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Enigma of Esophageal - Respiratory Fistula in Advanced Esophageal Cancer 食管之谜--晚期食管癌患者的呼吸道瘘
Pub Date : 2023-12-12 DOI: 10.18502/bccr.v13i4.14398
Sheeba Bhardwaj, Diptajit Paul, Vivek Kaushal
Background: The incidence of malignant esophageal-respiratory fistulas in esophageal cancer patients is not so frequent. The fistula development in esophageal cancer may be due to advanced disease or a radiotherapy-related complication. Rarely, a pulmonary abscess may develop, which is the most dreadful complication resulting in dismal outcomes. Here, we reported 2-cases of esophageal-respiratory fistula; one with esophageal bronchial fistula and the other with esophageal pleural fistula. Case reports: A 46-year-aged man presented with complaints of difficulty in swallowing for 4 months. CECT chest showed an esophageal growth of 8.5 cm in the lower esophagus. The patient received palliative radiotherapy followed by palliative chemotherapy and showed some improvement in dysphagia. Nine months after the start of treatment, the patient’s dysphagia began to worsen, and he was put on oral metronomic chemotherapy. After 1-year of metronomic chemotherapy, the patient developed cough and chest pain and was diagnosed with an esophageal-pleural fistula with chest wall collection and pleural effusion. The patient was managed conservatively and later lost to follow-up. Another 65-year-old patient presented with dysphagia for 3-months. CECT chest showed an esophageal growth of 5.5 cm in the middle esophagus. The patient received palliative radiotherapy, after which the dysphagia improved. In 3rd month of follow up patient’s dysphagia worsened; barium swallow showed esophageal-bronchial fistula. The patient was managed symptomatically and later lost to follow-up. Conclusions: Fistula formation and subsequent abscess results in a poor prognosis. With advancing disease and compromised general condition of the patient, palliation of symptoms is a significant challenge. Treatment becomes difficult due to the rare occurrence of fistulas and the non-standardization of the treatment protocol. Invasive treatment includes esophageal-pulmonary resection, endoscopic placement of self-expandable covered stents, drainage of empyema and obliteration of empyema cavity, esophageal diversion, and non-invasive treatment includes best supportive care. However, even with appropriate treatment, the outcome is dismal.
背景:食管癌患者恶性食管-呼吸道瘘的发病率并不高。食管癌患者出现瘘管的原因可能是晚期疾病或放疗相关并发症。极少数情况下,可能会出现肺脓肿,这是最可怕的并发症,会导致严重后果。在此,我们报告了两例食管-呼吸道瘘病例,一例为食管支气管瘘,另一例为食管胸膜瘘。病例报告:一名 46 岁男子主诉吞咽困难 4 个月。胸部 CECT 显示食管下段增生 8.5 厘米。患者接受了姑息性放疗和姑息性化疗,吞咽困难有所改善。治疗开始 9 个月后,患者的吞咽困难开始恶化,于是他开始接受口服节律化疗。甲状腺化疗 1 年后,患者出现咳嗽和胸痛,被诊断为食管胸膜瘘、胸壁积液和胸腔积液。患者接受了保守治疗,后来失去了随访机会。另一名 65 岁的患者出现吞咽困难 3 个月。胸部 CECT 显示食管中段有 5.5 厘米的食管增生。患者接受了姑息性放射治疗,之后吞咽困难有所改善。在随访的第三个月,患者的吞咽困难加重;吞咽钡餐显示食管支气管瘘。患者接受了对症治疗,后来失去了随访机会。结论:瘘管形成和随后的脓肿会导致不良预后。随着病情的发展和患者全身状况的恶化,缓解症状是一项重大挑战。由于瘘管罕见且治疗方案不规范,治疗变得十分困难。侵入性治疗包括食管-肺切除术、内镜下放置可自行扩张的有盖支架、引流脓肿和堵塞脓肿腔、食管改道,非侵入性治疗包括最佳支持治疗。然而,即使进行了适当的治疗,结果也是令人沮丧的。
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引用次数: 0
Evaluation of the bone marrow transplantat recipient patients regarding fever onset, fever permanence, risk factors, and underlying causes, during the pre-engraftment phase 评估骨髓移植受者在移植前阶段的发热起始、持续时间、风险因素和潜在原因
Pub Date : 2023-12-12 DOI: 10.18502/bccr.v13i4.14401
Masoume Mesgarian, Sahar Shadvar, Mehrangiz Zangene, Seyyed Reza Safaee Nodehi
Background: Patients undergoing bone marrow transplantation (BMT) are at higher risk of immune system deficiency. The immunosuppression, followed by pre-transplant chemotherapy makes patients vulnerable to a variety of infections, and fever is one of the first symptoms, which could develop as a result of infectious or non-infectious diseases. In the present study, the features of the fever during the pre-engraftment stage in BMT-receiving patients have been investigated. Materials and Methods: Sixty-four patients receiving BMT were prospectively evaluated during the pre-engraftment phase to evaluate the evidence of the febrile reaction. Data concerning the cause of fever, microbiological tests, the treatments and fever onset pattern, and treatment outcomes were recorded and analyzed. Results: 73.4% of the patients had autologous transplants, and the others received allogeneic. After transplantation, 75% of patients encountered fever during the pre-engraftment period. Of the 48 patients, 47.9% of the patients suffered from fever of unknown origin (FUO). Age, gender, underlying malignancy, type of transplantation, and acute phase reactants levels before transplantation were not associated with fever development. Among febrile patients, patients with autologous transplantation were significantly more likely to develop FUO (p-value = 0.036) There was also no significant difference in the onset of fever between patients with infectious fever and who suffered FUO Conclusions: During BMT, half of the patients developed a fever of unknown origin; nevertheless, it seems that patients undergoing autologous transplantation are at higher risk of FUO compared to patients who received an allogeneic transplant.
背景:接受骨髓移植(BMT)的患者出现免疫系统缺陷的风险较高。移植前的化疗和免疫抑制使患者容易受到各种感染,而发热是最先出现的症状之一,可能由感染性或非感染性疾病引起。本研究对接受 BMT 患者在移植前阶段的发热特征进行了调查。材料和方法:对 64 例接受 BMT 的患者在移植前阶段进行了前瞻性评估,以评估发热反应的证据。记录并分析了有关发热原因、微生物检验、治疗方法和发热模式以及治疗结果的数据。结果73.4%的患者接受了自体移植,其他患者接受了异体移植。移植后,75%的患者在移植前期出现发热。在48名患者中,47.9%的患者发热原因不明(FUO)。年龄、性别、基础恶性肿瘤、移植类型和移植前急性时相反应物水平与发热无关。在发热患者中,自体移植患者发生 FUO 的几率明显更高(P 值 = 0.036):在 BMT 期间,半数患者出现了不明原因的发热;不过,与接受异体移植的患者相比,接受自体移植的患者发生 FUO 的风险似乎更高。
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引用次数: 0
DNA oxidation-based analysis: A new approach to assessing the relationship between nutrition and cancer 基于 DNA 氧化的分析:评估营养与癌症关系的新方法
Pub Date : 2023-12-12 DOI: 10.18502/bccr.v13i4.14400
Mehdi Karimi, Kamran Roudini, Abolfazl Zendehdel, Fatemeh Toorang, S. Ebrahimpour-Koujan
Background: DNA oxidation is one of the essential destructive effects of reactive oxygen species (ROS) on the cell membrane macromolecules leading to the deformation of cellular DNA. The most abundant oxidative DNA product on which most studies have focused is re-oxidized DNA, 8 oxo-deoxyguanosine (8-oxodG). This deformation of cellular DNA is associated with various cancer initiation and progression. DNA damage can be a cancer marker including 8-oxodG, thymidine glycol, 8-oxoadenine, etc. DNA oxidation is affected by environmental and non-environmental factors. Age, diet, and metabolism are at the heart of this process. This review study summarizes the types of cancer-related DNA oxidation that serve as a cancer biomarker. Also, we will look at the factors influencing their formation.
背景:DNA 氧化是活性氧(ROS)对细胞膜大分子的重要破坏作用之一,会导致细胞 DNA 变形。大多数研究关注的最丰富的 DNA 氧化产物是再氧化 DNA,即 8-氧代脱氧鸟苷(8-oxodG)。细胞 DNA 的这种变形与各种癌症的发生和发展有关。DNA 损伤可作为癌症标志物,包括 8-oxodG、胸腺嘧啶二醇、8-oxoadenine 等。DNA 氧化受环境和非环境因素的影响。年龄、饮食和新陈代谢是这一过程的核心。本综述研究总结了作为癌症生物标志物的癌症相关 DNA 氧化类型。此外,我们还将探讨影响其形成的因素。
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引用次数: 0
Comprehensive Study of Lung Cancer Proton Therapy with Injection of GNPs 注入 GNP 的肺癌质子疗法综合研究
Pub Date : 2023-12-12 DOI: 10.18502/bccr.v13i4.14404
R. Khoramdel, S. N. Hosseini Motlagh, Z. Parang
The application of radiation therapy (RT) in lung cancer has shown some exciting and sometimes disappointing advances in recent years. Protons compared with photons interact differently with human tissues, and can be used to improve patient care for suffering from lung cancer. A new strategy is the simultaneous injection of nanoparticles with proton radiation into the tumor which has been given over a decade to improve conventional RT. In this work, proton beam therapy (PBT) with gold nanoparticles (GNPs) is used as a part of a combination program to treat advanced localized lung cancers. This paper aims to develop the complex Geant4 model on the human lung and predict the distribution of absorbed dose in lung tumors during proton therapy without and with a high-Z injection of GNPs. Thus, the absorbed dose distribution in lung tumors for four modes such as (i) Bethe-Bloch’s relativistic quantum theory, (ii) GEANT4/ GATE7 simulation model, (iii) Hartree-Fock-Roothaan(HFR) wave functions, and the (vi) Bortfeld theoretical model without and with the injection of GNPs in predicted lung phantom are compared.
近年来,放射治疗(RT)在肺癌中的应用取得了一些令人兴奋的进展,有时也令人失望。与光子相比,质子与人体组织的相互作用不同,因此可用于改善肺癌患者的治疗。一种新的策略是将纳米粒子与质子射线同时注入肿瘤,这种方法已经应用了十多年,以改善传统的 RT 治疗。在这项工作中,质子束疗法(PBT)与金纳米粒子(GNPs)被用作治疗晚期局部肺癌的组合方案的一部分。本文的目的是在人体肺部建立复杂的 Geant4 模型,并预测质子治疗过程中不注射和注射高 Z 值金纳米粒子时肺部肿瘤的吸收剂量分布。因此,本文比较了四种模式下肺部肿瘤的吸收剂量分布情况,如:(i) Bethe-Bloch 相对量子理论;(ii) GEANT4/ GATE7 模拟模型;(iii) Hartree-Fock-Roothaan(HFR) 波函数;(vi) Bortfeld 理论模型(在预测的肺部模型中未注入和注入 GNPs)。
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引用次数: 0
New Method for 18FDG generating using Geant4/ Gate7 利用 Geant4/ Gate7 生成 18FDG 的新方法
Pub Date : 2023-12-12 DOI: 10.18502/bccr.v13i4.14405
Abuzar Shakeri, Ebrahim Heidari, Nasrin Hosseini Motlagh, H. Vanaei
Fluorine 18-deoxyglucose is often used in Positron Emission Tomography devices. Positron Emission Tomography imaging is one of the useful tool which is used for cancer detection and its management. Positron Emission Tomography growth is limited due to problems that depend on the production of Fluorine-18. Imaging results are strongly depending on the information of nuclear reaction cross section data. This study is presented to calculate different quantities such as stopping power, CSDA range, simulated and distributed absorbed dose of Fluorine-18 in water. In order to access these goals, we use Geant4/Gate7 simulation and the Bethe-Bloch model. The results of this simulation and theoretical model presented are in good agreement with each other. The important point of this paper is the presentation of a theoretical approach in order to the production of Fluorine-18 using protons generated through the main D(d;p)Tand side 3 He(d;p)4 He nuclear fusion reaction in which uses Helium-3 is catalyzed.
氟 18-脱氧葡萄糖常用于正电子发射断层扫描设备。正电子发射断层扫描成像是用于癌症检测和治疗的有用工具之一。由于氟-18 的生产问题,正电子发射断层成像技术的发展受到了限制。成像结果在很大程度上取决于核反应截面数据的信息。本研究旨在计算氟-18 在水中的不同数量,如停止功率、CSDA 范围、模拟吸收剂量和分布吸收剂量。为了实现这些目标,我们使用了 Geant4/Gate7 模拟和 Bethe-Bloch 模型。模拟结果与理论模型的结果非常吻合。本文的重点是介绍一种理论方法,以便利用主 D(d;p)T 和侧 3 He(d;p)4 He 核聚变反应产生的质子来生产氟-18,其中使用氦-3 作为催化剂。
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引用次数: 0
FeCo-Chitosan / DNA nanoparticles for gene transfer to MCF-7 breast cancer cells: preparation and characterization 用于 MCF-7 乳腺癌细胞基因转移的铁钴壳聚糖/DNA 纳米粒子:制备与表征
Pub Date : 2023-12-12 DOI: 10.18502/bccr.v13i4.14399
A. Abdolmaleki, Z. O. Khudhur, S. W. Smail, A. Asadi, Amin Amani
Background: Researchers have seen gene therapy as one of the most important techniques for treating illnesses including cancer and a range of genetic problems in recent years. The capacity of FeCo-Chitosan nanoparticles for gene transport into MCF-7 cells was explored in this study Methods: FeCo-Chitosan/DNA nanoparticles were prepared. Then, physicochemical features of nanoparticles, were assessed using SEM. Also, biological features of the nanoparticles including biocompatibility, DNA protection, DNA release, and gene transfer capacity to MCF-7 cells were studied,. Results: Results showed that FeCo-Chitosan / DNA nanoparticles exhibited a spherical shape with an average size of around 200 nm. The zeta potential of the FeCo-Chitosan/DNA complex increased with increasing the concentration of FeCo-Chitosan nanoparticles in the FeCo-Chitosan/DNA complex. Electrophoretic analyses showed that FeCo-Chitosan/DNA nanoparticles protects DNA against nuclease degradation and ultrasonic damage. Also, MTT test revealed that FeCo-Chitosan nanoparticles had a good biocompatibility. Conclusions: FeCo-Chitosan nanoparticles may safely transfer and release DNA to MCF-7 cells, according to fluorescence microscopy and flow cytometry studies. These findings also revealed that increasing the concentration of FeCo-Chitosan in the FeCo-Chitosan/DNA complex improved gene transfer efficiency
背景:近年来,研究人员已将基因疗法视为治疗包括癌症和一系列遗传问题在内的疾病的最重要技术之一。本研究探讨了铁钴壳聚糖纳米颗粒向 MCF-7 细胞转运基因的能力:制备铁钴壳聚糖/DNA 纳米颗粒。然后,使用扫描电镜评估纳米颗粒的物理化学特征。此外,还研究了纳米颗粒的生物特性,包括生物相容性、DNA 保护、DNA 释放以及向 MCF-7 细胞转移基因的能力。结果显示结果表明,FeCo-壳聚糖/DNA 纳米粒子呈球形,平均尺寸约为 200 nm。随着 FeCo-Citosan/DNA 复合物中 FeCo-Citosan 纳米粒子浓度的增加,FeCo-壳聚糖/DNA 复合物的 zeta 电位也随之增加。电泳分析表明,FeCo-壳聚糖/DNA 纳米粒子能保护 DNA 免受核酸酶降解和超声波破坏。此外,MTT 测试表明,FeCo-壳聚糖纳米粒子具有良好的生物相容性。结论荧光显微镜和流式细胞术研究表明,钴壳聚糖铁纳米粒子可安全地转移和释放 DNA 到 MCF-7 细胞中。这些研究结果还表明,提高铁钴壳聚糖/DNA 复合物中铁钴壳聚糖的浓度可提高基因转移效率。
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引用次数: 0
Polymorphisms in insulin pathway genes and cancer risk 胰岛素通路基因的多态性与癌症风险
Pub Date : 2023-12-12 DOI: 10.18502/bccr.v13i4.14403
Fatemeh Abedi Sarvestani, Tahereh Karimi Shayan, A. Abdolmaleki, A. Asadi
Background: Insulin is a big hormone (5808 Da) generally produced with the aid of the pancreas. Insulin receptors (IR) are found in neurons and glial cells. Insulin resistance has been related to increased plasma insulin levels, glucose intolerance, elevated insulin-like growth factor-1 (IGF-I), glucose and free fatty acids, body mass index, and an elevated risk for colorectal cancers. Proinflammatory cytokines, boom components, and hormones secreted by adipocytes play a key role in colorectal cancer etiology. Acetyl-CoA acetyltransferase (ACAT1) mediates insulin-precipitated cell proliferation and metastatic outcomes in colorectal cancer cells. Therefore, miRNAs might serve as a biological connection between metabolic changes linked to obesity and the beginning and progression of Colorectal Cancer Cancer (CRC). Furthermore, these findings shed new light on weight problems as a CRC danger component in which miRNA dysregulation may be involved. The function of IGFs in CRC is investigated by examining the association of two genetic polymorphisms in IGFBP-3 (a G → C single nucleotide polymorphism) and IGF-1 (a cytosine-adenosine dinucleotide repeat) with CRC risk in addition to the possibility of the other interventions, including physical activity, body mass index (BMI), and the use of postmenopausal hormones. These factors can exert their effects by modifying IGF-1 and the related binding proteins (IGFBP). Furthermore, the IGFBP-3 genotype can lead to a substantial effect modifier in the association between CRC and risk factors. It has been found that functional polymorphisms in the pathway of insulin genes, including IGFBPI, INSR, INS, and insulin receptor substrates 1 and 2 (IRS1 and IRS2), can be related to CRC.
背景:胰岛素是一种大型激素(5808 Da),一般由胰腺分泌。胰岛素受体(IR)存在于神经元和神经胶质细胞中。胰岛素抵抗与血浆胰岛素水平升高、葡萄糖不耐受、胰岛素样生长因子-1(IGF-I)、葡萄糖和游离脂肪酸升高、体重指数以及结直肠癌风险升高有关。脂肪细胞分泌的促炎细胞因子、繁荣成分和激素在结直肠癌的病因中起着关键作用。乙酰-CoA 乙酰转移酶(ACAT1)介导胰岛素诱导的结直肠癌细胞增殖和转移结果。因此,miRNA 可能是肥胖引起的代谢变化与结直肠癌癌症(CRC)开始和发展之间的生物学联系。此外,这些发现还揭示了体重问题作为 CRC 危险因素的新含义,其中可能涉及 miRNA 失调。通过研究 IGFBP-3(G → C 单核苷酸多态性)和 IGF-1(胞嘧啶腺苷二核苷酸重复)的两种遗传多态性与 CRC 风险的关系,以及其他干预措施(包括体育锻炼、体重指数(BMI)和绝经后激素的使用)的可能性,研究了 IGFs 在 CRC 中的功能。这些因素可通过改变 IGF-1 和相关结合蛋白(IGFBP)来产生影响。此外,IGFBP-3 基因型也会对 CRC 与风险因素之间的关联产生重大影响。研究发现,胰岛素基因(包括 IGFBPI、INSR、INS 和胰岛素受体底物 1 和 2(IRS1 和 IRS2))通路中的功能多态性可能与 CRC 有关。
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引用次数: 0
Tuberous sclerosis complex, Clinic and pathology manifestations, Mini -review 结节性硬化症复合体,临床和病理表现,小型综述
Pub Date : 2023-12-12 DOI: 10.18502/bccr.v13i4.14402
Behnaz Darvishi, Mazaher Ramezani
Tuberous sclerosis complex (TSC) is an autosomal dominant neurocutaneous syndrome that affects almost all of the organs of the body, including the brain, heart, lungs, liver, and kidneys. Brain tumors in TSC patients include cortical tubers, subependymal nodules (SENs), and Subependymal giant cell astrocytomas (SEGAs). Seizures that occur in 92% of patients with TSC are an important cause of sudden deaths in them. Other organ involvement includes renal angiomyolipomas, lymphangioleiomyomatosis, cardiac rhabdomyomas, and cutaneous manifestations (hypomelanotic macules, angiofibroma, ungual fibromas, shagreen patch, and ‘confetti’ skin lesions). There is a criterion for tuberous sclerosis complex that consists of 11 major and 6 minor clinical features that diagnosis occurs based on it. The best way for a definitive diagnosis of TSC in a patient is by using genetic tests and histopathology. Immunohistochemistry is a helpful method in confirming the diagnosis of brain tumors in TSC. Immunostaining of SEGA shows positivity for GFAP and S-100 protein while neurofilament and synaptophysin are negative. Ki-67, which indicates nuclear proliferation, has a low proliferation index in immunostain. In an aggressive tumor, hydrocephalus, rising intracranial pressure and focal neurologic deficit, surgery is a necessity and can improve outcomes. Brain and kidney involvement in this disease is life-threatening. Brain involvement in these patients can lead to extensive neuropsychological complications, so the aim of this study is a concise review of the variable manifestations of this disease with a focus on the histopathological findings of brain involvement.
Tuberous sclerosis complex(TSC)是一种常染色体显性神经皮肤综合征,几乎会影响身体的所有器官,包括大脑、心脏、肺、肝脏和肾脏。TSC患者的脑肿瘤包括皮质管瘤、腮腺下结节(SENs)和腮腺下巨细胞星形细胞瘤(SEGAs)。92%的TSC患者会出现癫痫发作,这是导致患者猝死的一个重要原因。其他受累器官包括肾血管肌脂肪瘤、淋巴管瘤、心脏横纹肌瘤和皮肤表现(黑斑、血管纤维瘤、单舌纤维瘤、长绿斑和 "纸屑 "皮损)。结节性硬化综合症有一个标准,其中包括 11 个主要临床特征和 6 个次要临床特征,根据这些特征就可以做出诊断。确诊 TSC 的最佳方法是进行基因检测和组织病理学检查。免疫组化是确诊 TSC 脑肿瘤的一种有效方法。SEGA的免疫染色显示GFAP和S-100蛋白呈阳性,而神经丝蛋白和突触素呈阴性。表示核增殖的 Ki-67 在免疫染色中的增殖指数较低。对于侵袭性肿瘤、脑积水、颅内压升高和局灶性神经功能缺损,手术是必要的,而且可以改善预后。这种疾病累及大脑和肾脏会危及生命。这些患者的脑部受累可导致广泛的神经心理并发症,因此本研究旨在简明扼要地回顾本病的各种表现,重点关注脑部受累的组织病理学发现。
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引用次数: 0
NF-α, IL6, IL1-α, IL-10 and TGF-β1 Gene Expression in Iranian Acute Myeloid Leukemia Patients 伊朗急性髓性白血病患者的 NF-α、IL6、IL1-α、IL-10 和 TGF-β1 基因表达
Pub Date : 2023-12-10 DOI: 10.18502/bccr.v14i1.14388
A. G. Ranjbary, Mohammad KajiYazdi
Acute myeloid leukemia is a heterogeneous clonal disorder of blood-producing cells that are among the most common malignant disorders in adults. The purpose of this study was to examine the gene expression of TNF-α, IL6, IL1-α, IL-10, and TGF-β1 at diagnosis in acute myeloid leukemia. The current study included 50 patients with acute myeloid leukemia and 50 control subjects. ELISA was used to determine the serum concentrations of TNF-α, IL6, IL1-α, IL-10, and TGF-β1. After cDNA synthesis and RNA extraction, the expression of TNF-α, IL6, IL1-α, IL-10, and TGF-β1 genes was determined using real-time PCR (ΔΔCT computational). Statistical analysis was conducted with Statistical Package for the Social Sciences 19, and P<0.05 was deemed statistically significant. The mean serum levels of TNF-α, IL6, IL1-α, IL-10, and TGF-β1 were lower in patients with acute myeloid leukemia than in the control group. In addition, cytokine mRNA expression in peripheral blood mononuclear cells was significantly lower in AML patients compared to the control group (p<0.0001). Changes in TNF-α, IL6, IL1-α, IL-10, and TGF-β1 were associated with acute myeloid leukemia, according to the findings. The current study supports the use of cytokines as diagnostic biomarkers for acute myeloid leukemia.
急性髓性白血病是一种异质性的造血细胞克隆性疾病,是成人中最常见的恶性疾病之一。本研究旨在检测急性髓性白血病确诊时 TNF-α、IL6、IL1-α、IL-10 和 TGF-β1 的基因表达。本研究包括 50 名急性髓性白血病患者和 50 名对照组受试者。采用酶联免疫吸附法测定血清中 TNF-α、IL6、IL1-α、IL-10 和 TGF-β1 的浓度。cDNA 合成和 RNA 提取后,使用实时 PCR(ΔΔCT 计算)测定 TNF-α、IL6、IL1-α、IL-10 和 TGF-β1 基因的表达。统计分析采用社会科学统计软件包 19,P<0.05 为差异有统计学意义。急性髓性白血病患者血清中 TNF-α、IL6、IL1-α、IL-10 和 TGF-β1 的平均水平低于对照组。此外,与对照组相比,急性髓性白血病患者外周血单核细胞中细胞因子 mRNA 的表达量明显降低(P<0.0001)。研究结果表明,TNF-α、IL6、IL1-α、IL-10和TGF-β1的变化与急性髓性白血病有关。目前的研究支持使用细胞因子作为急性髓性白血病的诊断生物标志物。
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引用次数: 0
ASKIN’S TUMOR: A CASE REPORT AND LITERATURE REVIEW 阿金氏肿瘤:病例报告和文献综述
Pub Date : 2023-12-10 DOI: 10.18502/bccr.v14i1.14386
Kiran Bhaisare, Jessica Tellis, Pramod Toshniwal
Askin tumour is an uncommon form of malignant neoplasm that develops from the soft tissues of the thoracopulmonary wall and has a neuroectodermal origin and possess aggressive behavior. As it mimics other common pediatric disorders such as empyema, tuberculosis, lymphoma, rhabdomyosarcoma and neuroblastoma, it acts as a great diagnostic and therapeutic challenge to the treating clinicians. Its rarity, however, contributes greatly to the absence of standardized treatment protocols further facilitating detrimental prognosis. So, the major deciding factor of its survival rate is early and precise diagnosis followed by its treatment. The present study reports a case Askin’s tumor in a child which is locally aggressive and quite rare. While making the definitive diagnosis of an Askin’s tumour of the thorcopulmonary region the possibility of the occurrence of other primitive neuroectodermal tumors (PNET) was not ruled out.
阿斯金瘤是一种不常见的恶性肿瘤,它发生于胸肺壁软组织,起源于神经外胚层,具有侵袭性。由于它与其他常见的儿科疾病(如肺水肿、肺结核、淋巴瘤、横纹肌肉瘤和神经母细胞瘤)相似,因此对临床医生的诊断和治疗提出了巨大挑战。然而,它的罕见性在很大程度上导致了标准化治疗方案的缺失,进一步助长了不利的预后。因此,其存活率的主要决定因素是早期精确诊断和治疗。本研究报告了一例阿斯金氏瘤患儿,该肿瘤具有局部侵袭性,相当罕见。在明确诊断为胸肺区阿斯金氏瘤的同时,也不排除发生其他原始神经外胚层肿瘤(PNET)的可能性。
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引用次数: 0
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Basic &amp; Clinical Cancer Research
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