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Urinary Bladder Leiomyoma Causing Obstructive Uropathy: A Case Report and Literature Review 膀胱平滑肌瘤致梗阻性尿病1例报告并文献复习
Pub Date : 2023-01-27 DOI: 10.32948/auo.2023.01.24
Karthikesh Omkaram, Ramprasad Reddy A, E. Galeti, Surender Reddy, M. Aleem, Gousia Begum S
This is the first time a large endovesical leiomyoma of the urinary bladder has been reported in India. A 44-year-old woman had painless gross haematuria, increased urine frequency, an incomplete emptying feeling, and left loin discomfort. Imaging and cystoscopy revealed a 6 x 5 cm projecting endovesical tumour emerging from the bladder's base near the left vesico-ureteric junction. Transurethral bladder resection with few biopsies was performed, histopathological examination revealed a pathological diagnosis of a leiomyoma of the urinary bladder. Intravesical complete excision of the tumor was performed after ligating its pedicle. Complete surgical resection is a very effective treatment, associated with almost no recurrence. We discuss the relevant recent literature of bladder leiomyoma.
这是印度首次报道膀胱内大型平滑肌瘤。一位44岁的女性出现无痛性血尿、尿频增加、排空不完全和左腰部不适。影像学和膀胱镜检查显示,左侧膀胱-输尿管交界处附近的膀胱底部出现一个6 x 5厘米的膀胱内肿瘤。进行了经尿道膀胱切除术,但很少进行活检,组织病理学检查显示病理诊断为膀胱平滑肌瘤。结扎肿瘤蒂后进行膀胱内完全切除。完全手术切除是一种非常有效的治疗方法,几乎不会复发。我们讨论了最近有关膀胱平滑肌瘤的文献。
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引用次数: 0
Primary Renal Leiomyosarcoma: Case Report and Review of the Literature 原发性肾平滑肌肉瘤病例报告及文献复习
Pub Date : 2023-01-09 DOI: 10.32948/auo.2023.01.28
Sunil V. Jagtap, Shubham S. Jagtap, Kaushiki Varshney, Y. Jadhav, P. Shah
Renal leiomyosarcoma is an extremely rare malignant tumor. On clinical presentation and radio imaging it is challenging to make an accurate preoperative diagnosis. In our case, a 59-year-old female presented with history of left-sided flank pain, intermittent hematuria and weight loss of 6 months duration. She was known case of hypertension and diabetes mellitus of 20 years and on regular treatment. On the abdomino-pelvis sonography showed an exophytic cortical mass lesion measuring 4.0 x 3.8 cm lesion. Magnetic resonance imaging abdomen and pelvis (plain) shows a well defined non encapsulated exophytic predominantly solid mass lesion measuring 4.3 x 4 x 4.5 cm is noted in the anterior cortex of left kidney at interpolar region. There was no evidence of any regionalor distant metastesis. Patient underwent left radical nephrectomy. On histopathology reported as renal leiomyosarcoma. Immuhistochemistry showed smooth muscle actin diffusely and desmin focally positive. We present this review of rare case of primary renal leiomyosarcoma for its clinical presentation, radiographic findings, and pathologic features.
摘要肾脏平滑肌肉瘤是一种极为罕见的恶性肿瘤。在临床表现和放射影像学上,对其进行准确的术前诊断具有挑战性。在我们的病例中,一名59岁的女性表现为左侧腰痛,间歇性血尿和体重下降,持续6个月。她是已知的高血压和糖尿病病例,20年,定期治疗。腹部-骨盆超声显示外生性皮质肿块,大小为4.0 x 3.8 cm。腹部和骨盆的磁共振成像(平片)显示左肾前皮质极间区有一个轮廓清晰的非包膜外生实性肿块,大小为4.3 x 4 x 4.5 cm。没有任何区域或远处转移的证据。病人接受左肾根治性切除术。组织病理学报告为肾平滑肌肉瘤。免疫组化示平滑肌肌动蛋白弥漫性阳性,desmin局部阳性。我们在此回顾罕见的原发性肾脏平滑肌肉瘤的临床表现、影像学表现和病理特征。
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引用次数: 0
COVID-19 and Prostate Cancer, Can Two Negatives Equal a Positive? COVID-19和前列腺癌,两个阴性等于阳性吗?
Pub Date : 2023-01-03 DOI: 10.32948/auo.2023.01.01
Cade C. Lewis, Aidan J. Heslin, Cole R. Formslag, Mark R. Wakefield, Yujiang Fang
This is a letter to the editor on the discussion on COVID-19 and prostate cancer.
这是一封关于讨论COVID-19和前列腺癌的致编辑的信。
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引用次数: 0
COVID-19 Vaccine and Bladder Cancer: Friend or Foe? COVID-19疫苗与膀胱癌:是敌是友?
Pub Date : 2022-12-31 DOI: 10.32948/auo.2022.12.30
Kevin Z. Qi, Miriam P. Palomino, Justin D. Murray, Madeline N. Agee, M. Wakefield, Yujiang Fang
This is a letter to the editor on the discussion on COVID-19 vaccine and bladder cancer.
这是一封关于COVID-19疫苗与膀胱癌讨论的致编辑的信。
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引用次数: 0
Recent Advances in Advance Prostate Cancer 癌症进展的最新进展
Pub Date : 2022-12-30 DOI: 10.32948/auo.2022.12.29
Nishant Lohia
Prostate cancer being the second most frequent and fifth leading cause of mortality has led to conduct of many new clinical trials and development of newer therapeutic agents. In the last decade with better understanding of biology of disease there is dramatic improvement and sea change in survival outcomes in advanced prostate cancer with advent of chemotherapy, targeted therapy immunotherapy besides androgen deprivation therapy. Varied newer drugs and combinations in recent years have improved the outcome of prostate cancer in terms of both overall survival(OS) and metastases free survival(MFS). Some of the latest drugs which have cleared regulatory approval are Abiraterone, Enzalutamide,Apulatamide, Sipuleucel-T etc. However still more needs to be explored to negate and overcome the resistant mechanisms. Here in this article we have summarized the varied newer and recent developments in advanced prostate cancer.
前列腺癌是第二大最常见和第五大死亡原因,这导致了许多新的临床试验和新的治疗药物的开发。在过去的十年中,随着对疾病生物学的更好理解,随着化疗、靶向治疗、免疫治疗和雄激素剥夺治疗的出现,晚期前列腺癌的生存结果有了显著的改善和巨大的变化。近年来,各种更新的药物和组合在总生存期(OS)和无转移生存期(MFS)方面改善了前列腺癌的预后。最近获得监管部门批准的药物有阿比特龙、恩杂鲁胺、阿普拉他胺、Sipuleucel-T等。然而,仍然需要更多的探索,以否定和克服阻力机制。在这篇文章中,我们总结了晚期前列腺癌的最新进展。
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引用次数: 0
Pseudoepitheliomatous Hyperplasia: Harbinger of Underlying Squamous Cell Carcinoma - Lessons Learnt 假上皮瘤样增生:潜在鳞状细胞癌的先兆——经验教训
Pub Date : 2022-12-25 DOI: 10.32948/auo.2022.12.22
S. Krishnamoorthy, H. Sekar, L. Joseph, J. Kumar
Pseudoepitheliomatous hyperplasia (PEH) is a benign condition marked by reactive epithelial proliferation seen in response to various insults like trauma, infection, persistent inflammation and neoplasia. In this report, we discuss a case of a 35-year-old man who presented with a perineal swelling, later turned into a non-healing ulcer, first diagnosed as PEH. Still, after clinical suspicion, a deeper biopsy was conducted, confirming the diagnosis of squamous cell carcinoma and directing treatment appropriately.Non-healing perineal lesions are not uncommon. Most of the lesions turn out to be Squamous Cell Carcinoma. But, if the histopathological picture suggests Pseudoepitheliomatous Hyperplasia, it is vital to consider the limitations of the biopsy, and a solid clinicopathological correlation is required to look aggressively for underlying Squamous Cell Carcinoma. Due to the benign nature of PEH, most cases are treated via excision biopsy, while grafts or flaps are occasionally required to restore severe tissue defects.It is therefore crucial to rule out and distinguish this condition from other benign and malignant conditions, as the treatment and prognosis differ widely. It is of utmost importance to sample the base of the lesion, analyze multiple sections, and consider clinical data to ensure an accurate diagnosis.
假上皮瘤样增生(PEH)是一种良性疾病,其特征是对创伤、感染、持续炎症和肿瘤等各种损伤的反应性上皮增殖。在本报告中,我们讨论了一个35岁的男性病例,他出现会阴肿胀,后来变成了无法愈合的溃疡,最初被诊断为PEH。尽管如此,在临床怀疑后,进行了更深入的活检,确认了鳞状细胞癌的诊断,并指导了适当的治疗。不愈合的会阴病变并不罕见。大多数病变原来是鳞状细胞癌。但是,如果组织病理学图片显示假上皮瘤样增生,那么考虑活检的局限性是至关重要的,并且需要可靠的临床病理相关性来积极寻找潜在的鳞状细胞癌。由于PEH的良性性质,大多数病例通过切除活检进行治疗,而偶尔需要移植物或皮瓣来修复严重的组织缺陷。因此,排除这种情况并将其与其他良性和恶性疾病区分开来至关重要,因为治疗和预后差异很大。对病变基底进行采样、分析多个切片并考虑临床数据以确保准确诊断至关重要。
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引用次数: 0
Targeting CTLA-4 in Cancer: Biological Insights with a Focus on Renal Cell Carcinoma 靶向CTLA-4治疗癌症:以肾细胞癌为重点的生物学见解
Pub Date : 2022-12-20 DOI: 10.32948/auo.2022.12.15
Juan Wu, Yang Ren, Jun Xie, Dong-sheng Li
Renal cell carcinoma (RCC) is a complex group of malignant tumors characterized by immunosuppression and high invasiveness. In the majority of patients with advanced renal cell carcinoma, treatment fails to achieve a complete cure post-treatment. Efforts are needed to develop new therapeutics to improve the outcome of renal cell carcinoma. The "immune checkpoint" of T cells has attracted much attention in tumor immunotherapy. It is widely accepted that suppressor T cell immune checkpoints promote tumor immune escape through negative immune regulatory signals (cytotoxic T lymphocyte associated antigen 4 [CTLA-4], programmed cell death 1 [PD-1], B7-H3, and B7-H4, among others). The current data suggest that the PD-1 and CTLA-4 receptors inhibit the T cell receptor and its proliferation. Blockade of the PD-I/PD-L1 and/or CTLA-4/CD 28 pathways has shown favorable tumor outcomes in clinical trials in advance-stage renal cancer. This article reviews the role of CTLA-4/CD 28 pathway in renal cell carcinoma. Here we discuss the basics of the CTLA-4 pathway from a physiological perspective and evaluate the results of clinical studies of CTLA-4 alone and in combination with PD-1/PD-L1 blockers to support future studies of combination immunotherapy.
肾细胞癌(RCC)是一类复杂的恶性肿瘤,其特点是免疫抑制和高侵袭性。在大多数晚期肾细胞癌患者中,治疗不能达到治疗后的完全治愈。需要努力开发新的治疗方法来改善肾细胞癌的预后。T细胞的“免疫检查点”在肿瘤免疫治疗中备受关注。人们普遍认为,抑制性T细胞免疫检查点通过负免疫调节信号(细胞毒性T淋巴细胞相关抗原4 [CTLA-4]、程序性细胞死亡1 [PD-1]、B7-H3、B7-H4等)促进肿瘤免疫逃逸。目前的数据表明,PD-1和CTLA-4受体抑制T细胞受体及其增殖。在晚期肾癌的临床试验中,阻断PD-I/PD-L1和/或CTLA-4/ cd28通路显示出有利的肿瘤预后。本文就CTLA-4/ cd28通路在肾细胞癌中的作用进行综述。本文从生理学角度探讨CTLA-4通路的基础知识,并对CTLA-4单用及联合PD-1/PD-L1阻滞剂的临床研究结果进行评价,为今后联合免疫治疗的研究提供支持。
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引用次数: 0
Research Progress on Ferroptosis as a Therapeutic Strategy in Renal Cell Carcinoma 脱铁性贫血作为肾癌治疗策略的研究进展
Pub Date : 2022-12-16 DOI: 10.32948/auo.2022.12.09
Liu Minna, Min Bai, N. Cui, Yi Ding, Peng Zhang
Renal cell carcinoma (RCC) is a common type of kidney cancer in adults and constitutes approximately 90% of all renal malignancies. Although advancements have been made in the treatment of RCC, the 5 -year survival rate is still low, and new treatment modalities are still required. Ferroptosis is an iron-dependent programmed cell death caused by the accumulation of lipid peroxide products. Recent studies revealed the involvement of ferroptosis metabolism, lipid peroxidation, and System XC-GSH-GPX4 shafts as major mechanisms closely related to RCC progression. Nanoparticles in combination with small molecular ferroptosis induction agents have the advantages of solubility, targeted enhancement, low systemic toxicity, controllable drug control, and synergy advantage in emerging combination therapies. In the future, it is possible to be used in nano treatment. The relationship between ferroptosis-related mechanisms and RCC progression and its role in the treatment could provide novel treatment strategies for patients with advance-stage RCC.
肾细胞癌(RCC)是一种常见的成人癌症类型,约占所有肾脏恶性肿瘤的90%。尽管RCC的治疗已经取得了进展,但5年生存率仍然很低,仍然需要新的治疗模式。脱铁症是一种由脂质过氧化物产物积累引起的铁依赖性程序性细胞死亡。最近的研究表明,脱铁代谢、脂质过氧化和XC-GSH-GPX4系统轴是与RCC进展密切相关的主要机制。纳米颗粒与小分子脱铁诱导剂联合使用具有溶解性、靶向增强、全身毒性低、药物控制可控以及在新兴联合疗法中的协同优势。在未来,它有可能用于纳米处理。脱铁相关机制与RCC进展之间的关系及其在治疗中的作用可以为晚期RCC患者提供新的治疗策略。
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引用次数: 0
Long Non-coding RNA INE1 Induced Autophagy Promotes Sensitivity of Prostate Cancer Cells to Cisplatin 长非编码RNA INE1诱导自噬促进前列腺癌症细胞对顺铂的敏感性
Pub Date : 2022-11-29 DOI: 10.32948/auo.2022.11.24
Hezhen Chu, Kongdong Li, Jie Gu, Wen-chao Xie, Yimin Xie, Jun Ma
Prostate cancer is most prevalent malignancy of males in the world. In recent years, long non-coding RNAs (lncRNAs) were identified, and their functions are associated with prostate cancer initiation and progression. However, their molecular mechanisms still need to be elucidated before the clinical utility. In the present study, we identified the correlation of lncRNA inactivation escape 1 (INE1) with the characterization in prostate cancer patients, and detected the roles of INE1 in cell autophagy and apoptosis in prostate cancer cells. Our results showed that the lncRNA INE1 expression highly correlate with patients’ survival times, tumor stage, biochemical recurrence, disease recurrence and Gleason pattern. High expression of INE1 was detected in prostate cancer cells, and knockdown INE1 by siRNA resulted in significant inhibition of cell viability. In addition, silencing INE1 induced early autophagy and pro-apoptosis, which augments cisplatin (CDDP)-induced cell apoptosis. Moreover, INE1 played an anti-apoptotic role by targeting the serine/arginine-rich splicing factor 2 (SRSF2).
前列腺癌是世界上最常见的男性恶性肿瘤。近年来,长链非编码rna (lncRNAs)被发现,其功能与前列腺癌的发生和发展有关。然而,在临床应用之前,它们的分子机制仍有待阐明。在本研究中,我们确定了lncRNA失活逃逸1 (INE1)与前列腺癌患者特征的相关性,并检测了INE1在前列腺癌细胞自噬和凋亡中的作用。结果显示,lncRNA INE1表达与患者生存时间、肿瘤分期、生化复发、疾病复发及Gleason模式高度相关。在前列腺癌细胞中检测到INE1的高表达,通过siRNA敲低INE1可显著抑制细胞活力。此外,沉默INE1可诱导早期自噬和促凋亡,从而增强顺铂(CDDP)诱导的细胞凋亡。此外,INE1通过靶向富含丝氨酸/精氨酸的剪接因子2 (SRSF2)发挥抗凋亡作用。
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引用次数: 0
Long Non-Coding RNA FAM66C Promotes Prostate Cancer Metastasis via JNK-Mediated Proteasome and Lysosomal Pathway 长链非编码RNA FAM66C通过jnk介导的蛋白酶体和溶酶体途径促进前列腺癌转移
Pub Date : 2022-11-29 DOI: 10.32948/auo.2022.11.23
Zhenqian Qin, Kongdong Li, Jie Gu, Yimin Xie, Xuefeng Yuan
Purpose To identify the role of long non-coding RNA FAM66C in the metastatic progression of prostate cancer cells and its underlying mechanisms.Methods The Cancer Genome Atlas (TCGA) data was utilized to determine the relative expression of lncRNA FAM66C in prostate cancer patients with lymph node metastasis. Knockdown FAM66C by siRNA was performed to investigate the effects of FAM66C in cell migration and epithelial-mesenchymal transition (EMT) by wound healing assay and Western blotting. The proteasome inhibitor MG132 and lysosomal inhibitor chloroquine (CQ) were used to determine the effect of these pathways in FAM66C-regulated cell migration. The c-jun-N-Terminal Kinase (JNK) inhibitor SP600125 was used to identify the role of JNK signaling in FAM66C-regulated cell migration and the proteasome and lysosome pathways.Results A lower expression of lncRNA FAM66C was noted in the most prostate cancer patients. Knockdown of FAM66C in human prostate cancer DU145 and PC-3 cells promoted EMT and cell migration, which was suppressed by proteasomal inhibitor MG132 and lysosomal inhibitor CQ. Knockdown of FAM66C induced JNK signaling, cell migration and invasion, and activation of proteasome and lysosome pathways were suppressed by JNK inhibitor SP600125.Conclusion This study provided new evidence of the role of lncRNA FAM66C in the regulation of JNK signaling mediated proteasome and lysosome pathways affecting migration ability of prostate cancer cells.
目的探讨长链非编码RNA FAM66C在前列腺癌细胞转移过程中的作用及其机制。方法利用肿瘤基因组图谱(Cancer Genome Atlas, TCGA)数据,检测lncRNA FAM66C在前列腺癌淋巴结转移患者中的相对表达。采用siRNA敲除FAM66C,通过伤口愈合实验和Western blot检测FAM66C对细胞迁移和上皮间质转化(EMT)的影响。使用蛋白酶体抑制剂MG132和溶酶体抑制剂氯喹(CQ)来确定这些途径在fam66c调节的细胞迁移中的作用。使用c-jun- n-末端激酶(JNK)抑制剂SP600125来鉴定JNK信号在fam66c调控的细胞迁移以及蛋白酶体和溶酶体途径中的作用。结果lncRNA FAM66C在大多数前列腺癌患者中表达水平较低。FAM66C在人前列腺癌DU145和PC-3细胞中表达下调可促进EMT和细胞迁移,而蛋白酶体抑制剂MG132和溶酶体抑制剂CQ可抑制这一作用。JNK抑制剂SP600125可抑制FAM66C的下调诱导JNK信号转导、细胞迁移和侵袭以及蛋白酶体和溶酶体途径的激活。结论本研究为lncRNA FAM66C调控JNK信号介导的影响前列腺癌细胞迁移能力的蛋白酶体和溶酶体途径提供了新的证据。
{"title":"Long Non-Coding RNA FAM66C Promotes Prostate Cancer Metastasis via JNK-Mediated Proteasome and Lysosomal Pathway","authors":"Zhenqian Qin, Kongdong Li, Jie Gu, Yimin Xie, Xuefeng Yuan","doi":"10.32948/auo.2022.11.23","DOIUrl":"https://doi.org/10.32948/auo.2022.11.23","url":null,"abstract":"Purpose To identify the role of long non-coding RNA FAM66C in the metastatic progression of prostate cancer cells and its underlying mechanisms.\u0000Methods The Cancer Genome Atlas (TCGA) data was utilized to determine the relative expression of lncRNA FAM66C in prostate cancer patients with lymph node metastasis. Knockdown FAM66C by siRNA was performed to investigate the effects of FAM66C in cell migration and epithelial-mesenchymal transition (EMT) by wound healing assay and Western blotting. The proteasome inhibitor MG132 and lysosomal inhibitor chloroquine (CQ) were used to determine the effect of these pathways in FAM66C-regulated cell migration. The c-jun-N-Terminal Kinase (JNK) inhibitor SP600125 was used to identify the role of JNK signaling in FAM66C-regulated cell migration and the proteasome and lysosome pathways.\u0000Results A lower expression of lncRNA FAM66C was noted in the most prostate cancer patients. Knockdown of FAM66C in human prostate cancer DU145 and PC-3 cells promoted EMT and cell migration, which was suppressed by proteasomal inhibitor MG132 and lysosomal inhibitor CQ. Knockdown of FAM66C induced JNK signaling, cell migration and invasion, and activation of proteasome and lysosome pathways were suppressed by JNK inhibitor SP600125.\u0000Conclusion This study provided new evidence of the role of lncRNA FAM66C in the regulation of JNK signaling mediated proteasome and lysosome pathways affecting migration ability of prostate cancer cells.","PeriodicalId":33190,"journal":{"name":"Annals of Urologic Oncology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42672162","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
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Annals of Urologic Oncology
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