west china medical publishers
Author
  • Title
  • Author
  • Keyword
  • Abstract
Advance search
Advance search

Search

find Author "常栋" 2 results
  • 直径≤3 cm的周围型肺腺癌淋巴结转移分析

    摘要: 目的 探讨原发性周围型小肺腺癌(直径≤3cm)淋巴结转移的规律,为治疗方案的制定提供参考。 方法 自1990年1月至2009年1月期间,首都医科大学附属北京友谊医院胸外科手术治疗肿瘤最大径(CT测量)≤3 cm的周围型原发性肺腺癌288例,其中男223例,女65例;年龄30~73岁。288例患者诊断均经病理检查证实,临床诊断淋巴结转移的标准为最小直径大于1.0 cm(CT)。手术方式:肺叶切除术264例,肺袖式切除术22例,肺楔形切除术2例;纵隔淋巴结清扫方式为系统纵隔淋巴结清扫或采样。 结果 288例中发生淋巴结转移142例(49.30%),其中术后分期为N1 90例(31.25%),N2 52例(18.06%)。不同原发部位的淋巴结转移率:右肺46.67%(77/165),左肺56.10%(69/123);肿瘤直径小于1 cm者淋巴结转移率为22.22%(2/9),1~2 cm之间者为39.44%(28/71),2~3 cm之间者为53.84%(112/208),三者间比较差异有统计学意义(Plt;0.01)。直径小于1 cm者未发现N2转移,1~2 cm之间者N2阳性率为14.08%(10/71),2~3 cm之间者N2阳性率为20.19%(42/208),三者间比较差异有统计学意义(χ2=20.01,Plt;0.01)。 结论 周围型小肺腺癌肺门及纵隔淋巴结转移常见,尤其是右肺上叶肺癌。直径大小对腺癌淋巴结转移发生率有明显的影响,但即便直径小于2 cm,淋巴结转移仍有很大的风险。术前应尽可能获得准确的N分期,如不能在术前确定N分期,对直径1 cm以上的肺腺癌术中应常规进行纵隔淋巴结清扫,否则难以获得准确的分期,亦难以达到根治性切除。

    Release date:2016-08-30 06:02 Export PDF Favorites Scan
  • Inhibitory effect of stomatin-like protein 2 (SLP-2) on growth of transplanted tumor of esophageal squamous cell carcinoma in nude mice

    Objective To observe the growth of orthotopic transplanted tumor in nude mice after stomatin-like protein 2 (SLP-2) expression decreased, and to further study the role of SLP-2 in the development and progression of esophageal squamous cell carcinoma. Methods Using RNA interference technique, esophageal squamous cell carcinoma cell lines with specific expression of SLP-2 and stable expression of luciferase were established. The healthy female nude mice with weight ranging from 19 to 22 g were randomly divided into 3 groups (n=12), 6 mice were used to establish subcutaneous xenografts, and the other 6 mice were used to establish the orthotopic transplanted tumor model (Group 1: cell infected with SLP-2-1 plasmid; group 2: cell infected with SLP-2-2 plasmid; group 3: cell infected with SHGFP plasmid). Index of the experiment end was weight loss and poor general situation in any mouse. Before the nude mice were sacrificed, the luciferase value of the tumor was detected by using in vivo imaging technique. After the nude mice were sacrificed, the primary tumor was removed for pathology examination. Results There was no significant difference in region of interest (ROI) value between the group 1 and group 2 (P=0.943). The ROI value for both groups 1 and 2 was significantly lower than that in the group 3 (P=0.002, P=0.000). The primary tumor infiltrated into the muscularis propria of esophageal was observed in all groups. Conclusion SLP-2 is involved in the development and progression of esophageal squamous cell carcinoma, and the decrease of SLP-2 expression can inhibit the growth of esophageal squamous cell carcinoma.

    Release date:2018-09-25 04:15 Export PDF Favorites Scan
1 pages Previous 1 Next

Format

Content