Risk factors analysis for pleural invasion in small nodular typeⅠA lung adenocarcinoma / 中国胸心血管外科临床杂志

@#Objective    To explore and analyze the risk factors of pleural invasion in patients with small nodular type stage ⅠA pulmonary adenocarcinoma. Methods    From June 2016 to December 2017, 168 patients with small nodular type stage ⅠA pulmonary adenocarcinoma underwent surgical resection in the First Affiliated Hospital of Nanjing Medical University. There were 59 males and 109 females aged 58.7±11.5 years ranging from 28 to 83 years. The clinical data were analyzed retrospectively. Single factor Chi-square test and multivariate logistic regression were used to analyze the independent risk factors of pleural invasion. Results    Among 168 patients, 20 (11.9%) were pathologically confirmed with pleural invasion and 148 (88.1%) with no pleural invasion. Single factor analysis revealed significant differences (P<0.05) in nodule size, nodule status, pathological type, relation of lesion to pleura (RLP), distance of lesion to pleura (DLP), epidermal growth factor receptor (EGFR) mutation between patients with and without pleural invasion in stage ⅠA pulmonary adenocarcinoma. Logistic multivariate regression analysis showed that significant differences of nodule size, nodule status, RLP, DLP and EGFR mutation existed between the two groups (P<0.05), which were independent risk factors for pleural invasion. Conclusion    Imageological-pathological-biological characteristics of patients with small nodular type stage ⅠA pulmonary adenocarcinoma are closely related to pleural invasion. The possibility of pleural invasion should be evaluated by combining these parameters in clinical diagnosis and treatment.

Hepatic Resection Combined with Radiofrequency Ablation versus Hepatic Resection Alone for Multifocal Hepatocellular Carcinomas: A Meta-analysis / 华中科技大学学报（医学）（英德文版）

This meta-analysis aimed to comprehensively assess the efficacy and safety of hepatic resection combined with radiofrequency ablation versus hepatic resection (HR) alone for the treatment of multifocal hepatoeellular carcinomas (HCC).A literature search was conducted from the database including MEDLINE,Embase,Cochrane Central Register of Controlled Trials (CENTRAL) and China Biology Medicine (CBM) disc.The primary outcomes included the 1-,3-,5-year overall survival (OS) and disease-free survival (DFS) rate.The secondary outcomes contained the intraoperative parameters and postoperative adverse events (AEs).These parameters were all analyzed by RevMan 5.3 software.After carefully screening relevant studies,four retrospective studies of high quality involving 466 patients (197 in the combined group and 269 in the HR group) were included in this study.The pooled results showed that the 1-,3-,5-year OS rate in the combined group were comparable with those in the HR group (OR=0.77,0.96,0.88;P=0.33,0.88,0.70,respectively).Similarly,there was no significant difference in 1-,3-,5-year DFS rate between the combined group and the HR alone group (OR=0.57,0.83,0.72;P=0.17,0.37,0.32,respectively).And the intraoperative parameters and postoperative AEs were also comparable between the above two cohorts.However,two included studies reported that tumor often recurred in the ablation site in the combined group.The present meta-analysis indicated that the HR combined with RFA could reach a long-term survival outcome similar to curative HR for multifocal HCC patients.And this therapy may be a promising alternative for these patients with marginal liver function or complicated tumor distribution.Furthermore,high quality randomized controlled trials (RCTs) are imperative to verify this conclusion.

Diversity and aboveground biomass of lianas in the tropical seasonal rain forests of Xishuangbanna, SW China

Lianas are important components of tropical forests and have significant impacts on the diversity, structure and dynamics of tropical forests. The present study documented the liana flora in a Chinese tropical region. Species richness, abundance, size-class distribution and spatial patterns of lianas were investigated in three 1-ha plots in tropical seasonal rain forests in Xishuangbanna, SW China. All lianas with = 2 cm diameter at breast height (dbh) were measured, tagged and identified. A total of 458 liana stems belonging to 95 species (ranging from 38 to 50 species/ha), 59 genera and 32 families were recorded in the three plots. The most well-represented families were Loganiaceae, Annonceae, Papilionaceae, Apocynaceae and Rhamnaceae. Papilionaceae (14 species recorded) was the most important family in the study forests. The population density, basal area and importance value index (IVI) varied greatly across the three plots. Strychnos cathayensis, Byttneria grandifolia and Bousigonia mekongensis were the dominant species in terms of IVI across the three plots. The mean aboveground biomass of lianas (3 396 kg/ha) accounted for 1.4% of the total community aboveground biomass. The abundance, diversity and biomass of lianas in Xishuangbanna tropical seasonal rain forests are lower than those in tropical moist and wet forests, but higher than those in tropical dry forests. This study provides new data on lianas from a geographical region that has been little-studied. Our findings emphasize that other factors beyond the amount and seasonality of precipitation should be included when considering the liana abundance patterns across scales. Rev. Biol. Trop. 57 (1-2): 211-222. Epub 2009 June 30.

Las lianas son componentes importantes de los bosques tropicales y tienen importantes impactos en la diversidad, la estructura y la dinámica de los bosques tropicales. El presente estudio documenta la flora de lianas en una región tropical estacional china. La riqueza de especies, abundancia, clases de tamaño y patrones espaciales de distribución de las lianas fueron investigados en tres parcelas de una hectárea de bosque tropical estacional lluvioso, en Xishuangbanna, SW China. Todas las lianas con = 2 cm de diámetro a la altura del pecho (DAP) fueron medidas, etiquetadas e identificadas. Un total de 458 tallos de lianas pertenecientes a 95 especies (que van de 38 a 50 especies/ha), 59 géneros y 32 familias se registraron en las tres parcelas. Las familias mejor representadas fueron Loganiaceae, Annonceae, Papilionaceae, Apocynaceae y Rhamnaceae. Papilionaceae (14 especies registradas) fue la de mayor importancia. La densidad de población, área basal y el índice de valor de importancia (IVI) varió mucho a través de las tres parcelas. Strychnos cathayensis, Byttneria grandifolia y Bousigonia mekongensis fueron las especies dominantes en términos de IVI en las tres parcelas. La media de la biomasa aérea de lianas (3 396 kg/ha) representó el 1.4% de la biomasa aérea total de la comunidad. La abundancia, biomasa y diversidad de lianas en bosques tropicales estacionales de Xishuangbanna son inferiores a los de zonas tropicales y bosques húmedos, pero superiores a los de los bosques tropicales secos. Este estudio proporciona nuevos datos sobre las lianas de una región geográfica que ha sido poco estudiada. Los resultados enfatizan que otros factores, además de la cantidad y la estacionalidad de la precipitación, deben ser considerados al examinar los patrones de la abundancia de lianas.