2.Optimization of perioperative treatment strategies for locally advanced esophageal squamous cell carcinoma from the perspective of tumor heterogeneity.
Xiao Zheng KANG ; Rui Xiang ZHANG ; Zhen WANG ; Xian Kai CHEN ; Jian Jun QIN ; Yin LI ; Qi XUE ; Jie HE
Chinese Journal of Gastrointestinal Surgery 2023;26(4):334-338
Recent advances in multimodality treatment offer excellent opportunities to rethink the paradigm of perioperative management for locally advanced esophageal squamous cell carcinoma. One treatment clearly doesn't fit all in terms of a broad disease spectrum. Individualized treatment of local control of bulky primary tumor burden (advanced T stage) or systemic control of nodal metastatic tumor burden (advanced N stage) is essential. Given that clinically applicable predictive biomarkers are still awaited, therapy selection guided by diverse phenotypes of tumor burden (T vs. N) is promising. Potential challenges regarding the use of immunotherapy may also boost this novel strategy in the future.
Humans
;
Esophageal Squamous Cell Carcinoma/surgery*
;
Carcinoma, Squamous Cell/pathology*
;
Esophageal Neoplasms/pathology*
;
Combined Modality Therapy
;
Immunotherapy
4.Lymphoepithelioma-like carcinoma of the submandibular salivary gland: a case report.
Xiao-nan SUN ; Jing XU ; Qi-chu YANG ; Jian-bin HU ; Qi WANG
Chinese Medical Journal 2006;119(15):1315-1317
6.Luteolin suppresses oral carcinoma 3 (OC3) cell growth and migration via modulating polo-like kinase 1 (PLK1) expression and cellular energy metabolism.
Pengfei GAO ; Wentao ZHANG ; Yujie LIN ; Ruijie LU ; Zijian LOU ; Gang LU ; Ruolang PAN ; Yunfang CHEN
Journal of Zhejiang University. Science. B 2023;24(12):1151-1158
Oral squamous cell carcinoma (OSCC) is a prevalent malignant tumor affecting the head and neck region (Leemans et al., 2018). It is often diagnosed at a later stage, leading to a poor prognosis (Muzaffar et al., 2021; Li et al., 2023). Despite advances in OSCC treatment, the overall 5-year survival rate of OSCC patients remains alarmingly low, falling below 50% (Jehn et al., 2019; Johnson et al., 2020). According to statistics, only 50% of patients with oral cancer can be treated with surgery. Once discovered, it is more frequently at an advanced stage. In addition, owing to the aggressively invasive and metastatic characteristics of OSCC, most patients die within one year of diagnosis. Hence, the pursuit of novel therapeutic drugs and treatments to improve the response of oral cancer to medication, along with a deeper understanding of their effects, remains crucial objectives in oral cancer research (Johnson et al., 2020; Bhat et al., 2021; Chen et al., 2023; Ruffin et al., 2023).
Humans
;
Mouth Neoplasms/pathology*
;
Carcinoma, Squamous Cell/metabolism*
;
Luteolin/therapeutic use*
;
Squamous Cell Carcinoma of Head and Neck/drug therapy*
;
Head and Neck Neoplasms/drug therapy*
;
Cell Line, Tumor
7.Extensive acute lung injury following limited thoracic irradiation: radiologic findings in three patients.
Jung Hwa HWANG ; Kyung Soo LEE ; Koun Sik SONG ; Hojoong KIM ; O Jung KWON ; Tae Hwan LIM ; Yong Chan AHN ; In Wook CHOO
Journal of Korean Medical Science 2000;15(6):712-717
The aim of our study was to describe the radiologic findings of extensive acute lung injury associated with limited thoracic irradiation. Limited thoracic irradiation occasionally results in acute lung injury. In this condition, chest radiograph shows diffuse ground-glass appearance in both lungs and thin-section CT scans show diffuse bilateral ground-glass attenuation with traction bronchiectasis, interlobular septal thickening and intralobular smooth linear opacities.
Acute Disease
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Adenocarcinoma/radiotherapy
;
Adenocarcinoma/pathology
;
Adenocarcinoma/drug therapy
;
Adenocarcinoma/complications*
;
Carcinoma, Squamous Cell/radiotherapy
;
Carcinoma, Squamous Cell/pathology
;
Carcinoma, Squamous Cell/drug therapy
;
Carcinoma, Squamous Cell/complications*
;
Journal Article
;
Human
;
Lung/radiation effects*
;
Lung/pathology
;
Lung Neoplasms/radiotherapy
;
Lung Neoplasms/pathology
;
Lung Neoplasms/drug therapy
;
Lung Neoplasms/complications*
;
Male
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Middle Age
;
Radiation Injuries/radiography
;
Radiation Injuries/pathology
;
Radiation Injuries/etiology*
;
Thorax/radiation effects
8.What Is the Next Step after Endoscopic Resection of Superficial Esophageal Squamous Cell Carcinoma?.
Gut and Liver 2015;9(6):693-694
No abstract available.
*Antineoplastic Protocols
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Carcinoma, Squamous Cell/*pathology/*therapy
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Esophageal Neoplasms/*pathology/*therapy
;
*Esophagoscopy
;
Female
;
Humans
;
Male
;
*Postoperative Care
9.Clinical analysis of primary squamous cell carcinoma of the breast.
Chinese Journal of Surgery 2003;41(3):183-185
OBJECTIVETo study the clinicopathological features of primary squamous cell carcinoma (SCC) of breast and the diagnosis and treatment of the disease.
METHODSThe clinical, operative and pathological data from 7 cases of SCC of breast were retrospectively analysed.
RESULTSFive patients complained of painless mass and two of them were accompanied with local pain. All patients were diagnosed as having SCC by fine-needle aspiration before operation. Two patients underwent modified radical mastectomy, and the others received radical mastectomy. Pathological examination showed primary squamous cell carcinoma of the breast with metastasis to axlliary lymph nodes in one patient. Follow-up of four patients revealed that two patients are living well and two patients died. Three patients lost to follow up.
CONCLUSIONThe diagnosis of primary squamous cell carcinoma of the breast is dependent on pathological results. Radical mastectomy including modified radical mastectomy is most effective in the treatment of mammary SCC. Postoperative chemotherapy and radiation are necessary auxiliary therapy.
Adult ; Aged ; Breast Neoplasms ; diagnosis ; pathology ; therapy ; Carcinoma, Squamous Cell ; diagnosis ; pathology ; therapy ; Female ; Humans ; Middle Aged ; Prognosis ; Retrospective Studies
10.Clinical Observation of Immunotherapy Efficacy and Adverse Effects in Chinese Patients with Lung Squamous Cell Carcinoma.
Jiangyong YU ; Xiaonan WU ; Junling MA ; Xi CHEN ; Lin LI
Chinese Journal of Lung Cancer 2022;25(7):546-554
BACKGROUND:
Immune checkpoint inhibitors (ICIs) improved survival of partial patients with lung squamous cell carcinoma (LUSC). However, it was still insufficient of data in older patients. This study aimed to investigate the efficacy and toxicity of immunotherapy in patients with LUSC in Chinese population of real world.
METHODS:
A total of 185 LUSC patients underwent pathological diagnosis were involved from January 2018 to January 2022. Patients were divided into elderly group (age ≥70 years) and younger group (age <70 years). The efficacy of mono-immunotherapy or combined with chemotherapy to chemotherapy in first-line treatment was compared. The expression of programmed cell death ligand 1 (PD-L1) and tumor mutational burden (TMB) were evaluated. Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 was used to evaluate the efficacy, and Common Terminology Criteria for Adverse Events (CTCAE) version 4.03 was used to evaluate immune-related adverse. Kaplan-Meier and Log-rank test was performed. Cox regression was used in prognostic analysis.
RESULTS:
Combined therapy acquired significantly higher overall response rate (ORR) compared with chemotherapy alone in elderly group (P<0.05), and also in younger group, despite the difference was not significant (P>0.05). The median progression-free survival (mPFS) and median overall survival (mOS) in elderly group were similar with younger group (P>0.05). Both combined group and immunology alone demonstrated prolonged mPFS in first-line compared with chemotherapy in elderly group. And combined group demonstrated significantly prolonged mPFS compared with chemotherapy in younger group (P<0.01). There was no difference of mOS between different regimes in two groups. Elderly LUSC patients had higher PD-L1 positive rate (≥1%) and similar TMB compared with younger group. There was no relationship between mPFS and mOS with the expression of PD-L1 and TMB. Immunology combined with chemotherapy demonstrated better mPFS compared to chemotherapy in first-line therapy with TMB-High (P<0.05), and inferior mPFS with TMB-Low despite the difference was not significant (P>0.05). Cox regression model demonstrated that clinical stage was an independent predictor and prognostic factor. The incidence of immune-related adverse was 58.0% (51/88) and grade 3 or above 25.0% (22/88). The most common grade 3 adverse events were rash, immune-associated pneumonia, and fatigue.
CONCLUSIONS
Immunology combined with chemotherapy increased ORR, mPFS and mOS of Chinese patients with LUSC in first-line therapy compared with chemotherapy. There was no difference of efficacy and adverse effects rate between elderly group and younger group. The adverse effects of immunology in elderly patients with LUSC were controllable.
Aged
;
B7-H1 Antigen/analysis*
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Biomarkers, Tumor
;
Carcinoma, Non-Small-Cell Lung/pathology*
;
Carcinoma, Squamous Cell/drug therapy*
;
China
;
Humans
;
Lung/pathology*
;
Lung Neoplasms/pathology*