原发性胆囊癌的早期诊断及处理原则

目的探讨原发性胆囊癌的早期诊断及处理原则。方法对我院2001年7月至2008年7月年间收治的36例原发性胆囊癌患者的临床资料及手术治疗情况进行回顾性分析。结果胆囊结石与胆囊癌的发病之间有着密切的关系,80.6%（29/36）胆囊癌患者合并有胆囊结石;首发症状以腹痛最为常见,共19例（52.8%）,其次为黄疸14例（38.9%）。B超、CT及MR诊断准确率分别为52.9%、57.1%及52.9%;36例均行手术治疗,术前确诊率仅为58.3%（21/36）。结论原发性胆囊癌早期诊断非常困难,CT诊断准确率较高。提高对原发性胆囊癌发病的认识,加强对高危人群的定期监测随访,联合运用B超和CT检查有助于本病的早期诊断,改善预后。     

人类表皮生长因子受体2蛋白在宫颈癌组织中的表达及意义

目的观察宫颈癌组织中人类表皮生长因子受体2（HER-2/neu）蛋白表达及其在宫颈癌发生发展中的作用。方法应用免疫组织化学方法检测20例正常宫颈组织、30例宫颈上皮内瘤样病变（CINⅠ-Ⅲ）和50例宫颈癌组织中HER-2/neu蛋白表达。结果宫颈癌组织中HER-2/neu蛋白表达显著高于宫颈上皮内瘤样病变（P〈0.01）,正常宫颈组织未见阳性表达;宫颈癌组织中HER-2/neu蛋白表达与肿瘤浸润深度、淋巴结转移、临床分期密切相关（P〈0.05）。结论 HER-2/neu蛋白表达上调可能在宫颈癌发生发展中起重要作用。     

Ectopic hepatocellular carcinoma in a dog

CASE HISTORY: A 14-year-old neutered male Bearded Collie was presented with a history of recurrent, intermittent urinary incontinence of 7 years duration.

CLINICAL FINDINGS: A large, firm, non-painful mass was found in the mid-abdominal region on palpation. Ultrasonography of the mass revealed a compartmentalised structure with mixed echogenicity, and which did not appear to be associated with any of the abdominal organs. Ultrasound-guided fine needle aspirates contained several clusters of epithelial cells with cytological features of hepatocytes. At exploratory laparotomy, the mass was found in the gastrosplenic ligament within the greater omentum.

PATHOLOGICAL FINDINGS AND DIAGNOSIS: Histopathologically, the mass consisted of sheets of hepatocytes, but without the characteristic hepatic architecture. The cells showed moderate variation in nuclear size and were sometimes binucle- ate. A diagnosis of hepatocellular carcinoma (HCC) in the mesentery was made.

CLINICAL RELEVANCE: The presence of ectopic hepatic tissue has been reported rarely in man and cats, but not in the dog. Neoplastic transformation of ectopic hepatic tissue is seen in man. This is the first report of the presentation, clinical findings and treatment of a dog with ectopic HCC.     

人乳头瘤病毒16L1蛋白的原核表达及免疫原性研究

采用聚合酶链反应技术从宫颈癌组织中获得人乳头瘤病毒(HPV)16L1基因,克隆到pGEM—TEasy载体中,再连接到原核表达载体pGEX-6p-1谷胱甘肽-S-转移酶基因的下游,重组质粒转化大肠杆菌BL21,经IPTG诱导、SDS—PAGE分析,用表达产物免疫小鼠,获得的血清进行间接免疫荧光检测。结果表明：获得的pGEX-6p-1-L1基因在大肠杆菌中能以谷胱甘肽-S-转移酶融合蛋白的形式得到高效表达,表达产物免疫小鼠,间接免疫荧光显示免疫血清能与peDNA—L1转染的B16细胞呈现特异反应,说明体外表达的HPV16L1蛋白保留了天然蛋白的抗原性,可作为HPV的诊断抗原、免疫学分析和疫苗研制的原料。     

Spontaneous well-differentiated pancreatic islet cell carcinoma with vascular invasion in a male F344 rat

This case report describes a case of spontaneous pancreatic islet cell carcinoma with vascular invasion in a 110-week-old male F344 rat. Histologically, a pancreatic nodule consisting of tumor cells and many blood-rich vessels, and covered with a fibrous capsule showed local invasion in the capsule and adjacent acinar tissues, encircling a large duct-like structure (DS). The tumor was composed of well-differentiated tumor cells resembling normal pancreatic islet cells, which had small round nuclei and eosinophilic cytoplasm. Mitotic figures were rare. Immunohistochemistry revealed that the tumor cells were positive for insulin. Although endothelial cells were not detected, the DS wall showed cells positive for α-smooth muscle actin and elastic fibers, suggesting that the DS is the pancreatic artery. This is a rare case of islet cell carcinoma consisting of well-differentiated tumor cells with invasion of the pancreatic artery in a rat.     

Effect of gold nanoparticles on reversing adriamycin resistance of human hepatocellular carcinoma HepG2/ADM cells

AIM: To investigate whether gold nanoparticles (GNPs) reverses adriamycin (ADM), resistance of human hepatocellular carcinoma drug-resistant cell line HepG2/ADM and to explore the potential mechanism. METHODS: The sensitivities of HepG2 cells and HepG2/ADM cells to ADM were tested by MTT assay before and after GNPs pretreatment. The apoptotic rate was examined by flow cytometry. The concentration of ADM in HepG2/ADM or HepG2 cells was determined by ultraviolet-visible spectrophotometer. The content of glutathione (GSH) in HepG2/ADM or HepG2 cells by DTNB method. RESULTS: The half maximal inhibitory concentrations (IC₅₀) of ADM for HepG2/ADM cells were(29.46±1.73) mg/L and (15.18±0.85) mg/L before and after GNPs pretreatment,respectively. The IC₅₀ of ADM for HepG2 cells was (9.16±2.03) mg/L before pretreatment. The apoptotic rate in GNPs+ADM group was higher than that in ADM group (P<0.05). The concentration of ADM in HepG2/ADM group was lower than that in HepG2 group (P<0.01). After GNPs pretreatment, the concentration of ADM in HepG2/ADM cells was higher than that before pretreatment. The content of GSH in HepG2/ADM group was higher than that in HepG2 group (P<0.01). After GNPs pretreatment, the content of GSH in the HepG2/ADM cells was lower than that before pretreatment. CONCLUSION: Gold nanoparticles can reverse ADM resistance of human hepatocellular carcinoma drug-resistant cell line HepG2/ADM, reduce the content of GSH and increase the concentration of ADM in HepG2/ADM cells.     

茶叶提取物对抗肺癌细胞(A549)体外试验研究

观察表没食子儿茶素没食子酸酯(EGCG)、茶黄素-3、3'-双没食子酸酯(TFDG)、茶黄素(TF)、茶黄素复合物(TFs)、葡萄籽提取物(GrapeSeedExtract,GSE)、松树皮提取物(PineBarkExtract,PBE)、咖啡因(Caf)、槲寄生(VCE)和茶氨酸(The)的体外抗癌活性,通过人肺癌细胞(A549)进行体外试验,结果表明除咖啡因、槲寄生、茶氨酸的作用较小以外其他几种均有很强的促进人肺癌细胞(A549)凋亡的作用,并且EGCG的作用最强,顺序为EGCG、TFs>GSE>PBE、TFDG>TF。用作图法求得EGCG、GSE、PBE、TFDG和TF的IC50值分别为1.01μM、21.91μM、31.01μM、32.87μM和279.67μM。     

放疗后复发鼻咽癌微卫星不稳定和杂合性缺失改变的研究

目的比较放疗后复发鼻咽癌（NPC）与初诊NPC中染色体微卫星不稳定（MSI）和杂合性缺失（LOH）发生情况。方法选择1p、3p、3q、4q、9q、11q、13q、14q的12个微卫星多态性位点,显微切割分离22例初诊和18例放疗后复发NPC组织和正常组织,提取DNA,经PCR扩增及聚丙烯酰胺凝胶电泳和硝酸银染色,进行MSI及LOH分析研究。结果（1）8个位点发生了LOH：复发癌与初诊癌相比,LOH发生率在D1S2697位点为28.6%比20.0%,在D13S133位点为30.0%比20.0%,在D9S1682位点为7.7%比9.1%;D5S433和D14S65位点只在复发癌中发生LOH,分别为33.3%和6.7%;D13S263、D4S350、D14S258位点只在初诊癌发生LOH,分别为20.0%、33.3%、16.6%。（2）11个位点发生了MSI：4个位点在复发癌和初诊癌中都发生MSI,4个位点只在复发癌中发生MSI,3个位点只在初诊癌中发生MSI。结论 D1S2697、D13S133、D5S433位点可能含有与放疗后复发NPC相关的肿瘤抑制基因,放疗后复发NPC中MSI发生率呈增高趋势,提示部分放疗后复发NPC与原发癌可能属不同细胞克隆起源。     

p27基因在宫颈癌组织中的表达及其意义

目的：探讨肿瘤抑制基因p27在宫颈癌组织中的表达及其临床意义。方法：应用免疫组织化学方法（SP法）检测p27基因在62例官颈癌组织和20例正常官颈组织中的表达。结果：62例宫颈癌组织中,p27的阳性表达率为38．7％（24／62）;p27的阳性表达与宫颈病灶大小、临床分期、细胞分化程度、转移及预后有密切关系（P〈0．01或〈0．05）;与宫颈癌的病理类型及年龄无关（P〉0．05）。结论：p27基因的表达与宫颈癌的生长、浸润及淋巴结转移有关,其表达水平的高低可作为判断宫颈癌预后的重要指标之一。     

T63 enhances radiotherapeutic sensitivity of nasopharyngeal carcinoma cells through apoptosis and G2/M arrest

AIM: To explore the antitumor effect of a curcumin analogue T63 in human nasopharyngeal carcinoma (NPC) cell lines CNE-2 and CNE-2R. METHODS: Cell viability was monitored by the methods of MTT and colony formation assay. Cell cycle distribution was detected by flow cytometry. Apoptosis was examined using the annexin V-FITC/PI staining assay. RESULTS: A growth inhibitory effect was observed with T63 treatment in a dose-dependent manner. Either T63 or ionizing radiation (IR) significantly induced G2/M arrest and apoptosis in NPC cells. In addition, T63 treatment combined with IR induced significantly higher apoptosis and G2/M arrest in NPC cells. CONCLUSION: T63 exhibits potent inhibitory activity on NPC cells and induces the radiotherapeutic sensitivity. Therefore, T63 has a potential as a preventive or therapeutic agent for treating NPC.