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1.
Chinese Journal of Lung Cancer ; (12): 287-290, 2022.
Article in Chinese | WPRIM | ID: wpr-928810

ABSTRACT

Immune checkpoint inhibitors (ICIs) have become an important means of cancer treatment, and their application in the clinic is becoming more and more widespread. The adverse reactions caused by ICIs are gradually recognized. Among them, immunotherapy-related diabetes is a rare adverse reaction and type 1 diabetes mellitusis common. With the wide application of ICIs combined with chemotherapy in lung cancer patients, patients with type 2 diabetes mellitus have gradually been discovered during the treatment. However, the effect of continued use of ICIs maintenance therapy on blood glucose and ICIs treatment process in these patients is still unclear. This article reports two cases of type 2 diabetes mellitus induced by immune checkpoint inhibitor combined with chemotherapy, one of whom converted to type 1 diabetes mellitus, in order to increase the understanding of immunotherapy-related diabetes.
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Subject(s)
Diabetes Mellitus, Type 2/drug therapy , Humans , Immune Checkpoint Inhibitors , Immunotherapy/adverse effects , Lung Neoplasms/therapy , Molecular Targeted Therapy
2.
Article in Chinese | WPRIM | ID: wpr-772331

ABSTRACT

Tyrosine kinase inhibitor (TKI) have been proved to be effective in the treatment of advanced non-small cell lung cancer (NSCLC) patients with epidermal growth factor receptor (EGFR) sensitive mutation, which is superior to chemotherapy. However, there are still some patients with sensitive mutations have primary drug resistance. It may be related to the coexistence of susceptible and resistant mutations of EGFR gene, downstream mutations of EGFR pathway, MET amplification and BIM deletion polymorphism. We present 2 cases of primary drug resistance and analyze the reasons.
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Subject(s)
Carcinoma, Non-Small-Cell Lung , Diagnostic Imaging , Drug Therapy , Genetics , Disease Progression , Drug Resistance, Neoplasm , Genetics , ErbB Receptors , Genetics , Fatal Outcome , Humans , Lung Neoplasms , Diagnostic Imaging , Drug Therapy , Genetics , Male , Middle Aged , Mutation , Protein Kinase Inhibitors , Therapeutic Uses , Treatment Outcome
3.
Chinese Journal of Lung Cancer ; (12): 458-462, 2018.
Article in Chinese | WPRIM | ID: wpr-772417

ABSTRACT

BACKGROUND@#Malignant pleural effusion (MPE) refers to pleural effusion which arises from primary malignant tumor of pleura or other pleural metastatic tumors. Injection of elemene in chest makes good effect on the treatment of MPE, and is widely used in clinic. Adverse effects also exist, but the severe adverse effects and relevant managements are rarely reported. The aim of this study is to observe the adverse reactions induced by the treatment of malignant pleural effusion through elemene injection and to explore the solutions.@*METHODS@#A retrospective analysis was made on 14 cases of patients receiving intra-pleural injections with elemene, and the incidence of severe adverse reactions of 7 cases were disscussed in detail.@*RESULTS@#Most of the severe adverse reactions caused by elemene were severe chest pain, dyspnea, wheezing, clouding of consciousness and coagulopathy.@*CONCLUSIONS@#Strict screening, full preprocessing and close monitoring are necessary to prevent serious adverse reactions caused by elemene injection in the treatment of malignant pleural effusion.


Subject(s)
Aged , Female , Humans , Injections , Male , Middle Aged , Pleural Effusion, Malignant , Drug Therapy , Retrospective Studies , Sesquiterpenes , Therapeutic Uses , Thorax
4.
Chinese Journal of Lung Cancer ; (12): 800-804, 2018.
Article in Chinese | WPRIM | ID: wpr-772361

ABSTRACT

BACKGROUND@#Chemotherapy is the most important method for cancer treatment. However, chemotherapy induced nausea and vomiting (CINV) has a profound effect on patients. In recent years, there have been new antiemetic drugs, such as aprepitant. We review the curative effect of aprepitant with tropisetron and dexamethasone for prevention of nausea and vomiting in patients receiving Cisplatin chemotherapy.@*METHODS@#Observation is divided into three stages. Whole study phase (0-120 h after chemotherapy administration), acute phases (0-24 h), and delayed phase (24 h-120 h). The primary endpoints were complete response (CR) and complete prevention (CP) during the three different study phase.@*RESULTS@#In the whole study phase, 86.02% of patients achieved CR; in acute phases and delayed phases were 89.25%, 87.1%, respectively. CP were 46.22%, 83.87%, 45.16%, respectively. Anti-CINV effect was significantly associated with age distribution (P=0.008).@*CONCLUSIONS@#Aprepitant with tropisetron and dexamethasone prevented effectively CNIV for patients receiving Cisplatin chemotherapy. This combination could improve the quality of life and the compliance of patient with chemotherapy.


Subject(s)
Adult , Aged , Aged, 80 and over , Antineoplastic Agents , Aprepitant , Cisplatin , Female , Humans , Male , Middle Aged , Morpholines , Pharmacology , Nausea , Quality of Life , Vomiting
5.
Article in Chinese | WPRIM | ID: wpr-678085

ABSTRACT

Objective To investigate the imaging diagnosis of acetabular dysplastic coxarthrosis. Method The imaging of the acetabular dysplasia was analyzed in 51 patients (87 hips). All but four patients were women. The age ranged from 22 to 78 years, and the mean age was 42.6 years. Pelvis radiographs were studied in all cases, and CT scan was performed in 18 cases and MRI in 10 cases. Results The fundamental signs on the plain film included shallow acetabulum, increased obliquity and insufficient coverage of the femoral head by the acetabulum. The CE angles were determined in all the cases, ranging from -10? to 30?, mean 12.9?. The charp angles ranged from 35? to 67?, mean 45.3?. The secondary osteoarthritis were revealed in 75 hips (84.2%). 54 hips (62.1%) had cyst like lesions in weight bear area of the acetabulum or femoral head. 19 hips had subluxation of femoral head. CT and MRI displayed small cystlike lesions and forward shift of the femoral head, which could not be shown on plain film, respectivly in 13 and 10 hips. Conclusion The cyst like lesion of subarticular region is a common sign in acetabular dysplastic coxarthrosis. CT or MRI can show the early osteolytic lesion and forward subluxations.

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