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Evaluation of liver function show hypoproteinemia in untreated cancer patients: A cross-sectional study 未经治疗的癌症患者肝功能评估显示低蛋白血症:一项横断面研究
Q4 Medicine Pub Date : 2020-07-09 DOI: 10.4993/acrt.28.63
M. Almehmadi
Background: Liver function test (LFT) is a routine laboratory examination used in the diagnosis of many disorders, the liver participates in several essential functions in the human body, and liver dysfunction can lead to morbidity and mortality. Therefore, studying the levels of LFT in untreated cancer patients can identify how the liver perform when cancer begins, and which parameter of LFT is affected early. Objective: This study aimed to evaluate levels of LFT including alanine transaminase (ALT), aspartate transaminase (AST), alkaline phosphatase (ALP), albumin, total bilirubin (T bilirubin), direct bilirubin (D bilirubin), and total protein (T pro-tein), in untreated cancer patients. Design: Cross-sectional retrospective. Settings: Taif city- king Faisal Hospital (KFH) and Taif university. Patients and methods: Serum levels of ALT, AST, ALP, T protein, T bilirubin, D bilirubin, and albumin were evaluated. 256 Participants were included in this study and 30 were healthy participants. Cancer patients were as follows, gastroin- testinal tract cancer patients were 59, breast cancer patients were 45, gynecological tumors were 50, head and neck cancer patients were 20, blood tumor patients were 28, and urogenital tract patients were 24. Statistical analysis applied were T-test, Chi-square, odds ratio, and relative risk. Sample size: 256 participants were 30 healthy controls and 226 untreated cancer patients. Results: Hypoproteinemia was highly detected as 44% of patients demonstrated hypoalbuminemia and 22.2% of patients have low levels in T protein. AST, ALT, and ALP showed significant increase in patients than healthy control. Conclusion: Hypoproteinemia can be used as a prognostic marker of liver dysfunction in untreated cancer patients.
背景:肝功能测试(LFT)是一种用于诊断多种疾病的常规实验室检查,肝脏参与了人体的几种基本功能,肝功能障碍可导致发病和死亡。因此,研究未经治疗的癌症患者的LFT水平可以确定癌症开始时肝脏的表现,以及LFT的哪个参数早期受到影响。目的:本研究旨在评估未经治疗的癌症患者血清丙氨酸转氨酶(ALT)、天冬氨酸转氨酶(AST)、碱性磷酸酶(ALP)、白蛋白、总胆红素(T胆红素)、直接胆红素(D胆红素)和总蛋白(T蛋白原)的LFT水平。设计:横断面回顾。设置:泰夫市国王费萨尔医院(KFH)和泰夫大学。患者和方法:评估血清ALT、AST、ALP、T蛋白、T胆红素、D胆红素和白蛋白水平。256名参与者被纳入本研究,30名为健康参与者。癌症患者如下:癌症胃肠道患者59例,癌症乳腺癌患者45例,妇科肿瘤50例,癌症头颈部患者20例,血液肿瘤患者28例,泌尿生殖道患者24例。应用的统计分析包括T检验、卡方、比值比和相对风险。样本量:256名参与者是30名健康对照和226名未经治疗的癌症患者。结果:低蛋白血症检出率高,44%的患者表现为低蛋白血症,22.2%的患者T蛋白水平低。与健康对照组相比,患者的AST、ALT和ALP显著升高。结论:低蛋白血症可作为未经治疗的癌症患者肝功能不全的预后指标。
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引用次数: 0
Cost-effectiveness of digital mammography compared to film mammography in screening of breast cancer: a systematic review 数字乳房x线照相术与胶片x线照相术在乳腺癌筛查中的成本效益:一项系统综述
Q4 Medicine Pub Date : 2020-07-09 DOI: 10.4993/acrt.28.118
A. Rezapour, H. Bouzarjomehri, Akhtar Shah-Savandi, Emad Karimianrad, N. Pirani, J. Arabloo, Samira Soleimanpoor, Y. Herandi
Background: Mammography as the best method of diagnosing breast cancer in its early stages has been accepted in many countries. Digital mammography is in development and is used in breast cancer screening in countries such as the United States, however, cost-effectiveness of digital mammography screening (DMS) compared to film mammography screening (FMS) is debatable. This study is designed to systematically review the available evidence in this regard. Methods: This study is designed as a systematic review using PRISMA guidelines. The search was conducted on October 2019 on the PubMed, Web of Science core collection, Embase, Scopus, Cochrane library and ProQuest databases. All full economic evaluation studies (cost-effectiveness analysis (CEA), cost-utility analysis (CUA), and cost-benefit analysis (CBA)) that assessed DMS compared to FMS are included. The quality of final articles were evaluated by CHEERS checklist and data was collected using a data extraction form. Finally, the data was analyzed by a meta-synthesis method. Results: Five studies were included. Three of them were conducted in the U.S., one in the Australia, and one the Brazil. Studies show that despite the slight difference in the effectiveness of DMS, its costs increased more. Three studies concluded that age-targeted DMS and FMS might be cost-effective and two concluded biennial DMS might be cost-effective digital strategy, however one study concluded that biennial FMS is still cost-effective. Conclusion: There is currently little evidence on the cost-effectiveness of DMS over FMS and more evidence is needed, especially in developing countries. While the cost-effectiveness of DMS has not been fully confirmed, manufacturers are developing digital mammography; on the other hand, film mammography is obsoleting. Therefore, the move towards digital mammography, especially in developing countries, should be gradual and targeted.
背景:乳腺造影术作为诊断癌症早期的最佳方法,已被许多国家所接受。在美国等国家,数字乳房X光检查正在发展中,并被用于癌症乳腺筛查,然而,与胶片乳房X光筛查(FMS)相比,数字乳腺X光检查(DMS)的成本效益是有争议的。本研究旨在系统地审查这方面的现有证据。方法:本研究采用PRISMA指南进行系统综述。搜索于2019年10月在PubMed、Web of Science核心收藏、Embase、Scopus、Cochrane图书馆和ProQuest数据库上进行。包括所有评估DMS与FMS的全面经济评估研究(成本效益分析(CEA)、成本效用分析(CUA)和成本效益分析)。使用CHEERS检查表对最终文章的质量进行评估,并使用数据提取表收集数据。最后,使用综合方法对数据进行分析。结果:纳入5项研究。其中三次在美国进行,一次在澳大利亚,一次是在巴西。研究表明,尽管DMS的有效性略有差异,但其成本增加更多。三项研究得出结论,针对年龄的DMS和FMS可能具有成本效益,两项研究得出的结论是,两年期DMS可能是具有成本效益的数字战略,但一项研究得出得出结论,两年期FMS仍然具有成本效益。结论:目前很少有证据表明DMS相对于FMS的成本效益,需要更多的证据,尤其是在发展中国家。虽然DMS的成本效益尚未得到充分证实,但制造商正在开发数字乳房X光检查;另一方面,钼靶x线片已经过时了。因此,数字化乳房X光检查的发展,特别是在发展中国家,应该是渐进的和有针对性的。
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引用次数: 0
Prevalence of vitamin D deficiency in early-diagnosed cancer patients: A cross-sectional study 早期诊断为癌症患者维生素D缺乏的患病率:一项横断面研究
Q4 Medicine Pub Date : 2020-07-09 DOI: 10.4993/acrt.28.54
M. Almehmadi, Khalid J. Alzahrani, M. Salih, Abdulaziz Alsharif, N. Alsiwiehri, Alaa Shafie, Abdulraheem A Almalki, A. Alhazmi, Haytham ‎ Dahlawi, M. Alharthi, M. Halawi, Abdulrhman M. Almehmadi, Hatem H. Allam
Background: Vitamin D roles in human health and wellbeing have been extensively studied in the recent years. It has essential roles in homeostasis and maintaining many physiological functions. These roles are vital in immune system, respiratory system, cardiovascular system, and reproductive system. Deficiency in this vitamin has been correlated with many diseases in the body, and it has been correlated with developing cancer. Objective: This study aimed to investigate levels of total vitamin D (25-hydroxycholecalciferol) in cancer patients. Design: Retrospective. Settings: Taif city- king Faisal Hospital (KFH). Patients and methods: Serum levels of 25-hydroxycholecalciferol were classified into normal, insufficient, and deficiency group, patients were grouped according to these classes.156 patients were included in this study, 128 females and 28 males, 100 healthy participants were included. Cancer patients were as follows, gastrointestinal tract cancer patients were 27, breast cancer patients were 73, female genital tract patients were 43, head and neck cancer patients were 6 and respiratory tract patients were 7. Sample size: 256 participants were 100 healthy controls and 156 cancer patients. Results: Deficiency was detected in most of the patients from both genders, and in both pre- and post-menopausal female patients. Conclusion: These findings support the belief that deficiency in vitamin D is a risk factor leading to development of cancer.
背景:近年来,维生素D在人类健康和福祉中的作用已被广泛研究。它在体内平衡和维持许多生理功能方面发挥着重要作用。这些作用在免疫系统、呼吸系统、心血管系统和生殖系统中至关重要。这种维生素的缺乏与身体中的许多疾病有关,并且与癌症的发展有关。目的:探讨癌症患者体内总维生素D(25-羟基胆钙化醇)水平。设计:回顾性。设置:泰夫市-费萨尔国王医院(KFH)。患者和方法:将血清25-羟基胆钙化醇水平分为正常组、不足组和不足组,并根据这些类别对患者进行分组。本研究包括156名患者,128名女性和28名男性,100名健康参与者。癌症患者如下:胃肠道癌症患者27例,癌症患者73例,女性生殖道患者43例,头颈部癌症患者6例,呼吸道患者7例。样本量:256名参与者为100名健康对照和156名癌症患者。结果:在大多数男女患者中,以及在绝经前和绝经后的女性患者中都发现了缺乏症。结论:这些发现支持了维生素D缺乏是导致癌症发展的危险因素的观点。
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引用次数: 1
A case of low grade appendiceal mucinous neoplasm performed with laparoscopic ileocecal resection due to intussusception 腹腔镜肠套叠回盲切除术治疗低位阑尾粘液性肿瘤1例
Q4 Medicine Pub Date : 2020-07-09 DOI: 10.4993/acrt.28.60
H. Shidei, T. Kono, R. Imaizumi, T. Koike, Hideyuki Yokokawa, Yoshitomo Ito, Yuta Miyano, K. Oyama, S. Shiozawa, K. Yoshimatsu
Low-grade appendiceal mucinous neoplasm (LAMN) is a rare disease. The strategy of treatment for LAMN has not been established. We herein present a case of LAMN treated by laparoscopic ileocecal resection with D2 lymph node (LN) dissection, which exhibited invagination. A 59-year-old man visited at our emergency room with intermittent abdominal pain. Abdomino-pelvic computed tomography (CT) revealed suspiciously a diagnosis as intussusception of LAMN into the ascending colon. Emergency laparoscopic operation was performed. A laparoscopic ileocecal resection with D2 LN dissection was performed because swollen lymph nodes were notified around the ileocolic artery. Histologically, he was diagnosed as LAMN, T3, N0, M0, Stage
低级别阑尾粘液性肿瘤(LAMN)是一种罕见的疾病。LAMN的治疗策略尚未确定。我们在此提出一个LAMN的病例,通过腹腔镜回盲切除D2淋巴结(LN)清扫,表现为内陷。一名59岁的男子因间歇性腹痛来到我们的急诊室。腹部-骨盆计算机断层扫描(CT)可疑地诊断为LAMN肠套叠进入升结肠。进行了紧急腹腔镜手术。由于发现回盲动脉周围有肿大的淋巴结,因此进行了腹腔镜回盲切除术和D2淋巴结清扫术。组织学诊断为LAMN,T3,N0,M0,分期
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引用次数: 0
Surgical Management of Melanotic Neuroectodermal Tumor of Infancy: A case Report 婴儿黑色素性神经外胚层肿瘤的外科治疗1例报告
Q4 Medicine Pub Date : 2020-07-09 DOI: 10.4993/acrt.28.168
H. L. Nguyen, H. Phan, H. S. Nguyen
Melanotic neuroectodermal tumour of infancy (MNTI) is rare, rapidly growing, pigmented neoplasm of neural crest origin. It is generally accepted as a benign tumour despite of its rapid and locally destructive growth. It primarily affects the maxilla of infants during the first year of life. Surgical excision is considered as the treatment of choice. The recurrence rate varies between 10% and 15%, and malignant behaviour has been reported in 6.5% of cases. We report a 15-month old male who presented with a 2-month history of a rapidly growing mass in the anterior. A biopsy showed melanotic neuroectodermal tumor, and complete resection with negative margins was subsequently achieved.
婴儿期黑色素神经外胚层肿瘤(MNTI)是一种罕见的、生长迅速的神经嵴源性色素肿瘤。尽管它的生长速度快,局部具有破坏性,但人们普遍认为它是一种良性肿瘤。它主要影响一岁以内婴儿的上颌骨。手术切除被认为是治疗的选择。复发率在10%至15%之间,6.5%的病例报告有恶性行为。我们报告一个15个月大的男性谁提出了一个快速增长的肿块在前两个月的历史。活检显示黑色素神经外胚层肿瘤,并完全切除阴性边缘随后实现。
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引用次数: 1
Differentiation of cystic lesions of neck 颈部囊性病变的鉴别诊断
Q4 Medicine Pub Date : 2020-07-09 DOI: 10.4993/acrt.28.129
L. Yunusova, T. Aoyama, Yulduz Khodjibekova, S. Mamarajabov, A. Khasanov, J. Sakamoto, Elmira Baykhodjaeva
Cystic masses of the neck are relatively frequent developmental defects. Surgery is the only effective treatment. Early intervention is usually recommended to avoid complications. These three signs: the presence of internal septae, irregular walls and a solid component were combined into an assessment SIST SCORE (septae + irregular wall + solid components = TGDC SCORE). This study was also undertaken to assess the possible application of ultrasound in the differentiation of cysts of the neck.
颈部囊性肿块是相对常见的发育缺陷。手术是唯一有效的治疗方法。通常建议早期干预以避免并发症。将这三种体征:内隔、不规则壁和固体成分的存在合并为评估SIST SCORE(隔+不规则壁+固体成分=TGDC SCORE)。这项研究也是为了评估超声在颈部囊肿鉴别中的可能应用。
{"title":"Differentiation of cystic lesions of neck","authors":"L. Yunusova, T. Aoyama, Yulduz Khodjibekova, S. Mamarajabov, A. Khasanov, J. Sakamoto, Elmira Baykhodjaeva","doi":"10.4993/acrt.28.129","DOIUrl":"https://doi.org/10.4993/acrt.28.129","url":null,"abstract":"Cystic masses of the neck are relatively frequent developmental defects. Surgery is the only effective treatment. Early intervention is usually recommended to avoid complications. These three signs: the presence of internal septae, irregular walls and a solid component were combined into an assessment SIST SCORE (septae + irregular wall + solid components = TGDC SCORE). This study was also undertaken to assess the possible application of ultrasound in the differentiation of cysts of the neck.","PeriodicalId":35647,"journal":{"name":"Annals of Cancer Research and Therapy","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47247826","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
A case of malignant lymphoma invading the aorta, which mimicked aortic dissection 恶性淋巴瘤侵袭主动脉1例,表现为主动脉夹层
Q4 Medicine Pub Date : 2020-07-09 DOI: 10.4993/acrt.28.164
Madoka Ogikubo, I. Yamazaki, R. Izubuchi, Taku Masuda, S. Isoda, M. Masuda
In rare cases, malignant lymphoma may invade the aorta and mimic other aortic diseases; thus, it is sometimes difficult to diagnose from image examinations. In such patients, aortic disease may also be caused by degeneration of the aortic wall or necrosis due to chemotherapy. We present the case of a 78-year-old man who was initially diagnosed with an aneurysm or tumor adjacent to the aorta, in which open surgery was required for replacement of the abdominal main vessel. We discuss treatments for malignant lymphoma invading the aorta with reference to previous reports.
在极少数情况下,恶性淋巴瘤可侵犯主动脉,并模仿其他主动脉疾病;因此,有时很难从图像检查中诊断。在这类患者中,也可能由化疗引起的主动脉壁变性或坏死引起主动脉疾病。我们提出的情况下,78岁的男子谁最初被诊断为动脉瘤或肿瘤邻近的主动脉,其中开放手术需要更换腹主血管。我们结合以往的报道讨论恶性淋巴瘤侵袭主动脉的治疗方法。
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引用次数: 0
Demonstration of Deoxyribonucleic Acid in Colorectal Cancer Using Feulgen reaction 用Feulgen反应证明大肠癌中的脱氧核糖核酸
Q4 Medicine Pub Date : 2020-07-09 DOI: 10.4993/acrt.28.88
M. Salih, B. Elesawy, Salman M. Al-Ayli, Awad A. Al-Otaibi, Fares M. Al-Thobiti, M. Almehmadi
Background: Colorectal carcinoma is the second most common malignancy among Saudis. Cells derived from many hu- man malignant tissues have altered chromatin content and structure. The cellular Feulgen DNA content of malignant tissues is typically altered. Here we investigate the relationship between nuclear DNA content in colorectal carcinoma. Objectives: To demonstrate DNA in colorectal cancer cells using Feulgen reaction, and to determine the association between colon cancer grade and cellular DNA content. Design: Retrospective. Settings: Taif city- King Abdul Aziz specialized hospital. Patients and methods: Sections were stained with the Hematoxylin and Eosin method and the Feulgen reaction method for DNA demonstration. Sample size: Paraffin sections from 50 patients previously diagnosed with colon cancer were included in this study. Results: The histopathological diagnosis showed that 82% were adenocarcinoma cases, 18% had benign tumors. Regarding cancer grading, 56% of cases had moderately differentiated adenocarcinoma, 18% had low differentiated adenocarcinoma, 6% had high differentiated adenocarcinoma, and 2% had poorly differentiated adenocarcinoma. The staining intensity of the Feulgen reaction showed that 46% of tissue sections had intense staining, 22% had medium staining, and 14% had results comparable to control staining. We detected no significant associations between the cancer grade and age group, gender, or result of Feulgen reaction. Conclusion: DNA demonstration using the Feulgen reaction is a simple and successfully estimated in this study. However, the correlations between DNA staining and several clinicopathological factors were not statistically significant. We recommend that DNA staining should be combined with routine histopathological examination for better understanding of patients’ clinical malignant potential of the colorectal cancer.
背景:结直肠癌是沙特人中第二常见的恶性肿瘤。来自许多胡曼恶性组织的细胞已经改变了染色质的含量和结构。恶性组织的细胞Feulgen DNA含量通常发生改变。在此,我们研究了结直肠癌细胞核DNA含量之间的关系。目的:用福尔根反应证明癌症细胞DNA,并确定结肠癌癌症分级与细胞DNA含量之间的关系。设计:回顾性。设置:塔伊夫市-阿卜杜勒·阿齐兹国王专科医院。患者和方法:切片用苏木精和曙红染色法和Feulgen反应法进行DNA染色。样本量:本研究纳入了50例先前诊断为结肠癌癌症患者的石蜡切片。结果:组织病理学诊断为腺癌82%,良性肿瘤18%。关于癌症分级,56%的病例为中分化腺癌,18%为低分化腺癌、6%为高分化腺癌和2%为低分化性腺癌。Feulgen反应的染色强度显示,46%的组织切片具有强烈染色,22%具有中等染色,14%具有与对照染色相当的结果。我们未发现癌症分级与年龄组、性别或Feulgen反应结果之间存在显著关联。结论:利用Feulgen反应进行DNA展示是一种简单而成功的方法。然而,DNA染色与几种临床病理因素之间的相关性没有统计学意义。我们建议将DNA染色和常规组织病理学检查相结合,以更好地了解癌症患者的临床恶性潜能。
{"title":"Demonstration of Deoxyribonucleic Acid in Colorectal Cancer Using Feulgen reaction","authors":"M. Salih, B. Elesawy, Salman M. Al-Ayli, Awad A. Al-Otaibi, Fares M. Al-Thobiti, M. Almehmadi","doi":"10.4993/acrt.28.88","DOIUrl":"https://doi.org/10.4993/acrt.28.88","url":null,"abstract":"Background: Colorectal carcinoma is the second most common malignancy among Saudis. Cells derived from many hu- man malignant tissues have altered chromatin content and structure. The cellular Feulgen DNA content of malignant tissues is typically altered. Here we investigate the relationship between nuclear DNA content in colorectal carcinoma. Objectives: To demonstrate DNA in colorectal cancer cells using Feulgen reaction, and to determine the association between colon cancer grade and cellular DNA content. Design: Retrospective. Settings: Taif city- King Abdul Aziz specialized hospital. Patients and methods: Sections were stained with the Hematoxylin and Eosin method and the Feulgen reaction method for DNA demonstration. Sample size: Paraffin sections from 50 patients previously diagnosed with colon cancer were included in this study. Results: The histopathological diagnosis showed that 82% were adenocarcinoma cases, 18% had benign tumors. Regarding cancer grading, 56% of cases had moderately differentiated adenocarcinoma, 18% had low differentiated adenocarcinoma, 6% had high differentiated adenocarcinoma, and 2% had poorly differentiated adenocarcinoma. The staining intensity of the Feulgen reaction showed that 46% of tissue sections had intense staining, 22% had medium staining, and 14% had results comparable to control staining. We detected no significant associations between the cancer grade and age group, gender, or result of Feulgen reaction. Conclusion: DNA demonstration using the Feulgen reaction is a simple and successfully estimated in this study. However, the correlations between DNA staining and several clinicopathological factors were not statistically significant. We recommend that DNA staining should be combined with routine histopathological examination for better understanding of patients’ clinical malignant potential of the colorectal cancer.","PeriodicalId":35647,"journal":{"name":"Annals of Cancer Research and Therapy","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48532115","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: 0
Intraparotid facial nerve schwannoma: A cross-country report of two cases and literature review 腮腺内面神经鞘瘤:两例跨国报告并文献复习
Q4 Medicine Pub Date : 2020-07-09 DOI: 10.4993/acrt.28.93
Elmira Iriskulova, Tatiana Liudchyk, Ulugbek T. Kholtoev, A. Ganiev, A. Abdikhakimov, Salim K. Egamberdiev, Yulduz Khodjibekova, S. Mamarajabov, J. Sakamoto, M. Honda
Intraparotid facial nerve schwannoma (FNS) is very rare disease that is difficult to diagnose; thus, there is no established treatment strategy. We herein report two cases of intraparotid FNS and highlight the diagnostic and surgical approach. The first patient presented with painful parotid mass. We performed superficial parotidectomy as a diagnostic treatment. The continuity of the nerve was interrupted when we attempted to completely resect the tumor. After resection, we carried out reconstruction of the facial nerve using neurorrhaphy with end-to-end anastomosis. A histopathological examination revealed findings of intraparotid FNS. The House-Brackmann (HB) grade was II at a 2-year follow-up examination. No recurrence has been seen in the 2 years since surgery. The second patient presented with gradually progressive swelling in the right parotid region. The patient underwent tumor removal without parotidectomy via binocular magnification and a diode laser. As a result, the patient’s facial nerve function was intact at an 8-year follow-up examination (HB grade I). Tumor recurrence was not identified. Microsurgical and diode laser approaches in the management of intraparotid FNS resulted in a better overall facial nerve function without recurrence. Resection of intraparotid FNS with microsurgical and diode laser approaches should be included in a management algorithm, with prioritization of preservation of the facial nerve function.
腮腺内面神经神经鞘瘤(FNS)是一种罕见且诊断困难的疾病;因此,没有既定的治疗策略。我们在此报告两例腮腺内FNS,并强调诊断和手术方法。第一个病人表现为疼痛的腮腺肿块。我们进行了腮腺浅表切除术作为诊断治疗。当我们试图完全切除肿瘤时,神经的连续性被打断了。切除后,采用端端吻合神经吻合法重建面神经。组织病理学检查显示腮腺内FNS。2年随访时House-Brackmann评分为II。术后2年未见复发。第二例患者表现为右侧腮腺区逐渐进行性肿胀。患者通过双眼放大和二极管激光进行肿瘤切除而不切除腮腺。结果,在8年的随访检查中,患者的面神经功能完好(HB I级),未发现肿瘤复发。显微外科和二极管激光入路治疗腮腺内FNS可使面神经整体功能较好且无复发。显微外科和二极管激光入路切除腮腺内FNS应纳入管理算法,优先考虑保留面神经功能。
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引用次数: 0
Role of Phytochemicals in Regulation of Cancer Cells: A Comprehensive Literature Review 植物化学物质在癌症细胞调节中的作用:文献综述
Q4 Medicine Pub Date : 2020-07-09 DOI: 10.4993/acrt.28.143
H. Ullah, Asad Ullah, A. Raziq, M. Lateef, N. Khan, Muhammad Waseem Khan
We reviewed different compounds derived from plants and their role in the treatment of various types of cancer cell lines. The herbal treatment has the least side effects as compared to the other treatments such as chemotherapy. Therefore, plant derivatives are considered as significant agent for treatment of cancer cells. As cancers are caused by the abnormal proliferation of cells, the extracted plant compounds induce apoptosis within the cancer cells through extrinsic or intrinsic pathway to inhibit the proliferation. Mitochondria have its major contribution in initiating apoptosis as it controls the level of cytochrome c. Many other regulatory proteins including p53 also support the inhibition of cell proliferation in cancer cell and induces fragmentation of DNA via apoptosis. Regulation of mitogen-activated protein (MAP) kinase and cleavage of poly (ADP-ribose) polymerase are the promoters and inhibitors of apoptosis. A cascade of caspases is also the functioning components of apoptosis induction and the expression of caspases control whether the pathway taken is intrinsic or extrinsic. Various compounds extracted from plants are discovered to be effective against the cancer cells.
本文综述了从植物中提取的不同化合物及其在治疗各种类型癌细胞中的作用。与化疗等其他治疗方法相比,草药治疗的副作用最小。因此,植物衍生物被认为是治疗癌细胞的重要药物。由于癌症是由细胞异常增殖引起的,所提取的植物化合物通过外源性或内源性途径诱导癌细胞凋亡,从而抑制癌细胞的增殖。线粒体控制着细胞色素c的水平,在启动细胞凋亡中起着重要作用。包括p53在内的许多其他调节蛋白也支持抑制癌细胞的增殖,并通过细胞凋亡诱导DNA断裂。丝裂原活化蛋白(MAP)激酶的调控和聚腺苷核糖(adp -核糖)聚合酶的裂解是细胞凋亡的促进因子和抑制因子。caspase级联也是诱导凋亡的功能成分,caspase的表达控制着所采取的途径是内在的还是外在的。从植物中提取的各种化合物被发现对抗癌细胞有效。
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引用次数: 1
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Annals of Cancer Research and Therapy
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