|
|
|
题名
|
作者
|
年代
|
出处
|
被引量
|
| 1 | Transarterial chemoembolization using degradable starch microspheres and iodized oil in the treatment of advanced hepatocellular carcinoma: evaluation of tumor response, toxicity, and survival显示文摘BACKGROUND: In a multidisciplinary conference patients with advanced non-resectable hepatocellular carcinoma (HCC) were stratified according to their clinical status and tumor extent to different regional modalities or to best supportive care. The present study evaluated all patients who were stratified to repeated transarterial chemoembolization (TACE) from 1999 until 2003 in terms of tumor response, toxicity, and survival. A moderate embolizing approach was chosen using a combination of degradable starch microspheres (DSM) and iodized oil (Lipiodol) in order to combine anti-tumoral efficiency and low toxicity. METHODS: Fourty-seven patients were followed up prospectively. TACE treatment consisted of cisplatin (50 mg/m2), doxorubicin (50 mg/m2), 450-900 mg DSM, and 5-30 ml Lipiodol. DSM and Lipiodol were administered according to tumor vascularization. Patient characteristics,toxicity, and complications were outlined. In multivariate regression analyses of pre-treatment variables from a prospective database, predictors for tumor response and survival after TACE were determined. RESULTS: 112 TACE courses were performed (2.4±1.5 courses per patient). Mean maximum tumor size was 75 (± 43) mm, in 68% there was bilobar disease. Best response to TACE treatment was: progressive disease (PD) 9%, stable disease (SD) 55%, partial remission (PR) 36%, and complete remission (CR) 0%. Multivariate regression analyses identified tumor size ≤75 mm, tumor number ≤5, and tumor hypervascularization as predictors for PR. The overall 1-, 2-, and 3-year-survival rates were 75%, 59%, and 41%, respectively, and the median survival was 26 months. Low α-fetoprotein levels (<400 ng/ml) (Odds ratio=3.3) and PR as best response to TACE (Odds ratio=6.7) were significantly associated with long term survival (>30 months, R2=36%). Grade 3 toxicity occurred in 7.1% (n=8), and grade 4 toxicity in 3.6% (n=4) of all courses in terms of reversible leukopenia and thrombocytopenia. The incidence of major complications was 5.4% (n=6). All complications were managed conservatively. The mortality within 6 weeks after TACE was 2.1% (one patient). CONCLUSIONS: DSM and Lipiodol were combined successfully in the palliative TACE treatment of advanced HCC resulting in high rates of tumor response and survival at limited toxicity. Favourable tumor response was associated with tumor extent and vascularization. TACE using DSM and Lipiodol can be considered a suitable palliative measure in patients who might not tolerate long acting embolizing agents. | Timm D Kirchhoff Joerg S Bleck Arne Dettmer Ajay Chavan Herbert Rosenthal Sonja Merkesdal Bernd Frericks Lars Zender Nisar P Malek Tim F Greten Stefan Kubicka Michael P Manns Michael Galanski | 2007 | Hepatobiliary & Pancreatic Diseases International2007，6，3： | 15 |
| 2 | Direct ex vivo analysis of dendritic cells in patients with hepatocellular carcinoma显示文摘瞄准:与肝细胞癌(HCC ) 从病人分析树枝状的房间(DC ) 的显型和功能以便在这疾病理解他们的角色。方法:骨髓的的树枝状的房间在 HCC 病人的外部血被枚举。从外部血的天真、刺激的骨髓的的树枝状的房间上的 CD80, CD83, CD86 和 HLA 医生表示被分析。骨髓的的树枝状的房间从外部血被孤立,他们的功能被测试。吞噬作用用 FITC 葡聚糖祷告被分析,肽特殊刺激,在多形核白细胞 dI:dC 之上刺激 allogeneic T 房间和 cytokines 的分泌物的能力被测试。结果:骨髓的的树枝状的房间与 HCC 在病人被减少。在 CD80, CD83, CD86 和 HLA 医生表示的差别都没从 HCC 病人和健康控制在天真、刺激的骨髓的的树枝状的房间上被发现。肽 specific T 房间的正常吞噬作用或刺激与一个损害 allo-stimulatory 能力和减少的 IL-12 分泌物相对照被观察。结论:在病人的 mDCs 的损害 IL-12 生产能导致建议指导治疗可以提高的那 IL-12 的天真的 T 房间的一个损害 stimulatory 能力在 HCC 病人的肿瘤 specific 免疫者回答。 | Lars A Ormandy Anatol Frber Tobias Cantz Susanne Petrykowska Heiner Wedemeyer Monique Hrning Frank Lehner Michael P Manns Firouzeh Korangy Tim F Greten | 2006 | World Journal of Gastroenterology2006，12，20： | 12 |
| 3 | Mechanisms involved in Helicobacter pylori induced duodenal ulcer disease:an overview显示文摘Duodenal ulcer (DU) can be developed viaseveral different mechanisms.Hypersecretion ofgastric acid is,however,a common denominator.Amassive hypersecretion of acid can by itself evoke aDU,e.g.in the Zollinger-Ellison syndrome.Irrespective of the mechanism behind thedevelopment of a DU,powerful antisecretorytreatment will heal the ulcer and preventrecurrence. | Lars Olbe Lars Fndriks Annika Hamlet Ann-Mari Svennerholm Ann-Catrin Thoreson | 2000 | World Journal of Gastroenterology2000，6，5： | 6 |
| 4 | Oxidative and nitrosative stress enzymes in relation to nitrotyrosine in Helicobacter pylori-infected humans显示文摘AIM: To compare a possible relation between Helicobacter pylori(H. pylori) and the oxygen- and nitrogen radical system in humans. METHODS: Mechanisms for H. pylori to interfere with the oxygen and nitrogen radical system is of great importance for understanding of the H. pylori persistence and pathogenesis. Biopsies were obtained from the gastric wall of 21 individuals. Ongoing infection with H. pylori was detected using direct analyze from the biopsies using campylobacter-like organism test(CLO-test) and/or by using 14C-urea breath test. The individuals were divided in a negative H. pylori and a positive H. pylori group. Expression in the gastric mucosa of induc-ible nitric oxide syntase(iNOS), nicotinamide adenine dinucleotide phosphate-oxidase(NADPH-oxidase) myeloperoxidase(MPO), and nitrotyrosine were assessed by Western blotting.RESULTS: The individuals who undervent gastroscopy were divided in a H. pylori neg. [n = 13, m/f = 7/6, age(mean) = 39] and a H. pylori pos. group [n = 8, m/f = 5/3, age(mean) = 53]. Using western blot analysis iNOS was detected as a 130 kDa band. The iNOS expression was upregulated in the antrum of H. pylori infected individuals in comparison to the controls, mean ± SD being 12.6 ± 2.4 vs 8.3 ± 3.1, P < 0.01. There was a markedly upregulated expression of MPO in the antrum of H. pylori infected individuals in comparison to the control group without infection. In several of noninfected controls it was not possible to detect any MPO expression at all, whereas the expression was high in all the infected subjects, mean ± SD being 5.1 ± 3.4 vs 2.1 ± 1.9, P < 0.05. The NADPH-oxidase expression was analysed by detecting the NADPH-oxidase subunit p47-phox expression. P47-phox was detected as a 47 kDa band using Western blot, and showed a significantly higher expression of p47-phox in the antrum of the H. pylori infected individuals compared to the controls, mean ± SD being 3.1 ± 2.2 vs 0.3 ± 0.2, P < 0.01. Regarding nitrotyrosine formation, Western blot did not show any significant increase or decrease compared to controls, 7.0 ± 0.9 vs 6.9 ± 1.1, not significant.CONCLUSION: iNOS, MPO and NADPH-oxidase was up-regulated among H. pylori infected. Regarding nitrotyrosine no difference was found. This support an H. pylori related inhibition of radical formation. | Anders Elfvin Anders Edebo Peter Hallersund Anna Casselbrant Lars Fndriks | 2014 | World Journal of Gastrointestinal Pathophysiology2014，5，3： | 5 |
| 5 | Strong prognostic value of nodal and bone marrow micro-involvement in patients with pancreatic ductal carcinoma receiving no adjuvant chemotherapy显示文摘AIM: To study the prognostic value of adjuvant chemo-therapy in patients with pancreatic, ductal adenocar-cinoma.METHODS: Lymph nodes from 106 patients with resectable pancreatic ductal adenocarcinoma were systematically sampled. A total of 318 lymph nodes classified histopathologically as tumor-free were examined using sensitive immunohistochemical assays. Forty-three (41%) of the 106 patients were staged as pT1/2, 63 (59%) as pT3/4, 51 (48%) as pN0, and 55 (52%) as pN1. The study population included 59 (56%) patients exhibiting G1/2, and 47 (44%) patients with G3 tumors. Patients received no adjuvant chemo- or radiation therapy and were followed up for a median of 12 (range: 3.5 to 139) mo.RESULTS: Immunostaining with Ber-EP4 revealed nodal microinvolvement in lymph nodes classified as “tumor free” by conventional histopathology in 73 (69%) out of the 106 patients. Twenty-nine (57%)of 51 patients staged histopathologically as pN0 had nodal microinvolvement. The five-year survival probability for pN0-patients was 54% for those without nodal microinvolvement and 0% for those with nodal microinvolvement. Cox-regression modeling revealed the independent prognostic effect of nodal microinvolvement on recurrence-free (relative risk 2.92, P = 0.005) and overall (relative risk 2.49, P = 0.009) survival.CONCLUSION: The study reveals strong and independent prognostic significance of nodal microinvolvement in patients with pancreatic ductal adenocarcinoma who have received no adjuvant therapy. The addition of immunohistochemical findings to histopathology reports may help to improve risk stratification of patients with pancreatic cancer. | Emre F Yekebas Dean Bogoevski Michael Bubenheim Bjrn-Christian Link Jussuf T Kaifi Robin Wachowiak Oliver Mann Asad Kutup Guellue Cataldegirmen Lars Wolfram Andreas Erbersdobler Christoph Klein Klaus Pantel Jakob R Izbicki | 2006 | World Journal of Gastroenterology2006，12，40： | 3 |
| 6 | Hepatic and extrahepatic malignancies in primary sclerosing cholangitis显示文摘 | Annika Bergquist Anders Ekbom Rolf Olsson Dan Kornfeldt Lars L??f ?ke Danielsson Rolf Hultcrantz Stefan Lindgren Hanne Prytz Hanna Sandberg-Gertzén Sven Almer Fredrik Granath Ulrika Broomé | 2002 | Journal of Hepatology2002，，3： | 2 |
| 7 | Assessing hydrological and provisioning ecosystem services in a case study in Western Central Brazil显示文摘Introduction:Current land use in the Federal District,Western Central Brazil,causes problems related to the water supply which are linked to the regulation of ecosystem services(ES).In scope of an Integrated Water Resources Management concept,we further developed the web-based planning support tool GISCAME for the Pipiripau river basin case study.Methods:We introduced analyses on ecosystem potentials in the raster-based tool to assess,in a spatially explicit manner,the scenario impact on water purification,sediment retention,water retention,and provision of food and fodder in order to identify potential pathways for conserving water resources.To demonstrate the method,we assess ES depending on a number of land use/land cover change(LULCC)scenarios.Results:We found that a considerable increase of water purification and sediment retention is difficult to achieve with realistic small scale LULCC,mainly because in areas with a low potential to provide hydrological ES and thus with a high demand for sustainable land use,such as native Savanna(Cerrado)and natural forests(Mata),favorable land uses were often already existing.We observed synergies in the response of regulating hydrological ES to LULCC but at the same time also trade-offs with provision of food and fodder.Conclusions:Our findings suggest that further degradation and loss of Cerrado and Mata must be avoided and their restoration should be promoted in order to safeguard water resources.We suggest that restoration measures should be focused on arable land located at steep slopes near surface waters to effectively increase hydrological ES through the marginal reduction of provision services. | Lars Koschke Carsten Lorz Christine Fürst Tobias Lehmann Franz Makeschin | 2014 | Ecological Processes2014，3，1： | 2 |
| 8 | Hemodynamic assessment of acute stroke using dynamic single-slice computed tomographic perfusion imaging显示文摘 | Joachim R Lars J Anke F | 2000 | Arch Neurol2000，57，： | 1 |
| 9 | ACC/AHA/ESC 2006 guidelines for the management of patients with atrial fibrillation-executive summary: A report of the American College of Cardiology/American Heart Asso- ciation Task Force on practice guidelines and the European Society of Cardiology Committee for Practice Guidelines (Writing Committee to Revise the 2001 Guidelines for the Management of Patients with Atrial Fibrillation) 显示文摘 | Valentin F Lars E Rydrn | 2006 | Eur Heart J2006，27，8： | 1 |
| 10 | The ins and outs of FOXO shuttling: mechanisms of FOXO transloeation and transcriptional regulation显示文摘 | LARS P MARCO F MARTEN P | 2004 | J Biochem2004，380，： | 1 |
| 11 | Microbialhyaluronic acid production显示文摘 | Barrie F C Lars M B Richard M | | 0，，04： | 1 |
| 12 | fibrinogen binding protein of Staphylococcus epidermidis显示文摘 | Martin N Lars F Jan Ingmer flock | 1998 | Infection and Immunity1998，66，6： | 1 |
| 13 | Hip fracture incidence incentral norway :a follow up study 显示文摘 | Vilhjalmur F Lars GJ Ger dT l | | Clin Orthop Relat Res0，419，： | 1 |
| 14 | Parenchymal liver enhancementwith bolus-triggered helical CT:preliminary clinical re-sults显示文摘 | Lars K Matthias F Uwe F | | 0，，： | 1 |
| 15 | Liver transplant recipients' ability to cope during the first 12 months after transplantation-a prospective study显示文摘 | Anna F Lars B Elisabeth S | 2002 | Scand J Caring Sci2002，16，： | 1 |
| 16 | Varcular permeability factor (varcular endothelial growth factor) expression vascular angaiog-enesis in patients with ductal carcinoma insitu of the breast显示文摘 | Anthony J Stuart J Lars F | 1997 | Cancer1997，80，： | 1 |
| 17 | Enhanced auto adhesion of wood fibers using phenol oxidases显示文摘 | Claus F Lars S P Nielsen B R | 1997 | Holzforschung1997，51，3： | 1 |
| 18 | Effect of CYP2C19and ABCB1 single nucleotide polymorphisms on outcomes oftreatment with ticagrelor versus clopidogrel for acute coronarysyndromes : a genetic substudy of the PLATO trial显示文摘 | LARS W STEFAN J ROBERT F | 2010 | Lancet2010，376，9749： | 1 |
| 19 | Increased Risk of Primary Sclerosing Cholangitis and Ulcerative Colitis in First-Degree Relatives of Patients With Primary Sclerosing Cholangitis显示文摘 | Annika Bergquist Scott M. Montgomery Shahram Bahmanyar Rolf Olsson ?ke Danielsson Stefan Lindgren Hanne Prytz Rolf Hultcrantz Lars L??f Hanna Sandberg–Gertzén Sven Almer Johan Askling Anna Ehlin Anders Ekbom | 2008 | Clinical Gastroenterology and Hepatology2008，，8： | 1 |
| 20 | The Prevalence of abnormal glucose regulation in patients with coronary artery disease across Europe: The Euro Heart Survey on diabetes and the heart显示文摘 | Malgorzata B Lars R Roberto F | 2004 | Eur Heart J2004，25，： | 1 |
您所在的机构暂未开通此部分的功能，请联系管理员