Despite its abundant vascularization and extensive circulatory communication with neighboring organs, metastases to the penis are a rare event. A 57-yearold male, who had undergone total pelvic exenteration for rectal...Despite its abundant vascularization and extensive circulatory communication with neighboring organs, metastases to the penis are a rare event. A 57-yearold male, who had undergone total pelvic exenteration for rectal cancer sixteen months earlier, demonstrated an abnormal uptake within his penis by positron emission tomography/computed tomography. A single elastic nodule of the middle penis shaft was noted deep within Bucks fascia. No other obvious recurrent site was noted except the penile lesion. Total penectomy was performed as a curative resection based on a diagnosis of isolated penile metastasis from rectal cancer. A histopathological examination revealed an increase of well differentiated adenocarcinoma in the corpus spongiosum consistent with his primary rectal tumor. The immunohistochemistry of the tumor cells demonstrated positive staining for cytokeratin 20 and negative staining for cytokeratin 7, which strongly supported a diagnosis of penile metastasis from the rectum. The patient is alive more than two years without any recurrence.展开更多
OBJECTIVE： To explore the nature of ＂Yin internal heat caused by Yin-deficiency＂ in terms of the theo- ry of Traditional Chinese Medicine, by studying en- ergy metabolism in rats with Yin-deficiency-heat syndrome a...OBJECTIVE： To explore the nature of ＂Yin internal heat caused by Yin-deficiency＂ in terms of the theo- ry of Traditional Chinese Medicine, by studying en- ergy metabolism in rats with Yin-deficiency-heat syndrome and analyzing the gene expression pro- file of their livers. METHODS： A Yin-deficiency-heat syndrome model was induced in rats using three Chinese medicinal herbs. Glycogen and triglycerides in blood plasma, and the enzyme activity of ATP in livers were mea- sured colorimetrically. Triiodothyronine （T3）, thyrox- ine （T4）, and thyroid stimulating hormone levels in blood plasma were also measured with enzyme linked immunosorbent assay. The gene expression profile of livers was detected with gene chip analy- sis. Differentially expressed genes were screened out and classified according to Gene Ontology. The accuracy of results were examined with reversetranscription-polymerase chain reaction RESULTS： Compared with the control group, body weight （P〈0.05） and hepatic glycogen （P〈0.05） were significantly lower in the Yin-deficiency-heat syndrome group. Moreover, toe temperature （P〈 0.01） and triglyceride （P〈0.05）, Na ＋-K＋-ATPase （P〈 0.01）, Mg2＋-ATPase （P〈0.01）, T3 （P〈0.05）, and 1-4 （P〈 0.01） levels were significantly higher. There were 99 differentially expressed genes in livers from the Y/n-deficiency-heat syndrome group. Genes were mainly related to sterol synthesis （Pc=0.0392）, de- fense response （Pc=0.0448）, and sterol metabolism （Pc=0.0533）. CONCLUSION： Abnormal expression genes in rats with Yin-deficiency-heat syndrome prompted the synthesis and metabolism of cholesterol, increased energy consumption, and reduced defense re- sponse. This gene expression might be the molecu- lar mechanism underlying ＂internal heat caused by Yin-deficiency＂ in the rats with Yin-deficiency-heat syndrome.展开更多
文摘Despite its abundant vascularization and extensive circulatory communication with neighboring organs, metastases to the penis are a rare event. A 57-yearold male, who had undergone total pelvic exenteration for rectal cancer sixteen months earlier, demonstrated an abnormal uptake within his penis by positron emission tomography/computed tomography. A single elastic nodule of the middle penis shaft was noted deep within Bucks fascia. No other obvious recurrent site was noted except the penile lesion. Total penectomy was performed as a curative resection based on a diagnosis of isolated penile metastasis from rectal cancer. A histopathological examination revealed an increase of well differentiated adenocarcinoma in the corpus spongiosum consistent with his primary rectal tumor. The immunohistochemistry of the tumor cells demonstrated positive staining for cytokeratin 20 and negative staining for cytokeratin 7, which strongly supported a diagnosis of penile metastasis from the rectum. The patient is alive more than two years without any recurrence.
基金Supported by the National Basic Research Program of China(973 Program,No.2007CB512601,2013CB531803)
文摘OBJECTIVE： To explore the nature of ＂Yin internal heat caused by Yin-deficiency＂ in terms of the theo- ry of Traditional Chinese Medicine, by studying en- ergy metabolism in rats with Yin-deficiency-heat syndrome and analyzing the gene expression pro- file of their livers. METHODS： A Yin-deficiency-heat syndrome model was induced in rats using three Chinese medicinal herbs. Glycogen and triglycerides in blood plasma, and the enzyme activity of ATP in livers were mea- sured colorimetrically. Triiodothyronine （T3）, thyrox- ine （T4）, and thyroid stimulating hormone levels in blood plasma were also measured with enzyme linked immunosorbent assay. The gene expression profile of livers was detected with gene chip analy- sis. Differentially expressed genes were screened out and classified according to Gene Ontology. The accuracy of results were examined with reversetranscription-polymerase chain reaction RESULTS： Compared with the control group, body weight （P〈0.05） and hepatic glycogen （P〈0.05） were significantly lower in the Yin-deficiency-heat syndrome group. Moreover, toe temperature （P〈 0.01） and triglyceride （P〈0.05）, Na ＋-K＋-ATPase （P〈 0.01）, Mg2＋-ATPase （P〈0.01）, T3 （P〈0.05）, and 1-4 （P〈 0.01） levels were significantly higher. There were 99 differentially expressed genes in livers from the Y/n-deficiency-heat syndrome group. Genes were mainly related to sterol synthesis （Pc=0.0392）, de- fense response （Pc=0.0448）, and sterol metabolism （Pc=0.0533）. CONCLUSION： Abnormal expression genes in rats with Yin-deficiency-heat syndrome prompted the synthesis and metabolism of cholesterol, increased energy consumption, and reduced defense re- sponse. This gene expression might be the molecu- lar mechanism underlying ＂internal heat caused by Yin-deficiency＂ in the rats with Yin-deficiency-heat syndrome.
