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Comprehensive review into the challenges of gastrointestinal tumors in the Gulf and Levant countries

World Journal of Clinical Cases 2020年第3期8卷 487-503页

作者： Rare Tumors GI Group Fadi Farhat abdulaziz al farsi Ahmed Mohieldin Bassim al Bahrani Eman Sbaity Hassan Jaffar Joseph Kattan Kakil Rasul Khairallah Saad Tarek Assi Waleed El Morsi Rafid A Abood 不详 Hammoud Hospital UMC Saida PO Box 652Lebanon Medical Oncology Department Royal HospitalMuscat PO Box 1331Oman Medical Oncology Department Kuwait Cancer Control CenterKuwait PO Box 42262Kuwait Division of General Surgery American University of BeirutBeirut 11072180Lebanon Oncology Department Tawam HospitalAl Ain PO Box 15258United Arab Emirates Hemato-oncology Department Hotel Dieu de FranceBeirutLebanon Hemato-oncology Department National Center for Cancer Care and ResearchDohaQatar Pathology Department Institute National de PathologicBeirutLebanon Oncology Department Faculty of MedicineSaint-Joseph UniversityBeirutLebanon Pfizer Oncology-Emerging Markets Dubai Media CityDubaiUnited Arab Emirates Oncology Department Basra College of MedicineBasraIraq

although gastrointestinal stromal tumors(GISTs)are rare,with an incidence of 1/100000 per year,they are the most common sarcomas in the peritoneal *** considerable progress in the diagnosis and treatment of GIST,about half of all patients are estimated to experience *** only two drugs,sunitinib and regorafenib,approved by the Food and Drug Administration,selecting treatment options after imatinib failure and coordinating multidisciplinary care remain *** addition,physicians across the Middle East face some additional and unique challenges such as lack of published local data from clinical trials,national disease registries and regional scientific research,limited access to treatment,lack of standardization of care,and limited access to mutational *** global guidelines set a framework for the management of GIST,there are no standard local guidelines to guide clinical practice in a resource-limited ***,a group of 11 experienced medical oncologists from across the Gulf and Levant region,part of the Rare Tumors Gastrointestinal Group,met over a period of one year to conduct a narrative review of the management of GIST and to describe regional challenges and gaps in patient management as an essential step to proposing local clinical practice recommendations.

关键词： Gastrointestinal stromal tumors Diagnosis Disease management Treatment Challenges Middle East

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Association of E-cadherin (CDH1) gene polymorphisms and gastric cancer risk

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World Journal of Gastroenterology 2010年第27期16卷 34332-3436页

作者： Mansour S al-Moundhri Manal al-Khanbashi Mohammed al-Kindi Maryam al-Nabhani Ikram A Burney abdulaziz al-farsi Bassim al-Bahrani Medical Oncology Unit Department of MedicineCollege of Medicine and Health SciencesSultan Qaboos University Department of Clinical Genetics College of Medicine and Health SciencesSultan Qaboos University Department of Biochemistry College of Medicine and Health SciencesSultan Qaboos University National Oncology Center Royal Hospital

AIM:To investigate the associations between CDH1 gene polymorphisms and gastric cancer(GC) risk ***:We analyzed four CDH1 polymorphisms(+54 T>C,-160 C>A,-616 G>C,-3159 T>C) in an Omani population,by extraction of genomic DNA from the peripheral blood of 192 patients with GC and 170 control participants and performed CDH1 genotyping using DNA ***:CDH1-160-AA genotype was associated with an increased risk of GC(OR = 3.6,95% CI:1.1-11.8)(P = 0.03).There was no significant association between the other polymorphisms and GC *** haplotype analysis of +54 T>C,-160 C>A,-616 G>C,-3159 T>C genotypes revealed that the OR of CCGC and CAGC haplotypes was 1.5(95% CI:0.7-3.5) and 1.5(95% CI:0.2-3.0),but did not reach statistical ***:The current study suggests that the-160 AA genotype was associated with an increased risk of GC in Oman.

关键词： Gastric cancer Polymorphism CDH1

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Multidisciplinary treatment approach of a patient with amelogenesis imperfecta: A case report

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Open Journal of Stomatology 2013年第8期3卷 397-401页

作者： Jihan M. Turkistani Abdullah S. almushayt Sami A. farsi Jihan M. Turkistani Faculty of Dentistry King Abdulaziz University Jeddah Saudi Arabia King abdulaziz Medical City-Jeddah Jeddah Saudi Arabia King Fahad General Hospital Jeddah Saudi Arabia

Introduction: Amelogenesisimperfecta (AI) is a developmental disturbance, genomic in origin, which interferes with normal enamel formation of both primary and permanent dentitions in the absence of a systemic disorder. Three major categories can be recognized clinically, namely hypoplastic, hypomaturation and hypocalcified. Timely and comprehensive intervention is critical to spare the patient from psychological consequences of these disfiguring conditions. Clinical Report: A 10-year-old boy was presented with dissatisfaction with appearance of his teeth sensitivity and poor masticatory efficiency. His medical history was noncontributory. Composite restorative material was selected as a suitable replacement of the defective structures because of its esthetics and high sustainability. Treatment Objectives: The multidisciplinary approach was oriented toward achieving functional and esthetic rehabilitation of these teeth with minimal chair-side time. Treatment Outcomes: The use of composite restorative material resulted in successful and satisfactory enhancement of the patient’s esthetic appearance, as well as protection against further wear and sensitivity thereby improving his functional demands. The longevity of the treatment outcome required meticulous maintenance of oral hygiene and patient compliance. Conclusion: Management of a patient with AI is a challenge for the clinician. Treatment options vary considerably depending on several factors such as age of the patient, socioeconomic status, severity of the disorder, and most importantly, the patient’s cooperation. Composite restorative material is considered an excellent conservative transitional treatment for protection of AI weakened teeth.

关键词： AmelogenesisImperfecta Hypocalcified Enamel Management Multidisciplinary Composite Restorative Material

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