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排序方式: 共有177条查询结果,搜索用时 15 毫秒
131.
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133.
Prognosis of papillary serous, clear cell, and grade 3 stage I carcinoma of the endometrium 总被引:3,自引:0,他引:3
OBJECTIVE: The purpose of this study was to evaluate patients with uterine papillary serous carcinoma (UPSC), clear cell (CC), and grade 3 endometrioid (G3) surgically stage I endometrial cancer. METHODS: The 25th Annual Report (AR) of FIGO was used to identify patients with endometrial cancers who were surgically staged. For comparison, all cancers reported were evaluated with particular interest in patients with stage I UPSC, CC, and G3. Incidence, substage, post-surgical treatment, and survival were identified. RESULTS: Of 5694 endometrial cancer patients reported to the AR, 3996 (70%) were surgically stage I. There were 148 UPSC, 59 CC, and 325 with G3 lesions. UPSC and CC represent 5.2% of all stage I cancers while 8.1% are G3. Although there were greater number of UPSC, CC, and G3 with extrauterine disease, about 50% of UPSC and CC were stage I. This compares to 81% for G1, 68% for G2, and only 42% for G3. There were more IA cancers with UPSC and CC than G3 (22%, 33%, and 17%, respectively). Survival (5 years) for UPSC and CC was 72% and 81%, respectively, compared to 76% for G3 lesions. Postoperative radiation improved survival somewhat (6-8%) but the difference was not significant. CONCLUSION: UPSC and CC histotypes when diagnosed as stage I have a better survival than commonly perceived and equal to G3 endometrioid cancers. Postoperative radiation improves survival but not significantly so. The role of chemotherapy has not been defined. 相似文献
134.
History of the FIGO cancer staging system 总被引:2,自引:0,他引:2
Franco Odicino Sergio Pecorelli Lucia Zigliani William T Creasman 《International journal of gynaecology and obstetrics》2008,101(2):205-210
The main objectives of any good staging system - essential to an evidence-based approach to cancer - are: to aid the clinician in planning treatment; to provide indication of prognosis; to assist the physician in evaluating the results of treatment; to facilitate the exchange of information between treatment centers, thus disseminating knowledge; and to contribute to continuing investigations into human malignancies. A good staging system must have 3 basic characteristics: it must be valid, reliable, and practical. The first staging system for gynecological cancers appeared around the turn of the 20th century and applied to the carcinoma of the cervix uteri-the most common cancer affecting women in high income countries at that time. The classification and staging of the other gynecological malignancies was not put forward until the 1950s. Over the years, these staging classifications - with the exception of cervical cancer and gestational trophoblastic neoplasia - have shifted from a clinical to a surgical-pathological basis. This paper reviews the history of the International Federation of Gynecology and Obstetrics (FIGO) cancer staging system, how it was developed, and why. 相似文献
135.
Brown PH; Krishnamurthy GT; Turner FE; Denney RK; Gilbert SA; Slauson ME 《Radiology》1989,173(3):701-705
This study was undertaken to measure the biokinetics and organ dosimetry of indium-111-labeled monoclonal antibodies (MoAbs) with a whole-body gamma camera imaging technique. Twenty patients with primary lung cancer were studied with two different MoAb agents (anti-carcinoembryonic antigen ZCEO25 and antiadenocarcinoma LA20207). Imaging was performed at 1, 24, 72, and 144 hours after injection. Scintigraphic whole-body retention was verified by means of comparison with the results from in vitro counting of excreta. Organ retention was verified in an abdominal phantom. The MoAb cleared slowly from the heart and lungs, the brain and spleen showed no clearance, and the liver showed increased activity over the 6-day period. Dosimetry for ZCE025 showed a dose to the liver of 1.3 rad/mCi (0.36 mGy/MBq); heart, 1.5 rad/mCi (0.40 mGy/MBq); spleen, 1.1 rad/mCi (0.29 mGy/MBq); total body, 0.49 rad/mCi (0.13 mGy/MBq); and testes, 0.39 rad/mCi (0.11 mGy/MBq). The dosimetry for LA20207 was similar. 相似文献
136.
Perioperative implantation of iridium-192 as the boost technique for stage I and II breast cancer: results of a 10-year study of 655 patients 总被引:1,自引:0,他引:1
137.
Bronchial responsiveness to histamine: relationship to diurnal variation of peak flow rate, improvement after bronchodilator, and airway calibre 总被引:33,自引:26,他引:7
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Features of asthma include increases in both bronchial responsiveness and variability of airflow rates. We examined the relationship between bronchial responsiveness to histamine and the variation of peak expiratory flow rate (PFR) during the day and in response to salbutamol (200 μg), and the initial FEV1 at the time of the histamine test and FEV1 response to salbutamol. Bronchial responsiveness to histamine was expressed as the provocation concentration causing a fall in FEV1 of 20% (PC20). PC20 ranged between 13·9 and 130 mg/ml in nonasthmatic subjects, between 10·5 and 59·9 mg/ml in five asymptomatic asthmatics, and between 0·03 and 20·8 mg/ml in 27 asthmatics with symptoms controlled by medication. The lower the PC20 (the greater the bronchial responsiveness) the lower the morning PFR (r = 0·79), the greater the increase in PFR after salbutamol (morning r = −0·75, evening r = −0·80), and the greater the difference between the highest and lowest PFR each day (r = −0·81). Measurements of PFR were abnormal, compared with those in nonasthmatic subjects, in all subjects with a PC20 less than 2 mg/ml—that is, moderate or severe increase in nonspecific bronchial responsiveness—and in none with a PC20 greater than 21 mg/ml—that is, normal responsiveness; five of nine asthmatics with controlled symptoms had abnormal PFR measurements when PC20 was between 2 and 21 mg/ml—that is, mild hyperresponsiveness. In contrast, FEV1 at the time of the histamine test was greater than 80% predicted in all subjects with a PC20 greater than 2 mg/ml and was not less than this in 10 of 18 subjects with a PC20 less than 2 mg/ml. When improvement in FEV1 was 20% or more after salbutamol, the PC20 was usually moderately or severely increased (less than 0·4 mg/ml). The results identify a close relationship between nonspecific bronchial responsiveness to histamine and the variability in flow rates which occurs spontaneously and after bronchodilator. In addition, they raise the possibility that increased airflow obstruction in asthma may be a consequence of increased responsiveness. 相似文献
138.
K Harms S Michalski Ch P Speer FE Lüdtke G Lepsien 《Acta paediatrica (Oslo, Norway : 1992)》1994,83(S396):53-57
From January 1986 to December 1992, 13 patients with necrotizing enterocolitis (NEC) (Grade II-III; Bell) were treated. The incidence was highest in the very immature infants with birth weight < 1000 g: 6/148 (4%). From onset, NEC was associated with clinical symptoms such as abdominal distension, bloody stools, retained gastric contents and septicemia. Indications of inflammation were seen in only 6 out of 13 patients at the time of diagnosis. No complications were seen in 10 patients during the acute phase. Two infants developed a bowel perforation and another one a gangrene. Immediate surgery was performed. In three other infants, elective surgery was performed because of colonic strictures. Twelve (92%) patients survived NEC. Five other VLBW infants developed spontaneous perforations of the bowel. The clinical presentation, laboratory and radiological findings differed greatly from those with NEC. Four infants survived. A primarily conservative therapeutic regime with close cooperation between the surgeon and pediatrician may be an alternative to early surgical intervention in NEC. 相似文献
139.
140.
The human corpus luteum: reduction in macrophages during simulated maternal recognition of pregnancy 总被引:2,自引:0,他引:2
It has been shown that immune cells, particularly macrophages, accumulate
in the corpus luteum during luteolysis. This study aimed to investigate the
effect of maternal recognition of pregnancy on the localization and numbers
of macrophages in the human corpus luteum. Corpora lutea (n = 12) were
obtained from normally cycling women at the time of hysterectomy and were
dated on the basis of serial urinary luteinizing hormone (LH) estimation.
In addition, corpora lutea (n = 4) were collected from women who had
received daily doubling doses of human chorionic gonadotrophin (HCG) to
mimic the hormonal changes of early pregnancy. Macrophages were localized
by immunohistochemistry using an anti-CD68 antibody. Steroidogenic cells,
steroidogenic cells of thecal origin and endothelial cells were identified
on serial sections by immunohistochemistry for 3beta-hydroxysteroid
dehydrogenase, 17alpha-hydroxylase and von Willebrand factor, respectively.
The luteal cells capable of responding directly to HCG were identified by
isotopic in-situ hybridization for messenger RNA encoding LH/HCG receptors.
Macrophages were localized primarily to the vascular connective tissue and
theca-lutein areas of the corpus luteum, although some were found in the
granulosa-lutein cell layer. Macrophage numbers increased throughout the
luteal phase to a maximum in the late- luteal phase (P < 0.05). Luteal
'rescue' with HCG was associated with a marked reduction in the numbers of
tissue macrophages when compared with those of the late-luteal phase (P
< 0.001). One of the effects of HCG during maternal recognition of
pregnancy is to prevent the normal influx of macrophages into the corpus
luteum. As LH/HCG receptors localized to the steroidogenic cells, this
implies a fundamental role for steroidogenic cell products in the control
of macrophage influx into the human corpus luteum.
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