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Undifferentiated liver embryonal sarcoma in adults: A report of four cases and literature review 被引量:12
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作者 Xiao-Wei Li Shao-Juan Gong +4 位作者 Wei-Hua Song Jun-Jun Zhu Chun-Hua Pan Meng-Chao Wu Ai-Min Xu 《World Journal of Gastroenterology》 SCIE CAS CSCD 2010年第37期4725-4732,共8页
AIM: To evaluate the undifferentiated embryonal sarcoma of liver (UESL) in adults in order to improve its diagnosis and treatment. METHODS: Four primary and one recurrent cases of UESL were clinicopathologically evalu... AIM: To evaluate the undifferentiated embryonal sarcoma of liver (UESL) in adults in order to improve its diagnosis and treatment. METHODS: Four primary and one recurrent cases of UESL were clinicopathologically evaluated and immunohistochemically investigated with a panel of antibodies using the EnVision+ system. Relevant literature about UESL in adults was reviewed. RESULTS: Three males and one female were enrolled in this study. Their chief complaints were abdominal pain, weight loss, or fever. Laboratory tests, imaging and pathological features of UESL in adults were similar to those in children. Immunohistochemistry showed evidence of widely divergent differentiation into mesenchymal and epithelial phenotypes. The survival time of patients who underwent complete tumor resection followed by adjuvant transcatheter arterial chemoembolization (TACE) was significantly longer than that of those who underwent surgical treatment alone.CONCLUSION: UESL in adults may undergo pluripotential differentiation and its diagnosis should be made based on its morphological and immunohistochemical features. Complete tumor resection after adjuvant TACE may improve the survival time of such patients. 展开更多
关键词 Undifferentiated embryonal sarcoma LIVER Pluripotential differentiation Transcatheter arterial chemoembolization Adult
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Undifferentiated embryonal sarcoma of the liver:Clinical characteristics and outcomes 被引量:11
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作者 Chong Zhang Chang-Jun Jia +3 位作者 Can Xu Qiu-Ju Sheng Xiao-Guang Dou Yang Ding 《World Journal of Clinical Cases》 SCIE 2020年第20期4763-4772,共10页
BACKGROUND Undifferentiated embryonal sarcoma of the liver(UESL)is a rare liver malignancy originating from primary mesenchymal tissue.The clinical manifestations,laboratory tests,and imaging examinations of the disea... BACKGROUND Undifferentiated embryonal sarcoma of the liver(UESL)is a rare liver malignancy originating from primary mesenchymal tissue.The clinical manifestations,laboratory tests,and imaging examinations of the disease lack specificity and the preoperative misdiagnosis rate is high.The overall prognosis is poor and survival rate is low.AIM To investigate the diagnosis,treatment,and prognosis of UESL.METHODS We performed a retrospective,single-center cohort study in Shengjing Hospital of China Medical University,which is a central hospital in northeast China.From 2005 to 2017,we recruited 14 patients with pathologically confirmed UESL.We analyzed the clinical manifestations,laboratory tests,imaging examinations,pathological examinations,therapy,and prognosis of these patients.RESULTS There were nine males and five females aged 2-60 years old included in the study.The major initial symptoms were abdominal pain(71.43%)and fever(57.14%).Preoperative laboratory tests revealed that seven patients had increased leukocyte levels,four showed a decrease in hemoglobin levels,seven patients had increased glutamyl transpeptidase levels,nine had increased lactate dehydrogenase levels,and three showed an increase in carbohydrate antigen 199.There was no difference in the rate of misdiagnosis in preoperative imaging examinations of UESL between adults and children(6/6 vs 5/8,P=0.091).The survival rate after complete resection was 6/10,while that after incomplete resection was 0/4(P=0.040),suggesting that complete resection is important to improve survival rate.In total,five out of the eight children achieved survival.During the follow-up,the maximum survival time was shown to be 11 years and minimum survival time was 6 mo.Six adult patients relapsed late after surgery and all of them died.CONCLUSION Preoperative imaging examination for UESL has a high misdiagnosis rate.Multidisciplinary collaboration can improve the diagnostic accuracy of UESL.Complete surgical resection is the first choice for treatment of UESL. 展开更多
关键词 Undifferentiated embryonal sarcoma of the liver Retrospective study Clinical characteristics Diagnosis Treatment PROGNOSIS
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Neoadjuvant transcatheter arterial chemoembolization and systemic chemotherapy for the treatment of undifferentiated embryonal sarcoma of the liver in children 被引量:2
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作者 Min He Jia-Bin Cai +7 位作者 Can Lai Jun-Qing Mao Jie-Ni Xiong Zhong-Hai Guan Lin-Jie Li Qiang Shu Mei-Dan Ying Jin-Hu Wang 《World Journal of Clinical Cases》 SCIE 2022年第19期6437-6445,共9页
BACKGROUND Undifferentiated embryonal sarcoma of the liver(UESL)is a rare and aggressive mesenchymal tumor in children.Herein,we describe our experience in neoadjuvant therapy(NAT)and subsequent surgery for the treatm... BACKGROUND Undifferentiated embryonal sarcoma of the liver(UESL)is a rare and aggressive mesenchymal tumor in children.Herein,we describe our experience in neoadjuvant therapy(NAT)and subsequent surgery for the treatment of UESL in children.AIM To evaluate the efficacy of NAT and explore a new choice for successful operation of UESL in children.METHODS We retrospectively analyzed six patients newly diagnosed with unresectable UESL who received NAT and then surgery at our center between January 2004 and December 2019.The tumor was considered unresectable if it involved a large part of both lobes of the liver or had invaded the main hepatic vessels or inferior vena cava.The NAT included preoperative transcatheter arterial chemoembol ization(TACE)and systemic chemotherapy.The patients were 4 boys and 2 girls with a mean age of 7 years.The longest tumor at presentation ranged from 8.6 to 14.8 cm(mean,12 cm).Extrahepatic metastases were present in 2 cases.Preoperative systemic chemotherapy was administered 3 wk after TACE.Tumor resection was performed 3 wk after one or two cycles of NAT.The patients received systemic chemotherapy after surgery.RESULTS All patients successfully underwent NAT and complete resection.The tumor volumes decreased by 18.2%–68.7%,with a mean decrease of 36%after 1 cycle of NAT(t=3.524,P=0.017).According to the Response Evaluation Criteria In Solid Tumors criteria,4 patients had a partial response and underwent surgery,while 2 had stable disease and received another cycle of NAT before surgery.Massive tumor necrosis was seen on pathological examination of the surgical specimen:>90%necrosis in two,>50%necrosis in three,and 25%necrosis in 1,with an average of 71.8%.Post-NAT complications included fever,nausea and vomiting,and mild bone marrow suppression.Elevated alanine transaminase levels occurred in all patients,which returned to normal within 7–10 d after treatment.No cardiac or renal toxicity,severe hepatic dysfunction,bleeding and nontarget embolization were observed in the patients.The median follow-up period was 8 years with an overall survival of 100%.CONCLUSION NAT effectively reduced tumor volume,cleared the tumor margin,and caused massive tumor necrosis.This may be a promising choice for successful surgery of UESL in children. 展开更多
关键词 Undifferentiated embryonal sarcoma of the liver UNRESECTABLE Neoadjuvant therapy Transcatheter arterial chemoembolization Systemic chemotherapy
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Recurrent undifferentiated embryonal sarcoma of the liver in adult patient treated by pembrolizumab: A case report 被引量:1
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作者 Xiao-He Yu Jian Huang +2 位作者 Nai-Jian Ge Ye-Fa Yang Jin-Yan Zhao 《World Journal of Clinical Cases》 SCIE 2021年第10期2281-2288,共8页
BACKGROUND Undifferentiated embryonal sarcoma of the liver(UESL)is a neoplasm that rarely develops in adults.The main treatments for UESL are upfront gross total surgical resection and adjuvant multiagent chemotherapy... BACKGROUND Undifferentiated embryonal sarcoma of the liver(UESL)is a neoplasm that rarely develops in adults.The main treatments for UESL are upfront gross total surgical resection and adjuvant multiagent chemotherapy.Here,we report a case of recurrent UESL in an adult treated with pembrolizumab and discuss a method to identify proper candidates for antibody of programmed cell death protein 1(anti-PD-1)treatment.CASE SUMMARY A 69-year-old woman was admitted for abdominal pain that developed for 1 wk.Computed tomography showed a 16 cm mass in the right lobe of the liver.Right hemihepatectomy and lymphadenectomy were performed,and histological diagnosis was UESL.Six months later,the patient suffered from painless obstructive jaundice,and positron emission tomography-computed tomography revealed multiple metastases.Then,percutaneous transhepatic cholangial drainage was applied to reduce jaundice,and radiofrequency ablation was used to control the lesion near the hepatic hilum.However,the patient suffered from a serious fever caused by the tumor.The patient received treatment with pembrolizumab,and the prescribed dosage was 2 mg/kg every 3 wk.After the seventh dose,positron emission tomography-computed tomography revealed that the multiple metastases had nearly disappeared.Radiologic exam was used to evaluate the disease state,and no new lesions were found.Next-generation sequencing and immunohistology were applied to determine the reason why the patient had such a favorable response to pembrolizumab.Tumor mutation burden,microsatellite instability,and programmed death ligand 1 expression can be combined to predict the effect of PD-1 antibodies. When every one of thesebiomarkers are detected in a tumor patient, the patient may be a proper candidatefor PD-1 antibodies.CONCLUSION Anti-PD-1 treatment for tumors needs further research to identify indications andproper biomarkers. 展开更多
关键词 Undifferentiated embryonal sarcoma of the liver Pembrolizumab Programmed cell death protein 1 Tumor mutation burden IMMUNOHISTOLOGY Case report
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Roles of the Nanog protein in murine F9 embryonal carcinoma cells and their endoderm-differentiated counterparts
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作者 Yanmei Chen Zhongwei Du Zhen Yao 《Cell Research》 SCIE CAS CSCD 2006年第7期641-650,共10页
Nanog is a recently discovered homeodomain transcription factor that sustains the pluripotency of embryonic stem (ES) cells and blocks their differentiation into endoderm. The murine F9 embryonal carcinoma cell line... Nanog is a recently discovered homeodomain transcription factor that sustains the pluripotency of embryonic stem (ES) cells and blocks their differentiation into endoderm. The murine F9 embryonal carcinoma cell line is a well-documented model system for endoderm cell lineage differentiation. Here, we examined the function of Nanog in F9 cell endoderm differentiation. Over-expression of Nanog returns the F9 cells to the early status of ES cells and represses the differentiation of primitive endoderm and parietal endoderm in F9 cells, whereas it has no effect on the differentiation of visceral endoderm. In contrast, the expression of C-terminal domain-truncated Nanog spontaneously promotes endoderm differentiation in F9 cells. These data suggest that Nanog is required to sustain the proper undifferentiated status of F9 cells, and the C-terminal domain of Nanog transduces the most effects in repressing primitive endoderm and parietal endoderm differentiation in F9 cells. 展开更多
关键词 NANOG F9 embryonal carcinoma cells ENDODERM differentiation
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Undifferentiated embryonal sarcoma of the liver presenting as a hemorrhagic cystic tumor in an adult 被引量:6
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作者 Ho Hyun Kim Jung Chul Kim +5 位作者 Eun Kyu Park Young Hoe Hur Yang Seok Koh Chol Kyoon Cho Hyung Seok Kim Hyun Jong Kim 《Hepatobiliary & Pancreatic Diseases International》 SCIE CAS 2011年第6期657-660,共4页
BACKGROUND:Undifferentiated embryonal sarcoma (UES) of the liver is a rare,highly malignant neoplasm with a poor prognosis occurring almost exclusively in late childhood (6-10 years of age).Only a few cases have been ... BACKGROUND:Undifferentiated embryonal sarcoma (UES) of the liver is a rare,highly malignant neoplasm with a poor prognosis occurring almost exclusively in late childhood (6-10 years of age).Only a few cases have been reported in adults accounting for less than 1% of all primary liver neoplasms.METHODS:A 47-year-old woman presented with a palpable mass in the left upper abdomen.Magnetic resonance imaging revealed a 12×10 cm cystic mass with hemorrhage in the left lateral segment of the liver.The initial impression was a hemorrhagic cystic tumor of the liver.The patient underwent a left lateral sectionectomy of the liver.Histopathology and immunohistochemistry helped make a diagnosis of UES.RESULTS:The patient recovered uneventfully and received systemic chemotherapy.Radiologic examination for follow-up revealed a metastatic lesion in the lumbar spine (L5).She was subjected to radiotherapy at the lumbar spine.She survived 48 months.CONCLUSION:Although hepatic cyst as UES of the liver is difficult to diagnose because of its rarity in adults and lack of specific findings,it should be considered in a differential diagnosis. 展开更多
关键词 embryonal sarcoma liver neoplasms CYST ADULT
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Undifferentiated embryonal sarcoma of liver in an old female:Case report and review of the literature 被引量:8
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作者 Li Ma Yue-Ping Liu +3 位作者 Cui-Zhi Geng Zhi-Hui Tian Guo-Xiang Wu Xiao-Ling Wang 《World Journal of Gastroenterology》 SCIE CAS CSCD 2008年第47期7267-7270,共4页
The clinical characteristics of undifferentiated(embryonal) sarcoma of the liver(UESL) were investigated and the best treatment modalities were recommended.Both histology and immuno-histochemistry demonstrated the cel... The clinical characteristics of undifferentiated(embryonal) sarcoma of the liver(UESL) were investigated and the best treatment modalities were recommended.Both histology and immuno-histochemistry demonstrated the cellular features of this peculiar tumor.The tumor size was 12 cm × 9 cm × 8 cm in the right liver lobe.The patient underwent surgical resection of the tumor.The postoperative recovery was uneventful and she died eight months after diagnosis.The tumor showed mixed spindle and polygonal cells within the myxoid matrix.Some tumor cells contained eosinophilic hyaline globules that were positive for resistant diastase.Immunohistochemistry showed positive vimentin.Stellate and spindle cells were positively stained with alpha-1-antichymotrypsin(AACT) and CD68.This case indicates that UESL is not obviously differentiated in old-aged adults. 展开更多
关键词 Undifferentiated embryonal sarcoma Old-aged adult IMMUNOHISTOCHEMISTRY Liver tumor
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Primary Embryonal Lung Carcinoma and Testicular Seminoma in the Same Patient Ten-Years Later: Case-Report and Literature Review 被引量:2
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作者 Pasquale Rescigno Giuseppe Di Lorenzo +8 位作者 Lucia Raimondo Carmine D’Aniello Elide Matano Vincenzo Damiano Lucia Nappi Livio Puglia Antonella Petremolo Piera Federico Giovannella Palmieri 《Open Journal of Urology》 2012年第2期83-86,共4页
Primary germ cell tumors of lung are extremely rare. The prognosis is usually poor, with various symptoms seriously affecting quality of life. In this paper we describe the unique case of a patient affected by an embr... Primary germ cell tumors of lung are extremely rare. The prognosis is usually poor, with various symptoms seriously affecting quality of life. In this paper we describe the unique case of a patient affected by an embryonal carcinoma of lung and a testicular seminoma after ten years. We also report literature about pulmonary extragonadal germ cell tumors. 展开更多
关键词 EXTRAGONADAL GERM CELL Tumors PRIMARY Pulmonary GERM CELL Tumor embryonal Carcinoma Testicular SEMINOMA
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Our Experience with Embryonal Rhabdomyosarcoma Presenting as Aural Polyp 被引量:1
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作者 Anoop Attakkil Vandana Thorawade +5 位作者 Mohan Jagade Rajesh Kar Dnyaneswar Rohe Reshma Hanowate Devkumar Rangaraja Kartik Parelkar 《International Journal of Otolaryngology and Head & Neck Surgery》 2015年第1期1-5,共5页
Aural polyps are a common clinical entity encountered by otorhinolaryngologist in daily practice. Polyps are frequently seen in paediatric patients, usually inflammatory in nature. In children rhabdomyosarcomas (RMS) ... Aural polyps are a common clinical entity encountered by otorhinolaryngologist in daily practice. Polyps are frequently seen in paediatric patients, usually inflammatory in nature. In children rhabdomyosarcomas (RMS) can mimic all the cinical features of chronic suppurative otitis media which usually present as external auditory canal mass or polyp. Here we present a case where a male child presented with recurrence of polyp in left ear which was finally diagnosed as embryonal rhabdomyosarcoma which is a rare and invariably fatal disease in children. Through this article we intend to highlight the failures and delay committed in attaining diagnosis in this patient in spite of multispecialty evaluation involving repeated imaging and histopathological correlation. Our experience with embryonal rhabdomyosarcoma throws light on the high vigilance required in handling the aural polyps in pediatric population as early diagnosis and treatment are the key elements for successful outcomes. 展开更多
关键词 embryonal RHABDOMYOSARCOMA Aural POLYP CSOM
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Fetal cardiac mesenchymal stem cells express embryonal markers and exhibit differentiation into cells of all three germ layers
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作者 Garikipati Venkata Naga Srikanth Naresh Kumar Tripathy Soniya Nityanand 《World Journal of Stem Cells》 SCIE CAS 2013年第1期26-33,共8页
AIM:To study the expression of embryonal markers by fetal cardiac mesenchymal stem cells(fC-MSC)and their differentiation into cells of all the germ layers. METHODS:Ten independent cultures of rat fCMSC were set up fr... AIM:To study the expression of embryonal markers by fetal cardiac mesenchymal stem cells(fC-MSC)and their differentiation into cells of all the germ layers. METHODS:Ten independent cultures of rat fCMSC were set up from cells derived from individual or pooled fetal hearts and studies given below were carried out at passages 3,6,15 and 21.The phenotypic markers CD29,CD31,CD34,CD45,CD73,CD90, CD105,CD166 and HLA-DR were analyzed by flow cytometry.The expression of embryonal markers Oct-4, Nanog,Sox-2,SSEA-1,SSEA-3,SSEA-4,TRA-1-60 and TRA 1-81 were studied by immunocytochemistry.The fC-MSC treated with specific induction medium were evaluated for their differentiation into(1)adipocytes and osteocytes(mesodermal cells)by Oil Red O and Alizarin Red staining,respectively,as well as by expression of lipoprotein lipase,PPARγ2 genes in adipocytes and osteopontin and RUNX2 genes in osteocytes by reverse-transcription polymerase chain reaction(RT- PCR);(2)neuronal(ectodermal)cells by expression of neuronal Filament-160 and Glial Fibrillar Acidic Protein by RT-PCR and immunocytochemistry;and(3)hepa- tocytic(endodermal)cells by expression of albumin by RT-PCR and immunocytochemistry,glycogen deposits by Periodic Acid Schiff staining and excretion of urea into the culture supernatant. RESULTS:The fC-MSC expressed CD29,CD73,CD90, CD105,CD166 but lacked expression of CD31,CD34, CD45 and HLA-DR.They expressed embryonal markers,viz.Oct-4,Nanog,Sox-2,SSEA-1,SSEA-3,SSEA-4, TRA-1-81 but not TRA-1-60.On treatment with specific induction media,they differentiated into adipocytes and osteocytes,neuronal cells and hepatocytic cells. CONCLUSION:Our results together suggest that fCMSC are primitive stem cell types with a high degree of plasticity and,in addition to their suitability for cardiovascular regenerative therapy,they may have a wide spectrum of therapeutic applications in regenerative medicine. 展开更多
关键词 FETAL CARDIAC mesenchymal stem CELLS embryonal MARKERS Multipotent DIFFERENTIATION potential
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Real case of primitive embryonal duodenal carcinoma in a young man
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作者 Julien Barbieux Riccardo Memeo +7 位作者 Vito De Blasi Sebastian Suciu Vanina Faucher Gerlinde Averous Catherine Roy Jacques Marescaux Didier Mutter Patrick Pessaux 《World Journal of Gastroenterology》 SCIE CAS 2017年第4期730-734,共5页
We report here the case of a young man suffering from a rare germ cell tumour. The patient was a 25-year-old man who was referred to our centre for asthenia, stinging epigastric pain, and an iron deficiency anaemia. G... We report here the case of a young man suffering from a rare germ cell tumour. The patient was a 25-year-old man who was referred to our centre for asthenia, stinging epigastric pain, and an iron deficiency anaemia. Gastroscopy revealed a circumferential vegetating lesion on the second portion of the duodenum. The lesion was indurated at the third portion of the duodenum, responsible for a tight stenosis. A computerized tomography-scan of the chest, abdomen and pelvis, and a pancreatic MRI showed a circumferential lesion with a bi-ductal dilatation (i.e., of the common bile duct and Wirsung&#x02019;s duct) without metastatic localisation. The patient underwent a pancreaticoduodenectomy with lymph node dissection including all cellular adipose tissues of the hepatic pedicle from the hepatic common artery and of the retroportal lamina. Histological findings were suggestive of a duodenal embryonal carcinoma with pancreatic infiltration. This is the second published case highlighting the duodenal primitive localisation of an embryonal carcinoma with pancreatic infiltration. 展开更多
关键词 embryonal carcinoma Germ cell tumour DUODENUM Young male PANCREATICODUODENECTOMY
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A case of prostate embryonal rhabdomyosarcoma in an adult patient
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作者 Qi Wei Zhiyong Sun 《Oncology and Translational Medicine》 2019年第1期49-51,共3页
Prostate embryonal rhabdomyosarcoma(ERMS) is characterized by a high degree of malignancy, both local rapid growth with formation of large pelvic masses, often leading to renal failure due to urethra obstruction, and ... Prostate embryonal rhabdomyosarcoma(ERMS) is characterized by a high degree of malignancy, both local rapid growth with formation of large pelvic masses, often leading to renal failure due to urethra obstruction, and systemic spread, commonly to the lungs, liver, and bone. ERMS of the prostate is a commonly occurring tumor in infants and children. It is rarely seen in adults. Here, we report on a case of the prostate ERMS in a 27-year-old man. 展开更多
关键词 PROSTATE embryonal RHABDOMYOSARCOMA SURGERY
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Overview of embryonal rhabdomyosarcoma of cervix in women over 40-year-old
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作者 Malala Razakanaivo Nam P Nguyen +4 位作者 Juliette Thariat Vincent Molinie Anne-Therese Vlastos Claire Verschraegen Vincent Vinh-Hung 《World Journal of Obstetrics and Gynecology》 2016年第1期110-117,共8页
The literature on cervical embryonal rhabdomyosarcoma(RMS) is reviewed here to identify management guidelines for middle-aged women diagnosed with this rare type of gynecologic cancer. Specifically, the Pub Med, Web o... The literature on cervical embryonal rhabdomyosarcoma(RMS) is reviewed here to identify management guidelines for middle-aged women diagnosed with this rare type of gynecologic cancer. Specifically, the Pub Med, Web of Science and Google Scholar databases, were searched to find published case series on cervical embryonal RMS reporting on four or more patients, of whom at least one was > 40-year-old. The χ2 test was used to assess heterogeneity. Five articles published between 1986 and 2013 were identified, reporting on a total of 47 patients, of whom 22(46.8%) were older and 25(53.2%) younger than 40-year-old. Although the two age groups did not differ significantly by stage of disease or radiotherapy treatment, the older age groupreceived less chemotherapy(55% vs 90%, P = 0.008)and had more hysterectomy(86% vs 43%, P = 0.009).Follow-up data was missing for 18/47(38.3%) patients.Among the 29 patients with follow-up data, survival was shorter in the older group, with 8/12(67%) alive and3 with disease at a median follow-up of 2.6 years, as compared with the younger group that had 15/17(88%)alive and none with disease at a median follow-up of 3.5years. The longest survivals among the older women were observed in those who received radiotherapy,including one case with a resected lung metastasis.A prospective multi-institutional collaboration and better follow-up are needed to determine the optimal management of cervical embryonal RMS. Long-term survival appears feasible if management is accompanied by chemotherapy and radiotherapy. 展开更多
关键词 embryonal rhabdomyosarcoma Botryoid sarcoma CERVIX Middle-aged adults CHEMOTHERAPY RADIOTHERAPY Review
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形态动力学联合减数分裂纺锤体观测在卵裂期胚胎筛选中的应用 被引量:1
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作者 郑爱燕 蒲艳 +4 位作者 孟庆霞 王玮 廖桂芝 李红 丁洁 《生殖医学杂志》 CAS 2024年第2期208-215,共8页
目的利用胚胎形态动力学联合卵母细胞减数分裂纺锤体(MS)观测,探索预测胚胎发育潜能的卵裂期胚胎筛选方法。方法回顾性分析2020年8月至2022年6月在苏州市立医院生殖与遗传中心行卵胞浆内单精子注射(ICSI),同时行卵母细胞MS观测和胚胎实... 目的利用胚胎形态动力学联合卵母细胞减数分裂纺锤体(MS)观测,探索预测胚胎发育潜能的卵裂期胚胎筛选方法。方法回顾性分析2020年8月至2022年6月在苏州市立医院生殖与遗传中心行卵胞浆内单精子注射(ICSI),同时行卵母细胞MS观测和胚胎实时观测培养的46个周期患者的临床资料。根据卵母细胞MS形态、胚胎是否存在异常分裂方式,以及胚胎形态学差异对卵母细胞及卵裂期胚胎进行分类研究,分析胚胎形态动力学参数及MS形态预测胚胎发育潜能的价值,建立预测囊胚形成的早期胚胎分层筛选模型,并利用受试者工作特征(ROC)曲线探讨该模型的预测价值。结果MS正常组的囊胚形成率显著高于MS异常组(63.6%vs.46.9%,P<0.05);直接分裂(DC)1组的囊胚形成率显著低于DC2组和无DC组(5.0%vs.46.7%、63.9%,P<0.05);D3形态学优质胚胎的囊胚形成率显著高于D3形态学非优质胚胎(79.4%vs.24.6%,P<0.05)。采用多元Logistic回归分析发现,在D3形态学优质胚胎中,3细胞到5细胞的发育时间(cc3)、5细胞到8细胞的发育时间(s3)和MS形态对囊胚形成有预测价值(P<0.05);在D3形态学非优质胚胎中,卵裂球数目对囊胚形成有预测价值(P<0.05)。以此建立了D3胚胎分层筛选模型,共11级(A~K级),A级最优,K级最劣。该筛选模型对囊胚形成的ROC曲线显示,曲线下面积为0.857[95%CI(0.816,0.899),P=0.000]。结论采用胚胎形态动力学参数联合MS形态分析建立的D3胚胎分层筛选模型,对胚胎发育潜能具有较好的预测能力。 展开更多
关键词 卵母细胞 卵裂期胚胎 胚胎发育 延时成像 纺锤体 胚胎选择
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脂滴功能及其与卵母细胞成熟和胚胎发育的关系研究进展
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作者 高志刚 杜立银 +1 位作者 关洪玉 贾振伟 《中国畜牧杂志》 CAS CSCD 北大核心 2024年第3期79-87,共9页
脂滴不仅是真核细胞内贮存甘油三酯和胆固醇酯等中性脂质的重要细胞器,也是细胞代谢和细胞器质量控制的中心调控者,参与细胞能量代谢、类固醇激素合成、内质网应激、线粒体功能以及生物膜结构形成等过程的调控。目前认为脂滴合成于内质... 脂滴不仅是真核细胞内贮存甘油三酯和胆固醇酯等中性脂质的重要细胞器,也是细胞代谢和细胞器质量控制的中心调控者,参与细胞能量代谢、类固醇激素合成、内质网应激、线粒体功能以及生物膜结构形成等过程的调控。目前认为脂滴合成于内质网,并以出芽的方式进入细胞质。脂滴是呈动态分布的细胞器,其数量、大小以及分布受细胞获得营养物质和代谢状态影响。众所周知,哺乳动物卵母细胞含有脂滴,且卵母细胞中含有足够数量的脂滴与卵母细胞成熟和早期胚胎发育密切相关。更重要的是,最近的研究表明,脂滴在胚胎附植着床过程中发挥了至关重要的作用,即使卵母细胞中脂滴含量较低的哺乳动物,维持适量的脂滴对早期胚胎发育也很重要。因此,本文综述了脂滴的合成与分布,分析了脂滴的主要功能,重点阐述脂滴在动物卵母细胞成熟和早期胚胎发育期间的关键作用,并讨论脂滴卵母细胞和胚胎内脂滴含量与胚胎滞育持续时间的关系,以期为通过调控脂滴代谢而增强卵母细胞质量和胚胎发育能力,进而提高动物繁殖性能提供理论基础。 展开更多
关键词 脂滴 功能 卵母细胞成熟 胚胎发育
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家蚕30K蛋白BmLP1的表达模式及其在胚胎中的作用
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作者 张艳 董照明 +6 位作者 夏建华 令狐青青 万娜 张仁义 卢忠燕 林英 赵萍 《西南大学学报(自然科学版)》 CAS CSCD 北大核心 2024年第10期99-106,共8页
家蚕30K蛋白是家蚕血液和卵中的高丰度蛋白,参与营养、免疫、抑制细胞凋亡等功能.探究30K蛋白在家蚕体内的表达模式有助于更清楚地了解30K蛋白的功能.利用生物信息学方法发现4种30K蛋白基因Bmlp1,Bmlp2,Bmlp3和Bmlp7都含有信号肽.其中,B... 家蚕30K蛋白是家蚕血液和卵中的高丰度蛋白,参与营养、免疫、抑制细胞凋亡等功能.探究30K蛋白在家蚕体内的表达模式有助于更清楚地了解30K蛋白的功能.利用生物信息学方法发现4种30K蛋白基因Bmlp1,Bmlp2,Bmlp3和Bmlp7都含有信号肽.其中,Bmlp1与其他30K蛋白的序列相似性小于50%.半定量RT-PCR结果表明,Bmlp1从5龄第3 d到化蛹第1 d在脂肪体中表达量都比较高,之后表达量降低.Western blotting结果表明,BmLP1从5龄第5 d到化蛹第4 d在血淋巴中的含量都比较高,之后含量降低.与血淋巴中的变化趋势不同,卵巢中的BmLP1在上蔟第2 d被检测到,之后含量一直增加,化蛾时含量达到最高.这是由于上蔟第2 d卵巢管迅速长大,血液中的BmLP1等营养蛋白逐渐转运至卵巢管的未受精卵并开始积累.免疫组织化学定位结果表明,在胚胎发育前期,BmLP1分布于蚕卵的卵黄颗粒中,在孵化前期,BmLP1被吞入胚胎的肠道内.体外孵育结果表明,蚁蚕粗提物可以降解BmLP1,暗示蚁蚕肠道内可能存在某种蛋白酶可以将大部分BmLP1水解,最终为蚁蚕的孵化提供能量或者氨基酸.系统分析了BmLP1在不同发育时期脂肪体、血液、卵巢和胚胎中的表达特征,揭示了其在胚胎发育过程中的重要作用. 展开更多
关键词 家蚕 30K蛋白 BmLP1 胚胎发育 血淋巴
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Stat3蛋白氨基端转录激活结构域的鉴定
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作者 张浩 陶无凡 《复旦学报(医学版)》 CAS CSCD 北大核心 2024年第5期845-849,共5页
Stat3是一个在调控胚胎发育、细胞增殖、凋亡、炎症反应和血管生成等多种生理过程发挥关键作用的重要转录因子。Stat3蛋白有Stat3α和缺少羧基端转录激活结构域的Stat3β两个剪接异构体。Stat3基因纯合缺失突变的小鼠在早期胚胎死亡。表... Stat3是一个在调控胚胎发育、细胞增殖、凋亡、炎症反应和血管生成等多种生理过程发挥关键作用的重要转录因子。Stat3蛋白有Stat3α和缺少羧基端转录激活结构域的Stat3β两个剪接异构体。Stat3基因纯合缺失突变的小鼠在早期胚胎死亡。表达Stat3β可逆转Stat3纯合缺失突变小鼠的胚胎致死表型,并可诱导其下游基因的短期表达,然而其潜在的转录激活结构域一直没有被测定和证实。为进一步解析Stat3蛋白的结构和功能,本研究构建并在酵母中表达了一系列Stat3蛋白的截短体,利用酵母双杂交和双荧光素酶报告基因实验,在酵母和哺乳动物细胞中证实了Stat3蛋白的第2~11位短肽(aa2-11)具有转录激活的作用。这一发现为表达Stat3β逆转Stat3基因缺失引起小鼠胚胎致死表型提供了一种可能的解释,也进一步加深了对Stat3蛋白结构和功能的了解和认识。 展开更多
关键词 Stat3α Stat3β 氨基端转录激活结构域 胚胎发育
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异丙隆原药对大鼠的致畸作用
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作者 程秀荣 王海华 +2 位作者 陈巍 梁一帆 谢广云 《癌变.畸变.突变》 CAS 2024年第4期294-297,共4页
目的:研究异丙隆原药对大鼠的致畸作用。方法:将受孕的雌性Wistar大鼠随机分为对照组(花生油)和低(36.9 mg/kg)、中(73.8 mg/kg)、高(369.0 mg/kg)3个异丙隆原药染毒剂量组,每组15只孕鼠。对照组和各染毒组于大鼠妊娠第6~15天灌胃给予... 目的:研究异丙隆原药对大鼠的致畸作用。方法:将受孕的雌性Wistar大鼠随机分为对照组(花生油)和低(36.9 mg/kg)、中(73.8 mg/kg)、高(369.0 mg/kg)3个异丙隆原药染毒剂量组,每组15只孕鼠。对照组和各染毒组于大鼠妊娠第6~15天灌胃给予受试物,每天1次,连续10 d。于妊娠第20天处死各组孕鼠,观察母鼠和胎鼠的生长、发育情况。结果:与对照组比较,低、中剂量组孕鼠各项观察指标差异均无统计学意义(P>0.05)。高剂量组孕鼠于受孕第9天出现萎靡不振、背毛蓬松、体质量下降(P<0.01);着床数、活胎数减少,死胎数增多,窝均体质量降低(P<0.5);部分胎鼠出现囟门大、枕骨及胸骨骨化不全、肋骨弯曲,骨骼畸形率为27.78%,与对照组相比,差异均具有统计学意义(P<0.05)。结论:在本实验条件下,369.0 mg/kg组异丙隆原药可引起Wistar大鼠的母体毒性和胚胎发育毒性。 展开更多
关键词 异丙隆原药 WISTAR大鼠 母体毒性 胚胎发育毒性 致畸作用
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儿童肝脏未分化胚胎性肉瘤的影像表现及病理分析
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作者 吴朔春 孙雪峰 +3 位作者 杨梅 仪晓立 陶然 邹继珍 《中国肿瘤临床》 CAS CSCD 北大核心 2024年第1期31-35,共5页
目的:分析儿童肝脏未分化胚胎性肉瘤(undifferentiated embryonal sarcoma of the liver,UESL)的超声、CT及MRI影像学表现,以提高对该病的认识水平。方法:回顾性收集2009年12月至2021年12月首都儿科研究所附属儿童医院经手术及病理证实... 目的:分析儿童肝脏未分化胚胎性肉瘤(undifferentiated embryonal sarcoma of the liver,UESL)的超声、CT及MRI影像学表现,以提高对该病的认识水平。方法:回顾性收集2009年12月至2021年12月首都儿科研究所附属儿童医院经手术及病理证实的11例儿童UESL,分析所有患儿的超声、CT及MRI影像表现,总结其影像学特点。结果:病灶均为单发,肿块最大径11.5~19.8 cm。CT平扫显示所有病灶边缘较清楚、其内呈不均匀低密度,内可见厚薄不均的分隔;囊性密度区边缘或分隔周围可见少许片絮样软组织密度影。6例超声图像均提示实性占位,表现为混合回声的实性包块内可见大小不等的无回声区。3例MRI表现为边界清楚肿块影,T1WI呈不均匀混杂低信号,病灶内可见高信号区;T2WI呈混合高信号区和条状低信号区。9例病灶增强扫描动脉期均以边缘强化为主,8例可见迂曲增粗血管影;延迟期病灶呈持续不均匀强化,边缘持续强化,且从外围向中心充盈,强化范围增大,8例延迟期可见假包膜。结论:儿童UESL影像学表现有一定特征性,了解其影像特点并结合临床特征,有助于早期诊断。 展开更多
关键词 未分化胚胎性肉瘤 肝脏 儿童 诊断 电子计算机断层扫描 磁共振成像 超声检查
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红鲫胚胎发育过程中Sox8基因对壬基酚胁迫的响应
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作者 张琼宇 彭娟 +1 位作者 田雨苏 孙远东 《南方农业学报》 CAS CSCD 北大核心 2024年第4期1149-1159,共11页
【目的】明确红鲫SRY相关高迁移率族盒蛋白8基因(Sox8)表达模式及壬基酚(NP)暴露对红鲫胚胎发育过程中Sox8基因表达的影响,为揭示NP胁迫下红鲫胚胎发育畸形的分子机制提供科学依据。【方法】运用RACE克隆红鲫Sox8基因cDNA全长序列,通过P... 【目的】明确红鲫SRY相关高迁移率族盒蛋白8基因(Sox8)表达模式及壬基酚(NP)暴露对红鲫胚胎发育过程中Sox8基因表达的影响,为揭示NP胁迫下红鲫胚胎发育畸形的分子机制提供科学依据。【方法】运用RACE克隆红鲫Sox8基因cDNA全长序列,通过ProtParam、ProtScale、InterPro、PredictProtein、DeepTMHMM等在线软件进行生物信息学分析,利用实时荧光定量PCR检测红鲫Sox8基因在各成体组织及不同胚胎发育阶段的表达情况,以及不同浓度NP暴露对红鲫胚胎期Sox8基因表达的影响。【结果】红鲫Sox8基因c DNA序列全长2163 bp,其开放阅读框(ORF)1176bp,共编码391个氨基酸残基;红鲫SOX8蛋白相对分子量为43798.30Da,理论等电点(pI)为6.90,脂溶指数为49.92,不稳定指数为66.04,总平均亲水性指数(GRAVY)为-1.026,其N端含有Sox_N二聚化结构域和HMG-box结构域;基于SOX8氨基酸序列相似性构建的系统发育进化树显示红鲫与鲫的亲缘关系最近。红鲫Sox8基因在各成体组织中广泛表达,以脑组织中的Sox8基因相对表达量最高,显著高于其他组织(P<0.05,下同);在红鲫胚胎发育过程中,Sox8基因的表达从受精后到14体节期呈逐渐下降趋势,但从21体节期开始Sox8基因相对表达量显著增高,直到孵化期始终维持在较高水平。在大多数情况下,NP暴露能显著影响红鲫胚胎发育过程中Sox8基因的表达,特别是14体节期后的发育阶段,NP暴露主要是不同程度地激活Sox8基因表达。【结论】Sox8基因表达在红鲫成体中具有组织特异性,且在胚胎发育过程中呈先降低后升高的变化趋势。NP暴露能显著影响红鲫胚胎发育过程中Sox8基因的表达,14体节期后Sox8基因表达水平升高可能是NP致畸红鲫胚胎的重要原因之一。 展开更多
关键词 红鲫 Sox8基因 壬基酚 胚胎发育 毒性 致畸
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