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Objective:To study the effects of different drought conditions on the growth and photosynthetic physiological parameters of Acanthopanax senticosus,in order to provide the theoretical basis for standardized planting and rational development and utilization of A. senticosus. Method:In this study,three-year-old A. senticosus was used as experimental samples. The growth parameters,photosynthetic parameters,and photosynthetic physiological parameters were determined to study the effects of different drought conditions on the growth and photosynthesis of A. senticosus. Result:The plant height and leaf number were significantly lower than the control group under drought stress conditions,and the leaf area was higher than the control group under drought stress. Net photosynthetic rate,stomata conductance and transpiration rate were not significantly different between the control group and the moderate drought stress group. They were significantly decreased in the severe drought stress group,while the intercellular carbon dioxide concentration increased with the severity of drought stress. With the treatment time,the initial fluorescence was higher in the severe drought stress group than in the control group,and the moderate drought stress group was lower than the control group,the maximum fluorescence was significantly lower in the severe drought stress group than in the control group, potential photochemical efficiency and maximum photochemical efficiency were significantly elevated in the moderate drought stress group. Conclusion:Drought stress can significantly inhibit the growth of A. senticosus. Severe drought conditions can significantly inhibit the photosynthesis of A. senticosus leaves. This effect is related to the regulation of stomatal size,but not related to the activity of photoreaction center.
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Objective:To study the effect of different shading conditions on the growth and photosynthetic physiological parameters of Acanthopanax senticosus,and provide a theoretical basis for standardized planting and rational development and utilization of A. senticosus. Method:Three-year-old A. senticosus was used as the experimental sample.The growth parameters and photosynthetic physiological parameters of plant height,leaf number and leaf area were determined to study the effects of different shading conditions on the growth and photosynthesis of A. senticosus. Result:Plant height,leaf number,and leaf area were significantly higher in the shading treatment than in the control group,and highest under moderate shading conditions.The net photosynthetic rate,stomatal conductance,and transpiration rate were significantly higher in the moderate shading group than in the control group,and decreased in the severe shading group,while the intercellular carbon dioxide concentration was significantly lower in the moderate shading group than in the other treatment groups.As the treatment time progressed,the initial fluorescence was not significantly higher in the moderate shading group than in the control group,but significantly higher in the severe shading group;the maximum fluorescence was significantly higher in the shading group than in the control group,in the moderate shading group.The potential photochemical efficiency and maximum photochemical efficiency were not significantly different between the moderate shading group and the control group and decreased in the severe shading group,which was significantly lower than other treatment groups. Conclusion:Shading treatment is beneficial to the growth of A. senticosus.The moderate shading condition can significantly improve the photosynthesis of A. senticosus.Severe shading treatment can significantly inhibit the photosynthesis of A. senticosus leaves.This effect is related to the regulation of stomatal regulation. The activity of the photoreaction center is related.
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PURPOSE: This study aims to analyze the clinical-pathological characteristics of multifocal and multicentric breast cancer (MMBC) in Chinese women. METHODS: Sixty-seven cases with MMBC were randomly collected and reviewed at seven hospitals in representative districts of China during 1999 to 2008. RESULTS: The incidence of MMBC in breast cancer in China was 1.75%. Compared to those with unifocal breast cancer, women with MMBC were more likely to have larger tumor size, lymph node metastasis (59.70% vs. 45.62%) and stage III to IV (46.26% vs. 21.10%). The peak age at onset of MMBC was 40 to 49 years old and has been gradually increasing during 1999 to 2008. Most of the MMBC women were treated with surgery and adjuvant therapy. CONCLUSION: In China, the incidence of MMBC in breast cancer is significantly lower than that in Western countries. Compared to unifocal breast cancer, MMBC is biologically more aggressive. Most MMBC women underwent mastectomy, instead of breast conservation surgery.
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Femenino , Humanos , Pueblo Asiatico , Mama , Neoplasias de la Mama , China , Estudios de Cohortes , Incidencia , Ganglios Linfáticos , Mastectomía , Metástasis de la Neoplasia , Patología Clínica , Estudios RetrospectivosRESUMEN
<p><b>OBJECTIVE</b>To investigate the changes and development of surgical treatment for breast cancer from 1999 to 2008 in China, and compare the differences between the surgical methods used in high-resource and low-resource areas.</p><p><b>METHODS</b>Clinicopathological data of surgical treatment for female primary breast cancer was collected via medical chart review at hospitals in seven geographic areas in China. Chi-square test and chisqure test for linear trends were used to analyze the changes and development of the surgical methods used for breast cancer in the 10 years.</p><p><b>RESULTS</b>A total of 4211 primary breast cancer patients were selected from the 10-year database, including 4078 women (97.5%) treated by surgical operation. Among 3271 women (80.21%) treated with modified radical mastectomy, the surgical rate was rising from 68.89% in 1999 to 80.17% in 2008, ascending by 11.28% (χ(2) = 31.143, P < 0.001). In high-resource areas, the surgical rate of modified radical mastectomy was rising from 45.64% in 1999 to 76.13% in 2008, ascending by 30.49% (χ(2) = 89.393, P < 0.001), while in low-resource areas it kept a steady rate at 80% in the ten years (χ(2) = 2.113,P = 0.146). Among 231 women (5.66%) treated with breast-conserving surgery, the surgical rate was rising from 1.29% in 1999 to 11.57% in 2008, ascending by 10.28% (χ(2) = 102.835, P < 0.001). In high-resource areas, the surgical rate of breast-conserving surgery was rising from 2.68% in 1999 to 16.87% in 2008, ascending by 14.19% (χ(2) = 69.544, P < 0.001), while in low-resource areas it was rising from 0.42% in 1999 to 6.22% in 2008, ascending by 5.80% (χ(2) = 30.003, P < 0.001). Among 469 women (11.50%) treated with Halsted radical mastectomy, the surgical rate was declining from 28.28% in 1999 to 4.96% in 2008, descending by 23.32% (χ(2) = 206.202, P < 0.001). In high-resource areas, the surgical rate of Halsted radical mastectomy was declining from 50.34% in 1999 to 3.29% in 2008, descending by 47.05% (χ(2) = 274.830, P < 0.001), while in low-resource areas it was declining from 14.58% in 1999 to 6.64% in 2008, descending by 7.94% (χ(2) = 8.166, P = 0.004). Among 3786 women treated with breast mastectomy (including modified radical mastectomy and Halsted radical mastectomy), the surgical rate was declining from 98.46% in 1999 to 86.36% in 2008, descending by 12.10% (χ(2) = 95.744, P < 0.001). In high-resource areas, the surgical rate of breast mastectomy was declining from 96.64% in 1999 to 80.66% in 2008, descending by 15.98% (χ(2) = 53.446, P < 0.001), while in low-resource areas it was declining from 99.58% in 1999 to 92.12% in 2008, descending by 7.46% (χ(2) = 36.758,P < 0.001).</p><p><b>CONCLUSIONS</b>The main primary surgical treatment for breast cancer is modified radical mastectomy during the period 1999 - 2008. Halsted radical mastectomy is gradually replaced by modified radical mastectomy and breast-conserving surgery. The rate of changes for breast-conserving surgery and mastectomy is higher in high-resource areas than that in low-resource areas. Breast-conserving surgery will become the main treatment for early-stage breast cancer.</p>
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Femenino , Humanos , Neoplasias de la Mama , Economía , Patología , Cirugía General , Carcinoma Ductal de Mama , Economía , Patología , Cirugía General , Distribución de Chi-Cuadrado , China , Mastectomía , Métodos , Mastectomía Radical Modificada , Mastectomía Radical , Mastectomía Segmentaria , Estadificación de Neoplasias , Estudios Retrospectivos , Factores SocioeconómicosRESUMEN
<p><b>OBJECTIVE</b>To explore the clinical characteristics, diagnosis and therapy of thyroid carcinoma in children.</p><p><b>METHODS</b>Clinical data of 12 children under the age of 14 years, diagnosed as thyroid carcinoma between August 1998 and August 2008, were reviewed.</p><p><b>RESULTS</b>A hard thyroid mass was observed in 10 out of 12 children with thyroid carcinoma, but only one out of 15 children with benign thyroid tumor (<0.05). The rate of cervical lymph node metastasis in children with thyroid carcinoma was significantly higher than that in children with benign thyroid tumor (<0.05). There was no significant difference in the final diagnostic rate of thyroid carcinoma between ultrasonography and CT scans (75% vs 83%; >0.05). All of 12 cases were pathologically confirmed as differentiated thyroid carcinoma, including papillary carcinoma (7 cases), follicular carcinoma (3 cases) and papillary-follicular carcinoma (2 cases). Nine patients (75%) had cervical lymph node metastasis. All patients received surgical treatment and postoperative thyroxin therapy. No patient was administered with postoperative radioiodine 131I therapy. Unilateral lobectomy plus isthmectomy along with a functional cervical lymph node dissection was a primary operation mode (83%). The follow-up period was 2 months to 10 years. The 5-and 10-year survival rates were 100%.</p><p><b>CONCLUSIONS</b>Childhood thyroid carcinoma is mostly differentiated and characterized by hard thyroid mass and cervical lymph node metastasis. A combination of ultrasonography and CT is helpful to the diagnosis of childhood thyroid carcinoma. The treatment outcome may be satisfactory by optimal therapy in children with thyroid carcinoma.</p>
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Adolescente , Niño , Femenino , Humanos , Masculino , Estudios de Seguimiento , Radioisótopos de Yodo , Usos Terapéuticos , Complicaciones Posoperatorias , Neoplasias de la Tiroides , Diagnóstico , Cirugía General , Tomografía Computarizada por Rayos XRESUMEN
<p><b>OBJECTIVE</b>To evaluate the efficacy and safety of Pseudomonas aeruginosa MSHA (PA-MSHA) vaccine combined with TAC scheme in the treatment of breast carcinoma.</p><p><b>METHODS</b>A non-blinded, randomized, controlled trial was conducted between January 2008 and June 2008 among 60 patients with breast carcinoma. The patients were randomized into control group (30 cases) with neoadjuvant chemotherapy and PA-MSHA group (30 cases) with PA-MSHA treatment in addition to neoadjuvant chemotherapy. The therapeutic effect, adverse effects, surgical approaches, postoperative complications and cost-effectiveness in both groups were analyzed before and after the treatment.</p><p><b>RESULTS</b>The response rate in PA-MSHA group were significantly higher than that in the control group at 2, 3, and 4 weeks after neoadjuvant chemotherapy (P<0.05). The Karnofsky scores underwent no significant changes in PA-MSHA group after the chemotherapy, but significantly reduced in the control group (P<0.05). The incidence and severity of the toxic reactions and the rates of subcutaneous fluid, skin flap necrosis and infection in PA-MSHA group were significantly lower than those in the control group. The rate of operation following two neoadjuvant chemotherapy sessions was significantly higher in PA-MSHA group than in the control group. The cost of neoadjuvant chemotherapy for a 1% increment of the response rate was also significantly lower in PA-MSHA than in the control group.</p><p><b>CONCLUSION</b>PA-MSHA vaccine combined with TAC scheme can significantly enhance the therapeutic effect of breast carcinoma, lowers the rate of postoperative complications, and improve the efficacy of chemotherapy.</p>
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Adolescente , Adulto , Anciano , Femenino , Humanos , Persona de Mediana Edad , Adulto Joven , Protocolos de Quimioterapia Combinada Antineoplásica , Usos Terapéuticos , Neoplasias de la Mama , Terapéutica , Vacunas contra el Cáncer , Usos Terapéuticos , Ciclofosfamida , Usos Terapéuticos , Doxorrubicina , Usos Terapéuticos , Terapia Neoadyuvante , Métodos , Pseudomonas aeruginosa , Alergia e Inmunología , Taxoides , Usos TerapéuticosRESUMEN
<p><b>OBJECTIVE</b>To study the difference in the expression of VEGF, bFGF and their receptors between young and postmenopausal women with breast cancer.</p><p><b>METHODS</b>The expression of VEGF, FLK-1, bFGF and FLG in 40 young and 30 postmenopausal women with breast cancer was studied by immunohistochemical method (SABC), with its relation with axillary lymph node metastasis and the clinical and pathologic characteristics. The expression index between these two groups was compared.</p><p><b>RESULTS</b>The positive axillary lymph node rate and the mean expression of VEGF, bFGF in the young group were higher than postmenopausal group (P < 0.01 and P < 0.05), respectively. The mean expression of VEGF, bFGF, FLK-1 and FLG of axillary lymph node positive patients was higher than the negative ones both in young and postmenopausal women groups (P < 0.05 and P < 0.01). There was also a significant difference in VEGF, bFGF, FLK-1, FLG and MVC between the stage 0 - II and stage III - IV (P < 0.05 and P < 0.01) in both groups.</p><p><b>CONCLUSION</b>Breast cancer angiogenesis, characterized by the high expression of VEGF and bFGF, is directly correlated with the high tumor aggressiveness in the young women.</p>