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find Author "王浩斌" 2 results
  • Detecting Free Cancer Cells in Peritoneal Cavity of Colorectal Cancer Patients by Branched-Chain DNA and SqRT-PCR

    Objective To evaluate branched-chain DNA (b-DNA) signal amplification and semi-quantitative (Sq) RT-PCR in detection of free cancer cells in peritoneal flushing fluid of colorectal cancer patients during surgery. Methods The CEA mRNA in peritoneal flushing fluid in 48 cases of colorectal cancer were detected by b-DNA and SqRT-PCR. Peritoneal flushing fluid cytology (PLC) was conformed simultaneously to detect the free cancer cells. The peritoneal flushing fluid of 12 cases with colorectal benign disease were taken as negative control, GAPDH mRNA as internal control. Results In colorectal cancer patients, positive rate of free cancer cells by bDNA and SqRT-PCR (43.8%, 31.3%) was higher than that by PLC (4.2%). The relative quantitative expressions of CEA mRNA were related to the Dukes staging, depth invasion and differentiation degree (Plt;0.05), but irrelevant to tumor size,the patients’ age and gender (Pgt;0.05).Conclusion Both b-DNA and SqRT-PCR technologies have advantages and disadvantages to detect free cancer cells in peritoneal flushing fluid, which are related to clinicopathological factors.

    Release date:2016-09-08 10:50 Export PDF Favorites Scan
  • 1例误诊为非哺乳期乳腺炎的原发性乳腺血管肉瘤并文献复习

    目的通过回顾分析1例被误诊为非哺乳期乳腺炎的原发性乳腺血管肉瘤患者资料,结合国内外文献,对乳腺血管肉瘤疾病特征及诊治要点进行总结,提供临床诊治参考,避免误诊。方法回顾性分析该例患者的临床表现、诊疗经过、辅助检查及病理特点;检索相关中英文文献资料,综合分析文献报道病例特点。结果该例患者初始表现为乳房胀痛,查体可见乳房肿胀,彩超及钼靶检查考虑乳腺炎性病变,前2次病理活检未提示恶性病变。肿瘤明显长大突出皮肤表面后行第3次活检确诊。总结文献报道病例资料,乳腺原发性血管肉瘤为罕见的乳腺恶性病变,手术为主要治疗方式,无标准化疗、放疗及靶向治疗方案。结论乳腺血管肉瘤恶性程度高,远期生存率低,模仿了乳腺多种良性疾病的生长模式。乳腺彩超及钼靶X线摄片无特征性改变,易延误诊治,病理活检为确诊依据。结合临床表现及辅助检查确诊后应尽早治疗,可改善预后。

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