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1.
Eur Rev Med Pharmacol Sci ; 23(16): 7016-7023, 2019 Aug.
Article in English | MEDLINE | ID: mdl-31486502

ABSTRACT

OBJECTIVE: Kinesin superfamily member 4 (Kif4), a conventional kinesin, is a microtubule-dependent molecular motor. The active movement of Kif4 participates in several cellular functions, including DNA repair, mitosis, the transport of macromolecules, survival of neurons and even tumorigenesis and progression. However, the role of Kif4 in monocyte/macrophage cells has not been reported. Our work aimed to increase understanding and further investigations of Kif4 in monocyte/macrophage cells. MATERIALS AND METHODS: RAW264.7 cells were transfected with Kif4 small interfering RNA (siRNA), and whole genome expression microarray analysis was employed to analyze gene expression after cells treatment with or without Kif4 siRNA. RESULTS: Our data found multiple differentially expressed genes which were enriched in the top 5 biological processes about innate immune response, immune response, response to interferon-beta, immune system process and cellular response to interferon-beta. 23 most significant pathways had been identified and enriched pathways indicated enrichment in peroxisome, lysosome, fatty acid metabolism, cell adhesion molecules and so on. CONCLUSIONS: Our work may help understand the roles of Kif4 in monocyte/macrophage cells and would give useful information on basic research and the function of monocyte/macrophage cells.


Subject(s)
Kinesins/genetics , Macrophages/metabolism , Monocytes/metabolism , Oligonucleotide Array Sequence Analysis , Animals , Cells, Cultured , Kinesins/metabolism , Mice , RAW 264.7 Cells
2.
Eur Rev Med Pharmacol Sci ; 22(14): 4542-4550, 2018 07.
Article in English | MEDLINE | ID: mdl-30058692

ABSTRACT

OBJECTIVE: Kinesin family member 5b (Kif5b), a conventional kinesin, mainly participates in lysosome and mitochondria transportation. Some studies have indicated that Kif5b may be associated with the development of a variety of tumors. However, the role Kif5b plays in oral squamous cell carcinoma (OSCC) has yet to be determined. Our study aimed at investigating the expression level of Kif5b in primary OSCC and discussing its clinical significance in patients' outcomes. PATIENTS AND METHODS: We measured Kif5b expression in 82 OSCC tissue samples with immunohistochemistry. The associations between the expression level of Kif5b and clinicopathological characteristics as well as patients' survival were statistically assessed. RESULTS: Kif5b level was significantly associated with tumor size (p=0.034), histological differentiation (p=0.028), disease recurrence (p=0.018), surrounding tissue invasion (p=0.045), recurrence time (p=0.036) and survival status (p=0.030). Kaplan-Meier cumulative survival analyses indicated that high expression of Kif5b was linked to worse overall survival (p=0.0112) and disease-free survival (p=0.0085). The univariate and multivariate Cox proportional hazard analysis further identified the expression status of Kif5b as an independent variable that correlated with patients' survival and recurrence. Furthermore, in 54 early-stage, clinically node negative OSCC patients, Kif5b expression were correlated with histological differentiation (p=0.034), disease recurrence (p=0.038) and surrounding tissue invasion (p=0.029). Univariate and multivariable logistic regression results showed that only Kif5b expression level could influence the probability of recurrence. CONCLUSIONS: Our results reveal that Kif5b expression is associated with poor clinical outcome in OSCC and even in early-stage, clinically node negative OSCC and may be a potential target for OSCC treatment.


Subject(s)
Kinesins/metabolism , Mouth Neoplasms/pathology , Neoplasm Recurrence, Local/diagnosis , Squamous Cell Carcinoma of Head and Neck/pathology , Disease Progression , Disease-Free Survival , Female , Follow-Up Studies , Humans , Kaplan-Meier Estimate , Male , Middle Aged , Mouth Mucosa/pathology , Mouth Mucosa/surgery , Mouth Neoplasms/mortality , Mouth Neoplasms/surgery , Neoplasm Recurrence, Local/pathology , Prognosis , Squamous Cell Carcinoma of Head and Neck/mortality , Squamous Cell Carcinoma of Head and Neck/surgery , Survival Rate
3.
J Periodontal Res ; 53(1): 66-72, 2018 Feb.
Article in English | MEDLINE | ID: mdl-28857167

ABSTRACT

BACKGROUND AND OBJECTIVE: The majority of experiments show that tumor necrosis factor-alpha (TNF-α) inhibits osteogenic differentiation of mesenchymal stem cells and pre-osteoblasts by activated nuclear factor-kappaB (NF-κB) signaling. However, the underlying mechanisms by which NF-κB signaling inhibits osteogenic differentiation are not fully understood. The aim of the present study was to investigate whether EphB4 signaling inhibition mediates the effects of TNF-α-activated NF-κB signaling on osteogenic differentiation of pre-osteoblasts. MATERIAL AND METHODS: Murine MC3T3-E1 pre-osteoblasts were treated with 10 ng/mL of TNF-α. NF-κB inhibitor, pyrrolidine dithiocarbamate, was used to achieve NF-κB signaling inhibition. EphB4 signaling was activated using ephrinB2-fc. The mRNA expressions of runt related transcription factor 2 (Runx2), bone sialoprotein (BSP) and EphB4 were determined using reverse transcription-polymerase chain reaction. The protein levels of Runx2, BSP, Col Ia1, osteopontin, EphB4, p-NF-κB p65 and NF-κB p65 were evaluated using western blot assays. Alkaline phosphatase (ALP) activity in MC3T3-E1 cells was evaluated by ALP activity kit, and mineral nodule formation was evaluated by Alizarin Red S staining. RESULTS: TNF-α inhibited EphB4 expression, while it suppressed Runx2, BSP expression from gene and protein levels as well as ALP activity and mineral nodule formation in MC3T3-E1 cells. Activation of EphB4 signaling by ephrinB2-fc promoted osteogenic differentiation of MC3T3-E1 cells, whereas TNF-α impaired the osteogenic differentiation enhanced by ephrinB2-fc. Pyrrolidine dithiocarbamate blocked the activation of NF-κB signaling induced by TNF-α, while it prevented the downregulation of Runx2, BSP and EphB4, induced by TNF-α. CONCLUSION: TNF-α inhibits osteogenic differentiation of pre-osteoblasts by downregulation of EphB4 signaling via activated NF-κB signaling pathway.


Subject(s)
Cell Differentiation/drug effects , NF-kappa B/physiology , Osteoblasts/drug effects , Osteogenesis/drug effects , Receptor, EphB4/drug effects , Tumor Necrosis Factor-alpha/pharmacology , Alkaline Phosphatase/drug effects , Animals , Cell Line , Core Binding Factor Alpha 1 Subunit/drug effects , Down-Regulation , Integrin-Binding Sialoprotein/drug effects , Mice , Receptor, EphB4/metabolism , Signal Transduction
4.
Int J Nanomedicine ; 7: 4769-75, 2012.
Article in English | MEDLINE | ID: mdl-22973098

ABSTRACT

BACKGROUND: As an adjunctive treatment of chronic periodontitis, it seems that the application of periocline or the other antimicrobials is effective against periodontopathogens. In this study, nanoliposomes were investigated as carriers of minocycline hydrochloride and the inhibition effects of minocycline hydrochloride nanoliposomes on the proliferation and lipopolysaccharide (LPS)-stimulated production of tumor necrosis factor-α (TNF-α) of macrophages were elucidated. METHODS: After stimulation with 10 µg/mL LPS, murine macrophages (ANA-1) were treated with 10, 20, 40, 50 and 70 µg/mL 2% minocycline hydrochloride nanoliposomes, minocycline hydrochloride solution, and periocline for 6, 12, 24, 48 and 60 hours, respectively. A tetrazolium (MTT) assay was used to evaluate macrophages cell proliferation rate and the levels of TNF-α mRNA were measured by SYBR Green Real Time PCR. RESULTS: Ten to 70 µg/mL 2% minocycline hydrochloride nanoliposomes, minocycline hydrochloride solution, and periocline showed dose- and time-dependent inhibition of ANA-1 proliferation. Minocycline hydrochloride nanoliposomes showed dose- and ratio-dependent inhibition of LPS-stimulated TNF-α secretion of ANA-1. The inhibition effect of 10 µg/mL minocycline hydrochloride nanoliposomes was significantly better than that of two positive control groups, and equated to that of 60 or 70 µg/mL periocline. The expression of TNF-α mRNA in experimental group continued to reduce linearly with time. CONCLUSION: All three preparations of minocycline hydrochloride showed dose- and time-dependent inhibition of proliferation of ANA-1. Minocycline hydrochloride nanoliposomes have stronger and longer inhibition effect on LPS-stimulated TNF-α secretion of macrophages cell than minocycline hydrochloride solution and periocline.


Subject(s)
Lipopolysaccharides/pharmacology , Liposomes/chemistry , Macrophage Activation/drug effects , Macrophage Activation/immunology , Macrophages/drug effects , Macrophages/immunology , Minocycline/administration & dosage , Nanocapsules/chemistry , Tumor Necrosis Factor-alpha/biosynthesis , Animals , Anti-Bacterial Agents/administration & dosage , Cell Line , Cell Proliferation/drug effects , Dose-Response Relationship, Drug , Down-Regulation/drug effects , Mice , Minocycline/chemistry
5.
Transplant Proc ; 44(3): 744-5, 2012 Apr.
Article in English | MEDLINE | ID: mdl-22483483

ABSTRACT

According to the Australian and New Zealand Dialysis and Transplantation (ANZDATA) 2010 Annual Report, cancer is surpassing cardiovascular diseases as the leading cause of posttransplantation death. Skin cancer and posttransplantation lymphoproliferative disorder (PTLD) are 2 cancers in Western countries. However, urothelial cancer happens much more frequently among Chinese people. We reviewed our experience in Congress of the Asian Society of Transplantation (CAST) 2005, including 10 urothelial cancers, among 620 renal transplant recipients. In this report, we have presented our updated data. From July 1981 to May 2011, we performed 770 renal transplantations followed by graft and native kidney sonography annually even among asymptomatic cases using the protocol described in CAST 2005. During this period, 35 urothelial tumors were detected, ie, 25 new cases were identified in 6 years. These 35 cases included 7 cases with bilateral upper tract involvement and 5 of them with bladder tumors. Seven patients had bladder cancer alone. In 19 patients, 22 ureteral cancers included 1 that grew from the graft ureter, 17 (77.3%) patients showed hydronephrosis by sonography. We performed 13 bilateral nephroureterectomies; 2 were known to have bilateral upper tract cancer. Four of the other 11 were found to have insidious tumors. In contrast, 2 of the 15 initial unilateral nephroureterectomy patients underwent a subsequent contralateral nephroureterectomy due to a tumor. The pattern of urethral cancer in renal transplant recipients is thoroughly different, including female predominance, and a higher incidence of upper tract involvement. We emphasize the necessity of routine periodic sonographic survey even among asymptomatic patients for early detection of a urothelial tumor.


Subject(s)
Kidney Neoplasms/complications , Kidney Transplantation/adverse effects , Ureteral Neoplasms/complications , Urinary Bladder Neoplasms/complications , Female , Humans , Male
6.
Biomaterials ; 32(33): 8676-83, 2011 Nov.
Article in English | MEDLINE | ID: mdl-21862122

ABSTRACT

Titanium implants are widely used in dentistry and orthopedic surgery. Nevertheless, bone regeneration around the implant is a relatively slow process, after placement. This study assessed whether SATB2 can enhance osseointegration of a titanium implant. To determine the effect of SATB2 in implant integration, two different viruses encoding SATB2 (PBABE-Satb2 virus or RCAS-Satb2 virus) were locally administered to the bone defect prior to titanium implant placement in our established transgenic TVA mice. Seven and 21 days post implantation, the femurs were isolated for quantitative real-time RT-PCR, H&E staining, immunohistochemical (IHC) staining, and microcomputed tomography (microCT) analysis. Quantitative real-time RT-PCR results demonstrated that the in vivo overexpression of SATB2 enhanced expression levels of potent osteogenic transcription factors and bone matrix proteins. We also found that 21 days after implantation, there were no significant differences in the expression levels of SATB2, Osx, Runx2, COLI, OC, and BSP between the RCAS-Satb2 group and the RCAS group. Histological analysis showed that SATB2 overexpression significantly enhanced new bone formation and bone-to-implant contact after implantation. IHC staining analysis revealed that forced expression of SATB2 increased the number of BSP-positive cells surrounding the implant. MicroCT analysis demonstrated that in vivo overexpression of SATB2 significantly increased the density of the newly formed bone surrounding the implant. These results conclude that in vivo overexpression of SATB2 significantly accelerates osseointegration of titanium implants and SATB2 can serve as a potent molecule in promoting tissue regeneration.


Subject(s)
Matrix Attachment Region Binding Proteins/administration & dosage , Osseointegration , Titanium , Transcription Factors/administration & dosage , Animals , Base Sequence , DNA Primers , Immunohistochemistry , Mice , Mice, Transgenic , Real-Time Polymerase Chain Reaction
7.
AJNR Am J Neuroradiol ; 31(9): 1732-6, 2010 Oct.
Article in English | MEDLINE | ID: mdl-20595362

ABSTRACT

BACKGROUND AND PURPOSE: Thromboembolic events related to CAS continue to be the main limitation to the widespread use of this technique as a first-line treatment for carotid occlusive disease. Our aim was to evaluate thromboembolism during CAS using DWI for catheterization techniques of the carotid artery. MATERIALS AND METHODS: Thirty-two consecutive patients with symptomatic carotid stenosis underwent CAS involving 1 of 2 carotid artery catheterization techniques: One used a 7F or 8F catheter (group 1, n = 16) and the other used a coaxial system in which a 7F or 8F catheter was used in conjunction with a 4F or 5F catheter (group 2, n = 16). DWI was performed before and after CAS. Clinical variables, the number and location of NES on DWI after CAS, were compared between the 2 groups. RESULTS: NES on DWI occurred in 53% of all patients. The incidence of NES was significantly higher in patients 65 years of age and older versus those younger than 65 years of age (P = .013). All NESs were asymptomatic, and their rate of occurrence did not differ significantly between groups 1 and 2. The incidence of NES in the other territories that were outside that of the treated carotid artery (P = .004) and the incidence of multiple NESs (P = .04) were significantly higher in group 1. CONCLUSIONS: NES in the other territories mainly arises from the atherosclerotic aortic arch and arch vessels during the manipulation of endoluminal devices. The carotid artery catheterization technique using the coaxial system with a 7F or 8F catheter in conjunction with a 4F or 5F catheter reduced the incidence of NES in the other territories.


Subject(s)
Blood Vessel Prosthesis/statistics & numerical data , Cardiac Catheterization/statistics & numerical data , Carotid Stenosis/epidemiology , Carotid Stenosis/surgery , Stents/statistics & numerical data , Thromboembolism/epidemiology , Aged , Aged, 80 and over , Carotid Stenosis/diagnosis , Diffusion Magnetic Resonance Imaging , Female , Humans , Incidence , Male , Middle Aged , Republic of Korea/epidemiology , Risk Assessment , Risk Factors , Thromboembolism/diagnosis , Treatment Outcome
8.
Interv Neuroradiol ; 15(3): 259-65, 2009 Sep.
Article in English | MEDLINE | ID: mdl-20465908

ABSTRACT

SUMMARY: Interventional Neuroradiology (INR) is an international journal devoted to a highly sub-specialized field with international editorial board members and a representative journal through which the specialty of neurointervention has continuously evolved, especially through the efforts and passion of Professor Pierre Lasjaunias. Articles in INR are submitted by authors in many countries worldwide and are peer reviewed by international referees. Considering that interventional neuroradiology is the highly specialized field that INR pursues, the impact factor or the Eigenfactor score of INR is still very low partly because the LinkOut services, including PubMed, are not yet provided in a sufficiently open way. Ethical research standards should also be emphasized in INR.

9.
J Cell Physiol ; 215(1): 204-9, 2008 Apr.
Article in English | MEDLINE | ID: mdl-17960569

ABSTRACT

Bone marrow stromal cells (BMSCs) are a rich source of osteogenic progenitor cells. A fundamental question is whether systemically transplanted BMSCs participate in bone regeneration. Luciferase and GFP double-labeled BMSCs were transplanted into irradiated mice. Five weeks after transplantation, artificial bone wounds were created in the mandibles and calvaria of the recipients. Animals were sacrificed at weeks 2, 4, and 6 after surgery and the expressions of luciferase and GFP were determined using Xenogen IVIS Imaging System, immunohistochemical staining and RT-PCR. The results demonstrated that transplanted BMSCs can be detected in wound sites as early as 2 weeks and lasted the whole experimental period. Luciferase expression peaked at 2 weeks after surgery and decreased thereafter, exhibiting a similar expression pattern as that of BSP, while GFP expression was relatively stable during the experimental period. In conclusion, BMSCs can migrate to bone wound sites and participate in bone regeneration in orocraniofacial region.


Subject(s)
Bone Marrow Cells/cytology , Bone Regeneration , Bone and Bones/physiology , Stromal Cells/transplantation , Animals , Bone and Bones/pathology , Breeding , Cells, Cultured , Female , Gene Expression Regulation , Green Fluorescent Proteins/genetics , Green Fluorescent Proteins/metabolism , Integrin-Binding Sialoprotein , Kinetics , Luciferases/metabolism , Male , Mice , Mice, Transgenic , Sialoglycoproteins/genetics , Sialoglycoproteins/metabolism , Skull/pathology
10.
Eur J Gynaecol Oncol ; 25(6): 745-8, 2004.
Article in English | MEDLINE | ID: mdl-15597858

ABSTRACT

Alpha-fetoprotein producing tumors other than hepatoma and germ cell tumors have been widely reported, especially in carcinoma with hepatoid differentiation (hepatoid carcinoma). Hepatoid carcinoma has mostly been found in the stomach, but also occurs in many other organs. A rare case of hepatoid carcinoma of the ovary is presented. A 57-year-old Taiwanese woman was admitted because of lower abdominal pain. Magnetic resonance imaging showed a 10 cm right adnexal mass. She underwent a total hysterectomy and bilateral salpingo-oophorectomy with omentectomy. A right ovarian mass measuring 13 x 9 x 8 cm was found. Microscopic examination showed characteristic features for hepatoid carcinoma. Immunohistochemical staining was performed on the tumor using a panel of eight markers (AFP, p-CEA, CD10, Hep Par 1, thyroid transcription factor-1, CK7, CK19 and CK20). This study contradicts the theory that hepatoid carcinoma derives from the surface epithelium of the ovary. Hepatoid carcinoma of the ovary commonly contains a population of clear cells, which may lead to the misdiagnosis of yolk sac tumor or clear cell adenocarcinoma that may arise in many anatomic sites. Histologically, it is also difficult to distinguish hepatoid carcinoma from hepatoid yolk sac tumor. In such cases, demonstration of CD 10, Hep Par 1, membraneous patterns of p-CEA and CK7 would be invaluable for characterizing the tumor as hepatoid carcinoma. More studies are needed to confirm this observation.


Subject(s)
Carcinoma/diagnosis , Ovarian Neoplasms/diagnosis , Abdominal Pain/etiology , Carcinoma/complications , Carcinoma/pathology , Carcinoma/surgery , Diagnosis, Differential , Female , Humans , Immunohistochemistry , Magnetic Resonance Imaging , Middle Aged , Ovarian Neoplasms/complications , Ovarian Neoplasms/pathology , Ovarian Neoplasms/surgery
11.
Korean J Radiol ; 2(3): 132-7, 2001.
Article in English | MEDLINE | ID: mdl-11752983

ABSTRACT

OBJECTIVE: The aim of our study was to describe and compare the radiologic findings of esophageal leiomyomas. MATERIALS AND METHODS: The chest radiographic (n = 12), esophagographic (n = 12), CT (n = 12), and MR (n = 1) findings of surgically proven esophageal leiomyomas in 12 consecutive patients [ten men and two women aged 34 - 47 (mean, 39) years] were retrospectively reviewed. RESULTS: The tumors, surgical specimens of which ranged from 9 to 90 mm in diameter, were located in the upper (n = 1), middle (n = 5), or lower esophagus (n = 6). In ten of the 12 patients, chest radiography revealed the tumors as mediastinal masses. Esophagography showed them as eccentric, smoothly elevated filling defects in 11 patients and a multilobulated encircling filling defect in one. In 11 of the 12 patients, enhanced CT scans revealed a smooth (n = 9) or lobulated (n = 2) tumor margin, and attenuation was homogeneously low (n = 7) or iso (n = 4). In one patient, the tumor signal seen on T2-weighted MR images was slightly high. CONCLUSION: Esophageal leiomyomas, located mainly in the middle or distal esophagus, are consistently shown by esophagography to be mainly eccentrically elevated filling defects and at CT, lesions showing homogeneous low or isoattenuation are demonstrated.


Subject(s)
Esophageal Neoplasms/diagnosis , Leiomyoma/diagnosis , Adult , Esophageal Neoplasms/diagnostic imaging , Esophagus/pathology , Female , Humans , Leiomyoma/diagnostic imaging , Magnetic Resonance Imaging , Male , Middle Aged , Tomography, X-Ray Computed
12.
AJR Am J Roentgenol ; 177(6): 1417-22, 2001 Dec.
Article in English | MEDLINE | ID: mdl-11717098

ABSTRACT

OBJECTIVE: The purpose of our study was to correlate the high-resolution CT findings of small peripheral adenocarcinoma of the lung with underlying histopathology and to evaluate the prognostic implications of the CT findings. MATERIALS AND METHODS: The high-resolution CT findings of small peripheral adenocarcinoma of the lung in 224 patients were analyzed by two independent observers for location, size, marginal characteristics, and extent of ground-glass opacity and necrosis. The pathologic specimens were reviewed by an experienced lung pathologist. RESULTS: One hundred and thirty-two patients had bronchioloalveolar carcinoma and 92 had adenocarcinoma. The extent of ground-glass opacity was greater in bronchioloalveolar carcinomas (mean +/- SD, 29% +/- 31.6%) than in other adenocarcinomas (8% +/- 13.3%) (p < 0.001). The extent of ground-glass opacity was significantly greater in patients without recurrence (p = 0.020) and those without nodal (p = 0.017) or distant (p = 0.007) metastases than in patients with nodal or distant metastases or in whom the carcinoma had recurred. CONCLUSION: The extent of ground-glass opacity in a nodule is greater in bronchioloalveolar carcinomas than in other adenocarcinomas. Greater extent of ground-glass opacity also correlates with improved prognosis.


Subject(s)
Adenocarcinoma/diagnostic imaging , Adenocarcinoma/pathology , Lung Neoplasms/diagnostic imaging , Lung Neoplasms/pathology , Tomography, X-Ray Computed/methods , Adult , Aged , Aged, 80 and over , Female , Glass , Humans , Male , Middle Aged , Predictive Value of Tests , Prognosis
13.
J Korean Med Sci ; 16(5): 573-8, 2001 Oct.
Article in English | MEDLINE | ID: mdl-11641525

ABSTRACT

The purpose of this study was to describe the CT findings of focal organizing pneumonia and to compare the findings with pathology. CT findings of histologically proven focal organizing pneumonias in 26 consecutive patients were analyzed. In 17 patients who had undergone surgical resections, the findings were correlated with pathology. Focal organizing pneumonias appeared as a nodule (n= 13) or a mass (n=13), ranging from 9 mm to 66 mm in diameter. Ground-glass opacity was seen in 6/13 (46%) nodules and 6.5/13 (50%) masses (k=.48) with an extent ranging from 5% to 75% (mean, 16%). In 4/26 (15%) patients, the extent was more than 50% of the lesion. They showed smooth (n=4), lobulated (n=8), spiculated (n=1), or lobulated and spiculated margin (n=13). On correlative analysis, nodule or mass on CT consisted histologically of intraalveolar exudate or microabscess, chronic inflammatory cell infiltration, fibrotic nodules, and polypoid granulation tissue in the alveolar or bronchiolar spaces. Ground-glass opacity consisted of interstitial fibrosis and chronic inflammatory cell infiltration and intraalveolar polypoid granulation tissue. Focal organizing pneumonia may simulate a lung cancer with variable appearances on CT and the findings reflect underlying histopathology of the disease.


Subject(s)
Pneumonia/diagnostic imaging , Tomography, X-Ray Computed , Adult , Aged , Aged, 80 and over , Female , Humans , Male , Middle Aged , Pneumonia/pathology
15.
Radiographics ; 21(5): 1119-37; discussion 1138-40, 2001.
Article in English | MEDLINE | ID: mdl-11553820

ABSTRACT

Various surgical procedures are performed for benign and malignant esophageal lesions. These procedures include transthoracic esophageal resection through a right or left thoracotomy and transhiatal blunt esophageal resection (esophagectomy) without thoracotomy. The whole stomach, colon, gastric tube, jejunum, and free revascularized grafts may be used as substitutes for the resected esophagus. Bypass procedures including substernal stomach bypass surgery and substernal or subcutaneous colon bypass surgery are performed for tracheoesophageal fistula, previous esophagectomy without reconstruction, or obstruction due to lye ingestion. The mortality rate for esophageal resection depends on the stage of the tumor, the patient's condition, and the surgeon's skill and is quite low when the procedure is performed by a highly skilled surgeon. The most frequent sources of morbidity related to esophageal surgery include pneumothorax, pleural effusion, pneumonia, and respiratory failure. Mediastinitis and sepsis due to disruption at an anastomosis site cause serious postoperative morbidity and mortality; therefore, thoracic anastomotic leaks require aggressive surgical treatment. Familiarity with these surgical options, the resultant anatomic changes associated with each option, and the expected findings at postoperative imaging is essential for evaluating the effectiveness of surgical procedures and for the early detection and management of surgery-related complications.


Subject(s)
Esophageal Diseases/surgery , Esophageal Neoplasms/surgery , Esophagectomy/methods , Adult , Aged , Carcinoma, Squamous Cell/surgery , Esophagectomy/mortality , Esophagoplasty , Female , Humans , Middle Aged , Palliative Care , Plastic Surgery Procedures
16.
Int J Cancer ; 96(4): 243-52, 2001 Aug 20.
Article in English | MEDLINE | ID: mdl-11474499

ABSTRACT

The purpose of our study was to evaluate the outcome, patterns of failure, and toxicity for patients with unresectable hepatocellular carcinoma (HCC) treated with radiotherapy, transcatheter arterial chemoembolization (TACE), or combined TACE and radiotherapy. Forty-two patients with unresectable HCC were treated with combined radiotherapy and TACE (TACE+RT group, 17 patients), radiotherapy alone (RT group, 9 patients), or with TACE alone (TACE group, 16 patients). Mean dose of radiation was 46.9 +/- 5.8 Gy in a daily fraction of 1.8 to 2 Gy, directed only to the cancer-involved areas of the liver. TACE was performed with a combination of Lipiodol, doxorubicin, cisplatin, and mitomycin C, followed by Gelfoam or Ivalon embolization. Tumor size was smaller in the TACE group (mean: 5.4 cm) compared with the TACE+RT group (8.6 cm) and the RT group (13.1 cm) (P = 0.0003). The median follow-up was 24 months in the TACE+RT group, 28 months in the RT group, and 23 months in the TACE group. Survival was significantly worse for patients treated with radiotherapy alone due to the selection bias of patients with more advanced disease and compromised condition in this group. In contrast, the TACE+RT and TACE groups had comparable survival (two-year rates: TACE+RT 58%, TACE 56%, P = 0.69). The local control rate for the treated tumors was similar in the TACE+RT and TACE groups (P = 0.11). The intrahepatic recurrence outside the treated tumors was common and similar between these two groups (P = 0.48). The extrahepatic progression-free survival was significantly shorter for patients in the TACE+RT group than in the TACE group (two-year rates: TACE+RT 36%, TACE 100%, P = 0.002). Seven patients died from complications of treatment. Local radiotherapy may be added to treat patients with unresectable HCC, and the control of progression of the treated tumors was promising even in patients with large hepatic tumors. Survival of patients with combined TACE and radiotherapy was similar to that with TACE as the only treatment, while a significant portion of the patients treated with radiotherapy developed extrahepatic metastasis.


Subject(s)
Carcinoma, Hepatocellular/drug therapy , Carcinoma, Hepatocellular/radiotherapy , Liver Neoplasms/drug therapy , Liver Neoplasms/radiotherapy , Adult , Age Factors , Aged , Aged, 80 and over , Antibiotics, Antineoplastic/therapeutic use , Antineoplastic Agents/therapeutic use , Carcinoma, Hepatocellular/mortality , Chemoembolization, Therapeutic/methods , Cisplatin/therapeutic use , Combined Modality Therapy , Contrast Media/therapeutic use , Disease-Free Survival , Doxorubicin/therapeutic use , Female , Follow-Up Studies , Gelatin Sponge, Absorbable/therapeutic use , Hemostatics/therapeutic use , Humans , Iodized Oil/therapeutic use , Liver Neoplasms/mortality , Male , Middle Aged , Mitomycin/therapeutic use , Polyvinyls/therapeutic use , Radiation-Sensitizing Agents/therapeutic use , Sex Factors , Time Factors
17.
Shanghai Kou Qiang Yi Xue ; 10(3): 199-200, 242, 2001 Sep.
Article in Chinese | MEDLINE | ID: mdl-14993988

ABSTRACT

OBJECTIVE: To study the curative effect of pulpotomy in the treatment of deciduous teeth with deep caries. METHODS: 45 deciduous molars with deep caries from 3 8 years old children were selected at random. Pulpotomy was performed on these treated teeth. Clinical examination and X-ray films for the treated teeth were taken to follow up all the teeth at 6 months, one year and two years respectively after treatment. RESULTS: At one year after treatment, 45 cases were followed up, the rate of success in clinical examination and in X-ray photographs both were 100%. While at two years after treatment, 42 cases were followed up and 3 cases were lost, the rate of success in clinical examination was 95% and the rate of success in X-ray photographs was 88%. The reasons of the failure were internal absorption and pulpitis followed by fracture and exfoliation of the obturators in the treated teeth. CONCLUSION: Pulpotomy in deciduous teeth with deep caries was a reliable and effective method. It is necessary to follow up the treated teeth by X-ray at regular intervals after treatment.

18.
Shanghai Kou Qiang Yi Xue ; 10(3): 236-9, 2001 Sep.
Article in Chinese | MEDLINE | ID: mdl-14994003

ABSTRACT

OBJECTIVE: To observe the effect on angiogenesis in guided tissue regeneration procedures in which the barrier membranes were designed to be left for different time. METHODS: Periodontal defects were created on buccal side of mesial root of mandibular third and fourth premolar in dogs. An experimental polytetrafluoroethyene (ePTFE) membrane was adapted to leave in place for 2, 3, 4 and 8 weeks,respectively. In the control defects(right mandibular second premolar), no membrane was used. At the end of 8 weeks,all the animals were perfused with a combined solution of carbon black ink and 10% formalin solution and killed. 500 microm thick specimens were processed. Descriptive histology was carried out,evaluating angiogenesis in area of new supraalveolar and gingival flaps. RESULTS: Histologic analysis demonstrated that new vascular meshworks were built between the gingival flap and new connective tissue in the wound in 2-week,3-week and 4-week groups.However, in 8-week group, the number of supraalveolar blood vessels were fewer than that in other groups.But vascular rebuilt in gingival flap in 8-week group had come to normal. CONCLUSION: The existance of nonresorbable membrane could affect the rebuilt of supraalveolar vascular meshwork, but it had no significant effect on the blood circulation in gingival flap. The revascularization between gingival flap and the new connective tissue was not significantly influenced after the membranes were removed from 2 to 4 weeks' placement.

19.
Shanghai Kou Qiang Yi Xue ; 10(2): 135-7, 2001 Jun.
Article in Chinese | MEDLINE | ID: mdl-14994039

ABSTRACT

OBJECTIVE: To evaluate the biological effects of basic fibroblast growth factor (bFGF) on proliferation and DNA synthesis of periodontal ligament cells(PDLC). METHODS: PDLC was isolated from periodontal ligament explants. The effects of bFGF on PDLC were assayed by MTT and 3(H)-TdR incorporation studies. The results were expressed as A value and CPM. Analysis of variance was used. RESULTS: bFGF could enhance the proliferation and DNA synthesis of PDLC in a dose dependent manner. No inhibition was observed within 1000ng/ml bFGF concentration. The concentration of half maximal effect was 100ng/ml. CONCLUSION: The results suggest that bFGF may play an important role in the regeneration of periodontal tissue.

20.
Shanghai Kou Qiang Yi Xue ; 10(1): 24-6, 48, 2001 Mar.
Article in Chinese | MEDLINE | ID: mdl-14994072

ABSTRACT

OBJECTIVE: To observe effects of basic fibroblast growth factor on the biological characteristics of cultured human gingival,periodontal ligament fibroblasts and human alveolar bone cells, such as proliferation, alkaline phosphatase activity, protein synthesis and the formation of mineralized nodules. METHODS: Using cell culture technique, MTT colorimetric assay, ALP activity assay, Commasie brilliant blue staining and Dahl McGec-Russell's alizarin red stain for calcium. RESULTS: bFGF enhanced the proliferative responses of the three types of cells. In contrast, bFGF inhabited the induction of alkaline phosphatase activity, protein synthesis and the mineralized nodule formation by PDLF and ABC. CONCLUSION: bFGF can enhance cell proliferation while inhibit cytodifferentiation, thus accelerating periodontal regeneration.

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