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经腋窝单孔充气法乳腺腔镜手术治疗乳腺疾病的临床应用分析 被引量:1
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作者 海琳悦 王雪菲 +4 位作者 刘博文 孙小虎 孟然 曹旭晨 肖春花 《中国肿瘤临床》 CAS CSCD 北大核心 2023年第5期255-259,共5页
目的:探讨采用经腋窝单孔充气法乳腺腔镜手术在乳腺疾病中的可行性、安全性及临床应用价值。方法:回顾性分析2020年12月至2022年3月于天津医科大学肿瘤医院收治经腋窝单孔充气法乳腺腔镜手术的84例乳腺疾病患者的临床资料,包括患者基线... 目的:探讨采用经腋窝单孔充气法乳腺腔镜手术在乳腺疾病中的可行性、安全性及临床应用价值。方法:回顾性分析2020年12月至2022年3月于天津医科大学肿瘤医院收治经腋窝单孔充气法乳腺腔镜手术的84例乳腺疾病患者的临床资料,包括患者基线临床特征、术中及术后恢复情况、术后满意度评分及随访情况。结果:84例患者均顺利完成手术,无中途转为开放手术病例。术后满意度评分为(8.25±1.21)分,手术效果佳。术后无切口感染、切缘坏死等重大并发症发生。随访8~23个月,未发现肿瘤局部复发及转移。结论:经腋窝单孔充气法乳腺腔镜手术安全高效、并发症少、患者满意度高,临床应用上具有推广前景。 展开更多
关键词 乳腺肿瘤 内窥镜检查 假体植入
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Autophagy inhibition enhances apigenin-induced apoptosis in human breast cancer cells 被引量:12
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作者 xuchen cao Bowen Liu +8 位作者 Wenfeng cao Weiran Zhang Fei Zhang Hongmeng Zhao Ran Meng Lin Zhang Ruifang Niu Xishan Hao Bin Zhang 《Chinese Journal of Cancer Research》 SCIE CAS CSCD 2013年第2期212-222,共11页
Apigenin (4',5,7-trihydroxyflavone) is a member of the flavone subclass of flavonoids present in fruits and vegetables. The involvement of autophagy in the apigenin-induced apoptotic death of human breast cancer ce... Apigenin (4',5,7-trihydroxyflavone) is a member of the flavone subclass of flavonoids present in fruits and vegetables. The involvement of autophagy in the apigenin-induced apoptotic death of human breast cancer cells was investigated. Cell proliferation and viability were assessed by 3-(4,5-dimethylthiazol- 2-yl)-2,5-diphenyltetrazolium bromide (MTT) and clonogenic assays. Flow cytometry, fluorescent staining and Western blot analysis were employed to detect apoptosis and autophagy, and the role of autophagy was assessed using autophagy inhibitors. Apigenin dose- and time-dependently repressed the proliferation and clonogenic survival of the human breast cancer T47D and MDA-MB-231 cell lines. The death of T47D and MDA-MB-231 cells was due to apoptosis associated with increased levels of Caspase3, PARP cleavage and Bax/Bcl-2 ratios. The results from flow cytometry and fluorescent staining also verified the occurrence of apoptosis. In addition, the apigenin-treated cells exhibited autophagy, as characterized by the appearance of autophagosomes under fluorescence microscopy and the accumulation of acidic vesicular organelles (AVOs) by flow cytometry. Furthermore, the results of the Western blot analysis revealed that the level of LC3-Ⅱ, the processed form of LC3-Ⅰ, was increased. Treatment with the autophagy inhibitor, 3-methyladenine (3-MA), significantly enhanced the apoptosis induced by apigenin, which was accompanied by an increase in the level of PARP cleavage. Similar results were also confirmed by flow cytometry and fluorescence microscopy. These results indicate that apigenin has apoptosis- and autophagy-inducing effects in breast cancer cells. Autophagy plays a cyto-protective role in apigenin-induced apoptosis, and the combination of apigenin and an autophagy inhibitor may be a promising strategy for breast cancer control. 展开更多
关键词 APOPTOSIS AUTOPHAGY APIGENIN breast cancer 3-methyladenine
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腋窝淋巴结阳性乳腺癌新辅助化疗后腋窝治疗选择的研究 被引量:15
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作者 周昊 陈祖锦 +4 位作者 李云 王雨婷 张笛 曹旭晨 王欣 《中国肿瘤临床》 CAS CSCD 北大核心 2019年第5期247-251,共5页
目的:分析腋窝淋巴结(axillary lymph node,ALN)阳性乳腺癌患者新辅助化疗(neoadjuvant chemotherapy,NAC)后经前哨淋巴结活检术(sentinel lymph node biopsy,SLNB)评估ALN状态的可行性,并探讨腋窝的后续治疗选择。方法:回顾性分析2016... 目的:分析腋窝淋巴结(axillary lymph node,ALN)阳性乳腺癌患者新辅助化疗(neoadjuvant chemotherapy,NAC)后经前哨淋巴结活检术(sentinel lymph node biopsy,SLNB)评估ALN状态的可行性,并探讨腋窝的后续治疗选择。方法:回顾性分析2016年1月至2018年1月天津医科大学肿瘤医院收治的82例ALN阳性乳腺癌患者的临床资料,均NAC后行SLNB,评估其检出率、准确率、假阴性率(false negative rate,FNR)并对可能影响因素进行分层分析。结果:82例患者腋窝病理完全缓解(pathological com-plete response,pCR)43例、占52.4%,SLNB检出率为97.56%(80/82),准确率为88.75%(71/80),FNR为23.08%(9/39)。前哨淋巴结(sentinel lymph node,SLN)检出数目为1、2枚和数目≥3枚时,FNR分别为20.0%(2/10)、71.4%(5/7)和9.1%(2/22),准确率分别为90.9%(20/22)、66.7%(10/15)和95.3%(41/43),差异具有统计学意义(均P<0.05)。结论:ALN阳性乳腺癌患者NAC后行SLNB总体FNR较高,尚未达到临床可接受范围,不能完全取代腋窝淋巴结清扫(axillary lymph node dissection,ALND),SLN检出数目≥3枚时SLNB可准确评估ALN状态。 展开更多
关键词 乳腺癌 新辅助化疗 淋巴结转移 前哨淋巴结活检
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CACA Guidelines for Holistic Integrative Management of Breast Cancer
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作者 Jiong Wu Daiming Fan +69 位作者 Zhimin Shao Binghe Xu Guosheng Ren Zefei Jiang Yongsheng Wang Feng Jin Jin Zhang Qingyuan Zhang Fei Ma Jinli Ma Zhonghua Wang Shusen Wang Xiaojia Wang Shu Wang Haibo Wang Tao Wang Xiang Wang Jing Wang Jia Wang Biyun Wang Li Fu Hongyuan Li Yehui Shi Lu Gan Yunjiang Liu Jian Liu Zhenzhen Liu Qiang Liu Qiang Sun Wenwu Cheng Keda Yu Zhongsheng Tong Xinhong Wu Chuangui Song Jianguo Zhang Jian Zhang Junjie Li Bin Li Man Li Huiping Li Wentao Yang Hongjian Yang Benlong Yang Hong Bu Juping Shen Zhenzhou Shen Yiding Chen Ceshi Chen Da Pang Zhimin Fan Ying Zheng Xiaoli Yu Guangyu Liu Xichun Hu Yiqun Ling Jinhai Tang Yongmei Yin Cuizhi Geng Peng Yuan Yajia Gu Cai Chang xuchen cao Yuan Sheng Yuanxi Huang Jian Huang Weijun Peng Xiaohua Zeng Yuntao Xie Ning Liao Committee of Breast Cancer Society,Chinese Anti-Cancer Association 《Holistic Integrative Oncology》 2022年第1期76-126,共51页
Purpose:Breast cancer is now the most common malignant tumor worldwide.About one-fourth of female cancer patients all over the world sufer from breast cancer.And about one in six female cancer deaths worldwide is caus... Purpose:Breast cancer is now the most common malignant tumor worldwide.About one-fourth of female cancer patients all over the world sufer from breast cancer.And about one in six female cancer deaths worldwide is caused by breast cancer.In terms of absolute numbers of cases and deaths,China ranks frst in the world.The CACA Guidelines for Holistic Integrative Management of Breast Cancer were edited to help improve the diagnosis and comprehensive treatment in China.Methods:The Grading of Recommendations Assessment,Development and Evaluation(GRADE)was used to classify evidence and consensus.Results:The CACA Guidelines for Holistic Integrative Management of Breast Cancer include the epidemiology of breast cancer,breast cancer screening,breast cancer diagnosis,early breast cancer treatment,advanced breast cancer treatment,follow-up,rehabilitation,and traditional Chinese medicine treatment of breast cancer patients.Conclusion:We to standardize the diagnosis and treatment of breast cancer in China through the formulation of the CACA Guidelines. 展开更多
关键词 Epidemiology of breast cancer Breast cancer screening Breast cancer diagnosis Early breast cancer treatment Advanced breast cancer treatment Traditional Chinese medicine treatment of breast cancer
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