clinicopathological correlation

临床病理相关性
  • 文章类型: Journal Article
    血红蛋白,白蛋白,淋巴细胞,和血小板(HALP)评分,一种方便和复合的实验室生物标志物,可以反映炎症和全身营养状况。本研究旨在探讨HALP评分对IgA肾病(IgAN)患者预后的影响。
    这是一项回顾性单中心研究,纳入了2019年6月至2022年6月895例活检确诊的IgAN患者,随访时间超过1年。进行Kaplan-Meier曲线和Cox回归分析以确定HALP与不良结局之间的关系。使用受限三次样条来识别可能的关联。通过受试者工作特征曲线(AUC)下的面积确定了肾脏不良结局的HALP最佳临界值。
    最终共有895名患者参加了该研究,并根据基线HALP评分分为3组(第1-3组)。在HALP较低组观察到更严重的临床病理特征,和Kaplan-Meier分析显示,与其他组相比,Ttertial1组患者发生肾衰竭的风险更高(log-rank=11.02,P=0.004).多因素Cox回归分析显示HALP评分是影响IgAN患者肾脏预后的独立危险因素(校正HR:0.967,95%CI:0.945~0.990,P=0.006)。亚组分析结果表明,HALP在50岁以下、BMI≤23.9和eGFR≤90mL/min/1.73m2的患者中更重要。肾存活的最佳截断值HALP为38.83,敏感性为72.1%,特异性55.9%(AUC:0.662)。根据HALP截止值和倾向匹配对患者进一步分组。多因素Cox回归分析显示,在匹配队列中,HALP仍然是IgAN的独立预测因子(HR0.222,CI:0.084-0.588,P=0.002)。
    HALP是预测IgAN患者肾脏预后的一种新颖且有效的综合参数。
    UNASSIGNED: The haemoglobin, albumin, lymphocyte, and platelet (HALP) score, a convenient and composite laboratory biomarker, can reflect inflammation and systemic nutritional status. This study was performed to investigate the effect of the HALP score on the prognosis of patients with IgA nephropathy (IgAN).
    UNASSIGNED: This is a retrospective single centre study that enrolled 895 biopsy-confirmed IgAN patients from June 2019 to June 2022 who were followed for more than 1 year. Kaplan-Meier curves and Cox regression analyses were performed to determine the relationship between HALP and adverse outcomes. The restricted cubic splines was used to identify the possible associations. The optimal cut-off value of HALP for renal poor outcome was identified by the area under the receiver operating characteristic curve (AUC).
    UNASSIGNED: A total of 895 patients finally participated in the study and were divided into three groups (tertial 1-3) according to the baseline HALP score. More severe clinicopathologic features were observed in the lower HALP group, and Kaplan-Meier analysis showed patients in tertial 1 had a higher risk of kidney failure than the other groups (log-rank=11.02, P= 0.004). Multivariate Cox regression revealed that HALP score was an independent risk factor for renal prognosis in IgAN (adjusted HR: 0.967, 95% CI: 0.945-0.990, P = 0.006). The results of subgroup analysis suggested that HALP was more important in patients under the age of 50, BMI ≤ 23.9 and eGFR ≤ 90 mL/min/1.73 m2. The best cut-off HALP for renal survival was 38.83, sensitivity 72.1%, and specificity 55.9% (AUC: 0.662). Patients were further grouped according to HALP cut-off values and propensity matched. Multivariate Cox regression analysis revealed that HALP remained an independent predictor of IgAN in the matched cohort (HR 0.222, CI: 0.084-0.588, P=0.002).
    UNASSIGNED: HALP is a novel and potent composite parameter to predict kidney outcome in patients with IgAN.
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  • 文章类型: Retraction of Publication
    在本文发表之后,一位相关读者提请编辑注意,图中所示的某些肿瘤图像。4G和H与先前在图中出现的肿瘤图像非常相似(尽管方向不同)。8A发表在《国际肿瘤学杂志》上的另一篇文章[TangB,李勇,元S,TomlinsonS和HeS:肝癌中δ阿片受体的上调在体外和体内促进肝癌进展。IntJOncol43:1281-1290,2013],表明据称在不同实验条件下获得的结果来自相同的原始来源。鉴于这些数据在提交肿瘤学报告之前已经出现在另一份出版物中,编辑已经决定这篇论文应该从期刊上撤回。作者被要求解释这些担忧,但是编辑部没有得到满意的答复。编辑对读者造成的不便表示歉意。[肿瘤学报告41:43-56,2019年;DOI:10.3892/or.2018.6825]。
    Following the publication of this paper, it was drawn to the Editors\' attention by a concerned reader that certain of the tumor images shown in Fig. 4G and H were strikingly similar to tumor images (albeit oriented differently) which had previously appeared in Fig. 8A in another article published in the journal International Journal of Oncology [Tang B, Li Y, Yuan S, Tomlinson S and He S: Upregulation of the δ opioid receptor in liver cancer promotes liver cancer progression both in vitro and in vivo. Int J Oncol 43: 1281‑1290, 2013], indicating that results which were purported to have been obtained under different experimental conditions had been derived from the same original source. In view of the fact that these data had already appeared in another publication prior to its submission to Oncology Reports, the Editor has decided that this paper should be retracted from the Journal. The authors were asked for an explanation to account for these concerns, but the Editorial Office did not receive a satisfactory reply. The Editor apologizes to the readership for any inconvenience caused. [Oncology Reports 41: 43‑56, 2019; DOI: 10.3892/or.2018.6825].
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  • 文章类型: Journal Article
    淀粉样β(Aβ)斑块是阿尔茨海默病(AD)的标志之一。然而,目前可用的抗淀粉样蛋白疗法未能显示出治疗人类AD的有效性。已经发现,死后人脑中存在不同类型的Aβ斑块(弥散型和局灶型)。在这项研究中,我们的目的是研究不同类型的Aβ斑块与AD相关的神经病理学和认知改变之间的相关性。结果表明,局灶性斑块,但不是弥漫性斑块,随着年龄的增长,人类海马体显著增加。我们还发现,局灶性斑块的数量与AD相关神经病理学改变(通过“ABC”评分系统测量)和认知下降(通过日常认知内幕问卷测量)的严重程度呈正相关。此外,大多数局灶性斑块与神经炎性斑块共定位(通过Bielschowsky银染鉴定),并伴有小胶质细胞和其他炎性细胞.我们的发现表明,使用局灶型而不是一般Aβ斑块作为AD的神经病理学评估的生物标志物的潜力。
    Amyloid beta (Aβ) plaques are one of the hallmarks of Alzheimer\'s disease (AD). However, currently available anti-amyloid therapies fail to show effectiveness in the treatment of AD in humans. It has been found that there are different types of Aβ plaque (diffuse and focal types) in the postmortem human brain. In this study, we aimed to investigate the correlations among different types of Aβ plaque and AD-related neuropathological and cognitive changes based on a postmortem human brain bank in China. The results indicated that focal plaques, but not diffuse plaques, significantly increased with age in the human hippocampus. We also found that the number of focal plaques was positively correlated with the severity of AD-related neuropathological changes (measured by the \"ABC\" scoring system) and cognitive decline (measured by the Everyday Cognitive Insider Questionnaire). Furthermore, most of the focal plaques were co-localized with neuritic plaques (identified by Bielschowsky silver staining) and accompanied by microglial and other inflammatory cells. Our findings suggest the potential of using focal-type but not general Aβ plaques as biomarkers for the neuropathological evaluation of AD.
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  • 文章类型: Journal Article
    确定了肝癌(LC)患者外周血中循环肿瘤细胞(CTC)的数量和循环肿瘤微栓子(CTM)的存在。CTC之间的关系,CTM,临床病理特征,分析LC的预后。这项研究的目的是确定CTCs/CTM在LC中的诊断和预后价值。
    在2013年5月至2017年8月之间招募了LC患者,其中67名患者被纳入研究。使用Kaplan-Meier方法和对数秩检验建立总体存活曲线以识别危险因素。使用Cox比例风险模型分析结果,并表示为风险比和95%置信区间(95%CI)。
    在27例患者(40.3%)和29例患者(43.3%)中检测到CTC和CTC或CTM。在四名患者中发现了CTM。一年,3年,5年生存率为42%,20%,15%,分别。单因素Cox回归分析显示甲胎蛋白(AFP)、CTC的数量,CTM的存在,CTC/CTM阳性与生存时间相关。多因素Cox回归分析显示甲胎蛋白(AFP)、CTC的数量,CTM的存在是LC患者生存的独立危险因素。
    CTC的数量之间没有显着相关性,CTM的存在,和临床病理因素。法新社,CTC的数量,CTM的存在是LC患者生存的独立危险因素。
    UNASSIGNED: The number of circulating tumor cells (CTCs) and the presence of circulating tumor microemboli (CTM) were determined in the peripheral blood of patients with liver cancer (LC). The relationship between CTCs, CTM, clinicopathologic features, and prognosis of LC was analyzed. The objective of this study was to determine the diagnostic and prognostic value of CTCs/CTM in LC.
    UNASSIGNED: Patients with LC were enrolled between May 2013 and August 2017, and 67 patients were included in the study. Overall survival curves were built using the Kaplan-Meier method and the log-rank test to identify risk factors. The results were analyzed using a Cox proportional hazards model and expressed as hazard ratio and 95% confidence interval (95% CI).
    UNASSIGNED: CTCs and either CTCs or CTM were detected in 27 patients (40.3%) and 29 patients (43.3%). CTM were found in four patients. One-year, 3-year, and 5-year survival rates were 42%, 20%, and 15%, respectively. Univariate Cox regression analysis showed that alpha-fetoprotein (AFP), number of CTCs, presence of CTM, and positive CTC/CTM were associated with survival time. Multivariate Cox regression analysis showed that alpha fetoprotein (AFP), number of CTCs, and presence of CTM were independent risk factors for survival in patients with LC.
    UNASSIGNED: There was no significant correlation between the number of CTCs, the presence of CTM, and clinicopathologic factors. AFP, number of CTCs, and presence of CTM were independent risk factors for survival in patients with LC.
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  • 文章类型: Journal Article
    UNASSIGNED: To investigate the clinical characteristics and clinicopathological correlations of bilateral breast cancer (BBC) in China.
    UNASSIGNED: Data of 440 patients diagnosed with BBC in 2018 were collected from 33 centers of the Chinese Society of Breast Surgery. Demographic characteristics, bilateral tumor characteristics, and comprehensive treatment data were obtained. Correlations between the clinicopathological characteristics of bilateral tumors were analyzed.
    UNASSIGNED: The proportion of BBC was 0.22%-3.08%. A total of 33 (7.5%) patients had a family history of malignant tumors, 304 (69.1%) patients had synchronous BBC. Only 1 (0.2%) patient was male. More than half of all patients received concurrent or asynchronous endocrine/chemotherapy, 32.5% of all human epidermal growth factor receptor 2 (HER2)-positive patients received HER2-targeted therapy, and approximately 21.6% of all patients received radiotherapy. The most common pathological cancer type was invasive ductal cancer (>60%). Approximately 70% of all patients had bilateral hormone receptor (HR)-positive tumors and presented with a single breast mass. Significant correlations were found with pathological type, histological grade, locations of tumor, molecular subtype, Ki-67 index, tumor site and size of bilateral tumors. Results of the subgroup analysis showed more clinicopathological characteristics when synchronous BBC was compared with metachronous BBC.
    UNASSIGNED: In China, the clinicopathological characteristics of bilateral tumors showed significant correlations, and more significant clinicopathological correlations were observed when synchronous BBC was compared with metachronous BBC.
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  • 文章类型: Journal Article
    本研究旨在评估microRNA(miR)-202在口腔癌发生发展中的可能作用。首先,发现与健康对照相比,口腔癌患者的血清和组织中的miR-202水平降低。进行受试者工作特征分析,探讨血清miR-202对口腔癌的诊断价值。miR-202过表达显著降低SCC-9细胞的迁移能力,而抑制miR-202显著增加SCC-9细胞的迁移能力。此外,转染miR-202模拟物的SCC-9细胞的侵袭能力降低.此外,miR-202抑制剂转染的SCC-9细胞的侵袭能力增强.双荧光素酶报告基因分析显示miR-202的过表达显著抑制了pmirGLO-SP1-3'非翻译区的相对荧光素酶活性。miR-202的过表达抑制了Sp1的蛋白水平,但是miR-202的抑制显著增强了Sp1的蛋白表达。抑制miR-202增强蛋白激酶B的磷酸化。分析Sp1和miR-202表达水平与口腔癌临床病理因素的相关性。结果表明,Sp1和miR-202高表达的患者进展到更早的临床阶段,与健康对照组相比,浸润深度更深,更容易发生淋巴结转移。总之,本研究提供了新的数据,表明降低的miR-202通过Sp1促进口腔癌的进展.
    The current study aimed to evaluate the possible role of microRNA (miR)-202 in the development of oral cancer. First, miR-202 levels were found to be decreased in the serum and tissues of oral cancer patients compared with healthy controls. Receiver operating characteristic analysis was carried out to explore the diagnostic value of serum miR-202 for oral cancer. Overexpression of miR-202 significantly decreased the migratory capacity of SCC-9 cells, while inhibition of miR-202 markedly increased the migratory capacity of SCC-9 cells. Moreover, the invasive capacity was decreased in SCC-9 cells transfected with an miR-202 mimic. In addition, the invasive capacity was enhanced in SCC-9 cells transfected with an miR-202 inhibitor. A dual luciferase reporter assay showed that overexpression of miR-202 markedly suppressed the relative luciferase activity of the pmirGLO-SP1-3\'untranslated region. Overexpression of miR-202 suppressed the protein level of Sp1, but inhibition of miR-202 markedly enhanced the protein expression of Sp1. Inhibition of miR-202 enhanced the phosphorylation of protein kinase B. Additionally, the correlations between the expression levels of Sp1 and miR-202 and the clinicopathological factors of oral cancer were analyzed. The results showed that patients with high expression of Sp1 and miR-202 progressed to earlier clinical stages, had deeper infiltration depths and were more prone to lymph node metastasis compared with the healthy controls. In conclusion, the current study presented novel data indicating that decreased miR-202 enhanced the progression of oral cancer via Sp1.
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  • 文章类型: Journal Article
    食管鳞状细胞前体病变仍然是病理学和临床治疗中最有争议的话题之一。
    分析人端粒酶RNA组分(hTERC)在食管鳞状细胞前体病变中的表达异常及其与食管鳞状细胞前体病变特点的临床病理相关性。
    进行荧光原位杂交以检测不同级别食管鳞状细胞前体病变中的hTERC扩增。通过回顾性随访数据,对hTERC与食管鳞状细胞前体病变的临床病理相关性进行logistic回归分析。
    hTERC扩增随着发育不良的升级而逐渐增加,在高级别上皮内瘤变中达到最高水平,低级别上皮内瘤变组和高级别上皮内瘤变组之间存在显着差异(P=0.00)。Logistic回归分析显示,hTERC扩增与食管鳞状细胞前体病变的异型增生分级和溃疡特征相关(P<0.05)。
    随着食管鳞状细胞前体病变分级的增加和溃疡特征的存在,hTERC扩增可能为食管鳞状细胞前体病变的诊断和临床预后提供重要的分子和病理标志物。特别是对于那些分类分歧更大的模棱两可的情况。
    Esophageal squamous cell precursor lesions remain one of the most controversial topics in pathology and clinical management.
    To analyze the dysregulation of human telomerase RNA component (hTERC) in esophageal squamous cell precursor lesions and the clinicopathological correlations with the characteristics of esophageal squamous cell precursor lesions.
    Florescence in situ hybridization was performed to detect hTERC amplification in different gradings of esophageal squamous cell precursor lesions. With retrospective follow-up data, clinicopathological correlations between hTERC and esophageal squamous cell precursor lesions were subjected to logistic regression analysis.
    hTERC amplification gradually increased with upgrading of dysplasia, reaching the highest level in high-grade intraepithelial neoplasia, and there was a significant difference between the low-grade intraepithelial neoplasia group and the high-grade intraepithelial neoplasia group (P = 0.00). Logistic regression analysis showed that hTERC amplification was correlated with both dysplasia grading and ulcer characteristics of esophageal squamous cell precursor lesions (P < 0.05).
    hTERC amplification with increasing grading of esophageal squamous cell precursor lesions and the presence of ulcer characteristics might provide an important molecular and pathological marker for the diagnosis and clinical prognosis of esophageal squamous cell precursor lesions, especially for those ambiguous cases with more divergence in classification.
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