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Antisense TRPM‐2 Oligodeoxynucleotides Chemosensitize Human Androgen Independent PC‐3 Prostate Cancer Cells both In Vitro and In Vivo. 反义TRPM‐2寡脱氧核苷酸在体外和体内对人类雄激素非依赖性PC‐3前列腺癌细胞化学敏感。
Pub Date : 2000-12-01 DOI: 10.1046/J.1525-1411.2000.24005.X
G. Bubley
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引用次数: 0
Results of a Phase II Study Using Estramustine Phosphate and Vinblastine in Combination with High‐Dose Three Dimensional Conformal Radiotherapy for Patients with Locally Advanced Prostate Cancer. 一项使用磷酸依雌莫司汀和长春花碱联合高剂量三维适形放疗治疗局部晚期前列腺癌的II期研究结果
Pub Date : 2000-12-01 DOI: 10.1046/J.1525-1411.2000.24005-6.X
Y. Ko
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引用次数: 0
Immunohistochemical Characterization of Stromal Nodules in Benign Prostatic Hyperplasia 良性前列腺增生间质结节的免疫组化特征
Pub Date : 2000-12-01 DOI: 10.1046/J.1525-1411.2000.23009.X
X. Kong, L. Zeng, Yong Yang, T. Xia, F. Gu, Y. Guo, Chung-Shuh Lee
The goal of this study is to characterize stromal nodules in benign prostatic hyperplasia (BPH) in a Chinese population. BPH specimens were obtained by superpubic enucleation. Immunohistochemical staining for vimentin, muscle actin (HHF35), and smooth muscle actin (1A4) was conducted in serial sections of 55 consecutive stromal nodules of BPH specimens. The simplest stromal nodules were undifferentiated nodules that contained vimentin-negative and smooth muscle actin-negative cells. These cells were designated as undifferentiated mesenchymal cells. Immunohistochemical staining identified two cell types. Smooth muscle cells contained smooth muscle actin and vimentin, while fibrocytes contained vimentin but not smooth muscle actin. Fibrous nodules contained fibrocytes. Two more types of stromal nodules were fibromuscular nodules, which contained mixtures of fibrocytes and smooth muscle cells, and muscular nodules, which contained only smooth muscle cells. Of 55 stromal nodules, 11 (20%) were undifferentiated, 5 (9%) were fibrous, 37 (67%) were fibromuscular, and 2 (4%) were muscular.
本研究的目的是探讨中国人群中良性前列腺增生(BPH)的间质结节特征。BPH标本通过耻骨上去核获得。对55例BPH间质结节连续切片进行静脉蛋白、肌动蛋白(HHF35)、平滑肌肌动蛋白(1A4)的免疫组化染色。最简单的间质结节为未分化的结节,含有静脉球蛋白阴性和平滑肌肌动蛋白阴性细胞。这些细胞被指定为未分化的间充质细胞。免疫组化染色鉴定出两种细胞类型。平滑肌细胞含有平滑肌肌动蛋白和波形蛋白,而纤维细胞含有波形蛋白而不含平滑肌肌动蛋白。纤维结节含有纤维细胞。另外两种类型的间质结节是纤维肌肉结节和肌肉结节,前者含有纤维细胞和平滑肌细胞的混合物,后者只含有平滑肌细胞。在55个间质结节中,11个(20%)未分化,5个(9%)为纤维性结节,37个(67%)为纤维肌性结节,2个(4%)为肌性结节。
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引用次数: 2
Management of a Positive Surgical Margin After Radical Prostatectomy: Decision Analysis. 根治性前列腺切除术后手术切缘阳性的处理:决策分析。
Pub Date : 2000-12-01 DOI: 10.1046/J.1525-1411.2000.24005-5.X
Y. Ko
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引用次数: 9
HRAS1 Proto-Oncogene Polymorphism and Prostate Cancer HRAS1原癌基因多态性与前列腺癌
Pub Date : 2000-12-01 DOI: 10.1046/J.1525-1411.2000.24010.X
Deborah A. Farmer, E. Platz, P. Febbo, M. Stampfer, P. Kantoff, E. Giovannucci
Objectives: Rare HRAS1 variable number tandem repeats (VNTR) have been associated with increased risks for a variety of cancers. We investigated the relationship of this polymorphism with the risk of prostate cancer among 240 cases and 481 control subjects in the Health Professionals Follow-up Study.Materials and Methods: The HRAS1 VNTR region of leukocyte DNA was polymerase chain reaction amplified, and fragment lengths were determined by automated fluorescence detection and computer analysis. We estimated the odds ratios (OR) of prostate cancer for rare HRAS1 VNTR from logistic regression models. Four common HRAS1 VNTR alleles were identified about which there was a distribution of rare 28-nucleotide repeat units. There was no difference (p = 0.4) in the prevalence of rare alleles between cases (25.8%) and control subjects (23.7%). Compared to common alleles, the OR for prostate cancer was 1.13 (95% confidence interval 0.87–1.45) for rare alleles.Conclusions: This study suggests that rare HRAS1 VNTRs may not be important in the etiology of prostate cancer.
目的:罕见的HRAS1可变数串联重复序列(VNTR)与多种癌症的风险增加有关。我们在卫生专业人员随访研究中调查了240例病例和481名对照受试者的这种多态性与前列腺癌风险的关系。材料与方法:采用聚合酶链反应扩增白细胞DNA HRAS1 VNTR区,通过自动荧光检测和计算机分析确定片段长度。我们通过logistic回归模型估计罕见HRAS1 VNTR患者患前列腺癌的比值比(OR)。鉴定出4个常见的HRAS1 VNTR等位基因,其中有罕见的28个核苷酸重复单位分布。病例(25.8%)与对照组(23.7%)的罕见等位基因患病率差异无统计学意义(p = 0.4)。与普通等位基因相比,罕见等位基因患前列腺癌的OR为1.13(95%可信区间0.87-1.45)。结论:本研究提示罕见的HRAS1 VNTRs可能在前列腺癌的病因中并不重要。
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引用次数: 0
An Innovative Tool for Predicting the Pathologic Stage of Prostate Cancer 预测前列腺癌病理分期的创新工具
Pub Date : 2000-12-01 DOI: 10.1046/J.1525-1411.2000.24004.X
G. Martorana, A. Bertaccini, S. Viaggi, R. Belleli
Objective: To develop a practical tool for predicting the pathologic stage in prostate cancer. Materials and Methods: Two hundred fifty patients who had had radical prostatectomy were selected from an Italian longitudinal observational study on prostate cancer. Inclusion criteria for selection were the following: a preoperative prostate specific antigen (PSA) value <50 ng/ml; a clinical stage less than or equal to stage T3c (TNM 1992); the availability of the bioptic Gleason score; and the availability of a pathologic specimen obtained during the radical prostatectomy. Pathologic stages were categorized into five levels according to the increasing severity of the illness. Multivariate logistic regression on polythomous ordinal response was performed to obtain a predictive model of disease progression. A set of parallel scale nomographs then was constructed to transfer the predictive model into a new tool, called the “Uro-gramma,” that is able to simplify the practical use of the traditional nomograms. Results: The Gleason score was the factor that influenced the probability of pathologic stage progression the most; PSA and clinical stage were the second and third most significant factors, respectively. Two-way and three-way interactions were tested and were not found to be significant. The confounding effects of age and neoadjuvant hormonal therapy also were tested, and they had no significant influence on the response variable. A logistic regression algorithm then was used to produce a set of nomographs (the Uro-gramma) for the prediction of different pathologic stages using the Gleason score, PSA level, and clinical stage of disease. Conclusion: The predictive model obtained from this Italian study will help physicians and patients in therapeutic decision making. The Uro-gramma provides a new and easier instrument with respect to previous nomograms and multidimensional tables for pathologic stage prediction.
目的:开发一种实用的预测前列腺癌病理分期的工具。材料和方法:从意大利一项前列腺癌纵向观察研究中选择了250例根治性前列腺切除术患者。入选标准如下:术前前列腺特异性抗原(PSA)值<50 ng/ml;临床分期小于或等于T3c期(TNM 1992);活体格里森评分的可用性;在根治性前列腺切除术中获得的病理标本的可用性。病理分期根据病情的加重程度分为五个阶段。对多态有序反应进行多变量logistic回归,以获得疾病进展的预测模型。然后构建了一组平行刻度图,将预测模型转换为一种称为“urogramma”的新工具,该工具能够简化传统图的实际使用。结果:Gleason评分是影响病理分期进展概率最大的因素;PSA和临床分期分别是第二和第三重要因素。双向和三方的相互作用进行了测试,并没有发现显著。年龄和新辅助激素治疗的混杂效应也被测试,它们对反应变量没有显著影响。然后使用逻辑回归算法生成一组nomographs (urogramma),用于使用Gleason评分、PSA水平和疾病的临床分期来预测不同的病理分期。结论:意大利研究获得的预测模型将有助于医生和患者的治疗决策。相对于以往的形态图和多维表,urogramma为病理分期预测提供了一种新的、更简单的工具。
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引用次数: 0
Benign Prostatic Hyperplasia‐Related Hematuria and the Effect of Finasteride 良性前列腺增生相关血尿和非那雄胺的作用
Pub Date : 2000-12-01 DOI: 10.1046/J.1525-1411.2000.24008.X
S. Foley
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引用次数: 4
Hormones and Diet: Low Insulin-like Growth Factor-1 But Normal Bioavailable Androgens in Vegan Men. 激素和饮食:低胰岛素样生长因子-1但正常的生物可利用雄激素在素食男性。
Pub Date : 2000-12-01 DOI: 10.1046/J.1525-1411.2000.24005-3.X
G. Bubley
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引用次数: 7
A Review of Various Antisense Oligonucleotide Therapeutic Approaches for Prostate Cancer 各种反义寡核苷酸治疗前列腺癌的研究进展
Pub Date : 2000-12-01 DOI: 10.1046/J.1525-1411.2000.24002.X
M. Rubenstein, P. Guinan
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引用次数: 4
Bicalutamide and Flutamide, Each in Combination with Luteinizing Hormone-Releasing Hormone Analogs, in Advanced Prostate Cancer: Exploratory Analysis of Impact of Extent of Disease by Bone Scan on Outcome 比卡鲁胺和氟他胺联合黄体生成素释放激素类似物治疗晚期前列腺癌:骨扫描疾病程度对预后影响的探索性分析
Pub Date : 2000-07-01 DOI: 10.1046/J.1525-1411.2000.23003.X
M. Soloway, P. Schellhammer, R. Sharifi, N. Block, P. Venner, A. Patterson, M. Sarosdy, N. Vogelzang, Julie Jones Schellenger, G. Kolvenbag
Objectives: We performed an exploratory analysis to determine whether there was a difference between two antiandrogen-plus-luteinizing hormone-releasing hormone analogs (LHRHas) combinations in patients with minimal or extensive disease. Materials and Methods: Data from a prospective, randomized, double-blind study with a median follow-up of 160 weeks were used to perform an exploratory analysis of outcome with 2 combined androgen blockade regimens in 813 advanced prostate cancer patients based on disease status at entry (minimal or extensive disease). A total of 404 patients received bicalutamide plus LHRHa, and 409 patients received flutamide plus LHRHa. Patients were grouped prospectively by “extent of disease” as determined by bone scan: minimal disease was defined as zero to five lesions, while extensive disease was defined as greater than or equal to six lesions. Patients with no lesions on bone scan (0 lesions) had to have at least one measurable nonskeletal metastasis. Results: Patients with minimal disease receiving bicalutamide plus LHRHa demonstrated a trend to longer survival as reflected by a hazard ratio (HR) of 0.79 (95% confidence interval 0.59–1.07), but this was not statistically significant. In the extensive disease group, the effects of bicalutamide plus LHRHa and flutamide plus LHRHa on disease progression and survival were similar (HR 0.96 and 0.90, respectively). Conclusions: Our results are consistent with previously published data demonstrating that patients with stage D2 prostate cancer and minimal disease have a better outcome than patients with extensive disease. In the patients with minimal disease per bone scan, there was a trend toward a benefit for bicalutamide plus LHRHa compared with flutamide plus LHRHa in terms of survival, but not in terms of disease progression.
目的:我们进行了一项探索性分析,以确定两种抗雄激素+促黄体生成素释放激素类似物(LHRHas)组合在轻度或广泛疾病患者中是否存在差异。材料和方法:来自一项前瞻性、随机、双盲研究的数据,中位随访时间为160周,用于对813例晚期前列腺癌患者根据入院时疾病状态(轻微或广泛疾病)使用两种联合雄激素阻断方案的结果进行探索性分析。404例患者接受比卡鲁胺加LHRHa治疗,409例患者接受氟他胺加LHRHa治疗。根据骨扫描确定的“疾病程度”对患者进行前瞻性分组:最小疾病定义为0至5个病变,而广泛疾病定义为大于或等于6个病变。骨扫描无病变(0个病变)的患者必须至少有一个可测量的非骨骼转移。结果:最小疾病患者接受比卡鲁胺加LHRHa治疗的风险比(HR)为0.79(95%可信区间0.59-1.07),显示出生存期延长的趋势,但这没有统计学意义。在广泛疾病组,比卡鲁胺加LHRHa和氟他胺加LHRHa对疾病进展和生存的影响相似(HR分别为0.96和0.90)。结论:我们的研究结果与先前发表的数据一致,表明D2期前列腺癌和小病变患者的预后优于广泛病变患者。在每次骨扫描疾病最小的患者中,与氟他胺加LHRHa相比,比卡鲁胺加LHRHa在生存方面有优势,但在疾病进展方面没有优势。
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引用次数: 8
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The open prostate cancer journal
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