Correlation of tubal sterilization with endometrial hyperplasia and endometrial carcinoma / 肿瘤研究与临床

Objective To investigate the relationship between tubal sterilization and endometrial hyperplasia and endometrial cancer. Methods The clinical data of 4 987 peoples with diagnostic curettage in Datong, Shanxi Province from January 2008 to January 2017 were retrospectively analyzed. According to the pathological type, 2 891 cases were in abnormal endometrium group (simple hyperplasia, complex hyperplasia, and atypical hyperplasia, endometrial cancer) (experimental group) and 2 096 cases were in normal endometrium group (proliferative endometrium, secretory endometrium, atrophic endometrium) (control group). The relationship between tubal sterilization and endometrial hyperplasia and endometrial cancer was analyzed. Results The proportion of age, education level, sterilization, duration of sterilization and menopausal years were significantly different between the two groups (χ2values were 36.47, 15.05, 33.11, 34.50, 5.19, all P< 0.05). There was no significant difference in the other variables (all P> 0.05). Multivariate Logistic regression analysis showed that age ≥60 years (OR= 5.64, 95 % CI 1.42-16.08, P=0.012), sterilization (OR= 4.76, 95 % CI 1.31-12.69, P = 0.015), duration of sterilization ≥10 years (OR= 15.58, 95 % CI 2.05-118.54, P= 0.008) were high risk factors for endometrial abnormalities. Conclusions Tubal sterilization is a risk factor for the development of endometrial hyperplasia and endometrial cancer.The postoperative patients should be strengthened anti-cancer census.

Clinical comparison between double primary carcinoma of ovary or endometrium and ovarian metastasis in endometrial cancer / 肿瘤研究与临床

Objective To investigate the clinical and pathologic features, and prognosis of patients with double primary carcinoma of ovary or endometrium and ovarian metastasis in endometrial cancer. Methods The clinical pathological data of 23 female patients with double primary carcinoma of ovary or endometrium (group A), and 25 female patients with ovarian metastasis in endometrial cancer (group B) from Shanxi Province Tumor Hospital from January 2008 to January 2015 were analyzed retrospectively. Chi-square test was used to compare the count data. Results The results showed significant differences in the morbidity before and after menopause, the primal symptom, the type and grade of pathology, the invasion of myometrium, seroperitoneum and lymphatic metastasis between the two groups (P< 0.05). There was no significant difference in CA125, HE4 and involvement of cervix (P>0.05). There was no obvious advantage of CA125 and HE4 in identifying the double primary carcinoma of ovary or ovarian metastasis in endometrial cancer (P> 0.05). The significant difference was not found in the involvement of cervix of both groups. Conclusions The significant difference in the clinical and pathologic features between the two groups plays a key role in the preoperation diagnosis and treatment guiding . The prognosis of double primary carcinoma of ovary or endometrium is better than that of ovarian metastasis in endometrial cancer.

Clinical comparison between double primary carcinoma of ovary or endometrium and ovarian metastasis in endometrial cancer / 肿瘤研究与临床

Objective To investigate the clinical and pathologic features, and prognosis of patients with double primary carcinoma of ovary or endometrium and ovarian metastasis in endometrial cancer. Methods The clinical pathological data of 23 female patients with double primary carcinoma of ovary or endometrium (group A), and 25 female patients with ovarian metastasis in endometrial cancer (group B) from Shanxi Province Tumor Hospital from January 2008 to January 2015 were analyzed retrospectively. Chi-square test was used to compare the count data. Results The results showed significant differences in the morbidity before and after menopause, the primal symptom, the type and grade of pathology, the invasion of myometrium, seroperitoneum and lymphatic metastasis between the two groups (P< 0.05). There was no significant difference in CA125, HE4 and involvement of cervix (P>0.05). There was no obvious advantage of CA125 and HE4 in identifying the double primary carcinoma of ovary or ovarian metastasis in endometrial cancer (P> 0.05). The significant difference was not found in the involvement of cervix of both groups. Conclusions The significant difference in the clinical and pathologic features between the two groups plays a key role in the preoperation diagnosis and treatment guiding . The prognosis of double primary carcinoma of ovary or endometrium is better than that of ovarian metastasis in endometrial cancer.

Observation of Clinical Efficacy of Dong’s Pushing Epiglottis Cartilage Method for the Treatment of Children Food Retention / 中国中医药信息杂志

Objective To observe the clinical efficacy of Dong’s Pushing Epiglottis Cartilage Method for the treatment of children food retention through randomized, parallel and controlled clinical trial.Methods Totally 72 children diagnosed with children food retention were randomly divided into treatment group and control group, 36 cases for each group. Children of the treatment group were treated with Dong’s Pushing Epiglottis Cartilage Method, while children of the control group were treated with acupuncture Four Seam. The clinical symptoms, gastric half-emptying time and antral contraction frequency of the two groups before and after the treatment were compared. Results After treatment, integral of clinical symptom in both groups were obviously improved compared with before treatment (P0.05). After treatment, gastric half-emptying time and antral contraction frequency of the both groups were obviously improved, with significant difference (P0.05). The total effectiveness of the treatment group was 97.2% (35/36) and the control group was 94.4% (34/36), with no significantly difference (P>0.05).Conclusion Dong’s Pushing Epiglottis Cartilage Method has relatively good clinical efficacy for the treatment of children food retention.

Expressions of human papillomavirus L1 and human telomerase RNA component gene in high-risk types of human papillomavirus positive cervical exfoliated cells / 肿瘤研究与临床

Objective To evaluate the significance of human papillomavirus L1 capsid protein (HPVL1) and human telomerase RNA component (hTERC) gene in the cytologic specimens of cervix which was infected by the high-risk types of human papillomavirus (HR-HPV),and to expose their relationship with cervical lesions.Methods The fluorescence signal of cytologic samples of cervix were detected by interphase FISH in chromosome enumeration double-color DNA probes TERC.The expression of HPVL1 capsid protein was detected by MaxVision immunohistochemistry method.300 samples were analyzed with HR-HPV positive from the cervical biopsy.The diagnoses as normal or chronic inflammation (n =45),cervical intraepithelial lesions Ⅰ grade (CIN Ⅰ,n =95),CIN Ⅱ (n =58),CIN Ⅲ (n =64),and squamous cervical cancer (SCC,n =37).Results The percentage of HPVL1 positive rates in normal or chronic inflammation,CIN Ⅰ,CIN Ⅱ,CIN Ⅲ and SCC groups were 58.70 ％ (27/46),63.16 ％ (60/95),37.93 ％ (22/58),10.94 ％ (7/64) and 0 (0/37),respectively.The percentage of HPVL1 decreased along with the increase of severity of the cervical intraepithelial lesions.Genomic amplification of hTERC positive rates in normal or chronic inflammation,CIN Ⅰ,CIN Ⅱ,CIN Ⅲ and SCC groups were 6.52 ％ (3/46),11.58 ％ (11/95),51.72 ％ (30/58),85.94 ％ (55/64) and 100.00 ％ (37/37),respectively.The percentage of hTERC increased along with the severity of the cervical intraepithelial lesions (rs =0.302,P ＜ 0.01).The percentage of HPVL+/hTERC-was 57.89 ％ in CIN Ⅰ group and 4.69 ％ in CIN Ⅲ group.The percentage of HPVL-/hTERC+ was 6.32 ％ in CIN Ⅰ group and 79.69 ％ in CIN Ⅲ group.Conclusion The detection of HPVL1 and hTERC are important for assisting cervical lesions screening and monitoring of disease progression in the HR-HPV positive cytologic specimens.

Contrast of efficacy between floxuridine and 5-fluorouracil for gestational trophoblastic tumor / 肿瘤研究与临床

Objective To compare the efficacy and adverse reactions between floxuridine (FUDR) and 5-fluorouracil (5-Fu) treatment of gestational trophoblastic tumor.Methods 111 trophoblastic tumor patients of Ⅱ-Ⅲ stage including 62 cases of in vasive mole and 49 cases of choriocarcinoma were analyzed retrospectinely.The patients were divided into FUDR+KSM group (55 cases) and 5-Fu+KSM group (56 cases).FUDR was according to 23 mg/kg·d phleb instillation,keeping 8 hours,KSM was according to 6 μg/kg·d phleb instillation,keeping 4 hours.5-Fu was according to 26 mg/kg·d phleb instillation,keeping 8 hours.KSM was according to 6 μg/kg·d phleb instillation,keeping 4 hours.Both the two programs were 8 days.Results The cure rate was 98 ％ (54/55) in FUDR+DSM group,and that was 96 ％ (54/56) in 5-Fu+KSM group.The incidence rates of phlebophlogosis,dental ulcer and alopecie in the FUDR+KSM group were obviously lower than those in 5-Fu+KSM group [29.1％ (16/55) vs 85.7 ％ (48/56),54.5 ％ (30/55) vs 98.2 ％(55/56),21.8 ％ (12/55) vs 89.3 ％ (50/56),all P ＜ 0.05].Both the FUDR+KSM group and the 5-Fu+KSM group bad significant differences at phlebophlogosis dental ulcer and alopecie in Ⅲ stages.Conclusion The curative effect of the FUDR is aimilar with the 5-Fu,but the drug consumption of the FUDR is less.The incidence rates of dental ulcer,alopecie,and phlebophlogosis are less,but myelosuppression and alvi profluvium are rcscmble between the two sets.

The role of a single nucleotide polymorphism in MMP-1 and MMP-3 in carcinoma / 肿瘤研究与临床

Matrix Metalloproteinases is one of the critical enzymes that produce great influence during tumour invasion and metastasis. Single nucleotide polymorphism is single basic group changed at chromosome DNA sequence in certain site. MMP-1 promotor gene additional inserts guanopterin G at site -1607bp. In the tumor crowd, 2G homozygote has higher proportion. MMP-3 promoter region has a single adenine mononucleotide polymorphism site at -1171bp. MMP-3 5A genetype may increase the risk of lymphatic metastasis and have certain correlation with susceptibility