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Bone metastases of prostate cancer: PSMA PET versus bone scan 前列腺癌骨转移:PSMA PET与骨扫描
Pub Date : 2023-06-21 DOI: 10.25259/asjo_4_2023
I. Sarikaya
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引用次数: 0
A bibliometric analysis of CiteSpace software-based immunotherapy for the treatment of diffuse large B-cell lymphoma 基于CiteSpace软件的免疫疗法治疗弥漫性大B细胞淋巴瘤的文献计量学分析
Pub Date : 2023-06-21 DOI: 10.25259/asjo_1_2023
Weichen Si
To analyze the literature data and research status of immunotherapy for the treatment of diffuse large B-cell lymphoma since the establishment of the Web of Science (WOS) core database.The WOS core database was searched for literature related to immunotherapy for diffuse large B-cell lymphoma, and the included literature was formatted, cleaned, node merged, and analyzed using CiteSpace software. Based on the parameters set, the included literature was analyzed for trends in publications, author publications and inter-author collaborations, national publications, global institutional publications and inter-institutional collaborations, citations, keyword co-occurrence, keyword emergence, and keyword clustering. The final visual knowledge map was created.A total of 370 articles were selected for inclusion. The highest number of annual publications was in 2021. Four individuals, Marconato Laura; Ansell, Stephen M; Xiao Min; and Aresu Luca, were the most published scholars. The United States with 152 publications was the country with the highest number of publications. Benjamin J is the most cited scholar in this field. The top three most cited keywords were “expression,” “diffuse large b-cell lymphoma,” and “rituximab.” “Bone marrow transplantation” was the first and longest-running keyword. “Cancer immunotherapy,” “resistance,” and “cytokine release syndrome” are still hot topics. The keyword clusters “pd-l1,” “antibody-based,” “immunotherapy,” and “cd19” were the main clusters studied.After visualization and analysis, the recent research and hot trends in the field of immunotherapy for diffuse large B-cell lymphoma were reviewed using knowledge mapping and further presented in a visualized form, providing a reference for further development of related research in the future.
分析Web of Science (WOS)核心数据库建立以来免疫疗法治疗弥漫性大b细胞淋巴瘤的文献资料及研究现状。在WOS核心数据库中检索与弥漫性大b细胞淋巴瘤免疫治疗相关的文献,使用CiteSpace软件对纳入的文献进行格式化、清理、节点合并和分析。基于设置的参数,分析纳入文献的发表趋势、作者发表趋势和作者间合作趋势、国家发表趋势、全球机构发表趋势和机构间合作趋势、被引趋势、关键词共现趋势、关键词出现趋势和关键词聚类趋势。最终的可视化知识图谱创建完成。共有370篇文章入选。年度出版物数量最多的年份是2021年。四个人,Marconato Laura;斯蒂芬·M·安塞尔;肖最小;和阿雷苏·卢卡,是发表论文最多的学者。美国发表了152篇论文,是发表论文最多的国家。本杰明·J是这个领域被引用次数最多的学者。被引用最多的三个关键词是“表达”、“弥漫性大b细胞淋巴瘤”和“利妥昔单抗”。“骨髓移植”是第一个也是持续时间最长的关键词。“癌症免疫治疗”、“耐药性”和“细胞因子释放综合征”仍然是热门话题。关键词簇“pd-l1”、“基于抗体”、“免疫治疗”和“cd19”是研究的主要簇。通过可视化分析,利用知识图谱对弥漫性大b细胞淋巴瘤免疫治疗领域的最新研究和热点趋势进行综述,并进一步以可视化的形式呈现,为今后相关研究的进一步开展提供参考。
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引用次数: 0
Derek Jarman's medieval blood: Queer devotion, affective medicine, and the AIDS Crisis. 德里克-贾曼的中世纪之血:同性恋奉献、情感医学和艾滋病危机。
IF 0.4 Pub Date : 2023-01-01 Epub Date: 2023-01-24 DOI: 10.1057/s41280-022-00260-0
Eleanor Myerson

In this article I consider medieval blood imagery in the paintings, films and journals of Derek Jarman, focusing on works made between 1989-1993. Taking a transhistorical comparative approach, I analyse Jarman's images alongside his medieval sources, primarily Julian of Norwich's Revelations and Gerard of Cremona's translation of Ibn Sīnā's (Avicenna's) al-Qa'n ū n fī al-tibb (Canon of Medicine). In addition, I find my own commonalities between Jarman and the medieval, for example, juxtaposing his Queer series of paintings with MS Egerton 1821. Critics have explored the medieval as a site of historical precedent for the stigmatisation of disease, providing a reservoir of images of leprosy and plague which inform the discourse of AIDS as immoral pollution. However I follow Jarman's lead in seeking new avenues through the medieval in relation to the AIDS crisis. Refusing to accept the discourses which cast his HIV+ blood as the ultimate symbol of pollution and death, Jarman mobilised the aesthetics and imagery of medieval affective devotion as a powerful alternative. Through the deployment of these traditions, HIV+ blood becomes holy blood, the source of salvation, desire, community and healing.

在这篇文章中,我探讨了德里克-贾曼的绘画、电影和日记中的中世纪血腥图像,重点是 1989-1993 年间的作品。我采用一种跨历史的比较方法,将贾曼的图像与他的中世纪资料(主要是诺威奇的朱利安的《启示录》和克雷莫纳的杰拉德对伊本-西纳(阿维森纳)的《医典》(al-Qa'n ū n fī al-tibb)的翻译)一起进行分析。此外,我还发现了贾曼与中世纪之间的共通之处,例如,将他的 "同性恋者"(Queer)系列画作与《埃格顿1821》(MS Egerton 1821)并列。评论家们将中世纪作为疾病污名化的历史先例,提供了麻风病和瘟疫的形象库,为艾滋病作为不道德污染的论述提供了依据。然而,我跟随贾曼的脚步,通过中世纪寻求与艾滋病危机相关的新途径。贾曼拒绝接受将其艾滋病毒携带者的血液作为污染和死亡的终极象征的论述,他调动了中世纪情感奉献的美学和意象作为一种强有力的替代。通过对这些传统的运用,HIV+血液变成了圣血,成为救赎、欲望、群体和治愈的源泉。
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引用次数: 0
Revisiting Concepts of Magnetic Resonance Spectroscopy in the Evaluation of Brain Lesions: An Institutional Experience 脑损伤评估中磁共振波谱概念的再认识:一项机构经验
Pub Date : 2022-08-30 DOI: 10.1055/s-0042-1750709
Bhanupriya Singh, R. Yadav, T. Kumar, Sandeep Kawlra
Objective Magnetic resonance spectroscopy (MRS) has emerged as a technique due to its ability to characterize the metabolite constituent of any lesion. We have evaluated magnetic resonance (MR) spectral patterns in different neoplastic brain lesions, using the ability of MRS in grading of gliomas. MRS also helps in differentiating between high-grade glioma and metastases. Method A retrospective observational study in histologically confirmed cases of brain neoplasms in which MRS was performed as a part of preoperative MR imaging. The pattern of metabolite peak was observed and means with standard deviation of different metabolite ratios (choline/creatine, choline/N-acetylaspartate [NAA], NAA/creatine) were calculated for different tumors. Analysis was done to see statistically significant differences in metabolite ratios of different grades of gliomas and to differentiate high-grade gliomas from metastases. Result A total of 61 cases with brain tumor were included in the study. Of which, 20 cases were of gliomas, 11 metastases, 9 meningiomas, 4 dysembryoplastic neuroepithelial tumors, 6 pituitary macroadenomas, 4 trigeminal schwannomas, 3 craniopharyngiomas, 2 acoustic schwannomas, and 2 medulloblastomas. Statistically significant differences in ratios of metabolite peaks were noted between different grades of gliomas and for high-grade glioma versus metastases. Conclusion MRS compliments the MR imaging and stands out as problem-solving method to distinguish neoplastic lesions in selected cases and also has a role in grading of gliomas and in differentiation of types of malignancies.
客观的 磁共振波谱(MRS)由于其能够表征任何病变的代谢物成分而成为一种技术。我们利用MRS在胶质瘤分级中的能力,评估了不同脑肿瘤病变的磁共振(MR)谱模式。MRS也有助于区分高级别胶质瘤和转移瘤。方法 一项对组织学确诊的脑肿瘤病例的回顾性观察研究,其中MRS是作为术前MR成像的一部分进行的。观察代谢产物峰值模式,并计算不同肿瘤的不同代谢产物比率(胆碱/肌酸、胆碱/N-乙酰天冬氨酸[NAA]、NAA/肌酸)的标准差均值。进行分析以观察不同级别胶质瘤的代谢产物比率的统计学显著差异,并区分高级别胶质瘤和转移瘤。后果 本研究共纳入61例脑肿瘤患者。其中胶质瘤20例,转移瘤11例,脑膜瘤9例,胚胎发育不良神经上皮肿瘤4例,垂体大腺瘤6例,三叉神经鞘瘤4例,颅咽管瘤3例,听神经鞘瘤2例,髓母细胞瘤2例。在不同级别的胶质瘤之间以及高级别胶质瘤与转移瘤之间,代谢产物峰值比率存在统计学上的显著差异。结论 MRS是对MR成像的补充,是区分选定病例中肿瘤病变的解决问题的方法,在胶质瘤分级和恶性肿瘤类型鉴别中也有作用。
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引用次数: 0
Erratum: Approach to the Diagnosis of Hepatoid Adenocarcinoma, an Under-reported Entity: Case Series and Review of Literature 勘误表:一种报道不足的类肝腺癌的诊断方法:病例系列和文献综述
Pub Date : 2022-08-24 DOI: 10.1055/s-0042-1756342
P. Chhabra, S. Sancheti, A. Sali, P. Somal, Aishwarya Sharma, R. Brar, A. Gulia, Rakesh Kapoor
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引用次数: 0
Primary Bilateral Ovarian Lymphoma: A Rare Case Report 原发性双侧卵巢淋巴瘤:一例罕见病例报告
Pub Date : 2022-07-25 DOI: 10.1055/s-0042-1753497
Salwa Bano, V. Ramaswamy, C. Chandrashekar
Primary ovarian lymphomas constitute 0.5% of all ovarian malignancies. We report one such case in a middle-aged woman who presented with a bilateral ovarian tumor. Bilateral oophorectomy with salpingectomy was sent for frozen section analysis that revealed a round cell tumor. Final histopathology showed a mitotically active small round blue cell tumor arranged in diffuse sheets and chords with an evident starry-sky pattern. Extensive immunohistochemistry (IHC) panel was performed. Histopathology along with IHC did not classify the tumor into diffuse-large-B cell-lymphoma or Burkitt lymphoma and a final diagnosis of high-grade B cell lymphoma (HGBL) was made. This case is presented for its rarity and to discuss the challenges on IHC to subclassify a lymphoma as HGBL. Although rare, the possibility of primary ovarian non-Hodgkin lymphoma should be kept in mind when dealing with bilateral ovarian tumors as a timely and accurate diagnosis can save unnecessary surgeries and improve outcome.
原发性卵巢淋巴瘤占所有卵巢恶性肿瘤的0.5%。我们报告一个这样的情况下,在一个中年妇女谁提出了一个双侧卵巢肿瘤。双侧卵巢切除术和输卵管切除术被送去做冷冻切片分析,发现一个圆形细胞肿瘤。最终组织病理学显示一个有丝分裂活跃的小圆形蓝色细胞瘤,呈弥漫性片状和弦状排列,呈明显的星空状。进行广泛的免疫组化(IHC)检测。组织病理学和免疫组化未将肿瘤分类为弥漫性大B细胞淋巴瘤或伯基特淋巴瘤,最终诊断为高级别B细胞淋巴瘤(HGBL)。本病例因其罕见而呈现,并讨论免疫组化将淋巴瘤亚分类为HGBL的挑战。虽然罕见,但在处理双侧卵巢肿瘤时应注意原发性卵巢非霍奇金淋巴瘤的可能性,及时准确的诊断可以节省不必要的手术,改善预后。
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引用次数: 0
Effectiveness and Safety of Allopurinol, Febuxostat, and Rasburicase in the Prevention of Tumor Lysis Syndrome: A Systematic Review and Network Meta-analysis 别嘌呤醇、非布司他和Rasburicase预防肿瘤溶解综合征的有效性和安全性:系统综述和网络荟萃分析
Pub Date : 2022-07-21 DOI: 10.1055/s-0042-1750701
E. M. Masamayor, J. J. Besa, C. S. Tan-Lim, A. Pajes, Lia M. Palileo-Villanueva
Although prevention is vital in managing tumor lysis syndrome (TLS), no study directly compares various regimens. This study compared the effectiveness and safety of urate-lowering agents in preventing TLS. Databases were searched for randomized controlled trials involving adults with hematologic or solid malignancies on chemotherapy or cytoreductive agents given allopurinol, febuxostat, or rasburicase alone or in combination at any dose, form, or frequency published in English by December 2021. Outcomes included laboratory and clinical TLS expressed as relative risks, adverse events as described by authors, and mean serum uric acid (sUA) as mean differences of area under the curve. A network of meta-analysis and post-hoc meta-analysis based on TLS risk using a random-effects model was done using Stata 14.0 and Review Manager 5.3, respectively. Certainty of evidence was assessed using the GRADE approach. Three studies with a total of 633 participants given allopurinol, febuxostat, rasburicase, or rasburicase combined with allopurinol were included. Rasburicase is more effective than allopurinol in preventing laboratory TLS (relative risk: 0.51; 95% confidence interval [CI]: 0.32–0.81) based on moderate quality evidence. No significant differences were observed in clinical TLS. Adverse events were attributable to toxicities of chemotherapy. Rasburicase alone or in combination with allopurinol was better than allopurinol or febuxostat alone in reducing sUA level. Febuxostat is more effective than allopurinol in lowering sUA levels among patients at high-risk of TLS (mean difference −125.75; 95% CI: −223.47 to −28.02). Rasburicase may be the most effective agent in preventing laboratory TLS and maintaining low sUA levels.
虽然预防对治疗肿瘤溶解综合征(TLS)至关重要,但没有研究直接比较不同的治疗方案。本研究比较了降尿酸药物预防TLS的有效性和安全性。数据库检索了在2021年12月之前以英文发表的任何剂量、形式或频率,涉及接受化疗或细胞减减剂的成人血液学或实体恶性肿瘤患者的随机对照试验,这些试验单独或联合给予别嘌呤醇、非布司他或rasburicase。结果包括实验室和临床TLS表示为相对风险,作者描述的不良事件,平均血清尿酸(sUA)表示为曲线下面积的平均差异。使用Stata 14.0和Review Manager 5.3分别对基于TLS风险的随机效应模型进行网络meta分析和事后meta分析。使用GRADE方法评估证据的确定性。三项研究共纳入633名受试者,给予别嘌呤醇、非布司他、毛囊酶或毛囊酶联合别嘌呤醇。Rasburicase预防实验室TLS比别嘌呤醇更有效(相对危险度:0.51;95%可信区间[CI]: 0.32-0.81)。临床TLS差异无统计学意义。不良事件可归因于化疗的毒性。Rasburicase单用或联用别嘌呤醇在降低sUA水平上优于别嘌呤醇或非布司他单用。在TLS高危患者中,非布司他比别嘌呤醇更有效地降低sUA水平(平均差- 125.75;95% CI:−223.47 ~−28.02)。Rasburicase可能是预防实验室TLS和维持低sUA水平最有效的药物。
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引用次数: 2
Induction Chemotherapy in Squamous Cell Carcinoma of Tongue—Still a Slippery Role? 诱导化疗在舌鳞状细胞癌中的作用还差吗?
Pub Date : 2022-07-19 DOI: 10.1055/s-0042-1750351
S. Shanmugam, S. Susikar, T. Bharanidharan, V. Veerappan
Background Tongue cancers are more common in the Indian subcontinent and a leading cause of morbidity and mortality among oral cavity cancers. Induction chemotherapy has been considered an intriguing and smart option for many reasons, but even after years of studies and debates, its role has not been fully established in the management of tongue cancers. Materials and Methods In this study, we evaluated 17 patients with oral tongue carcinomas with locally advanced stage, enrolled into a protocol of three drug (docetaxel, cisplatin, 5-fluorouracil) induction chemotherapy for three cycles. After completion of the three cycles, patients were clinically and radiologically re-evaluated and surgery was done if locally operable. Results At the completion of three cycles, five patients were partial responders, four patients were complete responders, and five patients had progressive disease after three cycles. Those patients with response underwent surgery. There were no significant morbid intraoperative or postoperative complications observed in seven out of nine patients. At the end of treatment completion, five out of nine patients had tumor residue/high-risk features and were planned for adjuvant radiotherapy. Conclusion For locally advanced oral tongue carcinomas, the role of induction chemotherapy before surgery has been fruitful and its impact on function preservation with acceptable oncological clearance is an emerging alternative. Spacing chemotherapy and radiotherapy reduce the incidence of adverse effects of combined treatment.
背景 舌癌在印度次大陆更为常见,是口腔癌发病率和死亡率的主要原因。诱导化疗被认为是一种有趣而明智的选择,原因有很多,但即使经过多年的研究和辩论,它在舌癌治疗中的作用仍未完全确立。材料和方法 在这项研究中,我们评估了17名局部晚期口腔舌癌患者,他们被纳入三种药物(多西他赛、顺铂、5-氟尿嘧啶)诱导化疗方案,为期三个周期。在完成三个周期后,对患者进行临床和放射学重新评估,如果局部可操作,则进行手术。后果 在三个周期结束时,五名患者为部分缓解者,四名患者为完全缓解者,五名病人在三个循环后出现进展性疾病。那些有反应的患者接受了手术。九名患者中有七名没有观察到明显的术中或术后并发症。在治疗结束时,九名患者中有五名具有肿瘤残留/高危特征,并计划进行辅助放射治疗。结论 对于局部晚期口腔舌癌,术前诱导化疗的作用是富有成效的,其对肿瘤清除率可接受的功能保存的影响是一种新兴的替代方案。间隔化疗和放疗可降低联合治疗的不良反应发生率。
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引用次数: 0
Ewing's Sarcoma of the Gastrointestinal Tract—A Case Series 尤因氏胃肠道肉瘤一例
Pub Date : 2022-07-14 DOI: 10.1055/s-0042-1751114
P. Purushothaman, Sugeeth M. Thambi, M. M. Abraham, Sindhu Nair P
Ewing's sarcoma is a neoplasm of the undifferentiated small round cells, which generally affects the bone and deep soft tissues of children and adolescents. Extraskeletal Ewing's sarcomas are less common than skeletal Ewing's sarcoma with the most common sites being chest wall, retroperitoneal space, lower extremities, paravertebral region, and gluteal region. Primary Ewing's sarcoma of the gastrointestinal tract is rare. The rarity of cases, lack of specific literature, or guidelines for treatment and varying presentations make these cases challenging to diagnose and to treat. In this series, we share our experience from a tertiary cancer care center in South India. By our knowledge, this is the first case series in literature sharing the experience from a single center in treating four cases of gastrointestinal Ewing's sarcoma.
尤因肉瘤是一种未分化的小圆细胞肿瘤,通常影响儿童和青少年的骨骼和深层软组织。骨骼外尤因肉瘤比骨骼尤因肉瘤更不常见,最常见的部位是胸壁、腹膜后间隙、下肢、椎旁区和臀大区。原发性胃肠道尤因氏肉瘤是罕见的。病例的罕见性、缺乏具体的文献或治疗指南以及不同的表现使这些病例的诊断和治疗具有挑战性。在本系列中,我们将分享我们在南印度癌症三级护理中心的经验。据我们所知,这是文献中第一个分享单一中心治疗四例胃肠道尤因肉瘤经验的病例系列。
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引用次数: 0
The Clinicopathological Profile of Breast Cancer in Young Women from a Tertiary Care Center 来自三级保健中心的年轻女性乳腺癌的临床病理特征
Pub Date : 2022-07-14 DOI: 10.1055/s-0042-1750352
Dinesh Shet, R. Gatty, A. Shetty, M. Baliga
Background Increasing number of young breast cancer patients are seen in India and many of these young breast cancer patients are considered to have more aggressive disease biology. Aim The aim of this article was to study the clinicopathological profile of breast cancer patients in the young and older patients to understand the difference between these two groups. Methods This was a retrospective study conducted on 421 breast cancer patients. Results Total of 421 breast cancer patients were studied, out of which 158 patients were less than or equal to 40 years age group and 263 patients were in more than or equal to 50 years age group. Commonest T stage on presentation was T2, which was seen 56.32% of young breast cancer patients and in 64.64% of older patients. Higher nodal spread was seen in younger patients when compared with older patients (p-value = 0.00001). Older group patients had significant decline from anatomical to pathological prognostic stage group compared with younger group (29 vs. 13.29%; p-value = 0.00001). Grade 3 tumors were seen in 58.23% of younger patients and 22.05% of older patients (p-value = 0.00001). Triple-negative breast cancer was seen more commonly in younger group compared with older group (p-value = 0.0088). Conclusions Significant number of breast cancer patients present in younger age group in India. Younger breast cancer patients tend to have higher grade tumors and triple-negative breast cancer is common in younger age groups. Pathological prognostic stage grouping appears clinically more relevant than anatomical stage groups.
背景 越来越多的年轻癌症患者出现在印度,其中许多年轻的癌症患者被认为具有更具攻击性的疾病生物学。目标 本文旨在研究癌症青年和老年患者的临床病理特征,以了解这两组患者的差异。方法 这是一项对421名癌症患者进行的回顾性研究。后果 共研究了421名癌症患者,其中158名患者年龄小于或等于40岁,263名患者年龄大于或等于50岁。最常见的T分期是T2,在年轻的癌症患者中为56.32%,在老年患者中为64.64%。与老年患者相比,年轻患者的淋巴结扩散更高(p值 = 0.00001)。与年轻组相比,老年组患者从解剖到病理预后阶段组显著下降(29%对13.29%;p值 = 0.00001)。58.23%的年轻患者和22.05%的老年患者出现3级肿瘤(p值 = 与老年组相比,年轻组癌症三阴性更常见(p值 = 0.0088)。结论 在印度,相当多的癌症患者出现在较年轻的年龄组。年轻的癌症患者往往有更高级别的肿瘤,癌症三阴性在年轻人群中很常见。病理预后分期组在临床上似乎比解剖分期组更相关。
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引用次数: 1
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Asian Journal of Oncology
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