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Overview of skin cancer types and prevalence rates across continents 各大洲皮肤癌类型和发病率概览
Pub Date : 2025-03-01 DOI: 10.1016/j.cpt.2024.08.002
Amdad Hossain Roky , Mohammed Murshedul Islam , Abu Mohammed Fuad Ahasan , Md Saqline Mostaq , Md Zihad Mahmud , Mohammad Nurul Amin , Md Ashiq Mahmud
Skin cancer is one of the most prevalent cancers in the world, and its incidence and mortality rates are increasing continuously, mostly in regions with white-skinned inhabitants. The types of skin cancer vary in their origin and clinical appearances and also differ in their extensiveness. The continents of the world have different scenarios of skin cancer prevalence. This review aims to explore the different types of skin cancer, their clinical features, and their worldwide prevalence based on the literature. Literature from different electronic databases, including Google Scholar, ResearchGate, PubMed, Scopus, Web of Science, Embase, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Elsevier, and Springer, were collected through a literature search using specific keywords such as “skin cancer”, “skin cancer types”, “melanoma”, “non-melanoma”, “skin cancer continental prevalence” or similar keywords. The search included English publications from 2000 to 2024. Melanoma skin cancer (MSC) ranks 17th in global prevalence, with the highest incidence and deaths occurring in Europe, However, Australia and New Zealand record the highest incidence and mortality rates. Asia has a lower incidence rate of melanoma, but a higher mortality rate. Superficial spreading melanoma (SSM) is the most common type of MSC. Non-melanoma skin cancers (NMSCs) have the highest incidence in North America, with the highest number of deaths occurring in Asia, Australia and New Zealand have the highest incidence rates for basal cell carcinoma (BCC). BCC is the most commonly diagnosed skin cancer worldwide and the most prevalent form of NMSCs; however, squamous cell carcinoma is the most aggressive form of NMSCs, causing more deaths. NMSCs are the most prevalent cancers worldwide, causing most skin cancer-related deaths. The prevalence of skin cancer rising globally, with several continents experiencing higher incidence and mortality rates. The types and subtypes of skin cancer are becoming more common among clinically diagnosed cancers. This review comprehensively describes skin cancer types and their prevalence worldwide. However, the actual prevalence of skin cancer in these countries should be investigated. Further research on the prevalence of skin cancer across different continents is required to develop more effective cancer management strategies and control the spread of the disease.
皮肤癌是世界上最常见的癌症之一,其发病率和死亡率不断上升,主要发生在白皮肤居民的地区。皮肤癌的类型在其起源和临床表现上各不相同,在其广泛性上也各不相同。世界各大洲有不同的皮肤癌流行情况。本文旨在探讨不同类型的皮肤癌,他们的临床特点,并在文献的基础上,他们在世界范围内的患病率。通过使用“皮肤癌”、“皮肤癌类型”、“黑色素瘤”、“非黑色素瘤”、“皮肤癌大陆患病率”或类似关键词进行文献检索,收集来自谷歌Scholar、ResearchGate、PubMed、Scopus、Web of Science、Embase、care and Allied Health Literature Cumulative Index to Nursing (CINAHL)、Elsevier和施普林格等不同电子数据库的文献。搜索包括2000年至2024年的英文出版物。黑色素瘤皮肤癌(MSC)在全球患病率中排名第17位,欧洲的发病率和死亡率最高,然而,澳大利亚和新西兰的发病率和死亡率最高。亚洲的黑色素瘤发病率较低,但死亡率较高。浅表性扩散黑色素瘤(SSM)是最常见的MSC类型。非黑色素瘤皮肤癌(NMSCs)在北美的发病率最高,亚洲的死亡人数最多,澳大利亚和新西兰的基底细胞癌(BCC)发病率最高。BCC是世界上最常见的皮肤癌,也是NMSCs最普遍的形式;然而,鳞状细胞癌是NMSCs最具侵袭性的形式,导致更多的死亡。NMSCs是世界上最常见的癌症,导致大多数皮肤癌相关死亡。皮肤癌的流行在全球范围内不断上升,有几个大陆的发病率和死亡率更高。皮肤癌的类型和亚型在临床诊断的癌症中越来越常见。本文综述了皮肤癌的类型及其在世界范围内的流行情况。然而,应该调查这些国家皮肤癌的实际流行情况。需要进一步研究皮肤癌在不同大陆的流行情况,以制定更有效的癌症管理战略并控制该疾病的传播。
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引用次数: 0
Integrating multi-omics methods for personalized treatment of refractory chronic myelomonocytic leukemia with NRAS and TET2 mutations 整合多组学方法个体化治疗NRAS和TET2突变难治性慢性髓细胞白血病
Pub Date : 2025-03-01 DOI: 10.1016/j.cpt.2024.12.001
Chuandong Hou , Bo Yang , Yue Wang , Lili Cai , Ran Qin , Bo Guo , Jie Geng , XueChun Lu
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引用次数: 0
Gastrointestinal stromal tumors with an uncommon primary mutation responded well to imatinib 具有罕见原发性突变的胃肠道间质瘤对伊马替尼反应良好
Pub Date : 2025-03-01 DOI: 10.1016/j.cpt.2024.08.005
Gilani Shahid, Mujeeb Qudsia, Ikram Naima, Khir Ibrahim
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引用次数: 0
Cover 封面
Pub Date : 2025-03-01 DOI: 10.1016/S2949-7132(25)00018-7
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引用次数: 0
Phytoconstituents as emerging therapeutics for breast cancer: Mechanistic insights and clinical implications 植物成分作为乳腺癌的新兴疗法:机制见解和临床意义
IF 2.8 Pub Date : 2025-02-28 DOI: 10.1016/j.cpt.2025.02.006
Mahalakshmi Devaraji, Punniyakoti V. Thanikachalam
Breast cancer remains one of the leading causes of cancer-related morbidity and mortality among women worldwide, necessitating the development of novel therapeutic strategies. Phytoconstituents, naturally plant-derived bioactive compounds, have emerged as promising agents for breast cancer therapy due to their multifaceted mechanisms of action. This review examines the role of phytoconstituents in inducing apoptosis, inhibiting breast cancer cell proliferation, and suppressing metastasis. Furthermore, the anti-angiogenic effects of these compounds are discussed, highlighting their potential to disrupt tumor vascularization. We also summarize the in vitro and in vivo study-derived preclinical evidence supporting the efficacy of phytoconstituents. The synergistic potential of phytoconstituents with conventional therapies is also explored, emphasizing their ability to enhance treatment efficacy while minimizing adverse effects. We also address the challenges and limitations in the clinical application of phytoconstituents, paving the way for future research. This review provides insights into the therapeutic potential of phytoconstituents in breast cancer and their underlying mechanisms, advocating for their integration into existing treatment regimens.
乳腺癌仍然是全世界妇女癌症相关发病率和死亡率的主要原因之一,因此需要开发新的治疗策略。植物成分是一种天然植物源性生物活性化合物,由于其多方面的作用机制,已成为治疗乳腺癌的有希望的药物。本文就植物成分在诱导乳腺癌细胞凋亡、抑制乳腺癌细胞增殖和抑制乳腺癌转移中的作用作一综述。此外,还讨论了这些化合物的抗血管生成作用,强调了它们破坏肿瘤血管化的潜力。我们还总结了体外和体内研究得出的支持植物成分功效的临床前证据。还探讨了植物成分与常规疗法的协同作用潜力,强调了它们在提高治疗效果的同时最小化不良反应的能力。我们还讨论了植物成分在临床应用中的挑战和局限性,为未来的研究铺平了道路。本文综述了植物成分在乳腺癌中的治疗潜力及其潜在机制,并倡导将其纳入现有的治疗方案。
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引用次数: 0
Repurposing antibiotics: A dual-action approach against bacteria-induced cancer 重新利用抗生素:对抗细菌诱导癌症的双重作用方法
IF 2.8 Pub Date : 2025-02-22 DOI: 10.1016/j.cpt.2025.02.005
Aditya Upadhyay , Hem Chandra Jha , Dharm Pal , Awanish Kumar
Antibiotic resistance and the growing burden of bacteria-induced cancers highlight the urgent need for innovative therapeutic approaches. Drug repurposing, leveraging pre-approved antibiotics for novel applications, is a promising strategy to address this challenge. Antibiotics designed to combat bacterial infections can inhibit microbial activity and target cellular mechanisms associated with oncogenesis. Chronic bacterial infections, such as those caused by Salmonella typhi, Helicobacter pylori, and Escherichia coli, contribute significantly to gallbladder, gastric, kidney, and bladder cancers. These infections induce inflammation, DNA damage, and the disruption of cellular pathways, promoting the development of cancer. Antibiotics such as doxycycline, rifampicin, and azithromycin demonstrate anticancer properties by inhibiting angiogenesis, inducing apoptosis, and regulating key pathways including the interleukin (IL)-6 signaling pathway and autophagy-related pathways. This dual action enhances chemotherapeutic efficacy and addresses bacteria-induced oncogenesis, offering a cost-effective and time-efficient alternative to traditional drug discovery. Herein, we review the intricate mechanisms by which bacteria-induced cancer arises and explore the groundbreaking potential of repurposing antibiotics as dual-action therapies in oncology. By elucidating the pivotal role of biofilms in persistent infections and highlighting untapped therapeutic opportunities in antibiotic repurposing, this review underscores a transformative approach to cancer treatment. This article explores the potential of repurposing antibiotic drugs for cancer treatment and highlights the prospects of drug repurposing strategies.
抗生素耐药性和细菌引起的癌症日益加重的负担突出表明迫切需要创新的治疗方法。药物再利用,利用预先批准的抗生素进行新应用,是应对这一挑战的一个有希望的战略。设计用于对抗细菌感染的抗生素可以抑制微生物活性并靶向与肿瘤发生相关的细胞机制。慢性细菌感染,如由伤寒沙门氏菌、幽门螺杆菌和大肠杆菌引起的感染,会导致胆囊癌、胃癌、肾癌和膀胱癌。这些感染引起炎症、DNA损伤和细胞通路中断,促进癌症的发展。抗生素如多西环素、利福平和阿奇霉素通过抑制血管生成、诱导细胞凋亡和调节包括白细胞介素(IL)-6信号通路和自噬相关通路在内的关键通路来显示抗癌特性。这种双重作用增强了化疗疗效,并解决了细菌诱导的肿瘤发生,为传统药物发现提供了一种成本效益高、时间效率高的替代方案。在此,我们回顾了细菌诱导癌症产生的复杂机制,并探索了将抗生素作为肿瘤双作用疗法的突破性潜力。通过阐明生物膜在持续性感染中的关键作用,并强调抗生素再利用中尚未开发的治疗机会,本综述强调了癌症治疗的变革性方法。本文探讨了癌症治疗中抗生素药物再利用的潜力,并强调了药物再利用策略的前景。
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引用次数: 0
Targeting tumor-associated neutrophils: A promising strategy in lung cancer immunotherapy 靶向肿瘤相关中性粒细胞:肺癌免疫治疗的一个有前途的策略
IF 2.8 Pub Date : 2025-02-21 DOI: 10.1016/j.cpt.2025.02.004
Yongjun Wang , Li Wang , Zexu Wang, Yufang Guo, Xiuwei Zhang, Bing Wan
Lung cancer is among the leading causes of cancer-related deaths worldwide, with treatment strategies primarily including surgery, chemotherapy, radiotherapy, and immunotherapy. Although immunotherapies targeting T cells and natural killer (NK) cells are widely used, therapies targeting neutrophils remain underdeveloped. Neutrophils are regarded as a specialized cell population that, once matured, lack the capacity for proliferation and are rapidly depleted in circulation, limiting their role to immune defense. However, recent discoveries have revealed that neutrophils represent a highly heterogeneous immune cell population, across diverse microenvironments. They are referred to as tumor-associated neutrophils when recruited to the tumor microenvironment. Initially, tumor-associated neutrophils were believed to primarily promote tumor growth and metastasis. Contrarily, emerging evidence indicates that tumor-associated neutrophils exhibit anti-tumor functions under specific conditions, acting as inhibitors during the initial growth or metastatic phases of lung cancer. This functional heterogeneity positions neutrophils as a promising focus for novel approaches to lung cancer immunotherapy. This review aims to explore the role of tumor-associated neutrophils in lung cancer progression and to investigate responses in the context of tumor control, thereby deepening the understanding of neutrophil function in lung cancer.
肺癌是全球癌症相关死亡的主要原因之一,其治疗策略主要包括手术、化疗、放疗和免疫疗法。尽管针对T细胞和自然杀伤细胞的免疫疗法被广泛使用,但针对中性粒细胞的治疗仍然不发达。中性粒细胞被认为是一种特殊的细胞群,一旦成熟,就缺乏增殖能力,在循环中迅速耗尽,限制了它们在免疫防御中的作用。然而,最近的发现表明,中性粒细胞在不同的微环境中代表了高度异质的免疫细胞群。当它们被募集到肿瘤微环境中时,它们被称为肿瘤相关中性粒细胞。最初,肿瘤相关的中性粒细胞被认为主要促进肿瘤的生长和转移。相反,新出现的证据表明,肿瘤相关的中性粒细胞在特定条件下表现出抗肿瘤功能,在肺癌的初始生长或转移期起到抑制剂的作用。这种功能异质性使中性粒细胞成为肺癌免疫治疗新方法的一个有希望的焦点。本文旨在探讨肿瘤相关中性粒细胞在肺癌进展中的作用,并在肿瘤控制的背景下研究其反应,从而加深对中性粒细胞在肺癌中的功能的理解。
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引用次数: 0
Efficacy of local consolidative radiotherapy with first-line chemoimmunotherapy in synchronous oligometastatic esophageal squamous cell carcinoma 局部巩固放疗联合一线化疗免疫治疗同步少转移性食管鳞状细胞癌的疗效观察
IF 2.8 Pub Date : 2025-02-04 DOI: 10.1016/j.cpt.2025.02.003
Xinyi Wang , Haixia Shen , Miao Wang , Baojia Qi , Zhen Zhang , Yang Yang , Min Fang , Jin Wang , Yongling Ji

Background

Synchronous oligometastatic esophageal squamous cell carcinoma (SOESCC), characterized by a limited number of metastases at diagnosis, represents a significant subset of esophageal squamous cell carcinoma. However, the optimal treatment modality for the condition has not been determined. Therefore, we aimed to evaluate the efficacy of local consolidative radiotherapy (cRT) for the primary tumor combined with first-line chemoimmunotherapy (CIT).

Methods

This retrospective cohort study included 102 patients with SOESCC who underwent first-line CIT, either alone or in combination with cRT, between 2018 and 2022. We analyzed the progression-free survival (PFS) and overall survival (OS) in the two groups using propensity score matching (PSM). Univariate and multivariate Cox regression analyses were performed to identify prognostic factors associated with PFS and OS. Failure patterns were compared between groups.

Results

Patients who received the additional cRT had longer PFS (median PFS, 11.5 vs. 8.3 months, P = 0.009) than did those who received CIT only; however, no significant difference was noted in OS (median OS, 20.0 vs. 17.0 months, P = 0.410) between the two groups. These results remained consistent after PSM and multivariate Cox regression analyses (PFS: hazard ratio [HR] 0.539, 95% confidence interval [CI], 0.312–0.932, P = 0.027; OS: HR, 0.580, 95% CI, 0.307–1.095, P = 0.093). Notably, the pattern of failure in the CIT group was primarily characterized by locoregional failure, in contrast to the distant failure observed in the CIT + cRT group. Locoregional failure-free survival in the CIT + cRT group was significantly lower than that in the CIT group (P < 0.001). Moreover, no statistically significant difference was observed in the incidence of treatment-related adverse events between the two groups.

Conclusions

In patients with SOESCC, the combination of local cRT and first-line CIT prolonged PFS without increasing treatment-related toxicity. In addition, cRT for primary tumor significantly reduced the incidence of locoregional failure. This synergistic approach appears to be a viable and potentially superior treatment strategy for the treatment of SOESCC.
背景:同步少转移性食管鳞状细胞癌(SOESCC)的特点是诊断时转移数量有限,是食管鳞状细胞癌的一个重要亚群。然而,这种情况的最佳治疗方式尚未确定。因此,我们旨在评估局部巩固放疗(cRT)联合一线化疗免疫治疗(CIT)对原发肿瘤的疗效。方法本回顾性队列研究纳入了2018年至2022年期间接受一线CIT治疗或联合cRT治疗的102例SOESCC患者。我们使用倾向评分匹配(PSM)分析两组患者的无进展生存期(PFS)和总生存期(OS)。进行单因素和多因素Cox回归分析以确定与PFS和OS相关的预后因素。组间比较失败模式。结果接受额外cRT治疗的患者比仅接受CIT治疗的患者有更长的PFS(中位PFS, 11.5个月对8.3个月,P = 0.009);然而,两组之间的OS(中位OS, 20.0 vs. 17.0个月,P = 0.410)无显著差异。经PSM和多变量Cox回归分析后,这些结果保持一致(PFS:风险比[HR] 0.539, 95%可信区间[CI] 0.312-0.932, P = 0.027; OS: HR, 0.580, 95% CI, 0.307-1.095, P = 0.093)。值得注意的是,与CIT + cRT组观察到的远端失败相比,CIT组的失败模式主要以局部区域失败为特征。CIT + cRT组的局部无故障生存率显著低于CIT组(P < 0.001)。此外,两组治疗相关不良事件的发生率无统计学差异。结论在SOESCC患者中,局部cRT联合一线CIT可延长PFS,且未增加治疗相关毒性。此外,原发肿瘤的cRT治疗显著降低了局部失败的发生率。这种协同方法似乎是治疗SOESCC的可行和潜在的优越治疗策略。
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引用次数: 0
Whole transcriptome analysis identifies ALB-EEF1A1 fusion as a novel biomarker in metastatic colorectal cancer 全转录组分析发现ALB-EEF1A1融合是转移性结直肠癌的一种新的生物标志物
IF 2.8 Pub Date : 2025-02-04 DOI: 10.1016/j.cpt.2025.02.002
Deeksha Rikhari , Ankit Srivastava , Sandhya Rai , Mubashra , Srinivas Patnaik , Sameer Srivastava

Background

Colorectal cancer (CRC) is a complex, heterogeneous disease characterized by frequent relapses and metastasis. Previous studies have reported that the invasion and progression of CRC in several cases can be controlled by targeting fusion genes. This study aimed to screen for potent fusion transcripts as potential molecular biomarkers and therapeutic targets for metastatic CRC (mCRC) using an in silico approach.

Methods

RNA sequencing (RNA-seq) data from 18 patients with primary CRC and matched normal and mCRC samples were derived from the same patient set. Novel fusion transcripts were screened using the Kallisto and Pizzly software, followed by Gene Ontology (GO), pathway analysis, transcription factor enrichment, and survival for functional enrichment analysis. Furthermore, the fusion transcripts’ utility as biomarkers was evaluated using a pan-cancer analysis.

Results

In total, 32 fusion genes unique to mCRC were identified. Hub gene analysis identified 17 novel fusion transcripts, and GO analysis revealed that these genes were enriched in different biological and molecular functions. Pathways significantly correlated with CRC included the complement and coagulation cascades, ferroptosis, interleukin-17 (IL-17) signaling pathway, and estrogen signaling pathway. We identified albumin-eukaryotic translation elongation factor 1 alpha 1 (ALB-EEF1A1) as unique to mCRC based on significant gene expression and survival outcomes. Moreover, its utility as a prognostic biomarker was confirmed using a pan-cancer analysis.

Conclusions

ALB-EEF1A1 may play a pivotal role in the metastatic transformation of primary CRC and significantly increase the risk of death. The identified ALB-EEF1A1 fusion transcripts are promising novel molecular targets that may serve as prognostic and diagnostic biomarkers and treatment targets for mCRC in the future.
结直肠癌(CRC)是一种复杂的异质性疾病,其特点是经常复发和转移。先前的研究报道,在一些病例中,CRC的侵袭和进展可以通过靶向融合基因来控制。本研究旨在筛选有效的融合转录物作为转移性CRC (mCRC)的潜在分子生物标志物和治疗靶点。方法对18例原发性结直肠癌患者的srna测序(RNA-seq)数据以及匹配的正常和轻度结直肠癌样本进行分析。使用Kallisto和Pizzly软件筛选新的融合转录本,然后进行基因本体(Gene Ontology, GO)、途径分析、转录因子富集和存活功能富集分析。此外,融合转录物作为生物标志物的效用使用泛癌症分析进行了评估。结果共鉴定出32个mCRC特有的融合基因。Hub基因分析鉴定出17个新的融合转录本,GO分析显示这些基因具有不同的生物学和分子功能。与结直肠癌显著相关的通路包括补体和凝血级联、铁凋亡、白细胞介素-17 (IL-17)信号通路和雌激素信号通路。基于显著的基因表达和生存结果,我们发现白蛋白-真核翻译延伸因子1 α 1 (ALB-EEF1A1)是mCRC独有的。此外,其作为预后生物标志物的效用通过泛癌症分析得到证实。结论salb - eef1a1可能在原发性结直肠癌的转移转化中起关键作用,并显著增加死亡风险。已确定的ALB-EEF1A1融合转录本是有希望的新分子靶点,可能在未来作为mCRC的预后和诊断生物标志物和治疗靶点。
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引用次数: 0
Biomarkers, isolation methods, and therapeutic implications of breast cancer stem cells 乳腺癌干细胞的生物标志物、分离方法和治疗意义
IF 2.8 Pub Date : 2025-01-23 DOI: 10.1016/j.cpt.2025.01.006
Peik Lin Teoh, Nurshafiqah Saini
Breast cancer metastasis and relapse remain uncontrollable despite significant advancements in early diagnosis and treatment, resulting in increased mortality. Breast cancer is the most frequently diagnosed cancer in women worldwide and has become the leading cause of cancer-related deaths. Cancer stem cells (CSCs) may play significant roles in tumor initiation, maintenance, invasion, relapse, metastasis, and therapy resistance. Although this small, highly heterogeneous, and restricted population of CSCs has been extensively studied, their cellular and molecular physiology remains unclear. Nonetheless, CSCs have increasingly become an attractive therapeutic target for combating advanced, treatment-resistant cancers. This necessitates the development of effective and reliable methods for their isolation and enrichment. This review provides an overview of the key characteristics of breast cancer stem cells (BCSCs) and illustrates their role in therapeutic resistance. Furthermore, it highlights various mechanisms underlying cancer cell adaptability and therapy-induced resistance across different breast cancer subtypes. The commonly used methods for BCSC isolation and identification are also discussed, as they could facilitate a deeper understanding of tumorigenesis, metastasis, resistance, and relapse, consequently contributing to the development of more effective therapeutic strategies for breast cancer.
尽管在早期诊断和治疗方面取得了重大进展,但乳腺癌的转移和复发仍然无法控制,导致死亡率增加。乳腺癌是全世界妇女中最常见的癌症,已成为癌症相关死亡的主要原因。肿瘤干细胞(Cancer stem cells, CSCs)可能在肿瘤的发生、维持、侵袭、复发、转移和治疗抵抗中发挥重要作用。尽管这个小的、高度异质的、有限的CSCs群体已经被广泛研究,但它们的细胞和分子生理学仍然不清楚。尽管如此,干细胞已日益成为对抗晚期、治疗难治性癌症的一个有吸引力的治疗靶点。这就需要开发有效和可靠的方法来分离和富集它们。本文综述了乳腺癌干细胞(BCSCs)的主要特征,并说明了它们在治疗耐药中的作用。此外,它还强调了不同乳腺癌亚型中癌细胞适应性和治疗诱导耐药的各种机制。本文还讨论了常用的BCSC分离和鉴定方法,因为它们可以促进对肿瘤发生、转移、耐药和复发的更深入了解,从而有助于开发更有效的乳腺癌治疗策略。
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引用次数: 0
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Cancer pathogenesis and therapy
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