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Liver Metastasis: Current Concepts in Management and Future Perspectives 肝转移:当前管理理念与未来展望
Pub Date : 2023-12-31 DOI: 10.23937/2643-4563/1710053
Sharma Aditya, Meena Ram Niwas, K. Anantha
Liver metastasis can be defined as the seeding of a malignant tumour from other organs affected by cancer. About half of the patients with colorectal cancer develop liver metastases during the progressive course of the disease. Surgery is the only curative treatment for patients with metastatic liver disease, and the five-year survival rate after resection of all detectable liver metastases can be as high as 40%. Unfortunately, only 25% of patients with liver metastases are candidates for liver resection. Regional treatments such as radiofrequency ablation and cryotherapy may be offered to patients with isolated, unresectable metastases but no evidence of extrahepatic disease. Chemotherapy and chemoembolization are often used in patients with liver metastases, but patients with extrahepatic disease are not suitable candidates for regional ablation. For patients with metastatic colorectal cancer beyond the liver, systemic chemotherapy is a better treatment option. Immunotherapy, when used with chemotherapeutic agents, has an additive therapeutic effect. More than half of the patients die of metastatic liver disease. Surgical resection of distant metastases can lead to prolonged survival and cure in a selected group of patients. This article reviews the current concepts along with recent advances and future perspectives in the management of patients with liver metastasis.
肝转移可定义为恶性肿瘤从其他受癌症影响的器官播种。大约一半的结直肠癌患者在疾病进展过程中会出现肝转移。手术是治愈转移性肝病患者的唯一治疗方法,切除所有可检测到的肝转移灶后,五年生存率可高达 40%。遗憾的是,只有 25% 的肝转移患者适合进行肝脏切除。对于孤立、无法切除转移灶但无肝外疾病证据的患者,可采用射频消融和冷冻疗法等区域性治疗。化疗和化疗栓塞通常用于肝转移患者,但肝外疾病患者不适合接受区域消融治疗。对于肝外转移性结直肠癌患者,全身化疗是更好的治疗选择。免疫疗法与化疗药物一起使用时,具有相加的治疗效果。一半以上的患者死于转移性肝病。对远处转移灶进行手术切除可延长部分患者的生存期并使其痊愈。本文回顾了治疗肝转移患者的现有概念、最新进展和未来展望。
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引用次数: 0
RNA m6A Modifications and Cancer RNA m6A修饰与癌症
Pub Date : 2023-12-31 DOI: 10.23937/2643-4563/1710055
Afrasiyab Afrasiyab, Ayaz Sadaf, Peilin Zheng, Shoujun Huang
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引用次数: 0
Dose Variation Profiles of Small Fields with a 10 MV Photon Beam 10毫伏光子束小场剂量变化谱
Pub Date : 2023-06-30 DOI: 10.23937/2643-4563/1710052
Portela Caio Fernando Teixeira, Mourão Arnaldo Prata
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引用次数: 0
Duodenal Metastasis of a Pulmonary Adenocarcinoma: Report of a Case and Review of the Literature 肺腺癌十二指肠转移1例报告并文献复习
Pub Date : 2023-06-30 DOI: 10.23937/2643-4563/1710049
Zaouit Maryam, Guebessii Nisrine Bennani, Oudad Fadwa, Khoaja Ayoub, Aaribi Imane, Hejjane Loubna, B. Nadia, Sahraoui Souha, Benider Abdellatif
Symptomatic gastrointestinal metastases from lung cancer were considered quite rare given their low incidence, especially the duodenal location. In this article, we report a clinical case of a patient followed for a pulmonary adenocarcinoma revealed by a duodenal metastasis. The patient was a 63-year-old female. She was admitted to the oncology department of the Ibn Rochd University Hospital for a low digestive hemorrhage ‘’Melena’’ complicated by acute anemia. Duodenal metastasis from a primary adenocarcinoma of the lung was diagnosed following histopathological examination supplemented by immunohistochemical analysis of biopsies of the duodenal mass taken under gastrointestinal fibroscopy. Post-mortem studies have confirmed that large cell lung carcinoma is significantly associated with gastrointestinal metastases with an incidence ranging from 30% to 75.9%. For this reason, physicians should consider secondary gastrointestinal locations if patients with lung cancer exhibit digestive symptoms and not relate this symptom to side effects of chemotherapy.
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引用次数: 0
Borderline Ovarian Tumors a Five-year Retrospective Clinicopathologic Study of 69 Cases in Egyptian NCI (2013-17) 交界性卵巢肿瘤69例埃及NCI患者5年回顾性临床病理研究(2013- 2017)
Pub Date : 2023-06-30 DOI: 10.23937/2643-4563/1710050
Ali Muhammad Adel, El Zohairy Mohamed Abd El Fattah, Hafez Nesreen Hassan, K. Amr
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引用次数: 0
Two Cases of Primary Leiomyosarcoma of the Vagina: Histomorphologic Presentation with Review of the Literature 两例原发性阴道平滑肌肉瘤的组织形态学表现及文献复习
Pub Date : 2023-06-30 DOI: 10.23937/2643-4563/1710051
FG Mouamba, RG Buambo, L. Mozoma, B. Samba, GC Bizib, K. Mavoungou, B. Senga, JF Peko
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引用次数: 0
Impact of the Covid-19 Pandemic on the Lung Cancer Management Process at the Mohamed VI Center for the Treatment of Cancer in Morocco 新冠肺炎大流行对摩洛哥癌症穆罕默德六世治疗中心癌症管理过程的影响
Pub Date : 2022-12-31 DOI: 10.23937/2643-4563/1710047
S. Panandtigri, N. Benchakroun, El Karim SYLLA Abdou, T. Chekrine, M. Bourhafour, Z. Bouchbika, H. Jouhadi, N. Tawfiq, S. Nani, S. Sahraoui
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引用次数: 0
Impact of Quality of Life on Prognosis of Metastatic Non-Small Cell Lung Cancer: Is It Correlated to the Chemotherapy Regimen Used? 生活质量对转移性非小细胞肺癌癌症预后的影响:与化疗方案有关吗?
Pub Date : 2022-12-31 DOI: 10.23937/2643-4563/1710046
B. Nidhal, Habouria Chaima, M. Hana, Maamar Malak, Bachouch Imen, Chermiti Fatma, Fenniche Soraya
Introduction: Interactions between cancer genesis, sleep quality and patient’s humor engage complex pathophysiological pathways. However, the outcome of various indicators of quality of life (Qol) after chemotherapy in non small cells lung cancer (NSCLC) and also their prognostic impact remain understudied. The objective of this study was to analyze the Qol, sleep quality and anxio-depressive disorder in advanced NSCLC patients put on chemotherapy. We aimed also to demonstrate the correlation between the Qol and overall survival (OS) of the cohort. Methods: In this monocentric prospective study, we included all patients with metastatic NSCLC, put on chemotherapy regimen from January to December 2018. We assessed the Qol, the sleep quality and disturbances of humor through dedicated questionnaires in Arabic Tunisian dialectal version. Concerning the outcome, the study mentioned the response to chemotherapy and the overall survival. The point date was on December 31st 2019. Results: Seventy one male patients were included. Their mean age was 62.17 years. Adenocarcinoma was the most frequent histologic type (58%) and then was squamous cell carcinoma (25%). When analyzing QLQ-C30, we found a significant correlation between the global Qol coefficient and the coefficient of performances, an inversely proportional correlation with the coefficient of symptoms. Analysis of PSQI score had shown a poor sleep quality in 55% of patients after chemotherapy. A depressive humor was detected in 21 patients (30%) and an anxious humor in 24 patients (34%). Twenty six patients (37%) had a tumor regression after 1st line of chemotherapy. Mean OS was 317 days (IC = 95% [292-377], margin of error of 20 days) with extremes from 1.6 months to 21 months. One year survival rate was 44%. Statistical analysis had shown a closely comparable OS in our patients, whatever was the chemotherapy regimen. OS was correlated to Performance Status, response to chemotherapy, good sleep quality and high levels of performance dimensions. Multivariate analysis found poor sleep quality and tumor progression after chemotherapy as independent predictive factors of mortality. Conclusions: Considering our results, we highlight the important decline of Qol in NSCLC patients, affecting several dimensions, whatever was the molecules of chemotherapy used. This decline would be predictive of a poor prognosis.
导读:癌症发生、睡眠质量和患者情绪之间的相互作用涉及复杂的病理生理途径。然而,非小细胞肺癌(NSCLC)化疗后生活质量(Qol)的各种指标的结果及其对预后的影响仍未得到充分研究。本研究的目的是分析晚期NSCLC化疗患者的生活质量、睡眠质量和焦虑抑郁障碍。我们还旨在证明队列的生活质量和总生存期(OS)之间的相关性。方法:在这项单中心前瞻性研究中,我们纳入了2018年1月至12月接受化疗方案的所有转移性非小细胞肺癌患者。我们通过阿拉伯语突尼斯方言版本的专用问卷评估生活质量,睡眠质量和幽默干扰。关于结局,研究提到了对化疗的反应和总生存期。关键日期是2019年12月31日。结果:纳入男性患者71例。他们的平均年龄为62.17岁。腺癌是最常见的组织学类型(58%),其次是鳞状细胞癌(25%)。在分析QLQ-C30时,我们发现总体生活质量系数与绩效系数之间存在显著相关性,与症状系数呈反比相关。PSQI评分分析显示,化疗后55%的患者睡眠质量较差。抑郁幽默21例(30%),焦虑幽默24例(34%)。26例(37%)患者在一线化疗后肿瘤消退。平均OS为317天(IC = 95%[292-377],误差范围为20天),极值为1.6个月至21个月。1年生存率为44%。统计分析显示,无论化疗方案是什么,我们的患者的OS都非常相似。OS与表现状态、化疗反应、良好睡眠质量和高水平表现维度相关。多变量分析发现,化疗后睡眠质量差和肿瘤进展是死亡率的独立预测因素。结论:考虑到我们的结果,我们强调了NSCLC患者生活质量的重要下降,影响了几个维度,无论使用的是哪种化疗分子。这种下降可能预示着预后不良。
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引用次数: 0
Leiomyosarcoma of the Inferior Vena Cava Presenting as a Renal Mass: A Case Report 下腔静脉平滑肌肉瘤表现为肾肿块1例
Pub Date : 2022-12-31 DOI: 10.23937/2643-4563/1710045
Al-Otaibi Hind Saad, A. Mohammed Hassan, Razak Ghaidaa Naser Abdul, Bakiratharajan David, Alanzi Talal Abdulla, Ahmed Tarek Essam Eldin
Leiomyosarcoma (LMS) are rare tumor associated with poor outcomes. Treatment of the condition is challenging due to limited cases in the literature. Here, we present the case of a 46-year-old male who presented with left lower limb deep vein thrombosis, with an ultrasound scan revealing right renal mass. MRI demonstrated a large, well-circumscribed lesion engulfing in the middle and lower right renal poles associated with an invasion of the related part of the IVC, right renal vein and mid-length of the left renal vein. The patient underwent right radical nephrectomy and IVC thrombectomy. Subsequent pathology was consistent with an LMS of the inferior vena cava. We document this case and discuss implications.
平滑肌肉瘤(LMS)是一种罕见的肿瘤,预后较差。由于文献中病例有限,治疗这种疾病具有挑战性。在这里,我们提出的情况下,46岁的男性谁提出了左下肢深静脉血栓形成,与超声扫描显示右肾肿块。MRI显示一个大的,边界清楚的病变吞没了右中下肾极,并伴有侵犯下腔静脉、右肾静脉和左肾静脉中段的相关部分。患者行右侧根治性肾切除术及下腔静脉血栓切除术。随后的病理与下腔静脉的LMS一致。我们记录这个案例并讨论其影响。
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引用次数: 0
Carcinoma Breast: Correlation of Immunohistohemical Expression of Cyclin D1 and Its Correlation with Clinicopathological Parameters in Indian Patients at Tertiary Care Hospital 乳腺癌:Cyclin D1免疫组织化学表达的相关性及其与三级医院印度患者临床病理参数的相关性
Pub Date : 2022-12-31 DOI: 10.23937/2643-4563/1710044
Mehta Ritu, Y. Rashmi
Aim: To study the prevalence of Cyclin D1 expression and its correlation with other clinicopathological parameters like age, tumor size, lymph node status, MBR grade, and expression of other immunohistochemical markers like ER, PR, Her 2 - neu, and Ki67. Material and Methods: Thirty cases diagnosed were included in the study. All the cases were subjected to routine histopathology along with IHC for ER PR, Her2-neu, Ki67, and Cyclin D1. Results: CylinD1 positivity was found in 70% of cases. Our study presented the following distribution of cases Luminal A, N = 6(20%), Luminal B, N = 5(16.7%), Triple-negative, N = 10(33.3%), Normal Like = 7(23.3%), Her2/neu enriched = 2(6.7%). N = 4(40%) of triple-negative molecular subtype were positive for the cyclin D1. Cyclin D1 positivity showed a strong correlation with ER, PR, Her2-neu, and Ki67 status. However, no other significant correlation was found with other factors. Conclusion: This study shows a positive correlation of CyclinD1 with many other prognostic markers like molecular subtype, ER, PR, Her2/neu, and Ki67. With the advent of CD4/6 inhibitors and their potential therapeutic effects in breast carcinoma, Cyclin D1 becomes a potential prognostic IHC marker and can aid in patient management in cases of breast carcinoma. Its association with other established markers and clinicopathological parameters needs to be researched thoroughly.
目的:研究细胞周期蛋白D1的表达率及其与其他临床病理参数的相关性,如年龄、肿瘤大小、淋巴结状态、MBR分级以及其他免疫组织化学标志物如ER、PR、Her 2-neu和Ki67的表达。材料和方法:30例确诊病例纳入研究。所有病例均接受常规组织病理学检查,同时进行ER PR、Her2-neu、Ki67和Cyclin D1的IHC检查。结果:CylinD1阳性率为70%。我们的研究显示,Luminal A,N=6(20%),Lumina B,N=5(16.7%),三阴性,N=10(33.3%),Normal Like=7(23.3%),Her2/neu富集=2(6.7%)。三阴性分子亚型中N=4(40%)的细胞周期蛋白D1呈阳性。Cyclin D1阳性与ER、PR、Her2-neu和Ki67状态密切相关。然而,没有发现与其他因素有其他显著相关性。结论:CyclinD1与许多其他预后标志物如分子亚型、ER、PR、Her2/neu和Ki67呈正相关。随着CD4/6抑制剂的出现及其在乳腺癌中的潜在治疗作用,细胞周期蛋白D1成为一种潜在的预后IHC标志物,并有助于乳腺癌患者的管理。它与其他已确定的标志物和临床病理参数的相关性需要深入研究。
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International journal of oncology research
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