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A Comparative Study of Serum Lipid Profile in Patients with Oral Squamous Cell Carcinoma and Healthy Population in a Tertiary Health Care Centre in North-Western India 印度西北部某三级卫生保健中心口腔鳞状细胞癌患者与健康人群血清脂质对比研究
Pub Date : 2022-09-03 DOI: 10.31557/apjcb.2022.7.3.239-244
Sangeeta Khyalia
Aims and Objectives: The aim of the study was to study serum lipid profile in patients with oral squamous cell carcinoma (OSCC) and to compare their levels with those of healthy population. Materials and Methods: This study was done in forty five patients of Oral Squamous Cell Carcinoma and the results were compared with results of forty five age and sex matched healthy controls . Serum obtained from centrifugation of 12 hour fasting blood samples was analyzed on fully automated analyzer Beckman coulter AU-680 for estimating the lipid levels (cholesterol, triglycerides [TGL], and high-density lipids [HDL]) by colorimetric method. Low-density lipid [LDL] values were obtained by calculator. Results: The comparison of lipid profile levels between Oral Squamous Cell Carcinoma cases and healthy controls shows statistically significant results for TC, HDL and LDL. Conclusion: The change in lipid levels may have an early diagnostic or prognostic role in oral malignant lesions and can be used as a biomarker for OSCC patients.
目的和目的:本研究的目的是研究口腔鳞状细胞癌(OSCC)患者的血脂水平,并与健康人群进行比较。材料与方法:本研究选取45例口腔鳞状细胞癌患者,并与45例年龄、性别匹配的健康对照组进行比较。在全自动贝克曼库尔特AU-680全自动分析仪上对空腹血样离心12小时获得的血清进行分析,用比色法估计脂质水平(胆固醇、甘油三酯[TGL]和高密度脂质[HDL])。用计算器计算低密度脂(LDL)值。结果:口腔鳞状细胞癌患者与健康对照组血脂水平比较,TC、HDL、LDL均有统计学意义。结论:脂质水平变化可能对口腔恶性病变有早期诊断或预后作用,可作为OSCC患者的生物标志物。
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引用次数: 1
Accelerating Breast Cancer Biomarker Discovery by Mass Spectrometry Proteomics and Current Bioinformatics Tools 通过质谱分析、蛋白质组学和当前生物信息学工具加速乳腺癌生物标志物的发现
Pub Date : 2022-09-01 DOI: 10.31557/apjcb.2022.7.3.275-283
Maritess D Cation, Maria Cristina Ramos
Across the globe, we can continue to observe a rise in the prevalence of breast cancer. The World Health Organization registered 600,000 cases of death due to breast cancer in 2021 and estimated that there would be 1 in every 8 women diagnosed with breast cancer in the next 10 years. Studies have discovered the role of proteins in the pathways that affect breast cancer but have not found a potential biomarker effective for all types, especially for triple-negative breast cancer. It remains a challenge to detect and treat breast cancer, especially if found in the later uncurable stage. With this, proteomics becomes a practical approach to screening new protein biomarkers for breast cancer diagnosis, therapy, and disease control. Proteomics covers the study of the entire protein, and its modification has been leading the race in breast cancer biomarker discovery made possible through the advancement of mass spectrometry and various bioinformatics tools. The combination has brought novel information being the fastest yet simplest approach for deep, comprehensive, and high throughput approach. This review article will give an overview of these trending online tools for proteomics research while citing examples of their utility with known clinical breast cancer biomarkers.
在全球范围内,我们可以继续观察到乳腺癌患病率的上升。世界卫生组织在2021年登记了60万例乳腺癌死亡病例,并估计在未来10年,每8名妇女中就有1名被诊断患有乳腺癌。研究已经发现了蛋白质在影响乳腺癌的途径中的作用,但还没有发现一种潜在的生物标志物,对所有类型的乳腺癌都有效,尤其是对三阴性乳腺癌。检测和治疗乳腺癌仍然是一项挑战,特别是如果在晚期无法治愈的阶段发现。因此,蛋白质组学成为筛选乳腺癌诊断、治疗和疾病控制的新蛋白质生物标志物的实用方法。蛋白质组学涵盖了整个蛋白质的研究,通过质谱法和各种生物信息学工具的进步,蛋白质组学的修饰一直引领着乳腺癌生物标志物发现的竞争。这两种方法的结合为深入、全面和高吞吐量的研究提供了最快但最简单的方法。这篇综述文章将概述这些蛋白质组学研究的趋势在线工具,同时引用它们与已知临床乳腺癌生物标志物的应用实例。
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引用次数: 1
Squamous Cancer of the Esophagus in Africa: A Causal Pathway Established 非洲食管鳞状癌:建立了一个因果途径
Pub Date : 2022-08-28 DOI: 10.31557/apjcb.2022.7.3.199-203
A. Sammon
Squamous cancer of the esophagus has been endemic in much of East, Central and Southern Africa since the 1940s. Much research has concentrated on attempts to identify major carcinogenic influences, and failure to do so has made it clear that the problem in high incidence areas (HIAs) is not primarily of potent environmental carcinogens, but of population susceptibility. In Africa the association with maize is constant and strong. Research in the last decade has helped to explain that association. Considered along with historical findings there is now enough evidence to establish causal associations of a nutritionally deficient maize diet and use of maize meal with squamous cancer of the esophagus. Evidence is available in a high incidence area of degenerating maize meal resulting in excess production of PGE2, gastric hypochlorhydria and a predominant pattern of non-acid gastroesophageal reflux. This pathway explains the existence of major population susceptibility: a poor maize-based diet provides specific nutritional deficiencies and n-6 fatty acid dominance which cause failure of homeostasis of the arachidonic acid cascade; with this background chemically degenerating maize meal then triggers duodenogastric reflux and non-acid gastro-esophageal reflux; non-acid reflux causes squamous cancer of the esophagus. Within a susceptible population, environmental carcinogens including tobacco increase individual risk. There is sufficient evidence that this is an active pathway, and the dominant pathway to SCCE in high incidence areas in Africa.There is sufficient evidence to justify appropriate preventative measures.
自20世纪40年代以来,食管鳞状癌一直是非洲东部、中部和南部大部分地区的地方病。许多研究都集中在试图确定主要致癌因素的影响上,但未能这样做清楚地表明,高发病率地区(HIAs)的问题主要不是强效环境致癌物,而是人口易感性。在非洲,与玉米的联系是持久而强烈的。过去十年的研究有助于解释这种关联。考虑到历史发现,现在有足够的证据证明营养缺乏的玉米饮食和使用玉米粉与食管鳞状癌之间存在因果关系。有证据表明,在退化玉米粉的高发地区,导致PGE2过量产生,胃低氯酸和非酸性胃食管反流的主要模式。这一途径解释了主要人群易感性的存在:以玉米为基础的不良饮食提供了特定的营养缺乏和n-6脂肪酸优势,导致花生四烯酸级联体内平衡失败;在此背景下,化学变性玉米粉引发十二指肠胃反流和非酸性胃食管反流;非酸反流导致食管鳞状癌。在易感人群中,包括烟草在内的环境致癌物增加了个体风险。有充分的证据表明,这是一个活跃的途径,是非洲高发地区SCCE的主要途径。有足够的证据证明采取适当的预防措施是合理的。
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引用次数: 0
Histopathological Patterns and Luminal Subtypes among Breast Cancer Patients in the Middle Euphrates Region of Iraq 伊拉克幼发拉底河中部地区乳腺癌患者的组织病理学模式和腔内亚型
Pub Date : 2022-08-25 DOI: 10.31557/apjcb.2022.7.3.233-238
Ahmed Mjali, Mustafa Majeed Obaid, H. Al-Shammari, A. F. Alwakeel, A. Sedeeq, N. Abbas, L. Mula-Hussain
Objectives: To evaluate the pathological patterns & luminal subtypes of breast cancer patients in the Middle Euphrates region of Iraq. Methods: A retrospective descriptive study was conducted at Al-Hussein Cancer Center in Karbala province of Iraq between January 2012 and August 2020. Results: There were 920 female patients with breast cancer. At the time of diagnosis, the mean age was 50.20 ±11.74 years. The most frequent pathological subtype was invasive ductal carcinoma in 91.85%, and 50.32% of tumors were grade II. Of luminal subtypes, Luminal A was the most prevalent subtype in 53.69%. Conclusion: Our results were similar to middle eastern patterns but significantly differed from western patterns.
目的:探讨伊拉克幼发拉底河中部地区乳腺癌患者的病理类型及腔内亚型。方法:2012年1月至2020年8月在伊拉克卡尔巴拉省Al-Hussein癌症中心进行回顾性描述性研究。结果:920例女性乳腺癌患者。确诊时平均年龄为50.20±11.74岁。浸润性导管癌占91.85%,II级占50.32%。luminal亚型中以luminal A亚型最多,占53.69%。结论:我们的研究结果与中东模式相似,但与西方模式有显著差异。
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引用次数: 0
“See and Treat” an Advocated Approach for Precancerous Lesions of the Cervix- A North Indian Referral Center Based Randomized Control Trial “看和治疗”提倡的方法宫颈癌前病变-北印度转诊中心为基础的随机对照试验
Pub Date : 2022-08-21 DOI: 10.31557/apjcb.2022.7.3.225-231
D. Kapur, A. Gaurav, K. Khoiwal, S. Chowdhuri, S. Panda, Smrati Sabnani, J. Chaturvedi
Objective: To establish the comparability of two step approach of See and treat with the conventional three step approach In management of Precancerous lesions of the cervix. Methods: A Randomised controlled Trial was conducted in AIIMS Rishikesh over a period of one year (2020-2021). All women presenting to OPD in age group 25-60 years were screened with PAP smear and per speculum examination, and women with Abnormal PAP smear or clinically unhealthy cervix were subjected to colposcopy. Reid and Swede scores were calculated and colposcopy guided biopsy taken. Women with CIN2/3 on either of the colposcopy scores were randomized to two or three step approach. Women falling into two step approach (group A) underwent LEEP in the same sitting while the latter group (group B) was told to follow up with histopathology reports for further management.The final histopathological diagnosis and LEEP results were compared. Results: Overtreatment rates were 22% in see and treat approach, distributed as 3.6% in HSIL + ASC_H group and 33 % in LSIL patients. None were lost to treatment in this group. 39 out of 50 women in Group B needed definitive treatment after their biopsy results and 48% of them were lost to follow up. 72% were adequately treated in group A while only 22 % could be adequately treated in Group B. Conclusion: It can thus be safely concluded that despite the risk of overtreatment, a two step approach should be considered for preventive management, especially considering the rate of loss to follow up in three step approach. This study thus advocates the use of See and Treat protocol, especially in the high-grade cytology lesions. IN low risk cases too, the study proposes that see and treat protocol can be used, albeit with good clinical judgement. Offering opportunities to reduce suffering associated with the eminently preventable cervical cancer is an ethical imperative and the SEE and TREAT approach is an attempt in that early preventive direction. 
目的:探讨观察与治疗两步入路与常规三步入路治疗宫颈癌前病变的可比性。方法:在AIIMS Rishikesh进行了一项为期一年(2020-2021)的随机对照试验。所有就诊于OPD的年龄在25-60岁之间的女性都接受了PAP涂片检查和阴道镜检查,宫颈涂片异常或临床宫颈不健康的女性接受了阴道镜检查。计算Reid和Swede评分,并进行阴道镜引导活检。阴道镜评分为CIN2/3的女性随机分为两步或三步方法。分为两步法的女性(A组)在相同的坐姿下接受LEEP,而后一组(B组)则被告知随访组织病理学报告以进一步处理。将最终的组织病理学诊断与LEEP结果进行比较。结果:观察+治疗方法的过度治疗率为22%,HSIL + ASC_H组为3.6%,LSIL组为33%。该组患者均未因治疗而死亡。B组50名妇女中有39名在活检结果后需要明确治疗,48%的妇女失去了随访。结论:尽管存在过度治疗的风险,但仍应考虑采取两步法进行预防管理,特别是考虑到三步法随访的损失率。因此,本研究提倡使用See and Treat方案,特别是在高级别细胞学病变中。在低风险病例中,该研究也提出,尽管需要良好的临床判断,但也可以使用“即诊即治”方案。提供机会减少与明显可预防的宫颈癌有关的痛苦是一项伦理责任,SEE和TREAT方法是朝着早期预防方向的一种尝试。
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引用次数: 0
A Study of Molecular Subtypes of Carcinoma Breast by Immunohistochemistry at Tertiary Care Center, Jaipur 斋浦尔三级保健中心免疫组织化学对乳腺癌分子亚型的研究
Pub Date : 2022-08-19 DOI: 10.31557/apjcb.2022.7.3.219-223
Jindal Arpita, Gothwal Priyanka, S. Ranjana
 Introduction: Breast cancer is one of the most common malignant tumors and one of the leading causes of cancer related death amongst females worldwide. The clinical significance of molecular classification of carcinoma breast remains to be established. Molecular subtyping using immunohistochemistry can provide additional prognostic and predictive information. Aim and objectives: To identify morphological variants of carcinoma breast and to determine various proportions of molecular subtypes of carcinoma breast by immunohistochemistry. Materials and Methods: A descriptive type of observational study was done at SMS Medical College, Jaipur. 65 Modified Radical Mastectomy specimens received in the department were included in the study. The surgical specimens were then evaluated histopathologically and immunohistochemically for ER, PR, HER2/neu, and Ki67 markers. Results: Out of 65 breast carcinoma cases the most common histological type encountered in our study was Invasive ductal carcinoma of no special type (NST) (83.09%) followed by medullary carcinoma (4.63%) and invasive lobular carcinoma (3.09%) and a single case each of tubular, cribriform, metaplastic, lymphoepithelioma like carcinoma, carcinoma with apocrine differentiation and oncocytic carcinoma. The cases were further classified into molecular subtypes using protein expression patterns in IHC. The proportion of tumors found were Luminal A (32.31%), Luminal B (18.46%), HER2/neu overexpressed (13.84%), and Triple-negative (35.39%). Conclusion: The most common molecular subtype found in our study was Triple negative. The use of IHC markers in the clinical setting could determine the prognosis and benefit the patients with targeted therapies.  
简介:乳腺癌是最常见的恶性肿瘤之一,也是全球女性癌症相关死亡的主要原因之一。乳腺癌分子分型的临床意义有待进一步研究。使用免疫组织化学分子分型可以提供额外的预后和预测信息。目的:利用免疫组织化学方法鉴定乳腺癌的形态学变异,确定乳腺癌分子亚型的不同比例。材料和方法:在斋浦尔SMS医学院进行了一项描述性观察性研究,该科收到的改良乳房根治术标本65例纳入研究。然后对手术标本进行组织病理学和免疫组织化学检查,检测ER、PR、HER2/neu和Ki67标志物。结果:本组65例乳腺癌中,最常见的组织学类型为无特殊类型浸润性导管癌(NST)(83.09%),其次为髓样癌(4.63%)和浸润性小叶癌(3.09%),管状癌、筛状癌、化生癌、淋巴上皮瘤样癌、大分泌分化癌和嗜癌细胞癌各1例。利用免疫组化蛋白表达模式将病例进一步分为分子亚型。发现的肿瘤比例为Luminal A(32.31%)、Luminal B(18.46%)、HER2/neu过表达(13.84%)、三阴性(35.39%)。结论:本研究中最常见的分子亚型为三阴性。临床应用免疫组化标志物可以判断预后,有利于患者的靶向治疗。
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引用次数: 0
Importance of Gastroduodenal Endoscopic Findings in Patients with Classic Familial Adenomatous Polyposis Syndrome 典型家族性腺瘤性息肉综合征患者胃十二指肠内镜检查的重要性
Pub Date : 2022-08-15 DOI: 10.31557/apjcb.2022.7.3.215-218
S. Fatemi, N. Salarieh, A. Farahani, S. A. Fatemi, Shahram Ebadi
Background:  Familial adenomatous polyposis (FAP) is an autosomal dominant disorder caused by a mutation in the adenomatous polyposis coli (APC) gene. FAP is characterized by development of multiple adenomatous polyps (>100) in the colon. The aim of this study was to evaluate the prevalence of gastroduodenal polyps in FAP patients referred to the Taleghani hospital, a teaching referral center in Tehran, Iran. Materials and Methods: Front-view and side-view endoscopies were performed in 33 FAP patients. Papillary biopsies were taken for all patients. Site of polyps, their number and size, histologic findings, patient general information (gender, age and family history of FAP/colorectal cancer/gastroduodenal polyps) were collected and reported. 28 patients of the study were evaluated using upper GI endoscopy again after 5 years for changes in characteristics and probable transformation of polyps into cancer. Results: Gastric polyps were seen in 42.4 % of patients. 76.45% of the patients had fundic gland polyps and hyperplastic polyps were noticed in 39.93% of them. Duodenal adenomas were found in 30.3% of patients which were reported to be tubular adenomas with low grade dysplasia and tubulovillous adenomas with low grade dysplasia in 60% and 45% of patients, respectively. Conclusions: Findings of this study bespeak the high prevalence of gastroduodenal polyps and the presence of dysplasia in duodenal polyps among FAP patients referred to the hospital. Therefore, it appears that routine gastroduodenal endoscopy in FAP patients is necessary.
背景:家族性腺瘤性息肉病(FAP)是一种常染色体显性遗传病,由大肠腺瘤性息肉病(APC)基因突变引起。FAP的特征是结肠内出现多个腺瘤性息肉(>100)。本研究的目的是评估在伊朗德黑兰的教学转诊中心Taleghani医院就诊的FAP患者胃十二指肠息肉的患病率。材料与方法:对33例FAP患者行前、侧视内窥镜检查。所有患者均行乳头活检。收集并报告息肉部位、数量、大小、组织学表现、患者一般信息(性别、年龄、FAP/结直肠癌/胃十二指肠息肉家族史)。研究中的28例患者在5年后再次使用上消化道内窥镜检查息肉特征的变化和可能的息肉转化为癌症的可能性。结果:胃息肉发生率为42.4%。76.45%的患者有基底腺息肉,39.93%的患者有增生性息肉。30.3%的患者发现十二指肠腺瘤,其中管状腺瘤伴低级别不典型增生,管状绒毛腺瘤伴低级别不典型增生分别占60%和45%。结论:本研究结果表明,在医院就诊的FAP患者中,胃十二指肠息肉的患病率较高,十二指肠息肉存在发育不良。因此,对FAP患者进行常规胃十二指肠内镜检查是必要的。
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引用次数: 0
A Prospective Study of I.V. Vinflunine in the Treatment of Patients with Advanced or Metastatic Urothelial Carcinoma after Failure of a Platinum-containing Regimen and Biomarker Correlates 静脉注射万氟宁治疗含铂方案失败后晚期或转移性尿路上皮癌患者的前瞻性研究及生物标志物相关性
Pub Date : 2022-08-12 DOI: 10.31557/apjcb.2022.7.3.207-214
Fatma M.A. Abouelkasem, Tarek Y. Mohamed, Hussein M. Khaled, Ibrahim A Malash, Eman Loay
Background: Vinflunine is the only cytotoxic agent that had been tested as a second line therapy in platinum refractory urothelial carcinoma patients in a phase III clinical trial. The aim of our study was to evaluate the efficacy and safety of vinflunine as a second line after failure of platinum containing regimen. Patients and methods: We prospectively included 27 patients of locally advanced or metastatic urothelial cancer who presented to the National Cancer Institute (NCI) of Egypt. The primary objective was to assess the disease control rate. However, the secondary objectives were to assess the progression free survival (PFS) and overall survival (OS). Results: A total of 27 patients were treated at the NCI of Egypt. Median age was 64.1 years (42.3-76.8). Male to female ratio was 26:1. Eastern Cooperative Oncology Group performance status was zero in 2 patients, one in 23 patients while the ECOG PS 2 was in only 2 patients. The vast majority of the patients received 2 cycles (12 patients), one patient received 3 cycles, 5 patients received 4 cycles, and 8 patients received 6 cycles while one patient received 8 cycles. A complete response was observed in one patient, partial response in 9 patients and stable disease in 12 patients and progressive disease in 5 patients with a disease control rate of 81.4%. Median progression free survival (PFS) and overall survival for the entire population were 3.45 months and 3.22 months respectively. Median OS for the responders was 7.24 months. Toxicity was mild, and grade 3-4 adverse events were anemia (11.1%), neutropenic fever (4%), fatigue (14.8%) and constipation (7.4%). Conclusion: Vinflunine is an efficient and tolerable second line treatment in advanced urothelial carcinoma. 
背景:Vinflunine是唯一一种在III期临床试验中作为铂类难治性尿路上皮癌患者二线治疗的细胞毒性药物。本研究的目的是评估在含铂治疗失败后,长春氟宁作为二线治疗的有效性和安全性。患者和方法:我们前瞻性地纳入了27例向埃及国家癌症研究所(NCI)提交的局部晚期或转移性尿路上皮癌患者。主要目的是评估疾病控制率。然而,次要目标是评估无进展生存期(PFS)和总生存期(OS)。结果:共有27例患者在埃及NCI接受治疗。中位年龄为64.1岁(42.3-76.8岁)。男女比例为26:1。东部肿瘤合作组2例患者表现为零,23例患者中有1例,而ECOG ps2只有2例。绝大多数患者接受2个周期(12例),1例接受3个周期,5例接受4个周期,8例接受6个周期,1例接受8个周期。完全缓解1例,部分缓解9例,病情稳定12例,病情进展5例,疾病控制率为81.4%。整个人群的中位无进展生存期(PFS)和总生存期分别为3.45个月和3.22个月。应答者的中位生存期为7.24个月。毒性较轻,3-4级不良事件为贫血(11.1%)、中性粒细胞减少症发热(4%)、疲劳(14.8%)和便秘(7.4%)。结论:长春氟宁是治疗晚期尿路上皮癌的有效、耐受的二线药物。
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引用次数: 0
A Metastatic Papillary Thyroid Carcinoma Could be Confused Clinically with a Primary Renal Neoplasm; A Case Report and Literature Review 转移性甲状腺乳头状癌可能与原发性肾肿瘤混淆1例报告及文献回顾
Pub Date : 2022-06-14 DOI: 10.31557/apjcb.2022.7.2.185-189
Noha Ed Hassab El-Naby, M. Mohammed
Background: Papillary thyroid carcinoma is the most common thyroid neoplasm. It has a very high incidence of regional lymph node metastasis at the initial presentation. However, vascular spread is a very uncommon event. Lungs and bones are the most frequent sites of vascular metastasis from papillary thyroid carcinoma. Case concerns: The currently discussed case was obtained from the archive of Pathology laboratory, Sohag University. A 46-year-old female patient admitted to Urology Department, Sohag University, in 2015. The patient had a left loin pain, no other clinical data included in her referral sheet . Radiological findings revealed a renal mass and left radical nephrectomy was performed. Histopathological evaluation revealed a circumscribed neoplasm, formed of densely packed acini with scanty stroma. The patient was diagnosed as renal oncocytoma. On re-evaluation of the Hematoxylin and Eosin-stained slides; the nuclear features were different from those described in renal oncocytomas. So, a panel of immunohistochemical markers was performed (anti-CK7, anti-EMA, anti-Vimentin, anti-Thyroglobulin and anti-TTF1). Results: The neoplastic cells showed strong and diffuse cytoplasmic expression for Thyroglobulin and CK7 and nuclear expression for TTF1. The neoplastic cells didn’t express EMA or Vimentin. Based on the characteristic nuclear features detected by Hematoxylin and Eosin-stained slides and the obtained immunohistochemical results; the diagnosis of metastatic papillary thyroid carcinoma to the kidney was confirmed. Conclusions: Papillary thyroid carcinoma may metastasize to the kidney and form a solitary mass, that could be confused as a primary renal neoplasm.
背景:甲状腺乳头状癌是最常见的甲状腺肿瘤。它有一个非常高的发生率区域淋巴结转移在最初的表现。然而,血管扩散是一种非常罕见的事件。肺和骨是甲状腺乳头状癌血管转移最常见的部位。病例关注:目前讨论的病例来自Sohag大学病理实验室档案。患者女,46岁,2015年入住索海大学泌尿外科。患者有左腰痛,转诊表中无其他临床资料。放射检查结果显示肾肿块并行左肾根治术。组织病理学检查显示一个边界分明的肿瘤,由密集排列的腺泡和稀少的间质组成。诊断为肾嗜瘤细胞瘤。苏木精和伊红染色载玻片的再评价核特征与肾嗜瘤细胞瘤不同。因此,进行了一组免疫组织化学标记(抗ck7、抗ema、抗vimentin、抗甲状腺球蛋白和抗ttf1)。结果:肿瘤细胞表现为甲状腺球蛋白和CK7的强烈和弥漫性细胞质表达和TTF1的核表达。肿瘤细胞不表达EMA和Vimentin。根据苏木精和伊红染色玻片检测到的特征性核特征及免疫组化结果;确诊为转移性甲状腺乳头状癌至肾脏。结论:甲状腺乳头状癌可能转移到肾脏并形成一个孤立的肿块,这可能与原发性肾脏肿瘤混淆。
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引用次数: 1
Screening and Identification of Key Genes in Hepatitis B Virus-Related Hepatocellular Carcinoma Through an Integrated Bioinformatics Approach 通过综合生物信息学方法筛选和鉴定乙型肝炎病毒相关肝细胞癌的关键基因
Pub Date : 2022-06-14 DOI: 10.31557/apjcb.2022.7.2.143-149
T. T. Nguyen, Nga Vu, T. Tran, Hieu T. Hoang, H. Bui
Objective: Primary liver cancer is one of the main causes of cancer mortality globally, with hepatocellular carcinoma (HCC) being the most frequent type. Chronic hepatitis B virus (HBV) infection is leading cause of HCC. This study aimed to identify significant genes for predicting prognosis in HBV-associated HCC. Methods: The GSE121248 gene expression profile was obtained from the Gene Expression Omnibus (GEO) database. Differentially expressed genes (DEGs) for HBV-associated HCC were identified by analyzing this expression profile. Enrichment analyses were performed to discover the role of DEGs in biological processes, cell components, molecular functions, and pathways. Then, protein-protein interaction (PPI) was constructed and 5 hub genes were identified. Finally, survival analysis was conducted to validate the prognostic value of these genes. Results: A total of 20188 official gene symbols were found, and 119 DEGs were identified between HBV-associated HCC and normal liver tissues. The PPI network identified CCNB1, CDK1, TOP2A, RACGAP1, and ASPM as hub genes. Kaplan-Meier curves showed that the high expression of the hub genes had significantly lower survival. Conclusion: CCNB1, CDK1, TOP2A, RACGAP1, and ASPM could be potential prognostic biomarkers and therapeutic targets for HBV-associated HCC.
目的:原发性肝癌是全球癌症死亡的主要原因之一,其中肝细胞癌(HCC)是最常见的类型。慢性乙型肝炎病毒(HBV)感染是HCC的主要原因。本研究旨在确定预测hbv相关HCC预后的重要基因。方法:从gene expression Omnibus (GEO)数据库中获取GSE121248基因表达谱。通过分析这种表达谱,确定了hbv相关HCC的差异表达基因(DEGs)。进行富集分析以发现deg在生物过程,细胞成分,分子功能和途径中的作用。然后构建蛋白-蛋白相互作用(PPI),鉴定出5个枢纽基因。最后,进行生存分析以验证这些基因的预后价值。结果:共发现20188个官方基因符号,在hbv相关HCC与正常肝组织之间鉴定出119个基因符号。PPI网络鉴定出CCNB1、CDK1、TOP2A、RACGAP1和ASPM为枢纽基因。Kaplan-Meier曲线显示,hub基因的高表达显著降低了存活率。结论:CCNB1、CDK1、TOP2A、RACGAP1和ASPM可能是hbv相关性HCC的潜在预后生物标志物和治疗靶点。
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引用次数: 2
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Asian Pacific Journal of Cancer Biology
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