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41.
Koibuchi Yukio; Iino Yuichi; Joshita Takashi; Yokoe Takao; Shinkai Hiroko; Kawashima Kenji; Kobayash Junya; Tanaka Sunao; Oyama Tetsunari; Hikino Toshiaki; Morishita Yasuo 《Japanese journal of clinical oncology》1995,25(6):273-277
A 66-year-old woman time of 10 days. One month after radicalmastectomy, there was local recurrence, followed by multiplepulmonary metastases, and the patient died of respiratory failure5 months after surgery. The gray-white-colored tumor measured13x12x;10 cm, and its border was well defined. The tumor wascomposed of diffusely growing round or polygonal cells withvesicular nuclei, prominent nucleoli, and ample cytoplasm containingeosinophilic inclusions. Lymph node involvement was widespread.Both vimentin and keratin were clearly demonstrated by immunohistochemicalstaining. Ultrastructural studies revealed that the MRT cellscontained cytoplasmic whorls of intermediate filaments. 相似文献
42.
Recent evidence suggests that a variety of hypothalamic neuropeptides may mediate interneuronal communication to coordinate diverse neuroendocrine and behavioral functions. In this work, we describe the effects of neuropeptide Y (NPY) on feeding and sexual behaviors. We observed that central administration of bolus NPY stimulated a robust, dose-related feeding response in satiated male and female rats. Continuous NPY receptor activation also evoked dose-related, intermittent feeding in a manner normally observed during nocturnal feeding. It appears that the paraventricular nucleus in the hypothalamus may be the primary site of NPY action because the anticipated reciprocal changes in NPY concentrations, in response to food deprivation followed by ad libitum food intake, occurred only in this site. Additional findings revealed that NPY-induced feeding may follow either substantial reduction or complete restraint of an inhibitory influence on feeding mediated by alpha 2-adrenoreceptor systems in satiated rats. Further, NPY was found to suppress male and female sexual behaviors. The suppressive effects on sexual behavior were apparent prior to or at the time of the onset of feeding after NPY administration. These observations may provide a neurochemical basis for clinical and animal studies on disorders of feeding associated with diminished reproductive functions. 相似文献
43.
Staffan Eksborg Lennart Hardell Nils-Olof Bengtsson Marie Sjödin Birgitta Elfsson 《Medical oncology (Northwood, London, England)》1992,9(2):75-80
Sixty women with breast cancer (mean age: 61 years; range 36-78 years) were treated with Epirubicin (4’epi-Dox-orubicin),
60 mg m-2 , as single drug therapy. The drug was administered as 2 hours’ constant rate infusions. The pharmacokinetics of the drug
during the first course of treatment was evaluated by measurements of the plasma concentration of Epirubicin at the end of
the infusion period.
There was a five-fold inter-individual variation of the dose-normalized maximum plasma concentration, which increased with
increasing age of the patients. There was no correlation between this pharmacokinetic parameter and degree of obesity. 相似文献
44.
���ٵ�������ͷ״������7���ٴ����� 总被引:2,自引:1,他引:1
目的 探讨乳腺导管内乳头状瘤(intraductal papillomas,IP)癌变的临床表现、生物学行为、诊断、治疗及预后。方法 对1980年1月至2001年12月间7例IP癌变病人临床资料进行回顾性分析。结果 7例IP癌变占同期113例IP的5.19%,术前均未能确诊,5例术中冰冻考虑IP癌变。结论 IP有癌变潜能,其癌变者术前确诊困难,术中冰冻对诊断治疗意义重大,应重视术后随访。 相似文献
45.
聚合酶链反应单链构象多态性检测乳腺癌中P53基因突变 总被引:4,自引:0,他引:4
应用聚合酶链反应单链构象多态性方法,对24例原发性乳腺癌肿瘤组织基因组DNA进行了分析,结果表明:其中7例存在P53基因的突变,突变频率约为30%。同时对其中10例进行Souternblot分析,有2例在chr17P上存在等位基因的缺失,而其另一等位基因上均存在基因突变。 相似文献
46.
47.
48.
女性乳头湿疹样癌与乳腺癌浸润乳头之间区别的探讨 总被引:5,自引:0,他引:5
本文对1980~1982年间.天津肿瘤医院收治可手术原发女性乳腺癌715侧重新复习。根据镜下在乳头皮肤见到paget细胞以及癌直接浸润(或累及)乳头,确定乳头湿疹样癌20例,乳腺癌浸润乳头69例。比较两组在临床表现、病理形态和预后的差异。结果发现,乳头湿疹样癌的临床表现以乳头糜烂,结痂为主,而乳腺癌浸润乳头则以乳头凹陷、皮肤粘连、桔皮样变和乳头抬高为主;镜下形态,乳头湿疹样癌主要是在乳头表皮内见到Paget细胞,晚期亦可浸及乳头基质。乳腺癌浸润乳头主要特点是癌细胞浸润乳腺导管,管壁可完整或被浸破,癌亦可直接浸润乳头基质,绝大多数皮肤正常,直接累及皮肤少见,均无Paget细胞。通过本文研究,作者认为乳头湿疹样癌为乳腺癌的独立类型,其在临床表现、病理形态及预后等方面,均与乳腺癌浸润乳头有显著区别。 相似文献
49.
Dr. Mary S. Brady MD Carol F. Garfein MBA Jeanne A. Petrek MD Murray F. Brennan MD 《Annals of surgical oncology》1994,1(1):66-72
Background: Many patients treated for breast cancer with radiotherapy will survive their disease and be at risk for treatment-related sarcoma for many years.
Methods: In order to identify patients with post-treatment sarcoma and define this disease, we examined the records of 99 patients treated for sarcoma with a history of antecedent breast carcinoma. Of these patients, 51 were felt to have a sarcoma unrelated to breast cancer treatment and 48 were felt to have a treatment-related sarcoma (secondary to lymphedema and/or radiation).
Results: Lymphangiosarcoma of the extremity was the most common histologic subtype of post-treatment sarcoma, accounting for 22 of 48 cases (46%). Twenty-six patients (54%) developed nonlymphangiosarcoma post-treatment sarcoma; all of these were radiation-associated sarcomas. The median latency interval between the diagnosis of breast cancer and the development of sarcoma was 11 years (range 4–44) and was not different between the two groups. However, patients with nonlymphangiosarcoma were significantly younger when diagnosed with breast cancer than were those with lymphangiosarcoma of the extremity (median 43 vs. 51 years, p<0.001). The survival of all 48 patients was poor: 5-year survival was 29%. Five-year survival of patients with other types of post-treatment sarcoma was just as poor as those with lymphangiosarcoma of the extremity (30% vs. 28%, p=0.98).
Conclusions: Patients who develop sarcoma after treatment for breast cancer have a poor prognosis whether it occurs as Stewart-Treves syndrome or other types of post-treatment sarcoma. Younger patients may be at higher risk than are older patients for the development of nonlymphangiosarcoma post-treatment sarcoma.Presented at the 46th Annual Cancer Symposium of the Society of Surgical Oncology, Los Angeles, March 18–21, 1993. 相似文献
50.
Summary Prosthetic materials, such as metals, marlex mesh and methyl methacrylate have been used for stabilization of the chest wall after resection of large areas of rib cage. Such materials are contraindicated in an infected area. A new method of providing a stable chest wall using autogenous tissue is presented. 相似文献