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乳腺黏液癌前体病变及预后相关临床病理特征分析
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作者 冯孟钠 张渝 +6 位作者 高乐怡 申梦佳 李凤玲 魏兵 步宏 张璋 杨李波 《临床与实验病理学杂志》 CAS 2024年第11期1142-1147,1153,共7页
目的探讨乳腺黏液癌(mucinous carcinoma,MC)的前体病变、临床病理特征及预后,为MC的诊断和治疗提供理论依据。方法收集乳腺MC手术切除标本303例,包括单纯型黏液癌(pure mucinous carcinoma,PMC)193例和混合型黏液癌(mixed mucinous car... 目的探讨乳腺黏液癌(mucinous carcinoma,MC)的前体病变、临床病理特征及预后,为MC的诊断和治疗提供理论依据。方法收集乳腺MC手术切除标本303例,包括单纯型黏液癌(pure mucinous carcinoma,PMC)193例和混合型黏液癌(mixed mucinous carcinoma,MMC)110例,其中PMC包括A型(少细胞型)163例和B型(富于细胞型)30例。采用HE、免疫组化染色观察MC与癌旁乳腺的组织学特征,分析MC前体病变及与预后相关的临床病理特征。结果MC中位年龄50岁,中位肿瘤最大径2.5 cm。与PMC相比,MMC中淋巴结累及、Ⅲ~Ⅳ期和Ki67>20%的肿瘤更多(P<0.05)。A、B型PMC的肿瘤大小、淋巴结累及和临床分期差异无统计学意义。前体病变为黏液囊肿样病变(mucocoele-like lesions,MLL)的55例MC(A型PMC 49例,MMC 6例)均为组织学1~2级,其中大多数病例(54/55,98.2%)为T1~T2,在6例MMC中MC成分占比均≥50%。前体病变为导管原位癌(ductal carcinoma in situ,DCIS)的MC有119例,其中28.6%(34/119)有淋巴结累及,16.8%(20/119)为高增殖活性(Ki67>20%)。16例MC的前体病变为原位实性乳头状癌(solid papillary carcinoma,SPC),其中B型PMC 7例,MMC 9例,中位年龄67岁,随访期间患者均无复发或转移。303例MC的无瘤生存率(disease-free survival,DFS)为93.5%,总生存率(overall survival,OS)为98.6%。PMC预后优于MMC(DFS:95.2%vs 90.6%;OS:99.5%vs 97.2%),A、B型PMC之间的DFS差异无统计学意义。发生淋巴结累及和临床分期为Ⅲ~Ⅳ期的患者预后较差(P<0.05)。结论乳腺MC是一类异质性恶性肿瘤,具有特定前体病变的MC有不同的演进途径。前体病变为MLL和SPC的MC患者预后较好,与高级别DCIS相关的MC更具侵袭性,淋巴结累及、临床分期高和患病年龄小与预后不良相关,关注前体病变和高危临床病理特征有助于为这类患者提供更有效的治疗。 展开更多
关键词 乳腺肿瘤 黏液癌 前体病变 预后
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胃体癌前病变患者ESD术后护理 被引量:1
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作者 王晶欣 徐燕玲 《中外女性健康研究》 2018年第12期150-151,共2页
目的:对采用ESD术进行治疗的胃体癌前病变患者采用综合护理措施,查看患者的临床护理效果。方法:2015年2月至2017年2月,本院共选择90例胃体癌前病变ESD手术患者参与研究,将患者分成对照组和观察组,每组45例,分别采用常规护理措施和综合... 目的:对采用ESD术进行治疗的胃体癌前病变患者采用综合护理措施,查看患者的临床护理效果。方法:2015年2月至2017年2月,本院共选择90例胃体癌前病变ESD手术患者参与研究,将患者分成对照组和观察组,每组45例,分别采用常规护理措施和综合护理措施进行护理干预,查看两组患者在接受护理服务过程中的满意情况,并记录两组患者并发症的发生情况。结果:经过护理观察,观察组患者对护理服务的满意度更高,与对照组存在显著差异(P<0.05);观察组患者在术后出现并发症的比例相对较低,与对照组存在显著差异(P<0.05)。结论:胃体癌前病变患者在接受ESD术治疗后,加强对患者的综合护理干预,有利于巩固患者的治疗效果,减少患者术后并发症的发生概率,有利于改善护理服务的质量和水平,提升患者的满意程度。 展开更多
关键词 病变 ESD术 护理措施 临床效果
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Significance of β-tubulin Expression in Breast Premalignant Lesions and Carcinomas
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作者 Yuxia Gao Yun Niu Xiumin Ding Yong Yu 《Chinese Journal of Clinical Oncology》 CSCD 2008年第2期103-107,共5页
OBJECTIVE To explore the expression of β-tubulin in premalignant lesions and carcinomas of the breast, and to observe the relationship of its expression with breast cancer pathological features. METHODS The expressio... OBJECTIVE To explore the expression of β-tubulin in premalignant lesions and carcinomas of the breast, and to observe the relationship of its expression with breast cancer pathological features. METHODS The expression of β-tubulin was detected immunohistochemically in 50 specimens of premalignant lesions of the breast (ADH and Peri-PM with ADH), 50 specimens of breast in situ ductal carcinomas (DCIS), and 50 specimens of invasive ductal carcinomas (IDC). Thirty specimens of normal breast tissues served as a control group. RESULTS Immunohistochemical analysis showed that: the differences among the 4 groups (normal breast tissues, breast premalignant lesions, DCIS and IDC, P 〈 0.05) were significant, and there were also statistically significant differences between any 2 groups (P 〈 0.05) except for the β-tubulin positive expression comparing DCIS versus IDC (P 〉 0.05). In addition, β-tubulin was expressed at a higher level in Peri-PM with ADH compared to ADH (P 〈 0.05). Following the degree of breast epithelial hyperplasia involved, and its development into carcinoma, the β-tubulin positive expression displayed an elevating tendency. We also found a significant positive relationship of β-tubulin expression with lymph node metastasis (P 〈 0.05), but no significant correlation with histological grading and nuclear grade. CONCLUSION Centrosome defects may be an early event in the development of breast cancer and they can also promote tumor progression. Studies of aberrations of centrosomal proteins provide a new way to tumorigenesis. explore the mechanism of breast tumorigenesis. 展开更多
关键词 breast carcinoma premalignant lesion Β-TUBULIN centrosome.
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Protection of retinal ganglion cells against glaucomatous neuropathy by neurotrophin-producing,genetically modified neural progenitor cells in a rat model 被引量:2
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作者 王宁利 曾明兵 +4 位作者 阮奕文 吴河坪 陈静嫦 范志刚 郑湖玲 《Chinese Medical Journal》 SCIE CAS CSCD 2002年第9期1394-1400,155-156,共7页
OBJECTIVE: To investigate in vivo survival of retinal ganglion cells (RGCs) after partial blockage of optic nerve (ON) axoplasmic flow by sub-retinal space or vitreous cavity injection of brain-derived neural factor (... OBJECTIVE: To investigate in vivo survival of retinal ganglion cells (RGCs) after partial blockage of optic nerve (ON) axoplasmic flow by sub-retinal space or vitreous cavity injection of brain-derived neural factor (BDNF) produced by genetically modified neural progenitor cells (NPCs). METHODS: Adult Sprague-Dawley (SD) rat RGCs were labeled with granular blue (GB) applied to their main targets in the brain. Seven days later, the left ON was intra-obitally crushed with a 40 g power forceps to partially block ON axoplasmic flow. Animals were randomized to three groups. The left eye of each rat received a sham injection, NPCs injection or an injection of genetically modified neural progenitors producing BDNF (BDNF-NPCs). Seven, 15 and 30 days after ON crush, retinas were examined under a fluorescence microscope. By calculating and comparing the average RGCs densities and RGC apoptosis density, RGC survival was estimated and the neuro-protective effect of transplanted cells was evaluated. RESULTS: Seven, 15 and 30 days after crush, in the intra-vitreous injection group, mean RGC densities had decreased to 1885 +/- 68, 1562 +/- 20, 1380 +/- 7 and 1837 +/- 46, 1561 +/- 58, 1370 +/- 16, respectively with sham injection or neural progenitors injection. However, RGCs density in the groups treated with intra-vitreous injection of BDNF-NPC was 2101 +/- 15, 1809 +/- 19 and 1625 +/- 34. Similar results were found in groups after sub-retinal injection. Higher densities were observed in groups treated with BDNF-NPCs. There were statistically significant differences among groups through nonparametric tests followed by the Mann-Whitely test. RGC apoptosis density in BDNF-NPC at each follow-up time was less than in other groups. CONCLUSIONS: A continuous supply of neurotrophic factors by the injection of genetically modified neural progenitors presents a highly effective approach to counteract optic neuropathy and RGC degeneration after partial ON axoplasmic flow blockage. 展开更多
关键词 Gene Therapy Animals Apoptosis Axonal Transport Brain-Derived Neurotrophic Factor Cell Survival Gene Transfer Techniques Glaucoma Male RATS Rats Sprague-Dawley Research Support Non-U.S. Gov't Retinal Ganglion Cells Stem Cells Vitreous Body
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