1.Comparison of Efficacy and Safety of Albumin Bound Paclitaxel and Solvent Based Paclitaxel in Neoadjuvant Chemotherapy for Advanced Epithelial Ovari-an Cancer
Jinfeng WANG ; Yuqi WANG ; Xinxin ZHANG ; Panyue YIN ; Lanbo ZHAO ; Qiling LI
Journal of Practical Obstetrics and Gynecology 2024;40(9):717-722
Objective:To evaluate the efficacy and safety of albumin bound paclitaxel(nab-PTX)and solvent based paclitaxel(sb-PTX)in neoadjuvant chemotherapy(NACT)for advanced epithelial ovarian cancer(EOC).Methods:A retrospective analysis was conducted on the clinical data of 107 patients with advanced EOC who un-derwent preoperative NACT in the First Affiliated Hospital of Xi'an Jiaotong University from June 11,2018 to Sep-tember 19,2023.Among them,52 patients were treated with nab-PTX combined with carboplatin intravenous chemotherapy(nab-PTX group),and 55 with sb-PTX combined with carboplatin intravenous chemotherapy(sb-PTX group).The clinical indicators after NACT,intraoperative conditions of cytoreductive surgery and ad-verse events during the NACT were compared in two groups.Results:The maximum tumor diameter(3.7 cm vs.3.8 cm),CA125(28.9 U/ml vs.31.6 U/ml)and HE4(102.5 U/ml vs.119.0 U/ml)levels in the nab PTX group after NACT were significantly lower than those in the sb-PTX group,and the differences were statistically significant(P<0.001).After NACT,the total input(2580 ml vs.2100 ml),the proportion of surgical complexity score(36.54%vs.18.18%),and lymph node resection rate(57.69%vs.29.09%)in the nab-PTX group were significantly higher than those in the sb-PTX group(P<0.05).There was no statistically significant difference(P>0.05)in the amount of ascites,clinical efficacy evaluation,ORR,DCR,surgical time,intraoperative bleeding,total output,postoperative hospital stays,surgical satisfaction,pathological complete response rate(pCR),transfu-sion of blood products,lymph node metastasis and adverse effects during NACT between the two groups.Con-clusions:Nab-PTX has a better clinical disease control effect than sb-PTX in NACT,in order to achieve better cy-toreductive surgery,but it has no significant effect on pathological remission.The safety of the two drugs is similar.
2.Comparison of Efficacy and Safety of Albumin Bound Paclitaxel and Solvent Based Paclitaxel in Neoadjuvant Chemotherapy for Advanced Epithelial Ovari-an Cancer
Jinfeng WANG ; Yuqi WANG ; Xinxin ZHANG ; Panyue YIN ; Lanbo ZHAO ; Qiling LI
Journal of Practical Obstetrics and Gynecology 2024;40(9):717-722
Objective:To evaluate the efficacy and safety of albumin bound paclitaxel(nab-PTX)and solvent based paclitaxel(sb-PTX)in neoadjuvant chemotherapy(NACT)for advanced epithelial ovarian cancer(EOC).Methods:A retrospective analysis was conducted on the clinical data of 107 patients with advanced EOC who un-derwent preoperative NACT in the First Affiliated Hospital of Xi'an Jiaotong University from June 11,2018 to Sep-tember 19,2023.Among them,52 patients were treated with nab-PTX combined with carboplatin intravenous chemotherapy(nab-PTX group),and 55 with sb-PTX combined with carboplatin intravenous chemotherapy(sb-PTX group).The clinical indicators after NACT,intraoperative conditions of cytoreductive surgery and ad-verse events during the NACT were compared in two groups.Results:The maximum tumor diameter(3.7 cm vs.3.8 cm),CA125(28.9 U/ml vs.31.6 U/ml)and HE4(102.5 U/ml vs.119.0 U/ml)levels in the nab PTX group after NACT were significantly lower than those in the sb-PTX group,and the differences were statistically significant(P<0.001).After NACT,the total input(2580 ml vs.2100 ml),the proportion of surgical complexity score(36.54%vs.18.18%),and lymph node resection rate(57.69%vs.29.09%)in the nab-PTX group were significantly higher than those in the sb-PTX group(P<0.05).There was no statistically significant difference(P>0.05)in the amount of ascites,clinical efficacy evaluation,ORR,DCR,surgical time,intraoperative bleeding,total output,postoperative hospital stays,surgical satisfaction,pathological complete response rate(pCR),transfu-sion of blood products,lymph node metastasis and adverse effects during NACT between the two groups.Con-clusions:Nab-PTX has a better clinical disease control effect than sb-PTX in NACT,in order to achieve better cy-toreductive surgery,but it has no significant effect on pathological remission.The safety of the two drugs is similar.
3.Comparison of Efficacy and Safety of Albumin Bound Paclitaxel and Solvent Based Paclitaxel in Neoadjuvant Chemotherapy for Advanced Epithelial Ovari-an Cancer
Jinfeng WANG ; Yuqi WANG ; Xinxin ZHANG ; Panyue YIN ; Lanbo ZHAO ; Qiling LI
Journal of Practical Obstetrics and Gynecology 2024;40(9):717-722
Objective:To evaluate the efficacy and safety of albumin bound paclitaxel(nab-PTX)and solvent based paclitaxel(sb-PTX)in neoadjuvant chemotherapy(NACT)for advanced epithelial ovarian cancer(EOC).Methods:A retrospective analysis was conducted on the clinical data of 107 patients with advanced EOC who un-derwent preoperative NACT in the First Affiliated Hospital of Xi'an Jiaotong University from June 11,2018 to Sep-tember 19,2023.Among them,52 patients were treated with nab-PTX combined with carboplatin intravenous chemotherapy(nab-PTX group),and 55 with sb-PTX combined with carboplatin intravenous chemotherapy(sb-PTX group).The clinical indicators after NACT,intraoperative conditions of cytoreductive surgery and ad-verse events during the NACT were compared in two groups.Results:The maximum tumor diameter(3.7 cm vs.3.8 cm),CA125(28.9 U/ml vs.31.6 U/ml)and HE4(102.5 U/ml vs.119.0 U/ml)levels in the nab PTX group after NACT were significantly lower than those in the sb-PTX group,and the differences were statistically significant(P<0.001).After NACT,the total input(2580 ml vs.2100 ml),the proportion of surgical complexity score(36.54%vs.18.18%),and lymph node resection rate(57.69%vs.29.09%)in the nab-PTX group were significantly higher than those in the sb-PTX group(P<0.05).There was no statistically significant difference(P>0.05)in the amount of ascites,clinical efficacy evaluation,ORR,DCR,surgical time,intraoperative bleeding,total output,postoperative hospital stays,surgical satisfaction,pathological complete response rate(pCR),transfu-sion of blood products,lymph node metastasis and adverse effects during NACT between the two groups.Con-clusions:Nab-PTX has a better clinical disease control effect than sb-PTX in NACT,in order to achieve better cy-toreductive surgery,but it has no significant effect on pathological remission.The safety of the two drugs is similar.
4.Comparison of Efficacy and Safety of Albumin Bound Paclitaxel and Solvent Based Paclitaxel in Neoadjuvant Chemotherapy for Advanced Epithelial Ovari-an Cancer
Jinfeng WANG ; Yuqi WANG ; Xinxin ZHANG ; Panyue YIN ; Lanbo ZHAO ; Qiling LI
Journal of Practical Obstetrics and Gynecology 2024;40(9):717-722
Objective:To evaluate the efficacy and safety of albumin bound paclitaxel(nab-PTX)and solvent based paclitaxel(sb-PTX)in neoadjuvant chemotherapy(NACT)for advanced epithelial ovarian cancer(EOC).Methods:A retrospective analysis was conducted on the clinical data of 107 patients with advanced EOC who un-derwent preoperative NACT in the First Affiliated Hospital of Xi'an Jiaotong University from June 11,2018 to Sep-tember 19,2023.Among them,52 patients were treated with nab-PTX combined with carboplatin intravenous chemotherapy(nab-PTX group),and 55 with sb-PTX combined with carboplatin intravenous chemotherapy(sb-PTX group).The clinical indicators after NACT,intraoperative conditions of cytoreductive surgery and ad-verse events during the NACT were compared in two groups.Results:The maximum tumor diameter(3.7 cm vs.3.8 cm),CA125(28.9 U/ml vs.31.6 U/ml)and HE4(102.5 U/ml vs.119.0 U/ml)levels in the nab PTX group after NACT were significantly lower than those in the sb-PTX group,and the differences were statistically significant(P<0.001).After NACT,the total input(2580 ml vs.2100 ml),the proportion of surgical complexity score(36.54%vs.18.18%),and lymph node resection rate(57.69%vs.29.09%)in the nab-PTX group were significantly higher than those in the sb-PTX group(P<0.05).There was no statistically significant difference(P>0.05)in the amount of ascites,clinical efficacy evaluation,ORR,DCR,surgical time,intraoperative bleeding,total output,postoperative hospital stays,surgical satisfaction,pathological complete response rate(pCR),transfu-sion of blood products,lymph node metastasis and adverse effects during NACT between the two groups.Con-clusions:Nab-PTX has a better clinical disease control effect than sb-PTX in NACT,in order to achieve better cy-toreductive surgery,but it has no significant effect on pathological remission.The safety of the two drugs is similar.
5.Comparison of Efficacy and Safety of Albumin Bound Paclitaxel and Solvent Based Paclitaxel in Neoadjuvant Chemotherapy for Advanced Epithelial Ovari-an Cancer
Jinfeng WANG ; Yuqi WANG ; Xinxin ZHANG ; Panyue YIN ; Lanbo ZHAO ; Qiling LI
Journal of Practical Obstetrics and Gynecology 2024;40(9):717-722
Objective:To evaluate the efficacy and safety of albumin bound paclitaxel(nab-PTX)and solvent based paclitaxel(sb-PTX)in neoadjuvant chemotherapy(NACT)for advanced epithelial ovarian cancer(EOC).Methods:A retrospective analysis was conducted on the clinical data of 107 patients with advanced EOC who un-derwent preoperative NACT in the First Affiliated Hospital of Xi'an Jiaotong University from June 11,2018 to Sep-tember 19,2023.Among them,52 patients were treated with nab-PTX combined with carboplatin intravenous chemotherapy(nab-PTX group),and 55 with sb-PTX combined with carboplatin intravenous chemotherapy(sb-PTX group).The clinical indicators after NACT,intraoperative conditions of cytoreductive surgery and ad-verse events during the NACT were compared in two groups.Results:The maximum tumor diameter(3.7 cm vs.3.8 cm),CA125(28.9 U/ml vs.31.6 U/ml)and HE4(102.5 U/ml vs.119.0 U/ml)levels in the nab PTX group after NACT were significantly lower than those in the sb-PTX group,and the differences were statistically significant(P<0.001).After NACT,the total input(2580 ml vs.2100 ml),the proportion of surgical complexity score(36.54%vs.18.18%),and lymph node resection rate(57.69%vs.29.09%)in the nab-PTX group were significantly higher than those in the sb-PTX group(P<0.05).There was no statistically significant difference(P>0.05)in the amount of ascites,clinical efficacy evaluation,ORR,DCR,surgical time,intraoperative bleeding,total output,postoperative hospital stays,surgical satisfaction,pathological complete response rate(pCR),transfu-sion of blood products,lymph node metastasis and adverse effects during NACT between the two groups.Con-clusions:Nab-PTX has a better clinical disease control effect than sb-PTX in NACT,in order to achieve better cy-toreductive surgery,but it has no significant effect on pathological remission.The safety of the two drugs is similar.
6.Comparison of Efficacy and Safety of Albumin Bound Paclitaxel and Solvent Based Paclitaxel in Neoadjuvant Chemotherapy for Advanced Epithelial Ovari-an Cancer
Jinfeng WANG ; Yuqi WANG ; Xinxin ZHANG ; Panyue YIN ; Lanbo ZHAO ; Qiling LI
Journal of Practical Obstetrics and Gynecology 2024;40(9):717-722
Objective:To evaluate the efficacy and safety of albumin bound paclitaxel(nab-PTX)and solvent based paclitaxel(sb-PTX)in neoadjuvant chemotherapy(NACT)for advanced epithelial ovarian cancer(EOC).Methods:A retrospective analysis was conducted on the clinical data of 107 patients with advanced EOC who un-derwent preoperative NACT in the First Affiliated Hospital of Xi'an Jiaotong University from June 11,2018 to Sep-tember 19,2023.Among them,52 patients were treated with nab-PTX combined with carboplatin intravenous chemotherapy(nab-PTX group),and 55 with sb-PTX combined with carboplatin intravenous chemotherapy(sb-PTX group).The clinical indicators after NACT,intraoperative conditions of cytoreductive surgery and ad-verse events during the NACT were compared in two groups.Results:The maximum tumor diameter(3.7 cm vs.3.8 cm),CA125(28.9 U/ml vs.31.6 U/ml)and HE4(102.5 U/ml vs.119.0 U/ml)levels in the nab PTX group after NACT were significantly lower than those in the sb-PTX group,and the differences were statistically significant(P<0.001).After NACT,the total input(2580 ml vs.2100 ml),the proportion of surgical complexity score(36.54%vs.18.18%),and lymph node resection rate(57.69%vs.29.09%)in the nab-PTX group were significantly higher than those in the sb-PTX group(P<0.05).There was no statistically significant difference(P>0.05)in the amount of ascites,clinical efficacy evaluation,ORR,DCR,surgical time,intraoperative bleeding,total output,postoperative hospital stays,surgical satisfaction,pathological complete response rate(pCR),transfu-sion of blood products,lymph node metastasis and adverse effects during NACT between the two groups.Con-clusions:Nab-PTX has a better clinical disease control effect than sb-PTX in NACT,in order to achieve better cy-toreductive surgery,but it has no significant effect on pathological remission.The safety of the two drugs is similar.
7.Comparison of Efficacy and Safety of Albumin Bound Paclitaxel and Solvent Based Paclitaxel in Neoadjuvant Chemotherapy for Advanced Epithelial Ovari-an Cancer
Jinfeng WANG ; Yuqi WANG ; Xinxin ZHANG ; Panyue YIN ; Lanbo ZHAO ; Qiling LI
Journal of Practical Obstetrics and Gynecology 2024;40(9):717-722
Objective:To evaluate the efficacy and safety of albumin bound paclitaxel(nab-PTX)and solvent based paclitaxel(sb-PTX)in neoadjuvant chemotherapy(NACT)for advanced epithelial ovarian cancer(EOC).Methods:A retrospective analysis was conducted on the clinical data of 107 patients with advanced EOC who un-derwent preoperative NACT in the First Affiliated Hospital of Xi'an Jiaotong University from June 11,2018 to Sep-tember 19,2023.Among them,52 patients were treated with nab-PTX combined with carboplatin intravenous chemotherapy(nab-PTX group),and 55 with sb-PTX combined with carboplatin intravenous chemotherapy(sb-PTX group).The clinical indicators after NACT,intraoperative conditions of cytoreductive surgery and ad-verse events during the NACT were compared in two groups.Results:The maximum tumor diameter(3.7 cm vs.3.8 cm),CA125(28.9 U/ml vs.31.6 U/ml)and HE4(102.5 U/ml vs.119.0 U/ml)levels in the nab PTX group after NACT were significantly lower than those in the sb-PTX group,and the differences were statistically significant(P<0.001).After NACT,the total input(2580 ml vs.2100 ml),the proportion of surgical complexity score(36.54%vs.18.18%),and lymph node resection rate(57.69%vs.29.09%)in the nab-PTX group were significantly higher than those in the sb-PTX group(P<0.05).There was no statistically significant difference(P>0.05)in the amount of ascites,clinical efficacy evaluation,ORR,DCR,surgical time,intraoperative bleeding,total output,postoperative hospital stays,surgical satisfaction,pathological complete response rate(pCR),transfu-sion of blood products,lymph node metastasis and adverse effects during NACT between the two groups.Con-clusions:Nab-PTX has a better clinical disease control effect than sb-PTX in NACT,in order to achieve better cy-toreductive surgery,but it has no significant effect on pathological remission.The safety of the two drugs is similar.
8.Comparison of Efficacy and Safety of Albumin Bound Paclitaxel and Solvent Based Paclitaxel in Neoadjuvant Chemotherapy for Advanced Epithelial Ovari-an Cancer
Jinfeng WANG ; Yuqi WANG ; Xinxin ZHANG ; Panyue YIN ; Lanbo ZHAO ; Qiling LI
Journal of Practical Obstetrics and Gynecology 2024;40(9):717-722
Objective:To evaluate the efficacy and safety of albumin bound paclitaxel(nab-PTX)and solvent based paclitaxel(sb-PTX)in neoadjuvant chemotherapy(NACT)for advanced epithelial ovarian cancer(EOC).Methods:A retrospective analysis was conducted on the clinical data of 107 patients with advanced EOC who un-derwent preoperative NACT in the First Affiliated Hospital of Xi'an Jiaotong University from June 11,2018 to Sep-tember 19,2023.Among them,52 patients were treated with nab-PTX combined with carboplatin intravenous chemotherapy(nab-PTX group),and 55 with sb-PTX combined with carboplatin intravenous chemotherapy(sb-PTX group).The clinical indicators after NACT,intraoperative conditions of cytoreductive surgery and ad-verse events during the NACT were compared in two groups.Results:The maximum tumor diameter(3.7 cm vs.3.8 cm),CA125(28.9 U/ml vs.31.6 U/ml)and HE4(102.5 U/ml vs.119.0 U/ml)levels in the nab PTX group after NACT were significantly lower than those in the sb-PTX group,and the differences were statistically significant(P<0.001).After NACT,the total input(2580 ml vs.2100 ml),the proportion of surgical complexity score(36.54%vs.18.18%),and lymph node resection rate(57.69%vs.29.09%)in the nab-PTX group were significantly higher than those in the sb-PTX group(P<0.05).There was no statistically significant difference(P>0.05)in the amount of ascites,clinical efficacy evaluation,ORR,DCR,surgical time,intraoperative bleeding,total output,postoperative hospital stays,surgical satisfaction,pathological complete response rate(pCR),transfu-sion of blood products,lymph node metastasis and adverse effects during NACT between the two groups.Con-clusions:Nab-PTX has a better clinical disease control effect than sb-PTX in NACT,in order to achieve better cy-toreductive surgery,but it has no significant effect on pathological remission.The safety of the two drugs is similar.
9.The sealing effect of magnetic-sealing uterine manipulator in isolated uterus from patients with early-stage cervical cancer: a pre-clinical study
Xue ZHOU ; Dongxin LIANG ; Qing LI ; Lanbo ZHAO ; Yadi BIN ; Feng MA ; Rongqian WU ; Yi LV ; Qiling LI
Journal of Gynecologic Oncology 2023;34(6):e78-
Objective:
Traditional uterine manipulator is considered as the main reason for short survival of patients with early-stage cervical cancer during minimally invasive surgery. This study aims to assess the sealing effect of magnetic-sealing uterine manipulators (MUMs) in isolated uteruses.
Methods:
The study was performed on isolated uterus from patients with early-stage cervical cancer who underwent open abdominal radical hysterectomy between November 2019 to April 2021. Right-angle forceps closure tests (groups 1 and 3) were defined as control tests. One experimental MUM closure test (group 2) and 2 control tests were respectively carried out in each of the isolated uterus. DNA ploidy analysis system was used to observe exfoliated cells. Statistical analysis was performed using Wilcoxon signed-rank test to assess the sealing effect of MUM.
Results:
We identified 36 patients. No regional node metastasis was discovered and only one tumor was larger than 4.0 cm in diameter. The mean of exfoliated tumor cells in groups 1, 2, and 3 were 1, 1, and 2, respectively. There was no significant difference in the quantity of exfoliated cells between groups 1 and 3 (p=0.476), so the results of the 2 groups were merged. Subsequently, a significant difference was observed between combined right-angle forceps closure tests and MUM closure tests (p=0.022).
Conclusion
The sealing effect of MUM was better than that of right-angle forceps. MUM can effectively seal cervical cancer cells in the cup cover, avoiding the dissemination of tumor cells.
10.Stem cell microencapsulation maintains stemness in inflammatory microenvironment.
Yajun ZHAO ; Yilin SHI ; Huiqi YANG ; Mengmeng LIU ; Lanbo SHEN ; Shengben ZHANG ; Yue LIU ; Jie ZHU ; Jing LAN ; Jianhua LI ; Shaohua GE
International Journal of Oral Science 2022;14(1):48-48
Maintaining the stemness of the transplanted stem cell spheroids in an inflammatory microenvironment is challenging but important in regenerative medicine. Direct delivery of stem cells to repair periodontal defects may yield suboptimal effects due to the complexity of the periodontal inflammatory environment. Herein, stem cell spheroid is encapsulated by interfacial assembly of metal-phenolic network (MPN) nanofilm to form a stem cell microsphere capsule. Specifically, periodontal ligament stem cells (PDLSCs) spheroid was coated with FeIII/tannic acid coordination network to obtain spheroid@[FeIII-TA] microcapsules. The formed biodegradable MPN biointerface acted as a cytoprotective barrier and exhibited antioxidative, antibacterial and anti-inflammatory activities, effectively remodeling the inflammatory microenvironment and maintaining the stemness of PDLSCs. The stem cell microencapsulation proposed in this study can be applied to multiple stem cells with various functional metal ion/polyphenol coordination, providing a simple yet efficient delivery strategy for stem cell stemness maintenance in an inflammatory environment toward a better therapeutic outcome.
Anti-Bacterial Agents/pharmacology*
;
Capsules/pharmacology*
;
Cell Differentiation
;
Cell Encapsulation
;
Cells, Cultured
;
Ferric Compounds/pharmacology*
;
Osteogenesis/physiology*
;
Periodontal Ligament
;
Polyphenols/pharmacology*
;
Stem Cells
;
Tannins/pharmacology*

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