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Objective: This study aims to analyze the therapeutic effect and prognostic factors of carcinoma of parotid gland (CPG). Methods: Data on 103 CPG patients were retrospectively analyzed. The patients were divided into the simple surgery group (Group One) and post-operative radio-chemotherapy group (Group Two). Kaplan-Meier survival analysis, Log-rank test, and Cox re-gression analysis were employed to analyze the five-year overall survival. Chi-square test was applied to compare the local control rate and recurrence-free survival. Logistic regression analysis was used to determine the correlation between all factors and the local control rate. Results:For all patients, the five-year local control rate, five-year recurrence-free survival rate, and five-year overall survival rate were 71.49%, 69.61%, and 76.10%respectively. The five-year local control ratio (81.96%vs. 61.90%), five-year recurrence-free surviv-al (78.69%vs. 59.52%), and five-year overall survival (88.12%vs. 68.50%) were significantly improved in Group Two compared with Group One. The logistic regression analysis showed that the therapeutic method, T staging, as well as pN(+) neck and tumor differentia-tion were significantly correlated to the five-year local control rate and five-year recurrence-free survival (P<0.01). Cox regression anal-ysis showed that therapeutic method, T stage, as well as pN(+) neck and tumor differentiation were significantly correlated to the five-year overall survival (P<0.01). Conclusion:Post-operative radio-chemotherapy can improve the local control and overall survival rates. This therapeutic method is applicable to patients with T3-4 tumors, as well as pN(+) neck and middle-low differentiation.
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Objective To evaluate the efficacy of intraperitoneal hyperthcrmic chemoperfusion in combination with interleukin 2 in the treatment of malignant ascites.Methods A total of 47 patients aged 47-75 years with malignant ascites were randomly divided into two groups:the experimental group and the control group.All patients received a closed drainage and were treated with paclitaxel liposome,cisplatin (DDP),interleukin-2 and dexamethasone by intraperitonealinfusion.Patients were asked to change the body position.In addition,the patients in experimental group were received the high frequency hyperthermia immediately at a temperature of 42℃ to 43℃ for 90 minutes.Results The remission rate (RR) was higher in the experimental group than in the control group (75.0 ％ vs.43.5％,x2 =4.85,P＜0.05).The median survival time (MST) was longer in the experimental group than in the control group (34 weeks vs.21 weeks,P＜0.05).There were no significant differences in adverse reaction incidences between groups (P ＞ 0.05).Conclusions Compared with intraperitoneal chemoperfusion alone,the intraperitoneal hyperthermic chemoperfusion has a higher RR and longer MST with no increased adverse reaction incidence,which can be in the clinical application.
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Objective Potential roles of the C-ERBB_(2) protooncogene in mouse oocyte maturation and in conducting Epidermal Growth Factor(EGF) promoteing mouse oocyte maturation in vitro were investigated.Methods This research used mouse oocyte culture model and RT-PCR method to study the effects of both(C-ERBB_(2) and EGF(on mouse) oocyte maturation in vitro,and the potential role of the C-ERBB_(2)protooncogene on EGF effect.Results(C-ERBB_(2) ASODN inhibited germinal vesical breakdown(GVBD) and the first polar(PBⅠ) extrusion of denuded(oocytes(DOs) in a dose-dependent and time-dependent way,and delayed their maturation significantly.C-ERBB_(2) ASODN also inhibited the effect of EGF on oocyte maturation in a time-dependent way.In GVBD oocytes,RT-PCR showed that C-ERBB_(2) mRNA was expressed in oocytes and the level of (C-ERBB_(2) mRNA) was the highest in(EGF treated) group,midst in EGF+c-erbB_2ASODN treated group,and lowest in C-ERBB_(2) ASODN treated group.Conclusion C-ERBB_(2) exists in the oocyte and has promoting effect on oocyte maturation in vitro.EGF plays a rolein inducing denuded oocyte maturation through up-regulating C-ERBB_(2)expression of oocyte.Interfering C-ERBB_(2) expression can reduce the effect of EGF on oocyte maturation.