Gastric cancer is one of the most frequently diagnosed cancers worldwide. Although the rate of gastric cancer has declined dramatically over the past decades in most developed Western countries, it has not declined in...Gastric cancer is one of the most frequently diagnosed cancers worldwide. Although the rate of gastric cancer has declined dramatically over the past decades in most developed Western countries, it has not declined in East Asia. Currently, a radical gastrectomy is still the only curative treatment for gastric cancer. Over the last twenty years, however, surgery alone has been replaced by a multimodal perioperative approach. To achieve the maximum benefit from the perioperative treatment, a thorough evaluation of the tumor must first be performed. A complete assessment of gastric cancer is divided into two parts: staging and histology. According to the stage and histology of the cancer, perioperative chemotherapy or radiochemotherapy can be implemented, and perioperative targeted therapies such as trastuzumab may also play a role in this field. However, perioperative treatment approaches have notbeen widely accepted until a series of clinical trials were performed to evaluate the value of perioperative treatment. Although multimodal perioperative treatment has been widely applied in clinical practice, personalization of perioperative treatment represents the next stage in the treatment of gastric cancer. Genomic-guided treatment and efficacy prediction using molecular biomarkers in perioperative treatment are of great importance in the evolution of treatment and may become an ideal treatment method.展开更多
The Palaeozoic carbonate basement of the Offshore Bohai Bay Basin (OBBB) presents considerable potential for hydrocarbon exploration. However, the multistage tectonism and complex superimposed palaeo-karstification in...The Palaeozoic carbonate basement of the Offshore Bohai Bay Basin (OBBB) presents considerable potential for hydrocarbon exploration. However, the multistage tectonism and complex superimposed palaeo-karstification in the area are unclear, which leads to a lack of understanding on the formation mechanism and distribution of the deep carbonate basement reservoirs. In this study, the occurrence of a fracture-vug network and its fillings in carbonate reservoirs were investigated based on borehole cores, thin sections, and image logs from the southwestern slope of the OBBB's Bozhong Sag. Then the diagenetic fluid properties of the carbonate matrix and fillings were analysed via the data of carbon, oxygen, and strontium isotopes, and major, rare elements from coring intervals. The results revealed that fracture-related karst reservoirs have lithologic selectivity inclined toward dolomite strata. The intersecting relationships, widths, and strikes of the fractures and the regional tectonic background indicate three structural fracture families: NW-, NNE-, and NNW- trending, related to the Indosinian, middle Yanshanian, and late Yanshanian orogeny, respectively. The Indosinian NW- and end-Mesozoic NNE-trending fractures produced by compressional tectonic stress mainly contributed to the formation of the basement reservoirs. The geochemistry of the calcite veins filling these fractures suggests two main types of diagenetic fluids. The fluid of autogenic recharge related to the earlier fills is karstification diffuse flow dominated by internal runoff from rainfall in the highland setting of the Indosinian thrusting orogenic belt. The other fluid of allogenic recharge related to the later fills is the main lateral freshwater flow dominated by external runoff from the catchment in the setting of the horst-lowland within the rifting basin, induced by the Yanshanian destruction of the North China Craton. Finally, the relationship between the three fracture families and two kinds of related fluids is revealed. This allows us to propose a model to understand the polyphase-superimposed fracture-related karst reservoir complexes within the deep carbonate basement of tilting fault blocks that neighbour the Bozhong hydrocarbon kitchen and predict the formation of potential plays with high accuracy.展开更多
To the Editor:Gastric cancer is one of the most common cancers in China.It is mainly found in the middle/lower part of the stomach,[1]where it commonly metastasizes from the infrapyloric lymph node(No.6).Previous stud...To the Editor:Gastric cancer is one of the most common cancers in China.It is mainly found in the middle/lower part of the stomach,[1]where it commonly metastasizes from the infrapyloric lymph node(No.6).Previous studies reported that the risk of No.6 lymph node metastasis was different based on tumor locations.In lower gastric cancer patients,the metastatic rate of No.6 lymph node can reach up to 18.7%,and in upper gastric cancer,the rate is merely 1.9%.[2]The distance between the primary tumor and the pylorus was proved to be related to No.6 lymph node metastasis.However,most of the studies were retrospective and their lymph nodes dissection’s quality control was controversial.展开更多
基金Supported by Grants from the Natural Sciences Foundation of China,No.81071983Beijing High-level Talents Project(2013)
文摘Gastric cancer is one of the most frequently diagnosed cancers worldwide. Although the rate of gastric cancer has declined dramatically over the past decades in most developed Western countries, it has not declined in East Asia. Currently, a radical gastrectomy is still the only curative treatment for gastric cancer. Over the last twenty years, however, surgery alone has been replaced by a multimodal perioperative approach. To achieve the maximum benefit from the perioperative treatment, a thorough evaluation of the tumor must first be performed. A complete assessment of gastric cancer is divided into two parts: staging and histology. According to the stage and histology of the cancer, perioperative chemotherapy or radiochemotherapy can be implemented, and perioperative targeted therapies such as trastuzumab may also play a role in this field. However, perioperative treatment approaches have notbeen widely accepted until a series of clinical trials were performed to evaluate the value of perioperative treatment. Although multimodal perioperative treatment has been widely applied in clinical practice, personalization of perioperative treatment represents the next stage in the treatment of gastric cancer. Genomic-guided treatment and efficacy prediction using molecular biomarkers in perioperative treatment are of great importance in the evolution of treatment and may become an ideal treatment method.
基金This work was supported by the National Major Science and Technology Project of the Thirteenth Five Year Plan(No.2016zX05024-003-010)National Natural Science Foundation of China(No.42002123)the Open Fund of State Key Laboratory of Oil and Gas Reservoir Geology and Exploitation(Chengdu Univerisity of Technology,No.PLC2020031).
文摘The Palaeozoic carbonate basement of the Offshore Bohai Bay Basin (OBBB) presents considerable potential for hydrocarbon exploration. However, the multistage tectonism and complex superimposed palaeo-karstification in the area are unclear, which leads to a lack of understanding on the formation mechanism and distribution of the deep carbonate basement reservoirs. In this study, the occurrence of a fracture-vug network and its fillings in carbonate reservoirs were investigated based on borehole cores, thin sections, and image logs from the southwestern slope of the OBBB's Bozhong Sag. Then the diagenetic fluid properties of the carbonate matrix and fillings were analysed via the data of carbon, oxygen, and strontium isotopes, and major, rare elements from coring intervals. The results revealed that fracture-related karst reservoirs have lithologic selectivity inclined toward dolomite strata. The intersecting relationships, widths, and strikes of the fractures and the regional tectonic background indicate three structural fracture families: NW-, NNE-, and NNW- trending, related to the Indosinian, middle Yanshanian, and late Yanshanian orogeny, respectively. The Indosinian NW- and end-Mesozoic NNE-trending fractures produced by compressional tectonic stress mainly contributed to the formation of the basement reservoirs. The geochemistry of the calcite veins filling these fractures suggests two main types of diagenetic fluids. The fluid of autogenic recharge related to the earlier fills is karstification diffuse flow dominated by internal runoff from rainfall in the highland setting of the Indosinian thrusting orogenic belt. The other fluid of allogenic recharge related to the later fills is the main lateral freshwater flow dominated by external runoff from the catchment in the setting of the horst-lowland within the rifting basin, induced by the Yanshanian destruction of the North China Craton. Finally, the relationship between the three fracture families and two kinds of related fluids is revealed. This allows us to propose a model to understand the polyphase-superimposed fracture-related karst reservoir complexes within the deep carbonate basement of tilting fault blocks that neighbour the Bozhong hydrocarbon kitchen and predict the formation of potential plays with high accuracy.
文摘To the Editor:Gastric cancer is one of the most common cancers in China.It is mainly found in the middle/lower part of the stomach,[1]where it commonly metastasizes from the infrapyloric lymph node(No.6).Previous studies reported that the risk of No.6 lymph node metastasis was different based on tumor locations.In lower gastric cancer patients,the metastatic rate of No.6 lymph node can reach up to 18.7%,and in upper gastric cancer,the rate is merely 1.9%.[2]The distance between the primary tumor and the pylorus was proved to be related to No.6 lymph node metastasis.However,most of the studies were retrospective and their lymph nodes dissection’s quality control was controversial.
