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Next-generation sequencing technology in cancer 癌症中的新一代测序技术
Pub Date : 2024-07-18 DOI: 10.22376/ijtos.2024.2.3.23-31
P. Krubaa, Dr. Anand Mohan Jha, Prof Dr.Ammar A.Razzak Mahmood, Dr. Anil Kumar, D. Abraham
Next-generation sequencing (NGS) technology has revolutionized cancer research and treatment by enabling comprehensive analysis of genetic mutations, alterations, and expression profiles. It allows for the identification of cancer-driving mutations, helping in the development of targeted therapies. NGS provides detailed insights into tumor heterogeneity, resistance mechanisms, and clonal evolution. Its high-throughput capacity facilitates large-scale studies, improving our understanding of cancer genomics. By enabling personalized treatment plans based on individual genetic profiles, NGS holds promise for more effective and tailored cancer therapies. Early reviews on cancer genomics often lacked comprehensive coverage of emerging technologies. They missed in-depth analysis of NGS advancements, their impact on cancer research, and clinical applications. The review addresses this gap by reviving a thorough examination of NGS methods, their role in identifying genetic mutations, and their potential in personalized cancer treatment, thus providing essential insights into the evolving landscape of cancer genomics. The article covers the advancements in technology and bioinformatic approaches for NGS data analysis. It delves into NGS applications in research and diagnostics, particularly for solid cancer diagnosis. The review highlights specific cancer types, including hereditary breast cancer, melanoma, prostate cancer, thyroid cancer, lung cancer, and colorectal cancer. It explores NGS contribution in understanding the genetic basis of these cancers and its potential for enhancing personalized diagnosis and treatment strategies. This review rectifies early lacunas by providing a comprehensive and updated examination of NGS technology, addressing gaps in previous analyses and emphasizes bioinformatic approaches for NGS data analysis, crucial for interpreting vast genomic data accurately. The review meets the current need for a thorough understanding of NGS’s role in personalized cancer treatment and research.
下一代测序(NGS)技术可对基因突变、改变和表达谱进行全面分析,为癌症研究和治疗带来了革命性的变化。它可以识别导致癌症的基因突变,帮助开发靶向疗法。NGS 能让人详细了解肿瘤的异质性、抗药性机制和克隆进化。它的高通量能力有助于进行大规模研究,从而提高我们对癌症基因组学的认识。NGS 可根据个体基因图谱制定个性化治疗方案,有望提供更有效、更有针对性的癌症疗法。早期的癌症基因组学综述往往缺乏对新兴技术的全面覆盖。它们缺乏对 NGS 进展、其对癌症研究的影响以及临床应用的深入分析。这篇综述弥补了这一不足,重新对 NGS 方法、其在鉴定基因突变中的作用以及在个性化癌症治疗中的潜力进行了深入研究,从而为癌症基因组学不断发展的前景提供了重要见解。文章介绍了 NGS 数据分析技术和生物信息学方法的进步。文章深入探讨了 NGS 在研究和诊断中的应用,尤其是在实体癌诊断中的应用。综述重点介绍了特定的癌症类型,包括遗传性乳腺癌、黑色素瘤、前列腺癌、甲状腺癌、肺癌和结直肠癌。它探讨了 NGS 在了解这些癌症的遗传基础方面的贡献,以及其在加强个性化诊断和治疗策略方面的潜力。本综述对 NGS 技术进行了全面、最新的研究,弥补了早期研究的不足,并强调了 NGS 数据分析的生物信息学方法,这对准确解读大量基因组数据至关重要。该综述满足了当前全面了解 NGS 在个性化癌症治疗和研究中的作用的需要。
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引用次数: 0
Brain Tumors in Pediatric Patients 小儿脑肿瘤
Pub Date : 2024-07-18 DOI: 10.22376/ijtos.2024.2.3.14-22
Dr. Kumud Kumari, Dr. Anand Mohan Jha
Pediatric brain tumors are the most common solid tumors in children, comprising a diverse group of neoplasms that vary in histology, location, and behavior. Common types include astrocytomas, medulloblastomas, ependymomas, and brainstem gliomas. Symptoms often depend on the tumor's location and may include headaches, nausea, vomiting, balance issues, and cognitive or behavioral changes. Advances in imaging, surgical techniques, and therapies, including radiation and chemotherapy, have improved outcomes. However, treatment can have long-term effects on cognitive and physical development, making comprehensive care and follow-up essential for pediatric patients. Early published reviews on pediatric brain tumors may have several lacunae, such as limited data on long-term outcomes, emerging treatment modalities, and the genetic and molecular underpinnings of various tumor types. They might also inadequately address the psychosocial impacts on patients and families. Therefore, a comprehensive review is needed to synthesize the latest research on pediatric brain tumors, encompassing advancements in diagnosis, treatment, and survivorship care. This updated review will provide valuable insights for clinicians, researchers, and policymakers to improve managing and supporting children with brain tumors. The review covers various aspects of pediatric brain tumors, focusing on choroid plexus tumors and spinal cord tumors. It discusses treatment strategies, highlighting surgical, radiotherapy, and chemotherapy options. The review also details presenting signs and symptoms of brain tumors in children, such as headaches, nausea, vomiting, balance issues, and changes in behavior or cognition. These insights aim to enhance early diagnosis and effective management, improving outcomes for affected children. This review addresses gaps in earlier studies on pediatric brain tumors by providing comprehensive insights into choroid plexus and spinal cord tumors, updated treatment strategies, and detailed symptoms. It synthesizes recent research to enhance early diagnosis and management, meeting current needs for effective, tailored treatment and improving patient outcomes.
小儿脑肿瘤是儿童最常见的实体肿瘤,由组织学、位置和行为各不相同的多种肿瘤组成。常见类型包括星形细胞瘤、髓母细胞瘤、上胚瘤和脑干胶质瘤。症状通常取决于肿瘤的位置,可能包括头痛、恶心、呕吐、平衡问题以及认知或行为改变。影像学、手术技术和疗法(包括放疗和化疗)的进步提高了治疗效果。然而,治疗可能会对认知和身体发育产生长期影响,因此全面护理和随访对儿科患者至关重要。早期出版的儿科脑肿瘤综述可能存在一些缺陷,例如长期疗效、新兴治疗方式以及各种肿瘤类型的遗传和分子基础方面的数据有限。这些综述也可能没有充分考虑到对患者和家属的社会心理影响。因此,我们需要一篇全面的综述来综合儿童脑肿瘤的最新研究成果,包括诊断、治疗和生存护理方面的进展。这篇最新综述将为临床医生、研究人员和政策制定者提供有价值的见解,以改善对脑肿瘤患儿的管理和支持。综述涵盖了小儿脑肿瘤的各个方面,重点关注脉络丛肿瘤和脊髓肿瘤。书中讨论了治疗策略,重点介绍了手术、放疗和化疗方案。综述还详细介绍了儿童脑肿瘤的症状和体征,如头痛、恶心、呕吐、平衡问题以及行为或认知的改变。这些见解旨在加强早期诊断和有效管理,改善患儿的预后。本综述通过提供对脉络丛和脊髓肿瘤的全面见解、最新治疗策略和详细症状,弥补了早期小儿脑肿瘤研究的不足。它综合了最新的研究成果,以加强早期诊断和管理,满足当前对有效、有针对性治疗的需求,并改善患者的预后。
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引用次数: 0
Global Burden of Lung Cancer: Prognosis, Symptom Management, And Challenges with Pulmonary Fibrosis 肺癌的全球负担:肺纤维化的预后、症状管理和挑战
Pub Date : 2024-07-08 DOI: 10.22376/ijtos.2024.2.3.8-13
Dr. Anand Mohan Jha, Dr. Anil Kumar, Dr. John Abraham, Huma Firdaus
Lung cancer represents a significant global health burden, accounting for the highest number of cancer-related deaths worldwide. Despite advancements in treatment modalities, the prognosis remains poor, with a low 5-year survival rate post-diagnosis and substantial mortality within the first year. Patients often experience debilitating symptoms such as fatigue, pain, dyspnea, and coughing, which severely impact their physical and psychological well-being. Pain management is particularly challenging and critical due to its potential leading to depression and anxiety. Lung cancer encompasses histological classifications such as adenocarcinoma, squamous cell carcinoma, large cell carcinoma and small cell lung cancer (SCLC), each with distinctive subtypes. Patients with idiopathic pulmonary fibrosis (IPF) face exacerbated challenges when they also develop lung cancer, impacting their prognosis significantly compared to those with lung cancer alone. The management of pulmonary fibrosis (PF) in lung cancer necessitates a multifaceted approach, incorporating supportive care, pharmacological interventions, and emerging therapies like molecular targeted therapies, gene therapy, and stem cell therapy. This comprehensive management requires collaboration among various healthcare professionals to optimize outcomes and enhance quality of life for affected patients. Despite considerable progress, managing fibrosis in lung cancer remains complex due to its heterogeneous nature and varied progression. Ongoing future research aims to identify biomarkers for early detection, refine treatment strategies, and explore novel therapies through clinical trials. This review highlights lung cancer's global burden, poor prognosis, and severe symptoms impacting patient well-being. It discusses histological types, compounded challenges with IPF, and the need for a multifaceted treatment approach. Emphasis is placed on ongoing research for early detection, refined treatments, and novel therapies to improve outcomes.
肺癌给全球健康带来沉重负担,在全球癌症相关死亡人数中占比最高。尽管治疗方法不断进步,但预后仍然很差,确诊后 5 年生存率很低,第一年内死亡率很高。患者通常会出现疲劳、疼痛、呼吸困难和咳嗽等衰弱症状,严重影响他们的身心健康。由于疼痛有可能导致抑郁和焦虑,因此疼痛管理尤其具有挑战性和关键性。肺癌的组织学分类包括腺癌、鳞状细胞癌、大细胞癌和小细胞肺癌(SCLC),每种癌症都有独特的亚型。特发性肺纤维化(IPF)患者如果同时罹患肺癌,将面临更严峻的挑战,与单纯罹患肺癌的患者相比,他们的预后会受到严重影响。肺癌合并肺纤维化(PF)的治疗需要采取多方面的方法,包括支持性治疗、药物干预以及分子靶向治疗、基因治疗和干细胞治疗等新兴疗法。这种综合管理需要不同医疗保健专业人员之间的合作,以优化治疗效果并提高受影响患者的生活质量。尽管取得了相当大的进展,但由于肺癌纤维化的异质性和不同的进展过程,肺癌纤维化的管理仍然十分复杂。未来正在进行的研究旨在确定早期检测的生物标志物、完善治疗策略并通过临床试验探索新型疗法。本综述强调了肺癌对全球造成的负担、不良预后以及影响患者福祉的严重症状。它讨论了组织学类型、IPF 的复杂挑战以及多方面治疗方法的必要性。重点关注正在进行的早期检测、精细化治疗和新型疗法研究,以改善预后。
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引用次数: 0
Assessing The Safety of Laparoscopic Surgery in Treating of Adenocarcinoma Endometrial Cancer 评估腹腔镜手术治疗子宫内膜腺癌的安全性
Pub Date : 2024-07-04 DOI: 10.22376/ijtos.2024.2.3.1-7
Dr. Kumud Kumari, Dr. Nidhi Jha, D. S, Dr. John Abraham, Dr. Ramesh Vasudevan, Srilakshmi C
In recent years, there has been a growing preference for laparoscopic surgery. Insufficient data exists on the safety of laparoscopy in endometrial cancer. The objective of this study was to assess and compare the perioperative and oncologic results of laparoscopic and laparotomic. staging surgery in patients diagnosed with adenocarcinoma endometrial cancer. The study aimed to evaluate the safety and effectiveness of laparoscopic surgery in this specific patient group. A retrospective analysis was conducted on the data of 250 patients who had surgical staging for adenocarcinoma endometrial cancer at the gynecologic oncology department of a government hospital from 2018 to 2023. A comparison was made between the laparoscopy and laparotomy groups in terms of demographic, histopathologic, perioperative, and oncologic parameters. An additional assessment was conducted on a subset of individuals who had a body mass index greater than 30. The demographic and histopathologic parameters of the two groups were comparable, however laparoscopic surgery demonstrated a much higher level of effectiveness in terms of perioperative outcomes. The laparotomy group had a much greater number of excised and metastatic lymph nodes. However, this difference did not have an impact on the oncologic outcomes, such as recurrence and survival rates. Both groups had similar results in this regard. The results of the subgroup with a BMI more than 30 were consistent with those of the entire population. The intraoperative problems encountered during the laparoscopic procedure were effectively resolved. Laparoscopic surgery is considered superior to laparotomy and, depending on the surgeon's expertise, it can be safely used for surgical staging of adenocarcinoma endometrial cancer.
近年来,腹腔镜手术越来越受到青睐。关于子宫内膜癌腹腔镜手术安全性的数据不足。本研究的目的是评估和比较腹腔镜手术和腹腔镜手术对确诊为腺癌子宫内膜癌患者的围手术期和肿瘤学结果。该研究旨在评估腹腔镜手术在这一特殊患者群体中的安全性和有效性。研究人员对2018年至2023年在一家政府医院妇科肿瘤科进行腺癌子宫内膜癌手术分期的250名患者的数据进行了回顾性分析。在人口统计学、组织病理学、围手术期和肿瘤学参数方面,对腹腔镜组和开腹手术组进行了比较。另外,还对体重指数大于 30 的人群进行了评估。两组的人口统计学和组织病理学参数相当,但腹腔镜手术在围手术期结果方面的有效性要高得多。腹腔镜手术组切除和转移淋巴结的数量要多得多。不过,这一差异对复发率和存活率等肿瘤学结果并无影响。两组在这方面的结果相似。体重指数(BMI)大于 30 的亚组的结果与整个人群的结果一致。腹腔镜手术中遇到的术中问题都得到了有效解决。腹腔镜手术被认为优于开腹手术,根据外科医生的专业知识,腹腔镜手术可以安全地用于腺癌子宫内膜癌的手术分期。
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引用次数: 0
Unravelling The Complexities of Cervical Cancer: A Comprehensive Exploration 揭开宫颈癌的复杂面纱:全面探索
Pub Date : 2024-04-05 DOI: 10.22376/ijtos.2024.2.2.23-31
Dr. Shilpa Bhargava, Dr. John Abraham, Dr. Martha Srinivas, Dr. Somenath Ghosh
Cervical cancer (CC) ranks as the second most common cause of cancer-related deaths among women aged 20-39, resulting in ten premature deaths weekly. CC affects women worldwide as the most common form of genital cancer, with approximately 500,000 new cases diagnosed annually. Besides the risk of death, CC can lead to increased morbidity, causing symptoms like pain, haemorrhage, and kidney failure. These complications pose significant challenges to treatment, particularly in areas with limited healthcare access. Immune dysregulation and chronic inflammation further contribute to CC pathogenesis, creating a pro-carcinogenic microenvironment through immune cell recruitment, cytokine release, and inflammatory responses triggered by persistent HPV infection. Moreover, understanding the socio-economic determinants influencing the prevalence of CC and promoting awareness can contribute to effective public health interventions. Research endeavours in these domains are vital to reduce the burden of CC, enhance early detection, and ultimately save lives. This review covers recent research on CC global epidemiology, intricate pathogenesis insights, protein-based HPV vaccines, and diverse treatment modalities, including recurrent cases. Molecular markers indicating prognosis and the role of artificial intelligence. The review will briefly highlight preventive strategies, offering a comprehensive overview of crucial research areas in CC.
宫颈癌(CC)是 20-39 岁女性癌症相关死亡的第二大常见原因,每周有 10 人因此过早死亡。宫颈癌影响着全世界的女性,是最常见的生殖器癌症,每年约有 50 万新确诊病例。除了死亡风险外,CC 还可能导致发病率上升,引起疼痛、出血和肾衰竭等症状。这些并发症给治疗带来了巨大挑战,尤其是在医疗条件有限的地区。免疫失调和慢性炎症进一步加剧了CC的发病机理,通过免疫细胞招募、细胞因子释放以及HPV持续感染引发的炎症反应,形成了一种促癌微环境。此外,了解影响CC发病率的社会经济决定因素并提高人们的认识有助于采取有效的公共卫生干预措施。这些领域的研究工作对于减轻CC的负担、加强早期检测并最终挽救生命至关重要。本综述涵盖了有关CC全球流行病学、复杂的发病机制、基于蛋白的HPV疫苗和各种治疗方法(包括复发病例)的最新研究。表明预后的分子标记和人工智能的作用。综述将简要介绍预防策略,全面概述CC的关键研究领域。
{"title":"Unravelling The Complexities of Cervical Cancer: A Comprehensive Exploration","authors":"Dr. Shilpa Bhargava, Dr. John Abraham, Dr. Martha Srinivas, Dr. Somenath Ghosh","doi":"10.22376/ijtos.2024.2.2.23-31","DOIUrl":"https://doi.org/10.22376/ijtos.2024.2.2.23-31","url":null,"abstract":"Cervical cancer (CC) ranks as the second most common cause of cancer-related deaths among women aged 20-39, resulting in ten premature deaths weekly. CC affects women worldwide as the most common form of genital cancer, with approximately 500,000 new cases diagnosed annually. Besides the risk of death, CC can lead to increased morbidity, causing symptoms like pain, haemorrhage, and kidney failure. These complications pose significant challenges to treatment, particularly in areas with limited healthcare access. Immune dysregulation and chronic inflammation further contribute to CC pathogenesis, creating a pro-carcinogenic microenvironment through immune cell recruitment, cytokine release, and inflammatory responses triggered by persistent HPV infection. Moreover, understanding the socio-economic determinants influencing the prevalence of CC and promoting awareness can contribute to effective public health interventions. Research endeavours in these domains are vital to reduce the burden of CC, enhance early detection, and ultimately save lives. This review covers recent research on CC global epidemiology, intricate pathogenesis insights, protein-based HPV vaccines, and diverse treatment modalities, including recurrent cases. Molecular markers indicating prognosis and the role of artificial intelligence. The review will briefly highlight preventive strategies, offering a comprehensive overview of crucial research areas in CC.","PeriodicalId":479912,"journal":{"name":"International Journal of Trends in OncoScience","volume":"27 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140736825","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
Epigenetics in Cancer Therapy 癌症治疗中的表观遗传学
Pub Date : 2024-04-05 DOI: 10.22376/ijtos.2024.2.2.32-40
Dr. Abikesh Prasada Kumar Mahapatra, Vinod S. Mule, Dr Avula Naveen, Dr. Somenath Ghosh
Epigenetics regulates parts of the genetic information accessible to cellular machinery, thus contributing to cellular diversity. Disruption of epigenetic harmonisation can lead to dysregulation of signaling pathways and contribute to diseases like cancer. Epigenetic processes are crucial in coordinating the normal growth and preservation of gene activity unique to mammal tissues. Epigenetic studies in current cancer research are vital for early detection through biomarker identification, understanding tumor heterogeneity, predicting treatment responses, and uncovering resistance mechanisms. This knowledge informs targeted therapies, enhances personalized medicine, and improves overall outcomes in cancer patients. This review comprehensively explores epigenetic processes in healthy cells, emphasizing histone modification-lysine acetylation and DNA methylation. The intricate mechanisms governing genetic expression and their dysregulation in cancer progression are also reviewed. Examining prevalent cancer types, this review stresses the pivotal role of epigenetics in understanding and potentially targeting these processes for therapeutic interventions.
表观遗传学调节细胞机制可获取的部分遗传信息,从而促进细胞多样性。表观遗传协调的破坏会导致信号通路失调,引发癌症等疾病。表观遗传过程在协调正常生长和保持哺乳动物组织特有的基因活性方面至关重要。目前癌症研究中的表观遗传学研究对于通过生物标志物鉴定进行早期检测、了解肿瘤异质性、预测治疗反应和揭示抗药性机制至关重要。这些知识为靶向治疗提供了信息,增强了个性化医疗,并改善了癌症患者的整体预后。这篇综述全面探讨了健康细胞的表观遗传过程,重点是组蛋白修饰--赖氨酸乙酰化和DNA甲基化。此外,还综述了基因表达的复杂机制及其在癌症进展过程中的失调。通过对常见癌症类型的研究,本综述强调了表观遗传学在理解和针对这些过程进行治疗干预方面的关键作用。
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引用次数: 1
Benefits of Personalized Diet, Nutrition, And Exercise Programs for Cancer Survivors 癌症幸存者个性化饮食、营养和运动计划的益处
Pub Date : 2024-04-05 DOI: 10.22376/ijtos.2024.2.2.12-22
H. Natto, Dr Debananda Sahoo, N. Muneera
Nutrition, diets, and exercise are critical pillars in fortifying the well-being of cancer survivors. A balanced and nutrientrich diet serves as a linchpin in the recovery process for cancer, providing essential vitamins and minerals crucial for rejuvenating weakened immune systems and promoting overall health. The comprehensive influence of nutritional variables, including weight, food, physical activity, and alcohol use, goes beyond cancer development and affects outlook; the standard of living, concurrent health conditions, reappearances, and the incidence of recurrent malignancies are important factors to consider. However, despite their undeniable importance, a comprehensive understanding of their correlating effects on cancer survivors is hindered by the relatively recent and limited literature. This review aims to address existing gaps in current research, emphasizing recent studies and reviews related to nutrition, diets, alcoholic beverages, obesity, and exercise in cancer patients. This review focuses on specific areas necessitating further investigation by synthesizing and scrutinizing the latest findings. By exploring recent advancements, the goal is to contribute to a profound understanding of tailored nutrition plans, specific diets, lifestyle modifications, and exercise regimens, which can strategically enhance cancer survivors' well-being and long-term outcomes.
营养、饮食和锻炼是巩固癌症幸存者健康的重要支柱。均衡且富含营养的饮食是癌症康复过程中的关键,它能提供必需的维生素和矿物质,这对恢复衰弱的免疫系统和促进整体健康至关重要。营养变量(包括体重、食物、体力活动和饮酒)的综合影响超出了癌症发展和影响前景的范围;生活水平、并发症、复发和复发恶性肿瘤的发生率也是需要考虑的重要因素。然而,尽管这些因素的重要性毋庸置疑,但由于相关文献相对较新且数量有限,因此无法全面了解这些因素对癌症幸存者的相关影响。本综述旨在解决目前研究中存在的不足,强调与癌症患者营养、饮食、酒精饮料、肥胖和运动相关的最新研究和综述。本综述通过对最新研究成果的归纳和审视,重点关注需要进一步研究的特定领域。通过探讨最新进展,旨在帮助人们深刻理解量身定制的营养计划、特定饮食、生活方式调整和运动疗法,从而从战略上提高癌症幸存者的健康水平和长期疗效。
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引用次数: 0
Cancer and Food-Related Risks: A Review 癌症与食物相关风险:综述
Pub Date : 2024-04-05 DOI: 10.22376/ijtos.2024.2.2.1-11
Dr. Nisar Ahmed, Dr. Biswajit Dash, Dr. Somenath Ghosh, Dr. Asit Kumar
This review presents the most current scientific evidence related with the interaction between diet and cancer risk. For the purpose of ensuring the food's microbiological and chemical safety, as well as improving its palatability, numerous food processing techniques have been utilized. Innovations and advancements in food processing are being driven by the growing demand for food that are not only nutritious but also convenient and healthy. When new processes and compounds are discovered as a result of improvements in analytical capabilities, it is necessary to conduct a thorough analysis of the potential effects on human health. In this review, the most recent scientific findings concerning the influence of the foods we eat and the risk of developing cancer are presented. Therefore, there is a pressing need for ongoing research as well as the development of comprehensive strategies to address these preventable causes of cancer and to encourage healthier lifestyle choices. This review presents an analysis of the most recent scientific data concerning the correlation between dietary habits and the likelihood of developing cancer. In addition to an increase in the consumption of refined sugars and foods that are high in carbohydrates, these patterns also demonstrates a decrease in the consumption of macronutrients and micronutrients. In addition to this, this review investigates the impact of certain dietary regimens, such as the Mediterranean diets, as well as the intake of meat and dairy items, on the likelihood of developing cancer. Epidemiological studies, molecular mechanisms, and emerging perspectives in the field of personalized nutrition were also been reviewed. It is the objective of this review to present a comprehensive analysis of relevant studies, offering the latest scientific insights regarding the correlation between diet and the likelihood of cancer development. 
本综述介绍了有关饮食与癌症风险之间相互作用的最新科学证据。为了确保食品的微生物和化学安全,并改善其口感,人们采用了许多食品加工技术。人们对食品不仅要有营养,还要方便和健康的需求不断增长,这推动了食品加工技术的创新和进步。随着分析能力的提高,人们发现了新工艺和新化合物,有必要对其对人体健康的潜在影响进行全面分析。在这篇综述中,介绍了有关我们所吃食物的影响和患癌风险的最新科学发现。因此,我们迫切需要不断开展研究,并制定全面的战略来解决这些可预防的致癌原因,鼓励人们选择更健康的生活方式。本综述分析了有关饮食习惯与患癌可能性之间相关性的最新科学数据。除了精制糖和高碳水化合物食物的摄入量增加外,这些模式还显示了宏量营养素和微量营养素摄入量的减少。除此之外,这篇综述还调查了某些饮食方案(如地中海饮食)以及肉类和奶制品的摄入量对罹患癌症的可能性的影响。此外,还综述了流行病学研究、分子机制以及个性化营养领域的新观点。本综述旨在对相关研究进行全面分析,提供有关饮食与癌症发病可能性之间相关性的最新科学见解。
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引用次数: 0
Case Study On Pulmonary and Right Atrial Cardiac Metastases Among Children with Hepatocellular Carcinoma 肝细胞癌儿童肺部和右心房心脏转移病例研究
Pub Date : 2024-04-05 DOI: 10.22376/ijtos.2024.2.2.41-44
D. Kr, Dr. John Abraham, Dr. Pachai Pandy
The occurrence of hepatocellular carcinoma(HpC) hepato-blastoma (HB) in children with metastases in both the right atrium and lungs is a rare occurrence. Overcoming these challenges in treatment is an intricate and demanding process. We present a rare clinical case involving a pediatric patient diagnosed with hepatoblastoma (HpC) that exhibited metastasis to both the lungs and the right atrium. In response to this complex condition, surgical intervention was undertaken, complemented by a carefully administered combination of chemotherapy. This dual-phase chemotherapy, administered both pre- and post-operation, served as an adjuvant treatment strategy. The primary objective of this comprehensive therapeutic approach was to attain full remission, eliminating any traces of the malignancy. The intricacies of managing metastatic HpC in pediatric cases underscore the importance of multidisciplinary interventions, emphasizing the critical role of surgery and adjuvant chemotherapy in the pursuit of a positive treatment outcome. Thus, individuals with HB that has spread to the lungs and right atrium may have a favorable outcome by undergoing proactive and multimodal therapy. 
儿童肝细胞癌(HpC)和肝母细胞瘤(HB)同时转移至右心房和肺部的情况十分罕见。克服这些治疗难题是一个复杂而艰巨的过程。我们介绍了一个罕见的临床病例,该病例涉及一名被诊断为肝母细胞瘤(HpC)的儿童患者,患者的肺部和右心房均出现转移。针对这种复杂的病情,我们采取了手术治疗,并辅以精心实施的联合化疗。这种双阶段化疗在手术前后同时进行,是一种辅助治疗策略。这种综合治疗方法的主要目的是达到完全缓解,消除恶性肿瘤的任何痕迹。处理儿科转移性 HpC 病例的复杂性凸显了多学科干预的重要性,强调了手术和辅助化疗在追求积极治疗结果中的关键作用。因此,对于已扩散至肺部和右心房的 HB 患者,通过积极主动的多模式治疗可获得良好的治疗效果。
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引用次数: 0
Impact of Microbial Intake for Gums and Periodontal Health in Children Receiving Chemotherapy 微生物摄入量对接受化疗儿童牙龈和牙周健康的影响
Pub Date : 2024-04-05 DOI: 10.22376/ijtos.2024.2.2.45-50
Dr. Anieta Merin Jacob, D. A. A. Razzak Mahmood, Dr. Narendranath S, Dr D Abisheik Johnson Babu
Probiotics comprised of living microorganisms and are devoid of any detrimental impacts on health. When consumed in sufficient amounts, they provide nutritional advantages. The prevalent oral infections primarily target the periodontal and dental tissues inside the mouth cavity. This study aims to investigate the effectiveness of oral probiotics in combating bacteria associated with periodontal and dental diseases. Moreover, it aims to evaluate the gum and periodontal well-being of children receiving chemotherapy following the intake of oral probiotics. Seventy children, aged 4 to 16 years and undergoing chemotherapy, were randomly assigned to either the control or test group, which received probiotics, over a period of ninety days. Various evaluations, including the examination of gum and teeth-supporting structures, oral cleanliness, and testing for caries activity, were conducted at different intervals. SPSS 19.0 was utilized for statistical analysis. Among participants in the treatment group, the administration of oral probiotics resulted in a noteworthy reduction in biofilm accumulation over the observation period (P < 0.05). The test group exhibited an improvement in the condition of the gums and supporting structures of the teeth (P < 0.05). A caries activity assessment was conducted using the Snyder test. Among the children in the research group, 10 were found to have a score of 1, while eight exhibited a score of 2. None of the children in the research group displayed a score of 3. The findings indicated that consistent intake of oral probiotics leads to a significant decrease in the build-up of biofilm, the production of tartar, and the occurrence of tooth decay within the experimental group. 
益生菌由活的微生物组成,对健康没有任何有害影响。摄入足量的益生菌可提供营养优势。流行的口腔感染主要针对口腔内的牙周和牙齿组织。本研究旨在探讨口服益生菌在对抗与牙周病和牙科疾病相关的细菌方面的有效性。此外,研究还旨在评估接受化疗的儿童在口服益生菌后牙龈和牙周的健康状况。七十名正在接受化疗的 4 至 16 岁儿童被随机分配到对照组或试验组,在九十天内服用益生菌。在不同时间段进行了各种评估,包括牙龈和牙齿支撑结构检查、口腔清洁度和龋齿活动测试。统计分析采用 SPSS 19.0。在治疗组的参与者中,口服益生菌显著减少了观察期内生物膜的积累(P < 0.05)。试验组的牙龈和牙齿支撑结构状况有所改善(P < 0.05)。使用斯奈德测试法进行了龋齿活性评估。研究结果表明,持续摄入口腔益生菌可显著减少实验组中生物膜的堆积、牙垢的生成和蛀牙的发生。
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International Journal of Trends in OncoScience
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