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Investigating the Properties and Cytotoxicity of Cisplatin-Loaded Nano-Polybutylcyanoacrylate on Breast Cancer Cells 研究顺铂负载纳米聚丁基氰基丙烯酸酯对乳腺癌细胞的特性和细胞毒性
Pub Date : 2023-11-06 DOI: 10.31557/apjcb.2023.8.4.345-350
Amirsasan Gorgzadeh, Ali Hheidari, Parizad Ghanbarikondori, Mahshid Arastonejad, Tayebeh Ghasemi Goki, Mehrad Aria, Ahmadreza Allahyartorkaman, Farimah Moazzam
Background: This study aimed to develop a novel drug formulation using polybutylcyanoacrylate (PBCA) nanoparticles to deliver cisplatin, a commonly used chemotherapeutic agent for breast cancer treatment.Materials and Methods: PBCA nanoparticles were synthesized using a mini-emulsion polymerization method, and the resulting NPs were comprehensively characterized for their physical properties, such as size, size distribution, zeta potential, drug loading, and encapsulation efficiency. In addition, the cytotoxicity of the NPs was assessed, along with their ability to release the entrapped drugs over time. Results: The results showed that the PBCA nanoparticles had a mean size of 457 ± 7.4 nm, a size distribution of 0.253±0.011 and a negative zeta potential of -12.3 ± 1.3 mV. The drug encapsulation efficiency and loading capacity of cisplatin-PBCA were found to be 45.6 ± 2.7% and 3.5 ±0.8%, respectively; The release of the drug from the PBCA was estimated to be approximately 12.2±1.1% after 45 hours. The cytotoxic effects of the nanoparticle formulation were significantly enhanced compared to the free drug. The cytotoxicity of cisplatin-PBCA was evaluated in the T-47D breast cancer cell line, showing promising results as a potential drug formulation for breast cancer therapy. Conclusions: These findings suggest that cisplatin-PBCA may offer advantages over traditional cisplatin formulations, potentially improving the efficacy and reducing the toxicity of breast cancer treatment.
背景:本研究旨在利用聚丁基氰基丙烯酸酯(PBCA)纳米粒子开发一种新型药物制剂,用于递送顺铂(一种常用的乳腺癌化疗药物):采用微型乳液聚合法合成了 PBCA 纳米粒子,并对所得纳米粒子的物理性质(如尺寸、尺寸分布、zeta 电位、载药量和包封效率)进行了全面表征。此外,还评估了 NPs 的细胞毒性及其随时间释放所含药物的能力。结果显示结果表明,PBCA 纳米粒子的平均尺寸为 457 ± 7.4 nm,尺寸分布为 0.253±0.011,负 zeta 电位为 -12.3 ± 1.3 mV。顺铂-PBCA的药物包封效率和负载能力分别为45.6±2.7%和3.5±0.8%;估计45小时后药物从PBCA中的释放量约为12.2±1.1%。与游离药物相比,纳米颗粒制剂的细胞毒性作用明显增强。在 T-47D 乳腺癌细胞系中对顺铂-PBCA 的细胞毒性进行了评估,结果表明该制剂有望成为治疗乳腺癌的潜在药物。结论这些研究结果表明,顺铂-PBCA 与传统的顺铂制剂相比具有优势,有可能提高乳腺癌治疗的疗效并降低毒性。
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引用次数: 0
Review on Automated Skin Cancer Detection Using Image Processing Techniques 利用图像处理技术自动检测皮肤癌综述
Pub Date : 2023-10-28 DOI: 10.31557/apjcb.2023.8.4.387-393
Haniye Jafari, Mojtaba Esmailpour Roshan
Skin is the most important part of the human body, protecting the muscles, bones and the entire body. One of the most common diseases affecting many people today is cancer, and skin cancer is one of the most common cancers known to man. As one of the deadliest cancers, skin cancer requires special attention. Skin cancer is caused by genetic defects or mutations caused by unreduced deoxyribonucleic acid in skin cells. One of the most dangerous types of skin cancer is melanoma, which has a high survival rate if detected early. Accordingly, early detection of melanoma is very important. To this end, this paper presents a computer-aided method that uses image processing tools to detect skin cancer, especially melanoma. This system takes an image of a skin lesion and uses new image processing techniques to determine the presence of skin cancer. The lesion image analysis tool evaluates various features of melanoma, including asymmetry, contour, color, diameter (ABCD), and more. Then these extracted parameters are used to classify the images as benign or malignant lesions. This article describes methods and approaches for automatic skin cancer detection. This article provides researchers with useful information about the methods, databases, and procedures required for early detection of skin cancer.
皮肤是人体最重要的部分,保护着肌肉、骨骼和整个身体。癌症是当今影响许多人的最常见疾病之一,而皮肤癌则是人类已知的最常见癌症之一。作为最致命的癌症之一,皮肤癌需要特别关注。皮肤癌是由皮肤细胞中未还原的脱氧核糖核酸造成的基因缺陷或突变引起的。黑色素瘤是最危险的皮肤癌之一,如果早期发现,存活率很高。因此,早期发现黑色素瘤非常重要。为此,本文介绍了一种利用图像处理工具检测皮肤癌,尤其是黑色素瘤的计算机辅助方法。该系统获取皮肤病变的图像,并使用新的图像处理技术来确定皮肤癌的存在。病变图像分析工具可评估黑色素瘤的各种特征,包括不对称、轮廓、颜色、直径(ABCD)等。然后利用这些提取的参数将图像分类为良性或恶性病变。本文介绍了自动皮肤癌检测的方法和途径。本文为研究人员提供了有关早期检测皮肤癌所需的方法、数据库和程序的有用信息。
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引用次数: 0
Rectal Polyp Prolapse: A Case Report 直肠息肉脱垂:病例报告
Pub Date : 2023-10-28 DOI: 10.31557/apjcb.2023.8.4.407-408
N. Agarwal, Dhirendra Nath Choudhury, Akshit Minocha
Colorectal adenomas are polyps that develop from the mucosa and exhibit neoplastic characteristics. Adenomas’ increasing dysplasia and malignant potential are connected to their size, villous content, and patient’s age. An anorectal emergency is definitely a possibility when there are large villous polyps in the rectum. They could be involved in rectal bleeding, blockage, prolapse, or imprisonment. We describe a 53-year-old female who was treated successfully for giant tubulovillous rectal adenoma that was prolapsed through anal opening. The patient’s clinical symptoms and signs were mistaken for prolapsed hemorrhoids.
大肠腺瘤是由粘膜发展而来的息肉,具有肿瘤特征。腺瘤发育不良和恶变可能性的增加与腺瘤的大小、绒毛含量和患者的年龄有关。当直肠内有大的绒毛状息肉时,肯定会出现肛门直肠急症。它们可能会导致直肠出血、堵塞、脱垂或肛门狭窄。我们描述了一名 53 岁女性因巨大管状直肠腺瘤脱出肛门而成功接受治疗的病例。患者的临床症状和体征被误认为是脱垂性痔疮。
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引用次数: 0
Voided Urine Sample in the Diagnosis of Prostate Cancer in Patients with Serum PSA Ranging between 2.6 to 10 ng/mL 在诊断血清 PSA 介于 2.6 至 10 纳克/毫升之间的前列腺癌患者时使用排出的尿液样本
Pub Date : 2023-10-28 DOI: 10.31557/apjcb.2023.8.4.339-343
Shridhar C. Ghagane, Rangrez Shadab, R. Nerli, Shreyas Rai, Madhukar L. Thakur, L. Gomella
Introduction: Prostate cancer (PCa) cells are known to be shed into the prostatic urethra and thus can be collected through a voided urine sample. In this preliminary prospective study, we have assessed the feasibility of detecting cancer of the prostate using a voided urine sample and targeting the genomic VPAC receptors in patients with lower urinary tract symptoms and a serum PSA ranging between 2.6 to 10 ng/mL. Materials & Methods: Patients ≥40 years old, with lower urinary tract symptoms and serum prostate-specific antigen (PSA) ranging between 2.6 - 10 ng/mL formed the study group. The voided urine sample was collected from all these patients for biomarker testing. All patients underwent a standard 12-core prostate biopsy. The results of the histopathological studies were then compared to the results of the urine biomarker. Results: A total of 76 male subjects presented to our hospital with lower urinary tract symptoms and a serum PSA ≥ 2.6 and ≤ 10 ng/mL. The voided urine sample was positive for malignant cells in 24/25 (96%) patients with PCa. There was one case of a false negative in this group. Histopathological examination of the core biopsy specimens was positive for malignancy in 23 (92%) cases of PCa. Conclusions: Voided urine samples can be used to diagnose PCa by targeting the VPAC receptors that are expressed on malignant cells. This test is highly sensitive and serum PSA levels or Gleason’s score have no impact on the sensitivity of this test.
前言:众所周知,前列腺癌(PCa)细胞会脱落到前列腺尿道中,因此可以通过排空的尿液样本收集到前列腺癌细胞。在这项初步的前瞻性研究中,我们评估了在有下尿路症状和血清 PSA 介于 2.6 至 10 纳克/毫升之间的患者中使用排空尿样和靶向基因组 VPAC 受体检测前列腺癌的可行性。材料与方法研究对象为年龄≥40 岁、有下尿路症状且血清前列腺特异性抗原(PSA)介于 2.6 - 10 纳克/毫升之间的患者。研究人员采集了所有患者的排空尿液样本,用于生物标记物检测。所有患者都接受了标准的 12 核前列腺活检。然后将组织病理学研究结果与尿液生物标志物结果进行比较。结果共有 76 名男性患者因出现下尿路症状、血清 PSA ≥ 2.6 且≤ 10 纳克/毫升而到我院就诊。24/25(96%)名 PCa 患者的排空尿液样本中恶性细胞呈阳性。其中一例为假阴性。23例(92%)PCa患者的核心活检标本组织病理学检查呈恶性肿瘤阳性。结论排出的尿液样本可以通过靶向恶性细胞上表达的 VPAC 受体来诊断 PCa。该检测灵敏度很高,血清 PSA 水平或格里森评分对该检测的灵敏度没有影响。
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引用次数: 0
Oral Cancer at a Glance 口腔癌一瞥
Pub Date : 2023-10-22 DOI: 10.31557/apjcb.2023.8.4.379-386
Elham Saberian, Andrej Jenča, A. Petrášová, J. Jenčová, Reza Atazadegan Jahromi, Rahman Seiffadini
Overview: This review aims to serve as a comprehensive resource for healthcare professionals, researchers, and students interested in oral cancer, providing them with up-to-date information and insights into the current state of knowledge and practice in the field. Oral cancer, also known as mouth cancer, is a type of cancer that affects the mouth, tongue, lips, or throat. It is a common form of cancer worldwide, and its incidence is increasing annually. Oral cancer can be life-threatening if not detected early and treated promptly. Methods: We searched the PubMed database, Web of Science (WOS), Google Scholar, Scopus, and selected studies by predefined eligibility criteria. This review aims to provide an overview of oral cancer, including its causes, risk factors, signs and symptoms, diagnosis, treatment options, and prevention strategies. Result: Oral cancer is a preventable disease, and ongoing research is providing valuable insights into its risk factors and development. With this increasing knowledge, healthcare professionals have the opportunity to improve clinical outcomes by developing better early detection and treatment strategies. By staying up-to-date with the latest advancements in biomedical sciences and dentistry, they can make a significant impact on patient outcomes and save lives. Conclusion: summarizing the key points discussed in the review and highlighting the significance of continued research and awareness efforts to combat this complex and aggressive disease.
概述:本综述旨在为对口腔癌感兴趣的医疗保健专业人员、研究人员和学生提供全面的资源,为他们提供最新的信息以及对该领域知识和实践现状的见解。口腔癌又称口腔癌,是一种影响口腔、舌头、嘴唇或咽喉的癌症。它是全球常见的一种癌症,发病率逐年上升。如果不及早发现和及时治疗,口腔癌可能会危及生命。研究方法我们检索了 PubMed 数据库、Web of Science (WOS)、Google Scholar、Scopus,并按照预先确定的资格标准筛选了一些研究。本综述旨在概述口腔癌,包括其病因、风险因素、体征和症状、诊断、治疗方案和预防策略。结果:口腔癌是一种可预防的疾病,正在进行的研究对其风险因素和发展提供了宝贵的见解。随着知识的增长,医疗保健专业人员有机会通过制定更好的早期检测和治疗策略来改善临床效果。通过了解生物医学和牙科领域的最新进展,他们可以对患者的治疗效果和挽救生命产生重大影响。结语:总结综述中讨论的要点,并强调继续开展研究和提高认识的努力对于防治这种复杂且具有侵袭性的疾病具有重要意义。
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引用次数: 0
Differences in Nasopharyngeal and Lung Histopathology in Wistar Rats (Rattus norvegicus) Given Inhaled Formaldehyde Exposure with Doses of 20, 30, and 40 ppm 吸入百万分之 20、30 和 40 剂量甲醛的 Wistar 大鼠(Rattus norvegicus)鼻咽和肺组织病理学的差异
Pub Date : 2023-10-21 DOI: 10.31557/apjcb.2023.8.4.335-338
Anak Agung Ayu Niti Wedayani, Abdul Qadar Punagi, Nova Audrey, Husni Cangara, David Giffard Kawi Junior, Ricky Setiadi Yusuf
Background: Formaldehyde is known as a chemical substance that may induce structural cell changes in several organs, especially the respiratory system. Different concentrations of exposure may result in different degrees of severity in histopathology. Method: Twenty male Wistar rats were divided into 4 groups. Inhalation of 10% formaldehyde exposure in 6 hours per day over 16 weeks was done. Nasopharyngeal and lung tissues were taken with hematoxylin-eosin (H&E) staining to see histopathology structural changes and degree of severity. Bivariate analysis was conducted to find the correlation coefficient. Results: This experimental study found that severe dysplasia is correlated with long exposure. A strong correlation is found between concentrations and dysplasia (r=0.682), and a moderate correlation between duration of exposure and dysplasia (r=0.488).Discussion: Dysplasia of nasopharyngeal and lung tissue are in line with exposure of formaldehyde in rats. Formaldehyde exposure with 10 ppm and 15 ppm may lead to structural cell changes such as vacuolar degeneration, cell necrosis, epithelial exfoliation, and erosion in nasal passage. Also, longer exposure increases the severity of dysplasia. Squamous metaplasia was found in 20 ppm of formaldehyde over 2 weeks of exposure, in the epithelial respiratory system. Conclusion: The severity of dysplasia in rats is in line with the duration and concentrations of formaldehyde exposure. Long exposure will increase the severity of dysplasia and, similarly, high concentration of formaldehyde exposure increases the severity of dysplasia.
背景:众所周知,甲醛是一种化学物质,可导致多个器官,尤其是呼吸系统的细胞结构发生变化。不同浓度的接触会导致组织病理学的不同严重程度。研究方法将 20 只雄性 Wistar 大鼠分为 4 组。每天 6 小时吸入 10% 的甲醛,持续 16 周。对鼻咽部和肺部组织进行苏木精-伊红(H&E)染色,以观察组织病理学结构变化和严重程度。进行双变量分析以找出相关系数。结果这项实验研究发现,严重的发育不良与长期接触有关。浓度与发育不良之间存在强相关性(r=0.682),接触时间与发育不良之间存在中度相关性(r=0.488):讨论:鼻咽和肺组织的发育不良与大鼠接触甲醛的情况相符。接触百万分之 10 和百万分之 15 的甲醛可导致细胞结构变化,如空泡变性、细胞坏死、上皮脱落和鼻腔糜烂。此外,接触时间越长,发育不良的严重程度越高。接触 20 ppm 的甲醛 2 周后,在呼吸系统上皮中发现了鳞状化生。结论大鼠发育不良的严重程度与接触甲醛的时间和浓度有关。长时间接触甲醛会增加发育不良的严重程度,同样,接触高浓度甲醛也会增加发育不良的严重程度。
{"title":"Differences in Nasopharyngeal and Lung Histopathology in Wistar Rats (Rattus norvegicus) Given Inhaled Formaldehyde Exposure with Doses of 20, 30, and 40 ppm","authors":"Anak Agung Ayu Niti Wedayani, Abdul Qadar Punagi, Nova Audrey, Husni Cangara, David Giffard Kawi Junior, Ricky Setiadi Yusuf","doi":"10.31557/apjcb.2023.8.4.335-338","DOIUrl":"https://doi.org/10.31557/apjcb.2023.8.4.335-338","url":null,"abstract":"Background: Formaldehyde is known as a chemical substance that may induce structural cell changes in several organs, especially the respiratory system. Different concentrations of exposure may result in different degrees of severity in histopathology. Method: Twenty male Wistar rats were divided into 4 groups. Inhalation of 10% formaldehyde exposure in 6 hours per day over 16 weeks was done. Nasopharyngeal and lung tissues were taken with hematoxylin-eosin (H&E) staining to see histopathology structural changes and degree of severity. Bivariate analysis was conducted to find the correlation coefficient. Results: This experimental study found that severe dysplasia is correlated with long exposure. A strong correlation is found between concentrations and dysplasia (r=0.682), and a moderate correlation between duration of exposure and dysplasia (r=0.488).Discussion: Dysplasia of nasopharyngeal and lung tissue are in line with exposure of formaldehyde in rats. Formaldehyde exposure with 10 ppm and 15 ppm may lead to structural cell changes such as vacuolar degeneration, cell necrosis, epithelial exfoliation, and erosion in nasal passage. Also, longer exposure increases the severity of dysplasia. Squamous metaplasia was found in 20 ppm of formaldehyde over 2 weeks of exposure, in the epithelial respiratory system. Conclusion: The severity of dysplasia in rats is in line with the duration and concentrations of formaldehyde exposure. Long exposure will increase the severity of dysplasia and, similarly, high concentration of formaldehyde exposure increases the severity of dysplasia.","PeriodicalId":8848,"journal":{"name":"Asian Pacific Journal of Cancer Biology","volume":"93 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139315810","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
The Role of Ubiquitin-specific Peptidases in Colorectal Cancer: A Systematic Review Protocol 泛素特异性肽酶在结直肠癌中的作用:一项系统评价方案
Pub Date : 2023-10-07 DOI: 10.31557/apjcb.2023.8.4.417-421
Eman Al-Balushi, Amina Al-Marzouqi, Shima Tavoosi, Amir Hossein Baghsheikhi, Arash Sadri, Leyla Sharifi Aliabadi, Mohammad-Mahdi Salarabedi, Syed Azizur Rahman, Nabeel Al-Yateem, Alizera Mosavi Jarrahi, Aram Halimi, Mohammad Ahmadvand, Wael M Abdel-Rahman
Background: This systematic review aims to comprehensively assess and synthesize the current body of evidence regarding the role of ubiquitin-specific peptidases in colorectal cancer. Methods: This protocol adhered to the guidelines outlined in the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocol (PRISMA-P) and was officially registered with the International Prospective Register for Systematic Reviews (PROSPERO) under the registration number CRD42022348183. Results: This study will provide a concise summary of the synthesized data from the included studies and will synthesize key findings, explore clinical and therapeutic implications, address limitations and gaps in knowledge, and propose avenues for future research.Conclusion: This section will conclude by summarizing the key takeaways from the systematic review and emphasizing the relevance of the findings in advancing our knowledge of the role of USPs in colorectal cancer. It will also underscore the potential implications for clinical practice and future research directions.
背景:本系统综述旨在全面评估和综合目前关于泛素特异性肽酶在结直肠癌中的作用的证据。方法:本方案遵循系统评价和荟萃分析方案首选报告项目(PRISMA-P)中概述的指南,并在国际前瞻性系统评价注册中心(PROSPERO)正式注册,注册号为CRD42022348183。结果:本研究将简要总结纳入研究的综合数据,并将综合关键发现,探索临床和治疗意义,解决知识的局限性和空白,并为未来的研究提出途径。结论:本节将总结系统综述的关键要点,并强调这些发现在提高我们对USPs在结直肠癌中的作用的认识方面的相关性。这也将强调对临床实践和未来研究方向的潜在影响。
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引用次数: 0
Laparoscopic Sentinel Lymph Node Mapping Using NIR Fluorescence with ICG in Early Endometrial Cancer: Experience at a Tertiary Care Oncology Centre 在早期子宫内膜癌中使用 ICG 近红外荧光进行腹腔镜前哨淋巴结造影:一家三级肿瘤中心的经验
Pub Date : 2023-10-07 DOI: 10.31557/apjcb.2023.8.4.319-325
P. Bhati, Saumya Gupta, Monal Garg, N. Puthenveettil, Indu R. Nair, A. Rajanbabu
Objective: To determine the detection rates and location of sentinel nodes as well as to determine intraoperative and postoperative surgico-pathological outcomes in endometrial cancer patients who underwent laparoscopic staging with sentinel node biopsy using ICG dye. Materials and Methods: This retrospective study was conducted in a tertiary care oncology centre, Amrita Institute of medical sciences, Kochi from April 2021 to March 2023. All cases of biopsy proven early stage endometrial carcinoma that underwent laparoscopic staging with SLN mapping using the ICG dye were included. All histological types were included, as long as the disease was confined to the uterus, clinically and on MRI. Results: A total of 80 patients were found eligible for the study. Only the patients with apparent uterine confined disease on preoperative MRI were selected for sentinel mapping, 80 % of whom had IA disease on MRI, and 20 % had IB, 13.5 % were high grade histology.The overall SLN detection rate was 93.75%, and bilateral detection rate was 92.5 %. Most common location was external iliac in 40.8% cases. Only 1 patient was found to harbour nodal micro metastasis on ultrastaging. Final histopathology identified stage IA in 63 (78.75%) patients, IB in 14 (17.5%), Stage II in 2 (2.5%) and Stage IIIC1 in 1 (1.25%) patient. Conclusion: Laparoscopic staging with SLNB using ICG is a practicable approach for uterine limited disease on preoperative evaluation. It extends the benefits of minimally invasive surgery to these patients, while overcoming the limitations of prohibitive cost or availability of expensive robotic equipment.
目的确定使用 ICG 染料进行腹腔镜分期和前哨结节活检的子宫内膜癌患者的前哨结节检出率和位置,以及术中和术后的手术病理结果。材料与方法:这项回顾性研究于 2021 年 4 月至 2023 年 3 月在高知阿姆利塔医学院的一家三级肿瘤中心进行。纳入了所有活检证实的早期子宫内膜癌病例,这些病例均接受了腹腔镜分期,并使用 ICG 染料绘制了 SLN 图。所有组织学类型均包括在内,只要临床和核磁共振成像显示病变局限于子宫。结果共有 80 名患者符合研究条件。只有术前核磁共振成像显示病变明显局限于子宫的患者才被选中进行前哨造影,其中80%的患者核磁共振成像显示病变为IA,20%为IB,13.5%为高级别组织学病变。最常见的位置是髂外,占 40.8%。只有一名患者在超声造影中发现结节微转移。最终组织病理学结果显示,63 名患者(78.75%)为 IA 期,14 名患者(17.5%)为 IB 期,2 名患者(2.5%)为 II 期,1 名患者(1.25%)为 IIIC1 期。结论使用 ICG 进行腹腔镜分期和 SLNB 是术前评估子宫局限性疾病的可行方法。它将微创手术的优势扩展到了这些患者,同时克服了昂贵的机器人设备成本过高或可用性的限制。
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引用次数: 0
Staining Intensity of P16INK4a and Ki-67 Determine the Grade of Cervical Lesion: An Experience from Single Tertiary Care Centre P16INK4a和Ki-67的染色强度决定宫颈病变的等级:单个三级医疗中心的经验
Pub Date : 2023-10-07 DOI: 10.31557/apjcb.2023.8.4.327-333
U. Sarma, Purashree Sarma, Dhanashri Rabha
Background: Various non-neoplastic and neoplastic lesions occur in cervix. HPV infection plays a major role in genesis of cervical lesions. Although most HPV infections are cleared out, infections with high risk HPVs may persist resulting in cervical dysplastic lesions. Using p16, a surrogate marker for HPV infection and Ki-67, a proliferation marker, along with histopathology, help improve the diagnostic accuracy of these lesions. The aim of the study was to evaluate the expression of p16 and Ki-67 in cervical lesions and association of their staining intensity with the histologic grading. Also to determine the predictive value of these markers in association with the cervical lesions. Methodology: A cross sectional study was carried out in 122 cases which were diagnosed histopathologically and then evaluated for the immunohistochemical expression of p16 and Ki-67 and their staining intensities. Results: The dysplastic lesions comprised of 83.7% cases [29.5% LSIL, 5.7% HSIL, 43.5% SCC and 4.9% adenocarcinoma] and 16.3% had non dysplastic lesions. p16 and Ki-67 expression were seen in 64.7% and 68% cases respectively. The intensity of p16 and Ki-67 expression was scored according to Galgano et al (2010). An increasing intensity of p16 and Ki-67 expression with higher grades of the cervical lesions was noted and this association was found to be statistically significant. (χ2 = 43.46 and p value < 0.0001). Conclusion: Though histopathology is the gold standard, the role of p16 and Ki-67 have emerged as useful adjuncts in detecting the true nature of the cervical lesions. They aid in the proper diagnosis, classification and distinction from non-dysplastic lesions, helping the clinicians in taking prompt action for management of the cases.
背景:宫颈会发生各种非肿瘤性和肿瘤性病变。HPV 感染在宫颈病变的发生中起着重要作用。虽然大多数 HPV 感染会被清除,但高危 HPV 感染可能会持续存在,导致宫颈发育不良病变。使用 p16(HPV 感染的替代标记物)和 Ki-67(一种增殖标记物)以及组织病理学有助于提高这些病变的诊断准确性。本研究旨在评估 p16 和 Ki-67 在宫颈病变中的表达情况及其染色强度与组织学分级的关联。同时确定这些标记物对宫颈病变的预测价值。研究方法对 122 例病例进行横断面研究,这些病例均经组织病理学诊断,然后对 p16 和 Ki-67 的免疫组化表达及其染色强度进行评估。研究结果83.7%的病例为发育不良病变[29.5%为LSIL,5.7%为HSIL,43.5%为SCC,4.9%为腺癌],16.3%为非发育不良病变。p16 和 Ki-67 的表达强度根据 Galgano 等人(2010 年)的方法进行评分。结果表明,随着宫颈病变级别的升高,p16 和 Ki-67 的表达强度也随之升高,这种关联具有统计学意义。(χ2 = 43.46,P 值 < 0.0001)。结论:虽然组织病理学是金标准,但 p16 和 Ki-67 已成为检测宫颈病变真实性质的有用辅助指标。它们有助于正确诊断、分类和区分非增生性病变,帮助临床医生及时采取治疗措施。
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引用次数: 0
Pseudo-invasive Vasculocentric Adenomyosis- A Diagnostic Dilemma 假性浸润性血管中心型腺肌病--诊断难题
Pub Date : 2023-10-07 DOI: 10.31557/apjcb.2023.8.4.403-405
K. Akhtar, A. Abrari, RachelCynthia Tirkey
Pseudo-invasive, vasculocentric adenomyosis is a rare benign lesion of the uterus, characterized by the aberrant, pathological presence of variable sized, non-neoplastic endometrial glands and surrounded by endometrial stroma deep within the myometrial blood vessels. This condition usually affects multiparous women in their fourth and fifth decades, with other risk factors being prior caesarian surgery or uterine surgery. Mostly the patients present with abnormal uterine bleeding, pelvic pain, dysmenorrhea, dyspareunia, or infertility while a third of them may be asymptomatic. Microscopic examination of hysterectomy specimens remains the gold standard to make a definitive diagnosis. Herein we present a rare case of Pseudo-invasive, vasculocentric Adenomyosis in a 47 year old multigravida female, who presented with a history of chronic pelvic pain with menorrhagia, dyspareunia and excessive menstrual bleeding for the past four months, with a history of lower uterine caesarean section a decade ago.
假性浸润性、以血管为中心的子宫腺肌病是一种罕见的子宫良性病变,其特点是子宫内膜腺体大小不一、非肿瘤性,并被子宫内膜基质包围在子宫肌层血管深处。这种疾病通常发生在四、五十岁的多产妇女身上,其他风险因素包括曾接受过剖腹产手术或子宫手术。大多数患者表现为异常子宫出血、盆腔疼痛、痛经、排便困难或不孕,也有三分之一的患者可能没有症状。子宫切除标本的显微镜检查仍是明确诊断的金标准。在此,我们介绍一例罕见的假性浸润性、以血管为中心的子宫腺肌症病例,患者是一名 47 岁的多产妇,过去四个月来一直有慢性盆腔疼痛、月经过多、排便困难和月经过多的症状,十年前曾做过子宫下段剖腹产手术。
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引用次数: 0
期刊
Asian Pacific Journal of Cancer Biology
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