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Impacts of Abusing Drugs on Our Society 滥用药物对我们社会的影响
Pub Date : 2021-07-02 DOI: 10.52916/JMRS214049
Asif Bilal, Muhammad Imran Anjum, Nimra Naveed, M. Saif-ur-Rehman, Umer Ali, Anisa Iftikhar
Alcohol, heroin, inhalants and similar are considered as drug of abuse in our society. These can ruin the lives of everyone. Infact these are slow poisons. Mostly teen agers are big victims of these drugs. They may be more likely to engage in harmful behavior. Alcohol, cigarettes, and crack cocaine are the most often consumed drugs by young people. Our objectives are to identify the effects of abusing drugs in our society and play a role to stop it. The study was done in the Faisalabad division by the interviews of people who were drug addicts through the questionnaire. This survey research was completed in March 2020 to June 2020. We interviewed about 450 drug addicts and we have found about six abusing drugs among those. The drugs were alcohol, heroin, marijuana, allergic injection, inhalant and opium and the percentage of addicts were 24, 30, 15, 14, 10 and 07 respectively. We also found 9% females and 91% males were involve and 25% were teen ager, 60% were between 20 to 40 years and 15% were above 40 years. It is concluded that authorities should play their role to stop this sin and it should be established a number of centers for treatment of the drug addicts.
酒精、海洛因、吸入剂等在我们的社会中被视为滥用药物。这些会毁掉每个人的生活。事实上,这些都是缓慢的毒药。大多数青少年都是这些毒品的大受害者。他们可能更容易从事有害行为。酒精、香烟和快克可卡因是年轻人最常吸食的毒品。我们的目标是确定滥用毒品在我们社会中的影响,并发挥作用制止它。这项研究是在费萨拉巴德分部通过问卷调查对吸毒者进行的。这项调查研究于2020年3月至2020年6月完成。我们采访了大约450名吸毒者,发现其中大约有6人滥用毒品。毒品为酒精、海洛因、大麻、过敏性注射、吸入剂和鸦片,成瘾者比例分别为24、30、15、14、10和07。我们还发现,9%的女性和91%的男性参与其中,25%是青少年,60%在20至40岁之间,15%在40岁以上。结论是,当局应该发挥自己的作用来制止这种罪恶,应该建立一些戒毒中心。
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引用次数: 1
A Non-Invasive Determination of LOXL1 and Fibulin-5 Levels in the Vaginal Secretions of Women with and Without Pelvic Organ Prolapse. 有无盆腔器官脱垂的女性阴道分泌物中LOXL1和Fibulin-5水平的无创测定
Pub Date : 2021-04-01 Epub Date: 2021-04-12 DOI: 10.52916/jmrs214042
Bobby Garcia, Afiba Arthur, Bansari Patel, Jenny Chang, Dongbao Chen, Felicia Lane

Objectives: The aim of this study was to determine if lysyl oxidase-like 1 (LOXL1) and Fibulin-5 (Fib-5), two crucial proteins in the elastin metabolism pathway, are detectable in the vaginal secretions of women with and without pelvic organ prolapse (POP). We then sought to quantify levels of these proteins in relation to prolapse.

Methods: Vaginal secretions were obtained from 48 subjects (13 (27.1%) without and 35 (72.9%) with POP-Q Stage 2-4 prolapse). Eleven (22.9%) subjects were premenopausal and 37 (77.1%) were postmenopausal. Presence of LOXL-1 and Fibulin-5 within specimens were first identified via western blotting. Enzyme-Linked Immunosorbent Assays specific for LOXL1 and Fibulin-5 were conducted to quantify total protein secretion.

Results: LOXL1 was detected in 45/48 (93.8%) and Fibulin-5 was seen in 24/48 (50%) of subjects. LOXL1 values were lower in women without prolapse (13.3 ng/100 mg median, 24.4 IQR) vs. those with prolapse (26.4 ng/100 mg, 102.2 IQR). On multivariate analysis controlling for age, women with prolapse had a 544% (p=0.0042 higher LOXL1 protein level compared to those without. There was no significant differences in LOXL1 or Fibulin-5 protein detection with relation to menopausal status in bivariate analysis.

Conclusions: This is the first published report of non-invasively measuring urogenital LOXL1 and Fibulin-5. In vaginal secretions, LOXL1 protein is higher in subjects with POP than those without.

目的:本研究的目的是确定是否在有或没有盆腔器官脱垂(POP)的女性阴道分泌物中检测到赖氨酸氧化酶样1 (LOXL1)和纤维蛋白-5 (Fib-5)这两种弹性蛋白代谢途径中的关键蛋白。然后,我们试图量化这些蛋白质与脱垂的关系。方法:对48例患者进行阴道分泌物检测,其中未出现POP-Q 2-4期脱垂的13例(27.1%),出现POP-Q 2-4期脱垂的35例(72.9%)。绝经前11例(22.9%),绝经后37例(77.1%)。首先通过western blotting鉴定样品中存在LOXL-1和Fibulin-5。采用LOXL1和Fibulin-5特异性酶联免疫吸附测定法定量总蛋白分泌。结果:45/48例(93.8%)检出LOXL1, 24/48例(50%)检出Fibulin-5。无脱垂妇女的LOXL1值(13.3 ng/100 mg中位数,24.4 IQR)低于脱垂妇女(26.4 ng/100 mg, 102.2 IQR)。在控制年龄的多变量分析中,有脱垂的女性LOXL1蛋白水平比没有脱垂的女性高544% (p=0.0042)。在双变量分析中,LOXL1或Fibulin-5蛋白检测与绝经状态无显著差异。结论:这是首次发表的无创测量泌尿生殖器LOXL1和Fibulin-5的报告。在阴道分泌物中,POP患者的LOXL1蛋白含量高于非POP患者。
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引用次数: 3
On farmers’ Economic Income in Hubei Province of China During the COVID-19 Epidemic 新冠肺炎疫情期间湖北省农民经济收入分析
Pub Date : 2021-02-11 DOI: 10.52916/JMRS214038
Bin Zhao, Jinming Cao
This paper discusses the statistical measurement of the impact of COVID-19 major emergencies on farmers’ economic income in Hubei Province. Hubei Province was selected as the object of analysis, and five data of total output value of agriculture, forestry, animal husbandry, fishery and per capita disposable income of farmers in Hubei Province from the first quarter of 2013 to the second quarter of 2020 were collected by using the Internet. Since all the collected data were macroeconomic data, these data were taken the logarithm to meet the economic significance. The per capita disposable income of farmers was taken as the response variable, and the main factors affecting farmers’ income were obtained by factor analysis. Livestock husbandry and fishery industries were the main industries in Hubei Province. Then the score of factor analysis were taken as explained variable to establish a regression model composed of influencing factors. This paper uses the multiple linear regression, support vector regression to fitting and forecasting data, ARIMA model of time series analysis, introduced at the same time, through the AIC model choice, with the first quarter of 2013 to 2019 in the second quarter fitting training, backward prediction two quarters, and three or four quarter of 2019 compared with the real data, through to the predicted results of the sequence diagram and evaluation index model to compare the mean square error (RMSE). Three models predict per capita disposable income of farmers in the first and second quarter of 2020. It has been found that performance better ARIMA model in the model compare is worse than before, and three kinds of predicted values are higher than the real value of the model, showed the outbreak to the influence of the agricultural economy in Hubei province is serious. On this basis, taking into account the characteristics of geomorphic climate in Hubei province, constructive suggestions are put forward.
本文探讨了新冠肺炎重大突发事件对湖北省农民经济收入影响的统计测度。选取湖北省作为分析对象,利用互联网收集了2013年一季度至2020年二季度湖北省农林牧渔业总产值和农民人均可支配收入五项数据。由于所有收集的数据都是宏观经济数据,因此将这些数据取对数以满足经济意义。以农民人均可支配收入为响应变量,通过因子分析得出影响农民收入的主要因素。畜牧业和渔业是湖北省的主要产业。然后以因子分析的得分作为解释变量,建立由影响因素组成的回归模型。本文采用多元线性回归、支持向量回归对数据进行拟合和预测,同时引入ARIMA模型的时间序列分析,通过AIC模型的选择,用2013年第一季度至2019年第二季度的拟合训练,反向预测两个季度和2019年三四个季度的实际数据进行比较,通过对序列图和评价指标模型的预测结果进行均方误差(RMSE)比较。三个模型预测了2020年第一季度和第二季度农民的人均可支配收入。研究发现,性能较好的ARIMA模型在模型中的表现比以前更差,并且三种预测值都高于模型的实际值,表明疫情对湖北省农业经济的影响是严重的。在此基础上,结合湖北省地貌气候特点,提出了建设性的建议。
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引用次数: 0
Study of Infectious Diarrheas in Transylvania-Romania 罗马尼亚特兰西瓦尼亚地区感染性腹泻的研究
Pub Date : 2021-01-30 DOI: 10.52916/jmrs214039
L. Deac
“Diarrhea” is an alteration in a normal bowel movement characterized by an increase in the water content, volume or frequency of stools. Acute diarrhea of infectious etiology often referred to as gastroenteritis and is typically associated with clinical signs and symptoms including nausea, vomiting, abdominal pain and cramps, bloating, flatulence, fever, the passage of bloody stools, tenesmus, and fecal urgency. Infectious diarrheal diseases are the second leading cause of morbidity and mortality worldwide. It is diarrhea we have also found out during a large 3 years study 2017-2020 in TransylvaniaRomania. 3577 number of cases were transmitted during this time by the 12 territory sanitary policies to the Epidemiology Department from the Public Health Center Cluj. Those were mostly diagnosed by the territorial family doctors in the region and more than 20%, needed hospitalization for several days because of the mentioned disease disorders 3 children died during this time because of severe complications. The detected infectious microbial etiology were determined in authorized laboratories in which it was identified as Shigella spp., Salmonella spp., Campylobacter spp. and Yersinia spp. or Rotavirus Giardia and Fungi species. Most numbers of cases appeared in children, followed by elderly or adult people, as quantified number of determination. In light of these data, acute diarrheal illness had to be considered a major public health issue against which control efforts are needed. Public health surveillance and response in the field of infectious acute diarrhea include obligatory strategies of infection control.
“腹泻”是一种正常排便的改变,其特征是大便含水量、体积或频率增加。感染性急性腹泻通常被称为肠胃炎,通常伴有恶心、呕吐、腹痛和痉挛、腹胀、胀气、发热、便血、下急和大便急症等临床症状。传染性腹泻病是全世界发病率和死亡率的第二大原因。我们在2017-2020年在特兰西瓦尼亚进行的一项为期3年的大型研究中也发现了腹泻。在此期间,有3577例病例由12个领土卫生政策从克鲁日公共卫生中心传染给流行病学司。这些患者大多由该地区的领土家庭医生诊断,其中20%以上因上述疾病需要住院数天,在此期间有3名儿童因严重并发症死亡。检测到的感染微生物病原学在授权实验室确定为志贺氏菌、沙门氏菌、弯曲杆菌和耶尔森氏菌或轮状病毒贾第鞭毛虫和真菌。发病人数以儿童居多,其次为老年人或成年人,以量化人数确定。根据这些数据,急性腹泻病必须被视为一个重大的公共卫生问题,需要采取控制措施。感染性急性腹泻领域的公共卫生监测和应对包括强制性感染控制策略。
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引用次数: 0
Vein Glue VenaSeal® for the Therapy in Case of Varicose Vein Thrombosis: A Case Report 静脉胶VenaSeal®治疗静脉曲张血栓形成一例报告
Pub Date : 2021-01-28 DOI: 10.52916/JMRS214037
Zierau Ut
The thrombosis in areas of the superficial truncal varicose veins and cutaneous veins is not a rare complication; it requires drug or surgical therapy if the thrombosis grows in the direction of deep veins. This situation is particularly striking in the case of thromboses of the great saphenous vein GSV and small saphenous vein SSV as well as other saphenous veins and leads to deep vein thrombosis in around 20% of cases. We will report about a case of SSV thrombosis and the catheter-based therapy of thrombosis following the therapy of truncal varicose vein SSV with VenaSeal® in one session.
浅干静脉曲张和皮静脉血栓形成不是罕见的并发症;如果血栓向深静脉方向生长,则需要药物或手术治疗。这种情况在大隐静脉GSV和小隐静脉SSV以及其他隐静脉血栓形成的情况下尤其显著,并且在大约20%的病例中导致深静脉血栓形成。我们将报告一例SSV血栓形成病例,以及VenaSeal®治疗干静脉曲张SSV后基于导管的血栓形成治疗。
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引用次数: 0
MRI-Evaluation of Suprascapular Notch Morphometry and Its Clinical Applications 肩胛上切迹的mri评价及其临床应用
Pub Date : 2021-01-16 DOI: 10.52916/JMRS214036
Thaer M Farhan, Huda R. Kamoona
The suprascapular notch, a depression on the lateral part of the superior border of the scapula, medial to the coracoid process, is covered by the superior transverse scapular ligament, which is converted into a foramen. Sometimes it might be ossified forming a complete osseous foramen. The Suprascapular Notch (SN) served as a passage for the Suprascapular Nerve (SSN). Study the morphology of the suprascapular notch and the suprascapular transverse ligament based on MRI, variations in shape and dimensions of the suprascapular notch. A group of 100 patients underwent MRI examination of the scapular region through the period from 10th July 2019 to 15th Feb 2020. Different morphological types of the suprascapular notch were encountered in the study, the most common type was type III, while type I was less common in the study. The symmetry of the morphological feature of SN bilaterally was seen in 51% of the cases. Conclusively, the symmetry of the suprascapular notch is not a constant feature bilaterally.
肩胛骨上切迹是肩胛骨上缘外侧的一个凹陷,位于喙突内侧,由肩胛骨上横韧带覆盖,该韧带转化为一个孔。有时可能骨化形成完整的骨孔。肩胛上切迹(SN)是肩胛上神经(SSN)的通道。基于MRI研究肩胛上切迹和肩胛上横韧带的形态,以及肩胛上切迹形状和尺寸的变化。在2019年7月10日至2020年2月15日期间,对100例患者进行了肩胛骨区域MRI检查。肩胛上切迹在研究中遇到了不同的形态类型,最常见的是III型,而I型在研究中较少出现。51%的病例形态学特征呈双侧对称性。最后,肩胛上切迹的对称性并不是双侧的恒定特征。
{"title":"MRI-Evaluation of Suprascapular Notch Morphometry and Its Clinical Applications","authors":"Thaer M Farhan, Huda R. Kamoona","doi":"10.52916/JMRS214036","DOIUrl":"https://doi.org/10.52916/JMRS214036","url":null,"abstract":"The suprascapular notch, a depression on the lateral part of the superior border of the scapula, medial to the coracoid process, is covered by the superior transverse scapular ligament, which is converted into a foramen. Sometimes it might be ossified forming a complete osseous foramen. The Suprascapular Notch (SN) served as a passage for the Suprascapular Nerve (SSN). Study the morphology of the suprascapular notch and the suprascapular transverse ligament based on MRI, variations in shape and dimensions of the suprascapular notch. A group of 100 patients underwent MRI examination of the scapular region through the period from 10th July 2019 to 15th Feb 2020. Different morphological types of the suprascapular notch were encountered in the study, the most common type was type III, while type I was less common in the study. The symmetry of the morphological feature of SN bilaterally was seen in 51% of the cases. Conclusively, the symmetry of the suprascapular notch is not a constant feature bilaterally.","PeriodicalId":73820,"journal":{"name":"Journal of medical research and surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42267153","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: 1
Diabetes Mellitus and Glucocorticoid Use As Risk Factors for COVID-19 Associated Mucormycosis 糖尿病和糖皮质激素是COVID-19相关毛霉菌病的危险因素
Pub Date : 2021-01-01 DOI: 10.52916/jmrs214051
N. Mikhail, Soma Wali
Background: A surge of cases of Coronavirus Disease 2019 (COVID-19)-Associated Mucormycosis (CAM) was recently observed. Objective: To determine the contribution of diabetes and glucocorticoid therapy in predisposing to CAM. Methods: Pubmed search until July 2nd, 2021. Search terms included mucormycosis, diabetes, glucocorticoids, corticosteroids, coronavirus disease 2019, mortality. Randomized trials, case series, retrospective, pre-print studies, meta-analysis, professional guidelines are reviewed. Pertinent in vitro and animal studies are also included. Results: Diabetes mellitus was reported in 78-85% of cases of CAM worldwide, with the highest rates present in India. Diabetic Ketoacidosis (DKA) was observed in 3.5-41% of cases of CAM. Glucocorticoid therapy emerged as another predisposing factor occurring in 85% of cases of CAM. Injudicious use of glucocorticoids may be a contributing factor in a substantial proportion of subjects with CAM. Majority of patients develop symptoms of CAM between day 10 and 15 from the diagnosis of COVID-19. However, some cases of CAM may present up to 3 months after COVID-19 or following recovery from COVID-19. Mortality rates of CAM overall ranges from 34-48%. Surgical debridement may be associated with improved survival. Conclusions: High index of suspicion for CAM should be present in patients with diabetes and those receiving corticosteroids. Effective glycemic control and judicious use of glucocorticoids should be implemented to decrease incidence of CAM.
背景:最近观察到2019冠状病毒病(COVID-19)相关毛霉菌病(CAM)病例激增。目的:探讨糖尿病和糖皮质激素治疗在CAM易感性中的作用。方法:Pubmed检索至2021年7月2日。搜索词包括毛霉病、糖尿病、糖皮质激素、皮质类固醇、2019冠状病毒病、死亡率。综述了随机试验、病例系列、回顾性、预印本研究、元分析、专业指南。相关的体外和动物研究也包括在内。结果:全球78-85%的CAM病例报告有糖尿病,其中印度发病率最高。糖尿病酮症酸中毒(DKA)发生率为3.5 ~ 41%。糖皮质激素治疗是另一个诱发因素,出现在85%的CAM病例中。不明智地使用糖皮质激素可能是相当比例的CAM患者的一个促成因素。大多数患者在诊断出COVID-19后的第10天至第15天出现CAM症状。然而,一些CAM病例可能在COVID-19后或从COVID-19恢复后长达3个月出现。CAM的总体死亡率在34-48%之间。手术清创可提高生存率。结论:糖尿病患者和接受皮质类固醇治疗的患者应高度怀疑CAM。应实施有效的血糖控制和合理使用糖皮质激素,以降低CAM的发生率。
{"title":"Diabetes Mellitus and Glucocorticoid Use As Risk Factors for COVID-19 Associated Mucormycosis","authors":"N. Mikhail, Soma Wali","doi":"10.52916/jmrs214051","DOIUrl":"https://doi.org/10.52916/jmrs214051","url":null,"abstract":"Background: A surge of cases of Coronavirus Disease 2019 (COVID-19)-Associated Mucormycosis (CAM) was recently observed. Objective: To determine the contribution of diabetes and glucocorticoid therapy in predisposing to CAM. Methods: Pubmed search until July 2nd, 2021. Search terms included mucormycosis, diabetes, glucocorticoids, corticosteroids, coronavirus disease 2019, mortality. Randomized trials, case series, retrospective, pre-print studies, meta-analysis, professional guidelines are reviewed. Pertinent in vitro and animal studies are also included. Results: Diabetes mellitus was reported in 78-85% of cases of CAM worldwide, with the highest rates present in India. Diabetic Ketoacidosis (DKA) was observed in 3.5-41% of cases of CAM. Glucocorticoid therapy emerged as another predisposing factor occurring in 85% of cases of CAM. Injudicious use of glucocorticoids may be a contributing factor in a substantial proportion of subjects with CAM. Majority of patients develop symptoms of CAM between day 10 and 15 from the diagnosis of COVID-19. However, some cases of CAM may present up to 3 months after COVID-19 or following recovery from COVID-19. Mortality rates of CAM overall ranges from 34-48%. Surgical debridement may be associated with improved survival. Conclusions: High index of suspicion for CAM should be present in patients with diabetes and those receiving corticosteroids. Effective glycemic control and judicious use of glucocorticoids should be implemented to decrease incidence of CAM.","PeriodicalId":73820,"journal":{"name":"Journal of medical research and surgery","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71107700","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
Mechanisms of Action And Effects of Pulsed Electromagnetic Fields (PEMF) in Medicine 脉冲电磁场(PEMF)在医学中的作用机制和效应
Pub Date : 2020-12-21 DOI: 10.52916/JMRS204033
Cristiano Luigi, P. Tiziano
Pulsed Electromagnetic Field (PEMF) therapy is a non-invasive and non-thermal treatment widely used nowadays to treat various types of disorders and traumas, both in humans and animals. Initially applied only for wound healing, today it finds many applications in medicine for the treatment of bone fractures, arthritis, inflammation, edema, and pain. Although their mechanisms of action are still being studied today, and mainly related to the calcium signaling pathway, they are effective in the adjuvant treatment of many human diseases in different medical specialties. This work aims to report the main evidence and research in the medical field with particular reference to the application of PEMF to some medical specialties as regenerative medicine (wound care), sports medicine, orthopedics, and physiotherapy. Finally, this work also wanted to deepen one of the most recent applications of PEMF in the field of complex diseases, i.e. in the adjuvant treatment of cancer. Pulsed electromagnetic field therapy may play an important role in medicine as a complementary treatment for various human diseases and, by deepening the studies in the future, it will be possible not only to understand the exact mechanisms of action but also to extend its application to other pathologies both in the medical and veterinary fields.
脉冲电磁场(PEMF)疗法是一种非侵入性和非热疗法,目前广泛用于治疗人类和动物的各种疾病和创伤。最初仅用于伤口愈合,今天它在医学上有许多应用,用于治疗骨折、关节炎、炎症、水肿和疼痛。虽然它们的作用机制目前仍在研究中,主要与钙信号通路有关,但它们在不同医学专业的许多人类疾病的辅助治疗中都是有效的。本工作旨在报告医学领域的主要证据和研究,特别是关于PEMF在再生医学(伤口护理)、运动医学、骨科和物理治疗等医学专业中的应用。最后,这项工作还希望深化PEMF在复杂疾病领域的最新应用之一,即在癌症的辅助治疗中。脉冲电磁场疗法作为一种辅助治疗多种人类疾病的疗法,在医学上发挥着重要的作用,通过今后的深入研究,不仅可以了解其确切的作用机制,还可以将其应用于医学和兽医领域的其他病理。
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引用次数: 2
Microsatellite Instability Incidence in Recurrent Colon Cancer Stage II and III 癌症II期和III期复发性结肠癌中微卫星不稳定性的发生率
Pub Date : 2020-11-12 DOI: 10.52916/JMRS204034
Guzmán-Casta Jordi
Objective: To evaluate the incidence of Microsatellite Instability (MSI) in patients with Colon Cancer in stage II & III in the Mexican population. Methods: This is a descriptive, retrospective and cross-sectional study performed through a review of 30 clinical charts of patients with the diagnosis of Colorectal Cancer and evaluation of Microsatellite Instability in surgical pathology specimens. Results: Males with 53.3% had a higher incidence than females. The most frequent site was the left colon (53%), followed by the right colon (16.6%), higher rectum (10%), mid rectum (10%), and lower rectum (10%). The majority of the patient were classified as moderately differentiated (86.7%), with 6.7% being poorly differentiated and the rest 6.7% well differentiated. For the presence of MSI in repair genes (MLH1, MSH2, PMS2), this was positive in 33% of the population studied. The clinical-stage most frequently affected was IIA with 36.7% of the positive cases followed by stage IIB with 20%, stage IIIA 20%, and finally, stage IIC and IIIB with 13% and 10% respectively. Among histologic subtypes, adenocarcinoma was found in 90% of the cases, mucinous carcinoma in 6.7%, and signet ring cell carcinoma in 3.3%. In regards to treatment, 50 % of patients underwent only surgery while the other 50% were treated with surgery followed by adjuvant chemotherapy. Clean surgical margins were achieved in 93.7% after initial surgery and the rest were taken back to surgery for a wider resection. The predominant tumor size was T2 (50%), T3 (33%), and T4a (16.7%). The most commonly found lymph node involvement was N1a with 63.3% of the cases followed by N1b with 16.7%. In terms of recurrent metastatic disease, M1a was the most frequent, found in 73.3% of the cases. Conclusion: In our study population in contrast with current literature from the rest of the world we found a higher presence of microsatellite instability (33% vs 15%) and a higher incidence in the left colon with a definitive impact in the survival of patients.
目的:评估墨西哥人群中癌症Ⅱ、Ⅲ期患者微卫星不稳定性(MSI)的发生率。方法:这是一项描述性、回顾性和横断面研究,通过回顾30例诊断为癌症结直肠癌的患者的临床图表,并评估外科病理标本中的微卫星不稳定性。结果:男性发病率为53.3%,高于女性。最常见的部位是左结肠(53%),其次是右结肠(16.6%)、直肠上部(10%)、直肠中部(10%)和直肠下部(10%)。大多数患者被归类为中分化型(86.7%),其中6.7%为低分化型,其余6.7%为高分化型。对于修复基因(MLH1、MSH2、PMS2)中MSI的存在,这在33%的研究人群中是阳性的。最常见的临床分期是IIA,阳性病例占36.7%,其次是IIB期,占20%,IIIA期占20%,最后是IIC期和IIIB期,分别占13%和10%。在组织学亚型中,腺癌占90%,粘液癌占6.7%,印戒细胞癌占3.3%。在治疗方面,50%的患者只接受了手术,而其他50%的患者则接受了手术和辅助化疗。初次手术后,93.7%的患者获得了干净的手术边缘,其余患者则被带回手术室进行更广泛的切除。主要肿瘤大小为T2(50%)、T3(33%)和T4a(16.7%)。最常见的淋巴结受累是N1a,占63.3%,其次是N1b,占16.7%。就复发转移性疾病而言,M1a最常见,占73.3%。结论:在我们的研究人群中,与世界其他地区的现有文献相比,我们发现微卫星不稳定的存在率更高(33%对15%),左结肠的发病率更高,对患者的生存率有决定性影响。
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引用次数: 0
Primary Pulmonary Angiosarcoma: A Case Report and Literature Review 原发性肺血管肉瘤1例报告及文献复习
Pub Date : 2020-10-08 DOI: 10.52916/jmrs204028
Guzmán-Casta Jordi, Alatorre-Alexander Jorge Arturo, Carrasco-CaraChards Sonia, Guzmán-Huesca Jorge, Riera-Sala Rodrigo, S. Paola, Peña-Mirabal Erika Sagrario, Hernández-Dehesa Itzel Ariadna, Baltazar-Contreras Rocíodel Carmen, Martínez-Barrera Luis Manuel, Rodríguez-Cid Jerónimo Rafael
Primary sarcomas of the thorax are rare. They are classified according to their histologic features and constitute a large group of tumors that occur in the lung, mediastinum, pleura, and chest wall. Although primary thoracic sarcomas commonly manifest as large, heterogeneous masses, they have a wide spectrum of radiologic manifestations, including solitary pulmonary nodules, central endobronchial tumors, and intraluminal masses within the pulmonary arteries. Angiosarcomas are rare, malignant vascular tumors, representing about 2% of all soft tissue sarcomas. The most frequently primarily affected sites include the heart, liver, breast, skin, and scalp, and they have a high rate of metastases to the lungs and, less commonly, liver, regional lymph nodes, and bone. Definitive diagnosis is made based on histopathological and immunohistochemical findings. No standard treatment regimen has been established for pulmonary angiosarcoma. Radiation therapy, chemotherapy, surgical resection, and immunotherapy have been attempted. The use of radiation therapy in conjunction with surgery has resulted in local control and excellent functional and cosmetic outcome, for patients with angiosarcoma of the head and neck, but not the lung. For advanced-stage disease, other than the combination of doxorubicin and ifosfamide-based regimens, there have been few other chemotherapeutic options for the treatment of local or metastatic angiosarcoma.
原发性胸部肉瘤是罕见的。它们根据其组织学特征进行分类,构成了一大类发生在肺、纵隔、胸膜和胸壁的肿瘤。虽然原发性胸部肉瘤通常表现为大而不均匀的肿块,但它们具有广泛的影像学表现,包括孤立的肺结节、中枢性支气管内肿瘤和肺动脉腔内肿块。血管肉瘤是一种罕见的恶性血管肿瘤,约占所有软组织肉瘤的2%。最常见的主要受累部位包括心脏、肝脏、乳房、皮肤和头皮,它们转移到肺部的比例很高,转移到肝脏、局部淋巴结和骨骼的比例较低。明确的诊断是基于组织病理学和免疫组织化学的结果。肺血管肉瘤的标准治疗方案尚未建立。放疗、化疗、手术切除和免疫治疗都已尝试过。对于头颈部血管肉瘤患者,而不是肺血管肉瘤患者,放射治疗与手术相结合的使用已经导致了局部控制和良好的功能和美容效果。对于晚期疾病,除了阿霉素和异环磷酰胺联合治疗方案外,很少有其他化疗选择用于局部或转移性血管肉瘤的治疗。
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引用次数: 0
期刊
Journal of medical research and surgery
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