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Surgical Therapeutic Strategy for Non-small Cell Lung Cancer with Mediastinal Lymph Node Metastasis (N2) 被引量:7
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作者 Qianli MA Deruo LIU Yongqing GUO Bin SHI Zhiyi SONG Yanchu TIAN 《中国肺癌杂志》 CAS 2010年第4期342-348,共7页
Background and objective Approximately 30% of patients who are diagnosed with non-small cell lung cancer (NSCLC) are classified as N2 on the basis of metastasis to the mediastinal lymph nodes. The effectiveness of sur... Background and objective Approximately 30% of patients who are diagnosed with non-small cell lung cancer (NSCLC) are classified as N2 on the basis of metastasis to the mediastinal lymph nodes. The effectiveness of surgery for these patients remains controversial. Although surgeries in recent years are proved to be effective to some extent,yet due to many reasons,5-year survival rate after surgery varies greatly from patient to patient. Thus it is necessary to select patients who have a high probability of being be cured through an operation,who are suitable to receive surgery and the best surgical methods so as to figure out the conditions under which surgical treatment can be chosen and the factors that may influence prognosis. Methods 165 out of 173 patients with N2 NSCLC were treated with surgery in our department from January 1999 to May 2003,among whom 130 were male,43 female and the sex ratio was 3:1,average age 53,ranging from 29 to 79. The database covers the patients’ complete medical history including the information of their age,sex,location and size of tumor,date of operation,surgical methods,histologic diagnosis,clinical stage,post-operative TNM stage,neoadjuvant treatment and chemoradiotherapy. The methods of clinical stage verification include chest X-ray,chest CT,PET,mediastinoscopy,bronchoscope (+?),brain CT or MRI,abdominal B ultrasound (or CT),and bone ECT. The pathological classification was based on the international standard for lung cancer (UICC 1997). Survival time was analyzed from the operation date to May 2008 with the aid of SPSS (Statistical Package for the Social Sciences) program. Kaplan-Meier survival analysis,Log-rank test and Cox multiplicity were adopted respectively to obtain patients’ survival curve,survival rate and the impact possible factors may have on their survival rate. Results The median survival time was 22 months,with 3-year survival rate reaching 28.1% and 5-year survival rate reaching 19.0%. Age,sex,different histological classification and postoperative chemoradiotherapy seem to have no correlation with 5-year survival rate. In all N2 subtypes,5-year survival rate is remarkably higher for unexpected N2 discovered at thoractomy and proven N2 stage before preoperative work-up and receive a mediastinal down-staging after induction therapy (P<0.01),reaching 30.4% and 27.3% respectively. 5-year survival rate for single station lymph node metastasis were 27.8%,much higher compared with 9.3% for multiple stations (P<0.001). Induction therapy which downstages proven N2 in 73.3% patients gains them the opportunity of surgery. The 5-year survival rate were 23.6% and 13.0% for patients who had complete resection and those who had incomplete resection (P<0.001). Patients who underwent lobectomy (23.2%) have higher survival rate,less incidence rate of complication and mortality rate,compared with pneumonectomy (14.8%) (P<0.01). T4 patients has a 5-year survival rate as low as 11.1%,much less than T1 (31.5%) and T2 (24.3%) patients (P=0.01). It is noted through Cox analysis that completeness of resection,number of positive lymph node stations and primary T status have significant correlativity with 5-year survival rate. Conclusion It is suggested that surgery (lobectomy preferentially) is the best solution for T1 and T2 with primary tumor have not invaded pleura or the distance to carina of trachea no less than 2 cm,unexpected N2 discovered at thoractomy when a complete resection can be applied,and proven N2 discovered during preoperative work-up and is down-staged after induction therapy. Surgical treatment is the best option,lobectomy should be prioritized in operational methods since ite rate of complication and morality are lower than that of pneumonectomy. Patients’ survival time will not benefit from surgery if they are with lymph nodes metastasis of multiple stations (Bulky N2 included) and T4 which can be partially removed. Neoadjuvant chemotherapy increases long-term survival rate of those with N2 proven prior to surgery. However,postoperative radiotherapy decreases local recurrence rate but does not contribute to patients’ long-term survival rate. 展开更多
关键词 肺癌 癌细胞 NSCLC 治疗
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Genetic Fingerprint Concerned with Lymphatic Metastasis of Human Lung Squamous Cancer 被引量:2
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作者 Mingjian GE Mei WANG +5 位作者 Qingchen WU Zhiming QIN Li CHEN Liangbin LI Li LI Xiaolong ZHAO 《中国肺癌杂志》 CAS 2009年第9期945-950,共6页
背景与目的筛选肺鳞癌患者淋巴转移差异表达基因群。方法原发癌组织及区域淋巴结取自10例接受完全性肺癌切除手术的肺鳞癌患者。根据组织来源将标本分为三组:不伴淋巴转移的肺鳞癌组织(TxN-,n=5)、伴有淋巴转移的肺鳞癌组织(TxN+,n=5)... 背景与目的筛选肺鳞癌患者淋巴转移差异表达基因群。方法原发癌组织及区域淋巴结取自10例接受完全性肺癌切除手术的肺鳞癌患者。根据组织来源将标本分为三组:不伴淋巴转移的肺鳞癌组织(TxN-,n=5)、伴有淋巴转移的肺鳞癌组织(TxN+,n=5)及相应转移淋巴结中的肺鳞癌细胞(N+,n=5)。对各组进行激光显微切割以获得纯净癌细胞,T7RNA线性扩增获取足够量的RNA,实验通道和参照通道分别标记以后与含6000个已知人类基因或表达序列标签的cDNA基因芯片杂交,扫描荧光信号以后进行数据分析。结果共有37个基因可将TxN+组与TxN-组区分开,其中在TxN+组高表达的基因有8个,主要涉及蛋白合成、信号传导、伴侣蛋白和酶等。有29个基因在TxN-组高表达,这些基因主要编码细胞周期调节子、转导子、信号传导蛋白以及细胞凋亡调节蛋白。比较N+组与TxN+组却没有发现具有显著性的差异表达基因。结论肺鳞癌的淋巴转移表型的获得可能是早期事件。这些差异基因的发现有助于阐明肺鳞癌淋巴转移的分子机制和寻找新的治疗靶点。 展开更多
关键词 肺肿瘤 淋巴转移 基因表达 治疗
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JWA regulates melanoma metastasis by integrin alpha(V)beta(3) signaling(摘要) 被引量:4
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作者 Bai, J Zhang, J +9 位作者 Wu, J Shen, L Zeng, J Ding, J Wu, Y Gong, Z Li, A Xu, S Zhou, J Li, G 《南京医科大学学报(自然科学版)》 CAS CSCD 北大核心 2010年第8期1186-1186,共1页
关键词 黑色素瘤 基因 蛋白质 活化重组 细胞
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Oxyresveratrol suppresses proliferation and metastasis of hepatocellular carcinoma by inhibiting autophagy in vitro and in vivo
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作者 SONG Ying-qi WU Xi-cheng +5 位作者 LI Rong JI Zhen-ni MA Xiu-ying XIONG Wen-bi ZHANG Yuan-yuan ZHOU Li-ming 《中国药理学与毒理学杂志》 CAS 北大核心 2019年第9期695-696,共2页
OBJECTIVE Oxyresveratrol(OXY)has many biological activities including anti-inflammation,anti-oxida⁃tive stress,anti-cancer and immunomodulation.However,the mechanisms underlying its effects against hepatocellular carc... OBJECTIVE Oxyresveratrol(OXY)has many biological activities including anti-inflammation,anti-oxida⁃tive stress,anti-cancer and immunomodulation.However,the mechanisms underlying its effects against hepatocellular carcinoma(HCC)remain poorly understood.METHODS Two HCC cell lines,HepG2 and SMMC-7721 cells,were employed.Their proliferation was determined by CCK8 assay.The migration and invasion of cells were examined by wound healing and transwell assay.Metastasis of HCC was detected by in vivo experiment.Meanwhile,transcriptome analysis was applied to explore the mechanisms of OXY.The results of transcriptome analysis were validated by in vitro experiment.Further⁃more,western blot was used to measure the expression of LC3 and p62 protein.RESULTS OXY significantly inhibited the proliferation,migration and invasion of HCC cells in vitro.OXY suppressed the metastasis of HCC in Balb/c mice with attenuated side effects compared to Doxorubicin.Transcription profiling analysis revealed that OXY may affect autophagy related signaling pathway of HepG2 cells.Western blotting showed that OXY significantly inhibite autophagy by downregulating LC3 and upregulating p62 genes expression.CONCLUSION Our study demonstrated that OXY inhibits the metastasis of HCC by inhibiting autophagy,which suggested OXY to be a candidate for HCC metastasis. 展开更多
关键词 OXYRESVERATROL AUTOPHAGY metastasis
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Combination of metformin and curcumin exhibits synergistic inhibitory effects on tumor growth and metastasis in HepG2 cells
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作者 ZHANG Hui-hui ZHANG Ying +1 位作者 CAO Zhan-qi GUO Xiu-li 《中国药理学与毒理学杂志》 CAS CSCD 北大核心 2016年第10期1073-1074,共2页
OBJECTIVE Hepatocel ular carcinoma(HCC)is the most common cause of cancer-related mortality,with high incidence rates,robust metastatic propensity and acquired resistance to therapy.Metformin,an extensively prescribed... OBJECTIVE Hepatocel ular carcinoma(HCC)is the most common cause of cancer-related mortality,with high incidence rates,robust metastatic propensity and acquired resistance to therapy.Metformin,an extensively prescribed and well-tolerated first-linetherapeutic drug for type 2 diabetes mellitus,has recently been identified as a potential and attractive anticancer adjuvant drug combined with chemotherapeutics to improve treatment efficacy and lower doses.Curcumin,a botanical extracts,has been shown antitumorigenic properties.This study aims to investigate the combinational effect of metformin and curcumin on inbibition of tumor growth and metastasis in Hep G2 cells and the possible underlying mechanisms.METHODS The cell proliferation was determined by MTT,CCK-8 and colony formation assay.The protein expression was detected by Western blotting.Activity of MMP-2 and MMP-9 was estimated by gelatin zymography.Flow cytometry analysis was used to evaluate the influence of metformin and curcumin on cell cycle arrest and apoptosis,and morphology observation of apoptosis was detected by Hoechst33342.Scratch and transwell assay was performed to detect the cell migration and invasion.The suppression of this combination therapy oncapillary tube formation was detected by tube formation assay.RESULTS Combination of metformin and curcumin induced stronger inhibition on Hep G2 cells proliferation than monotherapywhich related to induction of cell cycle arrest in G2/M phase and apoptosis through regulation of the protein expression of cyclin B and Bcl-2/Bax.Moreover,the co-treatment of metformin with curcumin exerted an enhanced inhibitory effect on Hep G2 cell metastasis and synergistically inhibited the tube formation of HUVEC cells.The suppression of PI3K/AKT/m TOR pathway and inhibition the protein expression of STAT3,MMP9,MMP2 and VEGF might involve in this synergistic effects of combination treatment.CONCLUSION Combination of metformin and curcumin inhibited Hep G2 cells proliferationmore effectively than monotherapy and synergistically induced a greater inhibition on migration and invasion of Hep G2 cells. 展开更多
关键词 METFORMIN CURCUMIN synergistic effects metastasis HepG2 cells
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Intra-arterial chrono-chemotherapy for liver metastasis arised from colorectal cancer
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作者 HUANG Jin-hua ZHANG Liang +5 位作者 WU Pei-hong FAN Wei-jun ZHANG Fu- jun GU Yang-kui ZHAO Ming CHENG Ying-sheng 《介入放射学杂志》 CSCD 2006年第8期487-490,共4页
Objective To evaluate the toxic effects and efficacy of the intra-arterial chrono-chemotherapy on patients with liver metastasis arised from colorectal cancer. Methods Chemotherapy of 42 patients were randomly divided... Objective To evaluate the toxic effects and efficacy of the intra-arterial chrono-chemotherapy on patients with liver metastasis arised from colorectal cancer. Methods Chemotherapy of 42 patients were randomly divided into group A (n = 20) with continuously constant arterial infusion, and group B (n = 22) with arterial chrono-modulated infusion. And the toxic effects and efficacy of two groups were compared. Results A significant difference was found in the toxic effects of digestive system between the two groups. The treatment response was similar in the two groups. Conclusions Intra-arterial chrono-chemotherapy may decrease the toxic effects and improve the life quality of these patients. (J Intervent Radiol, 2006, 15: 487-490) 展开更多
关键词 Liver metastasis Colorectal cancer CHRONO-CHEMOTHERAPY Intra-arterial infusion
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DOT1L-long enhances breast cancer metastasis
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作者 丁小凯 付寅坤 MAN MOHAN 《上海交通大学学报(医学版)》 CSCD 北大核心 2017年第10期1327-1331,共5页
Objective· To investigate the histone methyltransferase capability of DOT1L-long form and its role in breast cancer metastasis. Methods· The existence of DOT1L-long form was confirmed by PCR, and the mRNA le... Objective· To investigate the histone methyltransferase capability of DOT1L-long form and its role in breast cancer metastasis. Methods· The existence of DOT1L-long form was confirmed by PCR, and the mRNA level of DOT1L was tested by real-time PCR. In HEK293T cells in which DOT1L canonical and DOT1L-long were overexpressed respectively, Western blotting was used to test the expression level of DOT1L and the histone methyltransferase capability. In the MCF10A cell line with inducible expression of DOT1L-long, real-time PCR was used to detect the mRNA level of epithelial-mesenchymal transition(EMT) marker, and transwell assay was used to detect the migration of breast cancer cells in which the expression level of DOT1L is low or high. Results· PCR demonstrated the existence of DOT1L-long form, and real-time PCR showed it widely exists in HCT116, T98G, MCF10A cells, etc. Western blotting showed the expression of DOT1L-long form and its H3K79 methyltransferase activity. In MCF10A cells in which overexpressed canonical DOT1L and DOT1L-long, mRNA levels of N-cadherin and fibronectine increased. Transwell showed canonical DOT1L and DOT1L-long both substantially increased the migration of breast cancer cells. Conclusion· The existence of DOT1L-long was confirmed and investigated, which is 202 amino acids longer than the canonical DOT1L, and is coded by a new exon, located between exon 27 and 28. Further, the DOT1L-long has H3K79 methyltransferase activity, and is able to promote breast cancer metastasis. 展开更多
关键词 DOT1L histone methyltransferase long form breast cancer metastasis
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Inhibitory Effect of oxyresveratrol on the pulmonary metastasis of H22 Hepatocellular Carcinoma cells in vivo
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《中国药理学通报》 CAS CSCD 北大核心 2015年第B11期235-235,共1页
Aim Oxyresveratrol (trans-2,3 ' ,4,5 ' -tetrahydroxystilbene, OXY) , a natural polyphenolic phyto- chemical presents in mulberry (Morus alba L. ) , has been reported to have various bioactivities. Though OXY has... Aim Oxyresveratrol (trans-2,3 ' ,4,5 ' -tetrahydroxystilbene, OXY) , a natural polyphenolic phyto- chemical presents in mulberry (Morus alba L. ) , has been reported to have various bioactivities. Though OXY has high structural similarity with resveratrol, which has been identified as a chemopreventive agent, little is known a- bout OXY's effect on cancer. The main objective of our study was to investigate the effect of OXY on metastasis in vivo. To establish an experimental metastasis model, male Kunming mice were challenged with H22 cells by tail vein injection, and were given different doses of OXY (20, 40,80 mg · kg^-1 body weight per day) for 14 days in- traperitoneally. Administration of OXY showed a clear anti-metastatic effect. Compared to control group (u - 10) , the numbers of pulmonary nodules and lung weight were significantly decreased in mice of 40 mg · kg^- 1 group ( n = 10, P 〈 0.05) , which results in 54.5% reduction in the number of metastases. Similar inhibitory effects were ob- served both at 20 and 80 mg · kg^-1 groups(n= 10, 34.2% and 35.7% , respectively). OXY at the doses used caused an increase in spleen index (P 〈 0.05) but not thymus index. Further we observed animal body weights loss and food intake decrease (P 〈 0.05) , suggesting the toxicity of high dose used. Therefore, we suggest that oxyresveratrol may benefit human as a new preventive agent for cancer metastasis. 展开更多
关键词 OXYRESVERATROL metastasis H22 HEPATOCELLULAR CARCINOMA
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Small molecule compounds targeting DNA binding domain of STAT3 for inhibition of tumor growth and metastasis
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《中国药理学通报》 CAS CSCD 北大核心 2015年第B11期49-49,共1页
Background Signal transducer and activator of transcription 3 (STAT3) is constitutively activated in malignant tumors and has important roles in multiple aspects of cancer aggressiveness. Thus targeting STAT3 promi-... Background Signal transducer and activator of transcription 3 (STAT3) is constitutively activated in malignant tumors and has important roles in multiple aspects of cancer aggressiveness. Thus targeting STAT3 promi- ses to be an attractive strategy for treatment of advanced metastatic tumors. Although many STAT3 inhibitors targe- ting the SH2 domain have been reported, few have moved into clinical trials. Targeting the DNA-binding domain (DBD) of STAT3, however, has been avoided due to its ' undruggable' nature and potentially limited selectivity. Aim This study aims at developing effective and specific inhibitors targeting DNA binding domain of STAT3. Methods: This study reported an improved in-silico approach targeting the DBD of STAT3 that resulted in a small- molecule STAT3 inhibitor (inS3-54) and describe an extensive structure and activity-guided hit optimization and mechanistic characterization effort, which led to identification of an improved lead compound (inS3-54A18) with increased specificity and pharmacological properties. Results: InS3-54A18 not only binds directly to the DBD and inhibits the DNA-binding activity of STAT3 both in vitro and in situ but also effectively inhibits the constitutive and interleukin-6-stimulated expression of STAT3 downstream target genes. InS3-54A18 is completely soluble in an oral formulation and effectively inhibits lung xenograft tumor growth and metastasis with little adverse effect on animals. Conclusion: InS3-54A18 may serve as a potential candidate for further development as anticancer therapeutics tar-geting the DBD of human STAT3 and DBD of transcription factors may not be ' undruggable' as previously thought. 展开更多
关键词 STAT3 DNA-BINDING domain IN-SILICO screening tumor growth and metastasis
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Metformin prevents cancer metastasis by inhibiting M2-1ike polarization of tumor associated macrophages
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《中国药理学通报》 CAS CSCD 北大核心 2015年第B11期231-231,共1页
Aim Accumulated evidence suggests that M2-1ike polarized tumor associated macrophages (TAMs) plays an important role in cancer progression and metastasis, establishing TAMs, especially M2-1ike TAMs as an appealing t... Aim Accumulated evidence suggests that M2-1ike polarized tumor associated macrophages (TAMs) plays an important role in cancer progression and metastasis, establishing TAMs, especially M2-1ike TAMs as an appealing target for therapy intervention. Here we found that metformin significantly suppressed IL-13 induced M2- like polarization of macrophages, as illustrated by reduced expression of CD206, down-regulation of M2 marker mRNAs, and inhibition of M2-1ike macrophages promoted migration of cancer cells and endothelial cells. Metformin triggered AMPKαl activation in macrophage and silencing of AMPKotl partially abrogated the inhibitory effect of metformin in IL-13 induced M2-1ike polarization. Administration of AICAR, another activator of AMPK, also blocked the M2-1ike polarization of macrophages. Metformin greatly reduced the number of metastases of Lewis lung cancer without affecting tumor growth. In tumor tissues, the percentage of M2-1ike macrophage was decreased and the anti-metastatic effect of metformin was abolished the area of pericyte-coated vessels was increased. Further, when the animals were treated with macrophages eliminating agent clodronate liposome. These findings suggest that metformin is able to block the M2-1ike polarization of macrophages partially through AMPKαl, which plays an im- portant role in metformin inhibited metastasis of Lewis lung cancer. 展开更多
关键词 METFORMIN MACROPHAGE POLARIZATION cancer metastasis AMPKαl
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Targeting Annexin A7 in Hepatocarcinoma Lymphatic Metastasis 被引量:1
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作者 Mmgzhong SUN Shuqing LIU Jianwu TANG 《中国肺癌杂志》 CAS 2009年第6期633-634,共2页
Background and objective The rst aim was to measure the expressions of Annexin A7 (Anxa7) at mRNA level and protein level in two mice hepatocarcinoma ascites syngeneic cell
关键词 MRNA 肺癌 临床 治疗 疗效
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Immunotherapy of melanoma metastasis by adoptive transfer of M-CSF or/and IFN-γ gene modified macrophages pulsed with tumor extracts
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作者 Hong Lei, Yizhi Yu, Xuetao CaoDepartment of Immunology, The Second Military MedicalUniversity, Shanghai 200433 《中国实验血液学杂志》 CAS CSCD 1997年第3期312-312,共1页
Induction of tumor-specific cellular immune responseis very important in the cancer therapy. In this study,we used tumor antigen obtained by thaw of melanomacells to pulse M-CSF or/and IFN-γ gene-modificdmacrophages ... Induction of tumor-specific cellular immune responseis very important in the cancer therapy. In this study,we used tumor antigen obtained by thaw of melanomacells to pulse M-CSF or/and IFN-γ gene-modificdmacrophages before in viro infusion. Tumor membraneantigens could be phagocytosed by macrophages inculture. Antigen processing and mcxlulation of thepresentation can be achieved before macrophageinjection. The tumor antigens will be processedintracellularly by macrophages and thereafter 展开更多
关键词 MELANOMA MACROPHAGES IMMUNOTHERAPY EXTRACTS metastasis infusion thereafter presentation Antigen Induction
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Skipping Metastasis to Mediastinal Lymph Nodes in Non-small Cell Lung Cancer: A Clinical Study on the Reasonable Extent of Dissection
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作者 WANGZhou YINHongnian 《中国肺癌杂志》 CAS 2002年第5期369-371,共3页
Objective To elucidate the characteristics and metastastic pattern of skipping mediastinal lymph node metastasis (skipping N2) in non-small cell lung cancer (NSCLC), and investigate reasonable extent of lymph node dis... Objective To elucidate the characteristics and metastastic pattern of skipping mediastinal lymph node metastasis (skipping N2) in non-small cell lung cancer (NSCLC), and investigate reasonable extent of lymph node dissection. Methods From 1990 to 1998, lobectomy combined with systematic mediastinal lymph node dissection was performed in 109 patients with NSCLC. A retrospective study was carried out to elucidate the characteristics of skipping N2 disease and to compare the difference between skipping N2 and non-skipping N2 diseases. Results Twenty-one patients (19%) had skipping N2 diseases. Of the skipping N2 group, 18 cases (86%) were adenocarcinoma. Skipping N2 disease was more common in T1 and T2 group than that in T3 and T4 group (P<0.01). All skipping N2 diseases only involved one nodal station, and most of them were regional mediastinal nodal metastasis. Skipping N2 from upper lobe tumors mainly involved superior tracheobronchial or subaortic lymph nodes, and skipping N2 from lower lobe tumors involved subcarinal lymph nodes. Conclusion Skipping N2 disease presents certain clinical characteristics and metastastic pattern, and mediastinal nodal dissection might be modified according to the pattern. 展开更多
关键词 非小细胞肺癌 临床研究 纵膈淋巴结 肿瘤转移
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基于MRI的瘤周水肿特征对浸润性乳腺癌淋巴结转移负荷的预测价值 被引量:2
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作者 罗红兵 陈哲 +2 位作者 肖茜茜 任静 周鹏 《中国医学影像学杂志》 北大核心 2025年第1期55-62,共8页
目的分析基于MRI的瘤周水肿特征对乳腺癌淋巴结转移负荷的预测价值。资料与方法回顾性收集四川省肿瘤医院2017年9月—2019年2月有完整术前MRI资料和术后病理资料的213例浸润性乳腺癌。根据术后病理诊断的淋巴结转移数量,将病例分为高负... 目的分析基于MRI的瘤周水肿特征对乳腺癌淋巴结转移负荷的预测价值。资料与方法回顾性收集四川省肿瘤医院2017年9月—2019年2月有完整术前MRI资料和术后病理资料的213例浸润性乳腺癌。根据术后病理诊断的淋巴结转移数量,将病例分为高负荷淋巴结转移组47例(转移淋巴结总数>2枚)和低负荷淋巴结转移组166例(转移淋巴结总数≤2枚)。在T2WI序列上,分析每例的乳腺癌瘤周水肿(包括瘤周水肿类型和水肿程度)特征。在DCE-MRI序列上,根据乳腺影像报告和数据系统分类术语分析乳腺癌的MRI特征。通过单因素分析瘤周水肿等T2WI特征和乳腺癌MRI特征对淋巴结转移负荷的诊断价值,将有显著意义的特征进行多因素Logistic回归分析,并建立诊断模型。采用受试者工作特征曲线评价模型对乳腺癌淋巴结转移负荷的诊断效能,根据约登指数计算模型的诊断效能指标。结果本研究的高负荷转移淋巴结占22.1%(47/213)。单因素分析结果显示,瘤周水肿程度(OR=18.70,P<0.001)、瘤周水肿类型(OR=16.00,P<0.001)、肿瘤最长径(OR=1.40,P=0.025)和肿瘤最短径(OR=2.01,P=0.003)对高负荷淋巴结转移有预测价值;多因素Logistic回归分析结果显示,最终对浸润性乳腺癌高负荷淋巴结转移有价值的特征是瘤周水肿水肿特征,包括瘤周水肿程度(OR=8.02,P<0.001)和瘤周水肿类型(OR=5.53,P=0.001),最终诊断模型预测浸润性乳腺癌高负荷淋巴结转移的曲线下面积为0.842,敏感度为0.766,特异度为0.861,阳性预测值为0.610,阴性预测值为0.929。结论术前MRI的瘤周水肿特征对浸润性乳腺癌淋巴结转移负荷有很好的预测价值,尤其是对低负荷淋巴结转移状态预测价值更高。 展开更多
关键词 乳腺肿瘤 淋巴转移 磁共振成像 水肿 诊断 鉴别 预测
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Bmi-1,a Polycomb Group Protein,Plays an Essential Role in Tumorigenesis and Metastasis
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作者 Libing SONG Jun LI Wenting LIAO Yan FENG Wanli LIU Yixin ZENG Musheng ZENG 《中国肺癌杂志》 CAS 2009年第6期I0063-I0063,共1页
Dysregulation of polycomb group protein Bmi-1 expression has been linked with an invasive phenotype of certain human cancers and poor prognosis of patients; however, the underlying mechanisms are
关键词 肺癌 医学 治疗 疗效
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Screening and Verifying of Metastasis-associated Genes of Human Lung Cancer Cell Lines with Different Metastatic Potential
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作者 Shanxian GUO Yu FAN Li MA Jun CHEN Sen WEI Zhigang LI Hongyu LIU Haisu WAN Zhihao WU Qinghua ZHOU 《中国肺癌杂志》 CAS 2009年第6期507-508,共2页
Background and Objective Lung cancer is the most lethal malignangy that threatens human health and lives nowadays in the world, The overall cure rate of lung cancer is only 13% -15%,
关键词 肺癌 诊断 治疗 医学
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2022年全球及中国前列腺癌流行状况分析 被引量:8
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作者 瞿旻 高旭 《海军军医大学学报》 北大核心 2025年第2期229-233,共5页
目的基于WHO公布的2022年全球癌症统计报告,描述和分析全球及中国前列腺癌的发病及死亡状况。方法基于2022全球癌症统计数据,系统性描述全球及中国前列腺癌的发病人数、粗发病率、标化发病率(SIR)、死亡人数、粗死亡率和标化死亡率(SMR)... 目的基于WHO公布的2022年全球癌症统计报告,描述和分析全球及中国前列腺癌的发病及死亡状况。方法基于2022全球癌症统计数据,系统性描述全球及中国前列腺癌的发病人数、粗发病率、标化发病率(SIR)、死亡人数、粗死亡率和标化死亡率(SMR),并根据年龄及人类发展指数(HDI)进行分层分析。使用Pearson相关分析评估SIR、SMR及死亡发病比(M/I)与HDI之间的相关性。结果2022年,全球前列腺癌新发病人数共有146.7万,SIR为29.4/10万,在男性人群所有癌种中排第2位;全球前列腺癌死亡人数为39.7万,SMR为7.3/10万,在男性所有癌种中排第5位。2022年,中国前列腺癌新发病人数为13.4万,SIR为9.7/10万,SMR为3.3/10万,在中国男性人群所有癌种中均排第7位。全球前列腺癌的发病人数和SIR从45岁开始快速增长,死亡人数及SMR从50岁开始呈快速增长趋势;中国前列腺癌的发病人数和SIR自60岁开始快速增长,死亡人数和SMR从65岁开始快速增长。中国前列腺癌的M/I为0.337,在HDI高水平国家和地区中排第30位。Pearson相关分析显示,前列腺癌SIR与HDI(r=0.440,P=0.008)呈正相关,M/I与HDI呈负相关(r=-0.877,P<0.001),而SMR与HDI无关(P>0.05)。结论全球前列腺癌的疾病负担严重。中国前列腺癌的发病率呈逐步上升态势,且存在死亡率高的特点。积极开展前列腺癌早筛、优化多学科协作诊疗模式及全程化管理可提高前列腺癌的诊疗水平,改善患者预后。 展开更多
关键词 前列腺肿瘤 流行病学 全球 中国
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腹腔化疗联合全身化疗对进展期胃癌患者术后复发转移及预后的影响 被引量:1
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作者 鲍双振 王晓喜 +2 位作者 王志超 康政捷 刘防震 《医学研究与战创伤救治》 北大核心 2025年第1期50-55,共6页
目的探讨腹腔化疗联合全身化疗对进展期胃癌患者术后复发转移及预后的影响。方法纳入2020年1月至2021年3月在哈励逊国际和平医院收治的200例行胃癌根治手术的III期(进展期)胃癌患者。将所有患者分为对照组(给予奥沙利铂联合替吉奥的全... 目的探讨腹腔化疗联合全身化疗对进展期胃癌患者术后复发转移及预后的影响。方法纳入2020年1月至2021年3月在哈励逊国际和平医院收治的200例行胃癌根治手术的III期(进展期)胃癌患者。将所有患者分为对照组(给予奥沙利铂联合替吉奥的全身化疗方案)和腹腔化疗组(在对照组患者治疗方法基础上联合腹腔化疗:腹腔灌注紫杉醇),每组100例。所有患者治疗6~8周,每个周期21 d。收集对比两组患者一般临床资料,围手术期不良反应,术后肿瘤标志物表达水平及病灶转移情况。最后,随访分析患者1年和3年患者生存率。结果腹腔化疗组患者腹痛和腹泻发生率明显高于对照组(P<0.05)。腹腔化疗组1年和3年的腹膜复发转移发生率较对照组明显降低(P<0.05)。术后两组患者肿瘤标志物CEA、CA125与CA19-9表达水平较术前明显降低(P<0.05),且腹腔化疗组患者指标水平下降程度更明显(P<0.05)。腹腔化疗组患者随访1年和3年生存率较对照组明显升高(P<0.05)。结论腹腔化疗联合全身化疗可有效降低进展期胃癌患者1年和3年的术后腹膜复发转移发生率,提高患者的预后。同时,该治疗方案安全性良好,无严重的治疗相关不良事件。这一治疗策略有望成为进展期胃癌患者术后综合治疗的重要组成部分。 展开更多
关键词 胃癌 腹腔化疗 复发转移 预后
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喉鳞状细胞癌中FN1表达和肿瘤相关巨噬细胞的相关性及临床意义
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作者 王晶田 胡国斌 +4 位作者 兰利利 赵岩 吴干勋 王占龙 沈素朋 《临床与实验病理学杂志》 北大核心 2025年第7期910-917,共8页
目的探讨FN1表达与喉鳞状细胞癌(laryngeal squamous cell carcinoma,LSCC)临床病理特征及肿瘤相关巨噬细胞表达的相关性。方法下载LSCC数据集GSE33232和GSE84957分析并筛选差异表达基因FN1,绘制受试者工作特征(receiver operating char... 目的探讨FN1表达与喉鳞状细胞癌(laryngeal squamous cell carcinoma,LSCC)临床病理特征及肿瘤相关巨噬细胞表达的相关性。方法下载LSCC数据集GSE33232和GSE84957分析并筛选差异表达基因FN1,绘制受试者工作特征(receiver operating characteristic,ROC)曲线的关系;利用生物信息学分析FN1在LSCC中的表达,分析其表达与临床病理分级和总生存期(overall survival,OS)的关系;si-FN1敲低TU177细胞中FN1的表达,采用划痕愈合和Transwell小室实验检测FN1对LSCC体外迁移和侵袭等恶性生物学行为的影响;免疫组化法检测LSCC组织中FN1和CD163的表达并分析两者的相关性。结果GSE33232和GSE84957数据集及在线数据库分析结果显示,FN1在LSCC组织中显著高表达(P<0.05),FN1高表达患者的总生存率明显降低(HR=1.6,P=0.017)。转染si-FN1后TU177细胞中FN1的表达显著降低(0.34±0.02 vs 1.00±0.03,P<0.01)。与对照组相比,FN1表达敲低可抑制TU177细胞的体外迁移(56.1±3.1 vs 19.23±1.0)和侵袭能力(480±23 vs288±20)。免疫组化结果显示,LSCC组织中肿瘤实质FN1(N-FN1)和基质细胞FN1(S-FN1)高表达[52.1%(24/46)和71.7%(33/46)];N-FN1高表达与患者病理分级、淋巴结转移有关(P<0.05),S-FN1高表达与患者年龄、淋巴结转移和TNM分期有关(P<0.05);FN1和CD163协同表达与患者病理分级、淋巴结转移和TNM分期有关(均为P<0.05)。结论FN1和CD163在LSCC患者肿瘤组织中高表达,并与患者侵袭转移等恶性进展有关,LSCC进展过程中FN1与肿瘤微环境中CD163阳性的巨噬细胞可能存在协同作用。 展开更多
关键词 喉肿瘤 鳞状细胞癌 FN1 免疫组织化学 肿瘤相关巨噬细胞 转移
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多组学与人工智能在预测和诊断结直肠癌肝转移中的应用 被引量:1
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作者 王立坤 郝琦 +6 位作者 金炜涵 董时正 武雪亮 胡晓峰 武亮 荀敬 马洪庆 《实用医学杂志》 北大核心 2025年第7期1070-1078,共9页
结直肠癌是全球癌症相关发病率和病死率的主要原因之一,肝转移显著影响患者的预后。传统的诊断方法,如影像学检查和生物标志物检测,往往缺乏足够的敏感性和特异性,凸显了对更精确技术的需求。近年来,基因组学、转录组学、蛋白质组学、... 结直肠癌是全球癌症相关发病率和病死率的主要原因之一,肝转移显著影响患者的预后。传统的诊断方法,如影像学检查和生物标志物检测,往往缺乏足够的敏感性和特异性,凸显了对更精确技术的需求。近年来,基因组学、转录组学、蛋白质组学、代谢组学和表观遗传学等技术的出现彻底改变了对结直肠癌生物学机制的理解。这些方法能够全面分析基因突变、基因表达、蛋白质变化和代谢重编程,所有这些因素均参与了转移过程的形成。本文围绕人工智能技术在分析复杂的多组学数据、提高诊断准确性以及协助个性化治疗策略方面的先进的能力,探讨了AI在多组学分析的数据质量、模型可解释性和临床转化方面的挑战,以及单细胞测序和空间组学等新兴技术结合大规模、多中心的研究进一步增强这些工具的临床应用的未来方向。 展开更多
关键词 结直肠癌肝转移 人工智能 基因组学 转录组学 蛋白质组学
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