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做PET-CT监测“个体化”治疗肿瘤
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作者 刘建军 《大众医学》 2014年第10期36-36,共1页
钟先生是位肿瘤患者,在当地一家医院接受放化疗,效果不理想.放化疗的副作用也较大。后来他转院到上海一家大医院治疗。在医生建议下,他接受了PET-CT监测。监测结果显示,钟先生属于对化疗药物不敏感的肿瘤患者。据此,医生调整了钟... 钟先生是位肿瘤患者,在当地一家医院接受放化疗,效果不理想.放化疗的副作用也较大。后来他转院到上海一家大医院治疗。在医生建议下,他接受了PET-CT监测。监测结果显示,钟先生属于对化疗药物不敏感的肿瘤患者。据此,医生调整了钟先生的治疗方案,取得了较理想的治疗效果,化疗副作用也不再严重影响他的生活质量。 展开更多
关键词 肿瘤患者 CT监测 “个体化”治疗 化疗副作用 医院治疗 监测结果 化疗药物 治疗方案
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Genetic predisposition to inflammation:a new risk factor of Alzheimer's disease 被引量:1
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作者 万赢 王刚 陈生弟 《Neuroscience Bulletin》 SCIE CAS CSCD 2008年第5期314-322,共9页
Inflammation has been shown to play an important role in the progression of Alzheimer's disease (AD). Recent epidemical study indicates that the incidence of AD in some populations is substantially influenced by th... Inflammation has been shown to play an important role in the progression of Alzheimer's disease (AD). Recent epidemical study indicates that the incidence of AD in some populations is substantially influenced by the gene polymorphisms of the inflammation mediators. Meanwhile, an ensured risk factor, the ApoE ε4 allele is also reported to directly promote inflammation. Accordingly, it appears that an individual genetic background has partly determined his predisposition for AD by the extent of the inflammation response to the chronic stimulus by β-amyloid peptide (Aβ) deposits and other antigen stressor in the elderly. Hence we present a hypothesis that the inflammation genotypes may contribute to AD susceptibility. This may provide a new orientation both for future identification of individuals at risk and for personalized medication. 展开更多
关键词 Alzheimer's disease INFLAMMATION PREDISPOSITION polymorphism inflammation mediators ApoE ε4 allele identification personalized medication
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Significance of the Expression of CyclinD1 and Ki67 Antigen in Nasopharyngeal Carcinoma 被引量:1
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作者 胡国清 石小燕 《The Chinese-German Journal of Clinical Oncology》 CAS 2004年第1期24-28,65,共6页
Objective: To detect the expression of cyclinD1 and Ki67 in nasopharyngeal carcinoma (NPC) and their correlation with the biological behaviors and prognosis. Methods: 56 cases of biopsy specimens ... Objective: To detect the expression of cyclinD1 and Ki67 in nasopharyngeal carcinoma (NPC) and their correlation with the biological behaviors and prognosis. Methods: 56 cases of biopsy specimens of NPC which had been embedded with para?n in 1996 in our hospital were collected and immunostained with cyclinD1 and Ki67 monoclonal antibodies by means of the streptavidin peroxides method. The patients were followed up periodically, and then their biological behaviors and prognosis were statistically analyzed. Results: The percentage of cyclinD1 and Ki67 positive cells in the NPC specimens ranged from 0–54% and 0–31% respectively. The staining was nuclear. Of the 56 cases, 30 cases (56.6%) highly expressed cyclinD1 or Ki67 HPI and 26 cases (46.4%) lowly expressed cyclinD1, while only 16 cases (28.6%) showed Ki67 HPI (high proliferated index) and 40 cases (71.4%) showed Ki67 LPI (low proliferated index). Patients who lowly expressed cyclinD1 or highly expressed Ki67 had a higher radiosensitivity and a better prognosis. Conclusion: CyclinD1 and Ki67 immunohistochemical staining is considered to be useful, not only as an independent factor of radiosensitivity and prognosis respectively, but also as a means of determining the optimum treatment for each individual patient with NPC. 展开更多
关键词 CYCLIND1 KI67 RADIOSENSITIVITY prognosis nasopharyngeal carcinoma
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重症急性胰腺炎56例诊治体会
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作者 李吉利 赵同胞 《河南大学学报(医学版)》 CAS 2005年第4期55-56,共2页
关键词 重症急性胰腺炎(SAP) “个体化”治疗 体会
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2型糖尿病患者吃药要做笔记
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作者 颐明 《药物与人》 2008年第2期25-25,共1页
有些专家在接诊2型糖尿病患者时,常常加个”步骤”,教患者做用药笔记,并要求在下次就诊时带上,以便制订“个性化”治疗方案。这是为什么呢?因为2型糖尿病患者的胰岛D细胞虽然能分泌一定量的胰岛素,但胰岛素分泌不足,胰岛素受体... 有些专家在接诊2型糖尿病患者时,常常加个”步骤”,教患者做用药笔记,并要求在下次就诊时带上,以便制订“个性化”治疗方案。这是为什么呢?因为2型糖尿病患者的胰岛D细胞虽然能分泌一定量的胰岛素,但胰岛素分泌不足,胰岛素受体或受体后的缺陷而产生胰岛素抵抗,会使胰岛素不能很好地发挥正常的生理作用,所以在治疗时做“个体化”治疗,疗效才会加倍。 展开更多
关键词 糖尿病患 2型 胰岛素分泌不足 笔记 “个体化”治疗 胰岛素受体 吃药 治疗方案
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胃肠道肿瘤的多学科综合治疗——一个不老的话题
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《中华胃肠外科杂志》 CAS CSCD 2014年第11期I0001-I0001,共1页
如今的外科医生已普遍大方承认,手术仅仅是综合治疗方式“之一”,而非“唯一”。尽管多学科综合治疗听上去是“老生常谈”的老旧话题,但每次谈及胃肠道肿瘤,其仍然是一个热点议题;而且国内外相关指南每次修订时,化疗和放疗总是修... 如今的外科医生已普遍大方承认,手术仅仅是综合治疗方式“之一”,而非“唯一”。尽管多学科综合治疗听上去是“老生常谈”的老旧话题,但每次谈及胃肠道肿瘤,其仍然是一个热点议题;而且国内外相关指南每次修订时,化疗和放疗总是修订的一个重点。要进一步提高胃肠道肿瘤的治疗效果,需要胃肠外科医生加强学习以完成自身转型,更好地掌握整体治疗诊治的理念,运用以手术为主并辅以新辅助和辅助化疗、放疗及生物靶向治疗等的综合模式,在“规范化”的基础上真正做到“个体化”治疗每例患者。本期重点内容再次聚焦“综合治疗”,以期巩固和加深胃肠外科医生对综合治疗的认识。 展开更多
关键词 多学科综合治疗 胃肠道肿瘤 “个体化”治疗 以手术为主 外科医生 生物靶向治疗 辅助化疗 治疗方式
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用甘精,更贵还是更合算
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作者 赵冬 《糖尿病之友》 2014年第12期33-33,共1页
对广大患者来说,由于糖尿病需要长期用药治疗,费用问题不是个小问题。就连各国指南谈到患者“个体化”治疗的时候都强调要遵循患者意愿,综合考虑经济状况。那么,如何节省医疗支出呢?是不是只要用便宜药,就能省钱?
关键词 “个体化”治疗 患者意愿 用药治疗 费用问题 经济状况 医疗支出 糖尿病
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北京朝阳医院疝和腹壁外科介绍
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《中华疝和腹壁外科杂志(电子版)》 2011年第3期74-74,共1页
首都医科大学附属北京朝阳医院疝和腹壁外科是目前全国唯一的疝专业一级科室,由著名疝外科专家陈杰教授带领医师12名、护士12名病床30张及中华医学会专业期刊l本组成。经过十余年的努力,我们已经形成了针对各种腹外疝的一整套腹外疝... 首都医科大学附属北京朝阳医院疝和腹壁外科是目前全国唯一的疝专业一级科室,由著名疝外科专家陈杰教授带领医师12名、护士12名病床30张及中华医学会专业期刊l本组成。经过十余年的努力,我们已经形成了针对各种腹外疝的一整套腹外疝“个体化”治疗的专科特色并形成了重点突出的专业化诊疗组, 展开更多
关键词 首都医科大学附属北京朝阳医院 腹壁外科 腹外疝 “个体化”治疗 中华医学会 外科专家 专业期刊 专科特色
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Use of perioperative chemotherapy in colorectal cancer metastatic to the liver
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作者 Lynn K.Symonds Stacey A.Cohen 《Gastroenterology Report》 SCIE EI 2019年第5期301-311,I0001,共12页
A curative-intent approach may improve survival in carefully selected patients with oligometastatic colorectal cancer.Aggressive treatments are most frequently administered to patients with isolated liver metastasis,t... A curative-intent approach may improve survival in carefully selected patients with oligometastatic colorectal cancer.Aggressive treatments are most frequently administered to patients with isolated liver metastasis,though they may be judiciously considered for other sites of metastasis.To be considered for curative intent with surgery,patients must have disease that can be definitively treated while leaving a sufficient functional liver remnant.Neoadjuvant chemotherapy may be used for upfront resectable disease as a test of tumor biology and/or for upfront unresectable disease to increase the likelihood of resectability(so-called‘conversion’chemotherapy).While conversion chemotherapy in this setting aims to improve survival,the choice of a regimen remains a complex and highly individualized decision.In this review,we discuss the role of RAS status,primary site,sidedness,and other clinical features that affect chemotherapy treatment selection as well as key factors of patients that guide individualized patient-treatment recommendations for colorectal-cancer patients being considered for definitive treatment with metastasectomy. 展开更多
关键词 metastatic colorectal cancer perioperative chemotherapy conversion chemotherapy liver resection KRAS STEATOHEPATITIS
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