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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 October 2016, Volume 21 Issue 10
论著
Efficacy and safety of bevacizumab in combination with fluoropyrimidine-based chemotherapy for the treatment of advanced metastatic colorectal cancer: a prospective, non-intervention and post-marketing multicenter clinical study(REACT)
EACT Clinical Research Group:QIN Shukui,DENG Yanhong,BI Feng, LIU Tianshu, LIU Yunpeng, ZHANG Suzhan, XU Jianming, SHU Yongqian, XU Nong, WU Changping, WANG Xin, ZHONG Haijun,FENG Jifeng,HE Yulong,YANG Jianwei.
Chinese Clinical Oncology. 2016, 21 (10):  865. 
Abstract ( 759 )   PDF(pc) (1312KB) ( 470 )   Save
Background & ObjectiveBevacizumab(BV)combined with fluorouracil drugsbased chemotherapy for metastatic colorectal cancer (mCRC) acting as a standard therapy has been recognized and practiced in European and America. Post-marketing surveillance of patients who received BV was required because of very limited clinical data, especially safety profile in China pts. In order to understand real world practical use of BV and guide clinical practice in China,we have studied safety and efficacy of BV combined with fluorouracil based chemotherapy (CT) in 1st- or 2nd-line treatment for pts with mCRC in REACT trial (REal world study of Avastin in ColorecTal cancer;Clinical Trail No. NCT01319877). Methods That study was a prospective, non-interventional and post-marketing multicenter study conducted in 24 Chinese cancer centers. Patients were treated with BV plus fluorouracil based CT for mCRC as 1st- or 2nd- line therapy. The primary endpoint was to investigate the safety profile of the treatments. The secondary endpoints were overall response rate (ORR), progression-free survival (PFS), overall survival(OS) and quality of life(QoL). RECIST 1.1 and NCI CTC AE 4.03 criteria were used to evaluate the efficiency and safety, respectively. Results The recruitment was from March 2011 to December 2013. A total of 606 patients, median age 56.6 (range, 22-81) years and 76.7% with ECOG PS (0-1), were enrolled and treated with BV plus fluorouracil based CT as 1st-line (n=453) or 2nd-line (n=153) therapy. The median cycles on BV treatment were 5.0 (3.0-8.0) cycles. Total 102 patients(16.8%) experienced grade≥3 AEs. In which grade≥3 AEs related to BV were reported in 66 patients(10.9%). AESIs defined in this study were hypertension (1.8%), proteinuria (0.8%), gastrointestinal perforation (0.5%), bleeding (3.3%), arterial thromboembolism (0.3%), colon venous thromboembolism (1.0%), fistula formation (0.8%) and wound healing complications (0.2%). The ORR was 18.3% (95%CI: 15.3%-21.6%). The ORR of 1st- and 2nd-line therapy were 21.0% (95%CI: 17.3%-25.0%) and 10.5% (95%CI: 6.1%-16.4%),respectively (P=0.0035). The median PFS(mPFS) and median OS (mOS) were 9.1 (95%CI: 8.1-9.8) and 21.9 months (95%CI: 17.1-25.7), respectively. First-line patients had similar mPFS or mOS with 2nd-line patients (P=0.6530 and 0.3695, respectively). The mPFS and mOS in the patients(treatment cycles<8) were 7.8(95%CI: 6.2-8.9) and 17.6 months (95%CI:14.9-24.8), respectively. The mPFS and mOS in patients (treatment cycles≥8) were 11.6 (95%CI:10.9-14.4) and 30.8 months (95%CI:21.3-), respectively. The mPFS and mOS in the patients (treatment cycles≥8) were longer than the patients (treatment cycles<8) (P=0.0001 and P=0.001, respectively). The mPFS were 9.8 months (95%CI: 6.7-12.3) in KRAS wild-type patients and 8.6 months(95%CI:6.2-9.9) in KRAS mutant patients (P=0.2784), respectively. The mOS were 25.7 months (95%CI:16.9-) in KRAS wild-type patients and 14.3 months (95%CI:10.3-21.9) in KRAS mutant patients (P=0.1015), respectively. Conclusion The safety profile, such as BV-related AEs in REACT study seemed well tolerated in Chinese patients and compatible with those date reported from other pivotal studies in European and America as well as Chinese registration trial. BV combined with fluorouracil based CT,is effective as observed in this trial. And the patients who received longer treatment(≥8 cycles) trend to have better treatment outcomes compared with those shorter treatment duration (<8 cycles).Thus,BV combined fluorouracil based CT worth further wide use in Chinese clinical practice.
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Effects of shRNA mediated Eag1 potassium channel silencing on cell proliferation, cell cycle and expression of cyclin D1/E in osteosarcoma cells
CHEN Zhida,DAI Lilin,WU Cairong,ZENG Wenrong,XIONG Yuanfei,WU Jin
Chinese Clinical Oncology. 2016, 21 (10):  874. 
Abstract ( 424 )   PDF(pc) (1308KB) ( 362 )   Save

Objective To explore the effects of silencing Ether-go-go 1(Eag1) potassium channel by short hairpin RNA(shRNA) on the cell proliferation, cell cycle and expression of cyclin D1/E in osteosarcoma cells. Methods The successfully constructed Ad5-Eag1-shRNA vector was transfected into MG-63 cells (inhibition group). The MG-63 cells transfected with nonsense sequence(Ad5-Control-shRNA vector) were assigned as empty transfection group and cells without any treatment was used as control group. The reverse transcription polymerase chain reaction and Western blotting were used to detect the mRNA and protein levels of Eag1 in MG-63 cells transfected with Ad5-Eag1-shRNA. Cell proliferation of each group was detected by CCK-8 assay and clone formation assay,respectively. Changes of cell cycle and protein levels of cyclin D1/E were detected by flow cytometry and Western blotting,respectively. After the establishment of osteosarcoma xenograft model in nude mice,the changes of tumor volume were measured in each group. Results The protein and mRNA levels of Eag1 were lower in inhibition group rather than empty transfection group and control group with statistically significance difference(P<0. 05). Compared with other two groups, there were decreased cell proliferation,colony formation and the proportion of cells in S phase and cell cycle protein levels but increased proportion of cells in G0/G1 phase in inhibition groups(P<0.05). The tumor volume of the inhibition group was smaller than those of the empty transfection group and the control group(P<0.05). Conclusion Eag1 silencing could suppress osteosarcoma progression and cell cycle through cyclin D1 and E pathway and suggest that Eag1 may be a novel molecular target for osteosarcoma therapy. The inhibition of Eag1 gene expression by shRNA can inhibit the proliferation and induce G0/G1 arrest,which may be related to the regulation of cyclin D1 and E pathway, and is expected to become a new target for treatment and diagnosis of osteosarcoma.

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Effects of sorafenib and inhibitors for PI3K and mTOR on the proliferation and Ghrelin gene expression of hepatobiliary cancer cells

ZHAO Xiangxuan, WEN Feng, SUN Wei, DAI Zhaoxia, LU Zaiming, GUO Qiyong

Chinese Clinical Oncology. 2016, 21 (10):  879. 
Abstract ( 374 )   PDF(pc) (918KB) ( 297 )   Save

Objective To explore the effects of sorafenib and inhibitors for mammalian target of rapamycine (mTOR) and PI3K on the proliferation and Ghrelin (GHRL) gene expression of hepatobiliary cancer cells.
MethodsThe invitro cultured human hepatocellular carcinoma SMMC7721 cells and bile ductcarcinoma QBC939 cells were treated with different concentrations(0, 50, 100, 200 μmol/L) of sorafenib, LY294002 (PI3K inhibitor) and
Rapamycin (mTOR inhibitor) for 48 h. The proliferation rates of SMMC7721 and QBC939 cells were detected by MTS cell activity assay kit. The mRNA levels of GHRL were detected by quantitative realtime PCR (qPCR) in SMMC 7721 and QBC939 cells. Results Compared with the control group,there were decreased proliferative rates of SMMC7721 and QBC939 cells after the treatment with LY294002, sorafenib and Rapamycin in a dose-dependent manner (P<0.05). The qPCR results showed that there was no significant difference between the mRNA levels of GHRL in SMMC7721 cells treated with LY294002 and sorafenib in comparison with the control group (P>0.05). However, compared with the control group, the mRNA level of GHRL in the experimental group was increased with the elevated concentration of Rapamycin, and the difference was statistically significant(P<0.05). The mRNA levels of GHRL in QBC939 cells treated with LY294002,sorafenib and Rapamycin were higher than those in the control group with statistical significance(P<0.05). Conclusion Three agents can inhibit the proliferation of hepatobiliary cancer cells and promote the GHRL expression of QBC939 cells, but only Rapamycin can up regulate the expression of GHRL gene in SMMC7721 cells. The expression of GHRL gene is closely related to the occurrence of hepatocellular carcinoma and cholangiocarcinoma.

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Effects of triptolide on proliferation, apoptosis and epithelial mesenchymal transition of human gastric cancer cells
YU Wei, XIE Ruixiang, CHEN Juan, LIN Haiyan.
Chinese Clinical Oncology. 2016, 21 (10):  883. 
Abstract ( 392 )   PDF(pc) (1536KB) ( 386 )   Save
Objective To investigate the effects of triptolide(TPL)on the proliferation, apoptosis and epithelial mesenchymal transition(EMT)of human gastric cancer cell line SGC-7901. Methods The SGC-7901 cells of logarithmic growthwere treated with different final concentrations of TPL at 12.5,25,50 and 100 nmol/L. The MTT method was employed to detect the cell proliferation of cells treated with different concentrations of TPL at 24, 48, 72 and 96 h. The apoptotic rate and cell cycle distribution of cells exposure to different concentrations of TPL at 48 h were measured by flow cytometry. Real time fluorescence quantitative polymerase chain reaction was used to detect the expression of Snail1 and Twist in different groups treated with TPL at 48 h. Western blotting was used to detect the protein levels of EMT-related markers, including E-cadherin, N-cadherin and Vimentin at 48 h. ResultsTPL in the range of 12.5-100 nmol/L exhibited the inhibitory effects on SGC-7901 cells in a dose- and time- dependent manner. In addition to cells exposure to 12.5 nmol/L for 24 h,the proliferation inhibition rates of the rest concentrations and time were higher than the control group(P<0.05). Compared with the control group, there were elevated early/late apoptotic rates,proportion of cells at G0/G1 phase and protein level of E-cadherin but decreased proportion of cells at S phase,protein levels of N-cadherin and Vimentin and mRNA levels of Snail1 and Twist in TPL-treated cells (P<0.05).
ConclusionTPL can inhibit the proliferation and induce apoptosis and G0/G1 phase arrest of gastric cancer cells SGC-7901. Besides,it has the effect on the inhibition of EMT process.
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Efficacy of decitabine combined HIA regimen in the treatment of patients with refractory/relapsed acute myeloid leukemia
ZHENG Zhuojun, ZHU Yuandong, XIE Xiaobao, JIANG Jingting.
Chinese Clinical Oncology. 2016, 21 (10):  889. 
Abstract ( 381 )   PDF(pc) (881KB) ( 366 )   Save

ObjectiveTo evaluate the effect and safety of decitabine (DAC) combined HIA regimen (homoharringtonine, idarubicin and cytarabine) and FLAG regimen(fludarabine, cytarabine and granulocyte colonystimulating factor) on relapsed or refractory acute myeloid leukemia (AML). Methods Fifty patients with relapsed or refractory AML who received chemotherapy were retrospectively analyzed, including 17 patients receiving DAC+HIA regimen as observation group and 33 patients receiving FLAG regimen as control group. The complete remission rate, overall response rates (RR), overall survival (OS), relapse free survival (RFS) and adverse reactions rate were observed and analyzed. Kaplan-Meier method was used to estimate survival. Results The complete remission rate of observation group was higher than that of control group (64.7% vs. 33.3%, P<0.05). Median OS and median RFS of observation group did not reach,while median OS and median RFS of control group were 654 d and 612 d. The mortality rates of both groups were 35.3% and 42.4%,and relapse rates were 18.2% and 45.5%. Infections with different degrees were the main adverse reaction in both groups (70.6% vs. 87.8%). Conclusion Decitabine combined HIA regimen is suitable for relapsed or refractory AML patients which is associated with a higher complete remission rate, and it is safe and reliable.

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Effects analysis of different dosage forms of paclitaxel plus cisplatin in the treatment of advanced non-small cell lung cancer
SHAO Koufeng, LIU Yanwen.
Chinese Clinical Oncology. 2016, 21 (10):  893. 
Abstract ( 356 )   PDF(pc) (886KB) ( 645 )   Save
Objective To explore the clinical efficacy of different forms of paclitaxel combined with cisplatin in the treatment of advanced non-small cell lung cancer(NSCLC). Methods From January 2014 to January 2016,90 patients with advanced NSCLC treated in our hospital were assigned to 3 groups: 31 cases in paclitaxel group treated with paclitaxel combined with cisplatin, 27 cases in liposome paclitaxel group treated with liposome paclitaxel combined with cisplatin and 32 cases in albumin bound paclitaxel group treated with albumin bound paclitaxel combined with cisplatin. Response to chemotherapy was assessed by RECIST criteria 1.1 and toxicity was evaluated according to National Cancer Institute Common Toxicity Criteria 4.0. The clinical follow-up data from chemotherapy were investigated for comparison of median progression free survival(PFS)among different groups. Results All patients were available for evaluation. The effective rates were 16.1%, 18.5% and 21.9% and disease control rates were 87.1%, 92.6% and 93.8% in paclitaxel group, liposome paclitaxel group and albumin bound paclitaxel group,respectively. There were no significant difference among three groups(P>0.05). The median PFS of paclitaxel group, liposomal paclitaxel group and albumin bound paclitaxel group were 9.0, 10.0 and 12.0 months,and the difference was not statistically significant (P>0.05). The total incidence rates of nausea and vomiting were 44.4% and 34.4% and total incidence rates of muscle/joint pain were 18. 5% and 12.5% in liposomal paclitaxel group and albumin bound paclitaxel group,significantly lower than those in the paclitaxel group(P<0.05). ConclusionThere were similar efficacies in NSCLC patients receiving different forms of paclitaxel plus cisplatin. The toxicity and side effects of liposomal paclitaxel and albumin bound paclitaxel are relatively mild,may serving as a treatment candidate for patients with a larger age and poor general condition.
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Clinical study on the short-term effect of simultaneous integrated boost radiotherapy and conventional radiotherapy for early breast cancer patients
CAO Qian, JIAKULIN Adina, WANG Yihai, MAIMAITINIYAZI Simayili, MUSHAJIANG Munire.
Chinese Clinical Oncology. 2016, 21 (10):  898. 
Abstract ( 429 )   PDF(pc) (1367KB) ( 348 )   Save
Objective To explore the curative effect and irradiated volume of organs at risk (OAR) of two radiotherapy(RT) techniques for breast cancer patients after conservative surgery. Methods From June 2012 to December 2012,70 early breast cancer patients were enrolled in this study with 35 patients in the simultaneous integrated boost intensity modulated radiotherapy (SIB) group and other 35 patients in the conventional radiotherapy (CRT) group. The toxicity effects,including acute and late skin reaction,bone marrow suppression, pharyngeal and digestive tract reaction were observed. The cosmetic effect, treatment time and local control of tumor were compared between both groups. Meanwhile, the three dimensional treatment planning system was used to compare the irradiated volume of OAR under SIB and CRT plan. Results The incidences of acute and chronic skin reactions were higher in SIB group versus CRT group(P<0.05). The cosmetic satisfactory rate of SIB group was 82.9% (29/35), similar with the 77.1% (27/35) of CRT group (P>0.05). The duration of hospitalization of SIB group was (39.74±1.55) d, shorter than (45.60±2.35) d of CRT group with significant difference (P<0.05). Compared with CRT group,there were lower pulmonary V20 in SIB group(P<0.05). Until the follow-up date,all patients were survival. There was no significant difference in the local control rate between both groups. ConclusionIn the early breast cancer after breast conserving surgery, SIB has considerable cosmetic effect and local control rate as CRT. SIB shortened the treatment time, reduced the volume of lung irradiated at 20 Gy,and can be used in patients with breast cancer after breast conserving surgery.
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Clinical observation of intensity modulated radiotherapy or three dimensional conformal radiotherapy in cervical cancer patients treated with surgery
SHEN Zhiyong, LIN Jianhai, LIAO Shaoguang,WANG Ling,CHENG Huihua, FU Zhichao,LUO Huachun.
Chinese Clinical Oncology. 2016, 21 (10):  903. 
Abstract ( 372 )   PDF(pc) (903KB) ( 299 )   Save
Objective To explore the efficacy and safety of intensity modulated radiotherapy(IMRT) and three dimensional conformal radiotherapy(3DCRT) in cervical cancer patients after the surgery. Methods IMRT and 3DCRT plans were designed for 60 cervical cancer patients after the surgery. Patients were randomly assigned to IMRT group and 3DCRT group. The dose distribution of planning target volume(PTV) and organ at risk (OAR) were evaluated. And the acute and chronic radiation injury, 3 years overall survival (OS) were compared between two groups. Results The conformation index (CI), relative dose homogeneity index (HI) of PTV were significant different between two groups (P<0.05). Compared with 3DCRT group, V10, V20, V30, V40 and V45of anterior bladder wall and the V20, V30, V40 and V45of posterior rectal wall were significant lower in IMRT group (P<0.05). And the acute and chronic radiation injury of rectal and bladder were significant slighter in IMRT group. There was no difference in 3-year survival rates between two groups. Conclusion IMRT was superior to 3DCRT in CI, HI of PTV and the protection of the anterior bladder wall and the posterior rectal wall.
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Effects of lymphocyte and monocyte ratio on prognosis of epithelial ovarian cancer
SUN Li,SONG Yingchun
Chinese Clinical Oncology. 2016, 21 (10):  909. 
Abstract ( 359 )   PDF(pc) (909KB) ( 387 )   Save
Objective To evaluate the value of lymphocyte and monocyte ratio(LMR)in predicting the prognosis of epithelial ovarian cancer (EOC). Methods A total of 189 EOC patients from February 2006 to April 2014 were enrolled in this study. Receiver operating characteristic curve(ROC)was employed to analyze the best diagnostic value of LMR for EOC. The relationship of clinicopathological characteristics with LMR level was analyzed. Cox hazard-ratio model was used to determine factors influencing the prognosis of EOC. Results ROC analysis showed that the cut-off point of LMR was 1.850, and then patients were divided into low LMR group(n=39, LMR≤1.850) and high LMR group (n=150, LMR>1.850). LMR level was related to age, CA125, FIGO stage, neutrophil to lymphocyte ratio, platelet to lymphocyte ratio and albumin (P<0.05), but not with histological grade,pathological grade,hemoglobin and residual lesions (P>0.05). The progressionfree survival of high LMR group and low LMR group was 91 months and 65 months (P<0.001) and the overall survival of them were 105 months and 67 months (P<0.001). Cox hazard-ratio model found that age,CA125, FIGO stage, LMR were the independent factors influencing progression-free survival (P<0.05). Age, FIGO stage, LMR were the independent factors influencing overall survival (P<0.05). ConclusionLMR is an independent prognosis factor influencing prognosis of EOC,which can be used as a marker to predict the prognosis of EOC.q
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Prognostic significance of reoperative platelet-lymphocyte ratio in patients with gastric cancer
ZHANG Minghui, XU Guangru, XU Jinhua, ZHU Hongxing, XU Yingchun.
Chinese Clinical Oncology. 2016, 21 (10):  913. 
Abstract ( 379 )   PDF(pc) (916KB) ( 424 )   Save
ObjectiveTo explore the prognostic value of preoperative platelet-lymphocyte ratio (PLR)in patients with gastric cancer. Methods In this study, 184 gastric cancer patients from September 2008 to December 2009 in our hospital were selected as research objects. Accoding to whether PLR<150, patients were divided into low PLR group(<150) for 125 cases and high PLR group(≥150)for 59 cases. The clinicopathological characteristics, postoperative 1-, 2-,5-year survival rates and disease free survival rates of two groups were compared. The prognostic factors were evaluated by Cox multivariate analysis. Results Compared with low PLR group, deeper tumor invasion, more lymph node metastasis,more advanced TNM stage and lower serum albumin level were observed in high PLR group(P<0.05). The 1- , 2- , 5-year survival rates of high PLR group and low PLR group were 52.56%, 42.4%, 23.7% and 84.8%, 72.0%, 49.5%,respectively, with statistical differences (P=0.002). 1- , 2- ,5- year disease free survival rates of high PLR group and low PLR group were 52.56%、42.4%、23.7% and 84.8%、72.0%、49.5%, with statistical differences(P<0.001). In univariate analysis, PLR, tumor invasion, lymph node metastasis, TNM stage, age and serum albumin were associated with overall survival(OS) and disease free survival(DFS)(P<0.05). In Cox multivariate analysis, TNM stage was independent prognostic indicator of OS(HR=6.344,95%CI:4.125-9.757,P<0.001),and TNM stage, PLR and albumin were independent prognostic indicators of DFS(HR=4. 600,95%CI:3.272-6.468,P<0001;HR=1.630,95%CI:1.070-2.483,P=0.023;HR=0.470,95%CI:0.259-0.853,P=0.013). Conclusion PLR is independent prognostic indicator of DFS in patients with gastric cancer. The prognosis implication of PLR for OS remains to be further confirmed.
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临床应用
Accuracy analysis of intraoperative imprint cytology on rapid diagnosis of sentinel lymph node metastases in breast cancer
Chinese Clinical Oncology. 2016, 21 (10):  919. 
Abstract ( 399 )   PDF(pc) (1374KB) ( 291 )   Save
Objective To evaluate the accuracy of intraoperative imprint cytology on rapid diagnosis of sentinel lymph node metastases in breast cancer. Methods Sentinel lymph node biopsy was performed in 70 selected patients with early-stage breast cancer. All the sentinel lymph nodes were sent to the Department of Pathology in 10 minutes and cut into pieces along the short axis every 2-3 millimeters. Imprint slides were made of each pieces of the sentinel lymph nodes, and then stained with HE. Finally,the node pieces were handled by histological specimen procedure. Intraoperative imprint cytology results were compared with the final paraffin HE pathology. Results In this study, 134 sentinel lymph nodes were identified. The sensitivity, specificity, accuracy, positive predictive value and negative predictive value of intraoperative imprint cytology for 134 sentinel nodes were 96.2%(25/26), 98.1%(106/108), 97.8(131/134), 92.6%(25/27)and 99.1%(106/107), respectively. The cause of false positive of imprint cytology was that confusing morphological similarities existed between histiocytes and high-differentiated cancer cells. And the factor that results in false negative was mainly the limited quantity of metastasizing cells. Conclusion Imprint cytology is a simple, effective and rapid method for intraoperative pathological evaluation of sentinel lymph node for early breast cancer patients,which has a high concordance with the paraffin results, and can provide accurate and rapid diagnostic information for the surgeons during operation.
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Effects analysis of lipiodol sequential embolization with the embosphere microspheres in treatment of liver cancer rupture
YANG Shaosu, JIANG Huijie, XU Chunyang, ZHU Zhangxiang, WANG Honghui.
Chinese Clinical Oncology. 2016, 21 (10):  923. 
Abstract ( 352 )   PDF(pc) (1308KB) ( 281 )   Save
Objective To explore the effects of lipiodol sequential embolization with the embosphere microspheres in treatment of liver cancer rupture. Methods From April 2012 to June 2015,62 patients with emergency liver cancer rupture in our hospital were randomly assigned to receive embolotherapy with lipiodol alone(simple group,n=31)or lipiodol sequential embolization with the embosphere microspheres(sequential group,n=31). The rebleeding rate and serious complications rate were analyzed betweer both groups. Results Sixty-two patients had a successful hemostasis after embolotherapy. All patients were followed up for 6 to 12 months. The rebleeding rate was 0 in sequential group,significantly lower than 12.9%(4/31) of simple group(P<0.05). The incidence rates of serious complications were 3.2%(1/31) and 6.5%(2/31) in simple group and sequential group,and the difference was not statistically significant (P>0.05). Conclusion Lipiodol sequential embolization with the embosphere microspheres has reliable and safe effecacy for the treatment of liver cancer rupture with a rather low rebleeding rate.
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综述与讲座
Research of ESR1 gene aberration in endocrine resistance
ZHAO Shuang,CHEN Shuangshuang,YU Zhenghong.
Chinese Clinical Oncology. 2016, 21 (10):  947. 
Abstract ( 587 )   PDF(pc) (897KB) ( 704 )   Save
Endocrine therapies are effective to estrogen receptor α (ER) positive breast cancer. However, intrinsic and acquired endocrine resistance has always been the puzzle. ER is a nuclear protein, encoded by the ESR1 gene. ESR1 mutation plays an important role in endocrine resistance in ER positive breast cancer. ESR1-related genomic abnormalities include copy number changes,genomic rearrangements and missense point mutation. The finding of ER ligand binding domain(LBD) mutations can deepen the understanding of the endocrine resistance mechanisms. Furthermore,the dynamic changes between the agonist and antagonist conformation of the ER LBD mutants can also result in endocrine resistance. Now,studies on the target therapy of endocrine resistance mainly focus on increasing the doses of fulvestrant or tamoxifen or more potent selective estrin receptor modulators or estrogen receptor downregulators,new agents targeting ER co-activators,or targeting classical ER downstream genes (CDK4/6 inhibitors). The studies on new agents are expected to resolve the endocrine resistance problems.
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Research status of autoimmune diseases associated with non-Hodgkin lymphoma
ANG Ting,GAO Qingping.
Chinese Clinical Oncology. 2016, 21 (10):  952. 
Abstract ( 387 )   PDF(pc) (902KB) ( 307 )   Save
In recent years, there are more and more studies and reports about autoimmune diseases (ADs) associated with non-Hodgkin lymphoma (NHL). Now it has been found that many ADs will increase the risk of NHL,but different types of ADs contribute different risk of NHL, with a certain tendency in the pathological type of NHL. The biological mechanism of this phenomenon is worth to explore further. In this article,we will review the current study of ADs which associated with increased risk of NHL and the clinical features, biological mechanisms and treatment of ADs associated with NHL.
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