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Lack of Association between Angiogenin (AGN) KO Mice with Improvement in Muscle Strength, Resistance,but Decreased in Chances of Tumorigenesis: Observational Study 血管生成素(AGN)KO小鼠与肌肉力量、抵抗力改善但肿瘤发生几率降低之间缺乏相关性:观察研究
Pub Date : 2017-02-27 DOI: 10.4172/2324-9110.1000172
M. Malone, Erika Mejia Hidalgo, Guofu Hu
Background: For quite a while, there has been controversy over whether or not angiogenin is associated with amyotrophic lateral sclerosis (ALS) risk. A lot of meta-analysis has been done in the last few years to support the fact that angiogenin has no relationship in improving the outcome and muscle strength in ALS. In the other hand, for about 3 decades angiogenin has been thought to play an important role in cell survival, growth, and proliferation. Evidence suggests that the expression and activity of ANG increases the odds of developing a variety of human cancers. We present the results of an observational study done in wild type (WT) and angiogenin knock out (ANG -/- KO) mice in order to determine phenotype and different features as explained below. Methods: We used 2 population of mice, 5 WT and 5 ANG -/- KO were involved in the study. They all were old, each 12 weeks old. These 2 populations were studied for a total of 8 weeks. We invested about 4 hours per day, 5 out 7 days per week. We had the mice running at different speeds on a treadmill in cycles of 300 seconds each, repeating these between 7-10 cycles per population. We used different speeds, being anywhere between 1 MPH to 7 MPH at the highest. We tested our theory that mice ANG -/- KO will have better strength and resistance by observing whether the mice looked stronger compared to the other population. Also by observation, we looked for physical abnormalities as well as evident malignancies in the ANG -/- KO vs. WT mice. Results: After conducting this study for 8 weeks, we found that ANG -/- KO mice did not have any statistical significant (p=0.36) muscle strength or resistance improvement compared to the WT mice. Also, at the end of our study we could conclude that ANG -/- KO did have less alopecia, skin cancer (basal cell carcinomas; squamous cell carcinomas), benign lesions of the skin, and malignant development of lymph nodes compared to WT mice. All 5 mice in the WT population did have skin lesions consistent with skin cancer and lymphadenopathy consistent with malignant lymph nodes of either lymphomas or metastatic disease. Discussion: At the end of the study, we could conclude that there was no statistical significance while evaluating both WT and KO mice as they had equal muscle strength and resistance. Conversely, we did see an increase in the number of benign and malignant proliferations in WT mice vs. KO mice.
背景:很长一段时间以来,血管生成素是否与肌萎缩侧索硬化(ALS)风险相关一直存在争议。在过去的几年里,很多荟萃分析都支持血管生成素在改善ALS的结果和肌肉力量方面没有任何关系。另一方面,近30年来,血管生成素一直被认为在细胞存活、生长和增殖中起着重要作用。有证据表明,ANG的表达和活性增加了患多种人类癌症的几率。我们在野生型(WT)和血管生成素敲除(ANG -/- KO)小鼠中进行了一项观察性研究,以确定表型和不同的特征,如下所述。方法:采用2群小鼠,WT 5只,ANG -/- KO 5只。它们都很老,都是12周大。对这两个种群进行了为期8周的研究。我们每天投入4个小时,每周投入5到7天。我们让老鼠在跑步机上以不同的速度跑步,每组300秒,每组重复7-10次。我们使用了不同的速度,最高时速在1英里到7英里之间。我们通过观察小鼠是否看起来比其他种群更强壮来验证我们的理论,即小鼠ANG -/- KO将具有更好的力量和抵抗力。同样通过观察,我们在ANG -/- KO与WT小鼠中寻找身体异常以及明显的恶性肿瘤。结果:经过8周的研究,我们发现ANG -/- KO小鼠与WT小鼠相比,肌肉力量和阻力的改善没有统计学意义(p=0.36)。此外,在我们的研究结束时,我们可以得出结论,ANG -/- KO确实有较少的脱发,皮肤癌(基底细胞癌;鳞状细胞癌),皮肤良性病变和淋巴结恶性发展与WT小鼠相比。WT群体中的所有5只小鼠都有与皮肤癌一致的皮肤损伤和与淋巴瘤或转移性疾病的恶性淋巴结一致的淋巴结病。讨论:在研究结束时,我们可以得出结论,WT和KO小鼠在评估时没有统计学意义,因为它们具有相同的肌肉力量和阻力。相反,我们确实看到WT小鼠与KO小鼠的良性和恶性增殖数量增加。
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引用次数: 4
Chemoradiotherapy In Locally Invasive Parathyroid Cancer 局部浸润性甲状旁腺癌的放化疗
Pub Date : 2017-02-27 DOI: 10.4172/2324-9110.1000179
Sema Yilmaz Rakici, C. Bilir, G. Tufan, Z. Yazici
Parathyroid cancers (PTC) are very rare and have a poor prognosis. A 48 year old case with locally invasive PTC that was positive for close surgical removal margin was treated with chemo radiotherapy after surgery. Even though this required bimodal chemo and radio adjuvant therapy, the patient was treated by chemo radiotherapy with some modifications, including oral administration of capestabine. These treatments were well tolerated with minimal side effects, which have proven to be very effective in freeing the patient from the invasive tumor for the following twenty six months of monitoring. This treatment method could be adopted in place of the widely preferred surgical therapy. We believe that this case report will guide future studies concerning with similar cases.
甲状旁腺癌(PTC)非常罕见,预后较差。一例48岁的局部侵袭性PTC,手术切除切缘阳性,术后化疗治疗。尽管这需要双峰化疗和放射辅助治疗,但患者接受化疗放疗并进行一些修改,包括口服capestine。这些治疗具有良好的耐受性和最小的副作用,在接下来的26个月的监测中,这些治疗被证明是非常有效的,可以使患者摆脱侵袭性肿瘤。这种治疗方法可以代替广泛采用的手术治疗。我们相信这一病例报告将对今后类似病例的研究起到指导作用。
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引用次数: 0
Can Medulloblastoma be Presented with Primary Diffuse Leptomeningeal Gliomatosis? Case Report and Literature Review 髓母细胞瘤能表现为原发性弥漫性脑膜胶质瘤病吗?病例报告及文献复习
Pub Date : 2017-02-24 DOI: 10.4172/2324-9110.1000175
H. Hassoun, Sattar Al-Essawi, T. Tiraihi, A. A. Wahab, A. Rasheed, Imad Al-Sabri, Zuhair Allebban
Primary diffuse leptomeningeal Gliomatosis (PDLG) is a rare neoplastic condition characterized by primary infiltration of leptomeninges by malignant glial cells which is extremely rare to be as a result of medulloblastoma. To the best of our knowledge, there are only 5 reported localized forms of PDLG cases due to medulloblastoma affecting mainly posterior fossa and/or part of cerebrum. In this article, we are reporting for the first time a case of PDLG with extensive diffuse involvement of leptomeninges due to medulloblastoma extending from the cerebrum to sacral area in 4-year old child presented with acute headache, abducent nerve palsy and papilledema with dramatic response to chemotherapy.
原发性弥漫性软脑膜胶质瘤病(PDLG)是一种罕见的肿瘤性疾病,其特征是恶性神经胶质细胞原发性浸润软脑膜,这在髓母细胞瘤中极为罕见。据我们所知,由于髓母细胞瘤主要影响后窝和/或部分大脑,仅有5例报告的PDLG局限性病例。在这篇文章中,我们首次报道了一例4岁儿童的PDLG,由于髓母细胞瘤从大脑延伸到骶骨区域,广泛弥漫性累及软脑膜,表现为急性头痛、外展神经麻痹和视乳头水肿,对化疗有显著反应。
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引用次数: 4
Immunosurveillance in Colorectal Carcinomas with Microsatellite Instability 结直肠癌微卫星不稳定性的免疫监测
Pub Date : 2017-02-21 DOI: 10.4172/2324-9110.1000176
C. Rodrigues, D. Romeira, M. Pinto, Ana Massena, H. Mir, Ana Martins Mourão
Tumour infiltrating lymphocytes have been associated to a better prognosis in colorectal cancers. Microsatellite unstable tumours present a greater infiltration by these immune cells when comparing to microsatellite stable tumours. It has been suggested that lymphocytic infiltration may be an indicator of a host immune response against tumour cells and therefore, contribute to a better prognosis. High microsatellite instability (MSI-H) tumours have been shown to bare a better prognosis and some authors believe that TILs infiltration take a part in this. Nonetheless, the significance of tumour infiltrating lymphocytes (TILs), their distribution and prognostic value are still unclear. The aim of this review is to summarize the current evidence on tumour infiltrating lymphocytes characteristics, distribution, activity and relation to prognosis in microsatellite unstable colorectal tumours.
肿瘤浸润性淋巴细胞与结直肠癌更好的预后有关。与微卫星稳定肿瘤相比,这些免疫细胞对微卫星不稳定肿瘤的浸润更大。有人认为,淋巴细胞浸润可能是宿主对肿瘤细胞免疫反应的指标,因此有助于更好的预后。高微卫星不稳定性(MSI-H)肿瘤已被证明具有更好的预后,一些作者认为TIL浸润是其中的一部分。尽管如此,肿瘤浸润性淋巴细胞(TIL)的意义、分布和预后价值仍不清楚。本综述的目的是总结微卫星不稳定结直肠癌中肿瘤浸润淋巴细胞的特征、分布、活性及其与预后的关系的最新证据。
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引用次数: 4
Thromboembolic Events in Polycythaemia Vera Patients:An Audit of the Hungarian Philadelphia Negative Chronic Myeloproliferative Neoplasia Register 维拉综合征患者的血栓栓塞事件:匈牙利费城慢性骨髓增生性肿瘤登记阴性的审计
Pub Date : 2017-02-20 DOI: 10.4172/2324-9110.1000173
P. Dombi, H. Andrikovics, Á. Illés, J. Demeter, L. Homor, Z. Simon, M. Udvardy, Á. Kellner, M. Egyed
Objective: The Hungarian National Registry for Philadelphia chromosome negative myeloproliferative neoplasms was used to assess the clinical characteristics of Hungarian patients with polycythemia vera. Methods: Data from 351 JAK2 V617F-positive patients diagnosed with PV were collected online from 15 haematology centres reporting clinical characteristics, therapeutic interventions, venous and arterial thromboembolic events, and myelofibrotic or leukaemic transformations. Vascular events (thromboembolic and haemorrhagic) were evaluated before and after diagnosis based upon the Landolfi risk assessment scale. Results: TE were reported on 116 occasions (106 patients) before diagnosis and 152 occasions (102 cases) during follow-up. Compared to before diagnosis, after diagnosis frequency of major arterial events decreased from 11.7% to 2.6% (p<0.0001), and minor venous events increased from 2.0% to 14.2% (p<0.0001); there was no significant change in number of major venous events (from 6.3% to 8.8%; p=0.25) or minor arterial events (from 13.1% to 17.7%; p=0.12). Bleeding events were recorded in 6.4% of patients. Despite treatment, 42.2% of patients with prior thromboembolic events had recurrent thromboembolic complications. After diagnosis age and prior history of thromboembolic events were independent risk factors for arterial events, and white blood cells and diabetes for venous events. Hydroxyurea use in the low+moderate risk Landolfi group slightly, but not significantly, increased thromboembolic event risk (p=0.74). Conclusions: This registry enables characterisation of patients with polycythemia vera. Data suggest the need for accuracy of diagnostic criteria and compliance with risk-adapted therapeutic guidelines.
目的:使用匈牙利费城染色体阴性骨髓增生性肿瘤国家注册中心来评估匈牙利真性红细胞增多症患者的临床特征。方法:从15个血液学中心在线收集351名诊断为PV的JAK2 V617F阳性患者的数据,报告临床特征、治疗干预措施、静脉和动脉血栓栓塞事件以及骨髓纤维化或白血病转化。根据Landolfi风险评估量表对诊断前后的血管事件(血栓栓塞和出血)进行评估。结果:诊断前报告TE 116次(106例),随访中报告TE 152次(102例)。与诊断前相比,诊断后主要动脉事件的发生率从11.7%下降到2.6%(p<0.0001),次要静脉事件从2.0%上升到14.2%(p<0.001);主要静脉事件(从6.3%到8.8%;p=0.025)或次要动脉事件(从13.1%到17.7%;p=0.012)的数量没有显著变化。6.4%的患者记录了出血事件。尽管进行了治疗,42.2%的既往有血栓栓塞事件的患者有复发性血栓栓塞并发症。诊断后年龄和既往血栓栓塞事件史是动脉事件的独立危险因素,白细胞和糖尿病是静脉事件的独立风险因素。低风险+中度风险Landolfi组使用羟基脲略微但不显著地增加了血栓栓塞事件的风险(p=0.74)。结论:该登记能够表征真性红细胞增多症患者的特征。数据表明,需要准确的诊断标准和符合风险适应治疗指南。
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引用次数: 4
Chemotherapy for Patients with Renal Dysfunction 肾功能不全患者的化疗
Pub Date : 2017-02-20 DOI: 10.4172/2324-9110.1000174
K. Suyama, Y. Miura, T. Takano, H. Iwase
Significant progress has been made in systemic chemotherapies for advanced cancer patients. Historically, the main anticancer drugs were cytotoxic agents, but recently, other agents such as molecularly-targeted therapies and immune checkpoint inhibitors have been introduced into clinical practice, and these agents have begun to achieve mainstream usage. The rapid development of novel anticancer drugs has forced clinicians to consider the effects of these chemotherapy agents in high-risk patients with liver or renal dysfunction, those undergoing dialysis and the elderly. Currently, there are no clear guidelines describing the best practices for anticancer drug administration in patients with renal dysfunction. However, the theory that renal dysfunction affects the ability of patients to cope with anticancer therapies is understandable compared with liver dysfunction or other risk factors. That is why there has always been an indication for dose adjustments for patients with renal dysfunction. In this review, recommended dose adjustments in cases of renal dysfunction are discussed based on the latest information on anticancer drugs.
在晚期癌症患者的全身化疗方面取得了重大进展。历史上,主要的抗癌药物是细胞毒性药物,但最近,分子靶向疗法和免疫检查点抑制剂等其他药物已被引入临床实践,这些药物已开始获得主流使用。新型抗癌药物的快速发展迫使临床医生考虑这些化疗药物对肝肾功能障碍的高危患者、接受透析的患者和老年人的影响。目前,还没有明确的指南来描述肾功能不全患者服用抗癌药物的最佳实践。然而,与肝功能障碍或其他风险因素相比,肾功能障碍影响患者应对抗癌治疗能力的理论是可以理解的。这就是为什么肾功能不全患者的剂量调整一直有适应症的原因。在这篇综述中,根据抗癌药物的最新信息,讨论了肾功能障碍病例的推荐剂量调整。
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引用次数: 3
New advanced technology in medicine by bio electrons photons special circuit 生物电子光子专用电路在医学上的新先进技术
Pub Date : 2017-01-01 DOI: 10.4172/2324-9110-C1-005
N. Kostovic
Today's standard technological advances are only capable of performing laser medical surgeries at the strength of Mili Amperes which is: 1A= 1,000 Mili Amperes. Using the power of only 6-10 volts of electricity this equates to electric shock or most probably lethal shock. So it is too dangerous to heal unhealthy organs. The K-BTE device also has the ability of maintaining the bone and muscle tissue of astronauts in space. Currently, Astronauts’ orbits are limited to six (6) months since they suffer from deterioration of bone tissue and show significant muscle atrophy. With that said, there are no circumstances – such as gravitation, vacuum, or any type of energetic field irradiation – that would have any detrimental influence on K-BTE's own energetic field. This would allow for the maintenance of Astronauts’ bone and muscle tissue while in space thus preventing any decline or deterioration. This enriched-electrons-radiation-emitting-process is absolutely nonradioactive, non-toxic and is, in no way, “shock therapy”. Nick Kostovic Bio Technological Health Center, Inc., Torrance, CA 90503, USA. Submission: 26 September 2016 Accepted: 1 October 2016 Published: 25 October 2016 www.ijppr.humanjournals.com Citation: Nick Kostovic et al. Ijppr.Human, 2016; Vol. 7 (3): 1-4. 2 Today's standard technological advances are only capable of performing laser medical surgeries at the strength of Mili Amperes which is: 1A= 1,000 Mili Amperes. Using the power of only 6-10 volts of electricity this equates to electric shock or most probably lethal shock. So it is too dangerous to heal unhealthy organs. The Kostovic Bio-Technology Energetic Device has the ability to extract bioelectron's photons from H2O electric fluid. Creating 1A= 1,000,000 Micro Amperes and 1A = 1,000,000,000 Nano Amperes. Using the power of 120 Voltages or 240 Voltages or more, but creating Microamperes or even Nano Amperes we do not create any electric shock, nor is it at all lethal. Instead, Nick Kostovic discovered the technology to produce photons of electrons at this Micro and Nanoamperes level that is gentle yet precise and efficient in burning off the dead cells and energizing the hibernating healthy cells in the central nervous vascular system and the organs that he is working on. Capable of performing all types of laser medical surgeries on the brain, heart, breast cancer or other cancers in any other physical organ with no harm to the healthy cells and no side effects. He has been performing treatments for last 15 years with more than 40,000 hours using the gentle strength of Micro Amperes and Nano Amperes. -Micro Amperes maximum strength output between the first energetic field and the second energetic field on the floor of K-BTE( see diagram)are using 2 D/C Micro Amperes to 15 D/C Micro Amperes, with an average of 8.5 Direct Current, D/C Micro Amperes. -This measured current is confirmed for the body's resistance from 1,000 /wet/ Ohms to 100,000 /dry/ Ohms or more, it doesn't even mat
今天的标准技术进步只能在毫安的强度下进行激光医疗手术,即:1A= 1,000毫安。仅使用6-10伏特的电力,这相当于电击或最可能致命的电击。所以治疗不健康的器官太危险了。K-BTE装置还具有在太空中维持宇航员骨骼和肌肉组织的能力。目前,宇航员的轨道运行时间被限制在6个月,因为他们的骨组织会退化,肌肉也会明显萎缩。也就是说,没有任何情况——比如重力、真空或任何类型的高能场辐射——会对K-BTE自身的高能场产生任何有害影响。这将使宇航员的骨骼和肌肉组织在太空中得到维护,从而防止任何衰退或恶化。这种富集电子辐射的过程绝对是无放射性、无毒的,绝不是“休克疗法”。尼克·科斯托维奇生物技术健康中心有限公司,托伦斯,CA 90503,美国。提交日期:2016年9月26日接收日期:2016年10月1日发布日期:2016年10月25日www.ijppr.humanjournals.com引文来源:Nick Kostovic et al.。Ijppr。人,2016;卷7(3):1-4。2 .今天的标准技术进步只能在毫安的强度下进行激光医疗手术,即:1A= 1000毫安。仅使用6-10伏特的电力,这相当于电击或最可能致命的电击。所以治疗不健康的器官太危险了。科斯托维奇生物技术能量装置能够从水电流体中提取生物电子的光子。创建1A= 1,000,000微安和1A= 1,000,000,000纳米安培。使用120伏或240伏或更高的电压,但产生微安培甚至纳米安培,我们不会造成任何电击,也不会致命。相反,尼克·科斯托维奇发现了一种技术,可以在微纳安培的水平上产生电子光子,这种技术温和而精确,有效地燃烧死细胞,并为他正在研究的中枢神经血管系统和器官中冬眠的健康细胞提供能量。能够对大脑、心脏、乳腺癌或其他任何身体器官的癌症进行各种类型的激光医疗手术,对健康细胞没有伤害,也没有副作用。在过去的15年里,他一直在使用微安培和纳米安培的温和强度进行治疗,超过4万小时。K-BTE地板上第一个能量场和第二个能量场之间的最大强度输出(见图)使用2 D/C微安到15 D/C微安,平均为8.5直流,D/C微安。-这个测量电流被确认为从1,000 /湿/欧姆到100,000 /干/欧姆或更多的身体电阻,无论湿或干,它都没有风险,绝对安全。生物电子的光子在皮肤表面的穿透是柔软的。致命电击的严重性完全消除,因为这些电压不会对身体产生任何危险的电击。只有我们将高压与低微安培和纳米安培相结合的方法,才能摧毁和杀死所有的癌症病毒、肝炎病毒、心脏病、脑肿瘤、ALS、帕金森氏症、痴呆、阿尔茨海默病,以及导致许多其他疾病在腐烂的组织和氧化的蛋白质中茁壮成长的细菌和微生物。这些www.ijppr.humanjournals.com引文:Nick Kostovic等人。Ijppr。人,2016;卷7(3):1-4。由于血管系统中的斑块阻止血液供应中的营养和氧气到达并喂养器官纤维组织中的基本细胞,导致器官腐烂和过早衰老,因此过早衰老的器官缺乏血液供应。我毫不怀疑,我们使用富含某些天然酸的生物电电子光子的技术也会摧毁并杀死埃博拉病毒,预防流行病显然,我只是还没有机会去尝试。这是K-BTE医疗激光设备的简要介绍,它是开发和利用这一新的先进技术!K-BTE医疗激光设备的定义K-BTE设备释放富含天然酸的电子,能够“通过燃烧融化”,然后分散任何数量的良性或恶性肿瘤,并转移到大脑或任何其他身体器官-对健康细胞无害。它“通过燃烧来融化”,然后分散大脑中许多不同类型的受损、患病或坏死细胞——在不伤害健康细胞的情况下,阻止或逆转任何数量的神经系统疾病。 它“通过燃烧融化”,然后从萎缩的肌肉、骨骼和软骨组织的纤维中分散死细胞,以及血管系统中的斑块,对健康细胞没有伤害。K-BTE装置吸引并转移光(由基本的生化电荷和电子中微子组成)进入大脑。这促进了大脑神经元的再生、恢复和再生长,从而恢复了向全身发送脉冲的能力,同时提高了移动性。K-BTE装置的目的是用于:-融化和摧毁大脑或任何其他身体器官中的恶性癌细胞-完成无副作用,对健康细胞无害。www.ijppr.humanjournals.com来源:Nick Kostovic等。Ijppr。人,2016;卷7(3):1-4。融化清除大脑或任何其他身体器官血管系统的内部斑块。这将预防中风、心脏病发作、糖尿病和许多不同的神经系统疾病。-融化清洁死细胞的纤维-分散它们,为新的健康细胞的形成腾出空间。这是维持生命最重要的一步。它也可以用于美容和美容护理,因为我们能够收紧面部,颈部,手臂和腿部的皮肤。当K-BTE装置释放与天然酸(包括氨基酸)结合的富集电子时,这种“生物电”刺激新细胞的释放。这些新细胞被称为子细胞,即细胞生长中的“有丝分裂期”。此外,在这种“生物电”中,富集的电子刺激新细胞的生长,使它们分裂。这被称为“有丝分裂期”。其结果是在任何身体器官中重建肌肉、骨骼和软骨的纤维。K-BTE装置具有清除体内放射性辐射颗粒和各种有毒生化神经毒气的能力。K-BTE装置还具有在太空中维持宇航员骨骼和肌肉组织的能力。目前,宇航员的轨道运行时间被限制在6个月,因为他们的骨组织会退化,肌肉也会明显萎缩。也就是说,没有任何情况——比如重力、真空或任何类型的高能场辐射——会对K-BTE自身的高能场产生任何有害影响。这将使宇航员的骨骼和肌肉组织在太空中得到维护,从而防止任何衰退或恶化。这种富含电子辐射的过程绝对是无放射性、无毒的,绝不是“休克疗法”。
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引用次数: 0
Comparison of serum antioxidant enzymes status in early and advance stage of breast cancer after five weeks radiotherapy 早期和晚期乳腺癌放疗5周后血清抗氧化酶水平的比较
Pub Date : 2017-01-01 DOI: 10.4172/2324-9110-C1-006
H. Parsian
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引用次数: 0
Enterouterine Fistula as Initial Presentation of Advanced Endometrial Cancer: Description of a Rare Case and Review of the Literature 肠外瘘作为晚期子宫内膜癌的初始表现:一个罕见病例的描述和文献回顾
Pub Date : 2016-12-12 DOI: 10.4172/2324-9110.1000169
N. Clemente, Lara Aless, Rini, G. Giorda, F. Sopracordevole
Endometrial cancer is the most common gynecological malignancy, and it usually presents with abnormal uterine bleeding as initial symptom. Cases of advanced endometrial cancer with uncommon symptoms at presentation are reported in the literature but, to our knowledge, no case an of enterouterine fistula as the initial presentation of the disease has been previously described. We report the case of a 54-year-old woman, with a 2-month history of permanent vaginal discharge of partly non-digested stool masses due to an enterouterine fistula that was the initial presentation of an advanced endometrial cancer. Interestingly, in this case, not all the preoperative exams (CT, colonoscopy and hysteroscopy) identified the fistulous openings, and the enterouterine fistula was confirmed only at the time of surgery.
子宫内膜癌是最常见的妇科恶性肿瘤,通常以子宫异常出血为首发症状。文献中报道了晚期子宫内膜癌的罕见症状,但据我们所知,以前没有报道过以肠外瘘作为该疾病最初表现的病例。我们报告一例54岁的女性,有2个月的永久性阴道分泌物,部分未消化的粪便团块,由于肠外瘘,这是晚期子宫内膜癌的最初表现。有趣的是,在本例中,并不是所有的术前检查(CT、结肠镜和宫腔镜)都发现了瘘口,而且肠外瘘只是在手术时才被证实。
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引用次数: 6
Epstein-Barr Virus Associated Lymphoepithelioma-Like Carcinoma of the Esophagogastric Junction and Stomach: A Case Report and Review of the Literature Epstein-Barr病毒相关的食管胃交界及胃淋巴上皮瘤样癌1例报告及文献复习
Pub Date : 2016-12-12 DOI: 10.4172/2324-9110.1000171
E. Atağ, S. Kazaz, H. Semiz, I. T. Unek, S. Sarıoğlu, T. Yavuzşen
A 63-year-old man was admitted to our hospital with 2 months history of dysphagia. Endoscopic examination revealed an ulserovegetan tumor starting from distal esophagus and extending to the cardia. Pathological examination of the biopsy revealed an epithelial malignant tumor without further classification. The patient underwent a surgery following neo-adjuvant chemotherapy with oxaliplatin, 5-fluorouracil and leucoverin (FOLFOX) regimen. Postoperative pathological analyses showed high grade EBV-associated lymphoepithelioma-like carcinoma of the gastroesophagial junction and stomach. After surgery, we planned to administered 6 cycles of FOLFOX regimen as an adjuvant treatment. Lymphoepithelioma-like gastric carcinoma is a rare type of gastric carcinoma and has distinct clinic-pathologic characteristics, including male predominance, preferential location in the gastric cardia, lymphocytic infiltration, a lower frequency of lymph node metastases and more favorable prognosis. Surgical resection is the most effective treatment modality. Chemotherapy may be considered for patients who have high risk factors.
一名63岁男性因2个月的吞咽困难病史入住我院。内窥镜检查发现一个从食管远端开始并延伸到心脏的ululvegetan肿瘤。病理检查活检显示一个上皮恶性肿瘤,没有进一步的分类。患者在奥沙利铂、5-氟尿嘧啶和白细胞素(FOLFOX)方案的新辅助化疗后接受了手术。术后病理分析显示高级别eb病毒相关的胃食管交界和胃淋巴上皮瘤样癌。术后,我们计划给予6个周期的FOLFOX方案作为辅助治疗。淋巴上皮瘤样胃癌是一种罕见的胃癌类型,具有明显的临床病理特征,男性多见,好发于贲门,淋巴细胞浸润,淋巴结转移发生率较低,预后较好。手术切除是最有效的治疗方式。有高危因素的患者可考虑化疗。
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引用次数: 3
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Journal of clinical & experimental oncology
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