ORIGINAL ARTICLES
We designed a potent and specific NF-kappa-B inhibitor called dehydroxymethylepoxyquinomicin (DHMEQ), based on the structure of epoxyquinomicins, which are weak antibiotics isolated from Amicolatopsis. It is believed that inhibition of NFkappa -B may play a significant role in controlling the process of metastasis. We have therefore synthesized derivatives of about 20, of which DTCMglutarimide (DTCM-G). We have evaluated the antimetastatic activity of the preparation using murine melanoma B16-F10. It was found that DTCM-G inhibits cell invasion and induces anoikoz in cells B16-F10. This preparation is non-toxic and easy to manufacture. Thus , it can be considered as a new candidate for the antimetastatic drug.
Sjogren’s syndrome (SS) is a non-hereditary and relatively common disease with adult onset. It is characterized by extreme tiredness, diminished exocrine glandular function, specific auto-antibody production and focal infiltration of B and T lymphocytes. The disease may be also complicated by malignant lymphoma. Most SS patients have high serum levels of anti-nuclear antibodies (ANA), and the ANA subtypes SS-A and SS-B (autoantibodies to RNA-modifying spliceosome components) are used as diagnostic markers of SS. Antibodies to chromatin make cancer cells more sensitive to DNA-binding cytostatic drugs suggests that indeed the ANA in SS may have some influence on cellular functions, and perhaps contribute to SS patients’ symptoms.
A most recent report from our department has demonstrated that ANA including SS-A and SS-B are present at high titres in sera obtained from SS patients many years before the onset of symptoms, and even longer times before the diagnosis was established.
Breast cancer continues as a major health problem among women. Globally, it is the most common cancer of women and represents the second leading cause of death. Breast cancer continues however, to be one of those cancers that prove the greatest benefit when detected early.
The diagnosis of breast cancer can often generate fear and anxiety for the woman and the people she know and loves and as a result may predispose the woman to psychosocial reactions, resulting in poorer health outcomes. As a consequence, clinicians can no longer focus specifically on the physical aspects related to the treatment of breast cancer, but must also recognize and consider the psychosocial implications of the diagnosis and enhance their treatment to gain better outcomes.
Implementing a psychosocial model of care and incorporating aspects of the patient’s care to include family concerns, financial implications of illness and employment issues related to prolonged treatment can and should be considered as part of treatment.
There is no better time than today to enhance our skills for the better treatment and care of our mothers, wives, sisters, aunts, nieces, daughters and granddaughters who may someday face a diagnosis of breast cancer.
EXPERIENCE OF HEALTHCARE FACILITIES
Results of treatment of 60 patients with gastric cancer with liver metastases are analyzed. Immediate results have shown the effectiveness of treatment after 2 cycles of TACE in 49(81,7%) patients: partial response was observed in 36 (60%) patients and a significant regression of the process was observed in 13 (21,6%) patients, the process of stabilization was observed in 11 (18,3%) patients. Subsequent evaluation of the effectiveness of the results of treatment of patients after 4 and 6 courses of TACE were identical. Partial response was observed in the process of 18 (30%) patients, stabilization persisted in 12 (20%) patients. The progression by 8-9 months of treatment was seen in 30 (50%) patients. In assessing the general condition of patients focused on the quality of life for patients. All patients had a positive treatment outcome overall by Karnovsky remained at the level of 75-80% (ECOG 1-2), which does not limit the patients and did not require prolonged hospitalization. The average time of hospitalization of patients with each course (cycle) TACE averaged 5±2 day. In the dynamic tracking of patients in terms of 12, 18, 24 months more than 12 months 24 (40%) patients are alive, 11 (18,3%) patients are alive during 18 months. 8 (13,3%) patients are alive during 24 months. Median survival was 15,5±1,2 months.
Thus, in the present the TACE method in stomach cancer metastasis treatment can be considered like an effective, low toxicity method of treatment and may be a method of choice for improving survival and quality of life of the difficult category of patients.
This article analyzes the possibility of practical application of the most-studied molecular biological markers in the diagnosis and treatment of cancer. The possibilities of the use of genetic markers for the diagnosis of hereditary preventive caused tumors, for the early detection of cancer, targeted therapy for the selection, monitoring and prognosis of the disease. We proposed the universal algorithm for the study of molecular biological markers. The feasibility of the introduction of molecular biological research in laboratory of Clinical Oncology Dispensary of the Republic of Bashkortostan has examined.
The role of the level of prostate specific antigen ( PSA) before initial therapy discusses widely as a prognostic factor in the treatment of prostate cancer (PC ). Despite the fact that many of the questions on the diagnostic and prognostic value of PSA unclear, and new markers of prostate diseases are being introduced with increasing frequency , we assume that the PSA will continue to be one of the main methods of screening and monitoring of patients with prostate cancer, because of its high diagnostic value due to tissue specificity. Using the initial PSA level and Gleason score improves the predictive value significantly. This article presents the results of a retrospective analysis of 307 patients completed the treatment of PC. The effect of baseline PSA level and Gleason score on the choice of treatment , the effectiveness of hormone deprivation and overall survival are evaluated.
In this work the statistical analysis of incidence and mortality from malignant new growths of the population of Ufa in 2012 is submitted. Dynamics of the main indicators on oncological incidence for 3 years is reflected and comparison since 2002 is given, the structure and the gender and age analysis of malignant new growths are presented in detail. The index of accumulation of the contingent, indicators of relative mortality and year lethality are calculated.
The purpose of the study was to explore the possibilities of planar scintigraphy breast (PSB) by using BSGI (Breast Specific Gamma Imaging) in the early diagnosis of breast cancer (BC). The study were included 120 women aged 31 to 81 (52,7+8,9) years with suspected breast cancer. PSB carried out using a portable gamma camera DILON 6800 with 99mTc-MIBI activity from 370 to 700 MBq and were imaged in craniocaudal and mediolateral oblique projections. Reliability of results PSB was conducted in comparison with the morphological and cytological results of biological material verification. Sensitivity, specificity, and accuracy in detecting breast cancer of PSB was 95%, 98% and 97.5%, respectively. Thus, the results showed the high information using this method in the diagnosis of breast cancer.
This article provides results of combined modality treatment of patients with stage IIIA(N2) non-small cells lung cancer with systematic and selective lymph node dissection. Elicit that the selective lymph node dissection is valid for patients with stage IIIA(N2) squamous cell carcinoma and right-sided lung cancer when we provide combined modality treatment using adjuvant radiation therapy. Carrying out that the systematic lymph node dissection is extend disease-free survival and five-year survival rate when we provide combined modality treatment for patients with stage IIIA(N2) squamous cell carcinoma and left-sided lung cancer.
The results of treatment of 14 patients with gastric cancer with metastases to the bones of the skeleton were analized, which was conducted by the stabilization of metastatic spine vertebroplasty, systemic radionuclide therapy with samarium-153 oksabifor and intravenous infusion by Zolendronic acid 4 mg 1 time in 28 days. When applying this method decreased by stabilizing vertebral pain occurred in the first 12 hours after vertebroplasty (cf. value 4.8±1,2 hours, from 30 minutes to 12 hours), the average pain intensity decreased to 4.5 ±0,6 (from 2 to 6). After the treatment of bone metastases with samarium-153 oksa bifor, pain intensity decreased by 3,9 ± 0,3 days (range from 2 to 6) and reached the level of 0,9 ± 0,5 (from 0 to 2). Value pain scores before and after treatment was significantly different, and was P <0,0001.
Thus, the combination of vertebroplasty, radionuclide therapy with samarium-153 oksabifor and systemic therapy with bisphosphonates (Zolendronic acid) in patients with gastric cancer with bone metastases can be treated in the presence or threat of vertebral fractures, which gives an opportunity to expand the indications for palliative radionuclide therapy and improve efficiency treatment of severe category of patients with multiple bone metastases and pain. The proposed approach allows us to quickly achieve durable and pronounced reduction in pain intensity, significantly reduce the need for analgesics.
In the article are the incidence of breast cancer, cervical and ovarian cancer in the Republic of Bashkortostan from 1993 to 2002 and from 2003 to 2012 analyzed. A comparative analysis of the performance of the primary cancer incidence neoplasms of the female reproductive system has done, level patterns the dynamics of disease in different years, depending on age are obtained.
The article presents the results of a survey of 102 patients with injuries and diseases of the hip sustava.Dana assessment of the quality of life on the SF-36 questionnaire before and 12 months after the application of joint replacement. The results: the highest percentage of patients (76.4%) of the age group of 55 to 65 years. There was a high proportion of chronic somatic diseases (4.3 per patient). In assessing the quality of life in patients undergoing hip replacement surgery, a statistically significant increase in the quality of life in all respects as the physical and mental component.
LITERATURE REVIEW
The brief review presents the main provisions of the molecular-genetic theory of carcinogenesis. The data on the presence of overcelled mechanisms regulating of tissue homeostasis has done, which can be explained by molecular genetic approach. The data of the interpretation of the theory of the oncogene based on different pathogenetic concepts is considered and it allows you to continue the development of tissue theory of carcinogenesis. The current understanding of the structural and functional characteristics of the microvasculature is described. Compelling author’s data on the effect of oxygen therapy is provided (normobaric and hyperbaric oxygen therapy), and the modulation of antioxidant activity of plasma by controlled differentiation of malignant cells with surgery (the change in the retrograde antegrade flow through the vascular reverse ).The significance of microcirculation of tissue homeostasis has determined. The updated position of the ground tissue microcirculatory theory of carcinogenesis has formulated.
In the article the anatomical features of the peritoneum structure have been described in accordance with the medical records supplemented by the author’s illustrations. The functional differences of various peritoneum areas are shown based on its structure. Also, issues relating to the anatomical features of the peritoneum such as «hatches» and its influence on the development of peritoneal carcinomatosis have been touched upon.
Since the middle of the previous century the heterogeneity of breast cancer became absolutely evident. This assumption was historically based on differences in clinical behavior and sensitivity to therapy. Treatment approach nowadays is based primarily on clinical and morphological prognostic and predictive markers. Among morphologically derived markers the most important are estrogen and progesterone receptors and HER2. Interestingly that tumors with expression of estrogen receptors and/or progesterone receptors that showed also hyperexpression or amplification of HER2 have very poor outcome and low sensitivity to all therapeutic approaches. Therefore we want to summarize the existing clinical information that is relevant to this topic.
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