tumours

肿瘤
  • 文章类型: Journal Article
    导言膀胱病变涵盖广泛的范围,从良性炎症到恶性肿瘤,提出诊断和治疗挑战。尿路上皮癌在膀胱恶性肿瘤中占主导地位,表现出不同的临床表现和预后。目的本研究旨在描述膀胱病变的组织病理学谱和相关的人口统计学特征。临床特征,膀胱镜下发现各种膀胱病变。方法这项前瞻性描述性观察研究在三级护理中心进行了24个月,包括65例膀胱活检,包括经尿道膀胱肿瘤切除术,膀胱镜活检,和膀胱切除术标本。组织病理学检查遵循WHO2022膀胱肿瘤分类和美国癌症联合委员会第八版分期。临床数据,包括年龄,性别,膀胱镜检查结果,出现症状,与组织病理学诊断相关,以探讨膀胱病变的频谱。结果肿瘤病变为主,占92.3%的病例,尿路上皮癌占这些病例的83.33%。在肿瘤性病变中,浸润性高级别尿路上皮癌(36.7%)和非浸润性低级别乳头状尿路上皮肿瘤(20.0%)是最常见的亚型。非肿瘤性病变占7.7%,包括各种形式的膀胱炎。血尿是主要表现症状(81.5%),膀胱镜检查显示大多数病变位于膀胱侧壁。高级别尿路上皮癌主要与固有肌层浸润有关。结论本研究强调了组织病理学检查在诊断和管理膀胱疾病以及区分非肿瘤性和肿瘤性病变中的关键作用。尿路上皮癌,在老年群体中普遍存在,经常表现出肌肉浸润,表明高度肿瘤。在膀胱镜活检中包括肌肉层对于准确诊断至关重要。相反,虽然不太常见,非肿瘤性疾病包括各种形式的膀胱炎。这些发现强调了膀胱镜检查和组织病理学检查等精确诊断工具对于早期发现和治疗膀胱肿瘤的重要性。组织病理学评估提供了必要的预后指导,有助于精确分期和分级,并指导量身定制的治疗策略。
    Introduction Urinary bladder lesions encompass a wide spectrum, from benign inflammatory conditions to malignant neoplasms, presenting diagnostic and therapeutic challenges. Urothelial carcinoma predominates among bladder malignancies, exhibiting diverse clinical presentations and prognoses. Objective This study aimed to delineate the histopathological spectrum of urinary bladder lesions and correlate demographic profiles, clinical features, and cystoscopic findings with various bladder lesions. Methods This prospective descriptive observational study spanned 24 months at a tertiary care center, involving 65 cases of urinary bladder biopsies, including transurethral resection of bladder tumors, cystoscopic biopsies, and cystectomy specimens. The histopathological examination followed the WHO 2022 classification of urinary bladder tumors and the American Joint Committee on Cancer eighth edition staging. Clinical data, including age, gender, cystoscopic findings, and presenting symptoms, were correlated with histopathological diagnoses to explore the spectrum of bladder lesions. Results Neoplastic lesions predominated, constituting 92.3% of cases, with urothelial carcinoma comprising 83.33% of these cases. Among neoplastic lesions, invasive high-grade urothelial carcinoma (36.7%) and non-invasive low-grade papillary urothelial neoplasm (20.0%) were the most frequently observed subtypes. Non-neoplastic lesions accounted for 7.7%, including various forms of cystitis. Hematuria was the predominant presenting symptom (81.5%), while cystoscopic examinations revealed that most lesions were situated in the lateral bladder wall. High-grade urothelial carcinomas were mostly associated with muscularis propria invasion. Conclusion This study underscores the critical role of histopathological examination in diagnosing and managing urinary bladder diseases and distinguishing between non-neoplastic and neoplastic lesions. Urothelial carcinoma, prevalent among older age groups, often demonstrated muscle invasion indicative of high-grade tumors. Including the muscle layer in cystoscopic biopsies is crucial for an accurate diagnosis. Conversely, though less common, non-neoplastic conditions encompass various forms of cystitis. These findings highlight the importance of precise diagnostic tools such as cystoscopy and histopathological examination for the early detection and management of bladder neoplasms. Histopathological assessment offers essential prognostic guidance, aids in precise staging and grading, and directs tailored treatment strategies.
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  • 文章类型: Journal Article
    这项研究的目的是调查各种起源的自发性肿瘤的发生率与性别犬的定位之间的相关性,品种,和年龄因素。对总共360例具有不同定位的肿瘤进行了病理形态学研究。处理来自360个狗组织样品的组织病理学数据集并进行统计学检查。进行了独立性的卡方检验,以检查指定变量的各个级别之间的关系。采用Logistic回归模型进行二分结果,以确定某些解释变量对肿瘤类型的影响。确定了在检查肿瘤疾病犬期间观察到的特征性病理形态学变化。最常见的肿瘤是乳腺肿瘤,占病例的43%。乳腺肿瘤在杂种犬中最常见(25%),德国牧羊犬(17.3%)贵宾犬,腊肠,中亚牧羊人(各6.7%),和罗威纳犬(5.7%)紧随其后。这些肿瘤的最高频率出现在8岁时,主要起源于导管上皮,占所有恶性肿瘤的46.4%。
    The aim of this study is to investigate the correlation between the incidence of spontaneous tumours of various origins and the localisation in dogs with sex, breed, and age factors. A total of 360 tumours with various localisation were studied pathomorphologically. Histopathologic data sets from 360 dog tissue samples were processed and statistically examined. A chi-square test of independence was conducted to examine the relationships among the various levels of the specified variables. Logistic regression models were employed for dichotomous outcomes to ascertain the influence of certain explanatory variables on the tumour types. Characteristic pathomorphological changes observed during examination of dogs with oncologic diseases were determined. The most common neoplasms were mammary tumours, accounting for 43% of the cases. The mammary gland tumours were most common in mongrel dogs (25%), with German Shepherds (17.3%), Poodles, Dachshunds, Central Asian Shepherds (6.7% each), and Rottweilers (5.7%) following. The highest frequency of these tumours appeared at 8 years of age, predominantly originating from the ductal epithelium, which represented 46.4% of all the malignant cases.
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  • 文章类型: Journal Article
    一类新的化合物,旨在击中两个抗肿瘤靶标,提出了G-四链体结构和人碳酸酐酶(hCA)IX和XII。小分子诱导/稳定G-四链体结构已成为一种抗癌策略。破坏端粒维持和降低癌基因表达。hCAsIX和XII是公认的抗肿瘤靶标,在许多低氧肿瘤中上调并导致转移。报道的配体具有小檗碱G-四链体稳定剂支架,该支架连接到抑制hCAsIX和XII的部分。体外实验表明我们的化合物选择性地稳定G-四链体结构并抑制hCAsIX和XII。获得了与这些配体之一配合的端粒G-四链体的晶体结构,配体/靶标相互作用模式上的发光。最有希望的配体在缺氧条件下对CAIX阳性HeLa癌细胞显示出明显的细胞毒性,以及稳定肿瘤细胞内G-四链体的能力。
    A novel class of compounds designed to hit two anti-tumour targets, G-quadruplex structures and human carbonic anhydrases (hCAs) IX and XII is proposed. The induction/stabilisation of G-quadruplex structures by small molecules has emerged as an anticancer strategy, disrupting telomere maintenance and reducing oncogene expression. hCAs IX and XII are well-established anti-tumour targets, upregulated in many hypoxic tumours and contributing to metastasis. The ligands reported feature a berberine G-quadruplex stabiliser scaffold connected to a moiety inhibiting hCAs IX and XII. In vitro experiments showed that our compounds selectively stabilise G-quadruplex structures and inhibit hCAs IX and XII. The crystal structure of a telomeric G-quadruplex in complex with one of these ligands was obtained, shedding light on the ligand/target interaction mode. The most promising ligands showed significant cytotoxicity against CA IX-positive HeLa cancer cells in hypoxia, and the ability to stabilise G-quadruplexes within tumour cells.
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  • 文章类型: Case Reports
    本案例研究报告了在DuckworthCollection(剑桥大学)举行的两个古埃及头骨上观察到的恶性肿瘤和创伤性病变。该分析旨在表征病变并使用基于micro-CT扫描和微观骨表面分析的方法进行诊断。结果指出了两种情况下的肿瘤性病变,其中一种治愈了严重的颅骨创伤,表明成功的创伤治疗。有趣的是,我们的分析发现,其中一个头骨中存在与转移性溶解性病变相关的死前切口,表明潜在的手术治疗尝试或死后医学探索。我们认为这两种情况,虽然不是当代的,允许对过去的肿瘤和创伤学理解和管理进行古病理学讨论。由两种不同类型的病变所代表的两种潜在管理的对抗代表了古埃及医疗保健的清晰边界,也是医学史上的里程碑。
    The present case studies report malignant neoplastic and traumatic lesions observed on two ancient Egyptian skulls held at the Duckworth Collection (Cambridge University). The analysis aims to characterise the lesions and provide a diagnosis using a methodology based on micro-CT scanning and microscopic bone surface analysis. Results pointed towards neoplastic lesions in both cases and healed severe skull trauma in one of them suggesting successful traumatological therapy. Interestingly, our analysis has identified the presence of perimortem cutmarks associated with metastatic lytic lesions in one of the skulls, indicating a potential surgical treatment attempt or postmortem medical exploration. We argue that the two cases, although not contemporary, allow a palaeopathological discussion on oncological and traumatological understanding and management of such conditions in the past. The confrontation of two potential managements represented by two different types of lesions represent a clear boundary in ancient Egyptian medical care and a milestone in the history of medicine.
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  • 文章类型: Journal Article
    与内质网应激(ERS)和线粒体自噬相关的基因有助于预测实体瘤的预后。作者旨在开发这些基因在肺腺癌(LUAD)中的预后预测模型。从包括基因表达综合(GEO)和癌症基因组图谱(TCGA)的公共数据库收集相关基因表达和临床信息。最终在LUAD数据集中选择了总共265个差异表达的基因(71个上调和194个下调)。其中,15个候选ERS和线粒体自噬基因(ATG12,CSNK2A1,MAP1LC3A,MAP1LC3B,MFN2,PGAM5,PINK1,RPS27A,SQSTM1、SRC、UBA52UBB,UBC,根据与ERS和线粒体自噬基因杂交后的表达分析,ULK1和VDAC1)可能对LUAD至关重要。预测模型证明了有效预测5-,3-,GEO和TCGA数据库中LUAD患者的1年预后。此外,高VDAC1表达与LUAD患者总生存率低相关(p<0.001),提示它可能是LUAD预后预测的关键基因。总的来说,基于LUAD中ERS和线粒体自噬基因的预后模型可用于评估LUAD患者的预后,和VDAC1可能作为LUAD预后的有希望的生物标志物。
    Genes associated with endoplasmic reticulum stress (ERS) and mitophagy can be conducive to predicting solid tumour prognosis. The authors aimed to develop a prognosis prediction model for these genes in lung adenocarcinoma (LUAD). Relevant gene expression and clinical information were collected from public databases including Gene Expression Omnibus (GEO) and The Cancer Genome Atlas (TCGA). A total of 265 differentially expressed genes was finally selected (71 up-regulated and 194 downregulated) in the LUAD dataset. Among these, 15 candidate ERS and mitophagy genes (ATG12, CSNK2A1, MAP1LC3A, MAP1LC3B, MFN2, PGAM5, PINK1, RPS27A, SQSTM1, SRC, UBA52, UBB, UBC, ULK1, and VDAC1) might be critical to LUAD based on the expression analysis after crossing with the ERS and mitochondrial autophagy genes. The prediction model demonstrated the ability to effectively predict the 5-, 3-, and 1-year prognoses of LUAD patients in both GEO and TCGA databases. Moreover, high VDAC1 expression was associated with poor overall survival in LUAD (p < 0.001), suggesting it might be a critical gene for LUAD prognosis prediction. Overall, the prognosis model based on ERS and mitophagy genes in LUAD can be useful for evaluating the prognosis of patients with LUAD, and VDAC1 may serve as a promising biomarker for LUAD prognosis.
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  • 文章类型: Journal Article
    铁死亡是一种独特的细胞死亡模式,通过依赖铁离子和脂质过氧化物的积累来区别于典型的细胞凋亡。在某些病理背景下,细胞表现出氧化应激和抗氧化平衡之间的失衡,比如肿瘤,导致氧化应激。值得注意的是,最近的研究表明,由于氧化应激引起的细胞内活性氧(ROS)的增加可以提高细胞对铁凋亡诱导剂的敏感性或加速铁凋亡的发生。因此,了解ROS在铁凋亡启动中的作用对阐明与氧化应激相关的疾病具有重要意义。此外,对铁死亡的机制和控制的详尽探索可能为解决特定肿瘤类型提供新的靶标。在此背景下,我们的综述探讨了最近的基本途径和铁性凋亡的分子基础。四个经典的铁分子途径被很好地表征,即,谷胱甘肽过氧化物酶4中心分子途径,核因子红系2相关因子2分子途径,线粒体分子途径,和mTOR依赖性自噬途径。此外,我们试图阐明ROS制定的监管贡献。此外,我们概述了针对铁凋亡的4种分子途径的靶向药物及其潜在的临床应用.这里,我们综述了ROS和氧化应激在铁死亡中的作用,我们讨论了将铁凋亡作为癌症治疗新策略的机会,并指出了当前在ROS调节的抗癌药物研究和开发领域中持续存在的挑战。
    Ferroptosis is a distinct mode of cell death, distinguishing itself from typical apoptosis by its reliance on the accumulation of iron ions and lipid peroxides. Cells manifest an imbalance between oxidative stress and antioxidant equilibrium during certain pathological contexts, such as tumours, resulting in oxidative stress. Notably, recent investigations propose that heightened intracellular reactive oxygen species (ROS) due to oxidative stress can heighten cellular susceptibility to ferroptosis inducers or expedite the onset of ferroptosis. Consequently, comprehending role of ROS in the initiation of ferroptosis has significance in elucidating disorders related to oxidative stress. Moreover, an exhaustive exploration into the mechanism and control of ferroptosis might offer novel targets for addressing specific tumour types. Within this context, our review delves into recent fundamental pathways and the molecular foundation of ferroptosis. Four classical ferroptotic molecular pathways are well characterized, namely, glutathione peroxidase 4-centred molecular pathway, nuclear factor erythroid 2-related factor 2 molecular pathway, mitochondrial molecular pathway, and mTOR-dependent autophagy pathway. Furthermore, we seek to elucidate the regulatory contributions enacted by ROS. Additionally, we provide an overview of targeted medications targeting four molecular pathways implicated in ferroptosis and their potential clinical applications. Here, we review the role of ROS and oxidative stress in ferroptosis, and we discuss opportunities to use ferroptosis as a new strategy for cancer therapy and point out the current challenges persisting within the domain of ROS-regulated anticancer drug research and development.
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  • 文章类型: Journal Article
    果蝇癌种系(CG)的表达,X-linked,头对头基因对TrxT和dhd通常是种系特异性的,但在l(3)mbt突变引起的脑肿瘤中上调。这里,我们发现TrxT和dhd在l(3)mbt肿瘤相关转录组特征和肿瘤发展的出现中起着重要的协同作用,这很了不起,考虑到这两个基因在正常条件下永远不会一起表达。我们还证明了TrxT,但不是dhd,对l(3)mbt同种异体移植物的生长至关重要,因此,这表明肿瘤发展的初始阶段和肿瘤的长期生长可能取决于不同的分子途径。在人类中,在定位到X染色体的CG基因中,头对头反向基因对丰富。我们的结果确定了X连接的第一个例子,果蝇的头对头CG基因对,支撑这些CG基因的潜力,对于体细胞组织的正常发育和同质性而言,作为减少恶性生长的目标,对整体健康的影响最小。
    Expression of the Drosophila cancer-germline (CG), X-linked, head-to-head gene pair TrxT and dhd is normally germline-specific but becomes upregulated in brain tumours caused by mutation in l(3)mbt. Here, we show that TrxT and dhd play a major synergistic role in the emergence of l(3)mbt tumour-linked transcriptomic signatures and tumour development, which is remarkable, taking into account that these two genes are never expressed together under normal conditions. We also show that TrxT, but not dhd, is crucial for the growth of l(3)mbt allografts, hence suggesting that the initial stages of tumour development and long-term tumour growth may depend on different molecular pathways. In humans, head-to-head inverted gene pairs are abundant among CG genes that map to the X chromosome. Our results identify a first example of an X-linked, head-to-head CG gene pair in Drosophila, underpinning the potential of such CG genes, dispensable for normal development and homoeostasis of somatic tissue, as targets to curtail malignant growth with minimal impact on overall health.
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  • 文章类型: Case Reports
    黏液样胶质神经肿瘤(MGNT),先前描述为透明隔的胚胎发育不良神经上皮肿瘤,在2021年WHO中枢神经系统肿瘤分类第五版中被列为一种新的肿瘤类型。这种分类是基于它的解剖位置,成像特征,和遗传特征。MGNTs在临床上很罕见,容易误诊。在这份报告中,我们在左额叶出现MGNT,经手术病理证实。
    Myxoid glioneuronal tumour (MGNT), previously described as dysembryoplastic neuroepithelial tumour of the septum pellucidum, was classified as a new tumour type in the fifth edition of the WHO Central Nervous System Tumor Classification of 2021. This classification was based on its anatomical location, imaging features, and genetic characteristics. MGNTs are clinically rare and prone to misdiagnosis. In this report, we present a case of MGNT in the left frontal lobe, which was confirmed through surgical pathology.
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  • 文章类型: Journal Article
    进行了文献综述,以评估微创内窥镜治疗泪道肿瘤的作用。该研究涉及对316例影响泪道引流系统的良性或恶性肿瘤患者的分析。组织学上,分析显示鳞状细胞癌的患病率,其次是淋巴肿瘤和黑色素瘤。在治疗方面,微创内镜入路,如内窥镜泪囊鼻腔吻合术,在管理早期肿瘤中起主导作用,而不仅仅是获取样本进行组织学分析。对于更广泛的肿瘤,构成大多数案件,需要更积极的外部方法,同时使用辅助放疗和化疗。缺乏普遍共享的分期系统限制了结果的标准化和比较。这些肿瘤的治疗由于其稀有性和组织学异质性而仍然复杂。必须采用多学科方法来优化结果。
    A literature review was conducted to assess the role of minimally-invasive endoscopic treatments for lacrimal pathway neoplasms. The study involved the analysis of 316 patients with benign or malignant tumours affecting the lacrimal drainage system. Histologically, the analysis revealed a prevalence of squamous cell carcinoma, followed by lymphatic neoplasms and melanomas. In terms of treatment, minimally-invasive endoscopic approaches, such as endoscopic dacryocystorhinostomy, play a predominant role in managing early-stage tumours, rather than merely obtaining samples for histological analysis. For more extensive tumours, which constitute the majority of cases, more aggressive external approaches are required, along with the use of adjuvant radiotherapy and chemotherapy. The lack of universally shared staging systems poses a limitation in standardisation and comparison of results. Treatment of these tumours remains complex due to their rarity and histological heterogeneity. A multidisciplinary approach is mandatory to optimise outcomes.
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  • 文章类型: Journal Article
    不同的条件包括肾窦病变的频谱,对患者有诊断和治疗意义。使用CT成像作为镜头,这篇详尽的综述研究了这些病理的代表性。本文首先简要介绍了肾脏解剖结构以及用于实现出色可视化的专门CT方法。转化细胞癌,平滑肌肉瘤,肾细胞癌,多房性肾瘤,和淋巴瘤是研究的肾窦病理的肿瘤起源之一。Further,血管病变,包括瘘,血肿,动脉瘤也包括在演讲中,连同肾盂旁和骨盆周围囊肿,和脂肪瘤病.除了尿石症和累及输尿管肾盂炎,这篇综述探讨了金属毒性和非肿瘤性疾病的后果。重点关注有助于提供准确诊断的关键CT成像发现,每一种病理都经过精心检查。为了改善临床决策和患者护理,本文旨在作为放射科医师的宝贵资源,临床医生,和研究人员从事肾窦病理的解释和理解。
    Diverse conditions comprise the spectrum of renal sinus pathologies, which have diagnostic and therapeutic implications for patients. Using CT imaging as a lens, this exhaustive review examines the representation of these pathologies. The article begins with a concise synopsis of renal anatomy and the specialized CT methodologies utilized to achieve excellent visualization. Transformational cell carcinoma, leiomyosarcoma, renal cell carcinoma, multilocular nephroma, and lymphoma are among the tumoral origins of the renal sinus pathologies that are investigated. Further, vascular pathologies including fistulas, hematomas, and aneurysms are included in the discourse, along with parapelvic and peripelvic cysts, and lipomatosis. In addition to urolithiasis and encrusted uretero-pyelitis, the review examines the consequences of metal toxicity and non-neoplastic conditions. With a focus on critical CT imaging findings that aid in the provision of an accurate diagnosis, every pathology is meticulously examined. With the intention of improving clinical decision-making and patient care, this article intends to function as a valuable resource for radiologists, clinicians, and researchers who are engaged in the interpretation and comprehension of renal sinus pathologies.
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