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Ovarian Cystadenocarcinoma with an Osteosarcoma Component 卵巢囊性腺癌伴骨肉瘤成分
Pub Date : 2021-08-16 DOI: 10.31031/nacs.2021.06.000633
S. Sakhri
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引用次数: 0
Review Article: Breast Calcifications on Mammography 综述文章:乳腺钙化的乳房x光检查
Pub Date : 2021-07-26 DOI: 10.31031/nacs.2021.06.000632
Kameswari P
mucin accumulating in the duct, lobular acini or cavities associated with the lesion. These calcifications can appear in low to intermediate grade DCIS or benign conditions such as sclerosing adenosis and ductal hyperplasia. They take a round or hazy/amorphous shape with size of the calcification depending on the size of the duct. Calcifications within the ducts and lobules can also be formed by the calcium deposition within cell debris and Abstract Breast calcifications are the most common finding on mammograms and can show significant morphological variability. With the help of the BIRADS (Breast Imaging Reporting and Data System) lexicon they can be divided into benign and malignant types but there remains overlap between these two categories. Micro calcifications which fall in the ‘suspicious’ category can occur without the presence of an associated mass or architectural distortion. Micro- calcifications are also one of the first features to be seen on mammograms in DCIS (Ductal Carcinoma In Situ ), leading to early diagnosis and prompt treatment. With the advent of newer technologies in imaging, more information regarding the radiological extent of disease and cancer type associated with the calcification can be determined. This review aims to cover the BIRADS fifth edition descriptors and lexicons of breast calcifications on mammography. Calcifications are a common entity on mammograms, with most being benign. With the evolution in mammogram technology and screening programmes, microcalcifications have become easier to detect with reporting of DCIS increasing, thereby reducing patient mortality. With this review paper, we aim to review the imaging descriptors of benign and malignant calcifications seen on mammograms with a pictorial representation and brief literature review.
粘蛋白积聚在导管、小叶腺泡或与病变相关的腔中。这些钙化可出现在中低级别的DCIS或良性疾病中,如硬化性腺病和导管增生。它们呈圆形或模糊/无定形形状,钙化的大小取决于导管的大小。导管和小叶内的钙化也可由细胞碎片内的钙沉积形成。摘要乳腺钙化是乳房X光片上最常见的发现,并可显示出显著的形态学变异。在BIRADS(乳腺成像报告和数据系统)词典的帮助下,它们可以分为良性和恶性类型,但这两类之间仍然存在重叠。属于“可疑”类别的微钙化可以在没有相关肿块或建筑变形的情况下发生。微钙化也是在DCIS(原位导管癌)的乳房X光片上最先发现的特征之一,可以早期诊断和及时治疗。随着新成像技术的出现,可以确定与钙化相关的疾病的放射性程度和癌症类型的更多信息。这篇综述旨在涵盖BIRADS第五版关于乳腺钙化的描述和词汇。钙化是乳房X光片上常见的实体,大多数是良性的。随着乳房X光检查技术和筛查计划的发展,随着DCIS报告的增加,微钙化变得更容易检测,从而降低了患者死亡率。在这篇综述文章中,我们的目的是通过图像表示和简要的文献综述来回顾乳腺X线片上良性和恶性钙化的成像描述符。
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引用次数: 0
A Review of the Potential Preventive Effects of Adiponectin in Major Cancers 脂联素对主要癌症潜在预防作用的综述
Pub Date : 2021-07-09 DOI: 10.31031/nacs.2021.06.000631
Daniel Borsch
A of the Potential Effects of Adiponectin in Major Abstract Adiponectin is a hormone-like cytokine (or adipokine) predominantly secreted from fat cells. Adiponectin has anti-inflammatory properties and inversely correlates with body fat mass, including visceral adiposity. This cytokine is present in different isoforms and may mediate its biological functions mainly through AdipoR1 and AdipoR2 receptors. It is thought that adiponectin has been associated with the pathological processes of diabetes, heart disease, and cancer. In our review of PubMed literature, we found interesting data regarding the effect of adiponectin levels on many types of cancer. Several studies have observed a protective role of adiponectin in some types of cancer. In endometrial, colon, kidney, postmenopausal breast cancer, and leukemia, there appears to be an inverse relationship between adiponectin levels and cancer. Understanding adiponectin’s biological connection with other hormones (e.g., insulin, insulin-like growth factors, leptin), as well as its modulation in pre-neoplastic states and malignancy to exploit its beneficial effects, could reveal potential new strategies for the management of certain types of cancer.
脂联素的潜在作用主要摘要脂联素是一种主要由脂肪细胞分泌的激素样细胞因子(或脂肪因子)。脂联素具有抗炎特性,与身体脂肪量(包括内脏脂肪)呈负相关。这种细胞因子存在于不同的亚型中,并可能主要通过AdipoR1和AdipoR2受体介导其生物学功能。人们认为脂联素与糖尿病、心脏病和癌症的病理过程有关。在我们对PubMed文献的回顾中,我们发现了关于脂联素水平对许多类型癌症的影响的有趣数据。一些研究已经观察到脂联素在某些类型的癌症中的保护作用。在子宫内膜、结肠癌、肾脏、绝经后乳腺癌症和白血病中,脂联素水平与癌症之间似乎呈反比关系。了解脂联素与其他激素(如胰岛素、胰岛素样生长因子、瘦素)的生物学联系,以及其对肿瘤前状态和恶性肿瘤的调节,以利用其有益作用,可以揭示某些类型癌症的潜在新治理策略。
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引用次数: 0
Tumor-Agnostic Indications: Which Direction are We Going? 肿瘤不可知指征:我们该往哪个方向走?
Pub Date : 2021-07-07 DOI: 10.31031/nacs.2021.06.000630
Kessel Boris
The future belongs to technologies. It is certainly true in medicine, but particularly in clinical oncology. Immense improvements and advancements in many fields of medicine have already resulted in overall prolongation of life and improvement in its quality. However, there are still many aggressive, rapidly progressing malignant diseases that are associated with a short median survival time, despite all advances and development of high-resolution technologies, new drugs, and various treatment policies. In this work, we want to present, describe, and discuss the most promising, molecular advances in cancer research in our opinion that we believe would soon change the face of modern oncology.
未来属于科技。这在医学上当然是正确的,但在临床肿瘤学中尤其如此。许多医学领域的巨大改进和进步已经导致了生命的全面延长和生命质量的提高。然而,尽管高分辨率技术、新药和各种治疗政策取得了进步和发展,但仍有许多侵袭性、进展迅速的恶性疾病与中位生存时间短有关。在这项工作中,我们希望展示、描述和讨论在我们看来最有前途的癌症研究分子进展,我们相信这些进展将很快改变现代肿瘤学的面貌。
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引用次数: 0
Circulating DNA in Serum as a Tumor Marker in Precancerous Lesions of the Cervix in Mexican Women 血清循环DNA作为墨西哥妇女宫颈癌前病变的肿瘤标志物
Pub Date : 2021-07-06 DOI: 10.31031/nacs.2021.06.000629
Alcántara-Quintana Luz Eugenia
Introduction: Cervical cancer is the fourth leading cause of death in the world. This poor prognosis is due to the fact that in two out of three cases the disease is diagnosed in advanced stages. Consequently, advances in detection methods can lead to early diagnosis of the disease and consequently to an improved prognosis. Methods based on serum-based tumor markers are a promising tool for early diagnosis and in general for biochemical screening of cancer patients. They also offer the added value of being non-invasive methods. Evidence has been found for the release of cellular DNA into the blood, so its quantification has the potential to serve as a tumor marker. If this DNA is detected in serum, it can reflect tumor size, viral load and response to treatment. Objective: To determine the amount of circulating DNA in serum of patients with precancerous lesions. Methods: The study was carried out with 40 healthy women and 120 women with precancerous lesions, who attended gynecological-obstetric care. Of the 120, 60 had low-grade lesions and 60 had high-grade lesions. All participants had a blood sample taken for determination of circulating DNA in serum. Specific oligonucleotides were used to determine not only the amount of circulating DNA in the patient, but also the amount of viral DNA. Papillomavirus detection/genotyping was performed by qPCR. One third of the patients showed at least one high-risk genotype. Conclusion: In this study, differential quantification of both patient and viral circulating DNA was observed.
简介:癌症是世界第四大死亡原因。这种不良预后是由于三分之二的病例被诊断为晚期。因此,检测方法的进步可以导致疾病的早期诊断,从而改善预后。基于血清的肿瘤标志物的方法是癌症患者早期诊断和生化筛查的一种很有前途的工具。它们还提供了非侵入性方法的附加值。已经发现细胞DNA释放到血液中的证据,因此其定量具有作为肿瘤标志物的潜力。如果在血清中检测到这种DNA,它可以反映肿瘤的大小、病毒载量和对治疗的反应。目的:测定癌前病变患者血清循环DNA含量。方法:对40名健康女性和120名接受妇科产科护理的癌前病变女性进行研究。在120例中,60例为低度病变,60例有高度病变。所有参与者都采集了血样以测定血清中的循环DNA。特异性寡核苷酸不仅用于测定患者体内循环DNA的量,还用于测定病毒DNA的量。通过qPCR进行乳头瘤病毒检测/基因分型。三分之一的患者显示出至少一种高危基因型。结论:在本研究中,观察到患者和病毒循环DNA的差异定量。
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引用次数: 0
Multimodal Approach in Histiocytic and Dendritic Cell Neoplasms 组织细胞和树突状细胞肿瘤的多模式治疗
Pub Date : 2021-06-29 DOI: 10.31031/nacs.2021.06.000628
Wehrmann S
Histiocytic and dendritic cell neoplasms are rare but extremely aggressive tumors that represent less than 1% of all neoplasms arising in lymph nodes or soft tissues. Often the tumor is detected lately, and diagnosis is challenging both for pathologists and for clinicians. Based on the multiplicity of resembling tumors a final diagnosis is often difficult to find. Furthermore, structured therapy algorithms do not exist. Here we show our experience in diagnostics and treatment of these tumors.
组织细胞和树突状细胞肿瘤是罕见但极具侵袭性的肿瘤,在淋巴结或软组织中发生的所有肿瘤中占不到1%。通常肿瘤是最近才发现的,诊断对病理学家和临床医生都具有挑战性。基于相似肿瘤的多样性,最终诊断往往很难找到。此外,结构化的治疗算法并不存在。在这里,我们展示我们在诊断和治疗这些肿瘤方面的经验。
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引用次数: 0
Psycho-Education Intervantion Program Among Women with Breast Cancer 癌症妇女的心理教育间隔计划
Pub Date : 2021-06-24 DOI: 10.31031/nacs.2021.06.000627
Murad Abdul Raheem Younis
Women with breast cancer face challenges in different aspects of their lives, as the drastic changes in their psychological needs can be distressful. With the intention of helping these women to cope after the diagnosis, there has been an emphasis in providing psychological support and interventions to enhance Quality of Life (QOL) and survival rate. It is imperative to investigate the psychological and psychosocial factors interrupting the quality of life and wellbeing in female cancer patients with the intention of providing them with proper treatment and therapeutic intervention. Psycho-education is a form of therapeutic intervention for patients and their families. One of the most operative psycho-social approaches to cancer patients is psycho-education Dastan [1], Younis et al. [2]. Psycho-education is important as it is a process that provides education and information to individuals who seek or receive mental health services, such as individuals that are seriously or terminally ill and also their family members. The program normally includes health education, stress management, coping skills, and psychological support.
患有癌症的女性在生活的各个方面都面临着挑战,因为她们心理需求的急剧变化可能令人痛苦。为了帮助这些妇女在确诊后应对,重点是提供心理支持和干预措施,以提高生活质量和生存率。必须调查影响癌症女性患者生活质量和幸福感的心理和社会心理因素,以便为她们提供适当的治疗和治疗干预。心理教育是对患者及其家属进行治疗干预的一种形式。对癌症患者最有效的心理社会方法之一是心理教育Dastan[1],Younis等人[2]。心理教育很重要,因为它是一个为寻求或接受心理健康服务的个人,如重病或绝症患者及其家庭成员提供教育和信息的过程。该项目通常包括健康教育、压力管理、应对技巧和心理支持。
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引用次数: 0
Comparison Between VMAT and IMRT in Remaining Volume at Risk for Large Volume Head and Neck Cancer Patients 大容量头颈部癌症患者VMAT和IMRT的剩余风险容量比较
Pub Date : 2021-06-18 DOI: 10.31031/nacs.2021.06.000626
D. Ali
Radiation therapy for advanced head and neck cancer has developed from the Three-Dimensional Conformal Radiotherapy 3DCRT to intensity modulated radiation therapy IMRT and Volumetric Modulated Arc Therapy VMAT. Remaining Volume at Risk RVR is clinically important in plan evaluating process. RVR is useful for assisting and estimating the risk of late effects. Aim: The aim of the present work is to compare dosimetric evaluation factors and dosimetric data remaining volume at risk for both IMRT and VMAT in the treatment of large volume head and neck cancer patients. methods: Eleven retrospective patients with advanced head and neck tumors were selected for the planning study. The patients’ treatments are planned by using the two different techniques (IMRT and VMAT) and optimized to evaluate highly conformal target coverage and sparing organs at risk OAR. Standard fractionation is 33 fractions with 5 fractions weekly, the prescribed doses 70Gy, 59.4Gy and 54Gy for the high, intermediate, and low risk targets by simultaneous integrated boost. Results: The study showed that VMAT and IMRT are comparable in target volumes homogeneity index HI, while VMAT is more superior (0.76, 44.4and 589) and (0.68, 55.6 and 1989) in conformity number CN, gradient index GI and Monitor Units (MU), respectively. Furthermore, VMAT has an advantage over IMRT in RVR volumes that received 15Gy, 10Gy and 5Gy, which are (4327, 5281 and 6703cc) and a 1019cGy mean dose in the VMAT technique, while in IMRT are (4435, 5311 and 6543cc) and a 1051cGy mean dose. Conclusion: The results of comparing dosimetric evaluation factors of both techniques showed that VMAT had a priority over IMRT in 3 factors of RVR evaluation parameters. Additionally, to other comparison points, especially the time on the machine, makes VMAT a first choice in the treatment plan selection.
晚期癌症的放射治疗已经从三维适形放射治疗3DCRT发展到强度调制放射治疗IMRT和体积调制电弧治疗VMAT。剩余风险容量RVR在计划评估过程中具有重要的临床意义。RVR有助于协助和估计后期影响的风险。目的:本工作的目的是比较IMRT和VMAT在治疗大容量头颈部癌症患者中的剂量评估因素和剩余风险剂量数据。方法:选择11例晚期头颈部肿瘤患者进行计划性研究。通过使用两种不同的技术(IMRT和VMAT)来计划患者的治疗,并对其进行优化,以评估高度共形的目标覆盖率和保留有OAR风险的器官。标准分级为33个部分,每周5个部分,通过同时综合增强,高、中、低风险目标的规定剂量分别为70Gy、59.4Gy和54Gy。结果:研究表明,VMAT和IMRT在目标体积同质性指数HI方面具有可比性,而VMAT在一致性数CN、梯度指数GI和监测单位(MU)方面分别更优(0.76、44.4和589)和(0.68、55.6和1989)。此外,VMAT在接受15Gy、10Gy和5Gy的RVR体积方面比IMRT具有优势,在VMAT技术中,RVR体积为(4327、5281和6703cc)和1019cGy的平均剂量,而在IMRT中,VMAT体积为(4435、5311和6543cc),平均剂量为1051cGy。结论:两种技术的剂量评估因素比较结果表明,在RVR评估参数的3个因素中,VMAT优先于IMRT。此外,对于其他比较点,特别是在机器上的时间,使VMAT成为治疗计划选择的首选。
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引用次数: 0
Is an Ancient Genome Repair Mechanism the Trojan Horse of Cancer? 古老的基因组修复机制是癌症的特洛伊木马吗?
Pub Date : 2021-06-14 DOI: 10.31031/nacs.2021.05.000625
V. Niculescu
In the last decade, more and more researchers believe that cancer is caused by a progressive weakening of a multicellular cell, leading to a loss of function and a switch to a unicellular life cycle. Lineweaver et al. [1] consider cancer as “a dysregulation and degeneration of recently evolved genes and the upregulation of complementary ancient genes.” This also applies to DNA repair genes. Multicellular cells have differentially dysfunctional DNA repair systems [2]; second, more evolved repair genes (evolutionary younger genes) become dysfunctional more rapidly than older genes. Also of particular interest is the consideration by Lineweaver et al. [1] that cancer “can only revert to phenotypes compatible with cellular survival in a human” [3]. This fits with the analogy described between the dual cell systems of cancer and intestinal parasitic amoebae [4-9].
在过去的十年里,越来越多的研究人员认为,癌症是由多细胞细胞的逐渐弱化引起的,导致功能丧失并转变为单细胞生命周期。Lineweaver等人[1]认为癌症是“最近进化的基因的失调和变性以及互补古老基因的上调。”这也适用于DNA修复基因。多细胞细胞具有不同功能失调的DNA修复系统[2];其次,更进化的修复基因(进化中的年轻基因)比老年基因更快地变得功能失调。Lineweaver等人[1]认为癌症“只能恢复到与人类细胞存活兼容的表型”[3],这也是特别令人感兴趣的。这符合癌症和肠道寄生变形虫的双细胞系统之间的相似性[4-9]。
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引用次数: 2
Many Roles of Transcriptional Factor Brachyury 转录因子Brachyury的多种作用
Pub Date : 2021-05-25 DOI: 10.31031/nacs.2021.05.000624
Jun Shen
Brachyury is essential to maintain notochord cell fate and function [1]. Chordoma is a rare malignant tumor originated from notochordal cell rests. Chordoma patients with higher Brachyury expression showed significantly shorter progression-free survival. Brachyury was suggested as a prognostic biomarker in chordoma. Further Brachyury was found to promote chordoma cell growth via PI3K/Akt signaling [2]. The origin of intervertebral disc cells is always considered to be associated with notochord cells. Brachyury was found to have the capability of reprogramming degenerative human intervertebral disc cells to a healthy phenotype [3]. Our research has also found that Brachyury can protect the intervertebral disc cells from degeneration.
神经鞘对维持脊索细胞的命运和功能至关重要。脊索瘤是一种罕见的起源于脊索细胞的恶性肿瘤。高Brachyury表达的脊索瘤患者的无进展生存期明显缩短。Brachyury被认为是脊索瘤的预后生物标志物。进一步发现Brachyury通过PI3K/Akt信号通路[2]促进脊索瘤细胞生长。椎间盘细胞的起源一直被认为与脊索细胞有关。Brachyury被发现具有将退行性人类椎间盘细胞重编程为健康表型[3]的能力。我们的研究还发现,Brachyury可以保护椎间盘细胞免于退变。
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引用次数: 0
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Novel approaches in cancer study
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