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Study and Analysis of the Conformation Number and the Integral Dose as Evaluation Tools in Head and Neck Tumors: for Advanced 3-Dimensional Conformal Radiation Therapy Techniques 构象数和积分剂量作为头颈部肿瘤评估工具的研究与分析:用于先进的三维适形放疗技术
Pub Date : 2020-12-11 DOI: 10.19080/ctoij.2020.17.555966
Hanan Abdelrazek Soliman Abotaleb
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引用次数: 0
When planning IMRT Technique for Head and Neck Cancer by Radiation Oncologist what needs to know? 放射肿瘤学家在规划头颈部肿瘤的IMRT技术时需要知道什么?
Pub Date : 2020-12-09 DOI: 10.19080/ctoij.2020.17.555965
M. Baig
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引用次数: 0
Lack of Awareness in Managment and Monitoring of Monoclonal Gammopathy of Undetermined Significance (MGUS) in Patients aged 60 years and more in Primary Health Care: Short Communication 初级卫生保健中60岁及以上患者对未确定意义单克隆γ病(MGUS)的管理和监测缺乏认识:简短交流
Pub Date : 2020-11-25 DOI: 10.19080/CTOIJ.2020.17.555964
Zvonimir Bosnić
Monoclonal gammopathy of undetermined significance (MGUS) presents a rare premalignant clonal plasma cell disorder, characterized by the presence of a monoclonal (M) protein, less than 10% of clonal plasma cells in the bone marrow and absence of multiple myeloma or related lymphoplasmacytic malignancies [1,2]. It is associated with a rate of progression to multiple myeloma or a related malignant condition of 1 percent per year or less [3]. The prevalence of monoclonal gammopathy of undetermined significance among persons 50 years of age or older has not been accurately determined [4]. In previous studies, the frequency of monoclonal immunoglobulins in serum from a normal population has been reported to be 0.5 to 3.6 percent among patients seen in community practice, and usually it was the coincidental finding of MGUS [5-7]. Previous reports expected that the number of living individuals diagnosed with MGUS will be well over a million in next 30 years [8]. Cause current practice guidelines do not recommend routine screening for MGUS in the general population because of the lack of proven benefit and absence of curative or preventive therapy. In this overview, we assume severe difficulities in managment of MGUS in patients aged 60 years and more in primary health care. Abstract
未确定意义单克隆γ病(MGUS)是一种罕见的恶性前克隆浆细胞疾病,其特征是存在单克隆(M)蛋白,骨髓中不到10%的克隆浆细胞,没有多发性骨髓瘤或相关淋巴浆细胞恶性肿瘤[1,2]。它与多发性骨髓瘤或相关恶性疾病的进展率为每年1%或更低相关[3]。尚未准确确定50岁及以上人群中意义不明的单克隆γ病的患病率[4]。在以往的研究中,据报道,在社区就诊的患者中,正常人群血清中单克隆免疫球蛋白的发生率为0.5%至3.6%,通常是MGUS的巧合发现[5-7]。先前的报道预计,在未来30年,被诊断为MGUS的在世个体数量将远远超过100万[8]。因为目前的实践指南不建议在普通人群中进行MGUS的常规筛查,因为缺乏证实的益处和缺乏治疗或预防治疗。在本综述中,我们假设在初级卫生保健中,60岁及以上患者的MGUS管理存在严重困难。摘要
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引用次数: 0
CXCR4 Antagonist AMD3100 (Plerixafor) Modulates Immune Responses in the Tumor Microenvironment CXCR4拮抗剂AMD3100 (Plerixafor)调节肿瘤微环境中的免疫反应
Pub Date : 2020-11-19 DOI: 10.19080/ctoij.2020.17.555962
Asmaa El Hussainy
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引用次数: 2
Persistent Thrombocytosis in a Case of Pseudomyxoma Peritonea Post CRS and HIPEC -A Case Report CRS和HIPEC术后腹膜假性粘液瘤持续性血小板增多1例
Pub Date : 2020-11-19 DOI: 10.19080/ctoij.2020.17.555961
Asmaa El Hussainy
Background: Cytoreductive surgery (CRS) followed by hyper thermic intraperitoneal chemotherapy (HIPEC) is an evolving treatment for peritoneal carcinomatosis (PC). Mitomycin C (MMC), an alkylating agent, is presently the most commonly used chemotherapeutic agent for hyper thermic intraperitoneal treatment. The spleen has a role in the hematologic response after HIPEC and that splenectomy may enhance hematologic toxicity profiles of MMC. We are presenting a case who developed persistent thrombocytosis After Cytoreductive surgery followed by HIPEC. Case presentation: on routine absence of any cause of essential thrombocytosis. Conclusion: This article to emphasize that Persistent reactive thrombocytosis can occur in a case of peritoneal carcinomatosis after CRS followed by HIPEC.
背景:细胞减少手术(CRS)加腹腔高温化疗(HIPEC)是治疗腹膜癌(PC)的一种新方法。丝裂霉素C (Mitomycin C, MMC)是一种烷基化剂,是目前最常用的腹腔高温化疗药物。脾在HIPEC后的血液学反应中起作用,脾切除术可能会增强MMC的血液学毒性。我们提出了一个病例谁发展持续的血小板增多后,细胞减少手术后HIPEC。病例介绍:常规没有任何原因的必要的血小板增多。结论:本文强调腹膜癌CRS合并HIPEC后可发生持续性反应性血小板增多。
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引用次数: 0
Enhancing Mammogram Images with Segmentation and Colorization for Assisting Breast Cancer Detection 增强乳房x光图像分割和着色协助乳腺癌检测
Pub Date : 2020-11-17 DOI: 10.19080/CTOIJ.2020.17.555960
William Pham, T. Pham, Pamela Maldonado
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引用次数: 0
Assessment of Target Volume Definition for Irradiation of Hemangiopericytomas: An Original Article 血管外皮细胞瘤照射靶体积定义的评估:一篇原创文章
Pub Date : 2020-11-06 DOI: 10.19080/ctoij.2020.17.555959
O. Sager
Background: Hemangiopericytomas arise from the mesenchymal cells with pericytic differentiation. Clinical course of these rare tumors may be aggressive with high propensity for local recurrence and metastases. Radical resection is the treatment of choice for lesions amenable to surgery. Nevertheless, radiation therapy (RT) may have a role in management of hemangiopericytomas either as an adjunctive, salvage or primary treatment, or for palliation of metastases in selected patients. Target volume definition is a critical aspect of RT. Objective: Aim of this study is to assess incorporation of multimodality imaging with magnetic resonance imaging (MRI) into target volume definition for irradiation of hemangiopericytomas. Methods: In this study, treatment volume definition with multimodality imaging by incorporating MRI or by use of computed tomography (CT)-simulation images only was comparatively evaluated for patients with hemangiopericytoma. Results: Ground truth target volume defined by the board-certified radiation oncologists following meticulous evaluation, colleague peer review, collaboration, and ultimate consensus was found to be identical with target determination based on CT-MR fusion based imaging in this study. Conclusion: Accurate target volume determination is an indispensable part of RT for management of hemangiopericytomas. Incorporation of MRI in the target volume definition process may be considered for optimization of treatment volume designation for successful RT applications. Clearly, future studies are required to shed light on this issue.
背景:血管外皮细胞瘤起源于周细胞分化的间充质细胞。这些罕见肿瘤的临床过程可能是侵袭性的,局部复发和转移的倾向很高。根治性切除是适合手术的病变的治疗选择。然而,放射治疗(RT)可能在血管外皮细胞瘤的治疗中起到辅助、挽救或主要治疗的作用,或者在选定的患者中缓解转移。靶体积定义是放射治疗的一个关键方面。目的:本研究的目的是评估将多模态成像与磁共振成像(MRI)结合到血管外皮细胞瘤照射的靶体积定义中。方法:在本研究中,通过合并MRI或仅使用计算机断层扫描(CT)模拟图像的多模态成像来比较评估血管外皮细胞瘤患者的治疗量定义。结果:本研究中,经委员会认证的放射肿瘤学家经过细致的评估、同事同行评审、合作和最终共识后确定的真实靶体积与基于CT-MR融合成像的靶体积相同。结论:准确的靶体积测定是血管外皮细胞瘤放射治疗中不可缺少的一部分。在靶体积定义过程中纳入MRI可以考虑优化治疗体积指定,以成功应用RT。显然,需要未来的研究来阐明这个问题。
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引用次数: 14
Post-Mastectomy Lymphocele after Breast Cancer Surgery: Risk Factors Evaluation 乳腺癌术后淋巴囊肿:危险因素评估
Pub Date : 2020-10-29 DOI: 10.19080/ctoij.2020.17.555957
Sidy Ka
Aim of study: The main postoperative complication of mastectomies with axillary lymph node dissection is the lymphocele that can last many months after the operation. The purpose of our study was to analyze the factors that can contribute to its production. Methods: Sixty-one patients have been included in our study. The follow-up was 6 months. All patients had a mastectomy with axillary node dissection following the Madden technique. All quantities of lymphoceles during postoperative hospitalization and ambulatory care have been noted. Factors linked to patient, disease and treatment have been collected. Results: Sixty-one patients (61) operated at Joliot Curie Institute of Dakar between January and June of 2018 for breast cancer have been included in our study. Amongst the factors linked to patients, the lymphocele production is more significant for obese patients and those with prolonged aPTT (partial thromboplastin time). The weight of surgical specimens from 1001 to 1250 g was associated with greater production. It was the same for a more extensive dissection. Neither surgical factors nor chemotherapy influenced the lymphocele production. However, the extended use of a suction drain causes a more significant production. Conclusion: The production of postoperative lymphocele is heterogenous, varying from a patient to another. Nevertheless, several factors may influence the production of this lymphocele. These factors are bound to patient, sickness and treatment.
研究目的:乳房切除术合并腋窝淋巴结清扫术后的主要并发症是淋巴囊肿,可在术后持续数月。本研究的目的是分析影响其产生的因素。方法:61例患者纳入我们的研究。随访6个月。所有患者均行乳腺切除术并腋窝淋巴结清扫术。所有数量的淋巴囊肿在术后住院和门诊护理已被记录。收集了与病人、疾病和治疗有关的因素。结果:2018年1月至6月在达喀尔约里奥居里研究所接受乳腺癌手术的61例患者(61例)被纳入我们的研究。在与患者相关的因素中,淋巴囊肿的产生对肥胖患者和aPTT(部分凝血活素时间)延长的患者更为显著。手术标本的重量从1001到1250克与更高的产量相关。对于更广泛的解剖也是如此。手术因素和化疗均不影响淋巴囊肿的产生。然而,长期使用吸式排液会导致更显著的产量。结论:术后淋巴囊肿的产生是异质的,因人而异。然而,有几个因素可能影响这种淋巴囊肿的产生。这些因素与病人、疾病和治疗有关。
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引用次数: 0
Impact of Covid-19 Infection on Hematological Parameters Covid-19感染对血液学指标的影响
Pub Date : 2020-10-28 DOI: 10.19080/ctoij.2020.17.555958
B. Saberi
non-Abstract COVID-19 infection is associated with lymphopenia, occasional thrombocytopenia, and overall leukopenia at hospital admission. ICU admission and mortality risk are associated with an elevated D-dimer (dimerized plasmin fragment D) level and a decreasing lymphocyte count. Platelet count was not a discriminating test on ICU admission or during the hospitalization. Additional routine biomarkers for infected patient risk stratification and for early admission for supportive care in the ICU are urgently needed.
COVID-19感染与住院时淋巴细胞减少、偶尔的血小板减少和整体白细胞减少有关。ICU入院和死亡风险与D-二聚体(二聚体纤溶酶片段D)水平升高和淋巴细胞计数减少有关。血小板计数不是ICU入院或住院期间的判别试验。目前迫切需要更多用于感染患者风险分层和ICU支持治疗早期入院的常规生物标志物。
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引用次数: 2
Surgical Resection Technique for Convexity Meningiomas 凸性脑膜瘤的外科切除技术
Pub Date : 2020-10-28 DOI: 10.19080/ctoij.2020.17.555956
B. Saberi
Simpson grade “I” resection, is the goal in convexity meningiomas surgery. After craniotomy, by using intraoperative ultrasound, neuronavigation and visual inspection, the junction of the dura with the tumor is defined in a circumferential direction. Dural incision is made at least in one centimeter distance from the tumor in a circumference manner around the tumor. Bipolar cautery is used to the dural attachment center after tumor encircling. This cause the cut margins to be turned outwardly and cause the arachnoid margin to be obviously visualized [1].
Simpson“I”级切除是凸面脑膜瘤手术的目标。开颅后,通过术中超声、神经导航和目视检查,沿周向确定硬脑膜与肿瘤的交界处。硬脑膜切口距肿瘤至少1厘米,以肿瘤周围的圆周方式切开。双极烧灼用于肿瘤环绕后的硬脑膜附着中心。这导致切缘向外翻转,使蛛网膜边缘明显可见[1]。
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Cancer Therapy & Oncology International Journal
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