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Successful cetuximab rechallenge in metastatic colorectal cancer:A case report

World Journal of Clinical Oncology 2024年第9期15卷 1232-1238页

作者： alexandra guedes Sandra Silva Sandra Custódio Andreia Capela Department of Medical Oncology Centro Hospitalar Gaia/EspinhoVila Nova de Gaia 4434-502Portugal

BACKGROUND Metastatic colorectal cancer(mCRC)treatment has been evolving and increasingly driven by tumor biology and gene expression *** with epidermal growth factor receptor(EGFR)inhibitors(anti-EGFR)represents a promising strategy for patients with RAS wild-type(RAS-wt)mCRC and circulating tumor DNA has emerged as a potential selection ***,we report the case of a RAS-wt mCRC patient who had a successful response to cetuximab *** SUMMARY Our patient was diagnosed with stage IV RAS-wt,microsatellite-stable rectosigmoid junction *** was started on first-line treatment with FOLFIRI and cetuximab and achieved partial response,allowing for a left hepatectomy(R0),followed by post-operative chemotherapy and an anterior resection;progression-free survival(PFS)of 16 months was *** to hepatic and nodal relapse,second-line treatment with FOLFOX and bevacizumab was started with partial response;metastasectomy was performed(R0),achieving a PFS of 11 *** a 15 months anti-EGFR-free interval,FOLFIRI and cetuximab were reintroduced upon disease progression,again with partial response and a PFS of 16 *** extensive hepatic relapse,cetuximab was reintroduced and a marked clinical and analytical improvement was seen,after only one *** status was confirmed on circulating tumor *** patient’s overall survival exceeded 5 *** Our case provides real-world data to support cetuximab rechallenge in later lines of RAS-wt mCRC treatment.

关键词： Metastatic colorectal cancer RAS mutation RAS wild type Anti-epidermal growth factor receptor Cetuximab Rechallenge Case report

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Species richness and density evaluation for plants with aggregated distributions:fixed *** area methods

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Journal of Plant Ecology 2017年第5期10卷 765-770页

作者： Rita de Cássia Quitete Portela alexandra dos Santos Pires Maria Isabel guedes Braz Eduardo Arcoverde de Mattos Departamento de Ecologia Instituto de BiologiaUniversidade Federal do Rio de JaneiroCaixa Postal 68020Ilha do FundãoRio de JaneiroRJ 21941-590Brasil Departamento de Ciências Ambientais Instituto de FlorestasUniversidade Federal Rural do Rio de JaneiroRod.BR 465Km 07Cidade UniversitáriaSeropédicaRio de JaneiroRJ 23890-000Brasil

Aims Knowledge of species richness is of prime importance to both basic and applied aspects of ecological ***,quantifying plant species richness in the tropics is potentially time-consuming because of high species *** species richness estimates are also frequently biased,because many rare species are not *** address these problems,the use of a variable area method has been proposed as an alternative to fixed area methods,but its appli-cability to plants with aggregated distributions has been questioned based on simulation *** use empirical data to compare the efficiency and accuracy of a variable area method and a fixed area method for estimating species richness,density and basal area for plants with aggregated distributions,using palms as a model *** Adult palms were sampled in twenty 10×30 m transects in an Atlantic Forest in Rio de Janeiro state,*** individuals were considered in the fixed area method,while in the variable area method only the first six adults in each transect were sampled;in this case,transect length was defined according to the distance of the sixth adult from the beginning of the *** fewer than six individuals were observed in a given transect,transect length was extended up to 50 m to search for additional *** efficiency of both methods was compared based on species rarefaction curves,using the chao 1 statistic(for abundance data).For each species we calculated mean density per transect and basal area,according to each sampling *** effort in terms of the number of individual plants and the area necessary to characterize maximum species richness in each sampling method,as well as mean time taken to sample a single transect,were compared as measures of *** findings An accurate estimate of species richness was achieved using both methods,but in the variable area method,a quarter of the number of individuals and half the area was sufficient

关键词： basal area biodiversity inventory palms taxon sampling

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