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Inhibition of Dimethylbenz[a]anthracene-Induced Breast Tumors in Rats by Soy Protein is Mediated by Downregulation of MAPK/AP-1 Signaling 大豆蛋白通过下调MAPK/AP-1信号通路抑制二甲苯[a]蒽诱导的大鼠乳腺肿瘤
Pub Date : 2022-06-30 DOI: 10.31579/2640-1053/122
Salil K. Das
We reported earlier that replacement of casein by soy protein in the diets of rats exposed to the carcinogen, dimethylbenz[a]anthracene (DMBA), not only delayed the initiation of breast tumor but also had a protective effect against the development of aggressive tumor. The aim of this study was to elucidate the molecular mechanism by which soy protein offers these beneficial effects. Tumor was developed by gavage administration of single dose of 80 mg/kg of DMBA into 50-day old female rats, maintained on a standard AIN-76A diet containing either casein or soy protein. After ~120 days of DMBA administration, we evaluated the role of MAPK phosphorylation and subsequent AP-1 activation on the differential effects of soy protein and casein on the development of aggressiveness and progression of DMBA-induced breast tumor and determined if soy protein controls MMP-9 and uPAR expression by modifying AP-1 activity. The present study demonstrates that the beneficial effect of soy protein in breast tumor development is mediated by control of MAPK/AP-1 signaling. It is concluded that deactivation of MAPK pathway lead to down-regulation of the AP-1 activation which in turn down regulates the target gene and may be responsible for controlling breast tumor aggressiveness. Thus, it is suggested that MAPKs (ERK, p38 and JNK), MMP-9 and uPAR may be a potential target for anticancer therapy inhibiting tumor vasculature and invasion stimulated by tumor-associated stroma, and regulating the target gene and may be responsible for the beneficial effects of soy protein.
我们之前报道过,在暴露于致癌物二甲基苯[a]蒽(DMBA)的大鼠的饮食中,用大豆蛋白代替酪蛋白不仅可以延缓乳房肿瘤的发生,而且对侵袭性肿瘤的发展具有保护作用。本研究的目的是阐明大豆蛋白提供这些有益作用的分子机制。采用单剂量80 mg/kg DMBA灌胃50日龄雌性大鼠,饲喂含有酪蛋白或大豆蛋白的标准AIN-76A日粮,形成肿瘤。在给药约120天后,我们评估了MAPK磷酸化和随后的AP-1激活在大豆蛋白和酪蛋白对DMBA诱导的乳腺肿瘤侵袭性和进展的不同影响中的作用,并确定大豆蛋白是否通过改变AP-1活性来控制MMP-9和uPAR的表达。本研究表明大豆蛋白在乳腺肿瘤发展中的有益作用是通过调控MAPK/AP-1信号通路介导的。由此可见,MAPK通路失活导致AP-1激活下调,AP-1激活反过来下调靶基因,可能与控制乳腺肿瘤侵袭性有关。因此,我们认为MAPKs (ERK, p38和JNK), MMP-9和uPAR可能是抑制肿瘤血管和肿瘤相关基质刺激的侵袭,调控靶基因的抗癌治疗的潜在靶点,可能是大豆蛋白有益作用的原因。
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引用次数: 0
Massive Digestive Tract Bleeding Caused by EBV-Triggered Hemophagocytic Lymphohistiocytosis and Digestive Tract Vascular Malformation EB病毒引发的吞噬细胞性淋巴组织增生和消化道血管畸形引起的消化道大出血
Pub Date : 2022-06-30 DOI: 10.31579/2640-1053/115
Cancan Lu
We introduced a patient with fetal EBV-triggered who finally developed multidrug-resistant septicemia, perianal abscess, massive alimentary tract bleeding due to gastrointestinal vascular malformation, and acute respiratory distress syndrome. His EB virus maintained chronically active under multiple drug treatments. Interestingly, continuous EB virus infection and a probable idiopathic gastrointestinal vascular malformation might be the cause of the severe digestive tract bleeding.
我们介绍了一名胎儿EBV触发的患者,他最终出现了耐多药败血症、肛周脓肿、胃肠道血管畸形引起的消化道大出血和急性呼吸窘迫综合征。他的EB病毒在多种药物治疗下保持长期活性。有趣的是,持续EB病毒感染和可能的特发性胃肠道血管畸形可能是严重消化道出血的原因。
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引用次数: 0
Pattern of Bacterial Infections in Cancer Patients -Experience from a Tertiary Cancer Center 癌症患者细菌感染模式——癌症三级中心的经验
Pub Date : 2022-06-30 DOI: 10.31579/2640-1053/120
Surabhi Gupta
It is a general belief that cancer patients are more prone to infections, particularly bacterial infections. Firstly, disease itself present an immuno-compromised status, secondarily chemotherapy and radiotherapy further suppress the immunity level which is further overburden by poor nutritional state and poor hygienic conditions in these patients. With the invent of better diagnostic modalities and many technological advancement in treatment delivery, the mortality rates have fallen over the past years, but infection remains a primary or associated cause of death, with bacteria most commonly accounting for infection-associated mortality, followed by fungi. The management of the infections is based on the use of appropriate empirical antimicrobial therapeutic agents with a comprehensive understanding of pathogens which are the commonly encountered in cancer patients in day-to-day practice and also understanding of antibiotic sensitivity patterns. Though the empirical use of antibiotics has reduced the mortality in patients but has also led to the menace of multidrug-resistant bacteria.
人们普遍认为癌症患者更容易感染,尤其是细菌感染。首先,疾病本身呈现免疫受损状态,其次是化疗和放疗进一步抑制了这些患者的免疫水平,而这些患者的营养状况差和卫生条件差使免疫水平进一步加重。随着更好的诊断模式的发明和治疗方面的许多技术进步,死亡率在过去几年中有所下降,但感染仍然是死亡的主要或相关原因,细菌最常导致感染相关的死亡,其次是真菌。感染的管理是基于使用适当的经验抗菌治疗剂,全面了解癌症患者在日常实践中常见的病原体,并了解抗生素敏感性模式。尽管抗生素的经验性使用降低了患者的死亡率,但也导致了耐多药细菌的威胁。
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引用次数: 0
Irradiation Consequences from Chromosome Damages to Triggering of Diverse Immunological Responses 从染色体损伤到触发多种免疫反应的辐照后果
Pub Date : 2022-06-30 DOI: 10.31579/2640-1053/121
Sherien Abdelwhab Montaser
Present work was designed to investigate DNA damages post irradiation via cytokinesis-block micronucleus (CBMN) test and its corresponding immunological response. Determination of interferon- α, β for innate, interferon-γ for acquired response, TNF- α and immunoglobulin concentration IgG & IgM. Six human blood samples were divided into 4 groups (control & 3irradiated) which exposed to doses (0.5 - 2 and 4 Gy). Triplet blood samples (control and irradiated groups) were cultured for 72 hours after 1 hour of irradiation. γ - Irradiation induced significant increase of IFN-α (innate immunology hallmark) in all experimental doses (0.5 -2.0 and 4.0 Gy). IFN-β also recorded significant increase with control at dose 4.0 Gy. The results showed significant increase in IFN-γ representing acquired immune response at 2.0 and 4.0 Gy. These results confirmed by exhibits increase in the level of IgG and IgM production. TNF-α late immune response started to give significant increase at 2.0 and 4.0 Gy. TNF-α and IFN-β recorded significant difference when compared with control at 1.0 and 4Gy exposure also 4Gy group recorded significant increase compared with 1.0 Gy exposure. INF-α recorded significant increase at all doses when compared with control and each other. IFN-γ recorded significant increase in 1.0 and 4.0 Gy when compared with control with no significant difference between them. We conclude that immune system can sense when cells damaged. Mni which come from a variety of sources such as irradiation can lead to an immune response similar to that observed during viral infection.
本研究旨在通过细胞分裂阻断微核(cytokinetics -block micronuclear, CBMN)试验研究辐照后的DNA损伤及其相应的免疫反应。测定干扰素- α、β用于先天性反应,干扰素-γ用于获得性反应,TNF- α和免疫球蛋白浓度IgG和IgM。6份人体血液样本分为4组(对照组和3组辐照组),暴露剂量分别为0.5 - 2 Gy和4 Gy。三胞胎血样(对照组和辐照组)在辐照1小时后培养72小时。γ -辐照在所有实验剂量(0.5 -2.0和4.0 Gy)下均诱导IFN-α(先天免疫标志)显著增加。在4.0 Gy剂量下,IFN-β也显著增加。结果显示,在2.0和4.0 Gy时,代表获得性免疫反应的IFN-γ显著增加。IgG和IgM水平的升高证实了这一结果。TNF-α晚期免疫反应在2.0和4.0 Gy时开始显著增加。1.0 Gy和4Gy组TNF-α和IFN-β与对照组相比有显著差异,4Gy组与1.0 Gy组相比有显著升高。与对照组和其他剂量相比,所有剂量的INF-α均显著增加。与对照组相比,1.0和4.0 Gy时IFN-γ显著增加,但两者之间无显著差异。我们得出结论,免疫系统可以感知细胞受损。来自各种来源(如辐照)的Mni可导致类似于病毒感染期间观察到的免疫反应。
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引用次数: 0
Large Cell Neuroendocrine Carcinoma of the Prostate Gland: A Review and Update 前列腺神经内分泌大细胞癌的研究进展
Pub Date : 2022-06-30 DOI: 10.31579/2640-1053/123
A. Kodzo-Grey Venyo
It has been documented that the 2016 World Health Organization’s histological classification of prostate cancer has included well-differentiated carcinoid tumours and small- or large-cell poorly differentiated tumours within the category of neuroendocrine tumours. Up to May 2021, only 20 cases of large-cell neuroendocrine tumours of the prostate gland (LCNTPs) had been reported within the literature, among which are nine cases of primary tumours. LCNTPs are a rare histological entity whose evolutive profile and therapeutic potential do differ from those of conventional adenocarcinoma of the prostate gland. Primary neuroendocrine tumours of the prostate gland could be pure or associated with an adenocarcinoma component. Mixed forms of large cell neuroendocrine cancers of the prostate gland (LCNECPs) tend to associated with better prognosis when diagnosed early at a localized stage. Nevertheless, most cases of (LCNTPs) at the time of initial diagnosis could tend to be advanced, locally advanced or metastatic. Even though LCNECPs that are diagnosed initially tend to primary prostate cancers that may be pure primary prostate cancers, few large LCNECPs have been found to be metastatic large cell neuroendocrine carcinomas that had metastasised from other sites of the body for example the lung. Primary LCNECP does tend to manifest similarly to primary adenocarcinoma of prostate gland with lower urinary tract symptoms, haematuria, or signs of obstruction of the upper urinary tract or inability to empty the urinary bladder. Cases of primary LCNECP that manifest tend also to be associated with symptoms related to the sites of the metastases. Serum prostate specific antigen levels tend to be slightly elevated with cases of primary LCNECP, but the levels generally tend not to be as high as most cases of advanced, locally advanced or metastatic primary adenocarcinomas of the prostate gland. Diagnosis of LCNECPs tend to be made pursuant to the undertaking of histopathology and immunohistochemistry staining studies of specimens of the prostate that had been obtained from prostate biopsies, trans-urethral reception of prostate specimens or prostatectomy specimens. The microscopy histopathology examination features of LCNECP the prostate gland have been summarized as follows: (a) Microscopy histopathology examination of LCNECP gland does tend to demonstrate large islands or sheets of tumour cells. (b) Large tumour cells with prominent neuroendocrine features such as salt and pepper chromatin and small nucleoli tend to be visualised upon microscopy examination of specimens of the prostate tumour. (c) High grade features such as lack of glandular formation, frequent mitoses and apoptotic bodies and tumour necrosis tend to be frequent findings upon microscopy examination of specimens of LCNECP. Immunohistochemistry staining features of LCNECP include: (a) At least one of the ensuing neuroendocrine tumour markers should be demonstrated upon immunohistochemistry stain
据记载,2016年世界卫生组织对前列腺癌症的组织学分类包括神经内分泌肿瘤类别中的高分化类癌和小细胞或大细胞低分化肿瘤。截至2021年5月,文献中仅报道了20例前列腺大细胞神经内分泌肿瘤(LCNTPs),其中9例为原发性肿瘤。LCNTPs是一种罕见的组织学实体,其进化特征和治疗潜力与传统前列腺腺癌不同。前列腺原发性神经内分泌肿瘤可能是单纯的或与腺癌成分有关。混合型前列腺大细胞神经内分泌癌(LCNECPs)在局部早期诊断时往往与更好的预后有关。然而,在最初诊断时,大多数(LCNTPs)病例可能倾向于晚期、局部晚期或转移性。尽管最初诊断的LCNECP倾向于原发性前列腺癌,可能是纯原发性的前列腺癌,但很少发现大型LCNECP是从身体其他部位(如肺部)转移的转移性大细胞神经内分泌癌。原发性LCNECP的表现与原发性前列腺腺癌相似,有下尿路症状、血尿、上尿路梗阻或无法排空膀胱的迹象。表现出的原发性LCNECP病例也往往与转移部位相关的症状有关。原发性LCNECP患者的血清前列腺特异性抗原水平往往略有升高,但其水平通常不会像大多数晚期、局部晚期或转移性原发性前列腺腺癌患者那样高。LCNECP的诊断往往是根据从前列腺活检、经尿道前列腺标本或前列腺切除术标本中获得的前列腺标本的组织病理学和免疫组织化学染色研究进行的。前列腺LCNECP的显微镜组织病理学检查特征总结如下:(a)LCNECP腺的显微镜组织学检查确实倾向于显示肿瘤细胞的大岛或片状。(b) 在前列腺肿瘤标本的显微镜检查中,具有突出神经内分泌特征(如盐和胡椒染色质和小核仁)的大肿瘤细胞往往可见。(c) 在LCNECP标本的显微镜检查中,高级别的特征,如缺乏腺体形成、频繁的有丝分裂和凋亡小体以及肿瘤坏死,往往是常见的发现。LCNECP的免疫组织化学染色特征包括:(a)至少有一种随后出现的神经内分泌肿瘤标志物应在免疫组化染色中得到证实,包括染色粒蛋白a、突触素、神经元特异性烯醇化酶、,CD56可能是阳性的:有人指出,免疫组织化学染色研究可能在LCNECP病例中显示阳性染色,并利用以下方法:o TTFI往往在不到50%的LCNECP患者中呈阳性。o AMACR免疫组织化学染色阳性,但这可能是局灶性的,或比前列腺腺癌弱。o阳性标志物包括:PSA、PSMA、NKX3.1前列腺素(P501S)在大多数LCNECP病例中往往是阴性的,但在一小部分肿瘤中可能是局灶性阳性。有人反复指出,在LCNECP的情况下,免疫组织化学染色研究倾向于证明随后的标记物呈阴性染色:•尿路上皮标记物如GATA3、p63和高分子量细胞角蛋白如CK5/6。•CD99。•前列腺类癌。•前列腺PNET/尤因肉瘤。•前列腺腺癌伴局灶性神经内分泌分化。•伴有神经内分泌分化的尿路上皮癌。如果血清前列腺特异性抗原(PSA)水平略高或较高,即使开始服用坦索罗辛以帮助改善症状,也需要对所有有显著下尿路症状的患者进行前列腺早期活检,从而诊断早期原发性大细胞神经内分泌癌,需要高怀疑指数无效。对于LCNECP的最佳管理没有达成一致意见,因此,迫切需要建立一项与该疾病的各种管理方案相关的全球多中心试验,以确定LCNECP管理的最佳方案。腺
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引用次数: 0
Study of Superoxide Dismutase (SOD) Activity Among Betel Quid Chewers of Indian Population 印度人群槟榔咀嚼者超氧化物歧化酶(SOD)活性的研究
Pub Date : 2022-05-16 DOI: 10.31579/2640-1053/117
Aniket Adhikari, Madhusnata De
Introduction: Betel quid (BQ) chewing, a habit practiced in Eastern and North Eastern part of India, has known to be associated with cancer of the oral or buccal cavity. BQ is also one of the common mood elevating substances among Indian population. The BQ is a mixture of areca nut (Areca catechu), catechu (Acacia catechu) and slaked lime (calcium oxide and calcium hydroxide) wrapped in a betel leaf (Piper betel). BQ products have been classified by the International Agency for Research on Cancer (IARC) as group I human carcinogens . Superoxide Dismutase (SOD), one of the major enzymatic antioxidant defence system, responsible for scavenging free radicals. Antioxidant enzymes catalyse decomposition of Reactive Oxygen Species (ROS). Overall balance between production and removal of ROS may be more important in various cancers including OSCC (Oral squamous cell carcinoma) or oral cancer. Methods: In this study subjects were screened from Department of Oral and Maxillofacial surgery &E.N.T. of Ramakrishna Mission Seva Pratishthan Hospital (RKMSP), Kolkata and different areas of West Bengal and North Eastern states of India. Quantitative in vitro determination of superoxide dismutase activities in whole blood were estimated manually with 0.05 ml whole blood. The samples were assayed by UV-Visible Spectrophotometer (SPECORD 50 PLUS) at a wavelength of 420 nm. Results: Most of the subjects had betel quid chewing habit. Superoxide dismutase values are lower in healthy control than Cancer cases and Pre cancer with betel quid chewing habit, which is statistically significant. Conclusion: Reactive oxygen species (ROS) are generated due to slaked lime, one of the important constituents of betel quid which can modulate the oral pathology and promote carcinogenesis.
导读:咀嚼槟榔液(BQ)是印度东部和东北部的一种习惯,已知与口腔癌或口腔癌有关。BQ也是印度人常见的情绪提升物质之一。BQ是槟榔果(槟榔),儿茶(Acacia catechu)和熟石灰(氧化钙和氢氧化钙)包裹在槟榔叶(Piper betel)的混合物。BQ产品已被国际癌症研究机构(IARC)列为第一类人类致癌物。超氧化物歧化酶(SOD),主要的酶抗氧化防御系统之一,负责清除自由基。抗氧化酶催化活性氧(ROS)的分解。活性氧产生和去除之间的整体平衡可能在包括口腔鳞癌(OSCC)或口腔癌在内的各种癌症中更为重要。方法:从口腔颌面外科和耳鼻喉科筛选研究对象。罗摩克里希纳传教会塞瓦·普拉蒂什坦医院(RKMSP)、加尔各答以及西孟加拉邦和印度东北部各州的不同地区。体外定量测定全血超氧化物歧化酶活性,手工测定0.05 ml全血。用紫外可见分光光度计(SPECORD 50 PLUS)测定,波长420 nm。结果:大部分受试者有嚼槟榔液的习惯。健康对照组的超氧化物歧化酶值低于有咀嚼槟榔液习惯的癌前患者和癌前患者,差异有统计学意义。结论:槟榔液的重要成分之一——熟石灰产生活性氧(ROS),具有调节口腔病理、促进癌变的作用。
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引用次数: 0
New Treatments for Synovial Cell Sarcoma with Genetically Modified T-Cell? 利用基因修饰t细胞治疗滑膜细胞肉瘤?
Pub Date : 2022-05-16 DOI: 10.31579/2640-1053/113
Shravana kumar Chinnikatti, Soumya Shravan, H.N Asikur Rahaman, Shraavya Shraavya
Synovial cell sarcoma is rare but very aggressive tumour if not treated early, due to the painless nature of this tumour patients normally come in late and advances stage, can occur in bones, muscle cells, cartilages, ligaments and de-novo from pleuripotent stem cells from asnywhere in the body but most commonly arm, leg, or foot, and near joints such as the wrist or ankle and possibly from any joints in the body, even from soft tissues of lung and abdomen, the other name for this tumour is called malignant synovioma.The 5 year survival after the effective primary treatment is 30-75% and the survival rate is less than 5% if the tumour recurred within 1 year of primary treatment and that’s why new treatments are explored continuously. Due to late recognition and diagnosis of this rare tumour leads to many problems in treatment and in disease course. This tumour can occur at any age but is most common in growing periods like teen agers and adolescents. This tumour can spread to any organ in the body but most commonly distant metastases occur in lungs. Synovial sarcomas actually a misnomer as previously thought, now with advances in cell structure advances, These tumours can occur not only from synovial cells but from any cell of bone, muscle, tendon, ligaments and cartilage forming cells and supporting cells. These tumours occur with equal propensity in both men and women of younger age. If diagnosed early and treated early with surgery alone patients can be cured completely without any morbidity and mortality
滑膜细胞肉瘤是一种罕见的肿瘤,但如果不及早治疗,则具有很强的侵袭性,由于这种肿瘤的无痛性,患者通常出现在晚期和晚期,可发生在骨骼、肌肉细胞、软骨、韧带和来自身体任何部位的多能干细胞的新生细胞中,但最常见的是手臂、腿或脚,以及关节附近,如手腕或脚踝,也可能来自身体的任何关节,甚至来自肺和腹部的软组织。这种肿瘤的另一个名字叫恶性滑膜瘤。有效的初次治疗后的5年生存率为30-75%如果肿瘤在初次治疗后1年内复发,生存率低于5%这就是为什么不断探索新的治疗方法。由于对这种罕见肿瘤的认识和诊断较晚,在治疗和病程中存在许多问题。这种肿瘤可以发生在任何年龄,但最常见于生长时期,如青少年。这种肿瘤可以扩散到身体的任何器官,但最常见的是远处转移发生在肺部。滑膜肉瘤实际上是之前认为的用词不当,现在随着细胞结构的进步,这些肿瘤不仅可以发生在滑膜细胞上也可以发生在任何骨细胞,肌肉,肌腱,韧带和软骨形成细胞和支持细胞上。这些肿瘤在较年轻的男性和女性中发生的倾向相同。如果早期诊断和早期手术治疗,患者可以完全治愈,没有任何发病率和死亡率
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引用次数: 0
Human Papillomavirus and Precancerous Conditions of the Cervix- A Review 人类乳头瘤病毒和宫颈癌前病变——综述
Pub Date : 2022-05-16 DOI: 10.31579/2640-1053/112
Alemnju Venceslas Tarnju
Human papillomavirus (HPV) is present in precancerous conditions of the cervix. This review attempts to elucidate our understanding of precancerous cervical cancer, with particular emphasis on the central aetiologic function of persistent human papillomavirus (HPV) infection. The review dwells on recent studies that focused on detecting precancerous cervical lesions using visual inspection with acetic acid (VIA), convection cytology (Pap smear testing), and Schiller test. Anomalies in staining the exocervical epithelium and intraepithelial lesions upon detection with polymerize chain reaction indicated HPV infection. The stages in the evolution of cervical cancer have been widely studied and understood, resulting in successful cancer etiology and prevention.
人乳头瘤病毒(HPV)存在于宫颈癌前病变。这篇综述试图阐明我们对宫颈癌前病变的认识,特别强调持续的人乳头瘤病毒(HPV)感染的中心病因学功能。本文综述了近年来在检测宫颈癌前病变方面的研究进展,包括乙酸目视检查(VIA)、对流细胞学检查(巴氏涂片检查)和席勒检查。经聚合链反应检测,宫颈外上皮和上皮内病变染色异常提示HPV感染。宫颈癌的发展阶段已被广泛研究和了解,导致成功的癌症病因和预防。
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引用次数: 0
Endometrial Cancer with Cervical Extension Masquerading as Cervical Cancer 子宫内膜癌伴子宫颈癌延伸伪装成子宫颈癌
Pub Date : 2022-05-16 DOI: 10.31579/2640-1053/118
Sachin S Kadam, Tejaswini Kadam
The incidence and prevalence of endometrial cancer is less as compared to cervical cancer. Worldwide, in 2018, near about 382000 new cases of endometrial cancer were diagnosed and around 90000 women were died from the disease
与子宫颈癌相比,子宫内膜癌的发病率和流行率较低。2018年,全球约有38.2万例子宫内膜癌新病例被诊断出来,约9万名女性死于该疾病
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引用次数: 0
Primary Adrenal Lymphoma 原发性肾上腺淋巴瘤
Pub Date : 2022-05-16 DOI: 10.31579/2640-1053/119
Haritha V.S
Primary adrenal lymphoma is a rare disease entity with only less than 200 cases reported till date. We have seen a single case among the 260 cases reported in our hospital in the last 5 years. Review of the English literature showed 65 such cases reported so far most of them being single case reports. The striking similarity in all of them were – median age of 68 years, bilateral involvement in 60% and predominantly diffuse large cell histology with B cell immunophenotype. adrenal insufficiency was seen in two – thirds of them at diagnosis. About one half respond to treatment with median survival of 4 months. A high index of suspicion is needed for early diagnosis and prompt treatment. We herein report a case of a 65-year-old male who was diagnosed with primary adrenal lymphoma.
原发性肾上腺淋巴瘤是一种罕见的疾病,迄今为止报告的病例不到200例。在过去5年中,我们医院报告的260例病例中只有一例。对英国文献的回顾显示,迄今为止报告了65例此类病例,其中大多数是单一病例报告。所有患者的惊人相似性是——中位年龄68岁,双侧受累60%,主要是弥漫性大细胞组织学和B细胞免疫表型。三分之二的患者在诊断时出现肾上腺功能不全。大约一半的患者对治疗有反应,中位生存期为4个月。早期诊断和及时治疗需要高怀疑指数。我们在此报告一例65岁男性,被诊断为原发性肾上腺淋巴瘤。
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Journal of cancer research and cellular therapeutics
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