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新分期带来的胆囊癌手术范围合理性的争议 被引量:2
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作者 孙培伟 滕达 巩鹏 《西安交通大学学报(医学版)》 CAS CSCD 北大核心 2021年第1期7-10,58,共5页
根治性手术切除是治疗胆囊癌的最重要手段,TNM癌症分期是制定手术方案的重要依据,但目前不同分期患者的手术方式选择及切除范围尚无统一标准。本文以美国癌症联合委员会(AJCC)第8版癌症分期系统为基础,结合国内外研究进展及本中心临床... 根治性手术切除是治疗胆囊癌的最重要手段,TNM癌症分期是制定手术方案的重要依据,但目前不同分期患者的手术方式选择及切除范围尚无统一标准。本文以美国癌症联合委员会(AJCC)第8版癌症分期系统为基础,结合国内外研究进展及本中心临床治疗经验,探讨不同分期胆囊癌患者手术治疗的现状与争议。 展开更多
关键词 胆囊癌 手术治疗 争议 新分期
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依据FIGO2018新分期磁共振多模态和B超联合应用于子宫内膜癌的分期和临床应用 被引量:5
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作者 肖云敏 张丹瑜 +2 位作者 王玲 冼少青 詹雁辉 《中国医学工程》 2020年第2期36-38,共3页
目的分析按照FIGO2018新分期磁共振成像(MRI)多模态和B超联合应用于子宫内膜癌的分期和临床应用。方法回顾分析该院2015年9月至2018年10月收治的子宫内膜癌患者76例,均接受MRI、阴道B超、术后病理检查,分析MRI检查、B超联合MRI检查阳性... 目的分析按照FIGO2018新分期磁共振成像(MRI)多模态和B超联合应用于子宫内膜癌的分期和临床应用。方法回顾分析该院2015年9月至2018年10月收治的子宫内膜癌患者76例,均接受MRI、阴道B超、术后病理检查,分析MRI检查、B超联合MRI检查阳性预测值、特异性。结果MRI检查确诊率72.37%,低于B超联合MRI检查确诊率的92.11%,与病理检查确诊率的98.68%比较,MRI检查率(72.37%)低于病理检查(98.68%)(P<0.05),B超联合MRI检查确诊率92.11%,比病理检查的98.68%比较,差异无统计学意义(P>0.05)。结论按照FIGO2018新分期标准,磁共振多模态联合B超检查子宫内膜癌,其应用价值高,所以针对子宫内膜癌或宫腔病变高危因素者,则建议接受MRI多模态联合B超检查。 展开更多
关键词 子宫内膜癌 磁共振多模态 B超 FIGO2018新分期 检查
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早期子宫内膜癌临床分期准确性评估研究进展 被引量:13
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作者 王晶 王玉东 《中国妇产科临床杂志》 2013年第4期372-374,共3页
目的子宫内膜癌是最常见的妇科恶性肿瘤之一,发病率逐年升高。年轻早期子宫内膜癌患者保留生育/内分泌功能的可行性,取决于临床分期的准确性。本文建议采用新的临床分期,即基于宫腔镜(HS)分段诊刮明确组织类型和病理分级,对比增强磁共振... 目的子宫内膜癌是最常见的妇科恶性肿瘤之一,发病率逐年升高。年轻早期子宫内膜癌患者保留生育/内分泌功能的可行性,取决于临床分期的准确性。本文建议采用新的临床分期,即基于宫腔镜(HS)分段诊刮明确组织类型和病理分级,对比增强磁共振(MRI)联合阴道超声(TVS)评估子宫肌层浸润深度,宫腔镜下分段诊刮联合MRI/TVS排除宫颈侵犯,结合MRI、CA125/HE4排除淋巴结及附件转移,以建立新的子宫内膜癌临床分期系统。 展开更多
关键词 子宫内膜癌 临床 价值
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共同开创肺癌研究的新纪元——第十二届世界肺癌学大会述评
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作者 韩宝惠 《中国癌症杂志》 CAS CSCD 2007年第10期749-753,共5页
第12届世界肺癌大会于2007年9月2-6日在韩国隆重召开,全球约4 500多名代表出席了会议,大会论文约1 500篇,举办了大会及各专业会议数十场,大会对肺癌领域的热点问题进行了广泛的交流,其中3个方面的进展尤为引人注目:一是根据100 869例肺... 第12届世界肺癌大会于2007年9月2-6日在韩国隆重召开,全球约4 500多名代表出席了会议,大会论文约1 500篇,举办了大会及各专业会议数十场,大会对肺癌领域的热点问题进行了广泛的交流,其中3个方面的进展尤为引人注目:一是根据100 869例肺癌分析基础上形成的新TNM分期初步介绍;二是个体化治疗成为当今及未来一段时间内提高肺癌治疗效果的主要手段;三是靶向治疗已开始全面向肺癌的各个治疗领域融合(包括术后辅助治疗,一线、二线及三线治疗,维持和巩固治疗等)。本文就上述问题进行述评。 展开更多
关键词 非小细胞肺癌 TMN 靶向治疗 化疗
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新TNM分期及血清CA125对恶性腹膜间皮瘤的预后价值 被引量:4
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作者 魏芳 郑国启 +4 位作者 宋慧 梁育飞 尹文杰 孙宁宁 杨雨鑫 《中华劳动卫生职业病杂志》 CAS CSCD 北大核心 2020年第5期321-326,共6页
目的探讨新肿瘤-淋巴结-远处转移(TNM)分期系统及血清CA125水平与恶性腹膜间皮瘤(MPeM)预后的关系。方法收集沧州市中心医院2005年1月至2016年6月收治的经病理及免疫组织化学确诊的74例MPeM患者的临床资料。根据CT-腹膜癌指数(PCI)结果... 目的探讨新肿瘤-淋巴结-远处转移(TNM)分期系统及血清CA125水平与恶性腹膜间皮瘤(MPeM)预后的关系。方法收集沧州市中心医院2005年1月至2016年6月收治的经病理及免疫组织化学确诊的74例MPeM患者的临床资料。根据CT-腹膜癌指数(PCI)结果将腹膜肿瘤负荷分为T1(PCI 1~10)、T2(PCI 11~20)、T3(PCI 21~30)、T4(PCI 31~39)4组,联合腹腔淋巴结转移、腹膜外转移形成一个新TNM分期系统,同时检测血清CA125水平。回顾性分析MPeM患者的中位生存期以及新TNM分期系统、血清CA125水平对其预后的影响。结果74例MPeM患者中,男性25例(33.8%),女性49例(66.2%);全身化疗8例,腹腔热灌注化疗8例,联合化疗1例。T1组10例,T2组22例,T3组27例,T4组15例;12例有淋巴结转移;10例有腹膜外转移。T1、T2、T3、T4的中位生存期分别为12、10、6、3个月。49例患者测定血清CA125水平,阳性组38例(77.6%),中位生存期为6个月;阴性组11例(22.4%),中位生存期为11个月。68例(91.9%)患者死亡,中位生存期为8个月。单因素分析显示,不同CT-PCI、血清CA125水平以及有无淋巴结、腹膜外转移患者的生存期差异均有统计学意义(P<0.05)。多因素分析显示,CT-PCI是影响MPeM预后的独立危险因素(HR=2.203,95%CI:1.475~3.289)。结论新TNM分期系统及血清CA125水平对MPeM患者的预后有重要意义,早期发现、诊断及综合治疗可提高MPeM患者的生存期。 展开更多
关键词 间皮瘤 腹膜癌指数 肿瘤-淋巴结-远处转移 血清CA125 预后
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一种新的胃癌UICC-TNM分期系统的优点
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作者 张延龄 《国际外科学杂志》 2000年第4期248-248,共1页
关键词 TNM 淋巴结转移 转移淋巴结 TNM 10年生存率 十二指肠淋巴结 多因素 预后因素 TNM 腹膜转移
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Effects of Neonatal Tactile Stimulation and Maternal Separation on the Anxiety and the Emotional Memory in Adult Female Rats 被引量:3
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作者 张明 蔡景霞 《Zoological Research》 CAS CSCD 北大核心 2006年第4期344-350,共7页
We investigated the long-lasting effects of early postnatal tactile stimulation (TS) and maternal separation (MS) on the emotional behaviors of adult female rats. A split-litter design was introduced to remove con... We investigated the long-lasting effects of early postnatal tactile stimulation (TS) and maternal separation (MS) on the emotional behaviors of adult female rats. A split-litter design was introduced to remove confusing factors such as maternal disturbance. Pups of the non-tactile stimulation (NTS) group did not receive any handling. Pups subjected to the TS treatment were handled and marked for approximately 30 s daily from postnatal days (PND) 2 - 9 or from PND 10 - 17. Pups subjected to the MS treatment were handled and marked in the same way as the TS pups and then individually placed in a cup with familiar nest bedding for 1 h daily. At the age of 3 months, female rats with different neonatal experiences were employed in the light/dark box test and the one-trial passive avoidance response. Both PND 2 - 9 TS and PND 10 - 17 TS groups exhibited more time spent in the illuminated chamber of the light/dark box, and longer step-through latencies in the passive avoidance response when compared to the NTS group, indicating that early life TS treatment reduced novelty-induced anxious emotion and facilitated the retention of emotional memory in adult female rats. No significant effects were found on any behavioral measures between the MS groups and the TS groups, suggesting that neonatal short-time MS treatment was not intensive enough to alter the emotional behaviors, at least in female rats. Infantile age was not an effective factor for these measures. This result supports the hypothesis that neonatal tactile stimulation and maternal separation lead to different effects on the neural development of postnatal pups. 展开更多
关键词 RAT Tactile stimulation Maternal separation ANXIETY Emotional memory Neonatal period
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Sediment records of environmental changes in the south end of the Zhejiang-Fujian coastal mud area during the past 100 years 被引量:5
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作者 王琳淼 李广雪 +3 位作者 高飞 刘玲 刘勇 DADA Olusegun A 《Chinese Journal of Oceanology and Limnology》 SCIE CAS CSCD 2014年第4期899-908,共10页
Previous studies carried out in the East China Sea (ECS) mud area focused on long-term environmental changes in sedimentary records during the Holoeene, especially during the mid-Holocene high-stand water levels per... Previous studies carried out in the East China Sea (ECS) mud area focused on long-term environmental changes in sedimentary records during the Holoeene, especially during the mid-Holocene high-stand water levels period. These results indicate that sensitive grain size groups can be used as a sedimentary proxy to reconstruct the evolution of the East Asian Winter Monsoon (EAWM). The studies have been carried out mainly in the northern and middle portions of the Zhejiang-Fujian coastal mud, however, similar research in the southern portion and the comparison between sedimentary proxy and modern measured data of EAWM are lacking. In this paper, we focused on a sedimentary record of the past 100 years with an enhanced resolution of 1.8 years. Investigations of the southern end of the Zhejiang-Fujian coastal mud area were conducted on the basis of 21~Pb chronology, grain-size analysis and chemical element analysis. The correspondence between the mean grain size (Mz) of sediment sensitive grain size and the measured EAWM was confirmed for the first time. We found that during the recent 100 years, the variation of the mean grain size of the sensitive population in the southern portion of the Zhejiang-Fujian mud was mainly controlled by the EAWM intensity changes; and not directly related to changes in the sediment discharge from Datong station of the Changjiang River (DTSD). Finally, recent changes in the content of heavy metals in study area reflect the impact of human activities on the environment. 展开更多
关键词 Zhejiang-Fujian coast sedimentary record environmental changes East Asian Winter Monsoon(EAWM)
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A New High-resolution Late Glacial-Holocene Climatic Record from Eastern Nanling Mountains in South China 被引量:3
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作者 XUE Jibin ZHONG Wei +3 位作者 ZHENG Yanming MA Qiaohong CAI Ying OUYANG Jun 《Chinese Geographical Science》 SCIE CSCD 2009年第3期274-282,共9页
A 350-cm-long sediment core sequence from Dahu Swamp situated in the eastern Nanling Mountains was selected for high-resolution paleoclimatic reconstruction since the Late Glacial period. The multi-proxy records of th... A 350-cm-long sediment core sequence from Dahu Swamp situated in the eastern Nanling Mountains was selected for high-resolution paleoclimatic reconstruction since the Late Glacial period. The multi-proxy records of this paper reveal several evidently dry and cold events that may coincide with the Oldest Dryas, the Older Dryas, the Younger Dryas in the late deglacial period. Two relatively wetter and warmer phases occurred in ca. 15,000-14,400 cal yr B.P. and 13,500-12,800 cal yr B.P. respectively may correspond to the Boiling and Allerod warming events. The Younger Dryas event (ca. 12,800-11,500 cal yr B.P.) revealed by multi-proxies was characterized by relatively colder and drier climate. A warmer and wetter climate, occurred in ca. 10,000~5000 cal yr B.P., was consistent with the Holoeene Optimum, which coincided with the maximum Northern Hemisphere insolation. The "8.2kyr cool event" and even the "8.8kyr cool event" were indicated as well from our sediment core. A dry mid-Holocene period (ca. 60000 3000 cal yr B.P.) indicated by multi-proxies does not follow the traditional concept of the wet mid-Holocene conditions observed in other regions in China. 展开更多
关键词 Late Glacial period HOLOCENE climatic record Dahu Swamp South China
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农民工政策的阶段新论——兼与胡鞍钢教授商榷 被引量:20
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作者 刘小年 《探索与争鸣》 2006年第3期10-12,共3页
在农民工政策的阶段划分上,占据主流的是以胡鞍钢教授为代表的三分法。然而,这种分期存在明显的误区,需要提出一种新的分期思路。
关键词 农民工政策 三阶段论
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CT与MRI在宫颈癌术前评估淋巴结转移中的应用价值 被引量:6
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作者 魏佳慧 刘洋 +5 位作者 王明 何玥 樊蓓 王新莲 王克扬 吴玉梅 《中国妇产科临床杂志》 CSCD 2022年第6期583-586,共4页
目的探讨计算机X线扫描(computed tomography,CT)/磁共振成像(magnetic resonance imaging,MRI)和手术-病理评估淋巴结转移的价值;比较CT与MRI评估淋巴结转移的价值与可行性;明确评估淋巴结转移的最佳截断值。方法参照FIGO 2018年新分期... 目的探讨计算机X线扫描(computed tomography,CT)/磁共振成像(magnetic resonance imaging,MRI)和手术-病理评估淋巴结转移的价值;比较CT与MRI评估淋巴结转移的价值与可行性;明确评估淋巴结转移的最佳截断值。方法参照FIGO 2018年新分期,收集2019年11月至2020年12月于北京妇产医院经病理确诊为宫颈癌、术前行CT/MRI、术中行盆腔淋巴结±腹主动脉旁淋巴结切除的各期宫颈癌患者共209例,收集临床资料,以病理诊断为金标准,比较不同检查方法在术前评估宫颈癌淋巴结转移的诊断效能。结果CT、MRI及二者联合在最优截断值下预测宫颈癌淋巴结转移的灵敏度分别为69.7%、53.9%和65.4%;特异度分别为71.4%、86.0%和77.2%;阳性预测值分别为33.3%、42.2%和35.4%;阴性预测值分别为92.0%、90.7%和92.1%;ROC曲线下面积分别为0.73、0.76及0.74(P>0.05)。结论CT与MRI在术前评估宫颈癌淋巴结转移中无明显差异,综合考虑CT在短径最优截断值0.5 cm下评估淋巴结转移具有较好的检验效能。 展开更多
关键词 宫颈癌 FIGO新分期 计算机X线扫描 磁共振成像 淋巴结
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Rectal cancer restaging using 3D CUBE vs.2D T2-weighted technique after neoadjuvant therapy:a diagnostic study
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作者 Wuteng Cao Yanbang Lian +3 位作者 Dechao Liu Fangqian Li Pan Zhu Zhiyang Zhou 《Gastroenterology Report》 SCIE EI 2017年第3期226-231,I0002,I0003,共8页
Objective.This study aimed to compare the accuracy of rectal cancer restaging after neoadjuvant therapy with 3D CUBE sequence with 2D T2-weighted fast spin-echo(FSE)sequence.Methods.This retrospective study comprised ... Objective.This study aimed to compare the accuracy of rectal cancer restaging after neoadjuvant therapy with 3D CUBE sequence with 2D T2-weighted fast spin-echo(FSE)sequence.Methods.This retrospective study comprised 72 patients with rectal cancer confirmed by colonoscopy and biopsy.After neoadjuvant therapy,all patients underwent pelvic magnetic resonance imaging(MRI)examination at 1.5T MRI sequences including a single coronal 3D CUBE T2-weighted FSE sequence with 1.4mmthickness and a 2D T2-weighted FSE sequence in the sagittal,coronal and axial planes with 5mmthickness.The total acquisition time of the two sequences was recorded.Results were compared with postsurgical pathology(gold standard).The diagnostic accuracy was evaluated;and receiver operating characteristic(ROC)curves and the area under the curves(AUC)were calculated.Results.The T category staging accuracy of 3D T2WI and 2D T2WI was 81.9% and 72.2%,respectively,for reviewer 1 and 86.1% and 75.0% for reviewer 2.The AUC of 3D was higher than that of 2D(0.878 vs.0.783 for reader 1 and 0.905 vs.0.796 for reader 2;both P<0.05)when judging whether the tumor broke through themuscle layer.There was no significant difference between 3D and 2D in judging whether lymph nodes weremalignant(AUC 0.719 vs.0.698 for reader 1 and 0.740 vs.0.698 for reader 2;both P>0.05).There were no significant differences in the visibility of the rectal wall layer,tumor lesion and the overall image quality(all P>0.05).Compared with 2D sequences,the 3D sequence had shorter acquisition time and higher signal intensity ratio(both P<0.05).Conclusion.3D CUBE T2-weighted sequences offer better diagnostic accuracy in rectal cancer restaging after neoadjuvant therapy when compared with 2D T2-weighted FSE sequences;it has a shorter scanning time and more versatility of orientation reconstruction. 展开更多
关键词 rectal cancer magnetic resonance imaging 3D CUBE neoadjuvant therapy RESTAGING image quality
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