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131.
María Carmen Riesco Martínez Andrés J. Muñoz Martín Pamela Zamberk Majlis Jorge Adeva Alfonso Pilar Sabin Domínguez Pilar García Alfonso Ricardo Pérez Fernández 《Clinical & translational oncology》2009,11(8):552-553
An 80-year-old man was admitted to hospital with low-grade fever, weight loss, asthenia and anorexia. Physical examination
revealed generalised ichthyosis with palmoplantar hyperkeratosis. CT scan showed retroperitoneal and inguinal lymph node enlargement.
An inguinal lymph node biopsy revealed Hodgkin’s disease (nodular-sclerosing subtype). The patient received chemotherapy,
showing a clear improvement of both skin lesions and lymph nodes. 相似文献
132.
非小细胞肺癌(non-small cell lung cancer, NSCLC)约占肺癌总病例数的80%-85%,对于III期患者 来说,NSCLC约占肺癌总病例数的40%.不可切除III期NSCLC的治疗为以铂类为基础的化疗联合胸部放疗. 本文将综述正在研发中且有可能用于联合治疗的新型靶向制剂.其中最具前景的策略之一为表皮生长因子受 体(epidermal growth factor receptor, EGFR)通路的抑制.放疗可激活EGFR信号,通过诱导细胞增殖并增强DNA 修复而导致放疗抵抗.几项临床前模型研究表明西妥昔单抗与放疗联合具有协同效应.几项II期试验评估了西 妥昔单抗与放疗同步使用的安全性与疗效,结果喜人.吉非替尼对多种细胞系具有放疗增敏作用,其与放疗 的联合已被试验用于不可切除III期NSCLC的治疗.然而,放化疗后使用吉非替尼作为维持治疗的结果不容乐 观.一项I期试验评估了厄洛替尼与放化疗联合的疗效.放疗可通过损伤细胞膜、DNA以及微血管内皮细胞而 诱导肿瘤死亡,而这反过来可增加促血管生成生长因子的产生.抗血管生长制剂可降低血管密度,但可改善 肿瘤的含氧量.应用血管内皮生长因子受体(vascular endothelial growth factor receptor, VEGFR)抑制剂可通过阻 断亚致死量辐射损伤的修复而增强放疗对人NSCLC的疗效.厄洛替尼、贝伐珠单抗与胸部放疗联合试验正在 进行中.该三种药物联合治疗的新策略尚需制订.由于放疗可增强HSP90分子伴侣的功能从而引起肺癌细胞的 放疗抵抗,此通路的阻断剂可通过抑制HIF-1α和VEGF的表达进而抑制肺癌细胞的生存和血管生成,因而可能 用于减少放疗抵抗.在NSCLC和间皮瘤的临床前模型中,Aurora激酶抑制剂似乎对放疗具有增效作用. 相似文献
133.
Antonio Jimeno Cristina Grávalos Pilar Escudero Isabel Sevilla M. Eugenia Vega-Villegas Vicente Alonso Ignacio Juez Rocío García-Carbonero Humberto Bovio Ramón Colomer Hernán Cortés-Funes 《Clinical & translational oncology》2008,10(1):52-57
Objective The objectives of this phase I/II study were to determine the maximum tolerated dose (MTD), characterise the principal toxicities
in the phase I part and assess the efficacy in the phase II part of gefitinib, an oral selective inhibitor of the epidermal
growth factor receptor, in combination with capecitabine in patients with advanced colorectal cancer (CRC).
Methods and patients Patients with advanced CRC were treated with gefitinib administered daily for 21 days and capecitabine administered twice
daily for 14 days of a 21-day cycle. The dose levels of gefitinib (mg) and capecitabine (mg/m2 bid) assessed were 250/1000 and 250/ 1250. An expanded cohort was enrolled at the MTD to better characterise toxicity and
efficacy. A total of 32 previously treated patients were accrued. In the phase I part 10 subjects were treated, with one dose-limiting
toxicity. Overall 26 patients were treated at the MTD of the combination, which was gefitinib 250 mg/day and capecitabine
1250 mg/m2 twice daily.
Results The most frequent treatment-related adverse events included asthenia, diarrhoea, nausea, rash and anorexia. The incidence
profile was very similar in phases I and II. No objective responses were documented but 53% of the patients achieved stable
disease as best response to therapy.
Conclusions Capecitabine 1250 mg/m2 twice daily 14 of 21 days and gefitinib at 250 mg/day can be safely administered in combination. The combination is relatively
well tolerated. There were no objective responses, although an interesting stabilisation rate was documented, in previously
treated advanced CRC patients. 相似文献
134.
Martina Aida Angeles Federico Migliorelli Sergi Vidal-Sicart Adela Saco Jaume Ordi Cristina Ros Pere Fust Meritxell Munmany Sílvia Escura Núria Carreras Nuria Snchez-Izquierdo Jaume Pahisa Aureli Torn Pilar Paredes Marta del Pino 《Journal Of Gynecologic Oncology》2021,32(4)
ObjectiveWe aimed to evaluate the accuracy of sentinel lymph node (SLN) mapping with transvaginal ultrasound-guided myometrial injection of radiotracer (TUMIR) to detect lymph node (LN) metastases, in patients with intermediate and high-risk endometrial cancer (EC), focusing on its performance to detect paraaortic involvement.MethodsProspective study including women with preoperative intermediate or high-risk EC, according to ESMO-ESGO-ESTRO consensus, who underwent SLN mapping using the TUMIR approach. SLNs were preoperatively localized by planar and single photon emission computed tomography/computed tomography images, and intraoperatively by gamma-probe. Immediately after SLN excision, all women underwent systematic pelvic and paraaortic lymphadenectomy by laparoscopy.ResultsThe study included 102 patients. The intraoperative SLN detection rate was 79.4% (81/102). Pelvic and paraaortic drainage was observed in 92.6% (75/81) and 45.7% (37/81) women, respectively, being exclusively paraaortic in 7.4% (6/81). After systematic lymphadenectomy, LN metastases were identified in 19.6% (20/102) patients, with 45.0% (9/20) showing paraaortic involvement, which was exclusive in 15.0% (3/20). The overall sensitivity and negative predictive value (NPV) of SLNs by the TUMIR approach to detect lymphatic involvement were 87.5% and 97.0%, respectively; and 83.3% and 96.9%, for paraaortic metastases. After applying the MSKCC SLN mapping algorithm, the sensitivity and NPV were 93.8% and 98.5%, respectively.ConclusionThe TUMIR method provides valuable information of endometrial drainage in patients at higher risk of paraaortic LN involvement. The TUMIR approach showed a detection rate of paraaortic SLNs greater than 45% and a high sensitivity and NPV for paraaortic metastases in women with intermediate and high-risk EC. 相似文献
135.
Edelstein A Yavetz H Kleiman SE Botchan A Hauser R Paz G Yogev L 《Fertility and sterility》2008,90(1):205-208
A similarity was found between the percentage of thawed, DNA-damaged spermatozoa in cancer patients and that in candidates to become sperm bank donors who had low sperm cryofreezability. Both groups were significantly different from the sperm bank donor group. It is suggested that the higher rate of DNA fragmentation in sperm from cancer patients compared with sperm bank donors is apparently a result of selecting donors by the level of sperm cryofreezability (i.e., high), rather than a direct effect of an existing malignancy. 相似文献
136.
137.
Manuel Serrano 《Parasitology research》1940,12(1):1-35
Ohne ZusammenfassungD 5.Bei Vollendung meiner Arbeit möchte ich meinem sehr verehrten Lehrer, Herrn Prof. Dr.Grütz, Direktor der Dermatologischen Universitätsklinik Bonn, meinen besten Dank aussprechen für die überlassung des Themas und seinen mir jederzeit freundlich gewährten Rat. 相似文献
138.
Nerea Becerra-Tomás Andrés Díaz-López Núria Rosique-Esteban Emilio Ros Pilar Buil-Cosiales Dolores Corella Ramon Estruch Montserrat Fitó Lluís Serra-Majem Fernando Arós Rosa Maria Lamuela-Raventós Miquel Fiol José Manuel Santos-Lozano Javier Díez-Espino Olga Portoles Jordi Salas-Salvadó 《Clinical nutrition (Edinburgh, Scotland)》2018,37(3):906-913
139.
Recently, photocatalysis has been demonstrated as a solid approach for efficient wastewater cleaning. Using natural materials as photocatalysts means a promising solution to develop green catalysts for environmental purposes. This work aimed to study the suitability of a natural volcanic material (La Gomera, Canary Islands, Spain) as a photocatalytic material for the degradation of pollutants in wastewater with solar energy. After analysing the properties of the natural material (BET surface 0.188 m2/g and band-gap of 3 eV), the photocatalytic activity was evaluated at laboratory and pilot plant scale for the degradation of methylene blue (MB) in water (50 mg L−1), at 20 °C, during a period of 4 h, under UV/Vis light and solar irradiation. Photolytic and adsorption studies were developed to distinguish the photocatalytic contribution to the wastewater decontamination process by photocatalysis. Our results enable us to determine the viability of black sand as a photocatalytic material activated by solar irradiation (photodegradation of MB up to 100% by using solar energy), developing a natural and green photocatalytic system with significantly high potential for application in a sustainable wastewater cleaning process. 相似文献
140.