• 제목/요약/키워드: observed survival

검색결과 1,703건 처리시간 0.031초

Clinical Characteristics of Patients with Bronchioloalveolar Carcinoma: A Retrospective Study of 44 Cases

  • Dirican, Nigar;Baysak, Aysegul;Cok, Gursel;Goksel, Tuncay;Aysan, Tulin
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권7호
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    • pp.4365-4368
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    • 2013
  • Background: Bronchioloalveolar carcinoma (BAC) is considered a subtype of adenocarcinoma of the lung. Recently BAC has been variously termed adenocarcinoma in situ, minimally invasive adenocarcinoma, lepidic predominant invasive adenocarcinoma, and invasive mucinous adenocarcinoma. The aim of the study was to analyze and detect prognostic factors of patients with BAC over a 7-year period. Materials and Methods: This retrospective single-center study included 44 patients with BAC. The impact on survival of fifteen variables (gender, age, smoking status, cough, dyspnea, hemoptysis, fever, chest pain, sputum, metastasis number, Karnofsky performance status, pT, pN, TNM stage, cytotoxic chemoterapy) were assessed. Results: Median age was 55 years (38-83). Most patients were male (63.6%) and stage IV (59.1%). Twenty-one patients (47.7%) received cytotoxic chemotherapy (platinum-based regimens) for metastatic disease. Objective response rate was 33.3% (4 partial, 3 complete responses). Stable disease was observed in nine in patients (42.8%). Disease progression was noted in 5 (23.8%). The median OS for all patients was 12 months (95%CI, 2.08-22.9 months). Independent predictors for overall survival were: Karnofsky performance status (HR:3.30, p 0.009), pN (HR:3.81, p 0.018), TNM stage (HR:6.49, p 0.012) and hemoptysis (HR:2.31, p 0.046). Conclusions: Karnofsky performance status, pN, TNM stage and hemoptysis appear to have significant impact on predicting patient survival in cases of BAC.

Transarterial Chemoembolization Monotherapy in Combination with Radiofrequency Ablation or Percutaneous Ethanol Injection for Hepatocellular Carcinoma

  • Xu, Chuan;Lv, Peng-Hua;Huang, Xin-En;Wang, Shu-Xiang;Sun, Ling;Wang, Fu-An
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권9호
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    • pp.4349-4352
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    • 2016
  • Purpose: To evaluate whether combined transarterial chemoembolization (TACE) with radiofrequency ablation (RFA) or percutaneous ethanol injection (PEI) for hepatocellular carcinoma (HCC) have superior efficacy to transarterial chemoembolization (TACE) alone a retrospective review was conducted. Methods: During January 2009 to March 2013, 108 patients with hepatocellular carcinoma underwent TACE or combined therapies (TACE+RFA or TACE+PEI). The long-term survival rates were evaluated in those patients by various statistical analyses. Results: The cumulative survival rates in the combined TACE+RFA/PEI group were significantly superior to those in the TACE alone group. When the comparison among the groups was restricted to patients with two or three tumors fulfilling the Milan criteria, significantly greater prolongation of survival was observed in the combined TACE+ RFA/PEI group than in the RFA/PEI alone group. Conclusions: In terms of the effect on the survival period, combined TACE+ RFA/PEI therapy was more effective than TACE monotherapy, and also more effective than PEI or RFA monotherapy in cases with multiple tumors.

Clinical and Prognostic Significance of SOX11 in Breast Cancer

  • Liu, Dao-Tong;Peng-Zhao, Peng-Zhao;Han, Jing-Yan;Lin, Fan-Zhong;Bu, Xian-Min;Xu, Qing-Xia
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권13호
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    • pp.5483-5486
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    • 2014
  • Recently, the transcription factor SOX11 has gained extensive attention as a diagnostic marker in a series of cancers. However, to date, the possible roles of SOX11 in breast cancer has not been investigated. In this study, immunohistochemical staining for SOX11 was performed for 116 cases of breast cancer. Nuclear SOX11 was observed in 42 (36.2%) and cytoplasmic SOX11 in 52 (44.8%) of breast cancer samples. Moreover, high expression of cytoplasmic and nuclear SOX11 was associated with clinicopathological factors, including earlier tumor grade, absence of lymph node metastasis and smaller tumor size. Kaplan-Meier survival curves demonstrated high nuclear SOX11 expression to be associated with more prolonged overall survival than those with low expression and it could be an independent predictor of survival for breast cancer patients. It is worthwhile to note that cytoplasmic SOX11 was not correlated with prognosis of breast cancer patients. These data suggest the possibility that nuclear SOX11 could be as a potential target for breast cancer therapy.

Analysis of the Clinical and Histopathological Patterns of 100 Consecutive Cases of Primary Cutaneous Melanoma and Correlation with Staging

  • Nam, Kyung Wook;Bae, Yong Chan;Bae, Seong Hwan;Song, Kyung Ho;Kim, Hoon Soo;Choi, Young Jin
    • Archives of Plastic Surgery
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    • 제42권6호
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    • pp.746-752
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    • 2015
  • Background This study analyzed 100 consecutive patients with primary cutaneous melanoma over the course of 13 years to determine whether epidemiological differences correspond to different stages of the disease. We also investigated whether epidemiological characteristics affected the survival rate. Our results were compared with those of selected descriptive studies of melanoma in other East Asian populations, in order to determine whether cutaneous melanoma patterns are similar in East Asian populations. Methods The patients' medical records were reviewed retrospectively, and we analyzed the relationship of epidemiological characteristics to staging and survival rate. Additionally, papers from Hong Kong and Japan describing these phenomena in East Asian populations were subjected to a statistical comparison. Results The ratio of males to females was 1:1.8, and the foot was the most frequent tumor site (49%). Acral lentiginous melanoma occurred most frequently (55%). Nodular melanoma was associated with a higher stage. Stage III-IV tumors with Clark levels of IV-V were significantly associated with a low survival rate. A statistical analysis of comparable papers reported in Hong Kong and Japan showed similar results with regard to age, tumor location, and histopathological subtypes. Conclusions This study provides the first full epidemiological description of 100 consecutive cases of primary cutaneous melanoma in Korea, with results similar to those observed in other East Asian populations. Corresponding to previous findings, nodular melanoma tended to occur at a higher stage than other types, and tumors with high Clark levels and high stages showed a lower survival rate.

고객 세분화에 기반한 생존분석을 활용한 고객수명 예측 모델 (Customer Lifetime Value Model Using Segment-Based Survival Analysis)

  • 전희주
    • Communications for Statistical Applications and Methods
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    • 제18권6호
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    • pp.687-696
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    • 2011
  • 고객수명은 고객생애가치(CLV)와 함께 차별화된 마케팅전략과 기업의 경쟁력 강화의 핵심수단으로 차별화된 고객관계관리(CRM) 마케팅의 매우 중요한 핵심요소이다. 그러나 보통기업에서 사용하는 고객수명은 어떤 특정시점에서의 고객에 한정하여 고객 개별적인 특성을 반영하지 않고 단순 이탈율만을 가지고 고객 수명을 예측하고 있다. 본 연구는 이러한 단점을 극복하고 현실적인 활용을 위해, 기업고객들의 중도절단자료를 가지고 고객 세분화에 기반한 생존분석을 활용한 고객수 명예측방법을 제시하고, 실제 활용을 위해 국내 A 이동통신사의 데이터를 활용하여 적용하였다. 본 연구에서 제시하고 있는 고객 세분화에 기반한 생존 분석을 이용한 고객수명 예측방법은, 첫째, 가입시점이 다른 모든고객 을반영하고 있고, 둘째, 고객의 개별적 특성을 반영하여 개별 고객수명에 대한 오차를 줄일 수 있으며, 셋째, 관측시점 이후의 수명을 예측함으로써 시간의 흐름에 따른 이탈율 또는 해지율의 변동추이를 반영하게 되어 더욱 현실성을 반영하고 있다.

분화 갑상선암의 수술 및 예후에 대한 고찰 (Surgery and Prognostic Consideration in Differentiated Thyroid Cancer(DTC))

  • 변경도;하태권;유성목;김태현;김상효
    • 대한두경부종양학회지
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    • 제25권2호
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    • pp.132-137
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    • 2009
  • Purpose : For the past 10 years, the incidence of thyroid cancer has been rapidly increased in female population showing current incidence of 12,000 new thyroid cancer patients annually in Korea. Though differentiated thyroid cancer is known to show favorable prognosis and excellent long-term survival from slow growth and late distant metastasis, we re-evaluated prognostic factors of recurrence and mortality following surgical procedures based on our cases. Material and Methods : 954 Patients of DTC surgically treated at Department of Surgery, Inje University Busan Paik Hospital between 1980 and 2004 were reviewed in the aspects of the surgical procedures, clinical staging, risk factors, recurrence and their outcome through median follow-up period of 10.5 years. Results : Recurrence in remnant thyroid, cervical nodes, and distant metastasis were observed in 84 paients(8.8%), and 31 patients were confirmed to be died of locoregional recurrence of cancer and distant metasasis. Regarding the risk factors to recurrence, tumor size, extrathyroidal extension, nodal metastasis, and capsular invasion were significant predictors(p<0.05). Local recurrence and distant metastasis had no statistical signiicance according to age, sex, pathology, surgery, and lymphovascular invasion. Overall 10-year survival rate was 92.4%, but low, intermediate, and high-risk patient showed 100%, 94.4%, and 70.5% respectively. Conclusion : The significant factors influencing local recurrence and distant metastasis were tumor size, extrathyroidal exension, LN metastasis, capsular invasion. In order to improve survival rate of high-risk group, appropriate and aggressive management should be recommended.

Hypofractionated three-dimensional conformal radiotherapy for medically inoperable early stage non-small-cell lung cancer

  • Lee, Joo Ho;Wu, Hong-Gyun;Kim, Hak Jae;Park, Charn Il;Lee, Se-Hoon;Kim, Dong-Wan;Heo, Dae Seog
    • Radiation Oncology Journal
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    • 제31권1호
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    • pp.18-24
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    • 2013
  • Purpose: The purpose of this study was to assess the clinical outcomes of hypofractionated radiotherapy (HFRT) with three-dimensional conformal technique for medically inoperable patients with early stage non-small-cell lung cancer (NSCLC) and to evaluate prognostic factors. Materials and Methods: We performed a retrospective review of 26 patients who underwent HFRT for early stage NSCLC between September 2005 and August 2011. Only clinical stage T1-3N0 was included. The median RT dose was 70 Gy (range, 60 to 72 Gy) and the median biologically equivalent dose (BED) was 94.5 Gy (range, 78.0 to 100.8 Gy). In 84.6% of patients, 4 Gy per fraction was used. Neoadjuvant chemotherapy with paclitaxel and cisplatin was given to 2 of 26 patients. Results: The median follow-up time for surviving patients was 21 months (range, 13 to 49 months). The overall response rate was 53.9%, and the initial local control rate was 100%. The median survival duration was 27.8 months. Rates of 2-year overall survival, progression-free survival (PFS), local control (LC), and locoregional-free survival (LRFS) were 54.3%, 61.1%, 74.6%, and 61.9%, respectively. Multivariate analysis showed that BED (>90 vs. ${\leq}90$ Gy) was an independent prognostic factor influencing PFS, LC, and LRFS. Severe toxicities over grade 3 were not observed. Conclusion: Radical HFRT can yield satisfactory disease control with acceptable rates of toxicities in medically inoperable patients with early stage NSCLC. HFRT is a viable alternative for clinics and patients ineligible for stereotactic ablative radiotherapy. BED over 90 Gy and 4 Gy per fraction might be appropriate for HFRT.

감귤박 및 감태추출물의 사료첨가제 급여에 따른 둥근전복 (Haliotis discus discus)의 성장 및 생리적 변화 (Effects of dietary supplementation with citrus pomace and Ecklonia cava residue on the physiological changes and growth of disk abalone, Haliotis discus discus)

  • 좌민석;여인규
    • 한국어병학회지
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    • 제28권1호
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    • pp.53-62
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    • 2015
  • Here, we report the physiological changes and growth in disk abalone, Haliotis discus discus, in relation to dietary supplementation with citrus pomace (CP) 6%, Ecklonia cava residue (ECR) 6%, and CP + ECR (3% + 3%). The composition and nutrient content, survival rate and growth rate were measured 0, 4, 8 and 12 weeks after feeding the supplemented diets of CP and/or ECR. Moreover, the experiment of low salinity stress (25psu) for environmental resistance was examined for a period of 48 hours after feeding the supplemented diets for 12 weeks. The activities of superoxide dismutase (SOD), catalase (CAT), lysozymes, respiratory burst, and phenoloxidase were measured. The moisture content and crude protein condition of the body were increased with the addition of ECR only (P<0.05). We observed higher levels of survival in the experimental group compared with the control group. Moreover, the growth disk abalone that were fed a diet containing ECR was higher compared with the control group. However, the growth of abalone fed a diet containing CP was similar to the control group. With a rearing condition of low salinity stress, survival rate and lysozyme activity were increased in the ECR group compared with the control group. Dietary ECR reduced the level of CAT activity to approximately 30% of the control, however the level of CAT activity in the ECR group was similar to the start level of the previous stress. These results suggest that dietary ECR gives rise to an enhanced immunity in disk abalone, as a result of the decrease in CAT and lysozyme activity in particular. Accordingly, the growth and survival rate were increased by feeding an ECR-supplemented diet in the rearing of disk abalone, Haliotis discus discus.

조피볼락의 종묘생산에 미치는 Rotifer와 Artemia의 영양강화 효과 (Effects of Enrichment of Rotifers and Artemia on Larvae Mass Productin of Rockfish, Sebastes schlegeli)

  • 조성환;허성범
    • 한국양식학회지
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    • 제11권4호
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    • pp.437-447
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    • 1998
  • 조피볼락 종묘생산시 발생하는 대량폐사를 막기 위하여 자어의 다양한 먹이생물을 공급하여 성장을 비교하였고 여러 가지 방법으로 먹이생물을 영양강화시켜 공급하여 그에 따른 조피볼락 자어의 생존율과 성장률을 비교하였다. 성게 유생은 쉽게 구할 수 있으나 조피볼락 자어의 생존율을 저하시켰고 유생의 지방산 분석 결과를 볼 때 그다지 적합한 먹이로 생각되지 않는다. Rotifer나 Artemia nauplii를 단독으로 조피볼락의 자어를 먹이로 공급하는 것보다 혼합공급하는 것이 더 효과저거인 것으로 나타났다. 그리고 rotifer나 Artemia nauplii를 ${\omega}$-yeast, Spirulina platensis나 Super Selco로 영양강화시킨후에 먹이로 공급할 경우 자어의 생존율이나 성장률에서 많은 개선을 보였다. Rotifer를 Super Selco로 영양강화를 시켰을 경우 $\omega$-yeast로 영양강화를 시킨 경우보다 높은 생존율과 성장률의 결과를 보였다. 산출 후 10일 경에 대량폐사가 발생하였으며 초기에는 rotifer가 자어의 먹이로 우수한 것으로 나타났으나 10일 경 이후부터는 Artemia nauplii가 우수한 먹이로 판단된다. 그러나 rotifer와 Artemia nauplii 혼합 공급하였을 경우 rotifer나 Artemia nauplii를 단독 공급하는 경우보다 우수한 결과를 보였다.

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Fructus Amomi Cardamomi Extract Inhibits Coxsackievirus-B3 Induced Myocarditis in a Murine Myocarditis Model

  • Lee, Yun-Gyeong;Park, Jung-Ho;Jeon, Eun-Seok;Kim, Jin-Hee;Lim, Byung-Kwan
    • Journal of Microbiology and Biotechnology
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    • 제26권11호
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    • pp.2012-2018
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    • 2016
  • Coxsackievirus B3 (CVB3) is the main cause of acute myocarditis and dilated cardiomyopathy. Plant extracts are considered as useful materials to develop new antiviral drugs. We had previously selected candidate plant extracts, which showed anti-inflammatory effects. We examined the antiviral effects by using a HeLa cell survival assay. Among these extracts, we chose the Amomi Cardamomi (Amomi) extract, which showed strong antiviral effect and preserved cell survival in CVB3 infection. We investigated the mechanisms underlying the ability of Amomi extract to inhibit CVB3 infection and replication. HeLa cells were infected by CVB3 with or without Amomi extract. Erk and Akt activities, and their correlation with virus replication were observed. Live virus titers in cell supernatants and viral positive- and negative-strand RNA amplification were measured. Amomi extract significantly increased HeLa cell survival in different concentrations ($100-10{\mu}g/ml$). CVB3 capsid protein VP1 expression (76%) and viral protease 2A-induced eIF4G1 cleavage (70%) were significantly decreased in Amomi extract ($100{\mu}g/ml$) treated cells. The levels of positive- (20%) and negative-strand (80%) RNA were dramatically decreased compared with the control, as revealed by reverse transcription-PCR. In addition, Amomi extract improved mice survival (51% vs 26%) and dramatically reduced heart inflammation in a CVB3-induced myocarditis mouse model. These results suggested that Amomi extract significantly inhibited Enterovirus replication and myocarditis damage. Amomi may be developed as a therapeutic drug for Enterovirus.