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Primary small cell neuroendocrine carcinoma of the breast : a report of two cases and review of literature 乳腺原发性小细胞神经内分泌癌2例报告并文献复习
Pub Date : 2013-09-01 DOI: 10.14312/2052-4994.2013-28
Spinelli C, Fregoli L, Biricotti M, Pucci V, Grosso M, O. F, Spisni R, Usolini C, Caldarelli C
Primary neuroendocrine carcinomas of the breast are extremely rare. Neuroendocrine tumors mainly occur in the broncopolmonary system and gastrointestinal tract. The diagnosis of small cell neuroendocrine carcinoma (SCNC) of the breast can only be made if a non mammary site is excluded or if an in situ component can be found. We are going to describe two cases and to discuss their clinical, radiological and pathological manifestations. Introduction: Neuroendocrine tumors are rare and slow-growing neoplasias derived from neuroendocrine cells. We describe two cases of small cell neuroendocrine carcinoma of the breast and discuss their clinical, radiological and pathological manifestations. Case report: Our patients are two Italian females (38 and 36 year-old) with no family history of breast disease. In both cases the diagnosis was confirmed after surgery, when immunohistochemistry revealed a neuroendocrine differentiation of the tumor. The patients are alive and disease free after more than ten years of follow-up. Conclusion: Primary neuroendocrine carcinomas of the breast are extremely rare. The diagnosis of SCNC of the breast can only be made if a non mammary site is excluded or if an in situ component can be found. After surgery, a strict follow-up including octreotide scan should be performed and this doesn’t differ from the one of the usual breast carcinoma.
原发性乳腺神经内分泌癌极为罕见。神经内分泌肿瘤主要发生在支气管肺系统和胃肠道。乳腺小细胞神经内分泌癌(SCNC)的诊断只能在排除非乳腺部位或发现原位成分的情况下进行。我们将描述两个病例,并讨论他们的临床,放射学和病理表现。神经内分泌肿瘤是一种罕见的生长缓慢的肿瘤,起源于神经内分泌细胞。我们报告两例乳腺小细胞神经内分泌癌,并讨论其临床、影像学及病理表现。病例报告:我们的患者是两名意大利女性(38岁和36岁),无乳腺家族史。在这两个病例的诊断是在手术后,当免疫组织化学显示肿瘤的神经内分泌分化。经过十多年的随访,患者存活且无疾病。结论:原发性乳腺神经内分泌癌极为罕见。乳腺SCNC的诊断只能在排除非乳腺部位或发现原位成分的情况下进行。手术后,应进行严格的随访,包括奥曲肽扫描,这与通常的乳腺癌没有什么不同。
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引用次数: 0
Evaluation of serum big endothelin-1 for the diagnosis and prediction of disease recurrence in breast cancer patients 血清大内皮素-1在乳腺癌患者诊断和预测疾病复发中的价值
Pub Date : 2013-09-01 DOI: 10.14312/2052-4994.2013-27
Hussein Na, M. Anwar, Y. Elkerm, Abozaid Na, Rasha Mm
Big endothelin-1 (big ET-1) is the biological precursor of endothelin-1 (ET-1) and it is known as an indicator for the degree of activation of endothelin system. Therefore, this study was designed to investigate the serum big ET-1 levels in newly diagnosed primary breast cancer patients; before surgery and after adjuvant therapy. In addition this study was also aimed at examining the correlation between big ET-1 and CA15.3, clinical and pathological criteria of breast cancer, as well as their status during the follow up period after adjuvant therapy. The study consisted of 40 females with newly diagnosed primary breast cancer treated at the Medical Research Institute hospital and 15 healthy females as a control group. Before surgery, big ET-1 serum levels of all breast cancer patients were significantly higher than those of the control group (p0.001). However, after both surgery and adjuvant therapy, big ET-1 was significantly decreased compared to its level before surgery (p<0.001). On the other hand, there was lack of significant differences in the levels of CA15.3, neither before surgery nor after the adjuvant therapy in comparison to the control group. Interestingly, during the follow up period, nine patients developed metastasis to different organs and their serum big ET-1 and CA15.3 levels significantly increased compared to the levels before surgery and after the adjuvant therapy (p0.001, 0.008 and 0.001, 0.008 respectively). Inspite of this observation with this specific group of patients, the use of these markers to predict the development of metastasis during the follow up period cannot be generalized. Furthermore, both of these biochemical parameters showed no correlation to any of the clinicopathological parameters and patients characteristics. Therefore, in conclusion this study found that the testing for serum big ET-1 is more useful than CA15.3 for the diagnosis of breast cancer and future trials will be necessary to establish the importance of big ET-1 as a prognostic marker and to formulate a time-line for its measurement in patients with high risk for developing metastasis.
大内皮素-1 (Big ET-1)是内皮素-1 (ET-1)的生物前体,被认为是内皮素系统活化程度的指标。因此,本研究旨在探讨初诊原发性乳腺癌患者血清大ET-1水平;手术前和辅助治疗后。此外,本研究还旨在探讨大ET-1与CA15.3与乳腺癌临床病理标准的相关性,以及辅助治疗后随访期间的状态。该研究包括40名在医学研究所医院接受治疗的新诊断为原发性乳腺癌的女性和15名健康女性作为对照组。术前,所有乳腺癌患者血清大ET-1水平均显著高于对照组(p < 0.05)。然而,手术和辅助治疗后,大ET-1均较术前显著降低(p<0.001)。另一方面,与对照组相比,术前和辅助治疗后CA15.3水平均无明显差异。有趣的是,在随访期间,9例患者发生了不同器官的转移,其血清大ET-1和CA15.3水平与术前和辅助治疗后相比显著升高(p分别为0.001,0.008和0.001,0.008)。尽管对这一特定的患者群体进行了观察,但在随访期间使用这些标志物来预测转移的发展并不能普遍化。此外,这两项生化参数与任何临床病理参数和患者特征均无相关性。综上所述,本研究发现血清大ET-1的检测比CA15.3对乳腺癌的诊断更有用,未来的试验将有必要确定大ET-1作为预后标志物的重要性,并制定一个在转移高风险患者中测量大ET-1的时间表。
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引用次数: 2
Pharmacological and safety evaluation of CIGB-300, a casein kinase 2 inhibitor peptide, administered intralesionally to patients with cervical cancer stage IB2/II 酪蛋白激酶2抑制剂肽CIGB-300局部注射治疗IB2/II期宫颈癌的药理学和安全性评价
Pub Date : 2013-08-01 DOI: 10.14312/2052-4994.2013-25
Soriano-García Jl, Á. López-Díaz, M. Solares-Asteasuainzarra, I. Baladrón-Castrillo, N. Batista-Albuerne, I. García-García, L. González-Méndez, Y. Perera-Negrín, C. Valenzuela-Silva, Pedro Ap, Quevedo-Sotolongo Ls, I. Hernández-González, Silveira-Pablos Jm, A. Chong-Lopez, D. Alonso, Renault Jy Gómez Re, P. Perrin, Hugo Sigman, S. Gold, S. E. Perea-Rodríguez, Boris Acevedo-Castro, Luís Herrera-Martínez, P. López-Saura
CIGB-300 is a pro-apoptotic casein kinase 2 inhibitor peptide with potential anticancer action. An open-label and dose scaling Phase I trial was carried out to investigate the peptide tumor uptake, pharmacokinetics, toxicity, and levels of a CIGB-300 response biomarker in patients with cervical cancer stage IB2/II. Fourteen patients were included; six of them received 35 mg, 6 received 70 mg and the two remaining patients received 245 mg of CIGB-300 prior chemoradiotherapy. CIGB-300 was applied by intratumor injections during 5-consecutive days. For pharmacokinetic and biodistribution studies, the peptide was radiolabeled with 99m Tc in the first administration and whole body gammagraphy and plasma testing were done during 48 h. Data showed that the maximum tolerated dose was 70 mg for CIGB-300 in this clinical setting. Furthermore, an allergic-like syndrome was identified as the dose limiting toxicity, which was well-correlated with plasmatic histamine levels. Importantly, the mean tumor uptake was 14.9 mg and 10.4 mg for CIGB-300 doses of 35 and 70 mg, respectively. Also, the kidneys were the main target organ for drug elimination. Finally, treatment with CIGB-300 significantly reduced the B23/nucleophosmin levels in tumor specimens. CIGB-300 meets potentialities to be tested in future trials in a neoadjuvant setting prior to chemoradiotherapy in cervical cancer.
CIGB-300是一种促凋亡酪蛋白激酶2抑制剂肽,具有潜在的抗癌作用。一项开放标签和剂量分级的I期试验研究了IB2/II期宫颈癌患者的肽肿瘤摄取、药代动力学、毒性和CIGB-300反应生物标志物的水平。纳入14例患者;其中6人接受35毫克,6人接受70毫克,其余2人接受245毫克的CIGB-300化疗。CIGB-300连续5天在肿瘤内注射。为了进行药代动力学和生物分布研究,在第一次给药时用99m Tc对肽进行放射性标记,并在48小时内进行全身x射线检查和血浆检测。数据显示,在该临床环境中,CIGB-300的最大耐受剂量为70 mg。此外,一种过敏样综合征被确定为剂量限制性毒性,这与血浆组胺水平密切相关。重要的是,当CIGB-300剂量为35 mg和70 mg时,平均肿瘤摄取分别为14.9 mg和10.4 mg。此外,肾脏是药物消除的主要靶器官。最后,用CIGB-300治疗可显著降低肿瘤标本中的B23/核磷蛋白水平。CIGB-300有可能在宫颈癌放化疗前的新辅助环境中进行未来试验。
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引用次数: 14
Primary malignant giant cell tumour of the proximal tibia: a case report 胫骨近端原发性恶性巨细胞瘤1例
Pub Date : 2013-08-01 DOI: 10.14312/2052-4994.2013-26
N. Ferreira, L. Marais
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引用次数: 2
miRNA array analysis determines miR-205 is overexpressed in head and neck squamous cell carcinoma and enhances cellular proliferation miRNA阵列分析发现miR-205在头颈部鳞状细胞癌中过表达,并促进细胞增殖
Pub Date : 2013-08-01 DOI: 10.14312/2052-4994.2013-24
J. Howard, Haixia Cheng, Jimena Pérez, E. Ratner, E. Fertig, M. Considine, M. Ochs, R. Slebos, J. Weidhaas, C. Chung
MicroRNAs (miRNAs) play a critical role in cell cycle and pro-survival signal regulation. Consequently, their deregulation can enhance tumorigenesis and cancer progression. In the current investigation, we determined whether cancer- or human papillomavirus (HPV)-specific miRNA deregulation could further elucidate signal transduction events unique to head and neck squamous cell carcinoma (HNSCC). Twenty-nine newly diagnosed HNSCC tumors (HPV-positive: 14, HPV-negative: 15) and four normal mucosa samples were analyzed for global miRNA expression. Differential miRNA expression analysis concluded HNSCC is characterized by a general upregulation of miRNAs compared to normal mucosa. Additionally, miR-449a and miR-129-3p were statistically significant miRNAs differentially expressed between HPVpositive and HPV-negative HNSCC. The upregulation of miR-449a was also validated within an independent dataset obtained from TCGA containing 279 HNSCCs and 39 normal adjacent mucosa samples. To gain a better understanding of miRNA-mediated cell cycle deregulation in HNSCC, we functionally evaluated miR-205, a transcript upregulated in our cancer-specific analysis and a putative regulator of E2F1. Modulation of miR-205 with a miRNA mimic and inhibitor revealed miR-205 is capable of regulating E2F1 expression in HNSCC and overexpression of this transcript enhances proliferation. This study demonstrates miRNA expression is highly deregulated in HNSCC and functional evaluations of these miRNAs may reveal novel HPV context dependent mechanisms in this disease.
MicroRNAs (miRNAs)在细胞周期和促生存信号调控中起着至关重要的作用。因此,他们的放松可以促进肿瘤发生和癌症进展。在目前的研究中,我们确定癌症或人乳头状瘤病毒(HPV)特异性miRNA解除调控是否可以进一步阐明头颈部鳞状细胞癌(HNSCC)特有的信号转导事件。分析29例新诊断的HNSCC肿瘤(hpv阳性:14例,hpv阴性:15例)和4例正常粘膜样本的全球miRNA表达情况。差异miRNA表达分析表明,与正常粘膜相比,HNSCC的特点是miRNA普遍上调。此外,miR-449a和miR-129-3p在hpv阳性和hpv阴性HNSCC中表达差异具有统计学意义。来自TCGA的独立数据集也验证了miR-449a的上调,该数据集包含279个HNSCCs和39个正常邻近粘膜样本。为了更好地理解mirna介导的HNSCC细胞周期失调,我们对miR-205进行了功能评估,miR-205是我们的癌症特异性分析中上调的转录物,也是E2F1的假定调节剂。用miRNA模拟物和抑制剂调节miR-205发现miR-205能够调节HNSCC中E2F1的表达,并且该转录物的过表达增强了增殖。本研究表明,miRNA在HNSCC中表达高度失调,对这些miRNA的功能评估可能揭示出这种疾病中新的HPV环境依赖机制。
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引用次数: 3
A clinical study on stereotactic body radiotherapy for hepatocellular carcinoma with portal vein tumor thrombosis 立体定向放疗治疗肝癌合并门静脉肿瘤血栓形成的临床研究
Pub Date : 2013-07-01 DOI: 10.14312/2052-4994.2013-22
Zhong Nb, Chen Zh, L'vitsina Gm
Purposes: Hepatocellular carcinoma with portal vein tumor thrombosis (HCC-PVTT) has a poor prognosis, while the optimal treatment remains controversial. The objective of this retrospective study was to evaluate the efficacy and safety of ray SBRT in treatment of patients with HCC-PVTT. Methods: The study was designed to examine the effects of ray SBRT on toxicity and survival in patients with HCC-PVTT. To this end, data from patients with HCC-PVTT who received ray SBRT during May 2008 to December 2011 was collected and analyzed. Response and (acute and late) toxicity were evaluated using the established international criteria. Log-rank test and Cox regression model were used to identify predictive factors and multivariate for survival, respectively. Results: The median follow up was 11 months. Fifty four consecutive patients with HCC-PVTT received daily fraction of 2.6 6Gy and six fractions per week for the total dose of 32.4 54Gy in 6 13 days. Six complete response (CR; 11.1%) and twenty five partial response (PR; 46.3%) were observed (overall response rate 57.4%). Twenty three patients displayed a stable disease (SD; 42.6%), while no patient experienced progressive disease (PD; 0%). The treatment was well tolerated with no radiation-related complication and no  Grade 3 toxicity. Oneand twoyear overall survival rate were 33.4% and 13.6% respectively, and median overall survival was 10.7 months. The prognostic factors for survival included ECOG performance status (P0.04), Child-Pugh score (P0.05), PVTT size (P0.02) and location (P0.05). Conclusions: Individual  ray SBRT appears to be feasible for treatment of patients with HCC-PVTT in whom other current therapies are contraindicated. PVTT size and ECOG performance status may represent the strongest predictive factors for survival.
目的:肝细胞癌合并门静脉肿瘤血栓形成(HCC-PVTT)预后较差,其最佳治疗方法仍存在争议。本回顾性研究的目的是评估射线SBRT治疗HCC-PVTT患者的疗效和安全性。方法:本研究旨在探讨射线SBRT对HCC-PVTT患者毒性和生存的影响。为此,我们收集并分析了2008年5月至2011年12月期间接受射线SBRT治疗的HCC-PVTT患者的数据。使用既定的国际标准评估反应和(急性和晚期)毒性。采用Log-rank检验和Cox回归模型分别确定影响生存率的预测因素和多因素。结果:中位随访时间为11个月。54例HCC-PVTT患者连续接受每日2.6 gy和每周6次的剂量,在613天内总剂量为32.4 54Gy。六个完全缓解(CR);11.1%)和25例部分缓解(PR;46.3%),总有效率为57.4%。23例患者病情稳定(SD;42.6%),而没有患者出现进展性疾病(PD;0%). 治疗耐受性良好,无放射相关并发症,无3级毒性。1年和2年总生存率分别为33.4%和13.6%,中位总生存期为10.7个月。预后因素包括ECOG功能状态(P0.04)、Child-Pugh评分(P0.05)、PVTT大小(P0.02)和位置(P0.05)。结论:对于目前其他治疗禁忌的HCC-PVTT患者,单独射线SBRT似乎是可行的。PVTT大小和ECOG性能状态可能是生存的最强预测因素。
{"title":"A clinical study on stereotactic body radiotherapy for hepatocellular carcinoma with portal vein tumor thrombosis","authors":"Zhong Nb, Chen Zh, L'vitsina Gm","doi":"10.14312/2052-4994.2013-22","DOIUrl":"https://doi.org/10.14312/2052-4994.2013-22","url":null,"abstract":"Purposes: Hepatocellular carcinoma with portal vein tumor thrombosis (HCC-PVTT) has a poor prognosis, while the optimal treatment remains controversial. The objective of this retrospective study was to evaluate the efficacy and safety of ray SBRT in treatment of patients with HCC-PVTT. Methods: The study was designed to examine the effects of ray SBRT on toxicity and survival in patients with HCC-PVTT. To this end, data from patients with HCC-PVTT who received ray SBRT during May 2008 to December 2011 was collected and analyzed. Response and (acute and late) toxicity were evaluated using the established international criteria. Log-rank test and Cox regression model were used to identify predictive factors and multivariate for survival, respectively. Results: The median follow up was 11 months. Fifty four consecutive patients with HCC-PVTT received daily fraction of 2.6 6Gy and six fractions per week for the total dose of 32.4 54Gy in 6 13 days. Six complete response (CR; 11.1%) and twenty five partial response (PR; 46.3%) were observed (overall response rate 57.4%). Twenty three patients displayed a stable disease (SD; 42.6%), while no patient experienced progressive disease (PD; 0%). The treatment was well tolerated with no radiation-related complication and no  Grade 3 toxicity. Oneand twoyear overall survival rate were 33.4% and 13.6% respectively, and median overall survival was 10.7 months. The prognostic factors for survival included ECOG performance status (P0.04), Child-Pugh score (P0.05), PVTT size (P0.02) and location (P0.05). Conclusions: Individual  ray SBRT appears to be feasible for treatment of patients with HCC-PVTT in whom other current therapies are contraindicated. PVTT size and ECOG performance status may represent the strongest predictive factors for survival.","PeriodicalId":90205,"journal":{"name":"Journal of cancer research & therapy","volume":"150 1","pages":"143-148"},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76404719","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: 2
Primary alveolar rhabdomyosarcoma of breast in a 13 year old female with cardiopulmonary metastases and cyto-histological correlation: A case report 13岁女性原发性乳腺肺泡横纹肌肉瘤合并心肺转移及细胞组织学相关性:1例报告
Pub Date : 2013-07-01 DOI: 10.14312/2052-4994.2013-23
D. Wamala, P. Kitayimbwa, O. Dworak
Introduction: Rhabdomyosarcoma is the commonest soft tissue sarcoma of childhood. The tumour commonly occurs in the body regions of the head and neck, genitourinary and extremities. Primary rhabdomyosarcoma of the breast is extremely rare and present diagnostic challenges especially in resource limited centers. It is an aggressive tumour with a poor prognosis especially when diagnosed late. Case presentation: We present a case of 13 year old female with primary rhabdomyosarcoma of breast metastasized to regional axillary lymph nodes, lung and heart. The patient failed to respond to chemotherapy mainly due diagnostic challenges and succumbed to the disease. Conclusion: Breast masses in young patients should be diagnosed early and accurately, and optimal treatment promptly instituted. The incidence of primary rhabdomyosarcoma of breast is increasing in teenagers, and the tumour has a bad prognosis especially in late stage. We think this case will add knowledge and skills required in histological and cytological diagnosis of breast rhabdomyosarcoma.
简介:横纹肌肉瘤是儿童最常见的软组织肉瘤。这种肿瘤通常发生在头颈部、泌尿生殖系统和四肢的身体区域。原发性乳腺横纹肌肉瘤是非常罕见的,目前的诊断挑战,特别是在资源有限的中心。它是一种侵袭性肿瘤,预后差,尤其是当诊断较晚时。病例报告:我们报告一例13岁的女性原发性横纹肌肉瘤转移到腋窝淋巴结、肺和心脏。由于诊断上的挑战,患者未能对化疗作出反应,最终死于该疾病。结论:年轻患者乳腺肿块应及早准确诊断,及时制定最佳治疗方案。原发性乳腺横纹肌肉瘤在青少年中的发病率呈上升趋势,且预后较差,尤其是晚期。我们认为这个病例将增加乳腺横纹肌肉瘤的组织学和细胞学诊断所需的知识和技能。
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引用次数: 2
Development of novel approach to diagnostic imaging of lung cancer with 18F-Nifene PET/CT using A/J mice treated with NNK. 利用接受 NNK 治疗的 A/J 小鼠开发 18F-Nifene PET/CT 肺癌诊断成像新方法。
Pub Date : 2013-06-01 Epub Date: 2013-05-29 DOI: 10.14312/2052-4994.2013-20
V Galitovskiy, S A Kuruvilla, E Sevriokov, A Corches, M L Pan, M Kalantari-Dehaghi, A I Chernyavsky, J Mukherjee, S A Grando

Development of novel methods of early diagnosis of lung cancer is one of the major tasks of contemporary clinical and experimental oncology. In this study, we utilized the tobacco nitrosamine 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanone (NNK)-induced lung cancer in A/J mice as an animal model for development of a new imaging technique for early diagnosis of lung cancer. Lung cancer cells in A/J mice overexpress nicotinic acetylcholine receptors. Longitudinal CT scans were carried out over a period of 8 months after NNK treatment, followed by PET/CT scans with 18F-Nifene that binds to α4-made nicotinic receptors with high affinity. PET/CT scans of lungs were also obtained ex vivo. CT revealed the presence of lung nodules in 8-month NNK-treated mice, while control mice had no tumors. Imaging of live animals prior to necropsy allowed correlation of results of tumor load via PET/CT and histopathological findings. Significant amount of 18F-Nifene was seen in the lungs of NNK-treated mice, whereas lungs of control mice showed only minor uptake of 18F-Nifene. Quantitative analysis of the extent and amount of 18F-Nifene binding in lung in vivo and ex vivo demonstrated a higher tumor/nontumor ratio due to selective labeling of tumor nodules expressing abundant α4 nicotinic receptor subunits. For comparison, we performed PET/CT studies with 18F-FDG, which is used for the imaging diagnosis of lung cancer. The tumor/nontumor ratios for 18F-FDG were lower than for 18F-Nifene. Thus, we have developed a novel diagnostic imaging approach to early diagnosis of lung cancer using 18F-Nifene PET/CT. This technique allows quantitative assessment of lung tumors in live mice, which is critical for establishing tumor size and location, and also has salient clinical implications.

开发早期诊断肺癌的新方法是当代临床和实验肿瘤学的主要任务之一。本研究以烟草亚硝胺 4-(甲基亚硝基氨基)-1-(3-吡啶基)-1-丁酮(NNK)诱导的 A/J 小鼠肺癌为动物模型,开发了一种新的肺癌早期诊断成像技术。A/J 小鼠的肺癌细胞过度表达烟碱乙酰胆碱受体。在 NNK 治疗 8 个月后进行纵向 CT 扫描,然后用 18F-Nifene 进行 PET/CT 扫描,18F-Nifene 能与α4-烟碱受体高亲和力结合。此外,还对肺部进行了体外 PET/CT 扫描。CT 显示,NNK 治疗 8 个月的小鼠肺部出现结节,而对照组小鼠没有肿瘤。在解剖前对活体动物进行成像,可将 PET/CT 的肿瘤负荷结果与组织病理学结果联系起来。经 NNK 处理的小鼠肺部出现大量 18F-Nifene 吸收,而对照组小鼠肺部仅出现少量 18F-Nifene 吸收。对体内和体外 18F-Nifene 与肺结合的程度和数量进行的定量分析显示,肿瘤与非肿瘤的比例较高,这是因为表达大量 α4 尼古丁受体亚单位的肿瘤结节被选择性标记。为了进行比较,我们使用用于肺癌成像诊断的 18F-FDG 进行了 PET/CT 研究。与 18F-Nifene 相比,18F-FDG 的肿瘤/非肿瘤比率更低。因此,我们利用 18F-Nifene PET/CT 开发了一种新型的肺癌早期诊断成像方法。该技术可对活体小鼠肺部肿瘤进行定量评估,这对确定肿瘤大小和位置至关重要,同时也具有突出的临床意义。
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引用次数: 0
Therapy-related acute myeloid leukemia with chromosomal abnormalities involving t(9;22)(q34;q11) and t(3;21)(q26;q22) during chemotherapy for follicular lymphoma 治疗相关性急性髓系白血病伴染色体异常,在滤泡性淋巴瘤化疗期间涉及t(9;22)(q34;q11)和t(3;21)(q26;q22)
Pub Date : 2013-06-01 DOI: 10.14312/2052-4994.2013-21
Ogasawara T, Aiba M, Kawauchi K
This report describes a case of a patient who developed therapy-related acute myeloid leukemia five years after initiating chemotherapy for follicular lymphoma. The patient had been treated with multiple chemotherapeutic regimens, including anthracycline and etoposide (VP-16), as well as with radiation therapy for refractory follicular lymphoma over the preceding five years. The patient subsequently developed myelodysplastic syndrome (MDS) with karyotypic abnormalities of monosomy 7 and del (20) (q11; q13.3) followed by acute myeloid leukemia (AML) with an additional balanced translocation of t(9;22)(q34;q11) and t(3;21)(q26;q22). Reverse transcriptionpolymerase chain reaction amplification of the patient’s RNA showed a fusion transcript of minor BCR-ABL but not EVI1-RUNX1 (AML1) genes. Imatinib therapy resulted in regression of AML, but the patient soon became refractory to chemotherapy and died. Therapy-related acute leukemia develops mostly as non-lymphoid leukemia with unbalanced aberrations of monosomy 7 and 5 or balanced aberrations involving 11q23 and 21q22, but Philadelphia chromosome is uncommon. In addition, simultaneous occurrence of both t(9;22)(q34;q11) and t(3;21)(q26;q22) balanced aberrations in t-MDS/t-AML is a very rare event. The balanced translocations detected in this case suggest another mechanism by which t-AML can develop after chemotherapy and radiation therapy for follicular lymphoma.
本报告描述了一个病例的病人谁开发治疗相关的急性髓性白血病后5年开始化疗滤泡性淋巴瘤。在过去的五年里,患者接受了多种化疗方案,包括蒽环类药物和依托泊苷(VP-16),以及难治性滤泡性淋巴瘤的放射治疗。患者随后发展为骨髓增生异常综合征(MDS),伴7和del单体核型异常(20)(q11;q13.3),其次是急性髓性白血病(AML),并伴有t(9;22)(q34;q11)和t(3;21)(q26;q22)的额外平衡易位。逆转录聚合酶链反应扩增患者RNA显示少量BCR-ABL基因的融合转录,但没有EVI1-RUNX1 (AML1)基因。伊马替尼治疗导致急性髓性白血病的消退,但患者很快对化疗变得难治并死亡。治疗相关性急性白血病主要发展为非淋巴性白血病,单体7和5不平衡畸变或涉及11q23和21q22的平衡畸变,但费城染色体不常见。此外,t- mds /t- aml同时发生t(9;22)(q34;q11)和t(3;21)(q26;q22)平衡畸变是非常罕见的事件。在本病例中检测到的平衡易位提示了滤泡性淋巴瘤化疗和放疗后t-AML发生的另一种机制。
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引用次数: 0
Biomarker screening of oral cancer cell lines revealed sub-populations of CD133-, CD44-, CD24- and ALDH1- positive cancer stem cells 口腔癌细胞系的生物标志物筛选揭示了CD133-、CD44-、CD24-和ALDH1-阳性癌症干细胞亚群
Pub Date : 2013-05-01 DOI: 10.14312/2052-4994.2013-17
K. Kendall, M. Repp, T. Jilka, K. Kingsley
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引用次数: 9
期刊
Journal of cancer research & therapy
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