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Value of tumor diameter to preoperative carcinoembryonic antigen ratio in evaluating prognosis of non-metastatic colorectal cancer patients 肿瘤直径与术前癌胚抗原比值在评价癌症患者预后中的价值
Q4 Medicine Pub Date : 2020-03-28 DOI: 10.3760/CMA.J.CN115355-20190613-00250
R. Xu, Tao Yang, T. Xue, Tong-xin Yang
Objective To explore the value of tumor diameter to preoperative carcinoembryonic antigen (CEA) ratio (TCR) in predicting prognosis of patients with non-metastatic colorectal cancer. Methods The clinical data of 144 patients with colorectal cancer in Hainan Hospital of PLA General Hospital between July 2012 and December 2017 were retrospectively analyzed. Patients were divided into the low TCR group and the high TCR group according to the optimal value of TCR in predicting the disease-free survival (DFS) determined by the receiver operating characteristic curve (ROC). The clinicopathological features of both groups were analyzed, and the influencing factors of DFS were also analyzed by using Cox proportional hazard model. Results ROC analysis showed that TCR had a certain value in predicting DFS, and area under the curve (AUC) was 0.614 (95% CI 0.507-0.722); when the value of TCR was set at 0.690, the sensitivity and specificity of predicting the 3-year DFS rate was 46.3% and 70.9%, respectively. According to 0.690 of TCR, there were 50 cases in the low TCR ( 0.05). Univariate analysis showed that TCR, preoperative CEA level and TNM stage played a role in predicting DFS of patients (all P < 0.05), while Cox multivariate analysis indicated that TCR < 0.690 (HR = 2.369, 95% CI 1.279-4.388, P = 0.006) and Ⅲ stage in TNM stage (HR = 2.214, 95% CI 1.346-3.640, P = 0.002) were the independent risk factors of influencing DFS (all P < 0.01). The 3-year DFS rate of patients in the low TCR group was lower than that of those in the high TCR group (62.0% vs. 83.0%, P = 0.007). Conclusion TCR could have a certain value in judging the prognosis of non-metastatic colorectal cancer patients, and low TCR patients have a poorer prognosis. Key words: Colorectal neoplasms; Tumor diameter; Carcinoembryonic antigen; Disease-free survival; Prognosis
目的探讨肿瘤直径与术前癌胚抗原(CEA)比值(TCR)对癌症患者预后的预测价值。方法回顾性分析2012年7月至2017年12月解放军总医院海南医院收治的144例癌症大肠癌患者的临床资料。根据受试者操作特征曲线(ROC)确定的TCR预测无病生存期(DFS)的最佳值,将患者分为低TCR组和高TCR组。分析两组患者的临床病理特征,并采用Cox比例风险模型分析DFS的影响因素。结果ROC分析表明,TCR对DFS有一定的预测价值,曲线下面积(AUC)为0.614(95%CI 0.507-0.722);当TCR值设定为0.690时,预测3年DFS发生率的敏感性和特异性分别为46.3%和70.9%。TCR为0.690,TCR低者50例(0.05)。单因素分析表明,TCR、术前CEA水平和TNM分期对预测患者DFS有一定作用(均P<0.05),Cox多因素分析表明,TCR<0.690(HR=2.369,95%CI 1.279-4.388,P=0.006)和TNMⅢ期(HR=2.214,95%CI 1.346-3.640,P=0.002)是影响DFS的独立危险因素(均P<0.01),低TCR组患者的3年DFS发生率低于高TCR组(62.0%vs.83.0%,P=0.007)对判断癌症患者的预后有一定价值,低TCR患者预后较差。关键词:结直肠肿瘤;肿瘤直径;癌胚抗原;无病生存;预后
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引用次数: 0
Progress of the relationship between high mobility group protein A2 and tumors 高迁移率组蛋白A2与肿瘤关系的研究进展
Q4 Medicine Pub Date : 2020-03-28 DOI: 10.3760/CMA.J.CN115355-20190618-00256
Kai Li, Q. Fu
High mobility group protein A2 (HMGA2) is a non-histone protein that does not have transcriptional activity by itself, but it changes its structure by binding to chromatin, which in turn regulates the transcription of other genes, thereby promoting tumor invasion and metastasis. The related RNA gene can regulate the role of HMGA2 in tumors, and the invasiveness of tumors is closely related to epithelial-mesenchymal transition (EMT), which can treat the related tumors by targeting HMGA2 gene. This article reviews the progress of the relationship between HMGA2 and tumors. Key words: High mobility group proteins; Molecular targeted therapy; RNA; Epithelial-mesenchymal transition
高迁移率组蛋白A2(HMGA2)是一种本身不具有转录活性的非组蛋白,但它通过与染色质结合来改变结构,染色质反过来调节其他基因的转录,从而促进肿瘤的侵袭和转移。相关RNA基因可以调节HMGA2在肿瘤中的作用,肿瘤的侵袭性与上皮-间质转化(EMT)密切相关,EMT可以通过靶向HMGA2基因来治疗相关肿瘤。本文就HMGA2与肿瘤关系的研究进展作一综述。关键词:高迁移率组蛋白;分子靶向治疗;RNA;上皮-间充质转化
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引用次数: 0
Progress of molecular markers related to papillary thyroid carcinoma 甲状腺乳头状癌相关分子标志物的研究进展
Q4 Medicine Pub Date : 2020-03-28 DOI: 10.3760/CMA.J.CN115355-20190814-00359
Xiaopan Li, Xi'an Lu
Papillary thyroid carcinoma is the most common malignant tumor in the head and neck. The incidence of papillary thyroid carcinoma has been increasing in recent years. Although the prognosis of most papillary thyroid carcinoma is better, many patients have poor prognosis due to recurrence or metastasis. Molecular markers play an important role in the development, diagnosis, treatment and prognosis of papillary thyroid carcinoma. This paper reviews the progress of molecular markers related to papillary thyroid carcinoma. Key words: Thyroid neoplasms; Carcinoma, papillary; Molecular markers; Prognosis; Treatment
甲状腺乳头状癌是头颈部最常见的恶性肿瘤。甲状腺乳头状癌的发病率近年来呈上升趋势。尽管大多数甲状腺乳头状癌的预后较好,但许多患者由于复发或转移而预后不佳。分子标记物在甲状腺乳头状癌的发生、诊断、治疗和预后中起着重要作用。本文就甲状腺乳头状癌相关分子标志物的研究进展作一综述。关键词:甲状腺肿瘤;癌,乳头状;分子标记;预后;治疗
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引用次数: 0
Efficacy observation of apatinib combined with capecitabine in the treatment of advanced esophageal cancer 阿帕替尼联合卡培他滨治疗晚期食管癌的疗效观察
Q4 Medicine Pub Date : 2020-03-28 DOI: 10.3760/CMA.J.CN115355-20190515-00202
H. Ye, Xiao-xiang Yin, Ying Zhao, L. Gu
Objective To observe the efficacy of apatinib combined with capecitabine in the treatment of advanced esophageal cancer. Methods A total of 101 patients with advanced esophageal cancer in Taixing People's Hospital of Jiangsu Province from June 2017 to February 2018 were enrolled, and all the patients were divided into the control group (50 cases) and the observation group (51 cases) according to the random number table. The control group was treated with capecitabine combined with radiotherapy, and the observation group was treated with apatinib on the basis of the control group. The therapeutic effects, adverse reactions and progression-free survival (PFS) time of the two groups were compared. Results The overall response rate in the observation group was higher than that in the control group [90.2% (46/51) vs. 72.0% (36/50)], and the difference was statistically significant (χ2 = 5.473, P = 0.019). There were no significant differences in leukopenia, neutropenia, thrombocytopenia, anemia, proteinuria and hypertension between the two groups (all P > 0.05). The median PFS time in the observation group was 18.49 months (95% CI 15.35-25.03 months), and that in the control group was 13.33 months (95% CI 10.36-18.24 months), and the difference between the two groups was statistically significant (χ2 = 5.995, P < 0.01). Conclusions The therapeutic effect of apatinib combined with capecitabine in the treatment of advanced esophageal cancer is accurate. No obvious adverse reaction occurs, and the PFS time is prolonged. Key words: Esophageal neoplasms; Drug therapy, combination; Apatinib; Capecitabine
目的观察阿帕替尼联合卡培他滨治疗晚期食管癌的疗效。方法选取2017年6月~ 2018年2月在江苏省泰兴市人民医院住院治疗的晚期食管癌患者101例,按随机数字表法分为对照组(50例)和观察组(51例)。对照组给予卡培他滨联合放疗,观察组在对照组基础上给予阿帕替尼治疗。比较两组患者的治疗效果、不良反应及无进展生存期(PFS)。结果观察组总有效率高于对照组[90.2%(46/51)比72.0%(36/50)],差异有统计学意义(χ2 = 5.473, P = 0.019)。两组患者白细胞减少、中性粒细胞减少、血小板减少、贫血、蛋白尿、高血压的发生率比较,差异均无统计学意义(P < 0.05)。观察组患者PFS中位时间为18.49个月(95% CI 15.35 ~ 25.03个月),对照组患者PFS中位时间为13.33个月(95% CI 10.36 ~ 18.24个月),两组比较差异有统计学意义(χ2 = 5.995, P < 0.01)。结论阿帕替尼联合卡培他滨治疗晚期食管癌疗效准确。无明显不良反应发生,PFS时间延长。关键词:食管肿瘤;药物治疗、联合用药;Apatinib;卡培他滨
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引用次数: 0
Correlation of serum thyroid hormone level with recurrence in patients with breast cancer after radical mastectomy 癌症乳腺癌根治术后血清甲状腺激素水平与复发的相关性
Q4 Medicine Pub Date : 2020-03-28 DOI: 10.3760/CMA.J.CN115355-20190909-00408
Hai-bin Lu, Xiaozhong Ji
目的 探讨乳腺癌根治术后患者血清甲状腺激素(TH)水平变化及其与术后复发的相关性。 方法 选取2017年1月至2019年1月于江苏省海安市人民医院行乳腺癌根治术的患者112例为乳腺癌组,选取同期健康体检者60名为对照组,采用化学发光免疫法测定两组血清促甲状腺激素(TSH)、游离三碘甲状腺原氨酸(FT3)、游离四碘甲状腺原氨酸(FT4)、总四碘甲状腺原氨酸(T4)、总三碘甲状腺原氨酸(T3)水平。根据术后复发情况分为复发组和未复发组,比较两组血清TH水平。 结果 乳腺癌组术前血清T3、FT3及FT4水平[(1.58±0.27)nmol/L、(4.42±0.49)pmol/L、(9.68±1.26)pmol/L]均低于对照组[(2.05±0.33)nmol/L、(4.94±0.58)pmol/L、(11.17±1.65)pmol/L](均P<0.05),术后血清T3、FT3及FT4水平[(1.96±0.30)nmol/L、(4.75±0.51)pmol/L、(10.52±1.37)pmol/L]均高于术前(均P<0.05)。TNM分期Ⅰ期患者血清T3、FT3及FT4水平高于Ⅱ、Ⅲ期患者(均P<0.05),Ⅱ期患者血清T3、FT3及FT4水平高于Ⅲ期患者(均P<0.05)。乳腺癌患者未复发组术前血清T3、FT3及FT4水平均高于复发组(均P<0.05)。 结论 T3、FT3及FT4水平随疾病进展进行性降低,乳腺癌根治术后由于病灶组织的清除引起神经递质的改变,从而导致血清T3、FT3及FT4水平的增加,复发患者T3、FT3及FT4水平低于未复发患者,考虑乳腺癌复发与甲状腺功能异常有关。
Objective To investigate the changes of serum thyroid hormone (TH) level in patients with breast cancer after radical mastectomy and its correlation with postoperative recurrence. Methods A total of 112 patients with breast cancer who underwent radical mastectomy in Hai'an People's Hospital of Jiangsu Province from January 2017 to January 2019 were selected as the breast cancer group, and 60 health examinees in the same period were selected as the control group. Serum thyroid stimulating hormone (TSH), free triiodothyronine (FT3), free tetraiodothyronine (FT4), total tetraiodothyronine (T4) Total triiodothyronine (T3) levels. Divide into recurrent group and non recurrent group based on postoperative recurrence, and compare the serum TH levels between the two groups. Results The preoperative serum T3, FT3 and FT4 levels [(1.58 ± 0.27) nmol/L, (4.42 ± 0.49) pmol/L, (9.68 ± 1.26) pmol/L] in the breast cancer group were lower than those in the control group [(2.05 ± 0.33) nmol/L, (4.94 ± 0.58) pmol/L, (11.17 ± 1.65) pmol/L] (all P<0.05). The postoperative serum T3, FT3 and FT4 levels [(1.96 ± 0.30) nmol/L, (4.75 ± 0.51) pmol/L, (10.52 ± 1.37) pmol/L] were all lower. It was higher than that before operation (all P<0.05). The serum levels of T3, FT3, and FT4 in TNM stage I patients were higher than those in stage II and III patients (all P<0.05), while the serum levels of T3, FT3, and FT4 in stage II patients were higher than those in stage III patients (all P<0.05). The preoperative serum T3, FT3 and FT4 levels in the non recurrence group of breast cancer patients were higher than those in the recurrence group (all P<0.05). Conclusion The levels of T3, FT3 and FT4 gradually decrease with the progression of the disease. After radical surgery for breast cancer, the clearing of the focus tissue causes the change of neurotransmitters, which leads to the increase of serum T3, FT3 and FT4 levels. The levels of T3, FT3 and FT4 in recurrent patients are lower than those in non recurrent patients. It is considered that the recurrence of breast cancer is related to thyroid dysfunction.
{"title":"Correlation of serum thyroid hormone level with recurrence in patients with breast cancer after radical mastectomy","authors":"Hai-bin Lu, Xiaozhong Ji","doi":"10.3760/CMA.J.CN115355-20190909-00408","DOIUrl":"https://doi.org/10.3760/CMA.J.CN115355-20190909-00408","url":null,"abstract":"目的 \u0000探讨乳腺癌根治术后患者血清甲状腺激素(TH)水平变化及其与术后复发的相关性。 \u0000 \u0000 \u0000方法 \u0000选取2017年1月至2019年1月于江苏省海安市人民医院行乳腺癌根治术的患者112例为乳腺癌组,选取同期健康体检者60名为对照组,采用化学发光免疫法测定两组血清促甲状腺激素(TSH)、游离三碘甲状腺原氨酸(FT3)、游离四碘甲状腺原氨酸(FT4)、总四碘甲状腺原氨酸(T4)、总三碘甲状腺原氨酸(T3)水平。根据术后复发情况分为复发组和未复发组,比较两组血清TH水平。 \u0000 \u0000 \u0000结果 \u0000乳腺癌组术前血清T3、FT3及FT4水平[(1.58±0.27)nmol/L、(4.42±0.49)pmol/L、(9.68±1.26)pmol/L]均低于对照组[(2.05±0.33)nmol/L、(4.94±0.58)pmol/L、(11.17±1.65)pmol/L](均P<0.05),术后血清T3、FT3及FT4水平[(1.96±0.30)nmol/L、(4.75±0.51)pmol/L、(10.52±1.37)pmol/L]均高于术前(均P<0.05)。TNM分期Ⅰ期患者血清T3、FT3及FT4水平高于Ⅱ、Ⅲ期患者(均P<0.05),Ⅱ期患者血清T3、FT3及FT4水平高于Ⅲ期患者(均P<0.05)。乳腺癌患者未复发组术前血清T3、FT3及FT4水平均高于复发组(均P<0.05)。 \u0000 \u0000 \u0000结论 \u0000T3、FT3及FT4水平随疾病进展进行性降低,乳腺癌根治术后由于病灶组织的清除引起神经递质的改变,从而导致血清T3、FT3及FT4水平的增加,复发患者T3、FT3及FT4水平低于未复发患者,考虑乳腺癌复发与甲状腺功能异常有关。","PeriodicalId":9505,"journal":{"name":"Cancer Research and Clinic","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44278345","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Value of neutrophil-to-lymphocyte ratio in the diagnosis and prognosis evaluation of primary hepatocellular carcinoma 中性粒细胞与淋巴细胞比值在原发性肝细胞癌诊断及预后评价中的价值
Q4 Medicine Pub Date : 2020-03-28 DOI: 10.3760/CMA.J.CN115355-20190906-00400
Yingwei Pan, XiangFei Meng, Lingyue Zhou, Zhiqiang Wang, Hangyu Zhang, Shi-xin Lu
Objective To investigate the value of neutrophil-to-lymphocyte ratio (NLR) in the diagnosis and prognosis evaluation of primary hepatocellular carcinoma. Methods The clinical data of 100 patients pathologically diagnosed as primary liver cancer who were admitted to the First Medical Center of Chinese PLA General Hospital from January 2013 to December 2015 were retrospectively analyzed. Serum alpha fetoprotein (AFP), a conventional marker for hepatocellular carcinoma diagnosis was used as the control. The fourfold table diagnostic test was applied to analyze the sensitivity and specificity of serum NLR in the diagnosis of hepatocellular carcinoma, and the correlation with the degree of tumor differentiation was also analyzed. Results The proportion of patients with high NLR (≥1.70) [56% (56/100)] was higher than the proportion of patients with positive AFP [44% (44/100)] in all 100 hepatocellular carcinoma patients, but the difference was not statistically significant (χ2 = 2.88, P = 0.08). Among AFP-positive patients, the median survival time of patients with low and high NLR was 59 and 48 months, respectively, and the difference was statistically significant (χ2 = 3.91, P = 0.048), and high NLR was an independent risk factor affecting the prognosis of hepatocellular carcinoma patients (HR = 1.232, 95% CI 1.055-1.438, P = 0.008). Conclusions The detection of NLR combined with AFP can improve the diagnostic rate of hepatocellular carcinoma before surgery. High NLR is an independent risk factor affecting the prognosis of patients with primary hepatocellular carcinoma. Key words: Liver neoplasms; Neutrophil-to-lymphocyte ratio; Diagnosis; Prognosis
目的探讨中性粒细胞与淋巴细胞比值(NLR)在原发性肝癌诊断及预后评价中的价值。方法回顾性分析2013年1月至2015年12月解放军总医院第一医疗中心收治的100例经病理诊断为原发性肝癌患者的临床资料。血清甲胎蛋白(AFP)作为肝细胞癌诊断的常规标志物作为对照。应用四重表诊断试验分析血清NLR对肝细胞癌诊断的敏感性和特异性,并分析其与肿瘤分化程度的相关性。结果100例肝癌患者中,高NLR(≥1.70)患者比例[56%(56/100)]高于AFP阳性患者比例[44%(44/100)],但差异无统计学意义(χ2 = 2.88, P = 0.08)。在afp阳性患者中,低NLR和高NLR患者的中位生存时间分别为59个月和48个月,差异有统计学意义(χ2 = 3.91, P = 0.048),高NLR是影响肝细胞癌患者预后的独立危险因素(HR = 1.232, 95% CI 1.055 ~ 1.438, P = 0.008)。结论术前联合AFP检测NLR可提高肝癌的诊断率。高NLR是影响原发性肝癌患者预后的独立危险因素。关键词:肝脏肿瘤;Neutrophil-to-lymphocyte比率;诊断;预后
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引用次数: 0
Progress of the relationship between breast cancer and thyroid diseases 乳腺癌与甲状腺疾病关系的研究进展
Q4 Medicine Pub Date : 2020-03-28 DOI: 10.3760/CMA.J.CN115355-20190227-00056
Weigang Wang, Bao-guo Tian, Yan Wang
Breast cancer and thyroid diseases mostly occur in women, and both have seriously affected women's physical and mental health. Breast cancer patients have a higher risk of thyroid diseases before and after the onset of the disease compared with other malignant tumors. There are some common risk factors between them, and breast and thyroid are hormone-responsive organs, so they can also influence each other in some regulatory pathways. Iodine, thyroid hormone receptor and estrogen receptor are considered to be the possible pathogenesis of breast cancer. This paper explores the relationship between breast cancer and thyroid diseases with the help of researches in breast cancer, thyroid benign diseases, thyroid cancer, thyroid hormones and antibodies in recent years, so as to provide a basis for disease prevention and treatment. Key words: Breast neoplasms; Thyroid diseases; Thyroid hormone receptor; Estrogen receptor
癌症和甲状腺疾病多发于女性,严重影响了女性的身心健康。与其他恶性肿瘤相比,癌症乳腺癌患者在发病前后患甲状腺疾病的风险更高。它们之间有一些共同的风险因素,乳腺和甲状腺是激素反应器官,因此它们也可以在一些调节途径上相互影响。碘、甲状腺激素受体和雌激素受体被认为是癌症的可能发病机制。本文借助近年来癌症、甲状腺良性疾病、甲状腺癌症、甲状腺激素和抗体等方面的研究,探讨癌症与甲状腺疾病的关系,为疾病的预防和治疗提供依据。关键词:乳腺肿瘤;甲状腺疾病;甲状腺激素受体;雌激素受体
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引用次数: 0
Analysis of cancer incidence and mortality in registration areas of Shanxi Province in 2014 2014年山西省户籍登记区肿瘤发病率及死亡率分析
Q4 Medicine Pub Date : 2020-03-28 DOI: 10.3760/CMA.J.CN115355-20191030-00492
Zhao-hui Ma, Q. Gao, Ling Cao, Xinzheng Wang, Xue-rong Guo, Xinchen Wang, Fang Su, N. Qiao, Yuan Wang, Ruifeng Zhang, Yong-zhen Zhang
Objective To explore the cancer incidence and mortality in registration areas of Shanxi Province in 2014. Methods The data of 12 cancer registration areas of Shanxi Province in 2014 were taken to analyze the characteristics of cancer incidence and mortality for patients with different age and gender in different areas. And then the results were compared with the malignant cancer incidence and mortality in the nationwide. Results There were 11 703 new cases, including 6 559 males and 5 144 females in registration areas of Shanxi Province in 2014, and the incidence rate was 221.21/105, while the age-standardized incidence rate of Chinese population and world population was 163.91/105 and 163.25/105, respectively. The cancer incidence rate in urban areas was 247.02/105 and the age-standardized incidence rate of Chinese population was 171.35/105. In rural areas, the cancer incidence rate was 205.98/105 and the age-standardized incidence rate of Chinese population was 159.03/105. The common cancer sites were stomach, lung, esophagus, liver and colorectum for males. And breast, cervix, lung, esophagus, stomach were the common cancer sites for females. There were 7 283 malignant death cases, including 4 548 males and 2 735 females. The crude cancer mortality rate was 137.66/105, and the age-standardized mortality rate of Chinese population was 99.67/105 and world population was 100.11/105. The crude cancer mortality rate in urban areas was 141.03/105 and the age-standardized incidence rate of Chinese population was 92.84/105. In rural areas, the crude cancer mortality rate was 135.68/105 and the age-standardized mortality rate of Chinese population was 103.69/105. Male common malignant tumor deaths included lung cancer, gastric cancer, liver cancer, esophageal cancer and colorectal cancer, while lung, stomach, liver, esophagus and cervix were the common cancer death sites for females. Conclusions The incidence and mortality of malignant tumors in registration areas in Shanxi Province are mainly lung cancer, upper gastrointestinal cancer and cervix uteri cancer. The incidence rates of stomach cancer and cervical cancer are high. Key words: Malignant neoplasms; Incidence analysis; Mortality analysis; Cancer registry
目的了解2014年山西省户籍地区肿瘤发病率和死亡率。方法采用2014年山西省12个肿瘤登记区的数据,分析不同地区不同年龄、性别患者的肿瘤发病率和死亡率特征。然后将结果与全国恶性肿瘤发病率和死亡率进行比较。结果2014年山西省登记区新发病例11 703例,其中男性6 559例,女性5 144例,发病率为221.21/105,而中国人口和世界人口年龄标准化发病率分别为163.91/105和163.25/105。城市地区癌症发病率为247.02/105,全国人口年龄标准化发病率为171.35/105。农村地区癌症发病率为205.98/105,中国人口年龄标准化发病率为159.03/105。男性常见的癌症部位为胃、肺、食道、肝和结直肠。乳腺癌、宫颈癌、肺癌、食道癌、胃癌是女性常见的癌症部位。恶性死亡病例7 283例,其中男性4 548例,女性2 735例。粗癌死亡率为137.66/105,中国人口年龄标准化死亡率为99.67/105,世界人口年龄标准化死亡率为100.11/105。城市地区粗癌死亡率为141.03/105,全国人口年龄标准化发病率为92.84/105。农村地区粗癌死亡率为135.68/105,中国人口年龄标准化死亡率为103.69/105。男性常见的恶性肿瘤死亡包括肺癌、胃癌、肝癌、食道癌和结直肠癌,女性常见的癌症死亡部位为肺癌、胃癌、肝癌、食道和宫颈癌。结论山西省户籍地区恶性肿瘤的发病率和死亡率以肺癌、上消化道肿瘤和子宫颈癌为主。胃癌和子宫颈癌的发病率很高。关键词:恶性肿瘤;发病率分析;死亡率分析;癌症登记处
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引用次数: 2
Significance of microsatellite instability for the prognosis and efficacy prediction in gastric cancer 微卫星不稳定性对癌症预后及疗效预测的意义
Q4 Medicine Pub Date : 2020-03-28 DOI: 10.3760/CMA.J.CN115355-20190623-00265
Linghua Meng, Hai-Zhi Wu, T. Liang
Microsatellite instability (MSI) is caused by the deficiency of DNA mismatch repair (MMR) protein, which is closely related to the occurrence, development, prognosis and efficacy prediction of various tumors. MSI-high (MSI-H) and mismatch repair protein deficiency (dMMR) might be a predictor factor for the good prognosis of patients with gastric cancer, and a negative predictor factor for the chemotherapy efficacy of resectable gastric cancer. MSI-H/dMMR can be used as a marker for predicting the effective treatment outcome of immune checkpoint inhibitors in advanced gastric cancer, however, the predictive role in palliative chemotherapy of advanced gastric cancer is still unclear. This paper reviews the progress of the association of MSI/MMR with prognosis and efficacy prediction in gastric cancer. Key words: Stomach neoplasms; Microsatellite instability; Mismatch repair protein; Prognosis; Efficacy prediction
微卫星不稳定性(MSI)是由DNA错配修复(MMR)蛋白缺乏引起的,与各种肿瘤的发生、发展、预后和疗效预测密切相关。MSI-H(MSI-H)和错配修复蛋白缺乏(dMMR)可能是癌症患者预后良好的预测因素,也是可切除癌症化疗疗效的负预测因素。MSI-H/dMMR可作为预测免疫检查点抑制剂对晚期癌症有效治疗结果的标志物,但其在晚期癌症姑息化疗中的预测作用尚不清楚。本文综述了MSI/MMR与癌症预后及疗效预测的关系。关键词:胃肿瘤;微卫星不稳定性;错配修复蛋白;预后;疗效预测
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引用次数: 0
Significance of changes of neutrophil-to-lymphocyte ratio and platelet-to-lymphocyte ratio in neoadjuvant therapy for rectal cancer 中性粒细胞与淋巴细胞比值及血小板与淋巴细胞比值在直肠癌新辅助治疗中的意义
Q4 Medicine Pub Date : 2020-03-28 DOI: 10.3760/CMA.J.CN115355-20190509-00191
Lili Liu, B. Chang, Haiyi Liu, Yixun Zhang, Maoxin Liu, Li-chun Wang, Haibo Wang
Objective To investigate the significance of changes of neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR) in neoadjuvant therapy for rectal cancer. Methods The data of 86 patients with rectal cancer who received neoadjuvant therapy from November 2013 to January 2015 in Shanxi Provincial Cancer Hospital were retrospectively analyzed, and the correlations of NLR and PLR changes with the patients' clinicopathological characteristics and therapeutic effects were also analyzed. Results There were 43 cases of increased NLR and 43 cases of increased PLR after treatment. NLR and PLR changes before and after neoadjuvant therapy in patients with rectal cancer were not associated with age, gender, TNM stage, lymph node metastasis, number of cancer nodules, and tumor diameter (all P > 0.05). The increasing proportion of NLR and PLR after treatment in patients with the distance from the tumor to anus 0.05). Conclusion NLR changes are associated with therapeutic efficacy before and after neoadjuvant therapy for patients with rectal cancer. Key words: Rectal neoplasms; Neutrophil-to-lymphocyte ratio; Platelet-to-lymphocyte ratio; Neoadjuvant therapy
目的探讨中性粒细胞与淋巴细胞比值(NLR)和血小板与淋巴细胞比值(PLR)在直肠癌新辅助治疗中的意义。方法回顾性分析2013年11月至2015年1月在山西省肿瘤医院接受新辅助治疗的86例直肠癌患者资料,分析NLR、PLR变化与患者临床病理特征及治疗效果的相关性。结果治疗后NLR增高43例,PLR增高43例。直肠癌患者新辅助治疗前后NLR、PLR变化与年龄、性别、TNM分期、淋巴结转移、癌结节数、肿瘤直径无关(P < 0.05)。治疗后NLR和PLR的比例随着肿瘤到肛门距离的增加而增加(0.05)。结论直肠癌患者新辅助治疗前后NLR的变化与治疗效果有关。关键词:直肠肿瘤;Neutrophil-to-lymphocyte比率;Platelet-to-lymphocyte比率;新辅助治疗
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引用次数: 0
期刊
肿瘤研究与临床
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