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A Case Report: Traditional Chinese Medicine Treatment in the Management of Exudative Infiltration Related to post-Cryoablation for Multiple Pulmonary Nodules 多发性肺结节冷冻消融后渗出性浸润的中医治疗1例
Pub Date : 2021-03-16 DOI: 10.31031/nacs.2021.05.000623
Xiaomei Zhang
Percutaneous cryoablation is becoming a preferred option as one of the minimally invasive procedures in the management of tumor related cases due to its clearer visual field, promising anesthetic effect, perseverance of collagenous architecture as parts of its many advantages. In this case, a patient who was diagnosed with multiple pulmonary nodules with a high probability of malignancy, underwent this thermal ablative procedure. Lesions at the ablated zones viewed during the procedure are generally self-limiting, however, in our case ablated lesions which were marked by exudative infilitration and poor tissue healing persisted for over six months. The application of traditional Chinese medicine herbal treatment in this case was proven effective in managing such lesions, as well as its related signs and symptoms.
经皮冷冻消融作为肿瘤相关病例的微创手术之一,由于其视野更清晰、麻醉效果良好、胶原结构的持久性等诸多优点,正成为首选。在这种情况下,一名被诊断为多发性肺结节的患者接受了这种热消融手术。手术过程中观察到的消融区病变通常是自限性的,然而,在我们的病例中,以渗出性浸润和组织愈合不良为标志的消融病变持续了六个多月。在本病例中应用中药治疗已被证明对治疗此类病变及其相关体征和症状有效。
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引用次数: 0
How to Modulate the Immunoinflammatory Biological Response in Cancer, Autoimmunity and Viral Infections by a Psychoneuroimmune Approach 如何通过心理神经免疫方法调节癌症、自身免疫和病毒感染的免疫炎症生物学反应
Pub Date : 2021-02-11 DOI: 10.31031/nacs.2021.05.000622
P. Lissoni
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引用次数: 0
Analysis of Thrombosis Risk Stratification Models Based on 10 Years Follow up of 237 Essential Thrombocythemia Patients 237例原发性血小板增多症患者10年随访的血栓风险分层模型分析
Pub Date : 2021-01-22 DOI: 10.37421/2165-7831.2021.11.251
Á. Kellner, Vasana S Kellner, P. Rajnics, E. Karadi, Á. Illés, M. Udvardy, L. Homor, P. Dombi, J. Herczeg, Zoltán Sipiczki, Korom Viktória Győriné, M. Egyed
Objective: In our study we analysed thromboembolic (TE) events of ET patients using data from the Hungarian Myeloproliferative Neoplasm (HUMYPRON) registry. We examined possible thrombosis risk factors and compared Landolfi-, IPSET- and R-IPSET risk stratification models. Methods: The HUMYPRON registry was established in 2012 and contains data of patients from 14 Hungarian haematology centres. We analysed clinical and laboratory data of 237 ET (according to 2008 WHO classification) patients to assess possible risk factors of post-diagnostic TE events and to study the applicability of Landolfi-, IPSET- and R-IPSET thrombosis risk stratifications.  Results: 237 ET patients were followed for median 10 years. After diagnosis 76 patients (32.1%) had TE complication. Previous thrombotic episode was found to be the only factor that had significant effect on TE events after diagnosis (p<0.001). On our sample R-IPSET proved to be the strongest model, where the frequency of TE events was 14.3% in the very low and 46% in the high risk patient group.  Conclusions: During the follow-up period of median 10 years, prior TE event was the only factor that had highly significant effect on post-diagnostic thrombosis. Among the risk stratification systems R-IPSET model proved to be the strongest. Keywords: Essential Thrombocythemia | Thrombosis | Humypron Registry | Risk Factors | Thrombosis Risk Models
目的:在我们的研究中,我们使用匈牙利骨髓增生性肿瘤登记处的数据分析了ET患者的血栓栓塞(TE)事件。我们检查了可能的血栓形成风险因素,并比较了Landolfi、IPSET和R-IPSET风险分层模型。方法:HUYPRON注册中心成立于2012年,包含来自14个匈牙利血液学中心的患者数据。我们分析了237名ET(根据2008年世界卫生组织分类)患者的临床和实验室数据,以评估诊断后TE事件的可能风险因素,并研究Landolfi、IPSET和R-IPSET血栓形成风险分层的适用性。结果:237例ET患者平均随访10年。诊断为TE并发症76例(32.1%)。先前的血栓事件被发现是诊断后对TE事件有显著影响的唯一因素(p<0.001)。在我们的样本中,R-IPSET被证明是最强的模型,其中TE事件的频率在极低风险患者组为14.3%,在高危患者组为46%。结论:在中位10年的随访期内,既往TE事件是唯一对诊断后血栓形成有高度显著影响的因素。在风险分层系统中,R-IPSET模型被证明是最强的。关键词:原发性血小板增多症|血栓形成| Humypron登记处|危险因素|血栓形成风险模型
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引用次数: 0
Neuroblastom of the Bone Marrow in Young Adult Male Without Identifiable Primary 未确定原发性的年轻成年男性骨髓神经母细胞瘤
Pub Date : 2020-12-15 DOI: 10.31031/nacs.2020.05.000619
B. K. Abdullah, Zainab Basil Kadhim, Ghada Basil Kadhim, Zena Jameeel Ahmed
Neuroblastoma is the most common malignancy in infancy and the third most common cancer in pediatric, following the acute leukemia and central nervous system tumor, constituting approximately 7-10% of pediatric malignancy. Most of the patients (approximately 90%) diagnosed before the age of 5 years, with peak incidence at the age of two years. However, the incidence of neuroblastoma decreasing with age and less than 5% from all cases diagnosed after the age of 10 years, its occurrence is rare during adulthood (one per 10 million cancer diagnoses per year). In addition, neuroblastoma is very rarely presented with Bone marrow involvement without identifiable primary site. We reported a young adult male patient with advanced neuroblastoma at the age of 21 with solely Bone marrow involvement without radiological identifiable primary tumor site who was died before starting him on chemotherapy treatment because of severe febrile neutropenia.
神经母细胞瘤是婴儿期最常见的恶性肿瘤,也是儿科第三常见的癌症,仅次于急性白血病和中枢神经系统肿瘤,约占儿科恶性肿瘤的7-10%。大多数患者(约90%)在5岁之前确诊,发病率在两岁时达到峰值。然而,神经母细胞瘤的发病率随着年龄的增长而下降,在10岁后诊断的所有病例中不到5%,其在成年期的发病率很低(每年每1000万癌症诊断中就有一例)。此外,神经母细胞瘤很少表现为骨髓受累而没有可识别的原发部位。我们报告了一名21岁的年轻成年男性晚期神经母细胞瘤患者,仅骨髓受累,无放射学可识别的原发肿瘤部位,他在开始化疗前死于严重的发热性中性粒细胞减少症。
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引用次数: 0
Therapeutic Effects of Black Tea on Micronuclei (Oral Cancer Biomarker) Induced by Betel Quid: A Mini Review 红茶对槟榔液诱导的口腔癌生物标志物微核的治疗作用综述
Pub Date : 2020-12-15 DOI: 10.31031/nacs.2020.05.000620
Aniket Adhikari
Tea considered as a mental stimulant, mood elevator and also advocated for oral cancer, is a national drink has been used in India. Consumption of black tea for the chemo preventive action has been shown to exert a protective effect against oral cancer [1]. The major polyphenol components of black tea (the fermented product) are theaflavins (1-3% dry weight) and thearubigins (10-40% dry weight). A study suggests that black-tea derived polyphenols also showed one of the chemo-preventive properties shown by green tea polyphenols.
茶被认为是一种精神兴奋剂、情绪提升剂,也被提倡用于治疗口腔癌症,是印度的一种国民饮料。食用红茶进行化学预防作用已被证明对口腔癌症具有保护作用[1]。红茶(发酵产物)的主要多酚成分是茶黄素(1-3%干重)和茶红素(10-40%干重)。一项研究表明,红茶衍生的多酚也表现出绿茶多酚所表现出的化学预防特性之一。
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引用次数: 0
Impact of Cancer Diagnosis on Emotional Well Being and Quality of Life on Lgbt Population in India and Across Europe; A Report Drawn on the Bases on Experience and Birds Eye View of a Psycho-Oncologist 癌症诊断对印度和欧洲Lgbt人群情绪健康和生活质量的影响一位心理肿瘤学家的经验和鸟瞰报告
Pub Date : 2020-12-08 DOI: 10.31031/nacs.2020.05.000618
Irfan M Lone
In order to draw significant comparisons between the disparities in dealing with LGBT cancer patients in East and West, it becomes extremely essential for us, as clinicians and health care providers to understand the bigger picture of the LGBT Community in general. As we all know that in India we still have not been able to reach a point where all the people are accepted unconditionally; and when it comes to sexual orientation, we still face old taboos, socio-cultural and religious pressures, prejudice, and judgments in general. Moreover, while dealing with clients belonging to the LGBT community, clinicians also doesn’t have it easy. In India, we still do not approve same-sex marriages and the rights of the LGBT community are still not fully recognized, which puts this group on the lines of extreme vulnerability, both emotional and otherwise. On the other hand, the acceptance from family and friends, the government, and the general public and endless fear of ending up alone all life, makes things worse. However, thankfully the younger generation in India seems to be more accepting, possibly due to the social media explosion from last decade, or possibly due to easy access to worldwide web, mobile phones, and so on, and therefore, cultural and ideological exchanges with “online friends” abroad and also to some extent due to changing norms in Indian cinema.
为了对东西方处理LGBT癌症患者的差异进行显著比较,作为临床医生和医疗保健提供者,我们非常有必要了解LGBT社区的总体情况。众所周知,在印度,我们仍然未能达到无条件接受所有人民的地步;当谈到性取向时,我们仍然面临着古老的禁忌、社会文化和宗教压力、偏见和普遍的判断。此外,在与LGBT社区的客户打交道时,临床医生也不容易。在印度,我们仍然不批准同性婚姻,LGBT群体的权利仍然没有得到充分承认,这使这个群体在情感和其他方面都处于极端脆弱的境地。另一方面,家人、朋友、政府和公众的接受,以及对一辈子孤独终老的无尽恐惧,让事情变得更糟。然而,值得庆幸的是,印度的年轻一代似乎更容易接受,可能是因为过去十年社交媒体的爆炸,也可能是因为可以轻松访问万维网、手机等,因此,与国外“网友”的文化和意识形态交流,在某种程度上也因为印度电影规范的变化。
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引用次数: 0
The Malleable Mesenchyme- Elastofibroma 可延展性间充质-弹性纤维瘤
Pub Date : 2020-11-20 DOI: 10.31031/nacs.2020.05.000617
A. Bajaji
Elastofibroma dorsi is an uncommon, benign, subcutaneous, poorly circumscribed, nodular, preponderantly subscapular soft tissue neoplasm representing as a pseudo-tumour or a tumour-like lesion. The neoplasm is essentially composed of collagen and coarse, enlarged elastic fibres. Additionally, nomenclated as elastofibroma dorsi, the tumefaction can be contemplated as a reactive, mesenchymal hyperplasia with aberrant elastogenesis. Elastofibroma characteristically demonstrates elastic fibres intermixed with collagenous stroma and mature adipose tissue. Jarvi et al. [1] initially described the neoplasm in 1959 at the 12th congress of Scandinavian Pathologists. The condition was subsequently published in 1961 [1]. With anomalous imaging manifestations or doubtful tumour discernment, close monitoring, pertinent imaging or evaluation of cogent tissue specimen is recommended.
背部弹力纤维瘤是一种罕见的良性皮下、边界不清、结节性、主要是肩胛下软组织肿瘤,表现为假肿瘤或肿瘤样病变。肿瘤主要由胶原蛋白和粗大的弹性纤维组成。此外,被命名为背部弹性纤维瘤,肿胀可以被认为是一种具有异常弹性发生的反应性间充质增生。弹力纤维瘤的特征是弹性纤维与胶原基质和成熟脂肪组织混合。Jarvi等人[1]在1959年斯堪的纳维亚病理学家第12届大会上首次描述了这种肿瘤。该条件随后于1961年发表[1]。对于异常的影像学表现或可疑的肿瘤识别,建议密切监测、相关的影像学或评估有说服力的组织标本。
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引用次数: 0
Emerging Paradigm-Shifting in Cancer Immunotherapeutic Towards Personalized Cancer Medicine and Potential Challenges 癌症免疫治疗向个性化癌症医学的新范式转变及其潜在挑战
Pub Date : 2020-11-13 DOI: 10.31031/nacs.2020.05.000616
B. Sharma
Recently invented several cancer immunotherapies that have succeeded with a diversity of new agents for clinical use. As such, notable progress immensely facilitated the designing of numerous effective immunotherapeutic regimens. Therapeutic vaccines and immune checkpoint blockade have lately demonstrated an enormous therapeutic efficacy thus generated great excitement for the development of new avenues on cancer treatments. Immunotherapies are highly potential to generate tumor-specific responses, as well as maintaining long-lasting remissions, unraveling vital approaches for future discoveries of cancer medicine. Next-generation cancer immunotherapies engaged with native mono-bi-specific antibodies are intended to target at innate immune checkpoints, conditional designing activated immune stimulator, redirecting Innate Cell Engagers (ICEs). Similarly, Natural killer cells are engineered for multi-specific immune targeting utilizing adaptable affinities and avidities, redirecting innate immune cells (dendritic, macrophages & NK cells). Oncolytic adenovirus-mediated targeting to alter cold tumors into hot including challenging tumor heterogeneity via interfering tumor sub-clonality are attractive projections to develop several novels immune-oncologic therapeutics towards personalized cancer medicine.
最近发明了几种癌症免疫疗法,并成功地开发了多种新的药物用于临床。因此,显著的进展极大地促进了许多有效免疫治疗方案的设计。治疗性疫苗和免疫检查点阻断最近显示出巨大的治疗效果,因此为癌症治疗新途径的开发带来了巨大的兴奋。免疫疗法极有可能产生肿瘤特异性反应,并保持长期缓解,为癌症医学的未来发现揭示重要方法。下一代癌症免疫疗法与天然单双特异性抗体相结合,旨在靶向先天免疫检查点,有条件地设计激活的免疫刺激物,重定向先天细胞参与物(ICEs)。类似地,自然杀伤细胞被设计用于利用适应性亲和力和亲和力的多特异性免疫靶向,重定向先天免疫细胞(树突状细胞、巨噬细胞和NK细胞)。溶瘤腺病毒介导的靶向将冷肿瘤变为热肿瘤,包括通过干扰肿瘤亚克隆性挑战肿瘤异质性,是开发几种针对个性化癌症药物的新型免疫肿瘤疗法的有吸引力的预测。
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引用次数: 0
Is Cancer Cell Reversion to Normalcy Possible? Un Update 癌细胞有可能恢复正常吗?联合国的更新
Pub Date : 2020-11-02 DOI: 10.31031/NACS.2020.05.000614
V. Niculescu
Molecular biological investigations of the last decade have not been able to definitively determine the source of oncogenic transformation [1]. In recent years, the theory of carcinogenesis by CSCs has become increasingly plausible [2], but where do the CSCs come from? So far, the origin of CSCs has been obscure and controversial [3]. At first, CSCs and normal human stem cells hSCs seem to be strongly related. They have both the capacity for self-renewal and multilineage differentiation. Accordingly, CSCs were thought to originate from normal stem cell mutants, progenitor cell mutants or transiently amplifying cells of unregulated self-renewal ability [4]. Other researchers thought that CSCs originated from adult cells by de-differentiation [5-7] or by de-differentiation of mutated cells that create stem cell-like characteristics. In other words, a fully differentiated cell undergoes mutations or extracellular signals that drive it back to a stem-like state(a). Even today, the origin of CSCs is vague and ambiguous.
过去十年的分子生物学研究未能确定致癌转化的来源[1]。近年来,CSCs致癌的理论越来越可信[2],但CSCs来自哪里?到目前为止,CSC的起源一直是模糊和有争议的[3]。起初,CSCs和正常人干细胞hSCs似乎有很强的相关性。它们具有自我更新和多系分化的能力。因此,CSC被认为起源于正常干细胞突变体、祖细胞突变体或具有不受调节的自我更新能力的瞬时扩增细胞[4]。其他研究人员认为CSC通过去分化[5-7]或通过产生干细胞样特征的突变细胞的去分化起源于成体细胞。换句话说,一个完全分化的细胞经历突变或细胞外信号,将其驱动回干细胞样状态(a)。即使在今天,CSC的起源仍然模糊不清。
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引用次数: 2
Some Aspects of the Problem of Progressive Development of Clinical Immunology 临床免疫学渐进式发展问题的几个方面
Pub Date : 2020-11-02 DOI: 10.31031/NACS.2020.05.000613
Zemskov Vm, Neymann, Pronko Kn, Zemskov Am
It should be noted that the situation of progressive development of clinical immunology is currently quite complex and contradictory. The reason is the establishment of a new, fourth mechanism for the development of almost any, especially chronic diseases, i.e. immune disorders (deficiency states, auto aggressive reactions, hypersensitivity), as factors of their severity, as well as the formation of the necessary attributes of a new medical discipline, since the corresponding specialty has been approved, a network of medical institutions, scientific journals has been created, the production of a wide range of immunotropic drugs has been established, etc.).
应当看到,目前临床免疫学的渐进式发展形势十分复杂和矛盾。其原因是建立了一种新的第四种机制,将几乎所有疾病,特别是慢性病,即免疫失调(缺乏症、自身侵袭性反应、超敏反应)的发展作为其严重程度的因素,并形成了一种新的医学学科的必要属性,因为相应的专业已经获得批准,医疗机构网络已经建立,科学期刊已经创建,已经建立了生产范围广泛的免疫药物等)。
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引用次数: 0
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Novel approaches in cancer study
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