara Hounguè, Terence Totah, S. George, J. Olory-Togbé, C. D. Capo-chichi
Introduction: Breast-Cancer gene 1(BRCA1) encodes for protein which has many cellular functions including DNA damage repair and maintenance of genome integrity. Malfunction or deficiency of BRCA1 protein, due to mutations or epigenetic inactivation, may provoke breast epithelial cell dedifferentiation and initiate cancer. In fact, mutants of BRCA1 predispose to breast and ovarian cancers. In the past this biomarker was not investigated for breast cancer prevention and care in Benin. The aim of our work is to assess the expression pattern of BRCA1 gene and protein in precancerous and cancerous breast tissue microbiopsies to determine the molecular mechanisms underlying BRCA1 protein suppression and potentiate prognosis and targeted personalized therapy in Benin. Method: This study obtains the institutional ethical approval. Microbiopsy tissues (n = 54) were collected in the Visceral surgery department of the National University Hospital Center HKM (CNHU-HKM) located in the city of Cotonou (Benin) for diagnosis and prognosis purposes. Polymerase chain reaction (PCR) technic with primers targeting Exon 1 and Exon 2 of BRCA1 was used to assess gene transcription capability. Immunoblotting was used to determine BRCA1 protein profile in breast cancer tissue microbiopsy lysates. Ethical approval was obtained for this study. Kaplan–Meier curves analysis was performed to determine the median survival time according to BRCA1 gene and protein patterns. Results: We observed that 87% of samples had lost the expression of BRCA1 protein. Among them, 78% of the loss was not associated to gene deletion. The disparity between the presence of the BRCA1 gene and the lack of protein expression suggested that the silencing of BRCA1 may be due to epigenetic inactivation in most patients. Ultimately, Kaplan Meyer’s survival curve analysis showed that the lack of BRCA1 amplification at Exon 1 or Exon 2 diminished the median survival time of cancer patients to 20 months. Conclusion: BRCA1 protein translation is impaired by Exon 1 or Exon 2 mutation /deletion along with epigenetic inactivation in breast cancer; all together influences median survival time. The delineation of the molecular mechanism underlying BRCA1 gene inactivation leading to protein deficiency will be an excellent molecular tool for African breast cancer prognostic and personalized targeted therapy in the future.
乳腺癌基因1(BRCA1)编码的蛋白质具有多种细胞功能,包括修复DNA损伤和维持基因组完整性。BRCA1蛋白的功能障碍或缺乏,由于突变或表观遗传失活,可引起乳腺上皮细胞去分化并引发癌症。事实上,BRCA1突变体易患乳腺癌和卵巢癌。在过去,贝宁没有研究过这种生物标志物用于乳腺癌的预防和护理。我们的工作目的是评估BRCA1基因和蛋白在癌前和癌性乳腺组织显微活检中的表达模式,以确定BRCA1蛋白抑制的分子机制,并增强贝宁的预后和靶向个性化治疗。方法:本研究获得机构伦理认可。显微活检组织(n = 54)采集于位于贝宁科托努市的国立大学医院中心(CNHU-HKM)内脏外科,用于诊断和预后。采用引物靶向BRCA1外显子1和外显子2的聚合酶链反应(PCR)技术评估基因转录能力。采用免疫印迹法测定乳腺癌组织显微活检裂解物中的BRCA1蛋白谱。本研究已获得伦理批准。采用Kaplan-Meier曲线分析,根据BRCA1基因和蛋白模式确定中位生存时间。结果:我们观察到87%的样本失去了BRCA1蛋白的表达。其中,78%的损失与基因缺失无关。BRCA1基因的存在与蛋白表达的缺失之间的差异表明,BRCA1的沉默可能是由于大多数患者的表观遗传失活。最终,Kaplan Meyer的生存曲线分析显示,外显子1或外显子2缺乏BRCA1扩增将癌症患者的中位生存时间缩短至20个月。结论:乳腺癌中BRCA1蛋白翻译因外显子1或外显子2突变/缺失以及表观遗传失活而受损;这些因素共同影响中位生存时间。BRCA1基因失活导致蛋白质缺乏的分子机制的描述将成为未来非洲乳腺癌预后和个性化靶向治疗的绝佳分子工具。
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引用次数: 0
A Prospective Observational Study of the Correlation between Hormone Receptor Status and Other Prognostic Factors in Carcinoma Breast in a Rural Set Up in Central India 印度中部农村地区乳腺癌激素受体状态与其他预后因素相关性的前瞻性观察研究
Pub Date : 2020-07-14 DOI: 10.12691/JCRT-8-2-2
R. Gore, Tanweerul Huda, B. Pandya
Breast cancer is a major concern in modern India. The growing population of the patients and the increased death toll require immediate attention from the scientific and medical community. Patientsi¯ age, socio-economic condition, and disease awareness play vital roles in the disease onset and progression. In this study, we have conducted a rigorous survey between 2012 and 2014 and investigated all possible contexts in relevance to the disease. From socio-economic to clinical and histopathological relevance were explored. Detail analysis was done for 112 patients. Our data shows Indian scenario having differences not only in stage at presentation with poorer survival but also that the age at presentation is almost a decade earlier than western studies. Only 8% of the participant patients were found to be nulliparous. Very few patients (11.60%) were found to be linked with the disease hereditarily. Statistical co-relation was found between ER status, PR status, lymph nodes, and age of the patients. Our study has shown similarity with the earlier studies as well as dissimilarity in certain facts. We expect this study will increase the present understanding of breast cancer in India.
乳腺癌是现代印度的一个主要问题。不断增长的患者人数和不断增加的死亡人数需要科学界和医学界立即予以关注。患者的年龄、社会经济条件和疾病意识在疾病的发生和发展中起着至关重要的作用。在这项研究中,我们在2012年至2014年间进行了严格的调查,并调查了与该疾病相关的所有可能的背景。从社会经济到临床和组织病理学的相关性进行了探讨。对112例患者进行了详细分析。我们的数据显示,印度的情况不仅在发病阶段存在差异,生存率较低,而且发病年龄也比西方研究早近10年。只有8%的参与患者被发现是无产的。极少患者(11.60%)与该病有遗传联系。ER状态、PR状态、淋巴结与患者年龄有统计学相关性。我们的研究既显示了与早期研究的相似之处,也显示了某些事实的不同之处。我们期望这项研究将增加目前对印度乳腺癌的了解。
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引用次数: 0
Resistance to Anticancer Agents: Recent Trends 抗癌药物耐药性:最新趋势
Pub Date : 2020-06-02 DOI: 10.12691/JCRT-8-2-1
Ahmed M. Kabel, M. A. A. Elmaaboud
Resistance to the anticancer agents is a complex process that mainly results from alteration in the targets of the chemotherapeutic agents. Mechanisms that underlie resistance to the anticancer agents include inactivation of the drug, inhibition of cellular apoptosis, changes in the metabolic pathways of the drug, increased expression of the efflux proteins and enhancement of DNA repair and gene amplification. Several strategies were developed to overcome this resistance. The use of the combination chemotherapy is the best option for drug resistant types of cancer. This review throws light on resistance of cancer cells to the chemotherapeutic agents in view of the recent trends.
对抗癌药物的耐药性是一个复杂的过程,主要是由于化疗药物靶点的改变。对抗癌药物产生耐药性的机制包括药物的失活、细胞凋亡的抑制、药物代谢途径的改变、外排蛋白的表达增加以及DNA修复和基因扩增的增强。为了克服这种阻力,制定了几种策略。联合化疗是治疗耐药型癌症的最佳选择。本文综述了近年来肿瘤细胞对化疗药物的耐药趋势。
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引用次数: 0
Carcinoma of the Thyroid Gland: Insights into Etiology, Pathogenesis, Diagnosis and Possible Lines of Management 甲状腺癌:病因、发病机制、诊断和可能的治疗路线
Pub Date : 2020-06-02 DOI: 10.12691/JCRT-8-1-2
Ahmed M. Kabel, M. A. A. Elmaaboud, A. Marghalani
Thyroid carcinoma is one of the most common malignancies of the endocrine system worldwide. Over the recent years, there has been a significant increase in the newly reported cases of thyroid cancer which may be attributed to the wide use of imaging techniques in the diagnosis and treatment of a wide range of human diseases. Papillary thyroid cancer is the most common type of thyroid malignancies. Lines of treatment include total thyroidectomy, radioactive iodine therapy, and molecular-targeted therapies. Prognosis of thyroid carcinoma depend on many factors including age of the patient, the tumor type and its stage at the time of diagnosis of the disease. This review sheds light on carcinoma of the thyroid gland in view of the recent trends regarding its prevalence, risk factors, types, clinical picture, methods of diagnosis and possible lines of management.
甲状腺癌是世界上最常见的内分泌系统恶性肿瘤之一。近年来,新报告的甲状腺癌病例显著增加,这可能是由于成像技术在各种人类疾病的诊断和治疗中的广泛应用。甲状腺乳头状癌是最常见的甲状腺恶性肿瘤。治疗方法包括甲状腺全切除术、放射性碘治疗和分子靶向治疗。甲状腺癌的预后取决于许多因素,包括患者的年龄、肿瘤类型和疾病诊断时的分期。本文综述了甲状腺癌的流行趋势、危险因素、类型、临床表现、诊断方法和可能的治疗方法。
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引用次数: 0
Prevalence of cervical intraepithelial neoplasia and its associated factors among women attending healthcare services in Eastern Uganda 在乌干达东部接受保健服务的妇女中,宫颈上皮内瘤变的患病率及其相关因素
Pub Date : 2020-05-31 DOI: 10.5897/JCREO2020.0167
Emmanuel Eilu, A. Aliero, Martin Odoki, Julius Tibyangye, S. Akinola, Ibrahim Ntulume, O. David, M. Okech, C. Kato
Cervical malignancy is still the leading cause of death for middle-aged women in the developing world. In Uganda, literature has shown that, cervical cancer incidence and death rates was 45.6 and 25 per 100,000 women respectively. However, the actual magnitude of cervical malignancy in Uganda might be higher since most of the cases are never reported. This study assessed the prevalence of cervical intraepithelial neoplasia among women from hospitals in Eastern Uganda. This was a longitudinal study, with follow-up until diagnosis of high-grade cervical intraepithelial neoplasia (CIN). One thousand and seventy seven women aged 15-55 years were recruited into the study. Pap-smear tests were conducted on all study participants. Women who had abnormal cytology were referred for immediate colposcopic and histological assessment. Surveillance was maintained on these women, and treatment postponed, until there was histological evidence of high-grade CIN (CIN2 or CIN3). At that point women were treated. Those that were pap smear negative were advised to return for screening for three consecutive negative smears before they were allowed to leave the study. Factors associated with cervical cancer were obtained by use of questionnaires. The general prevalence of CIN among women in Eastern Uganda was 416/1077 (38.6%). Two hundred and fourteen, 214/1077(19.9%) had severe CIN3, 180/1077(16.7%) had moderate CIN2, and 22/1077(2.0%) had mild CIN1. Older women aged 45-55-years were frequently diagnosed with the advanced disease stage as compared with young adults aged 15-24 who were less commonly diagnosed with the disease. The study showed that age, use of contraceptives, history of STI and HIV status had statistical significant association with development of cervical intraepithelial neoplasia among the studied participants. There is need for routine surveillance of precancerous lesions and treatment in a timely manner. Key words: Cervical intraepithelial neoplasia, risk factors, cervical cancer.
宫颈恶性肿瘤仍然是发展中国家中年妇女死亡的主要原因。在乌干达,文献表明,宫颈癌发病率和死亡率分别为每100 000名妇女45.6人和25人。然而,由于大多数病例从未报告过,乌干达宫颈恶性肿瘤的实际程度可能更高。本研究评估了乌干达东部医院妇女宫颈上皮内瘤变的患病率。这是一项纵向研究,随访至诊断为高级别宫颈上皮内瘤变(CIN)。这项研究招募了1777名年龄在15-55岁之间的女性。对所有研究参与者进行了巴氏涂片检查。细胞学异常的妇女立即接受阴道镜检查和组织学评估。继续对这些妇女进行监测,并推迟治疗,直到有组织学证据表明高度CIN (CIN2或CIN3)。在那个时候,女性得到了治疗。那些子宫颈抹片检查呈阴性的人在被允许离开研究之前,被建议返回接受连续三次阴性涂片检查。与子宫颈癌相关的因素通过问卷调查获得。乌干达东部妇女CIN的总体患病率为416/1077(38.6%)。214/1077例(19.9%)为重度CIN3, 180/1077例(16.7%)为中度CIN2, 22/1077例(2.0%)为轻度CIN1。年龄在45-55岁的老年妇女经常被诊断为疾病晚期,而年龄在15-24岁的年轻人很少被诊断出患有这种疾病。研究表明,年龄、避孕药具的使用、性传播感染史和HIV感染状况与研究参与者宫颈上皮内瘤变的发生有统计学意义的关联。有必要对癌前病变进行常规监测和及时治疗。关键词:宫颈上皮内瘤变,危险因素,宫颈癌。
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引用次数: 2
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The Journal of Cancer Research
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