{"title":"Clinical analysis of BRCA mutations in patients with recurrent serous ovarian cancer","authors":"P. Huang","doi":"10.3760/CMA.J.ISSN.1006-9801.2019.11.004","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1006-9801.2019.11.004","url":null,"abstract":"Objective \u0000To investigate the BRCA1 and BRCA2 gene mutations in patients with recurrent serous ovarian cancer and their clinical significances. \u0000 \u0000 \u0000Methods \u0000A total of 57 patients with recurrent serous ovarian cancer in the First Affiliated Hospital of Nanchang University from January 2016 to January 2018 were collected. High-throughput second-generation sequencing technology was used to detect BRCA1 and BRCA2 mutations in patients' blood. Statistical analysis was performed on the relationship between BRCA mutations and clinicopathological factors and prognosis. \u0000 \u0000 \u0000Results \u0000Of the 57 patients with recurrent serous ovarian cancer, 16 patients (28.07%) had BRCA mutations, among which 3 patients (5.26%) had nonsense mutations, 7 patients (12.28%) had frameshift mutations, and 7 patients (12.28%) had missense mutations. There was no significant difference in BRCA mutation rate among patients with different American Obstetrics and Gynecology Union (FIGO) stage, lymphatic metastasis, tissue differentiation and age stratification (all P > 0.05). Patients with family history of ovarian cancer or breast cancer had a higher BRCA mutation rate than patients without family history (7/12 vs. 9/45, χ2 = 5.13, P = 0.02), and patients who were sensitive to first-line platinum treatment had a higher BRCA mutation rate than those with drug resistant (16/45 vs. 0/12, P = 0.04). Patients with BRCA mutation had a lower serum CA125 level than patients with BRCA wild-type [(774±548)×103 U/L vs. (1 522±1 269)×103 U/L, t = 3.106, P = 0.003], and a longer median progression-free survival (PFS) time (20.5 months vs. 12.0 months, P = 0.01). \u0000 \u0000 \u0000Conclusions \u0000Serous ovarian cancer patients with BRCA mutations have higher sensitivity to platinum-based chemotherapeutic drugs and better PFS. Detection of BRCA mutations helps to judge prognosis and guide medication. \u0000 \u0000 \u0000Key words: \u0000Ovarian neoplasms; Recurrence; Mutation; BRCA gene","PeriodicalId":9505,"journal":{"name":"Cancer Research and Clinic","volume":"31 1","pages":"734-738"},"PeriodicalIF":0.0,"publicationDate":"2019-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42242752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Progress of JAK-STAT pathway in the angiogenesis of glioma","authors":"Xin-rui Yang","doi":"10.3760/CMA.J.ISSN.1006-9801.2019.11.019","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1006-9801.2019.11.019","url":null,"abstract":"Vascular nutrition transmission is an irreplaceable factor in the process of tumor formation. Blocking or reducing the energy transmission pathway of tumor can effectively resist the development of tumor. There is a close relationship between JAK-STAT signaling pathway and angiogenesis, especially research on the relationship between this pathway and vascular endothelial growth factor (VEGF) signal has produced many results in recent years. This review summarizes the induction of angiogenesis, drug development, and the discovery of antiangiogenic targets in the JAK pathway, providing some ideas for the treatment of glioma. \u0000 \u0000 \u0000Key words: \u0000Glioma; Vascular endothelial growth factors; JAK-STAT; Angiogenesis","PeriodicalId":9505,"journal":{"name":"Cancer Research and Clinic","volume":"31 1","pages":"789-792"},"PeriodicalIF":0.0,"publicationDate":"2019-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46110813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Alteration of intestinal flora after radiotherapy in patients with pelvic cancer","authors":"Lyu-Han Wang, J. Qian","doi":"10.3760/CMA.J.ISSN.1006-9801.2019.11.006","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1006-9801.2019.11.006","url":null,"abstract":"Objective \u0000To investigate the effect of pelvic radiotherapy on intestinal flora, the correlation between radiation enteritis and intestinal flora, and the effect of probiotics intervention on intestinal flora and diarrhea. \u0000 \u0000 \u0000Methods \u0000From March to November 2018, a total of 22 patients who were admitted to the Affiliated Suzhou Hospital of Nanjing Medical University were enrolled in the study, including 5 patients with colorectal cancer, 15 patients with cervical cancer and 2 patients with endometrial carcinoma. Five patients with cervical cancer received oral administration of probiotics combined with radiotherapy. Ten healthy physical examiners were selected as the control group. The stool samples were collected from each patient before and after radiotherapy, and 16S rDNA sequencing technology was used to detect the fecal flora and analyze the effect of radiotherapy on intestinal flora. \u0000 \u0000 \u0000Results \u0000The main composition of intestinal flora in the stool samples of healthy control group was Firmicutes (39.86%), Bacteroidetes (37.77%), unclassified bacteria (15.96%) and Proteobacteria (5.03%), which was similar to patients, but the abundance of bacteria was significantly different. There were differences in the intestinal flora of patients before and after radiotherapy. Microbial diversity and abundance were altered after radiotherapy, especially in patients who later developed severe diarrhea. The Firmicutes/Bacteroidetes ratio was altered after radiotherapy. The abundance of Escherichia-Shigella and Fusobacterium increased after radiotherapy in patients who developed severe diarrhea. Oral administration of probiotics could alleviate the diarrhea and reduce the decline of microbial diversity and abundance. \u0000 \u0000 \u0000Conclusions \u0000In patients with pelvic tumors, the diversity and abundance of intestinal flora decrease after radiotherapy, especially in patients with severe diarrhea. Oral probiotics can alleviate the diarrhea. \u0000 \u0000 \u0000Key words: \u0000Pelvic neoplasms; Radiation enteritis; 16S rDNA; Intestinal flora; Probiotics","PeriodicalId":9505,"journal":{"name":"Cancer Research and Clinic","volume":"31 1","pages":"744-750"},"PeriodicalIF":0.0,"publicationDate":"2019-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45575799","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Zonglin Li, Yi Liu, Yifan Jiang, Sibei Ruan, Yejiang Zhou
{"title":"Giant small intestinal stromal tumor with torsion and bleeding: report of one case and review of literature","authors":"Zonglin Li, Yi Liu, Yifan Jiang, Sibei Ruan, Yejiang Zhou","doi":"10.3760/CMA.J.ISSN.1006-9801.2019.11.012","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1006-9801.2019.11.012","url":null,"abstract":"目的 \u0000提高对小肠间质瘤(SIST)的临床认识及诊疗能力。 \u0000 \u0000 \u0000方法 \u0000对西南医科大学附属医院2018年8月收治的1例巨大SIST扭转伴出血患者的临床资料及病理学特征进行回顾性分析,并结合相关文献进行复习。 \u0000 \u0000 \u0000结果 \u0000该例SIST患者出现急腹症并急诊手术治疗。主要原因为瘤体巨大而基底部细小、肿瘤扭转造成了肿瘤基底部撕裂出血。 \u0000 \u0000 \u0000结论 \u0000腹腔内巨大SIST扭转伴破裂出血以急腹症入院者较为罕见,该类患者具有极高的复发、转移和死亡风险,需在肿瘤R0切除的基础上联合伊马替尼靶向治疗。","PeriodicalId":9505,"journal":{"name":"Cancer Research and Clinic","volume":"31 1","pages":"768-770"},"PeriodicalIF":0.0,"publicationDate":"2019-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43268977","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Evaluation of the efficacy of pelvic malignant bone tumor resection and function reconstruction","authors":"Qing-bo Liu, Z. Lyu, Lizhi Li, Zhuangzhuang Wu","doi":"10.3760/CMA.J.ISSN.1006-9801.2019.11.005","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1006-9801.2019.11.005","url":null,"abstract":"Objective \u0000To discuss the efficacy of pelvic region Ⅰ-Ⅲ malignant bone tumor resection and function reconstruction. \u0000 \u0000 \u0000Methods \u0000A retrospective study was performed on 23 patients with pelvic malignant bone tumors who underwent limb salvage surgery in the Second Hospital of Shanxi Medical University from January 2010 to December 2018, including 12 males and 11 females, aged 19-78 years old. There were 22 cases of primary tumors, and 1 case of metastatic carcinoma. The tumor of 13 cases located in region Ⅰ, 2 cases in region Ⅱ, 5 cases in region Ⅲ, 1 case in region Ⅱ+Ⅲ, and 2 cases in region Ⅰ+Ⅱ. The surgical methods included resection + allograft, resection + pedicle screw reconstruction, resection + ipsilateral iliac bone graft reconstruction, and artificial hemipelvic replacement. The complications, outcomes, survival, and function recovery of patients were analyzed. \u0000 \u0000 \u0000Results \u0000None of the 23 patients died in the perioperative period. Five patients with tumor invasion region Ⅱ underwent hemipelvic replacement, and no serious complications occurred after operation; 15 patients underwent allogeneic bone graft or autologous bone graft after tumor resection, 2 of them had milder wound infection, and no serious complications were found in the others; 3 cases underwent pedicle screw reconstruction after tumor resection, and no obvious complications occurred after operation. By the end of follow-up, 12 patients died of local recurrence or lung metastases after surgery, including 4 patients who underwent hemipelvic replacement. The gait of 23 patients was changed to some extent, most of them were claudication; One patient needed to walk with two crutches. \u0000 \u0000 \u0000Conclusions \u0000The malignant bone tumors in the pelvic region Ⅰ and Ⅲ can achieve satisfactory postoperative results after extensive resection in the boundary of security. For pelvic region Ⅱ malignant bone tumors, the postoperative curative effect of half pelvic prosthesis reconstruction after resection in the boundary of security is acceptable. \u0000 \u0000 \u0000Key words: \u0000Bone neoplasms; Pelvis; Bone remodeling; Limb salvage surgery","PeriodicalId":9505,"journal":{"name":"Cancer Research and Clinic","volume":"31 1","pages":"739-743"},"PeriodicalIF":0.0,"publicationDate":"2019-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49521717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Expressions of hypoxia inducible factor-1α and autophagy related protein Beclin-1 in colon cancer and their clinical significances","authors":"Zhongguo Li, Yaoqiang Wu, Hongwei Xue","doi":"10.3760/CMA.J.ISSN.1006-9801.2019.11.007","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1006-9801.2019.11.007","url":null,"abstract":"Objective \u0000To investigate the expressions of hypoxia inducible factor-1α (HIF-1α) and autophagy related protein Beclin-1 in colon cancer and their clinical significances. \u0000 \u0000 \u0000Methods \u0000From January 2017 to December 2018, 120 patients with colon cancer who were admitted to Dandong First Hospital were selected. The expressions of HIF-1α and Beclin-1 in colon cancer and corresponding adjacent tissues were detected by immunohistochemical SABC method. The relationship of the expressions of HIF-1α and Beclin-1 with the clinicopathological features of colon cancer patients was also discussed. The expressions of HIF-1α and Beclin-1 in 20 pairs of fresh colon cancer and paracancerous tissues were detected by Western blot. \u0000 \u0000 \u0000Results \u0000The results of immunohistochemistry showed that the positive expression rates of HIF-1α and Beclin-1 proteins in colon cancer tissues were significantly higher than those in paracancerous tissues [75.0% (90/120) vs. 21.7% (26/120), 60.8% (73/120) vs. 12.5% (15/120)], and the differences were statistically significant (χ 2 values were 68.343 and 60.359, both P 0.05). There was a positive correlation between the expressions of HIF-1α and Beclin-1 proteins in colon cancer (r = 0.483, P < 0.01). \u0000 \u0000 \u0000Conclusion \u0000The expressions of HIF-1α and Beclin-1 proteins in colon cancer tissues are significantly increased, and the interaction between them is involved in the occurrence and development of colon cancer. \u0000 \u0000 \u0000Key words: \u0000Colon neoplasms; Hypoxia-inducible factor 1, alpha subunit; Gene, Beclin-1; Autophagy","PeriodicalId":9505,"journal":{"name":"Cancer Research and Clinic","volume":"31 1","pages":"751-755"},"PeriodicalIF":0.0,"publicationDate":"2019-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49215416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jian-zhong Cao, Yaqin Zheng, Jianting Liu, S. Lan, Chuantai He, Hegao Wang, Jiangang Zhang, F. Ma, Yuanchao Cui, Shuping Zhang, Yue-Xian Xing
{"title":"Development history of tumor radiotherapy in Shanxi province","authors":"Jian-zhong Cao, Yaqin Zheng, Jianting Liu, S. Lan, Chuantai He, Hegao Wang, Jiangang Zhang, F. Ma, Yuanchao Cui, Shuping Zhang, Yue-Xian Xing","doi":"10.3760/CMA.J.ISSN.1006-9801.2019.11.010","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1006-9801.2019.11.010","url":null,"abstract":"Tumor radiotherapy is established on the basis of clinical oncology, radio-physics and radiobiology, and has become one of the three major therapeutic methods for malignant tumors. With the pace of socialist construction in China, the subject of radiotherapy in Shanxi province has developed from scratch and from small to large for more than 60 years. Remarkable achievements have been made in the establishment of departments, the updating of technical equipment, the increase of employees and clinical scientific research. This article reviews and summarizes the development history of tumor radiotherapy in Shanxi province. \u0000 \u0000 \u0000Key words: \u0000Neoplasms; Radiotherapy; Shanxi province","PeriodicalId":9505,"journal":{"name":"Cancer Research and Clinic","volume":"31 1","pages":"764-765"},"PeriodicalIF":0.0,"publicationDate":"2019-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44448674","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Progress of circulating tumor cells in the diagnosis and treatment of esophageal cancer","authors":"Bin Wu, Jun Ma, Shuai Chen","doi":"10.3760/CMA.J.ISSN.1006-9801.2019.11.018","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1006-9801.2019.11.018","url":null,"abstract":"Esophageal cancer is one of the malignant tumors with the highest morbidity and mortality in China. Its early clinical symptoms are not typical, and the patients are already in the middle and late stage when they go to see the doctor. The 5-year survival rate of these patients is low and the prognosis is poor. At present, the precision medicine is gradually being applied to the field of clinical oncology. The detection of circulating tumor cells (CTC) has the advantages of non-invasive, easy to obtain specimens, reflect the overall state of the tumor, real-time monitoring, etc. The CTC detection has gradually become a hot research direction. CTC is tumor cell detached from the primary or metastatic tumors and released into the peripheral blood circulation. CTC detection can dynamically reflect the status of tumors. Combined with the latest reports at home and abroad, this paper mainly reviews the application and limitations of CTC in the field of esophageal cancer. \u0000 \u0000 \u0000Key words: \u0000Esophageal neoplasms; Neoplastic cells, circulating; Diagnosis; Treatment","PeriodicalId":9505,"journal":{"name":"Cancer Research and Clinic","volume":"31 1","pages":"786-789"},"PeriodicalIF":0.0,"publicationDate":"2019-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45751349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Clinical observation of Brucea javanica oil emulsion injection combined with S-1 for treatment of elderly patients with advanced gastric cancer","authors":"R. Wu, Gehong Zhang, B. Zheng","doi":"10.3760/CMA.J.ISSN.1006-9801.2019.11.003","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1006-9801.2019.11.003","url":null,"abstract":"Objective \u0000To observe the efficacy and safety of Brucea javanica oil injection combined with S-1 in the treatment of elderly patients with advanced gastric cancer. \u0000 \u0000 \u0000Methods \u0000The clinical data of 62 elderly patients with advanced gastric cancer who were admitted to Shanxi Provincial Cancer Hospital from May 2017 to May 2018 were retrospectively analyzed. Thirty-one patients in the control group treated with S-1 alone, and 31 patients in the observation group treated with S-1 combined with Brucea oil emulsion injection. The clinical efficacy, adverse reactions, immune function and quality of life of the two groups were compared. \u0000 \u0000 \u0000Results \u0000The total effective rates of the observation group and the control group were 70.97% (22/31) and 48.39% (15/31), respectively, and the difference was statistically significant (χ 2 = 11.889, P 0.05). The Karnofsky scores of the observation group and the control group after treatment were (92±4) points and (86±3) points, respectively, and the difference was statistically significant (t = -2.075, P = 0.042). The serum levels of interleukin-2 (IL-2) and interferon-γ in the observation group after treatment were (38±4) ng/L and (51±4) ng/L, and the levels in the control group were (31±3) ng/L and (40±4) ng/L, respectively, and the differences were statistically significant (t values were -2.097 and -2.293, both P < 0.05), and the serum levels of IL-4, IL-6 and IL-10 in the observation group after treatment were (42±5) ng/L, (34±4) ng/L and (22±2) ng/L, and the levels in the control group were (59±6) ng/L, (50±5) ng/L and (30±3) ng/L, respectively, and the differences were statistically significant (t values were 2.109, 2.867 and 4.278, all P < 0.05). There was no statistical difference in the serum levels of tumor necrosis factor-α between the observation group and the control group after treatment (t = -0.922, P = 0.360). \u0000 \u0000 \u0000Conclusion \u0000Compared with monotherapy of S-1, the treatment of Brucea javanica oil emulsion injection combined with S-1 can improve the clinical efficacy, reduce the incidence of adverse reactions, enhance the immune function and effectively improve the quality of life of elderly patients with advanced gastric cancer. \u0000 \u0000 \u0000Key words: \u0000Stomach neoplasms; Aged; S-1; Brucea javanica oil injection; Treatment outcome; Adverse reactions","PeriodicalId":9505,"journal":{"name":"Cancer Research and Clinic","volume":"31 1","pages":"729-733"},"PeriodicalIF":0.0,"publicationDate":"2019-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43835814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}