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Development and Management of Massive Subcutaneous Metastases with Unusual Clinical Course from Uterine Leiomyosarcoma 子宫平滑肌肉瘤伴异常病程的大量皮下转移的发展与处理
Pub Date : 2021-01-01 DOI: 10.26502/jcsct.5079131
Filippin Dm, Nuvola G, Nannini M, S. M, Cammelli S, De Paolis M, Perrone Am, De Iaco P, De Leo A, A. A., Pan Ma
Uterine leiomyosarcoma (U-LMS) is the most common histotype among all primary uterine sarcomas. The lung, peritoneum, pelvic or para-aortic lymph nodes, bone and liver are the most common metastatic sites involved. However, some case series of atypical sites of metastasis such as heart, brain and different endocrine glands have J Cancer Sci Clin Ther 2021; 5 (4): 459-467 DOI: 10.26502/jcsct.5079131 Journal of Cancer Science and Clinical Therapeutics 460 been described. Here we report the clinical presentation and therapeutic management of two patients affected by ULMS with a very atypical behavior, characterized by soft tissue metastases with an impressive and massive enlargement during chemotherapy despite a good control of the other sites of disease.
子宫平滑肌肉瘤(U-LMS)是所有原发性子宫肉瘤中最常见的组织类型。肺、腹膜、盆腔或主动脉旁淋巴结、骨和肝是最常见的转移部位。然而,一些不典型转移部位如心、脑和不同内分泌腺的病例系列有[J] .癌症科学临床杂志2021;5 (4): 459-467 DOI: 10.26502/jcsct.5079131癌症科学和临床治疗杂志460被描述。在这里,我们报告了两例ULMS患者的临床表现和治疗管理,他们的行为非常不典型,其特征是在化疗期间软组织转移,尽管其他部位的疾病得到了很好的控制,但软组织转移却显著扩大。
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引用次数: 0
The Role of Radiation Therapy in Recurrent Ovarian Cancer 放射治疗在复发性卵巢癌中的作用
Pub Date : 2021-01-01 DOI: 10.26502/jcsct.5079143
Yuichiro Hotta, Tamina Kino, H. Shigeta
Recent remarkable technological advances in radiation therapy made the way for stereotactic body RT (SBRT), which can be used for oligometastatic tumors anywhere in the body. Oligometastases from gynecological malignancies have been considered as one of the most promising candidate for SBRT. It is suggested that SBRT was associated with high rates of local control, impressive survival, and minimal toxicity in ovarian cancer. It is also suggested that SBRT serves to destroy chemoresistant tumor clones, and help stimulate innate immune response or expose tumor neoantigens, and can be used in women who have had prior radiotherapy. Among the ovarian cancers, clear cell cancer might be a good candidate for radiation therapy because it is less sensitive to standard platinum-based chemotherapy. A patient was reported who had recurrent ovarian clear cell cancer and had been free from disease more than ten years after the discontinuation of proton beam therapy. Proton beam therapy provides superior dose distributions and a dosimetric advantages over photon beam therapy. Therefore, radiation therapy is considered to be an effective and safe option for oligometastatic ovarian cancer patients. Proton beam therapy is a good potential option for chemotherapy-resistant, localized, recurrent ovarian cancer including clear cell cancer. J Cancer Sci Clin Ther 2022; 6 (1): 25-30 DOI: 10.26502/jcsct.5079143 Journal of Cancer Science and Clinical Therapeutics 26
最近放射治疗的显著技术进步为立体定向全身放射治疗(SBRT)铺平了道路,它可以用于体内任何地方的低转移性肿瘤。妇科恶性肿瘤的寡转移瘤被认为是SBRT最有希望的候选者之一。这表明SBRT与卵巢癌的高局部控制率、令人印象深刻的生存率和最小毒性有关。研究还表明,SBRT可以破坏化疗耐药的肿瘤克隆,帮助刺激先天免疫反应或暴露肿瘤新抗原,并可用于先前接受过放疗的女性。在卵巢癌中,透明细胞癌可能是一个很好的放疗候选者,因为它对标准的铂基化疗不太敏感。我们报告了一位复发性卵巢透明细胞癌的患者,在停止质子束治疗十多年后,病情得以好转。质子束治疗比光子束治疗具有更好的剂量分布和剂量学优势。因此,放射治疗被认为是少转移性卵巢癌患者的一种有效和安全的选择。质子束治疗是一个很好的潜在选择化疗耐药,局部,复发卵巢癌,包括透明细胞癌。中华肿瘤杂志,2012;6 (1): 25-30 DOI: 10.26502/jcsct.5079143癌症科学与临床治疗杂志26
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引用次数: 0
Stress-Induced Accumulation of HnRNP K into Stress Granules. 应力诱导的HnRNP - K在应力颗粒中的积累
Pub Date : 2021-01-01 Epub Date: 2021-10-15 DOI: 10.26502/jcsct.5079129
Jayoung Kim, Austin Yeon, Woong-Ki Kim, Khae-Hawn Kim, Takbum Ohn

Stress granules (SGs) are cytoplasmic aggregates to reprogram gene expression in response to cellular stimulus. Here, we show that while SGs are being assembled in response to clotrimazole, an antifungal medication heterogeneous nuclear ribonucleoprotein (hnRNP) K, an RNA-binding protein that mediates translational silencing of mRNAs, is rapidly accumulated in SGs in U-2OS osteosarcoma cells. Forced expression of hnRNP K induces resistance to clotrimazole-induced apoptosis. Erk/MAPK is transiently activated in response to clotrimazole, and pharmacological suppression of the Erk/MAPK pathway sensitizes the cells to apoptosis. Inhibition of the Erk/MAPK pathway promotes the assembly of SGs. These results suggest that dynamic cytoplasmic formation of SGs and hnRNP K relocation to SGs may be defensive mechanisms against clotrimazole-induced apoptosis in U-2OS osteosarcoma cells.

应激颗粒(SG)是细胞质聚集体,用于响应细胞刺激重新编程基因表达。在这里,我们发现,当SGs对克霉唑产生反应时,一种抗真菌药物异质性核核糖核蛋白(hnRNP)K,一种介导mRNA翻译沉默的RNA结合蛋白,在U-2OS骨肉瘤细胞的SGs中快速积累。hnRNP K的强制表达诱导对克霉唑诱导的细胞凋亡的抗性。Erk/MAPK在对克霉唑的反应中被瞬时激活,并且对Erk/MAPK通路的药理学抑制使细胞对凋亡敏感。Erk/MAPK通路的抑制促进SG的组装。这些结果表明,在U-2OS骨肉瘤细胞中,SGs的动态细胞质形成和hnRNP K向SGs的迁移可能是对抗克霉唑诱导的细胞凋亡的防御机制。
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引用次数: 0
A Phase I dose escalation trial using Intensity-Modulated Radiotherapy with simultaneous integrated boost in Pelvic Chemoradiotherapy for Metastatic Rectal Cancer 一项I期剂量递增试验,使用调强放疗同时综合增强盆腔放化疗治疗转移性直肠癌
Pub Date : 2020-12-16 DOI: 10.21203/rs.3.rs-127929/v1
T. Lizée, V. Seegers, J. Blanchecotte, E. Rio, O. Capitain, V. Guérin-Meyer, F. Legouté, D. Autret, M. Mahé, A. Paumier
BackgroundIn unresectable metastatic rectal cancers, the surgery of the primitive tumor remains highly debated. Chemoradiotherapy (CRT) of the primitive could allow sufficient local control in order to avoid major and sometimes mutilating surgery. Dose escalation during CRT could increase this local control. The aim of this study was to evaluate the feasibility and tolerance of a CRT with radiation dose escalation delivered in intensity modulated radiotherapy (IMRT) with simultaneous integrated boost (SIB), in metastatic low and middle rectal cancers.MethodsThis multicenter phase I study included six patients treated for unresectable synchronous metastatic low and middle rectal adenocarcinoma in two dose levels. Radiotherapy was delivered using IMRT with SIB. The dose escalation was 52.5 Gy (level 1) and 56.25 Gy (level 2) in the primary tumor, in 25 fractions of 2.1 Gy and 2.25 Gy, respectively. High-risk clinical target volume (CTV) and low-risk CTV received respectively 50 Gy and 45 Gy in 25 fractions in the two levels. Concomitant chemotherapy was oral capecitabine and CRT was performed after four cycles of mFOLOX6 chemotherapy. The dose-limiting toxicity (DLT) was defined by a toxicity requiring the interruption of radiotherapy for more than five consecutive fractions.ResultsAll six patients received the full course of treatment at scheduled doses. No patients had acute toxicity requiring interruption of radiotherapy therefore no DLT has been reported. No patients had acute toxicity ≥ 3. Concerning late toxicity, three patients experienced grade 3. After CRT, four patients had a partial response and one patient had a complete clinical response. Two patients were considered in local progression at 9.4 months and 20.4 months of inclusion.ConclusionsDose escalation at 56.25 Gy in the tumor lesion was possible with good acute tolerance. It needs to be evaluated in a larger study. It could allow sufficient local control in order to avoid mutilating surgery in these metastatic patients.Trial registrationNCT03634202. Registered 16 August 2018 – retrospectively registered, https://www.clinicaltrials.gov/ct2/show/NCT03634202
背景在不可切除的转移性直肠癌中,对原发肿瘤的手术治疗仍存在很大争议。原始的放化疗(CRT)可以允许足够的局部控制,以避免重大的,有时致残的手术。CRT期间剂量的增加可以增加这种局部控制。本研究的目的是评估在转移性中、低位直肠癌中,采用调强放疗(IMRT)同时综合增强(SIB)的放射剂量递增CRT治疗的可行性和耐受性。方法这项多中心I期研究包括6例不可切除的同步转移性中低位直肠腺癌患者,治疗剂量为两种。放疗采用IMRT + SIB。原发肿瘤的剂量递增为52.5 Gy(一级)和56.25 Gy(二级),分别为2.1 Gy和2.25 Gy的25个部分。高危临床靶体积(CTV)和低危临床靶体积(CTV)分别接受50 Gy和45 Gy,分25个分量。同时化疗为口服卡培他滨,mFOLOX6化疗4个周期后行CRT。剂量限制性毒性(DLT)定义为需要连续中断放射治疗超过5次的毒性。结果6例患者均按计划剂量接受了全程治疗。没有患者出现需要中断放疗的急性毒性,因此没有DLT的报道。没有患者出现急性毒性≥3。晚期毒性方面,3例患者为3级。CRT后,4例患者部分缓解,1例患者完全缓解。两名患者在9.4个月和20.4个月时被认为是局部进展。结论56.25 Gy的剂量递增对肿瘤病变具有良好的急性耐受性。这需要在更大的研究中进行评估。它可以允许足够的局部控制,以避免对这些转移性患者进行手术。registrationNCT03634202审判。注册于2018年8月16日-追溯注册,https://www.clinicaltrials.gov/ct2/show/NCT03634202
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引用次数: 0
Assessment of circulating VEGF as a predictive biomarker of peritoneal carcinomatosis in gastric cancer 评估循环VEGF作为胃癌腹膜癌病变的预测性生物标志物
Pub Date : 2020-06-29 DOI: 10.36879/jcst.20.000121
Introduction: Early diagnosis of peritoneal carcinomatosis is difficult in patients with gastric cancer who are at high risk of developingperitoneal metastases. The measurement of serum Vascular Endothelial Growth Factor (VEGF) has proven to be a useful prognosticfactor in gastric cancer, but it also could be a predictive factor for peritoneal metastases since the VEGF signalling pathway is directlyinvolved in the development of peritoneal metastases.Methods: This is a retrospective study from 2005 to 2017. We reviewed the peritoneal recurrence pattern of a cohort of 59 gastriccancer patients in whom serum VEGF was measured before surgery and after completion of adjuvant treatmentResults: Preoperative serum VEGF (pre-VEGF) level was identified as an independent prognostic factor for developing peritonealmetastases. The optimal cut-off value of pre-VEGF levels was 507 pg/mL, which presented a sensitivity of 66 % and a specificity of78% to predict the development of peritoneal metastases. Patients with high pre-VEGF levels (>507 pg/mL) were at greater risk ofdeveloping peritoneal metastases than patients with low pre-VEGF levels (<507 pg/mL) (p=0.023).Conclusions: VEGF plays a crucial role in the development of peritoneal metastases, and serum VEGF meets the requirements of apotential predictive marker for peritoneal carcinomatosis. Therefore, the measurement of serum VEGF levels could be useful duringthe follow-up of patients with advanced gastric cancer.
导读:腹膜癌的早期诊断对腹膜转移高风险的胃癌患者是困难的。血清血管内皮生长因子(VEGF)的测量已被证明是胃癌的一个有用的预后因素,但它也可能是腹膜转移的一个预测因素,因为VEGF信号通路直接参与腹膜转移的发展。方法:回顾性研究时间为2005 - 2017年。我们回顾了59例胃癌患者的腹膜复发模式,这些患者在手术前和辅助治疗完成后测量了血清VEGF。结果:术前血清VEGF (pre-VEGF)水平被确定为腹膜转移发生的独立预后因素。预vegf水平的最佳临界值为507 pg/mL,预测腹膜转移的敏感性为66%,特异性为78%。vegf前水平高(>507 pg/mL)的患者发生腹膜转移的风险高于vegf前水平低(<507 pg/mL)的患者(p=0.023)。结论:VEGF在腹膜转移的发生发展中起着至关重要的作用,血清VEGF符合腹膜癌病变潜在预测指标的要求。因此,血清VEGF水平的测量在晚期胃癌患者的随访中可能是有用的。
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引用次数: 0
Prognosis analysis of patients with resectable T4 colorectal cancer 可切除T4结直肠癌患者的预后分析
Pub Date : 2020-06-26 DOI: 10.21203/rs.3.rs-37853/v1
Wei Chen, Xiao-ping Tan, Junwen Ye, Yan Zhang, Jing-lin Liang, Mei Huang
Objective: To observe the factors related to survival and prognosis of patients with resectable stage T4 colorectal cancer. Methods : 148 patients with resectable stage T4 colorectal cancer who underwent surgery in the first Affiliated Hospital of Sun Yat-sen University between August, 1994 and December, 2005 were retrospectively analyzed. Univariate and multivariate analyses of associations between clinicopathological variables and survival were analyzed using the Cox regression model. Results: At the end of December of 2010 or death, the 5-year and 10 years OS rates were 49.0% and 32.2% respectively, the median OS was 25 months. The disease free survival rates (DFS) at 5 and 10 years were 44.2% and 30.3% respectively. In univariate analysis, patients with postoperative pathology lymph node metastasis was associated with the prognosis of patients with OS (all P< 0.01), postoperative adjuvant therapy failed to improve OS and DFS (P>0.05). Postoperative pathology lymph node metastasis was associated with DFS too (all P< 0.01). In multivariate analysis, postoperative pathology lymph node metastasis was independent factor affected OS and DFS in colorectal cancer patients. Conclusion: Postoperative prognosis of T4 colorectal cancer patients is poor, postoperative pathology lymph node positive was an independent factor affect OS and DFS.
目的:观察可手术切除的癌症T4期患者生存及预后的相关因素。方法:对1994年8月至2005年12月在中山大学第一附属医院手术治疗的148例可切除T4期癌症患者进行回顾性分析。使用Cox回归模型对临床病理变量与生存率之间的相关性进行单变量和多变量分析。结果:在2010年12月底或死亡时,5年和10年OS发生率分别为49.0%和32.2%,中位OS为25个月。5年和10年无病生存率分别为44.2%和30.3%。在单因素分析中,术后病理学淋巴结转移与OS患者的预后相关(均P<0.01),术后辅助治疗未能改善OS和DFS(P>0.05),癌症术后病理淋巴结转移是影响OS和DFS的独立因素。结论:癌症T4患者术后预后差,术后病理淋巴结阳性是影响OS和DFS的独立因素。
{"title":"Prognosis analysis of patients with resectable T4 colorectal cancer","authors":"Wei Chen, Xiao-ping Tan, Junwen Ye, Yan Zhang, Jing-lin Liang, Mei Huang","doi":"10.21203/rs.3.rs-37853/v1","DOIUrl":"https://doi.org/10.21203/rs.3.rs-37853/v1","url":null,"abstract":"\u0000 Objective: To observe the factors related to survival and prognosis of patients with resectable stage T4 colorectal cancer. Methods : 148 patients with resectable stage T4 colorectal cancer who underwent surgery in the first Affiliated Hospital of Sun Yat-sen University between August, 1994 and December, 2005 were retrospectively analyzed. Univariate and multivariate analyses of associations between clinicopathological variables and survival were analyzed using the Cox regression model. Results: At the end of December of 2010 or death, the 5-year and 10 years OS rates were 49.0% and 32.2% respectively, the median OS was 25 months. The disease free survival rates (DFS) at 5 and 10 years were 44.2% and 30.3% respectively. In univariate analysis, patients with postoperative pathology lymph node metastasis was associated with the prognosis of patients with OS (all P< 0.01), postoperative adjuvant therapy failed to improve OS and DFS (P>0.05). Postoperative pathology lymph node metastasis was associated with DFS too (all P< 0.01). In multivariate analysis, postoperative pathology lymph node metastasis was independent factor affected OS and DFS in colorectal cancer patients. Conclusion: Postoperative prognosis of T4 colorectal cancer patients is poor, postoperative pathology lymph node positive was an independent factor affect OS and DFS.","PeriodicalId":73634,"journal":{"name":"Journal of cancer science and clinical therapeutics","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42894791","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
PD-L1 regulation in colorectal cancer and role of DNA damage induced by chemotherapies PD-L1在结直肠癌中的调控及化疗诱导DNA损伤的作用
Pub Date : 2020-05-29 DOI: 10.36879/jcst.20.000120
For patients with metastatic colorectal cancer (CRC), first-line therapy is based on chemotherapeutic agents, such as oxaliplatin,5-fluorouracil and irinotecan. These drugs increase the overall survival, but resistance to therapy appears in almost 90% of patients,and the 5-year survival rate for patients with metastatic CRC is only about 12%.During the last few years, immune checkpoints blockade therapies have been developed and show good response in different cancers,including CRC with microsatellite instability (MSI). In this CRC subtype, the response rate to anti-PD-(L)1 antibodies is high thanks tothe presence of neoantigens and tumor-infiltrating lymphocytes that are associated with the anti-tumor immune response. Nivolumaband pembrolizumab, two anti-PD-1 antibodies, have been approved for CRC MSI treatment. Moreover, it has been shown that thecombination of chemotherapy and anti-PD-(L)1 molecules may convert cold tumors into hot tumors in which the immune system andT-cell infiltration are activated. In addition, recent studies found that DNA damage induces PD-L1 expression. ATM, ATR, DNA-PKcsand Chk1 are key sensors of the DNA damage response that regulate PD-L1 expression.This review summarizes the current knowledge on PD-L1 regulation at the genetic, epigenetic, transcriptional and translationallevels. It also describes PD-L1 activation in response to chemotherapy and DNA damage. Then, it summarizes the current clinicaltrials that assess anti-PD-(L)1 therapies in combination with kinase inhibitors or chemotherapeutic agents in CRC.
对于转移性结直肠癌(CRC)患者,一线治疗基于化疗药物,如奥沙利铂、5-氟尿嘧啶和伊立替康。这些药物增加了总生存率,但几乎90%的患者出现耐药性,转移性结直肠癌患者的5年生存率仅为12%左右。在过去的几年中,免疫检查点阻断疗法已经开发出来,并在不同的癌症中显示出良好的反应,包括伴有微卫星不稳定性(MSI)的结直肠癌。在这种CRC亚型中,由于存在与抗肿瘤免疫反应相关的新抗原和肿瘤浸润淋巴细胞,抗pd -(L)1抗体的应答率很高。两种抗pd -1抗体Nivolumaband pembrolizumab已被批准用于CRC MSI治疗。此外,已有研究表明,化疗和抗pd -(L)1分子联合使用可将冷肿瘤转化为热肿瘤,从而激活免疫系统和t细胞浸润。此外,近期研究发现DNA损伤可诱导PD-L1表达。ATM、ATR、DNA- pkcs和Chk1是调控PD-L1表达的DNA损伤反应的关键传感器。本文综述了目前在遗传、表观遗传、转录和翻译水平上对PD-L1调控的认识。它还描述了PD-L1对化疗和DNA损伤的反应。然后,总结了目前评估抗pd -(L)1联合激酶抑制剂或化疗药物治疗结直肠癌的临床试验。
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引用次数: 0
A review on moderated-t methods for differential expression detection 差异表达检测的调节-t方法综述
Pub Date : 2020-02-28 DOI: 10.36879/jcst.20.000119
With the advancement of high-throughput technology, identifying differential expression has become an essential task in multiple domains ofbiomedical research, such as transcriptome, proteome, metabolome. A wide variety of computational methods and statistical approaches weredeveloped for detecting differential expression. Most of these methods were applicable to modeling expression level of the entire set of featuressimultaneously. In this article, we provide a review emphasizing on moderated-t methods published in last two decades. We compared similaritiesand differences between them, and also discussed their limitations in applications.
随着高通量技术的进步,鉴别差异表达已成为转录组学、蛋白质组学、代谢组学等生物医学研究的重要内容。各种各样的计算方法和统计方法被开发用于检测差异表达。这些方法大多适用于同时建模整个特征集的表达层次。在这篇文章中,我们提供了一个回顾,重点是在最近二十年发表的缓和-t方法。我们比较了它们之间的异同,并讨论了它们在应用中的局限性。
{"title":"A review on moderated-t methods for differential expression detection","authors":"","doi":"10.36879/jcst.20.000119","DOIUrl":"https://doi.org/10.36879/jcst.20.000119","url":null,"abstract":"With the advancement of high-throughput technology, identifying differential expression has become an essential task in multiple domains of\u0000biomedical research, such as transcriptome, proteome, metabolome. A wide variety of computational methods and statistical approaches were\u0000developed for detecting differential expression. Most of these methods were applicable to modeling expression level of the entire set of features\u0000simultaneously. In this article, we provide a review emphasizing on moderated-t methods published in last two decades. We compared similarities\u0000and differences between them, and also discussed their limitations in applications.","PeriodicalId":73634,"journal":{"name":"Journal of cancer science and clinical therapeutics","volume":"61 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91044270","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
Capillary leak syndrome (CLS) from rituximab therapy of lymphoma 利妥昔单抗治疗淋巴瘤引起的毛细血管渗漏综合征
Pub Date : 2020-02-27 DOI: 10.36879/jcst.20.000118
Capillary Leak Syndome (CLS) is characterized by plasma extravasation into the interstitium with resultant hypotension, anasarca, hemoconcentration,and hypoalbuminemia in the absence of albuminuria. Initially reported in Clarkson’s disease (systemic capillary leak syndrome, SCLS), CLS hasbeen observed in multiple disease settings, the most common being sepsis. In Oncology, CLS has been reported more often as a complication fromtherapy, and less often from malignancy. In this case study, we documented clinical manifestation, laboratory features and radiological findings ofCLS from rituximab therapy when employed in combination with a multi-agent chemotherapy regimen (EPOCH-R). Differentiating drug-inducedCLS from sepsis, which presents with the same clinical features, is important in avoiding further exposure to rituximab, which could be fatal to thepatient.
毛细血管渗漏综合征(CLS)的特征是血浆外渗至间质,导致低血压、无血、血浓缩和低白蛋白血症。最初在克拉克森病(系统性毛细血管渗漏综合征,SCLS)中报道,CLS已在多种疾病中观察到,最常见的是败血症。在肿瘤学中,慢性淋巴细胞白血病通常是治疗的并发症,而不是恶性肿瘤。在本病例研究中,我们记录了利妥昔单抗与多药化疗方案(EPOCH-R)联合使用时cls的临床表现、实验室特征和放射学表现。区分药物诱导的cls与败血症具有相同的临床特征,这对于避免进一步暴露于可能对患者致命的利妥昔单抗非常重要。
{"title":"Capillary leak syndrome (CLS) from rituximab therapy of lymphoma","authors":"","doi":"10.36879/jcst.20.000118","DOIUrl":"https://doi.org/10.36879/jcst.20.000118","url":null,"abstract":"Capillary Leak Syndome (CLS) is characterized by plasma extravasation into the interstitium with resultant hypotension, anasarca, hemoconcentration,\u0000and hypoalbuminemia in the absence of albuminuria. Initially reported in Clarkson’s disease (systemic capillary leak syndrome, SCLS), CLS has\u0000been observed in multiple disease settings, the most common being sepsis. In Oncology, CLS has been reported more often as a complication from\u0000therapy, and less often from malignancy. In this case study, we documented clinical manifestation, laboratory features and radiological findings of\u0000CLS from rituximab therapy when employed in combination with a multi-agent chemotherapy regimen (EPOCH-R). Differentiating drug-induced\u0000CLS from sepsis, which presents with the same clinical features, is important in avoiding further exposure to rituximab, which could be fatal to the\u0000patient.","PeriodicalId":73634,"journal":{"name":"Journal of cancer science and clinical therapeutics","volume":"181 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77497686","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
In Australia mortality from melanoma is decreasing but increasing for nonmelanoma skin cancer 在澳大利亚,黑色素瘤的死亡率正在下降,但非黑色素瘤皮肤癌的死亡率却在上升
Pub Date : 2020-02-24 DOI: 10.36879/jcst.20.000117
Mortality from melanoma is decreasing in Australia since 2013. Deaths from non-melanoma skin cancer are increasing.
自2013年以来,澳大利亚黑色素瘤的死亡率一直在下降。非黑色素瘤皮肤癌的死亡人数正在增加。
{"title":"In Australia mortality from melanoma is decreasing but increasing for nonmelanoma skin cancer","authors":"","doi":"10.36879/jcst.20.000117","DOIUrl":"https://doi.org/10.36879/jcst.20.000117","url":null,"abstract":"Mortality from melanoma is decreasing in Australia since 2013. Deaths from non-melanoma skin cancer are increasing.","PeriodicalId":73634,"journal":{"name":"Journal of cancer science and clinical therapeutics","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84979408","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
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Journal of cancer science and clinical therapeutics
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