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        west china medical publishers
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        find Author "YUAN Ke" 2 results
        • Endoscopic Reversal Mucosal Resection for Ultra-low Rectal Large Laterally Spreading Tumor

          目的 探討內鏡反轉黏膜切除術治療超低位直腸大型側向發育型腫瘤的價值。 方法 回顧性分析四川大學華西醫院消化內鏡中心2010年1月-2011年12月間38例內鏡反轉黏膜切除術治療超低位直腸大型側向發育型腫瘤病變殘留、治療效果。 結果 38例患者,男18例,女20例,年齡8~80歲;病變下緣距肛門齒狀線1~4.0 cm24例,侵及齒狀線14例。病變大小(按病變最大徑分類):1.5~3.0 cm 12例,3.1~4.0 cm 8例,4.1~5.0 cm4例,5.1~7.0 cm 10例,10 cm 4例。病變直徑在5.0 cm以下的24例患者,經首次手術治療腫瘤完整切除,術后2例灶性癌變,追加外科手術;其余22例2個月復查,病變無殘留,6個月復查,2例復發,經再次手術病變完整切除。隨訪1年,全部未見復發,治愈率為100%,無殘留。病變直徑5.1~7.0 cm的10例患者,經首次手術治療腫瘤分次切除,2個月復查,6例病變完整切除無殘留,6個月復查,其中2例復發,經再次內鏡下手術切完病變,隨訪1年,無復發;另4例有殘留,經再次內鏡下手術切完病變,6個月復查無復發,隨訪1年,4例均未見復發。病變直徑10 cm 的4例患者,經多次手術后復查均有病變殘留,無法完全切除,患者拒絕外科手術。5.1 cm以上病變治愈率71.43%,殘留率高達57.14%。本組術后出血16例,感染1例,直腸狹窄1例,肛門墜脹3例,無穿孔發生。 結論 內鏡反轉黏膜切除術治療超低位直腸大型側向發育型腫瘤有效,對5.0 cm以下病變能一次完整切除,5.1 cm以上病變殘留率高,需再次內鏡下手術,10 cm以上病變切除不完全。應慎重選擇病例,術后密切隨訪。

          Release date:2016-09-07 02:34 Export PDF Favorites Scan
        • Chromosomal 1p32 abnormality: emerge insight in multiple myeloma and research progress in cross-disease expansion

          In recent years, the impact of chromosomal 1p32 abnormalities on diseases such as multiple myeloma (MM) has received increasing attention. Deletion of 1p32 is a key adverse prognostic factor for overall survival and progression-free survival in MM patients and also influences pre-MM states and primary plasma cell leukemia. Fluorescence in situ hybridization is currently the primary method for detecting chromosomal 1p32 abnormalities, yet it has limitations; emerging genetic testing technologies offer improved detection sensitivity. Furthermore, chromosomal 1p32 abnormalities are associated with other hematologic malignancies, solid tumors, and various non-neoplastic diseases. In summary, the chromosomal 1p32 region holds significant promise for clinical translation in disease diagnosis, prognostic assessment, and personalized therapy. This review reviews the detection techniques for chromosomal 1p32 abnormalities and the cross-disease research progress, in order to explore their clinical translation prospects.

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