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Survival of Brain Metastatic Patients in Yazd, Iran

  • Akhavan, Ali;Binesh, Fariba;Heidari, Samaneh
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권8호
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    • pp.3571-3574
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    • 2014
  • Background: Brain metastasis occurs when cancerous cells come from a known (or sometimes an unknown) primary tumor to the brain and implant and grow there. This event is potentially lethal and causes neurologic symptoms and signs. These patients are treated in order to decrease their neurologic problems, increase quality of life and overall survival. Materials and Methods: In this study we evaluated clinical characteristics of 206 patients with brain metastases referred to our center from 2004 to 2011. Results: The mean age was 53.6 years. The primary tumors were breast cancer (32%), lung cancer (24.8%), lymphoma (4.4%), sarcoma (3.9%), melanoma (2.9%), colorectal cancer (2.4%) and renal cell carcinoma (1.5%). In 16.5% of the patients, brain metastasis was the first presenting symptom and the primary site was unknown. Forty two (20.4%) patients had a single brain metastasis, 18 patients (8.7%) had two or three lesions, 87 (42.2%) patients had more than three lesions. Leptomeningeal involvement was seen in 49 (23.8%) patients. Thirty five (17%) had undergone surgical resection. Whole brain radiation therapy was performed for all of the patients. Overall survival was 10.1 months (95%CI; 8.65-11.63). One and two year survival was 27% and 12% respectively. Conclusions: Overall survival of patients who were treated by combination of surgery and whole brain radiation therapy was significantly better than those who were treated with whole brain radiation therapy only [13.8 vs 9.3 months (p=0.03)]. Age, sex, primary site and the number of brain lesions did not show significant relationships with overall survival.

Comparison of the Genetic Alterations between Primary Colorectal Cancers and Their Corresponding Patient-Derived Xenograft Tissues

  • Yu, Sang Mi;Jung, Seung-Hyun;Chung, Yeun-Jun
    • Genomics & Informatics
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    • 제16권2호
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    • pp.30-35
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    • 2018
  • Patient-derived xenograft (PDX) models are useful tools for tumor biology research and testing the efficacy of candidate anticancer drugs targeting the druggable mutations identified in tumor tissue. However, it is still unknown how much of the genetic alterations identified in primary tumors are consistently detected in tumor tissues in the PDX model. In this study, we analyzed the genetic alterations of three primary colorectal cancers (CRCs) and matched xenograft tissues in PDX models using a next-generation sequencing cancer panel. Of the 17 somatic mutations identified from the three CRCs, 14 (82.4%) were consistently identified in both primary and xenograft tumors. The other three mutations identified in the primary tumor were not detected in the xenograft tumor tissue. There was no newly identified mutation in the xenograft tumor tissues. In addition to the somatic mutations, the copy number alteration profiles were also largely consistent between the primary tumor and xenograft tissue. All of these data suggest that the PDX tumor model preserves the majority of the key mutations detected in the primary tumor site. This study provides evidence that the PDX model is useful for testing targeted therapies in the clinical field and research on precision medicine.

The primary cilium as a multiple cellular signaling scaffold in development and disease

  • Ko, Hyuk-Wan
    • BMB Reports
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    • 제45권8호
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    • pp.427-432
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    • 2012
  • Primary cilia, single hair-like appendage on the surface of the most mammalian cells, were once considered to be vestigial cellular organelles for a past century because of their tiny structure and unknown function. Although they lack ancestral motility function of cilia or flagella, they share common ground with multiciliated motile cilia and flagella on internal structure such as microtubule based nine outer doublets nucleated from the base of mother centrioles called basal body. Making cilia, ciliogenesis, in cells depends on the cell cycle stage due to reuse of centrioles for cell division forming mitotic spindle pole (M phase) and assembling cilia from basal body (starting G1 phase and maintaining most of interphase). Ciliary assembly required two conflicting processes such as assembly and disassembly and balance between these two processes determines the length of cilia. Both process required highly conserved transport system to supply needed substance to grow tip of cilia and bring ciliary turnover product back to the base of cilia using motor protein, kinesin and dynein, and transport protein complex, IFT particles. Disruption of ciliary structure or function causes multiple human disorder called ciliopathies affecting disease of diverse ciliated tissues ranging from eye, kidney, respiratory tract and brain. Recent explosion of research on the primary cilia and their involvement on animal development and disease attracts scientific interest on how extensively the function of cilia related to specific cell physiology and signaling pathway. In this review, I introduce general features of primary cilia and recent progress in understanding of the ciliary length control and signaling pathways transduced through primary cilia in vertebrates.

CD5와 Cytokeratin 7에 음성이고 Cytokeratin 13에 양성인 흉선 편평상피세포암 1예 (A Case of Squamous Cell Carcinoma of Thymus with Negative CD5, Cytokeratin 7 and Positive Cytokeratin 13)

  • 박무석;정재호;노태웅;손주혁;김영삼;장준;정경영;김주항;김성규;신동환;김세규
    • Tuberculosis and Respiratory Diseases
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    • 제51권3호
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    • pp.281-288
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    • 2001
  • 저자들은 운동성 호흡곤란과 경부 림프절 종대로 내원한 환자의 전종격동에서 발견된 편평상피세포암에 대한 면역조직화학 염색 검사상 cytokeratin 13에는 양성이고 CD5와 cytokeratin 7에는 음성이었지만 임상적, 방사선학적, 수술적 소견, 그리고 조직학적 소견을 바탕으로 흉선암에 준해 치료한 1예를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

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원발성 국소 후두아밀로이드증 2례 (Two Cases of Primary Localized Amyloidosis of Larynx)

  • 김형태;조승호;전범조;김민식
    • 대한후두음성언어의학회지
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    • 제9권2호
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    • pp.147-151
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    • 1998
  • Primary localized laryngeal amyloidosis is an uncommon disorder of unknown cause that occurs in the absence of systemic amyloidosis or associated disease. There is a risk of either missing concomitant systemic amyloidosis or exhaustively investigating for this when it is not present through failure to appreciate the nature of the disease. We present 2 cases of primary localized laryngeal amyloidosis in supraglottic region. Biopsy of the mass of patients revealed findings consistent with amyloidosis, which were Congo red reaction with a apple green birefringence in polarized light fluorescence microscopy. An extensive workup for systemic amyloidosis was negative. All of two cases were treated by vaporization via $CO_2$ LASER using "Swiftlase Flshscan" for creating a wide, shallow char-free treatment site by precisely controlling ablation depth without causing residual thermal damage to tissue. The postoperative recovery of all cases was uneventful with good vocal quality and no aspiration. At the present time, the patients have no evidence of disease, recurrence and complication.

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Cooperative Spectrum Sensing using Kalman Filter based Adaptive Fuzzy System for Cognitive Radio Networks

  • Thuc, Kieu-Xuan;Koo, In-Soo
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • 제6권1호
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    • pp.287-304
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    • 2012
  • Spectrum sensing is an important functionality for cognitive users to look for spectrum holes before taking transmission in dynamic spectrum access model. Unlike previous works that assume perfect knowledge of the SNR of the signal received from the primary user, in this paper we consider a realistic case where the SNR of the primary user's signal is unknown to both fusion center and cognitive radio terminals. A Kalman filter based adaptive Takagi and Sugeno's fuzzy system is designed to make the global spectrum sensing decision based on the observed energies from cognitive users. With the capacity of adapting system parameters, the fusion center can make a global sensing decision reliably without any requirement of channel state information, prior knowledge and prior probabilities of the primary user's signal. Numerical results prove that the sensing performance of the proposed scheme outperforms the performance of the equal gain combination based scheme, and matches the performance of the optimal soft combination scheme.

체강액내 암세포의 원발부위 및 세포학적 소견 (Cytologic Features and Distribution of Primary Sites of Malignant Cells in Body Cavity Fluids)

  • 서강석;이창훈;김현옥
    • 대한세포병리학회지
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    • 제8권1호
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    • pp.35-46
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    • 1997
  • The authors reviewed 167 malignant effusions from 110 patients, of which the primary site was established on the basis of either biopsy or surgical resection of the primary neoplasm. Main factors analysed were the distribution of primary organs and the cytohistoiogic correlation of body cavity effusions. The 167 fluid specimens from 110 patients consisted of 90 cases(53.9%) of pleural, 68(40.7%) of peritoneal, and 9(5.4%) of pericardial origins. Histologically they consisted of 82 cases(74.5%) of adenocarcinoma, 8(7.3%) of malignant lymphoma, 6(5.5%) of squamous ceil carcinoma, and 3(2.7%) of small cell carcinoma. The most common site among the primary lesions was the stomach in 25 cases(22.7%) followed by the lung in 21(19.1%), ovary on 17(15.5%), and breast in 7(6.4%). As for the distribution of primary tumors in adenocarcinoma, the most common site was lung un 16 cases (48.5%) in pleural fluid and stomach in 22(48.9%) in peritoneal fluid. In pericardial effusions, all 5 cases were from the lung. As a whole, the cytologic findings of malignant effusion were fairly representative of histologic characteristics of primary lesions. Thus, when the primary lesion Is unknown, careful evaluation of effusion cytology is presumed to be a helpful tooi for tracing the primary tumor.

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예측 가능한 신호 환경에서의 스펙트럼 센싱 기법 (A Spectrum Sensing Scheme with Unknown Deterministic Signal Environment)

  • 김정훈;이크발 아시프;골미라;곽경섭
    • 한국ITS학회 논문지
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    • 제10권3호
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    • pp.85-94
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    • 2011
  • 스펙트럼 센싱은 인지 라디오에서 가장 핵심이 되는 기술이다. 이미 여러 논문에서 에너지 검출기를 바탕으로 하는 스펙트럼 센싱 기법들에 대해 연구하였지만, 실제 시스템에서는 노이즈의 분산을 정확히 추정하는 것이 어려우므로 에너지 검출기를 쓰면 시스템이 요구하는 오경보 확률을 유지할 수 없는 문제가 생긴다. 이에 본 논문에서는, 인지 라디오가 예측 가능하지만 알지 못하는 주사용자의 신호를 검출해야 할 때 노이즈의 분산을 몰라도 스펙트럼을 검출할 수 있는 새로운 검출기를 제안한다. 시뮬레이션을 통해 제안한 검출기는 노이즈의 분산을 몰라도 스펙트럼을 검출할 수 있으며 노이즈 분산의 변화에 강인한 특성을 지닌다는 것을 보인다.

Profiling of Differentially Expressed Genes in Human Cervical Carcinoma

  • Lee, Seung-Hoon;Shim, Chan-Sub;Lee, Je-Ho
    • Animal cells and systems
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    • 제13권4호
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    • pp.381-389
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    • 2009
  • Using the DDRT-PCR, a series of differentially expressed genes in human primary cervical cancer was isolated. Among the 250 PCR amplimers, 88 gene fragments were confirmed by reverse Northern hybridization. Homology searches indicated that 26 out of 88 were previously known genes including calmodulin, human BBC1, histone H3.3, a series of ribosomal proteins (RPL19, RPS19, and RPS12), translation initiation factor (eIF-4AI), lactoferrin, integrin ${\alpha}6$, cell-surface antigens (CD9 and CD59), transcription factor (mbp-1), and mitochondrial proteins. Several unknown clones showed sequence homology with known genes. Furthermore, six of the unknown genes showed identical sequence with expressed sequence tags (EST) of unknown function. Differential expression patterns of identified genes were further examined and confirmed with multiple pairs of cervical cancer samples using Northern hybridization. Our profiling of differentially expressed genes may provide useful information about the underlying genetic alterations in human cervical carcinoma and diagnostic markers for this disease. The precise roles of these genes in cancer development remain to be elucidated.