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Problems of Contraception in Commune IV of the District of Bamako about 109 Cases 巴马科区第四公社避孕问题约109例
Pub Date : 2023-01-01 DOI: 10.4236/abcr.2023.123007
Sirama Diarra, Birama Traoré, Yacouba Dembélé, Brahima Dembélé, Salif Diarra, Déssé Diarra, A. Saye
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引用次数: 0
Decipher Clinical and Genetic Underpins of Breast Cancer Survival with Machine Learning Methods 用机器学习方法破译乳腺癌生存的临床和遗传基础
Pub Date : 2023-01-01 DOI: 10.4236/abcr.2023.124013
Zhengkai Zhuang
Breast cancer is one of the most common cancers among women in the world, with more than two million new cases of breast cancer every year. This disease is associated with numerous clinical and genetic characteristics. In recent years, machine learning technology has been increasingly applied to the medical field, including predicting the risk of malignant tumors such as breast cancer. Based on clinical and targeted sequencing data of 1980 primary breast cancer samples, this article aimed to analyze these data and predict living conditions after breast cancer. After data engineering, feature selection, and comparison of machine learning methods, the light gradient boosting machine model was found the best with hyperparameter tuning (precision = 0.818, recall = 0.816, f1 score = 0.817, roc-auc = 0.867). And the top 5 determinants were clinical features age at diagnosis, Nottingham Prognostic Index, cohort and genetic features rheb, nr3c1. The study shed light on rational allocation of medical resources and provided insights to early prevention, diagnosis and treatment of breast cancer with the identified risk clinical and genetic factors.
乳腺癌是世界上女性中最常见的癌症之一,每年有200多万新发乳腺癌病例。这种疾病与许多临床和遗传特征有关。近年来,机器学习技术越来越多地应用于医疗领域,包括预测乳腺癌等恶性肿瘤的风险。本文基于1980例原发性乳腺癌样本的临床和靶向测序数据,旨在对这些数据进行分析并预测乳腺癌后的生存状况。经过数据工程、特征选择和机器学习方法比较,发现采用超参数调优的光梯度增强机器模型效果最佳(precision = 0.818, recall = 0.816, f1 score = 0.817, roc-auc = 0.867)。前5位决定因素为临床特征诊断年龄、诺丁汉预后指数、队列和遗传特征rheb, nr3c1。该研究为合理配置医疗资源提供了思路,为乳腺癌临床及遗传风险因素的早期预防、诊断和治疗提供了思路。
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引用次数: 0
Relation between Neurotransmitters and NK Cells in Adrenal and Breast Cancer 肾上腺和乳腺癌中神经递质与NK细胞的关系
Pub Date : 2023-01-01 DOI: 10.4236/abcr.2023.124009
Ayriana Safari Baesmat
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引用次数: 0
Pre-Operative MRI in HER-2 Receptor Positive and Her-2 Receptor Negative Breast Cancer: A Comparison HER-2受体阳性和HER-2受体阴性乳腺癌的术前MRI比较
Pub Date : 2023-01-01 DOI: 10.4236/abcr.2023.122005
Ashwini Sharma
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引用次数: 0
Darier Ferrand Mammary Dermatofibrosarcoma Simulating a Breast-Type Myofibroblastoma: A Case Report Darier Ferrand乳腺皮肤纤维肉瘤模拟乳腺型肌纤维母细胞瘤1例报告
Pub Date : 2023-01-01 DOI: 10.4236/abcr.2023.121002
Mouelle Michel Auguste, Sarah Gaëlle Adiang, E. Meka
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引用次数: 0
The Role of RNA Epitranscriptomics and the RNA Fat Mass and Obesity-Associated Demethylase in Triple Negative Breast Cancer RNA表转录组学和RNA脂肪量和肥胖相关去甲基化酶在三阴性乳腺癌中的作用
Pub Date : 2023-01-01 DOI: 10.4236/abcr.2023.122004
Emilija Sagaityte, Richard S. Dowd, Kendall Lane, S. Graff, S. Toms
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引用次数: 0
Needs and Opportunities for Information in Patients with Metastatic Breast Cancer Attending a Tertiary Hospital in Tanzania—A Qualitative Study 坦桑尼亚三级医院转移性乳腺癌患者的信息需求与机会:一项定性研究
Pub Date : 2023-01-01 DOI: 10.4236/abcr.2023.123006
N. Dharsee, K. Mwakatobe, M. Haule, Queen Tarimo, Mohammed Mbwana
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引用次数: 0
Clinical, Prognostic and Socio-Economic Aspects of T4 Breast Cancers in Ouagadougou, Burkina Faso: A Retrospective Study 瓦加杜古,布基纳法索T4乳腺癌的临床,预后和社会经济方面:一项回顾性研究
Pub Date : 2023-01-01 DOI: 10.4236/abcr.2023.124011
Augustin Tozoula Bambara, Dagnagnewende Dieudonne Kabore, Michel Ilboudo, Titavouro Nafissatou Prisca Hien, Faiza Abba-Ousmane, Alice Cynthia Sama
Breast cancers classified T4 according to the TNM code are frequent in Burkina Faso. A better knowledge of these cancers would help to better organize the fight against breast cancer in general. We conducted this study to present the clinical and prognostic aspects of T4 breast cancer in Ouagadougou. It was a descriptive retrospective study based on the medical record of patients received from January 1, 2017 to December 31, 2021 in the cancer department of Yalgado Ouedraogo University Hospital. Patients followed for histologically confirmed breast cancer who were classified in the cT4 category of the TNM code 8e edition were included. We collected a total of 286 patients. Non-salaried patients accounted for 90.56%. In this study, 53.3% of patients lived in urban area and 36.7% in rural area. Menopausal patients accounted for 56.8% of cases. One hundred and thirty-three (46.5%) patients were overweight or obese and 121 (42.3%) patients had a normal weight. The average consultation time, which is the time between the first signs and consultation in a specialized center, was 12 months, with a median of 11 months. According to category T of the TNM code, 19 patients (6.6%) were classified T4d, 176 (61.5%) were classified T4c, 69 (24.1%) were classified T4b and 22 (7.7%) T4a. One hundred and twenty patients (42%) were metastatic. The median overall survival of all patients in our sample was 20 months. In univariate analysis, metastatic status was risk factor for death, while obesity and surgery were protective factors. In multivariate analysis, obesity, surgery and metastatic status were independently associated with survival; obesity and surgery were protective factors. Survival is poor due to advanced stages and difficulties in the management of these cancers. Measures to facilitate access to care would improve the prognosis of these cancers.
根据TNM代码分类为T4的乳腺癌在布基纳法索很常见。更好地了解这些癌症将有助于更好地组织与乳腺癌的斗争。我们进行了这项研究,以介绍瓦加杜古T4乳腺癌的临床和预后方面。这是一项描述性回顾性研究,基于2017年1月1日至2021年12月31日在Yalgado Ouedraogo大学医院癌症科接收的患者的医疗记录。在TNM代码8e版中分类为cT4类的组织学确诊乳腺癌患者被纳入研究。我们共收集286例患者。非工薪患者占90.56%。在本研究中,53.3%的患者生活在城市地区,36.7%生活在农村地区。绝经期患者占56.8%。133例(46.5%)患者超重或肥胖,121例(42.3%)患者体重正常。平均咨询时间,即从首次出现症状到在专业中心咨询的时间,为12个月,中位数为11个月。按TNM编码的T类分类,T4d 19例(6.6%),T4c 176例(61.5%),T4b 69例(24.1%),T4a 22例(7.7%)。120例(42%)患者转移。我们样本中所有患者的中位总生存期为20个月。在单因素分析中,转移状态是死亡的危险因素,而肥胖和手术是保护因素。在多变量分析中,肥胖、手术和转移状态与生存独立相关;肥胖和手术是保护因素。由于这些癌症的晚期和治疗困难,生存率很低。促进获得护理的措施将改善这些癌症的预后。
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引用次数: 0
Breast Self-Examination (BSE): Association between “Belief in BSE” and “Awareness of BSE” among University Female Students in Uganda 乳房自我检查(BSE):乌干达大学女生“对疯牛病的信念”和“对疯牛病的认识”之间的关系
Pub Date : 2023-01-01 DOI: 10.4236/abcr.2023.121003
Nwanna Uchechukwu Kevin, R. Suubi, Akimana Ornella Danny, Niranjan Shridhar Divekar
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引用次数: 0
Gynecological Side Effects of Tamoxifen among Sudanese Women, Khartoum, Sudan, 2020 他莫昔芬在苏丹妇女中的妇科副作用,喀土穆,苏丹,2020
Pub Date : 2023-01-01 DOI: 10.4236/abcr.2023.124012
Mawahib Ahmed Elawad Abu Elgasim, Yousra Abdelmoniem Suleiman, Lobaina Abozaid, Dlal Alser Hassan Mohmmed, Soha Saad Aldin Mohamad Suliman, Duaa Hamd Abdulatif Farh
Background: In Sudan, the common endocrine therapy tamoxifen is prescribed to HR-positive patients, which is associated with a variety of complications such as hot flashes, vaginal discharge, and vaginal dryness. Objective: This study aimed to determine the gynecological side effects of tamoxifen among Sudanese women who have been diagnosed with breast cancer in Khartoum, Sudan. Methods: A retrospective cross-sectional study was conducted at Alzara Hospital in Al Amal Toure Revere, Sudan. A convenience sample of individuals previously diagnosed with breast cancer attended refer clinic. From October 2020 to September 2021, all patients attending were checked for eligibility. Results: A total of 100 patients were enrolled in the study; 60% of patients reported increased vaginal secretions after taking the drug, 28% reported normal vaginal secretions with no change, and 11% reported decreased secretions after taking the medication, while 22% developed vaginal bleeding, and 22% of the ultrasound results revealed endometrial masses among the study patients. Also, 54 percent of female patients experienced hot flashes after taking the medication, and 12% of women missed some doses of treatment. Conclusion: Tamoxifen results in several gynecological side effects in women with breast cancer. A high percentage of women in the study developed hot flashes, vaginal bleeding, and discharge, in addition to having ultrasound results showing endometrial masses among them.
背景:在苏丹,常见的内分泌治疗他莫昔芬是给hr阳性患者开的,这与各种并发症如潮热、阴道分泌物和阴道干燥有关。目的:本研究旨在确定他莫昔芬在苏丹喀土穆被诊断为乳腺癌的苏丹妇女中的妇科副作用。方法:在苏丹Al Amal Toure Revere的Alzara医院进行回顾性横断面研究。一个方便的样本是以前被诊断患有乳腺癌的人参加了转诊诊所。从2020年10月到2021年9月,对所有就诊的患者进行了资格检查。结果:共纳入100例患者;60%的患者服药后阴道分泌物增加,28%的患者阴道分泌物正常,无变化,11%的患者服药后分泌物减少,22%的患者出现阴道出血,22%的患者超声结果显示子宫内膜肿块。此外,54%的女性患者在服药后出现潮热,12%的女性错过了一些剂量的治疗。结论:他莫昔芬对乳腺癌患者有多种妇科副作用。研究中有很大比例的女性出现了潮热、阴道出血和分泌物,此外超声结果还显示子宫内膜肿块。
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引用次数: 0
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乳腺癌(英文)
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