1.MRI Evaluation on Staging of Laryngeal and Hypopharyngeal Cancers
Xiaobing LI ; Musheng TAO ; Chuanfu LI ; Jinwen HOU
Journal of Practical Radiology 2000;16(12):733-736
Objective:To evaluate the value of the preoperative T staging of laryngeal and hypopharyngeal cancers by MRI at high field strength(1.5T).Methods:The MRI data of 36 cases of primary laryngeal or hypopharyngeal cancers were retrospectively staged,and compared with the clinical and postsurgical pathologic staging.Results:The accuracy of staging in each T stage of laryngeal and hypopharyngeal cancers was:T1:92%;T2:86%;T386%;T4:100% by MRI vs.T1:100%;T286%;T3:57%;T4:22% by clinic/laryngoscope.The total accuracy of MRI and clinic/laryngoscope respectively was 92% vs 69%.P<0.05.Conclusion:MRI can correctly depict the original tumors site and invasion extension of laryngeal and hypopharyngeal cancers by comparing T1WI and T2WI with multiplanar,consequently improve the accuracy for staging significantly.
2.Interventional Therapy of Rectal Carcinoma
Chengming XIAO ; Musheng LI ; Yi ZHU ; Budong XIE ; Xiaobing DAI
Journal of Practical Radiology 2000;0(02):-
Objective To evaluate the clinical value of selective arterial infusion chemotherapy and embolization for rectal carcinoma.Methods Seldinger technique was used to insertsuperselectively catheter for 30 patients primary rectal carcinoma.Gelation embolization was done after infusionchemotherapy;All patients underwent operation in 7 day after chemoterapy and embolization.Results The clinical symptoms were obviously improved in all patients,25 in 30 patients were completely excised and the hemorrhage was obviously reduced.Conclusion The superselective arterial infusion chemotherapy and embolization may improve the clinical symptom and increase the resection rate in rectal carcinoma.
3.Expression and clinical significance of Bmi-1 in gastric carcinoma
Jianhua LIU ; Kaihong HUANG ; Xuexian LI ; Libing SONG ; Baohong GUO ; Yan FENG ; Musheng ZENG
Chinese Journal of Pathophysiology 2000;0(10):-
AIM: To investigate the relationship between expression of Bmi-1(B cell-specific MLV integration site-1) in gastric cancer and its clinicopathologic significance.METHODS: 146 surgical patients with gastric carcinoma were followed up at least 2 years.Expression of Bmi-1 protein was examined by immunohistochemistry in their archival paraffin embedded tissue specimens.RESULTS: The intensive positive rate of Bmi-1 expression in gastric cancer was 67.8%(99/146).Expression of Bmi-1 was highly correlated with tumor size,clinical stage,lymph node metastasis and T classification(P0.05).The survival rate in the patients with Bmi-1 expression was much lower than that in those patients without Bmi-1 expression(P
4.Expression and clinical significance of ku7O in nasopharyngeal carcinoma
Shanshan YAN ; Zhigang LIU ; Li LIU ; Libing SONG ; Musheng ZENG ; Yunfei XIA
Chinese Journal of Radiation Oncology 2009;18(1):33-36
Objective To investigate the expression and clinical significance of Ku70 in nasopha ryngeal oarcinoma(NPC).Methods The expression of Ku70 protein in 223 specimens of nasopharyngeal carcinoma was examined by immunohistochemistry.Based on the levels of ku70 immunoreactivities,the 223 specimens were divided into high Ku70 expression group and low Ku70 expression group.The correlation of Ku70 expression with clinicopathologic features and prognosis of NPC was analyzed according to the clinical data. Results The rate of high Ku70 expression was 63.7%.Univariate survival analysis suggested that the overall survival rate was significantly lower in high KuTO expression group than in low Ku70 expression group (X2 = 7.88,P = 0.005).Cox multivariate analysis indicated that T stage,N stage and M stage were the independent prognostic predictors (X2 = 8.02,7.22,36.86;P =0.005,0.007,0.000),but not with gender, age or pathological type(X2 = 0.08 ,1.04,2.34;P = 0.780,0.308,0.126),the influence of Ku70 on the o verall survival rate was close to critical value(P = 0.085).Conclusions Ku70 is positively expressed in the majority of NPC.KuT0 expression has significant correlations with T stage and N stage.The results of our study suggest that Ku70 is a valuable prognostic factor of NPC.