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Male’s Primary Breast Lymphoma: Rare Entity of Breast Malignancy, Wad Madani Teaching Hospital, Gezira State, Sudan, August 2023 男性原发性乳腺淋巴瘤:乳腺恶性肿瘤的罕见实体,苏丹杰济拉州瓦德马达尼教学医院,2023 年 8 月
Pub Date : 2024-02-27 DOI: 10.11648/j.jctr.20241201.13
Omer Taha Ahmed Elmukashfi, T. Elsheikh, Ahmad Alamin Alshaikh, Afnan Abdelrahman Elsiddig Dafalla, Wala Osman Eltieb Omer, Asma Mohammed Warrag Omer, Osman Elfatih Elheber Omer, Eman Ali Ahmed Mohamed, Osman Merghani Osman Mahmoud
Background: Primary breast lymphoma is a malignant lymphoma primarily involving breast in absence of previously detected lymphoma localizations. Method: A male of forty years old admitted to Department of Surgery; Wad Madani Teaching Hospital; Gezira State; Sudan; complaining of left breast lump for three months. Condition observed as a painful swelling in left breast, increasing gradually in size, associated with continuous high-grade fever, no rigors and relieved by analgesia, no nipple discharges. Had significant weight loss, anorexia, fatigability, back pain, dry cough with no hemoptysis, no history of headache, and no past or family history of similar condition. Examination: patient looks ill, pale, and not jaundiced. Breast examination: Left breast was larger than right one. Left breast: no nipple destruction, nipple was directed downward medially, no skin changes or dimpling, and no ulceration. There was a mass in left upper outer quadrant, measuring 6*7 cm, smooth surface, hard in consistency with well-defined edges, and attached to muscles but not to skin. No palpable axillary lymph nodes. Right breast was normal. Chest and abdominal examination were unremarkable. Investigations: Fine needle aspiration cytology showed poorly differentiated carcinoma. Incisional biopsy revealed: high grade Non-Hodgkins Lymphomas (Diffuse Large B Cell Lymphoma). He was referred to oncological department for neoadjuvant chemoradiotherapy. Conclusion and Recommendation: Primarily breast lymphoma is extremely rare among male, showing features mimicking breast carcinoma. Incisional biopsy was recommended for investigation of breast lump especially among males.
背景:原发性乳腺淋巴瘤是一种恶性淋巴瘤,主要累及乳房,且之前未发现淋巴瘤定位。研究方法:苏丹杰济拉州 Wad Madani 教学医院外科收治一名四十岁男性,主诉左侧乳房肿块三个月。症状表现为左侧乳房肿胀疼痛,肿块逐渐增大,伴有持续高烧,无僵硬感,镇痛后缓解,无乳头溢液。体重明显下降,厌食,乏力,背痛,干咳,无咯血,无头痛病史,既往或家族无类似病史。检查:患者面色不好,苍白,无黄疸。乳房检查:左侧乳房比右侧大。左侧乳房:乳头无破损,乳头朝向内侧下方,皮肤无变化或凹陷,无溃疡。左乳外上象限有一肿块,大小为 6*7 厘米,表面光滑,质地坚硬,边缘清晰,与肌肉相连,但不与皮肤相连。未触及腋窝淋巴结。右侧乳房正常。胸部和腹部检查无异常。检查结果:细针穿刺细胞学检查显示为分化不良癌。切口活检显示:高级别非霍奇金淋巴瘤(弥漫大 B 细胞淋巴瘤)。他被转到肿瘤科接受新辅助放化疗。结论和建议:原发性乳腺淋巴瘤在男性中极为罕见,其特征与乳腺癌相似。建议在检查乳房肿块(尤其是男性)时进行切开活检。
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引用次数: 0
The Accessible Clinical Application Progress of Supine Fixation Technique in Radiotherapy After Breast Conserving Surgery for Early Breast Cancer in China 仰卧位固定技术在中国早期乳腺癌保乳术后放疗中的可及临床应用进展
Pub Date : 2024-02-20 DOI: 10.11648/j.jctr.20241201.12
Xiaolong Cheng, Jiping Liu, Binbing Wang, Long Sun
Radiation therapy (radiotherapy) is one of the important methods for comprehensive treatment of breast cancer. Radiotherapy after breast conserving surgery for early breast cancer can not only achieve local control rate and long-term survival rate similar to total mastectomy, but also meet patients' pursuit of higher quality of life. With the development of intensity modulated radiotherapy (IMRT), volumetric modulated arc therapy (VMAT), helical tomotherapy (HT), and other advanced radiotherapy technique, the consistency of patient position fixation during radiotherapy is the key to ensure the implementation of accurate radiotherapy. Due to the special and high activity of breast organs, there is no unified fixation method for breast conserving postoperative radiotherapy. This article reviews the clinical application and research progress of various accessible supine fixation techniques in early breast cancer postoperative radiotherapy in recent years. This paper analyzes the clinical application method and clinical application effect of various techniques, compares the advantages and disadvantages of each technology. It is found that breast bracket is the most widely used for classical breast cancer radiotherapy. In any fixation technique, it is still a practical problem for the clinic to solve the problem of the normal location of the breast activity and the consistency of the radiation. It is recommended that the position of the supposition fixation technique should be selected according to the patient's BMI, breast size and target area.
放射治疗(放疗)是综合治疗乳腺癌的重要方法之一。早期乳腺癌保乳术后放疗不仅能达到与全乳切除术相似的局部控制率和远期生存率,还能满足患者对更高生活质量的追求。随着调强放疗(IMRT)、容积调强弧形放疗(VMAT)、螺旋断层放疗(HT)等先进放疗技术的发展,放疗过程中患者体位固定的一致性是确保实施精确放疗的关键。由于乳腺器官的特殊性和高活动性,目前尚无统一的保乳术后放疗固定方法。本文综述了近年来各种无障碍仰卧位固定技术在早期乳腺癌术后放疗中的临床应用及研究进展。本文分析了各种技术的临床应用方法和临床应用效果,比较了各种技术的优缺点。研究发现,乳腺支架是经典乳腺癌放疗中应用最广泛的一种。在任何固定技术中,如何解决乳腺活动的正常位置和放射线的一致性问题,仍是临床面临的实际问题。建议应根据患者的体重指数、乳房大小和靶区选择栓塞固定技术的位置。
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引用次数: 0
Prostate Cancer in Patients with Enlarged Prostate, Ibn Sina Hospital, 2020 前列腺增生患者的前列腺癌,伊本-西纳医院,2020 年
Pub Date : 2024-02-01 DOI: 10.11648/jctr.20241201.11
Arwa Salah Aldin Abd Alraheem Ahmed, Mohammed Hammad Jaber Amin
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引用次数: 0
Prostate Cancer in Patients with Enlarged Prostate, Ibn Sina Hospital, 2020 前列腺增生患者的前列腺癌,伊本-西纳医院,2020 年
Pub Date : 2024-02-01 DOI: 10.11648/jctr.20241201.11
Arwa Salah Aldin Abd Alraheem Ahmed, Mohammed Hammad Jaber Amin
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引用次数: 0
Exploring the Awareness Level of Cervical Cancer Concept Among Post-Menopausal Women in Ezinihitte Mbaise, Imo State, Nigeria 探索尼日利亚伊莫州 Ezinihitte Mbaise 绝经后妇女对宫颈癌概念的认识水平
Pub Date : 2023-11-09 DOI: 10.11648/j.jctr.20231104.12
Evangel Chinyere, Anyanwu, Priscilla Chidinma Ogbonna, David Chinaecherem Innocent
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引用次数: 0
Clinical Presentations, Risk Factors and Type of Endometrial Cancer in Relation to Endometrial Thickness in Tumour Therapy and Cancer Research Centre Shendi University 申迪大学肿瘤治疗与癌症研究中心:子宫内膜癌的临床表现、风险因素和类型与子宫内膜厚度的关系
Pub Date : 2023-10-28 DOI: 10.11648/j.jctr.20231104.11
Mawahib Mohammad Mohammad Ahmad Al-Tohami, Dr. Motwakil Imam Awadelkareim Imam, Mohamed Alhag Alobed
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引用次数: 0
Exploring Barriers and Perceptions of Cervical Cancer Screening Among Reproductive Age Rural Women in Sadi Chanka District, Oromia, West Ethiopia: A Qualitative Study

探索埃塞俄比亚西部奥罗米亚州 Sadi Chanka 地区育龄农村妇女对宫颈癌筛查的障碍和看法:定性研究
Pub Date : 2023-10-28 DOI: 10.11648/j.jctr.20231103.12
Ararso Hordofa Guye, Dame Banti Shambi, Tadesse Nigussie, Elsabeth Lagesse, Negasa Shuma Dureso, Efa Bayissa Kanea, Kasim Hansa
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引用次数: 0
Analysis of Related Factors of Venous Thromboembolism in Patients with Ovarian Cancer 卵巢癌患者静脉血栓栓塞相关因素分析
Pub Date : 2023-08-17 DOI: 10.11648/j.jctr.20231102.12
Liyang Hu, Lingling Lin, Zhongqiu Lu
: Objective: To analyze the related factors of venous thromboembolism in patients with ovarian cancer. Methods: A total of 86 patients with ovarian cancer complicated with VTE who were treated in a hospital from January 2021 to December 2022 were selected. The medical records of the patients were collected. The revised Caprini risk assessment scale (version 2013) was used to evaluate the risk level of VTE in patients with ovarian cancer, and the risk factors of VTE in patients with ovarian cancer were analyzed. Results: According to the revised Caprini risk assessment scale, 86 patients were scored, including 23 cases (26.74%) of high risk and 62 cases (72.09%) of extremely high risk. Among 86 patients, 77 cases (89.53%) were epithelial cancer, 75 cases (87.21%) were poorly differentiated cancer, 71 cases (82.56%) were International Federation of Gynecology and Obstetrics (FIGO) stage III-IV, and 28 cases (32.56%) were complicated with ascites. Thrombosis occurred before neoadjuvant chemotherapy in 9 cases (10.47%), during neoadjuvant chemotherapy in 5 cases (5.81%), before surgery in 21 cases (24.42%), during surgery in 1 case (jugular vein thrombosis), and after surgery in 50 cases (58.14%). VTE occurred in 26 patients (30.26%) with central venous catheter implantation and 22 patients (25.58%) with lymph node metastasis. Conclusions: According to the modified Caprini risk assessment scale, high risk and very high risk ovarian cancer patients are at high risk of VTE. The modified Caprini risk assessment scale is helpful for clinical early identification of patients with high risk of VTE. Tumor histological type, tumor grade, tumor staging and surgical treatment are related to the occurrence of VTE in patients with ovarian cancer.
目的:分析卵巢癌患者静脉血栓栓塞的相关因素。方法:选择2021年1月至2022年12月在某医院接受治疗的卵巢癌合并静脉血栓栓塞患者86例。收集了患者的医疗记录。采用修订的卡普里尼风险评估量表(2013版)评价卵巢癌患者静脉血栓栓塞的风险水平,分析卵巢癌患者静脉血栓栓塞的危险因素。结果:按照修订后的capriini风险评估量表评分86例患者,其中高风险23例(26.74%),极高风险62例(72.09%)。86例患者中上皮性癌77例(89.53%),低分化癌75例(87.21%),国际妇产联合会(FIGO) III-IV期71例(82.56%),合并腹水28例(32.56%)。新辅助化疗前9例(10.47%),化疗中5例(5.81%),术前21例(24.42%),术中1例(颈静脉血栓形成),术后50例(58.14%)。中心静脉置管组26例(30.26%)发生静脉血栓栓塞,淋巴结转移组22例(25.58%)发生静脉血栓栓塞。结论:根据改良的capryini风险评估量表,高危和极高危卵巢癌患者发生静脉血栓栓塞的风险较高。改良的卡普里尼风险评估量表有助于临床早期识别静脉血栓栓塞高危患者。卵巢癌患者的肿瘤组织学类型、肿瘤分级、肿瘤分期及手术治疗与静脉血栓栓塞的发生有关。
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引用次数: 0
Correlation Between Symptom Cluster and Quality of Life in Patients with Endometrial Cancer After Operation 子宫内膜癌术后症状群与生活质量的相关性研究
Pub Date : 2023-07-24 DOI: 10.11648/j.jctr.20231102.11
Min Xia, Zhiqin Yin
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引用次数: 0
Surgery and Nutrition. Predetermining Categorical Binomial in the Surgical Treatment of Cancer Patients: Mini Review 手术与营养。癌症患者手术治疗中的分类二项式预判:小型回顾
Pub Date : 2023-06-06 DOI: 10.11648/j.jctr.20231101.12
María de Jesus George Bell, Josefa Bell Castillo, Wilberto George Carrion
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Journal of cancer treatment and research
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