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Metastatic Spinal Cord Compression: A Prospective Observational Study at a Tertiary Care Center of North India 转移性脊髓压迫:印度北部三级保健中心的前瞻性观察研究
Pub Date : 2019-07-15 DOI: 10.19080/ctoij.2019.14.555888
Pawan Kumar
Introduction: Metastatic spinal cord compression (MSCC) is a most commonly encountered emergency in oncology, that can lead to permanent paraplegia if left untreated or treatment delayed, so it is essential to diagnose early and treat aggressively to preserve or improve the patient’s quality of life. We analyzed the incident and the effect of common interventions on the outcome in these patients. Material and Methods: We prospectively evaluated 80 patients of MSCC without any intervention in the year 2017 and collected all relevant patient and disease characteristics. All patients received corticosteroids. Seven patients were operated, 59 patients treated by radiotherapy and 3 patients were treated by surgery followed by radiotherapy. Results: Most of the patients were in the age group of 40-70 years with male gender preponderance. Lung cancer was the most common incident (46.25%) malignancy followed by breast, myeloma and prostate cancer. Dorsal spine was the most common site of compression (50.5%) followed by lumbar spine (40.8%) and cervical spine (8.7%). 62 (77.5%) patients were presented with pain at affected site and 60 (75%) were presented with neurological motor deficit. 54 (87%) patients got relieved from pain and only 23(38%) patients had motor improvement after treatment. Conclusion: Patients presented 7-10 days after onset of neurological deficit were associated with poor outcome in neurological function, but radiotherapy proved an important modality for pain relief in MSCC and also beneficial in motor function preservation if instituted early. before predictive of response to treatment and overall outcome of motor functions.
转移性脊髓压迫(MSCC)是肿瘤学中最常见的急症,如果不及时治疗或延迟治疗,可导致永久性截瘫,因此早期诊断和积极治疗以保持或改善患者的生活质量至关重要。我们分析了这些患者的事件和常见干预措施对结果的影响。材料和方法:我们对2017年未进行任何干预的80例MSCC患者进行前瞻性评估,并收集所有相关患者和疾病特征。所有患者均接受皮质类固醇治疗。手术7例,放疗59例,手术后放疗3例。结果:患者年龄以40 ~ 70岁为主,男性居多。肺癌最常见(46.25%),恶性肿瘤次之,其次为乳腺癌、骨髓瘤和前列腺癌。脊柱背部是最常见的压迫部位(50.5%),其次是腰椎(40.8%)和颈椎(8.7%)。62例(77.5%)患者表现为受累部位疼痛,60例(75%)患者表现为神经运动障碍。54例(87%)患者疼痛缓解,仅23例(38%)患者运动改善。结论:发病后7-10天出现神经功能缺损的患者与神经功能预后不良相关,但放射治疗被证明是缓解MSCC疼痛的重要方式,如果及早进行放射治疗,也有利于运动功能的保存。之前预测对治疗的反应和运动功能的总体结果。
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引用次数: 0
Apoptosis Caused by Natural Compounds in Cervical Cancer Cell Line 天然化合物对宫颈癌细胞凋亡的影响
Pub Date : 2019-07-10 DOI: 10.19080/ctoij.2019.14.555886
A. kumar Jha
Cancer is a type of disease that spreads due to uncontrolled of cell growth due to the collection of defects or variation in their DNA and with imminence to attack or distribute to other parts of the body. Cancer is specified as a wide group of several infections normally characterized by persistently uncontrolled and unnatural at usual cell yield, where cell proliferation comes via mitotic deregulations and thus contributes to overgrowth of cancerous cells. In the case of malignancy, these cells may transmigrate from one body parts to other in the form of tumors and metastasis in blood stream sand lymphatic system (Ochwang et al., 2015 and Srivatava et al., 2015). Various studies have demonstrated that the cancer danger at the level of particular organs is due to exposure to particular environmental chemicals, biological factors (as Human Papilloma virus, Helicobacter hepticus, HIV1, HBV) or physical factors (such as X-radiation, gamma radiation) (Zulkipli et al., 2015). Research proposes that most malignancies are caused by a dysfunction of multiple genes coding for macromolecules like as growth factors, growth factor receptors, anti-apoptotic proteins, transcription factors, and tumor suppressors, all of which establish the aim for disease treatment (Cogliano et al., 2011 and Vogelstein et al., 2004).
癌症是一种由于细胞生长不受控制而传播的疾病,这种不受控制是由于细胞DNA中的缺陷或变异的聚集,并且迫在眉睫地攻击或扩散到身体的其他部位。癌症被定义为一组广泛的几种感染,通常以细胞产量持续不受控制和不自然为特征,其中细胞增殖来自有丝分裂失调,从而导致癌细胞过度生长。在恶性肿瘤的情况下,这些细胞可能以肿瘤的形式从身体的一个部位转移到另一个部位,并在血液和淋巴系统中转移(Ochwang et al., 2015和Srivatava et al., 2015)。各种研究表明,特定器官水平的癌症危险是由于暴露于特定的环境化学物质,生物因素(如人类乳头瘤病毒,hepobacter Helicobacter, hiv - 1, HBV)或物理因素(如x射线,伽马射线)(Zulkipli等人,2015)。研究表明,大多数恶性肿瘤是由生长因子、生长因子受体、抗凋亡蛋白、转录因子、肿瘤抑制因子等大分子编码基因的多种功能障碍引起的,这些大分子编码基因的功能障碍是疾病治疗的目标(Cogliano et al., 2011 and Vogelstein et al., 2004)。
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引用次数: 0
Efficacy and Tolerance of Extended Field Radiation Therapy in Uterine Cervical Cancer Patients with Para-Aortic Lymph Node Metastasis 扩大野放疗在宫颈癌主动脉旁淋巴结转移患者中的疗效和耐受性
Pub Date : 2019-07-08 DOI: 10.19080/ctoij.2019.14.555885
Meenu Gupta
Aim: To determine the response and toxicity of extended field radiation therapy and concurrent chemotherapy on uterine cervical cancer patients with para - aortic lymph node metastasis. Methods: Forty patients with cervical cancer with para -aortic lymphadenopathy metastasis were treated by photons on LINAC with extended field radiotherapy (46-50Gy/23-25#) along with weekly concurrent cisplatin (35mg/m2) followed by 3 sessions of weekly intracavitory brachytherapy (7Gy per session by HDR Ir-192) at our institution. The primary endpoint was to assess efficacy in terms of response to the treatment. The secondary endpoint was to assess tolerance of treatment in terms of toxicities (hematological and non-hematological). Results: Complete clinical response in pelvis and para-aortic disease were observed in 28(70%) and 27(67.5%) patients. Partial clinical response in pelvis and para-aortic disease were observed in 11(27.5%) and 12(30%) of patients. One patient did not respond to the treatment and had progression of disease. Anemia grade 1-2 was seen in 22(55%) patients. Neutropenia grade 1-2 was seen in 10(25%) of patients. Thrombocytopenia grade 1 was seen in only 2(5%) of patients. None of the patient had grade 4 hematological
目的:探讨扩大野放疗与同期化疗对宫颈癌主动脉旁淋巴结转移患者的疗效及毒副作用。方法:本院40例宫颈癌伴腹主动脉旁淋巴结转移患者行光子LINAC扩展野放射治疗(46-50Gy/23-25#),每周同时使用顺铂(35mg/m2),随后每周进行3次腔内近距离放射治疗(HDR Ir-192每次7Gy)。主要终点是根据治疗反应来评估疗效。次要终点是根据毒性(血液学和非血液学)评估治疗的耐受性。结果:骨盆和主动脉旁病变28例(70%)和27例(67.5%)患者临床完全缓解。盆腔和主动脉旁病变分别有11例(27.5%)和12例(30%)患者出现部分临床缓解。一名患者对治疗没有反应,并出现疾病进展。22例(55%)患者出现1-2级贫血。10例(25%)患者出现1-2级中性粒细胞减少症。1级血小板减少症仅见于2例(5%)患者。没有患者有4级血液学
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引用次数: 0
Pathophysiology & Management of Anemia in Cancer Patients: A Systematic Review Nanda 肿瘤患者贫血的病理生理及治疗:系统综述
Pub Date : 2019-06-27 DOI: 10.19080/ctoij.2019.14.555884
Biplab Misra
Anemia is a common challenge among oncologists. Anemia has been directly implicated in the prognosis of cancer patients. Furthermore, correction of anemia-related symptoms can significantly improve the quality of life in these patients. We performed a systematic review of literature to improve our present knowledge on anemia in cancer patients. The data for review were identified by searching PubMed and Google Scholar and based on the recommendations from professional compendiums such as those by the National Comprehensive Cancer Network and European Society of Medical Oncology. The level of Hemoglobin is an established prognostic factor in many cancer patients. One of the reasons for this is that anemia will result in hypoxia and, subsequently, in tumor resistance to chemotherapy and radiotherapy. This review suggests that the ESAs (Erythropoietin Stimulating Agents) and intravenous iron should be used to maintain target hemoglobin level of 10 g/dl while the patient is receiving chemotherapy. However, long-term effect of intravenous iron treatment, ESAs use, and red blood cell transfusions should be further investigated.
贫血是肿瘤学家面临的共同挑战。贫血与癌症患者的预后有直接关系。此外,纠正贫血相关症状可显著改善这些患者的生活质量。我们进行了系统的文献综述,以提高我们目前对癌症患者贫血的认识。要审查的数据是通过搜索PubMed和谷歌Scholar,并根据国家综合癌症网络和欧洲医学肿瘤学会等专业概要的建议确定的。在许多癌症患者中,血红蛋白水平是一个确定的预后因素。其中一个原因是贫血会导致缺氧,进而导致肿瘤对化疗和放疗产生耐药性。这一综述表明,在患者接受化疗时,应使用促红细胞生成素(促红细胞生成素)和静脉注射铁来维持目标血红蛋白水平在10 g/dl。然而,静脉铁治疗、esa使用和红细胞输注的长期效果有待进一步研究。
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引用次数: 0
Metal Complexes in Medicine: An Overview and Update from Drug Design Perspective 金属配合物在医学上的应用:从药物设计的角度综述与更新
Pub Date : 2019-06-17 DOI: 10.19080/ctoij.2019.14.555883
Ravinderpal Kour Sodhi
Metals are essential cellular components selected by nature to function in several indispensable biochemical processes for living organisms. Transition metal complexes are important in catalysis, materials synthesis, photochemistry, and biological systems. Medicinal inorganic chemistry can exploit the unique properties of metal ions for the design of new drugs. The use of metals and their salts for medicinal purposes has been present throughout history. With the advancement in the field of inorganic chemistry the role of transition metal complexes as therapeutic compounds is becoming increasingly important. Recent advances in inorganic chemistry have made possible formation of number of transition metal complexes with organic ligand of interest, which can be used as therapeutic agent. This review illustrates the role of metals and the recent progress in the field of medicinal bioinorganic chemistry with new approaches to the design of innovative metal-based drugs and their application.
金属是自然界选择的基本细胞成分,在生物体的几个不可缺少的生化过程中起作用。过渡金属配合物在催化、材料合成、光化学和生物系统中具有重要意义。药物无机化学可以利用金属离子的独特性质来设计新药。金属及其盐的药用用途在历史上一直存在。随着无机化学领域的不断发展,过渡金属配合物作为治疗性化合物的作用越来越重要。近年来无机化学研究的进展使得许多与感兴趣的有机配体形成过渡金属配合物成为可能,这些过渡金属配合物可以用作治疗剂。本文综述了金属在药物生物无机化学领域的作用和最新进展,以及金属基创新性药物的设计和应用的新途径。
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引用次数: 38
Prophylactic Para-Aortic Nodal Irradiation in Carcinoma Cervix: To Do or Not to Do? 预防宫颈癌主动脉旁淋巴结放射治疗:该做还是不该做?
Pub Date : 2019-06-13 DOI: 10.19080/ctoij.2019.14.555881
K. Sood
The role of para-aortic lymph nodal irradiation (PALNI) remained undefined so far. Firstly, FIGO staging did not take nodal status into account hence the node positive patients remained an undefined subgroup. Secondly, despite RTOG trials establishing the survival advantage of prophylactic PALNI, it was not advocated due to the fear of adverse toxicity profile. The adoption of more conformal radiation techniques has revisited this issue. As with the recent advances in technology in imaging as well as the treatment techniques, there has been a tremendous improvement in treatment delivery leading to reduction in the incidence of acute as well as late toxicities. The interest in PALNI has also been triggered by the new FIGO staging which has defined and assigned a stage group to the pelvic and paraaortic LN positive cases. With this pretext in mind we review the current status of prophylactic paraaortic irradiation.
到目前为止,腹主动脉旁淋巴结照射(PALNI)的作用尚未明确。首先,FIGO分期没有考虑淋巴结状态,因此淋巴结阳性患者仍然是一个未定义的亚组。其次,尽管RTOG试验确立了预防性PALNI的生存优势,但由于担心不良毒性,它没有被提倡。采用更适形的辐射技术重新审视了这个问题。随着成像技术和治疗技术的最新进展,治疗方法有了巨大的改善,导致急性和晚期毒性的发生率降低。新的FIGO分期也引发了对PALNI的兴趣,该分期定义并为骨盆和主动脉旁淋巴结阳性病例分配了一个分期组。基于这一理由,我们回顾预防性放射治疗的现状。
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引用次数: 0
“A Rare Case Report: Carcinoma Esophagus in 12-year-old Girl with Unknown Etiology” 12岁女童食管癌1例罕见病例,病因不明
Pub Date : 2019-06-13 DOI: 10.19080/ctoij.2019.14.555882
Pawan Kumar
A 12-year-old girl with moderately differentiated squamous cell carcinoma of the lower esophagus is reported because of its rare presentation in this age group. The patient was presented with vomiting and progressive dysphagia with associated weight loss for 3 months. We could not find any known etiological factors association with this patient. The case was treated with External Beam Radiotherapy by 3-Dimensional Conformal Radiotherapy (3DCRT) technique with excellent immediate response.
我们报告一个12岁的女孩患有中分化的下食道鳞状细胞癌,因为它在这个年龄组中很少见。患者出现呕吐和进行性吞咽困难,并伴有体重减轻3个月。我们没有发现任何已知的与该患者相关的病因。采用三维适形放射治疗(3DCRT)技术进行外束放射治疗,疗效良好。
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引用次数: 2
Apocrine Breast Carcinoma Histopathological Characteristics 大汗腺乳腺癌的组织病理学特征
Pub Date : 2019-06-11 DOI: 10.19080/CTOIJ.2019.14.555880
M. Budzik
Introduction: Apocrine carcinoma (AC) is a distinctive and rare type of malignancy, counted to 0.3-4% of all breast cancer cases. It does not have a particular clinical or radiological feature, although it is characterized by the apocrine morphology, estrogen receptor-negative and androgen receptor-positive profile. Material and Methods: Studied material came from biopsies, excisional biopsies and modified radical mastectomies. Examined samples were stained with standard methods including hematoxylin and eosin. To determine the immunohistochemical expression of ER, PR and HER2 receptors appropriate antibodies were used. Results: Among 1,222 patients with breast cancer only 5 of them were diagnosed with apocrine carcinoma (0.4%). All of them were above 50 years old (51-63, mean: 57). Tumor size varied from 1.4 cm to 3.8 cm with a mean size 2.4 cm, while mean size in all 1,222 studied cases counted for 1.9cm. 2 tumors were classified as high-grade (G3), 1 as G2 and 1 as G2. 4 out of 5 tumors did not affect lymph nodes (N0 stage), whereas 1 sample was classified as N2 with 9/19 affected nodes. This observation was consistent with the whole studied group, in which N0 stage made up the largest percentage. Discussion: Presented results suggest that AC is less frequent in premenopausal patients. AC tends to present as noninvasive without nodal involvement and its biological behavior is less aggressive. Due to the fact that AC is definitely rare type of breast cancer, modern medicine has still limited options to offer for its treatment. Further research needs to be conducted in order to develop target therapies for this carcinoma.
大汗腺癌(AC)是一种独特而罕见的恶性肿瘤,占所有乳腺癌病例的0.3-4%。它没有特定的临床或放射学特征,尽管它的特征是大汗腺形态,雌激素受体阴性和雄激素受体阳性。材料和方法:研究的材料来自活检、切除活检和改良根治性乳房切除术。用苏木精和伊红等标准方法对样品进行染色。采用免疫组化法检测ER、PR和HER2受体的表达。结果:1222例乳腺癌患者中,仅有5例确诊为大汗腺癌(0.4%)。年龄均在50岁以上(51 ~ 63岁,平均57岁)。肿瘤大小从1.4 cm到3.8 cm不等,平均大小为2.4 cm,而所有1222例研究病例的平均大小为1.9cm。2例为高级别(G3), 1例为G2, 1例为G2。5例肿瘤中有4例未累及淋巴结(N0期),1例为N2期,累及淋巴结9/19。这一观察结果与整个研究组一致,其中N0期所占比例最大。讨论:目前的结果表明,AC在绝经前患者中较少发生。AC往往表现为无创性,无淋巴结累及,其生物学行为较少侵袭性。由于AC确实是一种罕见的乳腺癌,现代医学提供的治疗方法仍然有限。为了开发针对这种癌症的靶向治疗方法,需要进行进一步的研究。
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引用次数: 0
Some Trace Element Contents and Ratios in Prostatic Fluid as Ancillary Diagnostic Tools in Distinguishing Between the Benign Prostatic Hyperplasia and Prostate Cancer 前列腺液中微量元素含量及比值作为鉴别前列腺增生与前列腺癌的辅助诊断工具
Pub Date : 2019-06-10 DOI: 10.19080/ctoij.2019.14.555879
V. Zaichick
{"title":"Some Trace Element Contents and Ratios in Prostatic Fluid as Ancillary Diagnostic Tools in Distinguishing Between the Benign Prostatic Hyperplasia and Prostate Cancer","authors":"V. Zaichick","doi":"10.19080/ctoij.2019.14.555879","DOIUrl":"https://doi.org/10.19080/ctoij.2019.14.555879","url":null,"abstract":"","PeriodicalId":9575,"journal":{"name":"Cancer Therapy & Oncology International Journal","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75396840","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: 1
Chemotherapeutic Management of Hemangiosarcoma in Canines – An Update 犬血管肉瘤的化疗治疗-最新进展
Pub Date : 2019-05-30 DOI: 10.19080/ctoij.2019.14.555878
K. Sharun
Hemangiosarcoma is a malignant vascular endothelial tumor affecting canines. It commonly affects older animals and is also characterized by certain breed predilection. Spleen is the most commonly affected organ in canines but skin associated hemangiosarcomas are less frequent. Management of malignant tumors like hemangiosarcoma should be based on multimodal therapy that combines different techniques like surgical excision, chemotherapy, radiation therapy, and immunotherapy. Even though several chemotherapeutic agents are used alone or as in combinations, it was ineffective in producing a desirable increase in the survival period. Newer agents like Paclitaxel and Resveratrol was found to be effective against hemangiosarcoma cell lines in-vitro. But further studies are required for evaluating the in-vivo effects of such chemotherapeutic agents. Further research should be directed to identify effective chemotherapeutic agents like Paclitaxel and Resveratrol that can be used to manage canine hemangiosarcoma clinically without any side effects.
血管肉瘤是一种影响犬类的恶性血管内皮肿瘤。它通常影响老年动物,也以某些品种偏好为特征。脾脏是犬中最常见的受累器官,但与皮肤相关的血管肉瘤较少发生。像血管肉瘤这样的恶性肿瘤的治疗应该基于多模式治疗,结合不同的技术,如手术切除、化疗、放射治疗和免疫治疗。即使几种化疗药物单独使用或联合使用,也不能有效地延长生存期。较新的药物如紫杉醇和白藜芦醇被发现对体外血管肉瘤细胞系有效。但需要进一步的研究来评估这些化疗药物的体内效应。进一步的研究应指向确定有效的化疗药物,如紫杉醇和白藜芦醇,可用于治疗犬血管肉瘤临床无任何副作用。
{"title":"Chemotherapeutic Management of Hemangiosarcoma in Canines – An Update","authors":"K. Sharun","doi":"10.19080/ctoij.2019.14.555878","DOIUrl":"https://doi.org/10.19080/ctoij.2019.14.555878","url":null,"abstract":"Hemangiosarcoma is a malignant vascular endothelial tumor affecting canines. It commonly affects older animals and is also characterized by certain breed predilection. Spleen is the most commonly affected organ in canines but skin associated hemangiosarcomas are less frequent. Management of malignant tumors like hemangiosarcoma should be based on multimodal therapy that combines different techniques like surgical excision, chemotherapy, radiation therapy, and immunotherapy. Even though several chemotherapeutic agents are used alone or as in combinations, it was ineffective in producing a desirable increase in the survival period. Newer agents like Paclitaxel and Resveratrol was found to be effective against hemangiosarcoma cell lines in-vitro. But further studies are required for evaluating the in-vivo effects of such chemotherapeutic agents. Further research should be directed to identify effective chemotherapeutic agents like Paclitaxel and Resveratrol that can be used to manage canine hemangiosarcoma clinically without any side effects.","PeriodicalId":9575,"journal":{"name":"Cancer Therapy & Oncology International Journal","volume":"41 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73448327","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: 1
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Cancer Therapy & Oncology International Journal
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