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  • 临床肿瘤学杂志
    主管:解放军无锡联勤保障中心
    主办:解放军东部战区总医院
    编辑出版:临床肿瘤学杂志编辑部
    主编:秦叔逵
    编辑部主任:龚新雷
    地址:南京市杨公井34标34号
    邮编:210002
    电话:(025)84400143;80864363
    E-mail: lczlx@vip.163.com
    邮发代号:28-267
    刊期:月刊
    定价:每期15元,全年180元
    标准刊号: ISSN 1009-0460
    CN 32-1577/R
     
Table of Content
30 July 2017, Volume 22 Issue 7
论著
Inhibitory effect of NRP-1mAb on the growth of gastric cancer cell BGC-823
DING Yuan, ZHOU Juan, CHEN Yuqiang, YAN Jianghua, PENG Lizhen.
Chinese Clinical Oncology. 2017, 22 (7):  577. 
Abstract ( 318 )   PDF(pc) (1923KB) ( 236 )   Save

Objective To observe the effect of NRP-1b1/b2 IgG monoclonal antibody (NRP-1mAb) on the growth of gastric cancer cell BGC-823, and to explore the possible mechanism of the antibody. Methods NRP-1mAb was prepared in laboratory, and the purity of antibody was detected by SDS-PAGE. Gastric cancer BGC-823 cells were cultured by 0, 25, 100, 200, 400 μg/ml NRP-1 mAb. The morphological changes of BGC-823 cells were observed by microscope. The proliferation, colony formation and apoptosis of gastric cancer BGC-823 cells were observed by MTT assay, colony forming assay and flow cytometry. The phosphorylation of related signal proteins was detected by Western blotting analysis. Results SDS-PAGE test showed that the purity of NRP-1mAb was above 95%. Microscopy showed apoptotic changes of BGC-823 cells treated by NRP-1mAb. MTT assay showed that NRP-1mAb could inhibit the proliferation of BGC-823 cells in a time and dose dependent manner(P<0.01). Colony forming assay showed that different doses of NRP1mAb could inhibit the colony formation of BGC-823 cells in a dose dependent manner(P<0.01). Flow cytometry showed that different doses of NRP-1mAb could promote the apoptosis of BGC-823 cells mainly at early apoptosis stage. It was found that the level of Akt phosphorylation was decreased after treated by NRP-1mAb, and there was no significant phosphorylation of ERK, p38 and JNK protein. Conclusion NRP-1mAb can inhibit the growth of gastric cancer cell BGC-823 and promote apoptosis, which may be related to the inhibition of Akt phosphorylation.

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Effects of miRNA-149 on the targeted regulation of FOXM1 and proliferation and apoptosis of non-small cell lung cancer cell line A549
LING Binxun, CAI Yun, ASIMUGULI Abdukerim.
Chinese Clinical Oncology. 2017, 22 (7):  583. 
Abstract ( 251 )   PDF(pc) (1215KB) ( 321 )   Save
Objective To investigate the mechanism of microRNA-149 (miR-149) in regulating cell proliferation and apoptosis in non-small cell lung cancer (NSCLC). Methods MiR-149 mimics and its control vectors were transfected into A549 cells by Lipofectamine liposome and assigned into miR-149 transfection group and miR-149 control group. The non-transfected A549 cells were served as controls (non-transfected group). The miR-149 levels of three groups were detected by real-time quantitative PCR (QPCR) in order to evaluate the transfection efficiency. The MTT and Annexin V-FITC/PI flow cytometry were used to compare the proliferation and apoptosis among miR-149 transfection group, miR-149 control group and non-transfected group. QPCR was used to detect the expression of FOXM1 gene in each group, and the expression of FOXM1 protein was detected by Western blotting. Double luciferase reporter assay was applied to verify the targeting relationship between miR-149 and FOXM1. Results The QPCR detection showed that the relative expression of miR-149 in the miR-149 transfection group was 2.493±0.380, at 48 h after transfection, higher than 1.077±0.321 in the non-transfected group and 1.283±0.273 in the miR-149 control group(P<0.05). The proliferation inhibition rates of miR-149 transfection group were (16.51±2.49)%, (22.90±3.65)% and (3143±5.27)% at 24, 48 and 72 h after transfection, higher than other two group (P<0.05). The apoptotic rate of miR-149 transfection group was (29.17± 4.48)% at 48 h after transfection, higher than (5.34±1.72)% of the nontransfected group and (7.62±1.59)% of miR-149 control group (P<0.05). The mRNA and protein levels of FOXM1 in miR-149 transfection group were 0.624±0.102 and 0.349 ±0.065 at 48 h after transfection, lower than 0.976±0.076 and 0.654±0.074 in non-transfected group and 0.920±0.117 and 0.718±0.077 in miR-149 control group (P<0.05). Double luciferase reporter gene test showed that miR-149 could significantly inhibit the luciferase activity of wild type FOXM1-3 UTR, but had no effect on the luciferase activity of mutant plasmid transfected cells. Conclusion miR-149 may regulate the proliferation and apoptosis of lung cancer A549 cells by targeting FOXM1, and can be used as an effective target for the molecular therapy of NSCLC.
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Effect of intrathecal amiloride on the ASIC-3 expression and pain behavior in mice skin cancer pain
XIE Rong,WANG Hua.
Chinese Clinical Oncology. 2017, 22 (7):  588. 
Abstract ( 302 )   PDF(pc) (1006KB) ( 242 )   Save

Objective To investigate the expression of acid-sensing ion channel 3(ASIC-3) and pain behavior in mice skin cancer pain after intrathecal amiloride.
MethodsBalb/c mice were randomly divided into 4 groups: Normal group (group N), Cancer pain group (group C), Saline group (group S) and Amiloride group (group A). Each group was 10 mice. Except group N, the skin cancer pain model was set up through inoculating subcutaneously tumor cells into paw of mice. Group N and group C were not intervented by drugs. By intrathecal injection, the mice of group S were given 10 μl saline and mice of group A were given 15 μg/μl amiloride solution. Thermal withdrawal latency (TWL) of mice in each group on 0,30,60,120,180 minutes after temperature stimulation were detected respectively. At last, expression of ASIC-3 of spinal dorsal horn in mice was detected by Western blotting method. Results The TWL of each mice has no difference before inoculating(P>0.05). The TWL of group C,group S and group A was decreased from(9.66±0.54)s,(9.96±0.39)s,(10.15±0.40)s to (4.32±0.25)s,(4.16±0.33)s,(4.26±0.24)s after 2 weeks inoculation(P<0.05). On 60,120,180 minutes after injection, the TWL in group A was(6.03±0.23)s,(7.09±0.24)s,(6.49±0.19)s,which was higher than those of group C and group S(P<0.05). The relative expression of ASIC-3 in spinal cord of group A was 1.88±0.11, which was lower than that of group C(2.23±0.32) and group S(2.43±0.24), and the difference was statistically significant (P<0.05). Conclusion Amiloride has the effect of inhibiting the ASIC-3 expression of the spinal dorsal horn in skin cancer pain mice, and taking part in the feeling of pain.

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Expression and clinical significance of LncRNA RAB11B-AS1 in gastric cancer
FENG Liping, YU Ying, LI Yue.
Chinese Clinical Oncology. 2017, 22 (7):  592. 
Abstract ( 300 )   PDF(pc) (1037KB) ( 354 )   Save

Objective To investigate the expression and clinical significance of long noncoding RNA(LncRNA) RAB11B-AS1 in gastric cancer. Methods The expression of LncRNA RAB11B-AS1 was detected by realtime quantitative PCR(QRT-PCR) in 83 cases of gastric cancer tissues and normal gastric tissues. The relationship of LncRNA RAB11B-AS1 expression with the clinicopathological features and prognosis of the patients was analyzed.
ResultsThe expression of LncRNA RAB11B-AS1 in gastric carcinoma tissue was 6.954±1.080, higher than 1.061±0.090 in normal gastric tissue, and the difference was statistically significant (P<0.05). The expression of LncRNARAB11B-AS1 was not related to sex, age and tumor location(P>0.05), but related to clinical stage, lymph node metastasis, distant metastasis, tumor differentiation and survival status (P<0.05). The median progression free survival (PFS) and overall survival (OS) of patients with high expression of LncRNA RAB11B-AS1 was 19.0 months and 29.0 months respectively, which was lower than 32.0 month and 430 months of patients with low expression of LncRNA RAB11B-AS1 (P<0.05). Cox multivariate regression analysis suggested that LncRNA RAB11B-AS1 expression, distant metastasis and clinical stage were independent prognostic factors of gastric cancer (P<0.05). Conclusion LncRNA RAB11BAS1 is involved in the regulation of gastric cancer, and can be used as a potential molecular marker for the diagnosis and prognosis of gastric cancer.

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Study on the expression of DAB2IP mRNA and protein in colorectal carcinoma
ZHANG Huibin, WU Jiahui, QU Lijuan.
Chinese Clinical Oncology. 2017, 22 (7):  597. 
Abstract ( 321 )   PDF(pc) (1873KB) ( 298 )   Save
Objective To investigate the expression and significance of DAB2IP in colorectal carcinoma in mRNA and protein levels. Methods One hundred and twentyseven cases of colorectal carcinoma tissues and 36 cases of adjacent normal colorectal tissues were examined by immunohistochemistry and nucleic acid in situ hybridization. The relationship between the expression of DAB2IP mRNA and protein with clinicopathological characteristics such as lymph node metastasis, differentiation grades and Dukes stages in colorectal carcinoma. Results The positive expression rate of DAB2IP mRNA and protein in colorectal carcinoma tissues was 85.04%,79.53%, lower than 100.00%, 94.45% in adjacent normal tissues with significant difference (all P<0.001). DAB2IP was gradual highexpression in high, medium and low differentiative groups, and there was significant difference in three groups (P<0.01). The positive expression rate of DAB2IP in non-lymph node metastasis group was significantly higher than that in lymph node metastasis group, and there were negatively related (r=-0.2361, r=-0.3060; P<0.01). DAB2IP was gradual downexpression from Dukes A to Dukes D stages (P<0.01). The expression of DAB2IP was not related to age, sex, tumor site, and tumor volume of colorectal carcinoma(P>0.05). Conclusion DAB2IP has significant effect in the occurrence and development of colotretal carcinoma. The downexpression of DAB2IP is closely related to metastasis in colorectal carcinoma, which is a potentially important indication for the biological behaviors and prognosis of colorectal carcinoma.
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Expression and clinical significance of E-cadherin and β-catenin in osteosarcoma tissues
BI Hu, YI Zhigang, PU Yanchuan, CHEN Bin, XU Donglin.
Chinese Clinical Oncology. 2017, 22 (7):  602. 
Abstract ( 229 )   PDF(pc) (1413KB) ( 234 )   Save
Objective To explore the expression and clinical significance of Ecadherin and β-catenin in osteosarcoma tissues. Methods From April 2012 to October 2015, 54 specimens of osteosarcoma tissues and 22 specimens of osteochondroma tissues were enrolled. Immunohistochemistry was used to detect the expression of Ecadherin and βcatenin in those above tissues. The correlation of the expression of E-cadherin, β-catenin and clinical parameters of osteosarcoma were analyzed. Results In 54 specimens of osteosarcoma tissues, the positive rate of E-cadherin protein was 35.2%(19/54), significantly lower than 68.2%(15/22) in osteochondroma tissues (P<0.05). However the positive rate of β-catenin protein was 68.5%(37/54), significantly higher than 9.1%(2/22) in osteochondroma tissues (P<0.05). The expression of Ecadherin protein was associated with Enneking stage and metastasis (P<0.05). The expression of β-catenin protein was associated with tumor size, Enneking stage and metastasis (P<0.05). Moreover, the expression of Ecadherin and β-catenin was negatively correlated (r=-0.764,P<0.05).
ConclusionE-cadherin and βcatenin are abnormally expressed in osteosarcoma tissues, and they are correlated to Enneking stage and metastasis. Both of them play a role in the development and progression of osteosarcoma.
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Clinical significance of HADHA and HADHB expression in hilar cholangiocarcinoma
ZHANG Hong, LIAO Jian, YANG Xia, DU Aimin, YU Wenlong.
Chinese Clinical Oncology. 2017, 22 (7):  607. 
Abstract ( 244 )   PDF(pc) (2168KB) ( 204 )   Save
Objective To investigate the expression pattern of mitochondrial trifunctional protein subunit HADHA and HADHB in the progression of hilar cholangiocarcinoma and to evaluate its clinical significance in the outcome of cancer patients.MethodsThe tissue microarray was constructed which contains 91 cases of hilar cholangiocarcinoma. Immunohistochemistry was applied to screen the expression of HADHA and HADHB. The expression levels were statistically analyzed to investigate their correlation with clinicopathological features and survival duration of patients. Results The over-expression rates of HADHA and HADHB proteins were 71.4%(65/91) and 59.3%(54/91), higher than 10.4%(5/48), 20.8%(10/48)of adjacent normal tissues with statistical significance(P<0.05). The expression of HADHA was significantly related with tumor invasion depth and surgical margin (P<0.05), and HADHB expression was significantly associated with surgical margin and nodal metastasis (P<0.05). The overexpression of HADHA and HADHB could both shorten the overall survival (OS) and progressionfree survival (PFS) of patients. Patients with high HADHA and HADHB expression had a lower PFS and OS than those with low HADHA and HADHB expression, respectively(P<0.05). Cox proportional hazard model showed that tumor invasion depth, nodal metastasis, differentiated degree and HADHB were independent prognostic factor for patients with hilar cholangiocarcinoma. Conclusion HADHA and HADHB play remarkably oncogenic roles in the progression of hilar cholangiocarcinoma. HADHB alone is also an independent prognostic factor for cancer patients. HADHA and HADHB can be promising therapeutic targets for the treatment of hilar cholangiocarcinoma in the future.
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Screening of the overexpressed genes in hepatocellular carcinoma based on the gene expression profiles
Chinese Clinical Oncology. 2017, 22 (7):  613. 
Abstract ( 249 )   PDF(pc) (937KB) ( 230 )   Save
Objective To screen the most overexpressed gene panel in hepatocellular carcinoma (HCC) using the gene expression profiles. Methods The global gene expression profiles were measured using Affymetrix U133 Plus 2.0 array in 93 HCC and paired non-tumor liver tissues. Paired t-test was used to compare the gene expression levels between HCC and paired non-tumor tissues, and the chi-square test was used to analyze the relationship between the gene expression and clinicopathological characteristics.
Results When compared with the paired nontumor tissues, the top 10 overexpressed genes in HCC were CDKN3, CCL20, PTTG1, MELK, PRMT1, TOP2A, TPX2, SMYD3, TMEM106C and UCK2, with the upregulated folds between 25.2 and 44.6 (all P≤2.0×10-22). High expression (>median) of the CCL20, PRMT1 and UCK2 genes was significantly associated with high serum AFP levels. High expression of the CCL20, PTTG1, PRMT1, TOP2A and UCK2 genes, was associated with high EdmondsonSteiner grade; and high CCL20 expression was also significantly associated with advanced TNM stage (all P<0.05).
Conclusion The top 10 overexpressed genes in HCC is screened, which may provide the potential targets for the studies of molecular target therapy.
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Comparison of fluorescence in situ hybridization with immunohistochemistry in detecting HER-2 status in infiltrating ductal breast carcinoma
Chinese Clinical Oncology. 2017, 22 (7):  617. 
Abstract ( 230 )   PDF(pc) (1818KB) ( 225 )   Save
Objective To compare the consistence of fluorescence in situ hybridization (FISH) with immunohistochemistry (IHC) in detecting human epidermalgrowth factor receptor-2 (HER-2) status in infiltrating ductal breast carcinoma. Methods The expression of C-erbB-2 protein and HER2 gene amplification of 346 cases with infiltrating ductal breast carcinoma was tested by IHC and FISH methods, and the results were compared.
ResultsAmong 346 specimens of infiltrating ductal breast carcinoma, HER-2 gene amplification was present in 145 cases (41.9%) by FISH, and absent in 201 cases (58.1%). IHC detection of C-erbB-2 protein results showed that (-) in 7 cases, (+) in 30 cases, (++) in 227 cases and (+++) in 82 cases. According to the guidline for the detection of HER2 in breast cancer, (-) and (+) were negative results, (+++) was positive results, and (++) was uncertain. The positive rate of C-erbB-2 protein in 346 specimens was 23.7% (82/346). There were 7 cases with negative expression of C-erbB-2 by IHC, among which HER-2 gene amplification was absent in 7 cases with the coincidence rate of 100.0%. Five among 30 showed a negative result of (+) by IHC, but was positive in FISH, and the coincidence rate was 833%. In the 227 cases with a positive result of (++) by IHC, the amplification of HER2 gene was present in 65 cases, with the coincidence rate of 28.6%.The positive result of (+++) was demonstrate in 82 cases, among whom the HER-2 gene amplification was detected in 75 cases, with the coincidence rate of 915%. The consistency of these two methods was very good in the cases with negative (-/+) or positive (+++) expression of CerbB2. The total concordance rate of HER2 between IHC and FISH trials was 899% with the Kappa value of 0.768(P<0.001). HER-2 gene amplification was not related to age, tumor size, histological grade and lymph node metastasis (P>0.05). Conclusion HER-2 expression of infiltrating ductal breast carcinoma detected by IHC was highly consistent with FISH detection. IHC is a preliminary method to detect HER-2 status in infiltrating ductal breast carcinoma. However, in the cases with positive (++) expression of C-erbB-2, FISH should be performed to detect the gene amplification of HER-2.
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Expression and clinical significance of polo-like kinase 1 and cell-division cycle protein 20 in breast cancer
ZHANG Zhe, YANG Feng, YANG Jian, JIANG Fuqiang, LU Wei.
Chinese Clinical Oncology. 2017, 22 (7):  622. 
Abstract ( 307 )   PDF(pc) (1385KB) ( 264 )   Save

Objective To explore the expression of pololike kinase 1 (PLK1) and cell-division cycle protein 20 (CDC20) in breast cancer as well as the relationship of their expression with clinicopathological features and prognosis. Methods The expression datasets of PLK1 and CDC20 from cBioPortal database were collected to analyze the co-expressions of these two genes. The clinical data and mRNA microarray data of 1092 patients with breast cancer obtained from the Cancer Genome Atlas(TCGA) database were collected and analyzed for expression of PLK1 and CDC20. The KaplanMeier method and Cox proportional-hazards regression model was used to analyze the relationship between the expressions of PLK1 or CDC20 and the survival of patients with breast cancer. The relationships between PLK1 or CDC20 and age, gender and ER, PR or HER-2 genes expression levels were further analyzed by χ2 test. Results The expression levels of PLK1 and CDC20 in breast cancer were significantly correlated (r=0.88,P<0.001). Also, the expressions of PLK1 and CDC20 significantly was related to the disease free survival (DFS) of patients with breast cancer(P<0.05). Patients with high expression of PLK1 and CDC20 had short DFS compared with patients with low expression of both (P=0.007). At the same time, the expression levels of PLK1 and CDC20 in ER negative and PR negative patients were significantly higher than those in ER positive and PR positive patients (P<0.001). Conclusion PLK1 and CDC20 may play a role in promoting tumorigenesis in breast cancer, and may serve as potential tumor diagnostic markers and individual therapeutic targets.

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Correlation between image characteristics of intrinsic subtypes of breast cancer and resection rate of breast conserving surgery
ZHAO Kaihua, LI Peiying, TAN Zhengshuai, LI Zhenfeng, FANG Kun, GONG Lei, LIU Songling, WANG Binggao, YAN Zheng.
Chinese Clinical Oncology. 2017, 22 (7):  628. 
Abstract ( 232 )   PDF(pc) (1259KB) ( 230 )   Save
Objective To investigate the correlation between the image features associated with the intrinsic subtypes of breast cancer and resection rate of breast conserving surgery. Methods Two hundred and twenty cases with palpable mass and non specific breast cancer in stage Ⅰ-Ⅱ were divided into Luminal A(n=32), Luminal B(n=75), Luminal HER-2(n=38), HER-2enriched(n=33) and triple negative breast cancer(TNBC, n=42) according to the histopathology and immunohistochemistry examination, who were performed core needle biopsy before sugery. According to the mammography images with BIRADS classification standard, mammogram features were divided into five groups, including masses types, calcification types, asymmetries types, architectural distortion types and spicule sign. The cutting edge was 1 cm apart from the mass. Frozen scection analysis was used to assess the margin status during the operation, which was confirmed by paraffin pathology diagnosis after surgery. Combining with intrinsic subtypes, we analyzed the correlation of imaging features of breast cancer and re-excision efficacy of breastconserving surgery.
ResultsAmong the five groups, single imaging signs of breast cancer occupied 37.5%(12/32), 29.3%(22/75), 28.9%(11/38), 15.2%(5/33) and 61.9%(26/42),mixture imaging signs of breast cancer occupied 62.5%(20/32),70.7%(53/75),71.1%(27/38),84.8%(28/33) and 38.1%(16/42),respectively, and the difference was statistically significant(P<0.001). The edge signs of breast cancer (spiculated signs) occupied 50.0%(16/32),42.7%(32/75),50.0%(19/38),18.2%(6/33) and 7.1%(3/42) respectively. The difference was statistically significant(P<0.001). The reexcision rate after breastconserving surgery were 12.5%(4/32),9.3%(7/75),21.1%(8/38),18.2%(6/33) and 0(0/42) respectively. The difference was statistically significant(P<0.001). If the imaging features include two or more kinds of imaging signs, HER-2 express status was significant correlated with re-excision rates(P=0.001). Conclusion Intrinsic subtypes, mammogram features and cuttingedge signs of non-specific breast cancer should be considered for breastconserving surgery in order to reduce the probability of reexcision.
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Expression and clinical significance of cancer stem cells related genes Bmi-1, POU5F1 in cervical cancer
LI Shiliang, JIANG Liping,ZHOU Miao, SHAO Guoan, ZHANG Yuanyuan, GUZHALINUER Abulizi.
Chinese Clinical Oncology. 2017, 22 (7):  633. 
Abstract ( 242 )   PDF(pc) (933KB) ( 384 )   Save
Objective To explore the expression of cancer stem cell related genes Bmi1, POU5F1 in cervical cancer and their relationship with clinicopathological chracteristics. Methods The expression of Bmi-1, POU5F1 at mRNA level in 69 cervical cancer tissues and 16 cervical cancer tissues plus their paracarcinoma tissues were detected by realtime fluorescent quantitative PCR(QRT-PCR). Results The expression levels of Bmi-1 mRNA, POU5F1 mRNA in cervical cancer tissues were 1.51±0.05 and 1.75±0.17, higher than 1.16±0.17 and 1.46±0.18 of their counterparts of the paracarcinoma tissues with statistically significant (P<0.05). The relative ratio of level of Bmi-1 mRNA, POU5F1 mRNA was 1.31±0.49 and 1.20±0.95 between cervical cancer tissues and their paracarcinoma tissues. The expression of Bmi1 mRNA was related with ethnic, lymph node metastasis, clinical staging and histological grade (P<0.05),but not with age, tumor size and pathological type(P>0.05). The expression of POU5F1 mRNA was related with ethnic, tumor size, lymph node metastasis, clinical staging and histological grade (P<0.05),but not with age and pathological type (P>0.05). Conclusion There was a relative high expression of Bmi-1, POU5F1 in cervical cancer. Bmi-1, POU5F1 expression may be associated with adverse biological characteristics of cervical cancer, and may serve as a potential indicator for molecular markers of cervical cancer biological behavior.
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Application of laparoscopic radical hysterectomy for earlystage cervical cancer
CHEN Ju, LI Li, ZHANG Jieqing, SONG Honglin, WANG He, YAO Desheng, PAN Zhongmian, YANG Zhijun.
Chinese Clinical Oncology. 2017, 22 (7):  637. 
Abstract ( 231 )   PDF(pc) (941KB) ( 223 )   Save
Objective To investigate the feasibility, superiority and clinical application of laparoscopic radical hysterectomy for early-stage cervical cancer.
Methods Clinical dates of 623 cases of earlystage cervical cancer treated with radical hysterectomy combined with pelvic lymphadenectomy or paraaortic lymphadenectomy from January, 2009 to December, 2014 in the Department of Gynecologic Oncology of Affiliated Tumor Hospital of Guangxi Medical University were analyzed. According to the surgical approach, they were divided into laparoscopic surgery group(374 cases)and transabdominal surgery group(249 cases). A retrospectively analysis was carried out to compare the basic situations, operation time, intraoperative blood loss, number of resected lymph nodes, length of vagina and parametrium removal and incidences of complications. Results 368 cases with laparoscopic surgery were performed successfully, the rate of success reached 98.40%(368/374),6 cases were converted to open surgery, and the rate of conversion to laparotomy reached 1.60%(6/374). The operation time, intraoperative blood loss, ambulation time and recovery time of intestines in laparoscopic surgery group were better than those in transabdominal group, and the difference was statistically significant(P<0.05). While the number of resected lymph nodes,length of vagina and parametrium removal of two groups were not statistically significant(P>0.05). In the intraoperative and postoperative complications, except for urinary retention, there was no significant difference between the two groups(P>0.05). Conclusion There were several advantages including minimal invasive, less blood loss and less postoperative complications and quicker recovery in laparoscopic radical hysterectomy,when compared with traditional transabdominal surgery. It is effective and safe for earlystage cervical cancer.
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Safety analysis of liposomal doxorubicinbased adjuvant chemotherapy in breast cancer
MA Chuandong, BU Xiaoqiu, WANG Zhongrui.
Chinese Clinical Oncology. 2017, 22 (7):  642. 
Abstract ( 241 )   PDF(pc) (928KB) ( 320 )   Save
Objective To evaluate the safety of liposomal doxorubicinbased regimen in postoperative adjuvant chemotherapy for breast cancer.
Methods From September 2014 to August 2016, 29 breast cancer patients were treated with liposomal doxorubicinbased adjuvant chemotherapy in our department. Fourteen patients were treated with 3 cycles of FAC (5-FU 500 mg/m2, liposomal doxorubicin 30 mg/m2, CTX 500 mg/m2, every 3 weeks);Eleven patients received 4 cycles of AC by a twoweek program (liposomal doxorubicin 30 mg/m2, CTX 600 mg/m2, every 2 weeks);Four patients were treated with 4 cycles of AC by a threeweek program (liposomal doxorubicin 30 mg/m2, CTX 600 mg/m2, every 3 weeks). The adverse events estimated by NCI CTCAE 403 criterion were divided into 15 levels. The cardiotoxicity was evaluated by examination of electrocardiogram and echocardiography periodically, and so on.
ResultsThe major hematological toxicity of 29 patients was neutropenia, and the incidence was about 79.3% (23/29). Most common nonhematologic toxicities were handfoot syndrome and oral mucotitis, and the incidence was about 51.7% (15/29), 27.6% (8/29) respectively. The incidence of severe handfoot syndrome (grade 3) in AC group was 26.7% (4/15), higher than 0(0/14) in FAC group (P<005). There was no patient whose left ventricular ejection fraction (LVEF) deceased more than ten percent, and no patient with signs and symptoms of congestive heart failure during chemotherapy. Conclusion Liposomal doxorubicinbased adjuvant chemotherapy can be safe in the treatment of breast cancer.
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临床应用
Efficacy of single-agent apatinib on advanced colorectal cancer patients failed in second and above chemotherapy
SUN Peipei, ZHANG Long, ZHANG Tai, ZHANG Wenhua, SUN Zhen, WANG Fengwei.
Chinese Clinical Oncology. 2017, 22 (7):  646. 
Abstract ( 250 )   PDF(pc) (936KB) ( 242 )   Save

ObjectiveTo observe the efficacy and side effects of apatinib on advanced colorectal cancer patients, who failed in secondline and above chemotherapy. Methods Fourteen Ⅳ stage colorectal cancer patients who failed in secondline and above chemotherapy from January 2016 to November 2016 were enrolled in this study. Patients received the starting dose of 425 mg of apatinib per day. The efficacy and side effects were observed. Results Among the 14 advanced colorectal cancer patients, there were 2 cases of PR, 6 cases of SD and 6 cases of PD. The response rate was 14.3%,and the disease control rate was 57.1%. The median progressionfree survival was 78 days. The main side effects were hypertension, handfoot syndrome, mucositis, anorexia, leukopenia, thrombopenia and proteinuria, mainly in grade 1-3. Conclusion For the Ⅳ stage colorectal cancer patients who failed in secondline and above chemotherapy, apatinib 425 mg per day has good effect, and side effects can be tolerated.

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Department of Obstetrics, Shiyan Taihe Hospital, Affiliated Hospital of Hubei University of Medicine, Shiyan 442000, China
CUI Yu, LIU Xueqin, LI Jing, XIAO Linjiao, LI Chunyi, FAN Qine, WU Song.
Chinese Clinical Oncology. 2017, 22 (7):  650. 
Abstract ( 214 )   PDF(pc) (919KB) ( 272 )   Save

Objective To explore the application of methylene blue and carbon nanoparticles suspension injection as lymphatic tracers in laparoscopic radical resection of cervical cancer. Methods Fifty patients diagnosed as cervical cancer from 2015 to 2016 were enrolled in this study, and were randomly divided into methylene blue group and carbon nanoparticles suspension injection group with 25 patients in each group. The detection rate of sentinel lymph nodes (SLN) of the two tracers was compared. Results The detection rate of SLN of methylene blue group and carbon nanoparticles suspension injection group was both 100.0%. In methylene blue group, 22 cases were detected with SLN. There were 48 SLNs in total with an average of 2.2, and the recognition rate was 88.0%. Five patients were found lymph node metastasis. In carbon nanoparticles suspension injection group, 23 cases were detected with SLN. There were 50 SLNs in total with an average of 2.3, and the recognition rate was 92.0%. Four patients were found lymph node metastasis. No obvious side effects were occurred. Conclusion Methylene blue and carbon nanoparticles suspension injection have fairly high recognition rate and detection rate for SLN in laparoscopic radical resection of cervival cancer, and they are safe and worthy of clinical application.

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综述与讲座
Research progress of management of axilla for early breast cancer patients with positive sentinel lymph nodes
SHUI Lin,SHEN Dan, CHEN Xiaopin.
Chinese Clinical Oncology. 2017, 22 (7):  654. 
Abstract ( 263 )   PDF(pc) (959KB) ( 274 )   Save
Nowadays, an increasing number of people are diagnosed with breast cancer but fewer patients died of that, due to the advanced detection tools and improvement of multidisciplinary treatment. Sentinel lymph node biopsy, which take the place of axillary lymph node dissection(ALND), has become the standard of care to evaluate the regional lymph node status. In recent years, several famous researches indicate that ALND is not essential in early breast cancer patients with positive sentinel lymph nodes. However, how to choose the best axillary management is still a controversial issue. This article will summarize which management is suitable for different patients according to latest updated studies.
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Research progress of idiopathic pulmonary fibrosis with lung cancer
SUN Yang,GUO Yanjun,ZHOU Lina, AN Yongheng.
Chinese Clinical Oncology. 2017, 22 (7):  658. 
Abstract ( 249 )   PDF(pc) (1033KB) ( 570 )   Save

In recent years, the incidence of idiopathic pulmonary fibrosis in patients with lung cancer increased year by year. However, the diagnosis and treatment of idiopathic pulmonary fibrosis with lung cancer (IPF-LC) is difficult because of the lack of specific clinical manifestations, hematological and imaging features. IPF-LC patients often can not tolerate chemotherapy due to poor pulmonary function and other reasons, so the treatment options are limited. On the other hand,radiotherapy, chemotherapy and targeted treatment will increase the process of pulmonary fibrosis, leading to the treatment difficulties and poor prognosis. This study aims to summarize the epidemiology, pathogenesis, clinical features and treatment of IPF-LC.

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Research progress of ginsenoside Rg3 in anticancer activities
JIANG Chang, MIAO Yuqing, ZHOU Wenli, WANG Jiejun.
Chinese Clinical Oncology. 2017, 22 (7):  664. 
Abstract ( 387 )   PDF(pc) (958KB) ( 650 )   Save

Cancer, a group of various diseases involving unregulated cell growth, it is a lifethreatening disease with an alarmingly increased annual mortality rate globally. Although various therapies are used for cancer treatment, the effect is not satisfactory. Chemotherapy is one of the most commonly used mothods of treatment. However, severe adverse reactions and drug resistance always influence the chemotherapy effect. Ginseng is traditional Chinese medicine, ginsenoside Rg3 is the main pharmacologically active component in ginseng and has been reported to have an antitumor effect, which was originally used in ancient times for the treatment of diseases. This review sheds light on the molecular mechanisms underlying the cancer chemotherapeutic activity of ginsenoside Rg3 with particular focus on the mechanism associated with cell proliferation, apoptosis, angiogenesis, inflammation and the metastasis of cancer cells. The review can enhance the understanding of the anticancer mechanisms of ginsenoside Rg3, provide directions for clinical practice and give more information for developing novel anticancer agents with high efficiency, low toxicity and weak resistance.

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