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81.
Kaoru Nagahori Jun Itakura Hiroyasu Miura Hidemitsu Sugai Masayuki Yamamoto Yoshiro Matsumoto Takao Ainota Yoshihiro Akahane 《Journal of Hepato-Biliary-Pancreatic Surgery》1995,2(3):288-291
We report a metastatic pulmonary tumor resected by video-assisted thoracoscopic surgery. A 63-year-old female was found to
have four nodules of hepatocellular carcinoma (HCC) in January 1991; after non-surgical treatment, the tumors had become necrotic.
In June 1992, a new HCC nodule was found. After infusion chemotherapy, it became necrotic. In September 1993, a solitary lung
tumor, 2.4 cm in diameter, appeared at the periphery of the right lung. Because the tumor was considered to be a metastatic
HCC rather than a primary lung cancer, it was removed by thoracoscopic wedge resection. Although whether metastasectomy contributes
to prolongation of survival is still controversial, thoracoscopic pulmonary resection may be indicated for solitary peripheral
metastasis, if the primary HCC is well controlled by multidisciplinary treatment. 相似文献
82.
Six examples of histologically diagnosed, non-invasive breast carcinomas were studied by electron microscopy to elucidate the ultrastructural features for an accurate diagnosis of in situ carcinoma. The results obtained revealed two patterns of basal lamina/stromal cells relationship. One pattern showed intact basal lamina with associated periductal stromal cells consisting entirely of fibroblasts, the other pattern showed disruption of basal lamina by gaps and malignant cell protrusions with associated stromal cells consisting of both fibroblasts and myofibroblasts. As myofibroblasts are not a component of normal breast stroma but are known to be a prominent feature in the stroma of infiltrating breast carcinoma, the present observations suggest that myofibroblastic proliferation around in situ carcinoma represents an early sign of carcinomatous infiltration. Hence the definitive diagnosis of non-invasive carcinoma of the breast requires an intact basal lamina and a complete absence of a myofibroblastic reaction. 相似文献
83.
Werner M Mattis A Aubele M Cummings M Zitzelsberger H Hutzler P Höfler H 《Virchows Archiv : an international journal of pathology》1999,435(5):469-472
The 20q13 region harboring recently described putative oncogenes is frequently amplified in invasive ductal carcinoma (IDC).
The aim of this study was to examine the 20q13 copy number in intraduct hyperplasia (IH), atypical duct hyperplasia (ADH),
and ductal carcinoma in situ (DCIS) adjacent to IDC. In 5 patients, comparative genomic hybridization (CGH) after laser microdissection
revealed 20q13 amplification in four of five cases of IH, in all of three cases of IH with atypia, all five of DCIS, and all
five of IDC. Fluorescence in situ hybridization (FISH) confirmed the amplification at 20q13.2 in IH in the two specimens analyzed.
The amplification rate, however, was higher in DCIS and IDC. In phenotypically normal ductal epithelium normal values were
found for 20q13 copy number by FISH (n=2) and CGH (n=5). Although the number of cases presented here is small, our results suggest that mutations in the 20q13.2 region in IH
may be associated with accelerated proliferation and hyperplasia of the ductal epithelium. Progression to DCIS and ICD is
accompanied by a further increase in the 20q13.2 copy number.
Received: 17 March 1999 / Accepted: 22 June 1999 相似文献
84.
为了评价游离前列腺抗原(F PSA)/前列腺抗原(PSA)比值和PSA动态变化(年变化率)在前列腺癌诊断中的应用价值。本文应用ELISA追踪检测PSA在4~10μg/L范围患者在不同时段内PSA水平,并与正常人进行对照,利用ROC曲线,评价FPSA/PSA比值和PSA年变化率两项指标在前列腺癌诊断时的预示价值。结果表明:前列腺癌患者的FPSA/PSA比值和PSA年变化率与非前列腺癌组之间具有显著性差异(P〈0.001),当FPSA/PSA比值的临床判断值为0.21时,诊断灵敏度为93.5%,特异性为91.4%;当PSA年变化率的临床判断值为0.85%。诊断灵敏度为82.6%,诊断特异性为97.9%。前列腺增生患者FPSA/PSA比值与正常人之间无显著性差异(P〉0.05),而PSA年变化率与正常人比较具有显著性差异(P<0.001)。提示FPSA/PSA比值和PSA年变化率有助于PSA在4~10μg/L范围的患者前列腺癌的诊断。 相似文献
85.
86.
应用HAg 18-1 ELIsA诊断药盒,对原发性肝癌(PHc)、肝炎及肝炎伴有肝硬化、其他癌(肺癌、胃癌、结肠癌)以及正常人,共400例,进行了血清学的检测。结果显示:HAg 18-1 ELISA阳性检测率,PHC为81%,肝炎及伴有肝硬化为30%,肺癌为36%,胃癌为28%,结肠癌为12%,正常人为0。PHC组HAg 18-1 ELISA检测阳性率显著高于其他各组(P<0.05)。此外PHC 80例中有56例同时伴有AFP的检测,其中AFP 17/56阴性,17例阴性中HAg 18-1 ELISA检测阳性10例(59%),故对AFP检测PHC具有明显协同和补充诊断价值。此药盒操作简便,易于推扩,对PHC的临床诊断和普查提供了新方法。 相似文献
87.
促肝细胞生长素诱导人肝癌细胞(BEL-7402)凋亡 总被引:1,自引:0,他引:1
本文从细胞学、DNA凝胶电泳、流式细胞术三方面研究促肝细胞生长素(pHGF)在体外对肝癌细胞增殖活性的影响。结果表明:pHGF对肝癌BEL-7402细胞增殖有抑制作用,并存在剂量和时间相关性。其48h的半数抑制浓度(ID50)为0.37mg/ml±0.04mg/ml。而37℃灭活的pHGF对BEL-7402细胞增殖在15h无抑制作用,在24和48h抑制作用很弱(ID50>1.5mg/ml)。DNA凝胶电泳结果表明,pHGF可诱导BEL7402细胞产生细胞凋亡(Apoptosis)。流式细胞术(FCM)结果显示:pHGF抑制BEL-7402细胞增殖过程是先使细胞停留在G0/G1期,继而诱导细胞产生凋亡。后两项结果均显示pHGF对人肝癌细胞凋亡的诱导里时间和剂量相关性。 相似文献
88.
Loss of heterozygosity on chromosomes 3p,8p,9p and 17p in the progression of squamous cell carcinoma of the larynx 总被引:4,自引:0,他引:4
Yoo WJ Cho SH Lee YS Park GS Kim MS Kim BK Park WS Lee JY Kang CS 《Journal of Korean medical science》2004,19(3):345-351
Previous molecular genetic studies of laryngeal squamous cell carcinoma (SCC)have shown certain chromosomal regions with recurring alterations. But studies of sequential molecular alterations and genetic progression model of laryngeal SCC have not been clearly defined. To identify the chromosomal alterations associated with the carcinogenesis of laryngeal SCC, we analyzed genomic DNA from microdissected squamous metaplasia, squamous dysplasia, invasive SCC, and metastatic carcinoma samples from 22 laryngeal SCC patients for loss of heterozygosity (LOH) at microsatellite loci. Ten microsatellite markers on chromosome 3p, 8p, 9p, and 17p were used. LOH at 9p21 was observed in the all stages including squamous metaplasia, squamous dysplasia, invasive SCC and metastatic carcinoma. LOH at 17p13.1, 3p25 and 3p14.2 was observed from the squamous dysplasia, invasive SCC and metastatic carcinoma. LOH at 8p21.3-p22 was observed mainly from the invasive SCC and metastatic carcinoma. The results suggest that 9p21 in the early event, 17p13.1, 3p25 and 3p14.2 in the intermediate event and 8p21.3- p22 in the late event may be involved in the laryngeal carcinogenesis. 相似文献
89.
用噬菌体表面展示技术筛选与肝癌细胞系结合的抗体模拟肽 总被引:1,自引:0,他引:1
目的:从噬菌体展示肽库中,筛选可与肝癌细胞特异性结合的抗体模拟肽。方法:通过生物淘选使噬菌体富集。利用ELISA法,鉴定噬菌体单克隆原种的亲和性,并进行统计学分析。通过竞争ELISA,分析筛选所得抗体模拟肽的结合位点,并进一步分析抗体模拟肽的序列组成。结果:随着淘选次数的增加,出现噬菌体的富集。ELISA的结果显示,相对于正常肝细胞,筛选所得环状7肽对肝癌细胞系SMMC7721和BEL7402均有良好的结合活性(P<0.05),且与SMMC7721细胞的结合活性明显优于与BEL7402细胞的亲和性(P<0.05)。在α=0.01的水平上,7肽单克隆噬菌体原种可明显与scFv竞争结合SMMC7721细胞(0.005
相似文献
90.
The presence of areas exhibiting a solid/trabecular pattern of growth within an otherwise differentiated thyroid carcinoma represents a source of controversy as regards its proper classification and biologic and prognostic significance. The aim of the current study was to investigate the ultrastructural features of solid/trabecular areas in differentiated thyroid carcinoma and to compare those features with the submicroscopic profile of differentiated, poorly differentiated (insular), and undifferentiated (anaplastic) variants of thyroid cancer. The study series included differentiated carcinoma with solid/trabecular areas (3 cases), conventional papillary carcinoma (4 cases), follicular variant of papillary carcinoma (4 cases), poorly differentiated (insular) carcinoma (3 cases), and undifferentiated (anaplastic) carcinoma (3 cases). It was found that the solid/trabecular areas in differentiated carcinoma and poorly differentiated (insular) carcinoma share similar ultrastructural features and overall retain, even if attenuated, many of the submicroscopic attributes of differentiated carcinomas. In particular, nests of neoplastic cells were observed showing a highly developed cytosecretory apparatus and the presence of numerous abortive/rudimentary follicles, and intercellular and intracellular (intracytoplasmic) lumina/canaliculi of variable morphology. The study supports the hypothesis that the solid/trabecular areas do not merely represent an architectural pattern but rather should be regarded as the expression of a process of reduced differentiation similar to that of poorly differentiated (insular) carcinoma. 相似文献