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Robot‑assisted laparoscopic partial cystectomy for urachal carcinoma: A case report. 机器人辅助腹腔镜膀胱部分切除术治疗尿管癌1例报告。
IF 2.5 4区 医学
Oncology Letters Pub Date : 2025-04-01 eCollection Date: 2025-05-01 DOI: 10.3892/ol.2025.15003
Chujin Ye, Qifan Xie, Zhiye Liu, Fangqianyu Zhong, Kun Wei, Xiaoyong Pu
{"title":"Robot‑assisted laparoscopic partial cystectomy for urachal carcinoma: A case report.","authors":"Chujin Ye, Qifan Xie, Zhiye Liu, Fangqianyu Zhong, Kun Wei, Xiaoyong Pu","doi":"10.3892/ol.2025.15003","DOIUrl":"https://doi.org/10.3892/ol.2025.15003","url":null,"abstract":"<p><p>Urachal carcinoma is a rare and aggressive malignancy with an unknown aetiology and poor prognosis. The present case report described a 31-year-old male patient who initially presented with a 5-day history of haematuria. FDG-PET/CT demonstrated nodules in the anterior wall of the bladder with increased glucose metabolism, which were suggestive of malignancy. A cystoscopic biopsy confirmed the diagnosis of urachal carcinoma. The patient underwent en bloc robot-assisted laparoscopic modified partial cystectomy, along the umbilicus and urachus resection, and pelvic lymph node dissection. The patient recovered within 2 weeks postoperatively, with complete tumour resection confirmed by pathological analysis, which showed negative margins and no recurrence was detected during a 5-month follow-up. The current case highlighted the potential of robot-assisted laparoscopic surgery as an effective treatment option for urachal carcinoma, offering insights for further optimization and broader clinical application, and reviewed the currently available literature.</p>","PeriodicalId":19503,"journal":{"name":"Oncology Letters","volume":"29 5","pages":"257"},"PeriodicalIF":2.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11983371/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144003780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Primary leiomyosarcoma of the ureter: A case report. 输尿管原发性平滑肌肉瘤1例。
IF 2.5 4区 医学
Oncology Letters Pub Date : 2025-04-01 eCollection Date: 2025-05-01 DOI: 10.3892/ol.2025.15004
Raffaele Baio, Olivier Intilla, Giovanni Molisso, Umberto Di Mauro, Diodato Ferrante, Giuseppe Di Lorenzo, Carlo Buonerba, Rita Citarella, Tommaso Pagano, Roberto Sanseverino
{"title":"Primary leiomyosarcoma of the ureter: A case report.","authors":"Raffaele Baio, Olivier Intilla, Giovanni Molisso, Umberto Di Mauro, Diodato Ferrante, Giuseppe Di Lorenzo, Carlo Buonerba, Rita Citarella, Tommaso Pagano, Roberto Sanseverino","doi":"10.3892/ol.2025.15004","DOIUrl":"https://doi.org/10.3892/ol.2025.15004","url":null,"abstract":"<p><p>Malignant tumors of the smooth muscle of the ureter are extremely rare, with ~13 cases of leiomyosarcoma of the ureter being reported to date. A 59-year-old Caucasian woman presented to 'Umberto I' Hospital (Nocera Inferiore, Italy) with acute abdominal pain, predominantly in the right lumbar fossa. The patient exhibited a functional single kidney, due to left renal atrophy for a long-standing stenosis of the pyelo-ureteric joint. With the exception of this condition and hypertension (under medical therapy), the patient was in excellent clinical condition. Furthermore, the patient was not a smoker. Computed tomography indicated a stricture with a peri-ureteral soft tissue mass of 45×52 mm at the middle third of the ureter at the level of common iliac vessels. Laparoscopic excision with safety margin and a right tension free end-to-end anastomosis between the two stumps of the ureter was performed. The diagnosis of leiomyosarcoma of the right ureter was made by pathological examination. Although leiomyosarcoma is rarely noted in the urinary tract, it should be considered in the differential diagnosis of ureteral stricture disease and retroperitoneal tumors.</p>","PeriodicalId":19503,"journal":{"name":"Oncology Letters","volume":"29 5","pages":"258"},"PeriodicalIF":2.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11984093/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143991704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Gastric carcinoma harbouring loss‑of‑function mutations in the PIK3R1, ATRX and RBM10 genes exhibits diverse histological features associated with EBV infection and TP53 inactivation: A case report. 携带PIK3R1、ATRX和RBM10基因功能缺失突变的胃癌表现出与EBV感染和TP53失活相关的多种组织学特征:一个病例报告。
IF 2.5 4区 医学
Oncology Letters Pub Date : 2025-04-01 eCollection Date: 2025-05-01 DOI: 10.3892/ol.2025.15002
Se Un Jeong, Euno Choi, Yongil Kim, Jaeyoung Byeon, So-Woon Kim
{"title":"Gastric carcinoma harbouring loss‑of‑function mutations in the <i>PIK3R1</i>, <i>ATRX</i> and <i>RBM10</i> genes exhibits diverse histological features associated with EBV infection and <i>TP53</i> inactivation: A case report.","authors":"Se Un Jeong, Euno Choi, Yongil Kim, Jaeyoung Byeon, So-Woon Kim","doi":"10.3892/ol.2025.15002","DOIUrl":"https://doi.org/10.3892/ol.2025.15002","url":null,"abstract":"<p><p>This study presents a novel case of gastric carcinoma (GC) with diverse histological features and unique molecular alterations. A 62-year-old man with hematemesis was diagnosed with advanced GC and hepatic metastasis. Despite palliative gastrectomy to control bleeding, the patient succumbed within 6 months. Histological examination revealed three distinct tumour components: Gastric adenosquamous carcinoma (GASC), GC with lymphoid stroma (GCLS) and poorly differentiated adenocarcinoma (PDAD). Immunohistochemical staining, next-generation sequencing and Epstein-Barr virus (EBV) <i>in situ</i> hybridisation were performed to characterise the tumour. The GASC component revealed diffuse p40 and p63 immunoreactivity, while the GCLS and PDAD components were negative for both markers. All components harboured a missense mutation in the phosphoinositide-3-kinase regulatory subunit 1 gene and deletions in the <i>ATRX</i> and RNA binding motif protein 10 genes. Additionally, the GCLS component was EBV positive and the PDAD component demonstrated concurrent EBV infection and <i>TP53</i> inactivation. The present case highlights the importance of thorough molecular and histological evaluation, as distinct molecular alterations and heterogenous EBV status in histologically diverse components may significantly influence patient prognosis and treatment strategies.</p>","PeriodicalId":19503,"journal":{"name":"Oncology Letters","volume":"29 5","pages":"256"},"PeriodicalIF":2.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11983370/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144031436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Bone mesenchymal stem cell‑derived exosome‑encapsulated microRNA‑125b‑5p inhibits ovarian cancer progression via DDX5 downregulation. 骨间充质干细胞来源的外泌体包裹的microRNA - 125b - 5p通过下调DDX5抑制卵巢癌进展。
IF 2.5 4区 医学
Oncology Letters Pub Date : 2025-04-01 eCollection Date: 2025-05-01 DOI: 10.3892/ol.2025.15001
Yuxia Wang, Wei Wang, Dan Zheng, Ying Gao
{"title":"Bone mesenchymal stem cell‑derived exosome‑encapsulated microRNA‑125b‑5p inhibits ovarian cancer progression via DDX5 downregulation.","authors":"Yuxia Wang, Wei Wang, Dan Zheng, Ying Gao","doi":"10.3892/ol.2025.15001","DOIUrl":"https://doi.org/10.3892/ol.2025.15001","url":null,"abstract":"<p><p>Exosomes can be used to mediate the delivery of nucleic acids such as microRNA-125b-5p (miR-125b-5p), a tumor-suppressor in certain types of cancer, into tumor cells. The present study investigated the use of bone mesenchymal stem cells-derived exosome (BMSCs-Exo) delivery of miR-125b-5p in ovarian cancer (OC). BMSCs were transfected with miR-125b-5p mimic, from which exosomes termed Exo-miR-125b-5p mimic were extracted. The expression levels of miR-125b-5p in OC tissue samples, BMSCs, exosomes and SKOV3 cells were quantified using reverse transcription-quantitative PCR. The influence of Exo-miR-125b-5p mimic on the biological functions of OC was evaluated through cell proliferation, invasion, migration and apoptosis assays. The targeting relationship between miR-125b-5p and DEAD-box helicase 5 (DDX5) was verified, and the expression levels of DDX5 in OC samples and SKOV3 cells were quantified using western blotting. miR-125b-5p was downregulated in tumor tissue samples from patients with OC. BMSCs-Exo reduced the malignant properties of SKOV3 cells <i>in vitro</i>, and these effects were be advanced by miR-125b-5p upregulation. miR-125b-5p targeted and inhibited DDX5 expression. DDX5 overexpression inhibited Exo-miR-125b-5p-induced suppression of OC development. Overall, this study highlights that BMSCs-Exo-encapsulated miR-125b-5p inhibited OC progression via DDX5 downregulation, providing insight into the molecular mechanisms underlying OC.</p>","PeriodicalId":19503,"journal":{"name":"Oncology Letters","volume":"29 5","pages":"255"},"PeriodicalIF":2.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11983091/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144007399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Erratum: [Corrigendum] Knockdown of lncRNA C5orf66‑AS1 inhibits osteosarcoma cell proliferation and invasion via miR‑149‑5p upregulation. [勘误]lncRNA C5orf66‑AS1的下调通过miR‑149‑5p上调抑制骨肉瘤细胞的增殖和侵袭。
IF 2.5 4区 医学
Oncology Letters Pub Date : 2025-03-31 eCollection Date: 2025-05-01 DOI: 10.3892/ol.2025.15000
Hui Zhang, Jie Song
{"title":"Erratum: [Corrigendum] Knockdown of lncRNA C5orf66‑AS1 inhibits osteosarcoma cell proliferation and invasion via miR‑149‑5p upregulation.","authors":"Hui Zhang, Jie Song","doi":"10.3892/ol.2025.15000","DOIUrl":"https://doi.org/10.3892/ol.2025.15000","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.3892/ol.2021.13018.].</p>","PeriodicalId":19503,"journal":{"name":"Oncology Letters","volume":"29 5","pages":"254"},"PeriodicalIF":2.5,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11983087/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144040124","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Achieving stringent complete remission in relapsed/refractory multiple myeloma with liver extramedullary disease after CAR‑T cell therapy: A case report. CAR - T细胞治疗后复发/难治性多发性骨髓瘤伴肝髓外疾病患者达到严格的完全缓解:1例报告
IF 2.5 4区 医学
Oncology Letters Pub Date : 2025-03-28 eCollection Date: 2025-05-01 DOI: 10.3892/ol.2025.14999
Lingyun Zhou, Danbo Liu, Fang Du, Jiao Chen, Wenyi Lu, Hongxian Xiang, Haifei Chen
{"title":"Achieving stringent complete remission in relapsed/refractory multiple myeloma with liver extramedullary disease after CAR‑T cell therapy: A case report.","authors":"Lingyun Zhou, Danbo Liu, Fang Du, Jiao Chen, Wenyi Lu, Hongxian Xiang, Haifei Chen","doi":"10.3892/ol.2025.14999","DOIUrl":"10.3892/ol.2025.14999","url":null,"abstract":"<p><p>Multiple myeloma (MM) is a clonal plasma cell malignancy characterized by bone marrow infiltration and the presence of monoclonal proteins in the blood and urine. However, despite the advances that have been made in terms of its treatment, relapsed/refractory MM (RRMM) remains a significant challenge. Chimeric antigen receptor (CAR)-T cell therapy, which involves the engineering of T-cells to express CARs targeting specific antigens on tumor cells, has emerged as a promising therapeutic approach for RRMM. The present case report presents a patient with RRMM with liver extramedullary disease (EMD) who achieved stringent complete remission following CAR-T cell therapy. This case report highlights the efficacy of CAR-T cell therapy in treating RRMM, also discussing the patient's clinical course, treatment outcomes and side effects, and moreover, a review of the literature that focuses on the treatment of EMD using CAR-T cell therapy.</p>","PeriodicalId":19503,"journal":{"name":"Oncology Letters","volume":"29 5","pages":"253"},"PeriodicalIF":2.5,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11977452/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143811784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Predicting prognosis of patients with triple‑negative breast cancer undergoing neoadjuvant chemotherapy based on inflammatory status at different time points: A propensity score matching analysis. 基于不同时间点炎症状况预测三阴性乳腺癌新辅助化疗患者的预后:倾向评分匹配分析
IF 2.5 4区 医学
Oncology Letters Pub Date : 2025-03-27 eCollection Date: 2025-05-01 DOI: 10.3892/ol.2025.14998
Qian Guo, Bingping Wang, Xinran Gao, Pu Zhao, Shuang Lv
{"title":"Predicting prognosis of patients with triple‑negative breast cancer undergoing neoadjuvant chemotherapy based on inflammatory status at different time points: A propensity score matching analysis.","authors":"Qian Guo, Bingping Wang, Xinran Gao, Pu Zhao, Shuang Lv","doi":"10.3892/ol.2025.14998","DOIUrl":"10.3892/ol.2025.14998","url":null,"abstract":"<p><p>Triple-negative breast cancer (TNBC) is a highly aggressive subtype of breast cancer with limited targeted treatment options, making the identification of reliable prognostic markers crucial for improving patient outcomes. The present study aimed to assess the predictive ability of pre-chemotherapy and pre-surgery inflammatory status on the prognosis of patients with TNBC undergoing neoadjuvant therapy. A total of 422 patients with TNBC who received neoadjuvant chemotherapy at the Inner Mongolia People's Hospital between January 2017 and December 2022 were selected for analysis. Fasting venous blood samples were collected 1 day prior to chemotherapy and 1 day prior to surgery to assess and calculate inflammatory markers, including the neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), systemic immune-inflammation index (SII) and systemic inflammation response index (SIRI). The optimal cut-off values of the inflammatory markers were determined using receiver operating characteristic curves. Survival analysis was used to evaluate the differences in survival and significant prognostic factors. Propensity score matching (PSM) analysis was performed to further asses the prognostic value of the relevant factors. Survival analysis indicated that patients with high pre-chemotherapy and pre-surgery NLR, PLR, SII and SIRI scores exhibited shorter overall survival (OS) rates compared with those with low scores (all P<0.05). Multivariate analysis revealed that tumor-node-metastasis stage, pathological complete response and pre-surgery SII were independent prognostic factors for OS. Following PSM, the area under the curve for SII was 0.642 and patients with high SII scores exhibited shorter OS rates than those with low scores (χ<sup>2</sup>=8.452; P=0.004). Therefore, these results indicated that both pre-chemotherapy and pre-surgery inflammatory statuses are associated with the OS of patients with TNBC undergoing neoadjuvant chemotherapy, notably pre-surgery SII.</p>","PeriodicalId":19503,"journal":{"name":"Oncology Letters","volume":"29 5","pages":"252"},"PeriodicalIF":2.5,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11977454/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143811787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Respiratory microbiota diversity as a predictive biomarker for the efficacy of PD‑1 blockades in patients with advanced non‑small cell lung cancer: A retrospective exploratory study. 呼吸微生物群多样性作为PD - 1阻断治疗晚期非小细胞肺癌患者疗效的预测性生物标志物:一项回顾性探索性研究
IF 2.5 4区 医学
Oncology Letters Pub Date : 2025-03-26 eCollection Date: 2025-05-01 DOI: 10.3892/ol.2025.14997
Liang Zhang, Ming-Jiang Li, Xiao-Ping Li, Bo Yang, Ting Xiao, Ping Wang, Wei-Dong Zhang
{"title":"Respiratory microbiota diversity as a predictive biomarker for the efficacy of PD‑1 blockades in patients with advanced non‑small cell lung cancer: A retrospective exploratory study.","authors":"Liang Zhang, Ming-Jiang Li, Xiao-Ping Li, Bo Yang, Ting Xiao, Ping Wang, Wei-Dong Zhang","doi":"10.3892/ol.2025.14997","DOIUrl":"10.3892/ol.2025.14997","url":null,"abstract":"<p><p>Despite advancements in immunotherapy, particularly regarding programmed cell death protein 1 (PD-1)/programmed death-ligand 1 blockades, the clinical outcomes in non-small cell lung cancer (NSCLC) remain variable with limited predictive biomarkers currently available. The present study investigated respiratory microbiota diversity as a potential biomarker to predict the efficacy of PD-1 blockades in patients with advanced NSCLC. A retrospective analysis was conducted on 60 patients treated with PD-1 blockades from May 2019 to May 2023. Clinical data were collected and respiratory microbiota from deep induced sputum specimens were analyzed using 16S rRNA gene sequencing. An index of respiratory microbiota α diversity was applied and exploratory analysis was performed accordingly. The objective response rate (ORR) and disease control rate among the 60 patients receiving PD-1 blockades was 23.3% (95% CI, 13.4-36.0%) and 58.3% (95% CI, 44.9-70.9%), respectively. Analysis of prognostic data of patients with advanced NSCLC receiving PD-1 blockades monotherapy demonstrated a median progression-free survival of 3.4 months (95% CI, 2.54-4.26) and a median overall survival (OS) of 12.3 months (95% CI, 6.29-18.31). Patients were stratified into high and low α diversity groups based on the Shannon diversity index of respiratory microbiota. The ORR was increased in the high diversity group (26.7%) compared with that of the low diversity group (20.0%), although the difference was not statistically significant (P=0.542). Notably, the high diversity group demonstrated a longer median PFS (3.9 vs. 2.8 months; P=0.017) and median OS (16.8 vs. 6.8 months; P=0.016) compared with that of the low diversity group. These findings suggested that PD-1 blockades demonstrate promising therapeutic activity for patients with previously treated advanced NSCLC in clinical practice. Respiratory microbiota α diversity might serve as a potential biomarker to predict the efficacy of PD-1 blockades monotherapy in patients with advanced NSCLC in the future. Therefore, further prospective studies are warranted to validate these findings and to explore the underlying mechanisms by which respiratory microbiota might modulate the immune response to cancer therapy.</p>","PeriodicalId":19503,"journal":{"name":"Oncology Letters","volume":"29 5","pages":"251"},"PeriodicalIF":2.5,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11977453/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143811793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Diagnostic value of expressions of cancer stem cell markers for adverse outcomes of hepatocellular carcinoma and their associations with prognosis: A Bayesian network meta‑analysis. 癌症干细胞标记物的表达对肝细胞癌不良后果的诊断价值及其与预后的关系:贝叶斯网络荟萃分析
IF 2.9 4区 医学
Oncology Letters Pub Date : 2024-09-06 DOI: 10.3892/ol.2024.14669
Zhengrong Ou,Shoushuo Fu,Jian Yi,Jingxuan Huang,Weidong Zhu
{"title":"Diagnostic value of expressions of cancer stem cell markers for adverse outcomes of hepatocellular carcinoma and their associations with prognosis: A Bayesian network meta‑analysis.","authors":"Zhengrong Ou,Shoushuo Fu,Jian Yi,Jingxuan Huang,Weidong Zhu","doi":"10.3892/ol.2024.14669","DOIUrl":"https://doi.org/10.3892/ol.2024.14669","url":null,"abstract":"The expression of cancer stem cell (CSC) markers adversely affect the survival prognosis of patients with hepatocellular carcinoma (HCC), but it is not clear which cancer stem cell marker has the best predictive effect on the survival prognosis and diagnostic value indicators of patients with HCC. Therefore, the present study performed a network meta-analysis to compare the prognostic and diagnostic value of the expressions of several CSC markers for patients with HCC and to identify the most efficient CSC marker. Studies on the associations of positive CSC markers with the overall survival (OS) rate, disease-free survival (DFS) rate, recurrence-free survival (RFS) rate, recurrence rate, differentiation, microvascular invasion and metastasis in patients with HCC were included in the network meta-analysis following searches on the PubMed, Embase, Elsevier and The Cochrane Library databases from January 1, 2013 to November 17, 2023. The Quality Assessment of Diagnostic Accuracy Studies-2 tool was used to assess the quality assessment of studies, and R (version 4.3.1), Stata (version 15.0) and Review Manager (version 5.3) were used for analysis. A total of 37 studies involving 3,980 participants were included. For patients with HCC, simultaneous positivity of cytokeratin 19 (CK19) and epithelial cell adhesion molecule (EpCAM) was the strongest predictor of the OS rate [surface under the cumulative ranking curve (SUCRA), 78.65%], positive keratin 19 (K19) was the strongest predictor of the RFS and DFS rates (SUCRA, 98.93 and 84.95%, respectively), and simultaneous positivity of EpCAM and cluster of differentiation (CD)90 was the strongest predictor of the recurrence rate (SUCRA, 5.61%). In addition, positivity of CD56, K19 and CD133 had the best diagnostic efficacy for poor differentiation [superiority index, 7.4498; 95% confidence interval (CI): 0.3333, 13.0000], microvascular invasion (superiority index, 8.4777; 95% CI: 0.2308, 17.0000), and metastasis (superiority index, 5.6097; 95% CI: 0.3333, 11.0000), respectively. In conclusion, no single CSC marker possessed the best predictive effect on all indexes of survival prognosis and diagnosis of patients with HCC. In terms of survival prognosis, simultaneous positivity of CK19 and EpCAM demonstrated the strongest predictive effect on the OS rate, suggesting an association with a low OS rate in patients with HCC; positive K19 revealed the strongest predictive effect on the RFS rate and DFS rate, suggesting an association with low RFS and DFS rates in patients with HCC; and simultaneous positivity of EpCAM and CD90 had the strongest predictive effect on the recurrence rate, suggesting a high recurrence rate in patients with HCC patients. In terms of diagnostic value, CD56, K19 and CD133 were the strongest predictors of poor differentiation, microvascular invasion and metastasis, respectively. In the future, well-designed randomized controlled trials are required to further confirm these findings.","PeriodicalId":19503,"journal":{"name":"Oncology Letters","volume":"8 1","pages":"536"},"PeriodicalIF":2.9,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142258742","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Incidence and pattern of second primary cancer in patients diagnosed with primary cancer. 确诊为原发性癌症的患者中第二原发性癌症的发病率和模式。
IF 2.9 4区 医学
Oncology Letters Pub Date : 2024-09-05 DOI: 10.3892/ol.2024.14668
Jong Jin Sung,Ae Ri Ahn,Ho Sung Park,Kyu Yun Jang,Woo Sung Moon,Ju-Hyung Lee,Kyoung Min Kim,Myoung Ja Chung
{"title":"Incidence and pattern of second primary cancer in patients diagnosed with primary cancer.","authors":"Jong Jin Sung,Ae Ri Ahn,Ho Sung Park,Kyu Yun Jang,Woo Sung Moon,Ju-Hyung Lee,Kyoung Min Kim,Myoung Ja Chung","doi":"10.3892/ol.2024.14668","DOIUrl":"https://doi.org/10.3892/ol.2024.14668","url":null,"abstract":"The long survival of patients with primary cancer increases the chance of such patients developing second primary cancer (SPC). The development of SPC in cancer survivors exerts a large psychological, social and economic burden on patients and their families. The aim of the present study was to assess the risk of cancer survivors developing SPC. The study included patients who had been diagnosed with a first primary cancer in five organs (stomach, colorectum, lung, breast and thyroid), which are the five most common sites of cancer in patients from Korea, at the regional cancer center in Jeonbuk National University Hospital between January 2007 and December 2009. The standardized incidence ratio (SIR) of SPC according to sex and site was calculated from 5,209 patients who were followed up to September 2017. General incidence was acquired from the National Cancer Registry of Republic of Korea. SPC occurred in 6.2% (323/5,209) of patients, and the incidence of SPC among the five major types of cancer was in the order of breast (8.8%, 46/524), colorectum (8.6%, 86/1,003), gastric (6.6%, 89/1,358), thyroid (4.7%, 67/1,437) and lung cancer (3.9%, 35/887). When all SPC sites were included, the SIRs of SPC in patients with colorectal cancer and breast cancer were >1.0 (1.21 and 1.66, respectively). Breast cancer and thyroid cancer exhibited a high site relationship (P<0.05), and colorectal cancer had a high site relationship with gastric cancer (P<0.05). The present study analyzed the incidence and pattern of SPC in patients with cancer who were diagnosed with primary carcinoma in five organs. The results of the study may be useful for effective follow-up and early detection of SPC in patients with cancer.","PeriodicalId":19503,"journal":{"name":"Oncology Letters","volume":"121 1","pages":"535"},"PeriodicalIF":2.9,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142258653","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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