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Efficacy and safety observation of apatinib in treatment of advanced gastric cancer 阿帕替尼治疗晚期癌症的疗效及安全性观察
Q4 Medicine Pub Date : 2019-12-28 DOI: 10.3760/CMA.J.ISSN.1006-9801.2019.12.005
Zhihui He, Jiangzheng Zeng, F. Huang, Junhua Lei
Objective To investigate the effect and safety of apatinib in the treatment of advanced gastric cancer. Methods A total of 60 patients with advanced gastric cancer at the first Affiliated Hospital of Hainan Medical College from April 2015 to October 2018 were retrospectively analyzed, and all patients were divided into two groups according to the treatment method, each group of 30 cases. The control group was treated with conventional treatment, and the observation group was given the treatment of apatinib on the basis of the control group, and then the clinical curative effect and adverse reactions were compared between the two groups. Results There were 2 cases (6.67%) of complete remission in the observation group, 14 cases (46.67%) of partial remission, 10 cases (33.33%) of stability and 4 cases (13.33%) of disease progression, and the total effective rate was 53.33% (16/30). The control group had no complete remission, 8 cases (26.67%) of partial remission, 11 cases (36.67%) of stability and 11 cases (36.67%) of disease progression, and the total effective rate was 26.67% (8/30). The difference of total effective rate between the two groups was statistically significant (χ 2 = 4.444, P = 0.035). There was no significant difference in the level of tumor marker carcinoembryonic antigen (CEA), carbohydrate antigen (CA)199, CA125, cytokeratin 19 fragment antigen 21-1 (CYFRA21-1) between the two groups before and after treatment (all P > 0.05). The incidence of hand-foot syndrome and hypertension in the observation group was higher than that in the control group [73.33% (22/30) vs. 43.33% (13/30), H = 5.554, P = 0.018; 76.67% (23/30) vs. 46.67% (14/30), H = 5.711, P = 0.017]. The incidence of proteinuria, bone marrow suppression and the cardiac adverse reactions in the observation group was higher than that in the control group [63.33% (19/30) vs. 33.33% (10/30), H = 3.300, P = 0.069; 60.00%(18/30) vs. 36.67% (11/30), H = 5.455, P = 0.071; 53.33% (16/30) vs. 30.00% (9/30), H = 3.360, P = 0.067]. Conclusion Apatinib is effective in the treatment of advanced gastric cancer, but the occurrence of hand-foot syndrome and hypertension should be paid close attention during the treatment. Key words: Stomach neoplasms; Tumor markers, biological; Molecular targeted therapy; Apatinib; Comparative effectiveness research; Adverse effects
目的探讨阿帕替尼治疗晚期癌症的疗效和安全性。方法回顾性分析海南医学院第一附属医院2015年4月至2018年10月收治的60例晚期癌症患者,按治疗方法分为两组,每组30例。对照组采用常规治疗,观察组在对照组基础上给予阿帕替尼治疗,比较两组的临床疗效及不良反应。结果观察组完全缓解2例(6.67%),部分缓解14例(46.67%),病情稳定10例(33.33%),病情进展4例(13.33%),总有效率53.33%(16/30)。对照组无完全缓解,部分缓解8例(26.67%),病情稳定11例(36.67%),疾病进展11例(3667%),总有效率26.67%(8/30)。两组总有效率差异有统计学意义(χ2=4.444,P=0.035),细胞角蛋白19片段抗原21-1(CYFRA21-1)。观察组手足综合征和高血压的发生率高于对照组[73.33%(22/30)vs.43.33%(13/30),H=5.554,P=0.018;76.67%(23/30)vs.46.67%(14/30),H=5.711,P=0.017],观察组骨髓抑制及心脏不良反应发生率均高于对照组[63.33%(19/30)vs.33.33%(10/30),H=3.300,P=0.069;60.00%(18/30)vs.36.67%(11/30),H=5.455,P=0.071;53.33%(16/30)vs.30.00%(9/30),P=3.360,P=0.067],但手足综合征和高血压的发生在治疗过程中应引起高度重视。关键词:胃肿瘤;肿瘤标志物,生物学;分子靶向治疗;阿法替尼;比较有效性研究;不良影响
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引用次数: 0
Progress of long non-coding RNA HOTAIR in leukemia 长链非编码RNA HOTAIR在白血病中的研究进展
Q4 Medicine Pub Date : 2019-12-28 DOI: 10.3760/CMA.J.ISSN.1006-9801.2019.12.017
Chen Wang
Long non-coding RNA (lncRNA) is a kind of regulatory RNA molecules with a length of more than 200nt, which can be involved in epigenetic modification of cells and gene expression by altering the chromatin status. HOTAIR is a kind of lncRNA, and some researches have found that HOTAIR may involved in the occurrence and development of leukemia, and it is obviously related to the diagnosis, treatment and prognosis of leukemia. This review summarizes the discovery, function, detection methods of HOTAIR and the latest research progress in leukemia, to provide new ideas for the diagnosis, individualized treatment and prognosis of leukemia. Key words: Leukemia; Long non-coding RNA; Diagnosis; HOTAIR; Prognosis
长非编码RNA(lncRNA)是一种长度超过200nt的调节性RNA分子,可通过改变染色质状态参与细胞的表观遗传学修饰和基因表达。HOTAIR是一种lncRNA,一些研究发现HOTAIR可能参与白血病的发生和发展,并与白血病的诊断、治疗和预后明显相关。本文综述了HOTAIR的发现、功能、检测方法以及白血病的最新研究进展,为白血病的诊断、个体化治疗和预后提供新的思路。关键词:白血病;长非编码RNA;诊断;热空气;预后
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引用次数: 0
Effect of cinobufacin combined with As2O3 on the angiogenesis of subcutaneous colorectal carcinoma transplantation tumor in BALB/C nude mice cinobufacin联合As2O3对BALB/C裸鼠皮下结直肠癌移植瘤血管生成的影响
Q4 Medicine Pub Date : 2019-12-28 DOI: 10.3760/CMA.J.ISSN.1006-9801.2019.12.002
Xia Liu, Zhengjie Han, Tingting Liu, Jieh-Yuan Liu
Objective To investigate the effect of cinobufacin combined with As2O3 on the angiogenesis of subcutaneous transplantation tumor in colorectal carcinoma BALB/C nude mice. Methods The colorectal carcinoma transplantation tumor model of BALB/C nude mice was established and divided into 4 groups, 5 mice in each group. The growth state of nude mice was observed by injecting the corresponding reagents into the tumor in As2O3 group, cinobufacin group, cinobufacin combined As2O3 group and the blank control group (replaced by phosphate buffer), respectively. The nude mice were killed two weeks later, and the tumor tissues, liver and kidney tissues and orbital vein blood were taken. The tumor volume inhibition rate and mass inhibition rate of nude mice were calculated. The histomorphology of tumor, liver and kidney and blood routine were detected. The expressions of vascular endothelial growth factor (VEGF), epidermal growth factor receptor (EGFR), fibroblast growth factor-basic (b-FGF) and CD105 in transplanted tumor tissues were detected by using immunohistochemistry method, and the microvascular density (MVD) of transplanted tumor in nude mice was evaluated. Western blot method was used to detect the protein expression levels of VEGF, EGFR and b-FGF. Results After 2 weeks of administration, the tumor volume and tumor mass in As2O3 group, cinobufacin group and cinobufacin combined As2O3 group were lower than those in the blank control group. The volume inhibition rate was 16%, 17%, 72%, and the mass inhibition rate was 31%, 33%, 78%, respectively, and the difference was statistically significant (all P 0.05), and cinobufacin combined As2O3 group had the most obvious therapeutic effects (all P 0.05), and cinobufacin combined As2O3 group had the most significant decrease in the marker changes, and there was a significant difference compared with the other groups (all P 0.05). Conclusions Cinobufacin and As2O3 show synergistic effects in the tumor angiogenesis and inhibition of transplantation tumor growth of colorectal cancer BALB/C nude mice. Moreover, cinobufacin and As2O3 have no obvious toxicity to the hepatic, kidney and hematopoietic tissues. Key words: Colonic neoplasms; Cinobufacin; Arsenites; Nude mice; Angiogenesis
目的探讨华蟾素联合三氧化二砷对大肠癌BALB/C裸鼠皮下移植瘤血管生成的影响。方法建立BALB/C裸鼠结直肠癌移植瘤模型,分为4组,每组5只。分别在As2O3组、华蟾素组、华蟾蜍素联合As2O3组和空白对照组(用磷酸盐缓冲液代替)的肿瘤中注射相应的试剂,观察裸鼠的生长状态。两周后处死裸鼠,取肿瘤组织、肝肾组织和眶静脉血。计算裸鼠的肿瘤体积抑制率和肿瘤质量抑制率。检测肿瘤组织形态、肝肾及血常规。采用免疫组织化学方法检测血管内皮生长因子(VEGF)、表皮生长因子受体(EGFR)、成纤维细胞生长因子碱性(b-FGF)和CD105在移植瘤组织中的表达,并评价裸鼠移植瘤的微血管密度(MVD)。采用蛋白质印迹法检测VEGF、EGFR和b-FGF的蛋白表达水平。结果给药2周后,As2O3组、华蟾素组和华蟾素联合As2O3组的肿瘤体积和肿瘤质量均低于空白对照组。体积抑制率分别为16%、17%、72%和质量抑制率为31%、33%、78%,差异有统计学意义(均P<0.05),华蟾素联合As2O3组疗效最明显(均P>0.05),华蟾素联合As2O3组标志物变化下降最显著,结论Cinobufacin和As2O3对癌症BALB/C裸鼠移植瘤的血管生成和抑制肿瘤生长具有协同作用。华蟾素和As2O3对肝、肾和造血组织无明显毒性。关键词:结肠肿瘤;Cinobufacin;亚砷酸盐;裸小鼠;血管生成
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引用次数: 0
Posttransplant lymphoproliferative disorders: a clinicopathological analysis of 11 cases 移植后淋巴细胞增生性疾病11例临床病理分析
Q4 Medicine Pub Date : 2019-12-28 DOI: 10.3760/CMA.J.ISSN.1006-9801.2019.12.009
B. Nie, Xin Huang, Lin Sun, Xiaolong Liu, L. Kong, Zi-fen Gao
Objective To analyze the clinicopathological features of the posttransplant lymphoproliferative disorders (PTLD) and to improve the diagnostic levels. Methods The clinical data of 11 patients diagnosed with PTLD between January 2008 and January 2018 from Henan Provincial People's Hospital, Peking University Science Center and the Affiliated Third Hospital of Peking University were collected. The clinicopathological features and the potential prognostic predictors were retrospectively analyzed by using immunohistochemical staining, EB virus in situ hybridization, fluorescence in situ hybridization and gene sequencing. Results There were 9 males and 2 females in 11 PTLD patients, and the median age of the total patients was 18 years old (3-34 years old). The median time of 9 cases who underwent hematopoietic stem cell transplantation developing PTLD was 4 months (2-24 months) after the transplantation. The other 2 cases undergoing solid organ transplantation (SOT) occurred PTLD after 6 months and 13 months, respectively. The lymph node was the most common site to be involved (9 cases), 1 case occurred in liver and 1 case occurred in nasopharynx site. Among 11 patients, 3 cases were classified as polymorphic PTLD (P-PTLD) and the other 8 cases were monomorphic PTLD (M-PTLD). EB virus of all cases was positive, and 8 cases of M-PTLD were classified as diffuse large B-cell lymphoma (DLBCL). Fluorescence in situ hybridization was used to detect bcl-2, myc, IGH and A20 gene, and only one case had the gene break of IGH, while other cases didn't find any other abnormalities. Ig gene clone analysis was made in 5 patients with PTLD, including 4 cases of M-PTLD with gene rearrangement and 1 case of P-PTLD without gene rearrangement. Univariate analysis showed that age (≤18 years old) was associated with poor prognosis (P = 0.040). Conclusions The clinicopathologic features of PTLD are various and infected by EB virus. Gene rearrangement can help the diagnosis. Key words: Lymphoproliferative disorders; Transplantation; Herpesvirus 4, human; Pathology, clinical
目的分析移植后淋巴增生性疾病(PTLD)的临床病理特征,提高诊断水平。方法收集2008年1月至2018年1月河南省人民医院、北京大学科学中心、北京大学附属第三医院11例PTLD患者的临床资料。采用免疫组化染色、EB病毒原位杂交、荧光原位杂交和基因测序等方法对其临床病理特征和潜在的预后预测因素进行回顾性分析。结果11例PTLD患者中男性9例,女性2例,患者中位年龄18岁(3-34岁)。9例接受造血干细胞移植的患者发生PTLD的中位时间为移植后4个月(2-24个月)。另外2例接受实体器官移植(SOT)的患者分别在6个月和13个月后发生PTLD。淋巴结是最常见的受累部位(9例),1例发生在肝脏,1例出现在鼻咽部位。11例患者中,3例为多态性PTLD(P-PTLD),8例为单型PTLD(M-PTLD)。EB病毒阳性,8例M-PTLD为弥漫性大B细胞淋巴瘤(DLBCL)。荧光原位杂交检测bcl-2、myc、IGH和A20基因,只有1例出现IGH基因断裂,其他病例未发现其他异常。对5例PTLD患者进行了Ig基因克隆分析,其中4例为有基因重排的M-PTLD,1例为无基因重排的P-PTLD。单因素分析显示,年龄(≤18岁)与预后不良相关(P=0.040)。结论PTLD的临床病理特征多种多样,且受EB病毒感染。基因重排有助于诊断。关键词:淋巴增生性疾病;移植;疱疹病毒4型,人类;病理学,临床
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引用次数: 0
A clinical analysis of esophageal cancer patients in different nutritional status treated with radiotherapy 癌症食管癌不同营养状态放疗的临床分析
Q4 Medicine Pub Date : 2019-12-28 DOI: 10.3760/CMA.J.ISSN.1006-9801.2019.12.015
Zhetao Mi, Xiufu Zhang, Jin Gu, Zhifang Zang, Wenli Zhang
目的 探讨不同营养状况食管癌放疗患者体力状况、生命质量及疗效。 方法 回顾性分析2017年12月至2018年12月山西省肿瘤医院收治的食管鳞状细胞癌患者62例,根据患者产生的主观整体评估量表分为营养状况良好组(A组)18例、轻中度营养不良组(B组)25例、重度营养不良组(C组)19例。所有患者均接受局部根治性放疗。比较各组患者放疗前后体力状况、生命质量、近期疗效及放射性食管炎发生情况。 结果 A组放疗结束时及放疗结束3个月Karnofsky评分及生命质量评分均优于B组及C组(均P<0.05)。各组患者放疗结束时生命质量评分均较放疗前降低,放疗结束3个月较放疗结束时及放疗前升高。A组近期有效率为94.4%(17/18),B组为92.0%(23/25),C组为89.5%(17/19),三组差异无统计学意义(χ2=0.778,P=1.000)。A组2~3级放射性食管炎发生率为22.2%(4/18),B组为24.0%(6/25),C组为68.4%(13/19),三组差异有统计学意义(χ2=11.534,P=0.003)。 结论 营养状况与患者体力状况、生命质量及放射性食管炎发生程度相关,营养状况良好可提高患者对治疗的耐受性。
Objective: To explore the physical condition, quality of life, and efficacy of esophageal cancer radiotherapy patients with different nutritional status. Method: A retrospective analysis was conducted on 62 patients with esophageal squamous cell carcinoma admitted to Shanxi Cancer Hospital from December 2017 to December 2018. According to the subjective overall evaluation scale developed by the patients, they were divided into a group with good nutritional status (Group A) of 18 cases, a group with mild to moderate malnutrition (Group B) of 25 cases, and a group with severe malnutrition (Group C) of 19 cases. All patients received local radical radiotherapy. Compare the physical condition, quality of life, recent efficacy, and incidence of radiation esophagitis among patients in each group before and after radiotherapy. The Karnofsky score and quality of life score at the end of radiotherapy and 3 months after radiotherapy in Group A were better than those in Group B and Group C (both P<0.05). The quality of life scores of patients in each group decreased at the end of radiotherapy compared to before, and increased three months after radiotherapy compared to before and after radiotherapy. The recent effective rate in Group A was 94.4% (17/18), Group B was 92.0% (23/25), and Group C was 89.5% (17/19). There was no statistically significant difference among the three groups( χ 2=0.778, P=1.00). The incidence of grade 2-3 radiation esophagitis in Group A was 22.2% (4/18), Group B was 24.0% (6/25), and Group C was 68.4% (13/19), with statistically significant differences among the three groups( χ 2=11.534, P=0.003). Conclusion: Nutritional status is related to the patient's physical condition, quality of life, and degree of radiation esophagitis. Good nutritional status can improve the patient's tolerance to treatment.
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引用次数: 0
Application of recombinant human thrombopoietin combined with granulocyte colony-stimulating factor in autologous peripheral blood stem cell mobilization of non-Hodgkin lymphoma 重组人血小板生成素联合粒细胞集落刺激因子在非霍奇金淋巴瘤自体外周血干细胞动员中的应用
Q4 Medicine Pub Date : 2019-12-28 DOI: 10.3760/CMA.J.ISSN.1006-9801.2019.12.014
Jin Zhao, L. Su, Jiangtao Wang, T. Guan, Xiaolan Liu, Li Ma
目的 探讨重组人血小板生成素(rhTPO)在非霍奇金淋巴瘤(NHL)患者自体外周血干细胞动员及采集中的作用。 方法 选取2013年5月至2018年5月在山西医科大学附属肿瘤医院行自体外周血干细胞移植的50例NHL患者,比较化疗联合重组人粒细胞集落刺激因子(G-CSF)组和大剂量依托泊苷、G-CSF联合rhTPO组的疗效。 结果 50例患者动员、采集、造血重建均顺利完成,无一例移植相关死亡。全部患者共行119例次外周血干细胞采集,获得单个核细胞(5.66±1.11)×108/kg,获得CD34+细胞(2.15±1.20)×106/kg。依托泊苷(VP16)、G-CSF联合rhTPO组在单次采集达标率、CD34+细胞数量方面均好于化疗联合G-CSF组(P=0.000 1,P=0.031)。两组在单个核细胞、中性粒细胞、血小板恢复时间及成分血输注上差异均无统计学意义(均P>0.05)。 结论 rhTPO联合大剂量VP16、G-CSF方案用于NHL患者自体外周血造血干细胞动员及采集安全有效,总体成功率高,不良反应可控。
目的 探讨重组人血小板生成素(rhTPO)在非霍奇金淋巴瘤(NHL)患者自体外周血干细胞动员及采集中的作用。 方法 选取2013年5月至2018年5月在山西医科大学附属肿瘤医院行自体外周血干细胞移植的50例NHL患者,比较化疗联合重组人粒细胞集落刺激因子(G-CSF)组和大剂量依托泊苷、G-CSF联合rhTPO组的疗效。 结果 50例患者动员、采集、造血重建均顺利完成,无一例移植相关死亡。全部患者共行119例次外周血干细胞采集,获得单个核细胞(5.66±1.11)×108/kg,获得CD34+细胞(2.15±1.20)×106/kg。依托泊苷(VP16)、G-CSF联合rhTPO组在单次采集达标率、CD34+细胞数量方面均好于化疗联合G-CSF组(P=0.000 1,P=0.031)。两组在单个核细胞、中性粒细胞、血小板恢复时间及成分血输注上差异均无统计学意义(均P>0.05)。 结论 rhTPO联合大剂量VP16、G-CSF方案用于NHL患者自体外周血造血干细胞动员及采集安全有效,总体成功率高,不良反应可控。
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引用次数: 0
Effect of apicidin on glioblastoma U87 cells and its regulation of OCT-4 gene expression apicidin对胶质母细胞瘤U87细胞的作用及其对OCT-4基因表达的调控
Q4 Medicine Pub Date : 2019-12-28 DOI: 10.3760/CMA.J.ISSN.1006-9801.2019.12.003
Zhongying Li, Weihong Wang, Hao Qi, Bingshan Wu, P. Gao, Jingtao Wang
Objective To investigate the effect of histone deacetylase inhibitor apicidin on the glioblastoma U87 cells and its regulation of OCT-4 gene expression. Methods Glioblastoma U87 cells were treated with different concentrations of apicidin, and dimethyl sulfoxide instead of apicidin was negative control. Methyl thiazolyl tetrazolium (MTT) assay was used to detect the proliferative ability of U87 cells treated by apicidin. The cell apoptosis was observed under the fluorescence microscope, and the cell cycle was detected by using flow cytometry. Reverse transcription-polymerase chain reaction and Western blot was used to detect the expression of mRNA and protein of U87 cells, respectively relative to the expression of GAPDH. Results MTT assay results showed that apicidin inhibited U87 cells proliferation in a dose-dependent and time-dependent manner, and half of the inhibitory concentration of cell proliferation at 48 h was (1.74±0.13) μmol/L. The cell proportion of U87 cells in S-phase of the negative control, 0.2, 0.5, and 1.0 μmol/L apicidin was (32.68±0.49)%, (33.73±0.76)%, (42.92±0.56)%, and (56.95±0.53)%, respectively after 48 h apicidin administration (P < 0.05), while the proportion of G1 and G2 phase cells was decreased. The karyopyknosis and other apoptotic changes were detected in U87 cells after 48 h treatment of 1.0 μmol/L apicidin under the confocal fluorescence microscope. Western blot and RT-PCR showed that the mRNA and protein relative levels of U87 cells OCT-4 were reduced after 1.0 μmol/L apicidin treatment for 48 h compared with the negative control group (mRNA: 72.44±0.00 vs. 56.66±0.23; protein: 86.59±0.19 vs. 56.04±0.15, both P < 0.01). Conclusions Apicidin can inhibit the growth of glioblastoma U87 cells, induce cell cycle arrest and apoptosis. Its mechanism may be related to the expression of OCT-4 inhibited by apicidin. Key words: Glioma; Histone deacetylases; OCT-4; Epigenomics
目的研究组蛋白去乙酰化酶抑制剂阿哌酸丁对胶质母细胞瘤U87细胞的作用及其对OCT-4基因表达的调控。方法用不同浓度的apicidin处理胶质母细胞瘤U87细胞,以二甲基亚砜代替apicidin为阴性对照。采用甲基噻唑四唑蓝(MTT)法检测apicidin对U87细胞的增殖能力。荧光显微镜下观察细胞凋亡,流式细胞仪检测细胞周期。采用逆转录聚合酶链式反应和蛋白质印迹法分别检测U87细胞的mRNA和蛋白质表达与GAPDH表达的关系。结果MTT法检测结果表明,apicidin对U87细胞增殖的抑制作用呈剂量依赖性和时间依赖性,48h时细胞增殖抑制浓度的一半为(1.74±0.13)μmol/L。阴性对照、0.2、0.5和1.0μmol/L apicidin的U87细胞在S期的细胞比例在给药48小时后分别为(32.68±0.49)%、(33.73±0.76)%,(42.92±0.56)%和(56.95±0.53)%(P<0.05),而G1期和G2期细胞的比例下降。μmol/L apicidin处理U87细胞48h后,在共聚焦荧光显微镜下观察到U87细胞核固缩和其他凋亡变化。Western blot和RT-PCR结果显示,与阴性对照组相比,1.0μmol/L apicidin处理48 h后U87细胞OCT-4的mRNA和蛋白相对水平降低(mRNA:72.44±0.00 vs.56.66±0.23;蛋白:86.59±0.19vs.56.04±0.15,均P<0.01)。其机制可能与apicidin抑制OCT-4的表达有关。关键词:胶质瘤;组蛋白脱乙酰酶;10月4日;表观基因组学
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引用次数: 0
Effect of chemoradiotherapy on anti-tumor immunity of glioblastoma patients and treatment enlightement 放化疗对胶质母细胞瘤患者抗肿瘤免疫的影响及治疗启示
Q4 Medicine Pub Date : 2019-12-28 DOI: 10.3760/CMA.J.ISSN.1006-9801.2019.12.016
Mingxiao Li, Haihui Jiang
Glioblastoma (GBM) is the most malignant primary brain tumor, and it has very poor prognosis. In recent years, the immunotherapy has become a hot issue in the treatment of malignancies. The traditional treatment regimen combined with immunotherapy might make a progress in the diagnosis and treatment of GBM. This paper reviews the explanation of the traditional chemoradiotherapy affecting the body's anti-tumor and immunity mechanism, and the current achievement of standard chemoradiotherapy combined with immunotherapy, to explore the potential benefits to GBM patients. Key words: Glioblastoma; Immunotherapy; Drug therapy, combination; Radiotherapy
胶质母细胞瘤是最恶性的原发性脑肿瘤,预后极差。近年来,免疫疗法已成为恶性肿瘤治疗的热点问题。传统的治疗方案结合免疫疗法可能在GBM的诊断和治疗方面取得进展。本文综述了传统放化疗影响机体抗肿瘤和免疫机制的解释,以及目前标准放化疗与免疫疗法相结合的成果,以探索对GBM患者的潜在益处。关键词:胶质母细胞瘤;免疫治疗;药物治疗,联合用药;放射治疗
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引用次数: 0
Laser treatment under rigid bronchoscopy for malignant airway tumors: report of one case and review of literature 硬质支气管镜下激光治疗气道恶性肿瘤1例报告及文献复习
Q4 Medicine Pub Date : 2019-11-28 DOI: 10.3760/CMA.J.ISSN.1006-9801.2019.11.015
Xiangzhen Meng, Jiwang Wang, Jiashu Li, Hong Zheng
目的 探讨经硬质支气管镜激光治疗主气道恶性肿瘤的安全性及有效性。 方法 回顾性分析连云港市第一人民医院收治的1例采用硬质支气管镜下激光介入治疗的主气道恶性肿瘤患者的临床资料,并复习相关文献。 结果 本例患者硬质支气管镜介入激光治疗术后呼吸困难症状明显改善,并发症少,恢复良好。 结论 经硬质支气管镜激光治疗主气道腔内恶性肿瘤,有助于疏通气道,即时缓解患者呼吸困难症状,并发症少,对于无手术机会的支气管恶性肿瘤患者可临时缓解病情。
Objective: To investigate the safety and effectiveness of laser treatment for primary airway malignant tumors through rigid bronchoscopy. Method: A retrospective analysis was conducted on the clinical data of a patient with primary airway malignant tumor treated with laser intervention under rigid bronchoscopy at Lianyungang First People's Hospital, and relevant literature was reviewed. The results showed that the patient had significantly improved respiratory distress symptoms, fewer complications, and a good recovery after the rigid bronchoscopy intervention laser treatment. Conclusion: Laser treatment of malignant tumors in the main airway cavity through rigid bronchoscopy can help to clear the airway, immediately alleviate respiratory difficulties in patients, with fewer complications, and temporarily alleviate the condition for patients with bronchial malignant tumors without surgical opportunities.
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引用次数: 0
Spleen in situ B-cell marginal zone lymphoma and pancreatic ductal papillary mucinous neoplasm: report of one case and review of literature 脾脏原位B细胞边缘区淋巴瘤和胰腺导管乳头状黏液性肿瘤1例报告及文献复习
Q4 Medicine Pub Date : 2019-11-28 DOI: 10.3760/CMA.J.ISSN.1006-9801.2019.11.014
Shouqian Wang, Lei Liu, Changxu Li, Qingchun Guan, Yingchao Wang
目的 探讨脾脏原位B细胞边缘区淋巴瘤合并胰腺导管内乳头状黏液性肿瘤(IPMN)的临床特征及诊断。 方法 回顾性分析吉林大学第一医院收治的1例脾脏原位B细胞边缘区淋巴瘤合并IPMN患者的术前实验室相关检查资料、影像学资料、术后病理资料,并复习相关文献。 结果 该患者术后病理结果为脾脏原位B细胞边缘区淋巴瘤合并IPMN。肝胆脾胰多排CT平扫+三期增强扫描示胰体部低强化影,考虑占位性病变;术后骨髓穿刺活组织检查结果示有核细胞形态未见明显异常。术后3个月随访,未见明显异常。 结论 脾脏原位B细胞边缘区淋巴瘤合并IPMN临床上十分罕见。脾边缘区淋巴瘤和IPMN的诊断均依赖病理组织学和免疫组织化学。
Objective To investigate the clinical characteristics and diagnosis of splenic in situ B-cell marginal zone lymphoma combined with pancreatic ductal papillary mucinous tumor (IPMN). Method: A retrospective analysis was conducted on the preoperative laboratory examination data, imaging data, and postoperative pathological data of a patient with splenic in situ B-cell marginal zone lymphoma complicated with IPMN admitted to the First Hospital of Jilin University, and the relevant literature was reviewed. The postoperative pathological result of the patient was splenic in situ B-cell marginal zone lymphoma with IPMN. Multi slice CT scan of liver, gallbladder, spleen, and pancreas combined with three phase enhanced scan shows low contrast enhancement in the body of the pancreas, considering space occupying lesions; The results of postoperative bone marrow biopsy showed no significant abnormalities in the morphology of nuclear cells. After 3 months of follow-up, no obvious abnormalities were found. Conclusion: In situ B-cell border zone lymphoma of the spleen with IPMN is very rare in clinical practice. The diagnosis of splenic marginal zone lymphoma and IPMN relies on histopathology and immunohistochemistry.
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引用次数: 0
期刊
肿瘤研究与临床
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