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An Efficient Breast Cancer Detection Using Jelly Electrophorus Optimization Based Deep 3D Convolution Neural Networks (CNN) 基于深度3D卷积神经网络(CNN)的Jelly Electrophorus优化高效乳腺癌检测
Pub Date : 2023-09-22 DOI: 10.19080/ctoij.2023.25.556156
Sagar kumar Patel
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引用次数: 0
Stomach Cancer – Prevention with a Plant-Based Diet 以植物性饮食预防胃癌
Pub Date : 2021-07-27 DOI: 10.19080/ctoij.2021.19.556012
A. Strombom
Worldwide, stomach or gastric cancer is the third leading cause of cancer death. Unfortunately, diagnosis often occurs at a late stage, and standard treatment involving radical surgery results in more than half of patients relapsing locally or with distant metastases. Median survival rarely exceeds 12 months, and in metastatic setting, 5-year survival is less than 10%. Given that standard treatment is not very efficacious, the emphasis needs to be on prevention. Dietary factors have an important impact on gastric carcinogenesis, especially in case of the intestinal type of gastric adenocarcinoma. Healthy dietary habits, that is, high intake of fresh fruits and vegetables, a Mediterranean diet, a low-sodium diet, avoiding salt-preserved food, red and high cured meat, sensible alcohol drinking,
在世界范围内,胃癌是癌症死亡的第三大原因。不幸的是,诊断往往发生在晚期,包括根治性手术在内的标准治疗导致一半以上的患者局部复发或远处转移。中位生存期很少超过12个月,在转移情况下,5年生存率低于10%。鉴于标准治疗不是很有效,重点需要放在预防上。饮食因素对胃癌的发生有重要影响,尤其是肠型胃腺癌。健康的饮食习惯,即大量摄入新鲜水果和蔬菜,地中海饮食,低钠饮食,避免盐渍食品,红肉和高腌肉,适量饮酒,
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引用次数: 0
Rare Case of Synchronous Malignancy in Oral Cavity and Esophagus- Case Report 口腔及食道同时恶性肿瘤1例报告
Pub Date : 2021-07-23 DOI: 10.19080/ctoij.2021.19.556011
P. Kalra
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引用次数: 0
AST/ALT (De ritis) Ratio As a Prognostic Factor in Diffuse Large B-Cell Lymphoma AST/ALT (De - ritis)比值与弥漫性大b细胞淋巴瘤预后的关系
Pub Date : 2021-07-19 DOI: 10.19080/ctoij.2021.19.556010
S. Solmaz
Purpose: This study aims to evaluate the prognostic significance of the aspartate aminotransferase (AST) / alanine aminotransferase (ALT) (De Ritis) ratio in diffuse large b-cell lymphoma ( DLBCL). Material and Method: This retrospective study analyzed newly diagnosed DLBCL patients between December 2003- November 2016 in our hospital. We used the university archive to analyze patient information. De Ritis ratio were calculated using data from the blood samples at the time of diagnosis. We analyzed the effect of the De Ritis ratio on the overall survival (OS) of 225 patients with DLBCL. Results: The mean age of the patients was 60.3(18–95) years, and 57.7 % of them were males. We performed ROC curve analysis to calculate optimal cut off points for the De Ritis ratio at the time of diagnosed. The median De Ritis ratio was 1.30( range 0,26 - 5,84 ). Based on the cutoff points for the De Ritis ratio, patients were separated in two groups: high De Ritis ratio group ( ≥1.30, n: 101 ) and low De Ritis ratio group ( <1.30, n:154 ) ( with sensitivity of 59%, specifity of 40%). We found a significant relationship between OS and De Ritis ratio. In Kaplan Meier analyses, the group with a higher De Ritis ratio had a more unfavorable prognosis for OS ( p=0.027). Conclusion: The De Ritis ratio may provide a cost- effective and sustainable marker for DLBCL patients. A higher De Ritis ratio can be considered as an independent prognostic factor in DLBCL patients.
目的:本研究旨在探讨天冬氨酸转氨酶(AST) /丙氨酸转氨酶(ALT) (De Ritis)比值在弥漫性大b细胞淋巴瘤(DLBCL)中的预后意义。材料与方法:回顾性分析我院2003年12月- 2016年11月新诊断的DLBCL患者。我们利用大学档案来分析病人的信息。使用诊断时的血液样本数据计算德炎比。我们分析了De - Ritis比率对225例DLBCL患者总生存期(OS)的影响。结果:患者平均年龄60.3岁(18 ~ 95岁),男性占57.7%。我们进行ROC曲线分析,计算诊断时德炎比的最佳截断点。德炎比中位数为1.30(范围0.26 - 5.84)。根据De Ritis ratio的截止点将患者分为两组:高De Ritis ratio组(≥1.30,n: 101)和低De Ritis ratio组(<1.30,n:154)(敏感性59%,特异性40%)。我们发现OS与De - Ritis比率有显著的关系。Kaplan - Meier分析显示,De - Ritis比值越高的组OS预后越差(p=0.027)。结论:De - Ritis比值可为DLBCL患者提供一个具有成本效益和可持续性的指标。较高的德炎比值可被认为是DLBCL患者的独立预后因素。
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引用次数: 0
Skeletal Muscle Metastases in Carcinoma Hypo Pharynx – a Rare Occurrence 咽下癌骨骼肌转移-罕见的发生
Pub Date : 2021-07-09 DOI: 10.19080/ctoij.2021.19.556008
Swati Virmani
Skeletal muscle metastases from hypo pharynx cancer are a very rare finding. The most common metastases in hypo pharynx cancer are seen to lungs, bones and liver. However, here we present a rare case of carcinoma hypopharynx with skeletal metastases to rectus abdominis muscle. Patient was a documented case of multiple metastases to bone, adrenals and skeletal muscle as per whole body PET-CT scan. Skeletal muscle metastases are rare and has no specific pattern of occurrence. Skeletal muscle metastases should always be considered as differential diagnosis for soft tissue sarcoma therefore, such patients should be looked with suspicion and needle biopsy is mandatory for final diagnosis.
下咽癌的骨骼肌转移是一个非常罕见的发现。下咽喉癌最常见的转移灶是肺、骨和肝。然而,我们在此报告一例罕见的下咽癌伴骨转移至腹直肌的病例。患者经全身PET-CT扫描证实为多发性骨、肾上腺和骨骼肌转移病例。骨骼肌转移是罕见的,没有特定的发生模式。骨骼肌转移应被视为软组织肉瘤的鉴别诊断,因此,此类患者应谨慎观察,最终诊断必须进行穿刺活检。
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引用次数: 0
The Luxated Eddies-Ectopic Meningioma 脱位涡流-异位脑膜瘤
Pub Date : 2021-06-24 DOI: 10.19080/ctoij.2021.19.556007
Anu Bajaj
Meningioma is a commonly discerned, benign neoplasm of the central nervous system originating from cellular elements of meninges, particularly the arachnoid villous structures and meningothelial cells. The neoplasm is uncommonly delineated within extracranial or ectopic sites. Thus, ectopic meningioma infrequently emerges within extracranial or extra-osseous region of the head and neck or maxilla and mandible and may manifest as a cystoid lesion [1]. Meningioma is appropriately established with ultrastructural examination and cogent immunohistochemistry. The morphology and immunohistochemistry of ectopic meningioma is identical to the frequently discerned intracranial meningioma. Appropriate discernment of an extracranial meningioma is challenging, and misinterpretation may incur an inadequate clinical and surgical management, especially for tumours situated within the facial region.
脑膜瘤是一种常见的中枢神经系统良性肿瘤,起源于脑膜的细胞成分,特别是蛛网膜绒毛结构和脑膜上皮细胞。肿瘤很少出现在颅外或异位部位。因此,异位脑膜瘤很少出现在头颈部或上颌骨的颅外或骨外区域,并可能表现为囊样病变[1]。通过超微结构检查和免疫组化检查确定脑膜瘤。异位脑膜瘤的形态和免疫组织化学与常见的颅内脑膜瘤相同。颅外脑膜瘤的正确识别是具有挑战性的,误解可能导致临床和手术治疗的不充分,特别是对于位于面部区域的肿瘤。
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引用次数: 0
Multiple Myeloma Presenting as a Left Clavicular Swelling – A Case Report 多发性骨髓瘤表现为左锁骨肿胀1例报告
Pub Date : 2021-06-22 DOI: 10.19080/ctoij.2021.19.556005
Dilbag Singh
Clavicular swellings constitute an important underdiagnosed entity in clinics. The reason for this includes mild nature of symptoms and thus less emphasis given to them by the patient as well as treating physician. It is important to do thorough examination and early investigations as this may point towards the diagnosis of a specific inflammatory, infectious, or neoplastic disorder. Moreover, in countries with a very high burden of tuberculosis (TB) like India, it becomes pivotal to first rule out extrapulmonary lymph node TB. Also, the failure to recognize and treat the specific condition can significantly add up to the morbidity and the resultant mortality. Clavicular swelling or fractures can occasionally be a presentation of solitary plasmacytomas but, multiple myeloma involving clavicle is extremely rare. 10-40% cases of multiple myeloma are asymptomatic and incidentally detected. We present a case of 57 years old female with a left clavicular swelling, which was examined and diagnosed as multiple myeloma.
锁骨肿胀在临床上是一个重要的未被诊断的实体。其原因包括症状轻微,因此患者和治疗医生对症状的重视程度较低。重要的是要做彻底的检查和早期调查,因为这可能指向特定炎症,感染性或肿瘤性疾病的诊断。此外,在印度等结核病负担非常高的国家,首先排除肺外淋巴结结核变得至关重要。此外,未能识别和治疗的具体情况可以显著增加发病率和由此导致的死亡率。锁骨肿胀或骨折偶尔是孤立性浆细胞瘤的表现,但累及锁骨的多发性骨髓瘤极为罕见。10-40%的多发性骨髓瘤是无症状和偶然发现的。我们报告一个57岁女性左锁骨肿胀的病例,经检查诊断为多发性骨髓瘤。
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引用次数: 0
Chemotherapy Induced Peripheral Neuropathy in Breast Cancer Patients 化疗诱导乳腺癌患者周围神经病变
Pub Date : 2021-06-22 DOI: 10.19080/ctoij.2021.19.556006
Amani Saleh Hadi Saeed
Peripheral neuropathy induced by chemotherapy is considered the most common neurological disorder associated with chemotherapy. Different sites are involved in the mechanism of chemotherapy induced peripheral neuropathy and considered multifactorial. 68% of cases develop CIPN during the first month following the start of chemotherapy, 60% of cases develop CIPN within 3 months after chemotherapy and only 30% after 6 months. CIPN is caused by chemotherapeutic agents which include taxanes, platinum analogs, and vinca alkaloids. The clinical presentation of CIPN includes multiple symptoms that may cause functioning impairment and may require reduction of the dose of chemotherapy. CIPN considered a common sequel of different agents of chemotherapy and may last from months to years after chemotherapy completion. CIPN can be diagnosed by a detailed history and clinical examination. Clinical examination of a patient with CIPN can be done by the use of nerve conduction studies. Antidepressant includes tricyclic antidepressants and serotonin-noradrenaline reuptake inhibitors are common drugs used for CIPN. Patients may require reductions, substitutions, or stopping of chemotherapeutic agents according to the severity of symptoms.
化疗引起的周围神经病变被认为是最常见的与化疗相关的神经系统疾病。不同部位参与化疗诱导周围神经病变的机制,被认为是多因素的。68%的病例在化疗开始后的第一个月内发生CIPN, 60%的病例在化疗后3个月内发生CIPN, 6个月后仅30%发生CIPN。CIPN是由化疗药物引起的,包括紫杉烷、铂类似物和长春花生物碱。CIPN的临床表现包括可能导致功能损害的多种症状,可能需要减少化疗剂量。CIPN被认为是不同化疗药物的常见后遗症,可能在化疗结束后持续数月至数年。CIPN可以通过详细的病史和临床检查来诊断。CIPN患者的临床检查可以通过神经传导检查来完成。抗抑郁药包括三环抗抑郁药和血清素-去甲肾上腺素再摄取抑制剂是CIPN常用的药物。根据症状的严重程度,患者可能需要减少、替代或停止化疗药物。
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引用次数: 0
FDG-PET Metabolic Vs CT Anatomical Monitoring of Tumor Response to Anterior Chemotherapy in Breast Carcinoma-The Uncertainties FDG-PET代谢与CT解剖监测乳腺癌前路化疗肿瘤反应的不确定性
Pub Date : 2021-06-21 DOI: 10.19080/ctoij.2019.18.556003
G. Lohith
To compare the metabolic tumor response and volumetric tumor response to pathological tumor response to NACT and to predict the sensitivity, specificity, positive predictive value and negative predictive value of FDG PET to neoadjuvant chemotherapy. Material and method: The study was performed after institutional ethical committee clearance.35 consecutive eligible patients treated between January 2015 to May 2016 were included in the study. PETCT was acquired at baseline and post neoadjuvant chemotherapy, prior to surgery. The SUV max of tumor and involved nodes at baseline and post neoadjuvant chemotherapy was compared to pathological tumor size and nodal status. Response was assessed using PRECIST and RECIST criteria. Statistical methods used for analysis were software SPSS version 13, calculations for Sensitivity, specificity, positive predictive value and negative predictive value. Results: The median age was 51.3 years (range 33 to 68 years). The patients were generally healthy with ECOG PS 0-1. FDG PET tumor to HPE correlation -sensitivity, specificity, PPV, NPV SENSITIVITY 88.8% SPECIFICITY 50% PPV 85.7% NPV 57.1% our results show the high sensitivity and low specificity of PETCT in detecting residual tumor. Overall PCR was in 22.6% (8/35). Pathological Complete Response Rates In The Axillary Node Luminal wise:Total:23/35 – 65.7%. Luminal A PCR Rate -14.4%; Luminal B PCR Rate-8.5%; TNBC PCR Rate-31.4%; HER 2-11.4%. Conclusion:
比较NACT对代谢性肿瘤反应和体积性肿瘤反应对病理性肿瘤反应的影响,预测FDG PET对新辅助化疗的敏感性、特异性、阳性预测值和阴性预测值。材料和方法:本研究经机构伦理委员会批准后进行。研究纳入了2015年1月至2016年5月期间连续治疗的35例符合条件的患者。在手术前的基线和新辅助化疗后进行PETCT检查。将基线和新辅助化疗后肿瘤和受病灶淋巴结的SUV max与病理肿瘤大小和淋巴结状态进行比较。使用PRECIST和RECIST标准评估反应。统计方法采用SPSS version 13软件,计算敏感性、特异性、阳性预测值和阴性预测值。结果:中位年龄为51.3岁(33 ~ 68岁)。患者总体健康,ECOG PS 0-1。FDG PET肿瘤与HPE的相关性-敏感性、特异性、PPV、NPV敏感性88.8%特异性50% PPV 85.7% NPV 57.1%我们的结果显示PETCT检测残余肿瘤的敏感性高,特异性低。总体PCR阳性率为22.6%(8/35)。腋窝淋巴结病理完全缓解率:总:23/35 - 65.7%。Luminal A PCR率-14.4%;Luminal B PCR率-8.5%;TNBC PCR率-31.4%;她的2 - 11.4%。结论:
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引用次数: 0
Loss of EGFR Mutation Expression Induced by NF1 Mutation in Non-Small Cell Lung Cancer: Non-Canonical Pathway of Tyrosine Kinase Inhibitors’ Resistance 非小细胞肺癌中NF1突变诱导的EGFR突变表达缺失:酪氨酸激酶抑制剂耐药的非典型途径
Pub Date : 2021-02-16 DOI: 10.19080/ctoij.2021.18.555979
Jose Gabriel Negron Rodriguez, Luis Orrego Poma, Manuel Leiva Gálvez, Maria Claudia Rodriguez Zavaleta, Wuilbert Rodriguez Pantigoso
Non-small cell lung carcinoma (NSCLC) is considered the first cause of cancer-related death worldwide and many therapies have been developed against the presence of actionable mutations. For example, targeting the EGFR mutation has changed the overall prognosis in NSCLC. However, resistance to treatment has emerged and many canonical mechanisms have already been described. NF1 mutation causes partial or total loss of function of neurofibromin, which activates several intracellular pathways (MAPK / ERK, PI3K / AKT, TGF -β / Smad), producing cellular proliferation, migration, apoptosis resistance and genetic instability, leading to loss of EGFR expression. Herein, we describe a case of a novel activation of a non-canonical pathway that led to treatment resistance by NF1 mutation.
非小细胞肺癌(NSCLC)被认为是世界范围内癌症相关死亡的第一原因,许多针对可操作突变的治疗方法已经开发出来。例如,靶向EGFR突变已经改变了NSCLC的总体预后。然而,对治疗的耐药性已经出现,许多规范的机制已经被描述。NF1突变导致神经纤维蛋白部分或全部功能丧失,激活细胞内多条通路(MAPK / ERK、PI3K / AKT、TGF -β / Smad),产生细胞增殖、迁移、抗凋亡和遗传不稳定,导致EGFR表达丧失。在这里,我们描述了一个非规范途径的新激活,导致NF1突变的治疗抗性的情况。
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引用次数: 0
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Cancer Therapy & Oncology International Journal
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