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The glucose level linkages with breast cancer markers 葡萄糖水平与乳腺癌标志物相关
Pub Date : 2021-06-09 DOI: 10.31579/2640-1053/083
R. Das, S. Karmakar, Ishita Saha, R. Sahoo, S. K. Medda, R. Kottapalli
The glucose level linkages with breast cancer (BC) biomarkers are focused in the article adopting probabilistic modeling with a real data set surveyed from 64 BC women and 52 normal women along with 10 interested study factors. It is derived that mean glucose levels are over for BC women (P=0.02224) than normal. Mean glucose levels are inversely linked with insulin (P< 0.00001), interaction effects of leptin and adiponectin (leptin*adiponectin) (P=0.08834), homeostasis model assessment score insulin resistance (HOMA-IR) and leptin (HOMA-IR*leptin) (P<0.00001), while they are directly linked with HOMA-IR (P<0.00001) and leptin (P<0.00001). The variance of glucose levels is inversely linked with leptin (P=0.00022), insulin (P=0.01365), monocyte chemoattractant protein-1 (MCP-1) (P=0.01153), insulin*HOMA-IR (P=0.00022), age*resistin (P=0.03974), age*HOMA-IR(P=0.03102), while it is directly linked with HOMA-IR (P<0.00001), resistin (P=0.02182) and age (P=0.00133). Glucose levels are higher for BC women, and they increase along with the increased levels of HOMA-IR, leptin, and the decreased levels of insulin, HOMA-IR*leptin, leptin*adiponectin.
本文采用概率模型,对64名癌症妇女和52名正常妇女的真实数据集以及10个感兴趣的研究因素进行了调查,重点研究了葡萄糖水平与乳腺癌生物标志物的联系。由此得出,不列颠哥伦比亚省妇女的平均血糖水平高于正常水平(P=0.02224)。平均血糖水平与胰岛素(P<0.00001)、瘦素和脂联素的相互作用(瘦素*脂联素)(P=0.08834)、稳态模型评估评分胰岛素抵抗(HOMA-IR)和瘦素(HOMA-IR*瘦素)呈负相关(P<.00001),葡萄糖水平的变化与瘦素(P=0.00022)、胰岛素(P=0.01365)、单核细胞趋化蛋白-1(MCP-1)(P=0.001153)、胰岛素*HOMA-IR(P=0.00021)、年龄*抵抗素(P=0.003974)、年龄*HOMA-IR(P=0.003102)呈负相关,抵抗素(P=0.02182)和年龄(P=0.00313)。BC女性的血糖水平较高,并且随着HOMA-IR、瘦素水平的升高和胰岛素、HOMA-IR*瘦素、瘦素*脂联素水平的降低而升高。
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引用次数: 1
Why Is Importance the Reprogramming and Remodeling In Malignant Hematopoietic Microenvironment and Its Hematopoietic Stem Cells Too 为什么在恶性造血微环境及其造血干细胞中重新编程和重塑也很重要
Pub Date : 2021-06-09 DOI: 10.31579/2640-1053/086
A. Rahnemoon
Hematopoietic microenvironment or niche keeps stem cells in multi-potent/ uni-potent state which prevents precocious differentiation. The niche employs a variety of factors includes growth factors, cytokines and cell adhesion molecules too. In this section, we try to have a better understanding about the role of hematopoietic stem cells, niche and hematopoiesis as well as we demonstrate that leukemia induced reprogramming initially and then remodeling of the bone marrow (BM) microenvironment which can be a major part of leukemogenesis and is a potential prognostic parameter in malignant hematopoietic disease as well.
造血微环境或小生境使干细胞保持多效/单效状态,从而防止早熟分化。生态位采用了多种因素,包括生长因子、细胞因子和细胞粘附分子。在本节中,我们试图更好地了解造血干细胞、生态位和造血的作用,并证明白血病最初诱导了骨髓(BM)微环境的重编程,然后重塑了骨髓微环境,这可能是白血病发生的主要部分,也是恶性造血疾病的潜在预后参数。
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引用次数: 0
What is new in Purinergic Signaling and Cervical Cancer? 嘌呤能信号传导与宫颈癌症有什么新进展?
Pub Date : 2021-06-09 DOI: 10.31579/2640-1053/084
A. Cardoso, Maria Luiza Mukai Franciosi, A. Wagner
Since our publication “Purinergic Signaling and Tumor Microenvironment in Cervical Cancer” [1], in early 2020, there has been a significant change in purinergic signaling research. The Coronavirus disease 2019 (COVID-19) significantly impacted the prevention, diagnosis, and treatment of cervical cancer [2]. In that previous review, we had addressed the possibilities of purinergic signaling in the tumor microenvironment of this type of cancer [1]. The conclusions were: the extracellular medium of cervical cancer is rich in adenosine triphosphate (ATP) and adenosine [3, 4, 5]; ATP is a pro-inflammatory molecule that has an affinity for P2X2, P2X4, and P2X7 receptors [6]; this activation leads to apoptosis of the cells of the cervix [7]; P2X7 is still involved in stimulating factors that lead to mitogenic and angiogenic pathways [8]; there is a variant of P2X7 in cervical cancer cells, P2X7j, which decreases permeability and cell death [9, 10, 11]. The P2Y1, P2Y2, and P2Y6 receptors, in turn, have the effect of tumor progression [12]. The review also contributed to the understanding of adenosine, which would activate A2A receptors on T lymphocytes, which would promote a decrease in the proliferation and effector function of such cells
自我们于2020年初发表《癌症嘌呤能信号与肿瘤微环境》[1]以来,嘌呤能信号研究发生了重大变化。2019冠状病毒病(新冠肺炎)显著影响了癌症的预防、诊断和治疗[2]。在之前的综述中,我们讨论了嘌呤能信号在这种类型的癌症的肿瘤微环境中的可能性[1]。结论:癌症细胞外培养基富含三磷酸腺苷(ATP)和腺苷[3,4,5];ATP是一种对P2X2、P2X4和P2X7受体具有亲和力的促炎分子[6];这种激活导致宫颈细胞凋亡[7];P2X7仍然参与刺激因子,这些刺激因子导致有丝分裂和血管生成途径[8];在子宫颈癌症细胞中存在P2X7变体P2X7j,其降低通透性和细胞死亡[9,10,11]。P2Y1、P2Y2和P2Y6受体反过来具有肿瘤进展的作用[12]。这篇综述也有助于理解腺苷,它可以激活T淋巴细胞上的A2A受体,从而促进这些细胞增殖和效应功能的降低
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引用次数: 0
Signet-Ring Cell Carcinoma of the Urinary Bladder: A Review and Update 膀胱标志环细胞癌的研究进展
Pub Date : 2021-06-09 DOI: 10.31579/2640-1053/081
A. Kodzo-Grey Venyo
Signet-ring cell carcinoma of the urinary bladder is an uncommon histopathology variant of carcinoma of urinary bladder which has been stated to account for 0.5% and 2% of primary malignant tumours of the urinary bladder. Signet-ring cell carcinoma of the urinary bladder is stated to either arise from the wall of the urinary bladder or from remnants of the urachus, or signet-ring cell carcinoma of the urinary bladder could also develop as a metastatic tumour that has ensued a primary signet-ring cell carcinoma that had arisen from a number sites of the body some of which include: the stomach, colon, or breast, the appendix and other organs. It has been iterated that the least common type of signet-ring cell carcinoma is primary signet-ring cell carcinoma and that up to 2013 less than 100 cases had been reported. Signet-ring cell carcinoma of the urinary bladder can affect males as well as females, young individuals or adults. Signet-ring cell carcinoma of the urinary bladder could be diagnosed incidentally or it may present with non-specific symptoms that simulate the symptoms of other urinary bladder tumours including: lower urinary tract symptoms, haematuria, abdominal pain / discomfort or loin pain, retention of urine, feeling unwell, or weight loss. Microscopy examination of the tumour whether it was obtained by means of trans-urethral resection or by cystectomy would tend to demonstrate a tumour that is comprised of signet-ring cells that contain peripherally pushed hyperchromatic nuclei, intra-cytoplasmic mucin, as well as lakes of extracellular mucin. The tumour cells could be arranged in lobules, and separated by fibrovascular septae. There tends to be visualization of mitosis as well as evidence of necrosis. The tumour tends to be seen within the underlying stroma and quite often within the detrusor muscle and up to the extra-vesical fat quite often. Immunohistochemistry staining studies of signet-ring cell carcinoma of the urinary bladder would tend to show tumour cells that exhibit positive staining for: Cytokeratin including cytokeratin 7, CAM 5.2, AE1/3, and 34ßE12; Vimentin; Peanut lectin agglutinin; Ulex europaeus agglutinin. In signet ring cell carcinoma of urinary bladder immunohistochemistry staining of the tumour may also show tumour cells that exhibit positive staining for the following tumour markers: CK, CK7, CK20; CDX2; Villin - There could be a small amount of positive staining for Villin. In signet-ring cell carcinoma of the urinary bladder, immunohistochemistry studies of the tumour may demonstrate tumour cells that do exhibit negative staining for the ensuing tumour markers: Vimentin, (this does show therefore that some tumours would stain positive and others would stain negative); GATA3, and P53. To confirm whether a signet-ring cell carcinoma of the urinary bladder is a pure primary tumour or metastatic tumour does require detailed history taking with evidence of previously treated signet-ring cell carcinoma elsewhere
膀胱印戒细胞癌是一种少见的膀胱癌的病理变异,约占膀胱原发性恶性肿瘤的0.5%至2%。膀胱印戒细胞癌要么起源于膀胱壁,要么起源于尿道残余,或者膀胱印戒细胞癌也可能发展为转移性肿瘤,随后发生原发性印戒细胞癌,其中一些部位包括:胃、结肠、乳房、阑尾和其他器官。据证实,最不常见的印戒细胞癌是原发性印戒细胞癌,截至2013年,报告的病例不到100例。膀胱印戒细胞癌既可影响男性,也可影响女性、年轻人或成年人。膀胱印戒细胞癌可能是偶然诊断出来的,也可能表现出类似其他膀胱肿瘤症状的非特异性症状,包括:下尿路症状、血尿、腹痛/不适或腰痛、尿潴留、感觉不适或体重减轻。无论肿瘤是通过尿道切除还是膀胱切除术获得,显微镜检查都倾向于显示肿瘤由印戒细胞组成,印戒细胞含有外周推动的高染核,细胞质内粘蛋白以及细胞外粘蛋白湖。肿瘤细胞呈小叶状排列,由纤维血管隔隔开。可见有丝分裂和坏死的迹象。肿瘤往往出现在下层间质内,经常出现在逼尿肌内,经常出现在膀胱外脂肪内。膀胱印戒细胞癌的免疫组化染色研究倾向于显示:细胞角蛋白呈阳性染色,包括细胞角蛋白7、CAM 5.2、AE1/3和34ßE12;波形蛋白;花生凝集素;欧洲乌耳草凝集素。在膀胱印戒细胞癌中,肿瘤的免疫组化染色也可显示肿瘤细胞对以下肿瘤标志物呈阳性染色:CK、CK7、CK20;CDX2;绒毛蛋白-绒毛蛋白可能有少量阳性染色。在膀胱印戒细胞癌中,肿瘤的免疫组化研究可能会显示肿瘤细胞对随后的肿瘤标记物:Vimentin呈阴性染色(这确实表明一些肿瘤呈阳性染色,而另一些呈阴性染色);GATA3和P53。要确认膀胱印戒细胞癌是纯粹的原发肿瘤还是转移性肿瘤,需要详细的病史和以前治疗过的其他地方的印戒细胞癌的证据,比较肿瘤的病理特征,进行放射成像,包括超声扫描,腹部、骨盆的计算机断层扫描或磁共振成像扫描,以及上消化道内镜和下消化道内镜检查,确定胃肠道内是否有病变,对发现的可疑病变进行活检病理检查,并将病变特征与泌尿道肿瘤进行比较。尽管已经认识到,与传统的尿路上皮癌相比,原发性膀胱印戒细胞癌往往更具侵袭性,分期更高,预后也很差,但对于膀胱印戒细胞癌的治疗尚无一致意见。已采用的治疗方案包括:经尿道肿瘤切除术、单行根治性膀胱切除术或根治性膀胱切除术加辅助治疗,尽管采用根治性膀胱切除术加辅助治疗,但大多数患者仍有死亡倾向。有零星的报告,孤立的病例,良好的短期,中期和长期生存,通常如果肿瘤在早期诊断。早期诊断,积极完全手术切除原发性和转移性印戒细胞癌,并采用适当的联合辅助治疗将提供最佳治疗效果。此外,有一篇轶事报道称,利用多西他赛有效治疗晚期转移性原发性膀胱印戒细胞癌,不需要手术就能破坏肿瘤细胞,这表明一些化疗药物可能足以成功治疗膀胱印戒细胞癌,包括原发性和转移性肿瘤。 因此,有可能探索治疗膀胱印戒细胞癌的新治疗方案,包括适当的化疗加额外的非手术治疗,包括冷冻治疗、放疗、射频消融、不可逆电穿孔、选择性血管造影和化疗药物化学输注肿瘤加免疫治疗。全球需要泌尿科医生、肿瘤学家和药物治疗研究人员确定新的化疗药物,安全有效地摧毁原发性和转移性印戒细胞肿瘤,以改善疾病的预后。应迅速开展一项针对各种积极治疗方案的全球多中心试验。
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引用次数: 0
Complex interaction of adipokines in breast cancer and anti-tumour immunity; a new paradigm for cancer treatment 脂肪因子在乳腺癌症中的复杂相互作用和抗肿瘤免疫;癌症治疗的新范式
Pub Date : 2021-06-09 DOI: 10.31579/2640-1053/077
Peng H Tan, Ming-rui Xie, E. Sfakianakis
Obesity and its related complications have been the pressing disease pandemic affecting the developed world. It is well-established that the direct consequence of obesity in the cardiovascular system resulting in many diseases. However, its implications in carcinogenesis, cancer treatment and one’s anti-tumour immunity are gradually unfolding. To understand how fat cells can affect these, one needs to explore how the fat cell affects epithelial and immune cells. To this end, we explore the way how the adipocytes, via its production of adipokines, influence these cells, resulting in early epithelial cell transformation into cancer cells and influencing anti-tumour immunity once the cancer is established. In order to simplify our discussion, we focus this review on breast cancer. We propose that to have an effective therapy for cancer treatment, we need to intervene at the adipokine interaction with epithelial cells, cancer cells, and immune cells. In this review we also decipher the potential therapeutic targets in controlling carcinogenesis and disease progression.
肥胖及其相关并发症一直是影响发达国家的紧迫疾病流行病。众所周知,肥胖在心血管系统中的直接后果会导致许多疾病。然而,它在致癌作用、癌症治疗和抗肿瘤免疫力方面的作用正在逐渐显现。为了了解脂肪细胞是如何影响这些细胞的,需要探索脂肪细胞如何影响上皮细胞和免疫细胞。为此,我们探索了脂肪细胞如何通过产生脂肪因子影响这些细胞,导致上皮细胞早期转化为癌症细胞,并在癌症建立后影响抗肿瘤免疫。为了简化我们的讨论,我们将这篇综述的重点放在癌症上。我们提出,为了有效治疗癌症,我们需要干预脂肪因子与上皮细胞、癌症细胞和免疫细胞的相互作用。在这篇综述中,我们还破译了控制致癌和疾病进展的潜在治疗靶点。
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引用次数: 0
Prostate cancer presented with de novo brain metastases as initial manifestation: A case report with review of the literature 前列腺癌以新发脑转移为初始表现:1例报告并复习文献
Pub Date : 2021-02-12 DOI: 10.31579/2640-1053/073
K. Tsapakidis
Prostate cancer is the most common cancer and among the leading causes of cancer death in men and its clinical symptoms vary a lot. The most common metastatic site is the bones, but rarely prostate cancer can metastasize to brain in very advanced stages of the disease. However, brain metastases giving neurological symptoms as first manifestation of prostate cancers have been reported. Research of international literature revealed only seventeen patients (including our own) that were diagnosed with prostate cancer presented with neurological symptoms.
前列腺癌症是最常见的癌症,也是导致男性癌症死亡的主要原因之一,其临床症状各不相同。最常见的转移部位是骨骼,但在疾病的晚期,癌症很少会转移到大脑。然而,脑转移引起神经系统症状是前列腺癌的第一表现,已有报道。国际文献研究显示,只有17名被诊断为前列腺癌症的患者(包括我们自己的患者)出现神经系统症状。
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引用次数: 0
Whole-Genome Sequencing to Identify the Genetic Etiology of a Spontaneous Thymoma Mouse Model 全基因组测序鉴定自发性胸腺瘤小鼠模型的遗传病因
Pub Date : 2021-02-12 DOI: 10.31579/2640-1053/075
M. Radovich
Background: A mouse model for thymoma was previously created serendipitously by the random introduction of a transgene consisting of a mouse α-cardiac promoter, a constitutively active human transforming growth factor-β, and a simian virus 40 integration sequence into C3HeB/FeJ mice. Previous data demonstrated that the likely cause of thymomas in the thymoma mouse model was due to insertional mutagenesis by the transgene. At the time, fluorescence in situ hybridization was used to localize the transgene to the short arm of chromosome 2 (Chr2qF2-G region). In this exploratory study, we aimed to identify the exact insertion site of the transgene as this could provide clues to the genetic causation of thymomas in humans. Materials and Methods: To identify the insertion site of the transgene, germline DNA from the thymoma mouse model was sequenced using low-pass, fragment-library, whole genome sequencing. Long-insert mate pair whole genome sequencing was employed to traverse the repetitive regions of the mouse’s genome and identify the integration site. Results: The transgene was found to be integrated into a repetitive area of the mouse genome, specifically on Chr2qF1 within the intron of the FAM227B gene. Tandem integration of the transgene was observed with enumeration of an estimated 30 copies. Initial results suggested that a nearby gene, fibroblast growth factor 7 (Fgf7), could be affected by the gene insertion. Conclusions: Whole genome sequencing of this thymoma mouse model identified the region of tandem integration of a transgene on Chr2qF1 that may have potential translational implications in helping to understand the genomic etiology of thymoma in humans.
背景:先前通过将由小鼠α-心脏启动子、组成型活性人类转化生长因子-β和猴病毒40整合序列组成的转基因随机引入C3HeB/FeJ小鼠中,意外创建了胸腺瘤小鼠模型。先前的数据表明,胸腺瘤小鼠模型中胸腺瘤的可能原因是转基因的插入突变。当时,荧光原位杂交用于将转基因定位到2号染色体的短臂(Chr2qF2-G区域)。在这项探索性研究中,我们旨在确定转基因的确切插入位点,因为这可以为人类胸腺瘤的遗传原因提供线索。材料与方法:采用低通、片段文库、全基因组测序等方法对胸腺瘤小鼠模型种系DNA进行测序,以确定转基因的插入位点。采用长插入配偶对全基因组测序来遍历小鼠基因组的重复区域并确定整合位点。结果:发现转基因整合到小鼠基因组的重复区域,特别是在FAM227B基因内含子内的Chr2qF1上。通过估计30个拷贝的计数观察到转基因的串联整合。初步结果表明,附近的一个基因,成纤维细胞生长因子7(Fgf7),可能受到基因插入的影响。结论:该胸腺瘤小鼠模型的全基因组测序确定了Chr2qF1上一个转基因的串联整合区域,该区域可能具有潜在的翻译意义,有助于了解人类胸腺瘤的基因组病因。
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引用次数: 0
Sphingomonas paucimobilis complicating vaginal fluid cultivation. A rare case 少动鞘氨醇单胞菌合并阴道液培养。罕见病例
Pub Date : 2021-02-12 DOI: 10.31579/2640-1053/071
C. Sofoudis
Sphingomonas paucimobilis represents an aerobic Gram-negative bacillus that is gaining recognition as an important human pathogen. These species are widely distributed in both natural environment and hospitals. They appear as opportunistic pathogen that take advantage of underlying conditions and diseases. Regardless of the clinical significance, pathogenic mechanism varies throughout current bibliography. Aim of our study, reflects presentation of a rare case of an out-patient clinical asymptomatic, with vaginal culture positive for this rare microorganism, S. paucimobilis. Assiduous diagnosis and therapeutic mapping consist necessary conditions of effective treatment.
少动鞘氨单胞菌是一种需氧革兰氏阴性杆菌,是一种重要的人类病原体。这些物种广泛分布于自然环境和医院。它们表现为机会性病原体,利用潜在的条件和疾病。无论临床意义如何,致病机制在目前的文献中各不相同。我们的研究的目的,反映了一个罕见的病例门诊临床无症状,阴道培养阳性的这种罕见的微生物,少动葡萄球菌。勤奋的诊断和治疗制图是有效治疗的必要条件。
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引用次数: 0
Nuliglucaemia Lucidae: Extreme Deprivation of Blood Glucose as Organic Context for Cancer Treatment with Antimetabolites 绿脓杆菌病:极端剥夺血糖作为抗代谢药物治疗癌症的有机背景
Pub Date : 2020-08-07 DOI: 10.31579/2640-1053/068
Prieto Gratacós E, García Oliver P, Alvarez Rp, Redal Ma, Sosa I, Laguzzi M
The present report describes our clinical findings regarding the use of high dose intravenous insulin in cancer patients, as a means to deplete the blood compartment of glucose molecules. The purpose of this intervention is to create a favorable physiological state for the competitive inhibition of several rate-limiting enzymes within cancer cells, with structural analogues that behave as antimetabolites. Regardless of their histological origin, virtually all solid tumors reported on to date (February 2020) are found to be hypercaptant in PET-CT scans following the intravenous injection of 2-¹⁸fluoro-deoxy-D-glucose. Most solid tumors display a hypermetabolic phenotype (SUVmax ≥ 3), with marked overexpression of glucose transporters (GLUTs) in the outer membrane of their anaplastic cells subpopulations. The fact that neoplastic cells also overexpress glycolytic, fermentative and glutaminolytic enzymes up to an order of magnitude relative to healthy cells further strengthens the argument for a competitive inhibition with antimetabolites. The rationale for a deep, systemic deprivation of glucose was suggested by classical enzymological work concerning competitive inhibition (the Woods principle), and our group has shown that a metabolic intervention with structural analogues of glucose and pyruvate is strongly enhanced by a systemic suppression of the natural substrates of hexokinase 2 (HK-2) and lactic dehydrogenase isozyme A (LDH-A), followed by the timely introduction of several non- metabolizable analogues. Sustained, deep hypoglycemia (<10mg/dl) under physiological ketosis provides an advantageous context for antitumor treatment with structural analogues of glucose, pyruvate and glutamine. Data provided in this report demonstrates the feasibility and safety of the procedure.
本报告描述了我们在癌症患者中使用高剂量静脉注射胰岛素作为耗尽葡萄糖分子血液室的一种手段的临床发现。这种干预的目的是创造一种有利的生理状态,对癌症细胞内的几种速率减缓酶进行竞争性抑制,其结构类似物表现为抗代谢物。无论其组织学来源如何,到目前为止(2020年2月)报道的几乎所有实体瘤在静脉注射2-⁸氟脱氧-D-葡萄糖。大多数实体瘤表现出高代谢表型(SUVmax≥3),其间变性细胞亚群的外膜中葡萄糖转运蛋白(GLUT)显著过表达。肿瘤细胞也过表达糖酵解酶、发酵酶和谷氨酰胺水解酶,相对于健康细胞高达一个数量级,这一事实进一步加强了用抗代谢物进行竞争性抑制的论点。关于竞争抑制的经典酶学工作(Woods原理)提出了深层、系统性剥夺葡萄糖的基本原理,我们的研究小组已经表明,通过系统抑制己糖激酶2(HK-2)和乳酸脱氢酶同工酶a(LDH-a)的天然底物,然后及时引入几种不可代谢的类似物,可以大大增强葡萄糖和丙酮酸结构类似物的代谢干预。生理酮症下持续的深度低血糖(<10mg/dl)为葡萄糖、丙酮酸盐和谷氨酰胺的结构类似物的抗肿瘤治疗提供了有利的条件。本报告中提供的数据证明了该程序的可行性和安全性。
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引用次数: 1
Vaping Induced Pathological Changes in the Lung-A Case Report Study 电子烟致肺a型病变病例报告研究
Pub Date : 2020-08-07 DOI: 10.31579/2640-1053/103
Rashmi R Bhuyan, Kumkum Vadera
Vaping associated pulmonary injury (VAPI), a group of respiratory symptoms, sometimes accompanied by non-specific symptoms like generalized fatigue, body ache, fever, nausea, diarrhea, vomiting and chills that has been previously categorized as a diagnosis of exclusion and best described as an exogenous lipoid pneumonia, or chemical pneumonitis. Here we describe the onset of an exogenous cause of lipoid pneumonia in an otherwise healthy patient using cannabis-containing products. We explore, similarities in the clinical case, identify common clinical features, characteristic radiologic findings along with cytological changes in the lungs.
电子烟相关肺损伤(VAPI)是一组呼吸道症状,有时伴有全身疲劳、身体疼痛、发烧、恶心、腹泻、呕吐和发冷等非特异性症状,以前被归类为排除性诊断,最好描述为外源性脂质肺炎或化学性肺炎。在这里,我们描述的发病外源性原因脂质肺炎在其他健康的病人使用含大麻的产品。我们探讨临床病例的相似之处,确定共同的临床特征,特征性的放射学表现以及肺部的细胞学改变。
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引用次数: 1
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Journal of cancer research and cellular therapeutics
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