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Can FDG PET/CT and CT Exclude N2 and N3 Nodal Disease in Patients with Breast Cancer? FDG PET/CT和CT能否排除癌症患者的N2和N3结节性疾病?
Pub Date : 2018-03-05 DOI: 10.4172/2324-9110.1000210
M. Arslan, B. Gulek, A. P. Kelle, Serkan Akbulut, E. Uğurlu, I. B. Guney, Sinan Sozutok, O. Kulahci
Purpose: The purpose of this study was to investigate if PET-CT and CT were able to exclude N2 and N3 disease in patients with breast cancer. Materials and Methods: In this study, the PET-CT reports of 211 patients who had been previously diagnosed with breast cancer and who had undergone PET-CT examinations and sentinel lymph node biopsies or axillary lymph node dissections, were reevaluated retrospectively. Whether PET-CT and CT were able to exclude N2 or N3 disease was the subject of evaluation of this study. Results: It was found at the end of the study that PET-CT was able to exclude N2 and N3 involvement in 92,9 % of the cases, whereas CT alone could do the same exclusion in 93,6 %. Conclusion: PET-CT and CT can well exclude N2 and N3 disease in patients with breast cancer. It may be suggested that PET-CT can replace sentinel lymph node biopsy in future preoperative evaluations.
目的:本研究旨在研究PET-CT和CT是否能够排除癌症患者的N2和N3疾病。材料与方法:本研究对211例既往诊断为癌症并经PET-CT检查、前哨淋巴结活检或腋窝淋巴结解剖的患者的PET-CT报告进行回顾性评价。PET-CT和CT是否能够排除N2或N3疾病是本研究的评估对象。结果:研究结束时发现,在92,9%的病例中,PET-CT能够排除N2和N3的参与,而单独的CT可以排除93,6%的病例。结论:PET-CT和CT能很好地排除癌症患者N2和N3疾病。在未来的术前评估中,PET-CT可以取代前哨淋巴结活检。
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引用次数: 0
Serum Leptin Might Be Causally Correlated to Invasive Ductal Breast Carcinoma 血清瘦素可能与浸润性乳腺导管癌相关
Pub Date : 2018-02-15 DOI: 10.4172/2324-9110.1000211
S. Al-Shibli, N. M. Amjad, Muna Khaleel Dheyab Al-Kubaisi, Norra Harun, Emad M. Nafie, S. Mizan
Introduction: Leptin, the hormone secreted from white adipose tissue is suspected of being a causative factor in tumorigenesis in various tissues. Thus it might be a link between obesity and breast cancer. Objectives: In this project we tried to study causative association of obesity and serum leptin with invasive ductal breast cancer (IDC) in a sample of Malaysian population. Methods: We measured various obesity parameters, and estimated serum leptin levels in a group of healthy control and IDC patients. After confirming diagnosis by standard histopathological methods, serum leptin levels were estimated using ELISA. Both the pre-and postoperative leptin levels were measured with the Patient group. Results: The difference between the serum leptin levels of the Control and the Patient group were highly significant with a P value of 0.05). Conclusion: Since high serum leptin in IDC patients persists unabated in the post-operative state, we infer that the source of leptin in these cases cannot be the breast cancer tissue itself and leptin cannot be a marker for breast cancer. Highly significant association between serum leptin and IDC patients suggests that leptin in serum might play a causative role in the tumorigenesis of breast cancer, and it might be an important connection between obesity and breast cancer. Therefore, leptin signal transduction pathway might be a prospective therapeutic target in the treatment and prevention of IDC.
引言:白脂肪组织分泌的瘦素被怀疑是多种组织肿瘤发生的致病因素。因此,它可能是肥胖和癌症之间的联系。目的:在本项目中,我们试图研究马来西亚人群中肥胖和血清瘦素与癌症浸润性导管癌(IDC)的发病关系。方法:我们测量了一组健康对照组和IDC患者的各种肥胖参数,并估计了血清瘦素水平。在通过标准组织病理学方法确认诊断后,使用ELISA估计血清瘦素水平。患者组测量术前和术后瘦素水平。结果:对照组与患者组血清瘦素水平差异有显著性(P值0.05)。血清瘦素与IDC患者有高度显著的相关性,提示血清瘦素可能在乳腺癌症的肿瘤发生中起着重要作用,可能是肥胖与癌症之间的重要联系。因此,瘦素信号转导通路可能是治疗和预防IDC的一个有前景的治疗靶点。
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引用次数: 1
Ca2+ and Camp: Do these Intracellular Messengers Work’Independently? Of Course Not, and the History Goes Ahead… Ca2+和Camp:这些细胞内信使是否独立工作?当然不是,历史还在继续……
Pub Date : 2018-01-29 DOI: 10.4172/2324-9110.1000E112
B. Lb
Our group has been pioneering in exploring that the pharmacological handling of Ca2+/cAMP signalling interaction could be a better therapeutic method for increasing neurotransmission in psychiatric disorders, and stimulating neuroprotection for combating neurodegenerative diseases, such as Alzheimer´s disease. Indeed, Ca2+ is a classic intracellular second messenger, now well recognized as a ubiquitous molecule that controls several processes, including gene transcription, cell cycle regulation, mobility, apoptosis, neurotransmitter release and muscle contraction. In addition, cAMP, another vital intracellular messenger, modulates since cardiac contraction to neurotransmitter release. Do these intracellular messengers ´work´ independently? Of course not, and we demonstrated it! Through groundbreaking experiments (including one by accident!), our group discovered that the paradoxical effects (e.g. reduction of intracellular Ca2+ concentration, and enhancing of neurotransmitter release?!) produced by L-type Ca2+ channel blockers (CCBs) resulted from interferences on the Ca2+/ cAMP signalling interaction. Considering the widely use of CCBs as antihypertensive drugs, and for combating arrhythmia, the elucidation of these paradoxical effects proved to be very important (specially for clinical reasons). How does this history correlate to cancer field? Considering the notion that Ca2+/cAMP signalling interaction is a fundamental cellular process, which exists in many cell types, whether this interaction may be a novel therapeutic target to alter cancer tumor growth, angiogenesis and metastasis, without affecting normal cell physiology deserves special consideration. Thus, this editorial article highlights the latest advances made by our group in the field of Ca2+/cAMP signalling interaction.
我们的团队一直在探索Ca2+/cAMP信号相互作用的药理学处理可能是一种更好的治疗方法,用于增加精神疾病的神经传递,并刺激神经保护以对抗神经退行性疾病,如阿尔茨海默病。事实上,Ca2+是一个经典的细胞内第二信使,现在被认为是一个普遍存在的分子,控制着几个过程,包括基因转录,细胞周期调节,流动性,凋亡,神经递质释放和肌肉收缩。此外,另一种重要的细胞内信使cAMP从心脏收缩到神经递质释放进行调节。这些细胞内信使是独立工作的吗?当然不是,我们已经证明了!通过突破性的实验(包括一个偶然的!),我们的小组发现,由l型Ca2+通道阻滞剂(CCBs)产生的矛盾效应(例如降低细胞内Ca2+浓度,增强神经递质释放?!)是由Ca2+/ cAMP信号相互作用的干扰引起的。考虑到CCBs作为抗高血压药物和治疗心律失常的广泛应用,阐明这些矛盾的作用被证明是非常重要的(特别是出于临床原因)。这段历史与癌症领域有什么关系?考虑到Ca2+/cAMP信号相互作用是一个基本的细胞过程,存在于许多细胞类型中,这种相互作用是否可能是一个新的治疗靶点,在不影响正常细胞生理的情况下改变肿瘤的生长、血管生成和转移,值得特别考虑。因此,这篇社论文章强调了我们小组在Ca2+/cAMP信号相互作用领域取得的最新进展。
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引用次数: 2
Should Post-Menopausal Women be Screened only with HPV Test in Cervical Cancers? 绝经后妇女宫颈癌是否应该只进行HPV检测?
Pub Date : 2018-01-29 DOI: 10.4172/2324-9110.1000212
S. Zergeroğlu, T. Güngör, H. Yalcin
Aim: Target in cervical cancer screenings is to use easy applying, cheap and diagnostic-assisted screening tests together. The most important thing is to do HPV-DNA analysis with Pap smear. The aim in this study is to perform a detailed follow-up program according to the results of patients who had been diagnosed with cervical intraepithelial lesion (SIL) who applied to the hospital for 2 years and to find out whether being used HPV-DNA results affected the SIL lesions without applying a smear test (pap test) in the menopausal patients with negative HPV-DNA analysis by performing only HPVDNA analysis. Materials and Methods: A smear test was requested for 11,850 patients aged 50 ± 3.2 in the Zekai Tahir Burak Women’s Health Training and Research Hospital between the years 2015-2016 for a 2-year period. 5180 patients are menopausal. HPV-DNA genotyping analyzes were performed for HPV 16,18,31,33,35,3 9,45,51,56,58,66 and 68 types while 1102 of these patients were followed by pap test for Low grade SIL, and colposcopies were performed and biopsies were taken by the same gynecologist. In this study, Chi-square test, Mann Whitney U test were used for the statistical analysis and Spearman Rho test was used for correlation analysis with IBM SPSS statistical program version 21.0. Values of p ≤ 0.001 were considered significant. Non-significant analyzes were not used in this study. In the result of histopathological examination, cases were compared with smear findings. For colposcopy, Barcelona 2002 colposcopy terminology was used. In the histopathologic analysis of colposcopic biopsies, Bethesda System 2014 version and also HPV ascia LAST in ano-genital lesion coexistence were used for classification. Findings: Patients were selected among 11,850 patients who applied to the hospital between 2015 and 2016 and were received cervical cytology specimens. 5180 patients were in menopausal period. 1102 of these patients have LSIL. 278 of the LSIL 1102 patients were reported as HPV (+) CIN I neoplasia and the remaining 824 patients as HPV (-) non-neoplastic lesion. CIN I lesion in 270 patients and CIN II lesion in 8 were determined with colposcopic biopsy performed in HPV-DNA (+) group (n=278). CIN I lesion in 670 patients and CIN II in 14 patients were also found with colposcopic biopsy performed in HPV-DNA (-) group (n=840); in 140 patients dysplasia was not observed. We think that only HPV-DNA analysis is not appropriate for menopausal HPV (+), pap smear negative patients with negative
目的:宫颈癌筛查的目标是使用方便、廉价和辅助诊断的筛查方法。最重要的是在子宫颈抹片检查中做HPV-DNA分析。本研究的目的是根据就诊2年的宫颈上皮内病变(SIL)患者的诊断结果进行详细的随访,并对绝经期HPV-DNA阴性的患者仅进行HPVDNA分析,在不进行涂片检查(巴氏试验)的情况下使用HPV-DNA结果是否影响SIL病变。材料与方法:对2015-2016年Zekai Tahir Burak妇女健康培训与研究医院(Zekai Tahir Burak Women’s Health Training and Research Hospital)年龄为50±3.2岁的11,850例患者进行了为期2年的涂片检查。5180例患者处于更年期。对HPV 16、18、31、33、35、3、9、45、51、56、58、66和68型进行HPV- dna基因分型分析,其中1102例患者接受巴氏涂片检查检查低级别SIL,并由同一妇科医生进行阴道镜检查和活检。本研究采用IBM SPSS统计程序21.0版进行统计分析,统计分析采用卡方检验、Mann Whitney U检验,相关性分析采用Spearman Rho检验。p≤0.001被认为是显著的。本研究未采用非显著性分析。在组织病理学检查的结果,病例与涂片结果比较。对于阴道镜检查,使用了2002年巴塞罗那的阴道镜检查术语。在阴道镜活检的组织病理学分析中,采用Bethesda系统2014版和HPV ascia LAST在肛门-生殖器病变共存中进行分类。结果:选取2015 - 2016年就诊的11850例宫颈细胞学标本患者。绝经期5180例。这些患者中有1102人患有LSIL。1102例LSIL患者中有278例报告为HPV (+) CIN肿瘤,其余824例为HPV(-)非肿瘤性病变。HPV-DNA(+)组(278例)经阴道镜活检确定CIN I病变270例,CIN II病变8例。HPV-DNA(-)组(n=840)经阴道镜活检发现CIN病变670例,CIN病变14例;140例患者未观察到发育不良。我们认为仅HPV- dna分析不适用于绝经期HPV(+)、巴氏涂片阴性的患者
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引用次数: 1
Is X-ray mammography accelerating the epidemic of breast cancer? x光乳房x光检查是否加速了乳腺癌的流行?
Pub Date : 2018-01-01 DOI: 10.4172/2324-9110-C2-010
Galina Migalko
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引用次数: 0
MDCT in estimation of an angle size of blood vessels invasion by pancreatic carcinoma 多层螺旋ct对胰腺癌血管浸润角大小的评估
Pub Date : 2018-01-01 DOI: 10.4172/2324-9110-C2-012
D. Šaponjski
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引用次数: 0
Novel immunotherapies targeting BAFF-receptor for drug-resistant B-cell lymphoma and leukemia 针对baff受体的新型免疫疗法治疗耐药b细胞淋巴瘤和白血病
Pub Date : 2018-01-01 DOI: 10.4172/2324-9110-C3-014
H. Qin
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引用次数: 0
Innovation of anti-cancer chemotherapy specific to acidic nests 针对酸性巢的抗癌化疗创新
Pub Date : 2018-01-01 DOI: 10.4172/2324-9110-c1-007
Hiroshi Kobayashi
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引用次数: 0
Concordance of diffusion-weighted MRI and rectoscopy in the determination of rectal cancer location 弥散加权MRI与直肠镜检查在确定直肠癌位置中的一致性
Pub Date : 2018-01-01 DOI: 10.4172/2324-9110-C4-018
M. Tahmouresi
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引用次数: 0
Ewing’s Sarcoma/Primitive Neuroectodermal Tumor of Spermatic Cord: A Rare Entity 尤因氏肉瘤/精索原始神经外胚层肿瘤:罕见病例
Pub Date : 2018-01-01 DOI: 10.4172/2324-9110.1000233
S. Kansal, Sanjay Jain, A. Yadav
Ewing’s sarcoma/primitive neuroectodermal tumor (ES/PNET) is an aggressive tumor derived from the neuroectoderm, commonly arising in the bone and soft tissues of the extremities [1,2].  ES/PNET arising in spermatic cord is extremely uncommon. We report a case study of this rare entity highlighting the characteristic histomorphological and immunohistochemical features.
尤文氏肉瘤/原始神经外胚层肿瘤(ES/PNET)是一种源自神经外胚层的侵袭性肿瘤,常见于四肢骨骼和软组织[1,2]。精索内发生ES/PNET极为罕见。我们报告一个病例研究这种罕见的实体突出特征的组织形态学和免疫组织化学特征。
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引用次数: 0
期刊
Journal of clinical & experimental oncology
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