We report an 80-year-old man who presented with sponta- neous regression of hepatocellular carcinoma(HCC).He complained of sudden right flank pain and low-grade fever. The level of protein induced by vitamin K antagon...We report an 80-year-old man who presented with sponta- neous regression of hepatocellular carcinoma(HCC).He complained of sudden right flank pain and low-grade fever. The level of protein induced by vitamin K antagonist(PIVKA)- II was 1 137 mAU/mL.A computed tomography scan in November 2000 demonstrated a low-density mass located in liver S4 with marginal enhancement and a cystic mass of 68 mm×55 mm in liver S6,with slightly high density content and without marginal enhancement.Angiography revealed that the tumor in S4 with a size of 25 mm×20 mm was a typical hypervascular HCC,and transarterial chemoembolization was performed.However,the tumor in S6 was hypovascular and atypical of HCC,and thus no therapy was given.In December 2000,the cystic mass regressed spontaneously to 57 min×44 mm,and aspiration cytology revealed bloody fluid,and the mass was diagnosed cytologically as class I. The tumor in S4 was treated successfully with a 5 mm margin of safety around it.The PIVKA-II level normalized in February 2001.In July 2001,the tumor regressed further but presented with an enhanced area at the posterior margin.In November 2001,the enhanced area extended,and a biopsy revealed well-differentiated HCC,although the previous tumor in S4 disappeared.Angiography demonstrated two tumor stains,one was in S6,which was previously hypovascular, and the other was in S8.Subsequently,the PIVKA-II level started to rise with the doubling time of 2-3 wk,and the tumor grew rapidly despite repeated transarterial embolization with gel foam.In February 2003,the patient died of bleeding into the peritoneal cavity from the tumor that occupied almost the entire right lobe.Considering the acute onset of the symptoms,we speculate that local ischemia possibly due to rapid tumor growth,resulted in intratumoral bleeding and/or hemorrhagic necrosis,and finally spontaneous regression of the initial tumor in S6.展开更多
[Objective] This study aimed to explore whether there is autotoxicity in tumorous stem mustard through studying the allelopathic effects of water extracts and decomposition liquids of tumorous stem mustard residues on...[Objective] This study aimed to explore whether there is autotoxicity in tumorous stem mustard through studying the allelopathic effects of water extracts and decomposition liquids of tumorous stem mustard residues on seed germination and seedling growth of tumorous stem mustard.[Method] With Fuza No.2 as the experimental material,the effects of different concentrations of leaf extract,root extract,7-d decomposition liquid,15-d decomposition liquid of tumorous stem mustard on seed germination and seedling growth of tumorous stem mustard were investigated.[Result] Compared with those in the control,the four kinds of 100% treatment solutions all significantly reduced the seed germination rate,seed germination vigor,root length,plant height and fresh weight of tumorous stem mustard(P<0.05),and significantly increased the malondialdehyde(MDA) content,catalase(CAT) activity,peroxidase(POD) activity and superoxide dismutase(SOD) activity of young seedlings of tumorous stem mustard;the allelopathic effects of the four kinds of water extracts and decomposition liquids on seed germination and root length of tumorous stem mustard were weakened with the decreased concentration;for the four kinds of water extracts and decomposition liquids,low-concentration treatment solutions promoted the increase of plant height and fresh weight,while high-concentration treatment solutions inhibited the increase of plant height and fresh weight of young seedlings of tumorous stem mustard;the allelopathic effect of leaf extract on seed germination of tumorous stem mustard was stronger than those of root extract and decomposition liquids,the allelopathic effects of decomposition liquids on seedling growth of tumorous stem mustard were stronger than those of water extracts,the inhibitory effect of leaf extract on seed germination and seedling growth of tumorous stem mustard were stronger than that of root extract,and the inhibitory effect of 15-d decomposition liquid on seed germination and seedling growth of tumorous stem mustard was stronger than that of 7-d decomposition liquid.[Conclusion] The water extracts and decomposition liquids of tumorous stem mustard residues had certain autotoxicity on seed germination and seedling growth of tumorous stem mustard,and their allelopathic effects had a concentration-dependent manner.It could be presumed that the autotoxicity of tumorous stem mustard is the main cause of continuous cropping obstacle.展开更多
文摘We report an 80-year-old man who presented with sponta- neous regression of hepatocellular carcinoma(HCC).He complained of sudden right flank pain and low-grade fever. The level of protein induced by vitamin K antagonist(PIVKA)- II was 1 137 mAU/mL.A computed tomography scan in November 2000 demonstrated a low-density mass located in liver S4 with marginal enhancement and a cystic mass of 68 mm×55 mm in liver S6,with slightly high density content and without marginal enhancement.Angiography revealed that the tumor in S4 with a size of 25 mm×20 mm was a typical hypervascular HCC,and transarterial chemoembolization was performed.However,the tumor in S6 was hypovascular and atypical of HCC,and thus no therapy was given.In December 2000,the cystic mass regressed spontaneously to 57 min×44 mm,and aspiration cytology revealed bloody fluid,and the mass was diagnosed cytologically as class I. The tumor in S4 was treated successfully with a 5 mm margin of safety around it.The PIVKA-II level normalized in February 2001.In July 2001,the tumor regressed further but presented with an enhanced area at the posterior margin.In November 2001,the enhanced area extended,and a biopsy revealed well-differentiated HCC,although the previous tumor in S4 disappeared.Angiography demonstrated two tumor stains,one was in S6,which was previously hypovascular, and the other was in S8.Subsequently,the PIVKA-II level started to rise with the doubling time of 2-3 wk,and the tumor grew rapidly despite repeated transarterial embolization with gel foam.In February 2003,the patient died of bleeding into the peritoneal cavity from the tumor that occupied almost the entire right lobe.Considering the acute onset of the symptoms,we speculate that local ischemia possibly due to rapid tumor growth,resulted in intratumoral bleeding and/or hemorrhagic necrosis,and finally spontaneous regression of the initial tumor in S6.
基金Supported by National Natural Science Foundation of China(31470568)Scientific and Technological Research Program of Chongqing Municipal Education Commission(KJ1401204)Program for Innovation Team Building at Institutions of Higher Education in Chongqing(2013)
文摘[Objective] This study aimed to explore whether there is autotoxicity in tumorous stem mustard through studying the allelopathic effects of water extracts and decomposition liquids of tumorous stem mustard residues on seed germination and seedling growth of tumorous stem mustard.[Method] With Fuza No.2 as the experimental material,the effects of different concentrations of leaf extract,root extract,7-d decomposition liquid,15-d decomposition liquid of tumorous stem mustard on seed germination and seedling growth of tumorous stem mustard were investigated.[Result] Compared with those in the control,the four kinds of 100% treatment solutions all significantly reduced the seed germination rate,seed germination vigor,root length,plant height and fresh weight of tumorous stem mustard(P<0.05),and significantly increased the malondialdehyde(MDA) content,catalase(CAT) activity,peroxidase(POD) activity and superoxide dismutase(SOD) activity of young seedlings of tumorous stem mustard;the allelopathic effects of the four kinds of water extracts and decomposition liquids on seed germination and root length of tumorous stem mustard were weakened with the decreased concentration;for the four kinds of water extracts and decomposition liquids,low-concentration treatment solutions promoted the increase of plant height and fresh weight,while high-concentration treatment solutions inhibited the increase of plant height and fresh weight of young seedlings of tumorous stem mustard;the allelopathic effect of leaf extract on seed germination of tumorous stem mustard was stronger than those of root extract and decomposition liquids,the allelopathic effects of decomposition liquids on seedling growth of tumorous stem mustard were stronger than those of water extracts,the inhibitory effect of leaf extract on seed germination and seedling growth of tumorous stem mustard were stronger than that of root extract,and the inhibitory effect of 15-d decomposition liquid on seed germination and seedling growth of tumorous stem mustard was stronger than that of 7-d decomposition liquid.[Conclusion] The water extracts and decomposition liquids of tumorous stem mustard residues had certain autotoxicity on seed germination and seedling growth of tumorous stem mustard,and their allelopathic effects had a concentration-dependent manner.It could be presumed that the autotoxicity of tumorous stem mustard is the main cause of continuous cropping obstacle.
