目的探讨应用第八版TNM分期对肿瘤浸润性直径进行分期的临床意义。方法回顾性分析具有贴壁样成分的≤5 cm N0M0肺腺癌切除病例200例,按照新分期进行病理分期后的变化及临床意义。结果以浸润性直径进行分期后,有54.5%(109/200)的肿瘤发生...目的探讨应用第八版TNM分期对肿瘤浸润性直径进行分期的临床意义。方法回顾性分析具有贴壁样成分的≤5 cm N0M0肺腺癌切除病例200例,按照新分期进行病理分期后的变化及临床意义。结果以浸润性直径进行分期后,有54.5%(109/200)的肿瘤发生了T分期的改变;39.5%的肿瘤发生了IA期下调改变,11%(22/200)的病例由IB期变成IA期,4%(8/200)的病例由II期变成了I期,占整个II期病例的40%(8/20)。浸润性直径大小对患者生存期具有更好的预测作用,且浸润性肿瘤大小与肺部CT实性区大小显示更好的正相关性。结论直径1~2 cm的肿瘤中,存在非浸润性成分的概率大于其他肿瘤。新分期与影像学联系更密切,兼顾了肿瘤的病理学和影像学特性,浸润性肿瘤大小对生存期的预测明显好于肿瘤总大小。展开更多
On the basis of on-the-spot investigation, the causes of urban black-odor water bodies and the problems existing in the treatment are analyzed, and the control techniques and management countermeasures for black-odor ...On the basis of on-the-spot investigation, the causes of urban black-odor water bodies and the problems existing in the treatment are analyzed, and the control techniques and management countermeasures for black-odor water bodies were put forward. The countermeasures include: treating from both the roots and the symptoms and combining multiple technologies; comprehensively managing and improve the monitoring systems; coordinating functions and implementing long-term management; opening information and innovating supervision platform; coordinating advance and promoting the construction of sponge city; diversified financing to form the market-oriented model of water pollution control.展开更多
文摘目的探讨应用第八版TNM分期对肿瘤浸润性直径进行分期的临床意义。方法回顾性分析具有贴壁样成分的≤5 cm N0M0肺腺癌切除病例200例,按照新分期进行病理分期后的变化及临床意义。结果以浸润性直径进行分期后,有54.5%(109/200)的肿瘤发生了T分期的改变;39.5%的肿瘤发生了IA期下调改变,11%(22/200)的病例由IB期变成IA期,4%(8/200)的病例由II期变成了I期,占整个II期病例的40%(8/20)。浸润性直径大小对患者生存期具有更好的预测作用,且浸润性肿瘤大小与肺部CT实性区大小显示更好的正相关性。结论直径1~2 cm的肿瘤中,存在非浸润性成分的概率大于其他肿瘤。新分期与影像学联系更密切,兼顾了肿瘤的病理学和影像学特性,浸润性肿瘤大小对生存期的预测明显好于肿瘤总大小。
基金supported by Jiangsu Qinglan Project of 2016Research Project of Jiangsu Provincial Party Committee titled "China democratic league: Regulation of malodorous black river and improvement of waterfront environment in city"Key Funding Project of Jiangsu Polytechnic College of Agriculture and Forestry (Grant No. 2016kj005)
文摘On the basis of on-the-spot investigation, the causes of urban black-odor water bodies and the problems existing in the treatment are analyzed, and the control techniques and management countermeasures for black-odor water bodies were put forward. The countermeasures include: treating from both the roots and the symptoms and combining multiple technologies; comprehensively managing and improve the monitoring systems; coordinating functions and implementing long-term management; opening information and innovating supervision platform; coordinating advance and promoting the construction of sponge city; diversified financing to form the market-oriented model of water pollution control.
