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One p.tient with metastastic color.ctal cancer successfully tr.ated by combination of tar.eted agents after.failur. of chemother.0}y

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Chinese Jour.al of cancer 2010年第12期29卷 1023-1028页

作者： Liang-p.ng Xia1,2, p.i-Hong Wu1,3, Jian-Chuan Xia1,4, Bei Zhang1,2, Zhong-Zhen Guan1,5, De-sen Wan1,6, Gui-Fang Guo1,2, Yi-Xin Zeng1,7 1 State Key Labor.tor. of Oncology in South china, guangzhou, guangdong 510060, p. r. china 2 vip region, sun yat-sen universty cancer center, guangzhou, guangdong 510060, p. r. china 3 Dep.r.ment of Medical Imaging and Inter.entional r.diology, sun yat-sen universty cancer center, guangzhou, guangdong 510060, p. r. china 4 Biother.p. cancer, sun yat-sen universty cancer center, guangzhou, guangdong 510060, p. r. china 5 Dep.r.ment of Medical Oncology, sun yat-sen universty cancer center, guangzhou, guangdong 510060, p. r. china 6 Dep.r.ment of Color.ctal cancer,sun yat-sen universty cancer center, guangzhou, guangdong 510060, p. r. china 7 sun yat-sen universty cancer center, guangzhou, guangdong 510060, p. r. china vip region Sun Yat-sen Universty Cancer Center StateKey Laboratory of Oncology in South China Guangdong Guangzhou 510060 Dep.r.ment of Medical Imaging and Inter.entional r.diology Sun Yat-sen Universty Cancer Center StateKey Laboratory of Oncology in South China Guangdong Guangzhou 510060 Biother.p. cancer Sun Yat-sen Universty Cancer Center StateKey Laboratory of Oncology in South China Guangdong Guangzhou 510060 Dep.r.ment of Medical Oncology Sun Yat-sen Universty Cancer Center StateKey Laboratory of Oncology in South China Guangdong Guangzhou 510060 Dep.r.ment of Color.ctal cancer Sun Yat-sen Universty Cancer Center StateKey Laboratory of Oncology in South China Guangdong Guangzhou 510060 sun yat-sen universty cancer center StateKey Laboratory of Oncology in South China Guangdong Guangzhou 510060

Either.cetuximab or.bevacizumab can imp.ove the sur.ival of p.tients with metastastic color.ctal cancer (mCr.) if administer.d combided with cytotoxic agents. However. the effect of two or.mor. tar.et agents in combination is uncer.ain in these p.tients. Her., we r.p.r.ed a p.tient with mCr. successfully tr.ated by a combination of tar.et agents after.the failur. of chemother.p.. The p.tient r.ceived p.lliative r.section of p.imar. tumor.followed by 9 cycles of p.stop.r.tive XELOX r.gimen, cytokine-induced killer.cell (CIK)-based biother.p., tr.ditional Chinese medicine, p.r.icle imp.antation in the lung metastatic lesions. The tumor.p.ogr.ssed 20 months after.the standar. tr.atments. Then, the r.gimen cetuximab, bevacizumab and cefitinib was ap.lied. Dur.ng the tr.atment with tar.eted agents, gr.de IV acne-like r.sh and r.latively sever. p.r.onychia of the toes occur.ed. Both of them r.cover.d smoothly. The p.T-CT r.examination at 40 days after.the tar.et tr.atment showed that the metabolism of mediastinal lymp. nodes basically r.cover.d to a nor.al level. The combination of multip.e tar.eted agents obtained a p.ogr.ssion-fr.e sur.ival(p.S) of 11 months and the p.tient with a good quality of life dur.ng this p.r.od.

关键词：药物治疗结直肠癌转移性患者大肠细胞毒性靶向药物不确定性

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Adjuvant inter.er.n ther.p. for.malignant melanoma:the debate

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Chinese Jour.al of cancer 2010年第11期29卷 907-913页

作者： Qiang Zhou1,2, Xiao-Shi Zhang1,2 1 State Key Labor.tor. of Oncology in South china, guangzhou, guangdong 510060, p. r. china 2 Biother.p. center, sun yat-sen Univer.ity cancer center, guangzhou, guangdong 510060, p. r. china Biother.p. center Sun Yat-sen University Cancer Center State Key Laboratory of Oncology in South China Guangdong Guangzhou 510060

Based on the r.sults of the Kir.wood high-dose inter.er.n alp.a-2b (HDI) adjuvant ther.p. tr.al of the Easter. Coop.r.tive Oncology Gr.up.1684, the US Food and Dr.g Administr.tion (FDA) ap.r.ved HDI as the p.stop.r.tive adjuvant ther.p. for.high-r.sk melanoma. Unfor.unately, contr.ver.ies continue r.gar.ing the use of inter.er.n (IFN) as adjuvant ther.p. for.melanoma owing to the inconsistent r.sults of subsequent tr.als. Numer.us tr.als of adjuvant inter.er.n ther.p. demonstr.ted a benefit in ter.s of r.lap.e-fr.e sur.ival (r.S), but without confir.ed significant effect on over.ll sur.ival (OS). The op.imal timing, dose, and typ. of inter.er.n ar. not yet defined. Ther.for., adjuvant inter.er.n tr.atment is p.efer.ntially ap.lied in the r.ndomized clinical tr.als in sp.cialized centers. Decisions about the ap.r.p.iateness of adjuvant inter.er.n alfa-2b tr.atment for.p.tients should be made on an individual basis, after.discussion with the p.tient, including an exp.anation of the p.tential benefits and side effects of inter.er.n ther.p.. Mor.over. we also need to use available r.gimens r.asonably, seek feasible and p.edictable p.ognostic factor. to ser.e p.tients with individualized ther.p..

关键词：恶性黑色素瘤干扰素α 辅助治疗治疗试验人类发展指数美国食品临床试验合理利用

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Antiangiogenic ther.p.:a novel ap.r.ach to over.ome tumor.hyp.xia

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Chinese Jour.al of cancer 2010年第8期29卷 715-720页

作者： Fang p.ng1,2, Ming Chen1,2 1 State Key Labor.tor. of Oncology in South china, guangzhou, guangdong 510060, p. r. china 2 Dep.r.ment of r.diation Oncology, sun yat-sen Univer.ity cancer center, guangzhou, guangdong 510060, p. r. china Dep.r.ment of r.diation Oncology Sun Yat-sen University Cancer Center State Key Laboratory of Oncology in South China Guangdong Guangzhou 510060

Hyp.xia is a common p.enomenon in solid tumor.. r.sistance of hyp.xic tumor.cells to r.diation is a significant r.ason of failur. in the local contr.l of tumor.. The gr.wth and metastasis of solid tumor. r.ly on blood vessels. Antiangiogenic agents mainly tar.et tumor.blood vessels, and r.diation ther.p. mainly tar.ets tumor.cells. Combination of antiangiogenic tr.atment and r.diation exhibits syner.istic effect, which imp.oves the r.sp.nse of tumor. to r.diation ther.p.. The mechanisms of inter.ction between antiangiogenic agents and ionizing r.diation ar. comp.ex and involve inter.ctions between tumor.cells and tumor.micr.envir.nment, including tumor.oxygenation, str.ma, and vasculatur.. The or.ginal mechanism of antiangiogenesis is to induce ischemia and hyp.xia in tumor., ther.by, "star.e" the tumor.. However. r.cently, emer.ing data suggest that antiangiogenic agents could r.duce the p.op.r.ion of hyp.xic cells thr.ugh nor.alizing tumor.vasculatur., decr.asing oxygen consump.ion, and other.mechanisms. The use of antiangiogenic agents p.ovides a new ap.r.ach to over.ome the hyp.xia p.oblem, and ultimately imp.oves the efficacy of r.diation ther.p.. In this r.view, we discuss tumor.hyp.xia, tumor.angiogenesis and its r.gulation, mechanisms of antiangiogenic ther.p. combined with r.diation ther.p., and how antiangiogenic ther.p. over.omes tumor.hyp.xia.

关键词：抗血管生成肿瘤细胞抗缺氧疗法放射治疗电离辐射肿瘤血管生成相互作用

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Cor.elation analysis between loss of heter.zygosity at chr.mosome 18q and p.ognosis in the stage-Ⅱ colon cancer p.tients

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Chinese Jour.al of cancer 2010年第8期29卷 761-767页

作者： Wei Wang1,2, Yuan-Fang Li1,2, Xiao-Wei sun1,2, Gong Chen1,3, You-Qing Zhan1,2, Chun-Yu Huang1,2, De-sen Wan1,3, Zhi-Zhong p.n1,3, Zhi-Wei Zhou1,2 1 State Key Labor.ar. of Oncology in South china, guangzhou, guangdong 510060, p. r. china 2 Dep.r.ment of Gasr.ic and p.ncr.atic Sur.er., sun yat-sen Univer.ity cancer center, guangzhou, guangdong 510060, p. r. china 3 Dep.r.ment of Color.ctal Sur.er., sun yat-sen Univer.ity cancer center, guangzhou, guangdong 510060, p. r. china Dep.r.ment of Gasr.ic and p.ncr.atic Sur.er. Sun Yat-sen University Cancer Center State Key Labortary of Oncology in South China Guangdong Guangzhou 510060 Dep.r.ment of Color.ctal Sur.er. Sun Yat-sen University Cancer Center State Key Labortary of Oncology in South China Guangdong Guangzhou 510060

Backgr.und and Objective: Color.ctal cancer is one of the most common malignant cancers in the wor.d. Although the clinicop.thologic staging is the golden cr.ter.on for.the p.ognosis at p.esent, the op.imum p.ognostic cr.ter.a for.color.ctal cancer should be a combination of the clinicop.thologic staging and the molecular.mar.er.. However. ther. ar. cur.ently no molecular.mar.er. available for.the p.ognosis of color.ctal cancer. Sever.l tumor.sup.r.ssor.genes associated with color.ctal cancer have been map.ed at the 18q21-23 region. In this study we detected the fr.quency of loss of heter.zygosity (LOH) at chr.mosome 18q and investigated the r.lationship.between LOH and clinicop.thologic featur.s and its p.ognostic value for.p.tients with stage Ⅱ colon cancer. Methods: A total of 106 samp.es of tumor.tissues and cor.esp.nding nor.al mucosa fr.m p.tients with sp.r.dic stage-Ⅱ colon cancer wer. included in this study. All the samp.es wer. for.alin-fixed and p.r.ffin-embedded. DNA was extr.cted fr.m tumor.tissues and LOH of D18S474, D18S55, D18S58, D18S61 and D18S64 at chr.mosome 18q was analyzed using p.lymer.se chain r.action (p.r., p.lyacr.lamide gel-electr.p.or.sis, and DNA sequencing method. Multivar.ate analysis for.association between LOH and p.ognosis in colon cancer p.tients was p.r.or.ed with Cox p.op.r.ional hazar.s r.gr.ssion model. r.sults: The median follow-up.time was 68 months. For.106 p.tients, 5-year.sur.ival r.te was 83.6%, which was associated with age and gr.ss tumor.typ. (p.= 0.011 and 0.034, r.sp.ctively). Among 102 p.tients who wer. eligible for.LOH infor.ation, the over.ll fr.quency of LOH is 49.0% (50/102), and that of LOH at 5 micr.satellite loci of D18S474, D18S55, D18S58, D18S61, and D18S64 was 30.2% (26/86), 23.4% (18/77), 28.6% (20/70), 35.0% (28/80), and 20.8%(15/72), r.sp.ctively. The occur.ence of LOH was significantly associated with tumor.location and histop.thologic gr.de (p.= 0.023, 0.016 and 0.005, r.sp.ctively). LOH was mor. fr.q

关键词：大肠癌染色体杂合性预后患者相关分析聚丙烯酰胺凝胶电泳临床病理

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Exp.ession of hep.titis B vir.s sur.ace antigen in 120 Hodgkin's lymp.oma p.tients

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Chinese Jour.al of cancer 2010年第8期29卷 735-740页

作者： Miao-Zhen Qiu1,2, Dan-Yun r.an1,2, Zhi-Qiang Wang1,2, Hui-Yan Luo1,2, Kai-Yuan Teng1,2, Zhong-Jun Xia1,3, Yue Lu1,3, Hui-Qiang Huang1,2, Wen-Qi Jiang1,2, r.i-Hua Xu1,2 1 State Key Labor.tor. of Oncology in South china, sun yat-sen Univer.ity cancer center, guangzhou, guangdong 510060, p. r. china 2 Dep.r.ment of Medical Oncology, sun yat-sen Univer.ity cancer center, guangzhou, guangdong 510060, p. r. china 3 Dep.r.ment of Hematology Oncology, sun yat-sen Univer.ity cancer center, guangzhou, guangdong 510060, p. r. china sun yat-sen Univer.ity cancer center State Key Laboratory of Oncology in South China Guangdong Guangzhou 510060

Backgr.und and Objective: Little is known about the incidence of hep.titis B vir.s (HBV) infection in Hodgkin's lymp.oma p.tients. This study was to evaluate the imp.ct of HBV infection on the sur.ival of Hodgkin's lymp.oma p.tient. Methods: Clinical data of 120 Hodgkin's lymp.oma p.tients tr.ated at the sun yat-sen Univer.ity cancer center between Januar. 2004 and October.2007 wer. collected. The imp.ct of p.ognostic factor. including HBV infection on sur.ival was examined by univar.ate and multivar.ate analyses. A log-r.nk test was used for.univar.ate analysis and the Cox p.op.r.ional hazar.s r.gr.ssion model was used for.multivar.ate analysis. r.sults: Of the 120 p.tients, 18 (15.0%) wer. hep.titis B vir.s sur.ace antigen (HBsAg)-p.sitive. The HBsAg-p.sitive p.tients had lower.5-year.sur.ival r.te than did the HBsAg-negative ones (66.9% vs. 91.3%, p.= 0.006). When the p.tients wer. divided into ear.y-stage (Ⅰ+Ⅱ) and advanced-stage (Ⅲ+Ⅳ) gr.up., the 5-year.sur.ival r.te was significantly differ.nt between the HBsAg-p.sitive and -negative p.tients in ear.y-stage gr.up.(64.8% vs. 96.0%, p.r.nt in advanced-stage gr.up.(75.0% vs. 84.8%, p.0.667). Both univar.ate and multivar.ate analyses showed that r.diother.p. and HBV infection wer. indep.ndent p.ognosis factor. for.the p.tients with ear.y-stage Hodgkin's lymp.oma (p.0.006 and 0.014, r.sp.ctively). Conclusions: The incidence of HBV infection is similar.between Hodgkin's lymp.oma p.tients and nor.al p.p.lation. HBV infection is an indep.ndent p.ognosis factor.for.sur.ival in the p.tients with ear.y-stage Hodgkin's lymp.oma.

关键词：乙肝病毒表面抗原淋巴瘤患者乙肝表面抗原多因素分析金病毒感染肝炎病毒

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p.r.utaneous r.diofr.quency ablation ap.r.ach thr.ugh the sp.een:initial case r.p.r. for.p.ncr.atic tail gastr.noma

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Chinese Jour.al of cancer 2010年第9期29卷 836-841页

作者： p.i-Hong Wu1,2, Chang-Chuan p.n1,2, Zi-Lin Huang1,2, Wang Li1,2, Ming Zhao1,2, Zhi-Wei Zhou1,3 1 State Key Labor.tor. of Oncology in South china, guangzhou, guangdong 510060, p.r.china 2 Dep.r.ment of Medical Imaging & Inter.entional r.diology, sun yat-sen Univer.ity cancer center, guangzhou, guangdong 510060, p.r.china 3 Dep.r.ment of Abdominal Oncology, sun yat-sen Univer.ity cancer center, guangzhou, guangdong 510060, p.r.china Dep.r.ment of Medical Imaging& Inter.entional r.diology Sun Yat-s en University Cancer Center State Key Laboratory of Oncology in South China Guangdong Guangzhou 510060 Dep.r.ment of Abdominal Oncology Sun Yat-sen University Cancer Center State Key Laboratory of Oncology in South China Guangdong Guangzhou 510060

Gastr.noma has a low incidence, and the p.ncr.as-or.ginated gastr.noma is *** gastr.noma p.tients with liver.metastases have p.or.p.ognosis and shor. *** tr.atment to r.duce the tumor.bur.en help. to imp.ove symp.oms and slows down tumor.p.ogr.ssion for.p.tients with unr.sectable *** r.p.r. a case of p.ncr.atic tail gastr.noma with unr.sectable liver.*** p.tient r.ceived a comp.ehensive minimally invasive inter.entional tr.atment, that is, chemoembolization and r.diofr.quency ablation for.liver.metastases, and p.r.utaneous tr.nsp.enic r.diofr.quency ablation combined with r.dioactive 125I seed imp.antation for.p.ncr.atic tail *** p.tient was followed up.for.mor. than 20 months, and showed no clear.evidence of tumor.*** exp.or.d the safety and feasibility of p.r.utaneous tr.nsp.enic r.diofr.quency ablation for.unr.sectable p.ncr.atic tail *** tr.nsp.enic ap.r.ach allow mor. indications for.minimally invasive ther.p. and p.ovides a new tr.atment op.ion not only for.p.tients with unr.sectable p.ncr.atic tail tumor.but also for.p.tients r.fusing sur.er..

关键词：射频消融胃泌素病例报告尾部局部治疗手术切除肿瘤病介入治疗

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p.ognosis of 980 p.tients with gastr.c cancer after.sur.ical r.section

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Chinese Jour.al of cancer 2010年第11期29卷 923-930页

作者： Wei Wang1,2, Yuan-Fang Li1,2, Xiao-Wei sun1,2, Ying-Bo Chen1,2, Wei Li1,2, Da-Zhi Xu1,2, Xuan-Xiang Guan1,2, Chun-Yu Huang1,2, You-Qing Zhan1,2, Zhi-Wei Zhou1,2 1 State Key Labor.tor. of Oncology in South china, guangzhou, guangdong 510060, p. r. china 2 Dep.r.ment of Gastr.c and p.ncr.atic Sur.er., sun yat-sen Univer.ity cancer center, guangzhou, guangdong 510060, p. r. china Dep.r.ment of Gastr.c and p.ncr.atic Sur.er. Sun Yat-sen University Cancer Center State Key Laboratory of Oncology in South China Guangdong Guangzhou 510060

Backgr.und and Objective: Although sur.er. is the only p.ssible means to cur. gastr.c cancer, the p.ognosis is often discr.p.nt. The Amer.can Joint Committee on cancer/Inter.ational Union against cancer (AJCC/UICC) p.blished the TNM classification of Malignant Tumor. (seventh edition) for.gastr.c cancer r.cently. This study aimed to use this new edition staging system to investigate the p.ognostic factor. for.gastr.c cancer. Methods: The clinicop.thologic data of 980 p.tients with gastr.c cancer tr.ated by sur.ical r.section in our.hosp.tal between Januar. 2000 and December.2006 wer. analyzed r.tr.sp.ctively. The over.ll sur.ival r.te was deter.ined by using Kap.an-Meier.method and log-r.nk test was used to deter.ine significance. The p.ognosis was analyzed using univar.ate analysis and multivar.ate analysis with the Cox p.op.r.ional hazar.s model. The 6th and 7th edition AJCC/UICC TNM staging systems wer. used to comp.r. the sur.ival outcomes for.the cohor. of p.tients. r.sults: The over.ll 1-, 3-, 5-year.sur.ival r.tes for.the whole gr.up.wer. 82.5%, 58.7%, and 52.6%. The 5-year.sur.ival r.tes for.p.tients with p.NM stage I, II, III, and IV disease classified by the 7th edition staging system wer. 93.2%, 72.4%, 39.1%, and 5.2%, r.sp.ctively. In both univar.ate analysis and Cox multivar.ate analysis, age, tumor.site, tumor.size, histological typ., r.section typ., r.dical r.section, lymp.atic/venous invasion, dep.h of invasion, nodal status, metastasis, r.tr.eved lymp. nodes, metastatic lymp. node r.tio, and adjuvant chemother.p. wer. p.ognostic factor. with these p.tients. Conclusion: Comp.r.d with the 6th edition system, the new edition of TNM staging system for.gastr.c cancer can accur.tely p.edict the sur.ival after.op.r.tion.

关键词：手术切除胃癌预后多因素分析单因素分析恶性肿瘤 TNM 淋巴结

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The r.sults and p.ognosis of differ.nt tr.atment modalities for.solitar. metastatic lung tumor.fr.m nasop.ar.ngeal car.inoma:a r.tr.sp.ctive study of 105 cases

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Chinese Jour.al of cancer 2010年第9期29卷 787-795页

作者： Jun Ma1,2, Zhe-Sheng Wen1,2, p.ng Lin1,2, Xin Wang1,2, Fang-Yun Xie1,3 1 State Key Labor.tor. of Oncology in South china, guangzhou, guangdong 510060, p.r.china 2 Dep.r.ment of Thor.cic Oncology, sun yat-sen Univer.ity cancer center, guangzhou, guangdong 510060, p.r.china 3 Dep.r.ment of r.diation Oncology, sun yat-sen Univer.ity cancer center, guangzhou, guangdong 510060, p.r.china Dep.r.ment of Thor.cic Sur.er., Shanxi p.ovincial p.op.e’s Hosp.tal, Taiyuan, Shanxi 030012, p.r.china Dep.r.ment of Thor.cic Oncology Sun Yat-sen University Cancer Center State Key Laboratory of Oncology in South China Guangdong Guangzhou 510060 Dep.r.ment of r.diation Oncology Sun Yat-sen University Cancer Center State Key Laboratory of Oncology in South China Guangdong Guangzhou 510060

Backgr.und and Objective:Nasop.ar.ngeal car.inoma (Np.) is known for.its p.op.nsity for.distant *** metastasis is one of the most imp.r.ant causes of death for.p.tients with *** metastatic lung tumor.fr.m Np. is a distinctive gr.up.associated with a better.*** study was to find a mor. effective tr.atment modality and p.ognostic factor. for.the ***:Clinical data of 105 cases of solitar. metastatic lung tumor.fr.m Np. wer. r.tr.sp.ctively *** r.te was calculated by the Kap.an-Meier.*** differ.nce of sur.ival between the p.tients tr.ated by differ.nt modalities was evaluated by the log-r.nk *** Cox univar.ate and multivar.ate analyses of gender. age, p.thologic typ., stage, adjuvant chemother.p., evaluation of tr.atment for.Np., disease-fr.e inter.al, size of metastatic tumor. p.lmonar. hilar.and/or.mediastinal lymp. node metastasis, tr.atment modalities, r.cur.ent distant metastases and/or.r.lap.e of Np. wer. ***:The local contr.l r.te was 53.8% in chemother.p. gr.up. 88.0% in r.diother.p. +/-chemother.p. gr.up. and 96.4% in op.r.tion +/-chemother.p. gr.up.(p.0.01).The most p.omising p.ogr.ssion-fr.e sur.ival (p.S) and over.ll sur.ival (OS) wer. obtained with op.r.tion +/-chemother.p. and followed by r.diother.p. +/-*** of them showed much better.efficacy than chemother.p. (p.0.001).The Cox multivar.ate analysis showed that r.cur.ent distant metastases and/or.r.lap.e of Np. affected the sur.ival (Or.2.087, 95% CI=1.277-3.410, p.0.003).The T stage of Np., size of metastatic tumor. hilar.and/or.mediastinal lymp. node metastasis, and the tr.atment modality wer. indep.ndent p.ognostic ***:Op.r.tion +/-chemother.p. and r.diother.p. +/-chemother.p. ar. better.tr.atment of solitar. metastatic lung tumor.fr.m Np., which could imp.ove the local contr.l and p.olong the p.S and *** is r.commended for.p.tients with higher.T stage of Np., size of metastatic tu

关键词：治疗方式鼻咽癌预后孤立全国人民代表大会肺疗效评价多因素分析

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A case r.p.r. of p.imar. small cell car.inoma of the br.ast and r.view of the liter.tur.

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Chinese Jour.al of cancer 2012年第7期31卷 354-358页

作者： Qi-Dong Ge1,2, Ning Lv1,2, Yun Cao1,3, Xi Wang1,2, Jun Tang1,2, Ze-Ming Xie1,2, Xiang-Sheng Xiao1,2, p.ng Liu1,2, Xiao-Ming Xie1,2 and Wei-Dong Wei1,2 Author.’ Affiliations: 1State Key Labor.tor. of Oncology in South china, guangzhou, guangdong 510060, p. r. china 2Dep.r.ment of Br.ast Oncology, 3Dep.r.ment of p.thology, sun yat-sen Univer.ity cancer center, guangzhou, guangdong 510060, p. r. china. Dep.r.ment of Br.ast Oncology Sun Yat-sen University Cancer Center Guangzhou Guangdong People's Republic of China. weiweid@***

p.imar. small cell car.inoma (SCC) of the br.ast, an exceedingly r.r. and aggr.ssive tumor. is often char.cter.zed by r.p.d p.ogr.ssion and p.or.p.ognosis. We r.p.r. a case of p.imar. SCC of the br.ast that was diagnosed thr.ugh p.thologic and immunohistochemical examinations. Comp.ted tomogr.p.y (CT) scans failed to r.veal a non-mammar. p.imar. site. Due to the scant number.of r.levant case summar.es, this typ. of tumor.is p.oved to be a diagnostic and ther.p.utic challenge. Ther.for., we also r.viewed r.levant liter.tur. to shar. exp.r.ise in diagnosis, clinicop.thologic char.cter.stics, tr.atment, and p.ognosis of this typ. of tumor. Futur. studies with mor. cases ar. r.quir.d to define mor. ap.r.p.iate tr.atment indications for.this disease.

关键词：乳腺癌细胞文献计算机断层扫描原发性复习病理特征免疫组化

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CT-guided needle biop.y thr.ugh mandibular.ar.a for.the diagnosis of nasop.ar.ngeal car.inoma in the p.r.p.ar.ngeal sp.ce

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Chinese Jour.al of cancer 2010年第8期29卷 768-773页

作者： Yong Su1,2, Chong Zhao1,2, Wen-Jie Li1,2, Xue-Ying Deng1,3, r.i-Fang Zeng1,2, Nian-Ji Cui1,2, Tai-Xiang Lu1,2 1 State Key Labor.tor. of Oncology in South china, guangzhou, guangdong 510060, p. r. china 2 Dep.r.ment of r.diation Oncology, sun yat-sen Univer.ity cancer center, guangzhou, guangdong 510060, p. r. china 3 Dep.r.ment of r.diother.p., Dongguan p.op.e’s Hosp.tal, Dongguan, guangdong 523000, p. r. china Dep.r.ment of r.diation Oncology Sun Yat-sen University Cancer Center State Key Laboratory of Oncology in South China Guangdong Guangzhou 510060 Dep.r.ment of r.diother.p. Dongguan People's Hospital State Key Laboratory of Oncology in South China Guangdong Guangzhou 510060

Backgr.und and Objective: The p.imar. submucous typ. of nasop.ar.ngeal car.inoma (Np.) or.the r.cur.ent Np. in the p.r.p.ar.ngeal sp.ce is difficult to be diagnosed histologically by conventional biop.y because of the obstr.ction of the sur.ounding str.ctur.s. This study was p.r.or.ed to evaluate the needle biop.y ap.r.ach thr.ugh the madibular.ar.a into the p.r.p.ar.ngeal sp.ce under.the guidance of comp.ted tomogr.p.y (CT) for.Np.. Methods: Between July 6, 2005 and October.23, 2009, a total of 6 p.tients wer. enr.lled into the study. Two p.tients with cer.ical lymp. node metastasis wer. clinically susp.cious of Np. accor.ing to their.clinical manifestations. However. no cancer cell could be found by r.p.ated nasop.ar.ngeal biop.ies followed by histologic examinations. The other.4 p.tients wer. diagnosed with r.cur.ent Np.s by magnetic r.sonance imaging (Mr.) or.and p.sitr.n emission tomogr.p.y (p.T)-CT scan, showing tumor. in the p.r.p.ar.ngeal sp.ces in 3 p.tients and enlar.ed r.tr.p.ar.ngeal lymp. node in 1 p.tient. The CT-guided p.nctur. was p.r.or.ed thr.ugh the mandibular.skin and the cutting needle biop.y was taken at the p.r.p.ar.ngeal sp.ce focus. r.sults: All the cutting needle biop.ies of p.ojected locations have been p.r.or.ed safely. Finally, all the 7 sp.cimens met the r.quir.ment of p.thologic diagnosis and the cases wer. all confir.ed histologically to be Np.s. The main comp.ication was mild ache at the p.nctur. p.int. No blood vessel or.ner.e was injur.d and no p.tient needed sp.cial tr.atment. Conclusions: The CT-guided p.nctur. biop.y of the p.r.p.ar.ngeal sp.ce thr.ugh the mandibular.ar.a is simp.e and feasible. It can be an additional op.ion for.r.utine nasop.ar.ngeal biop.y.

关键词： CT扫描病理诊断鼻咽癌活检间隙穿刺引导正电子发射断层扫描

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