• Title/Summary/Keyword: survival extension

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Effect of Hydronephrosis on Survival in Advanced Stage Cervical Cancer

  • Goklu, Mehmet Rifat;Seckin, Kerem Doga;Togrul, Cihan;Goklu, Yasemin;Tahaoglu, Ali Emre;Oz, Murat;Ertas, Ibrahim Egemen
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.10
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    • pp.4219-4222
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    • 2015
  • Background: Hydronephrosis is frequently encountered in advanced stage cervical cancers, and may be associated with mortality. In the present study, we aimed to demonstrate the effect of hydronephrosis on survival in patients with inoperable advanced stage cervical cancer. Materials and Methods: The study data were acquired by retrospective analysis of the patient records belonging to 165 women with FIGO (International Federation of Gynecology and Obstetrics) stage-IIIB or more advanced cervical cancer, which were not surgical candidates. Parameters including patient age, pathological diagnosis, disease stage, pelvic sidewall extension, presence of hydronephrosis and administration of chemoradiation were analyzed. Further, the effects of these variables on survival were assessed. P values less than 0.05 were considered statistically significant. Results: The distribution of the study patients according to disease stage was as follows: 131 (79.4%) had stage-IIIB, 18 (10.9%) had stage-IVB and 16 (% 9.7) patients had stage-IVA disease. Hydronephrosis was not evident in 91 (55.2%) of these patients, whereas 41 (24.8%) had unilateral and 33 (20%) patients had bilateral hydronephrosis. When compared to mean survival in patients who did not have hydronephrosis, survival was significantly shortened in patients who had bilateral and unilateral hydronephrosis (p<0.05). There was no significant survival difference between patients with unilateral and bilateral hydronephrosis (p>0.05). Although patient age, pathological type, pelvic involvement, and chemotherapy treatment rates were similar (p>0.05), radiotherapy requirement rate and disease stage were significantly different among the study groups (p<0.05). Conclusions: Hydronephrosis was found to be a significant predictor of poor survival in patients with advanced stage cervical cancer, irrespective of unilateral or bilateral involvement.While waiting for future studies with larger sample sizes, we believe that the FIGO stages in advanced cervical cancer could further be stratified into subgroups according to presence or absence of hydronephrosis.

Selective toxicity of spirodiclofen and fluacrypyrim+tetradifon to the predatory Mite, Phytoseiulus persimilis (Acarina: Phytoseiidae) and the tea red spider mite, Tetranychus kanzawai (Acarina: Tetranychidae) (칠레이리응애와 차응애에 대한 spirodiclofen과 fluacrypyrim+tetradifon의 선택독성)

  • Seo, Sang-Gi;Park, Jong-Dae;Kim, Seon-Gon;Kim, Do-Ik;Kim, Sang-Soo
    • The Korean Journal of Pesticide Science
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    • v.8 no.1
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    • pp.54-62
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    • 2004
  • The selective toxicity of spirodiclofen and fluacrypyrim+tetradifon to the predatory mite, Phytoseiulus persimilis and the tea red spider mite, Tetranychus kanzawai was evaluated. The bean leaf discs with adult females or eggs of both species were sprayed with several concentrations of spirodiclofen or fluacrypyrim+tetradifon. Spirodiclofen and fluacrypyrim+tetradifon were much less toxic to P. persimilis than to T. kanzawai. Although the survival rate of adult females of P. persimilis tended to decrease with increasing concentrations of spirodiclofen, 92-68% of predators survived at concentrations of 22.5-180 ppm. Likewise, reproduction was reduced with increasing spirodiclofen concentration. Spirodiclofen did not affect the hatch of P. persimilis eggs. Survival of immature predators decreased with increasing spirodiclofen concentration, however, 88-20% of immature predators reached adulthood at 22.5-90 ppm. In the case of fluacrypyrim+tetradifon, the survival rate of adult females of P. persimilis tended to decrease with increasing concentrations of fluacrypyrim+tetradifon. However, 94-72% of predators remained alive at concentrations of 22.5-180 ppm. Likewise, reproduction was reduced with increasing fluacrypyrim+tetradifon concentration. Fluracypyrim+tetradifon did not affect the hatch of P. persimilis eggs. Survival of immature predators decreased with increasing fluacrypyrim+tetradifon concentration, however, 100-86% of immature predators reached adulthood at 22.5-180 ppm. Based on the results, spirodiclofen and fluacrypyrim+tetradifon appeared to be promising candidates for use in integrated mite management programs where P. persimilis is the major natural enemy.

Radiation Therapy for T2N0 Glottic Cancer (T2N0 병기 성문암의 방사선치료)

  • Kim, Jae-Chul
    • Radiation Oncology Journal
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    • v.24 no.4
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    • pp.217-222
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    • 2006
  • $\underline{Purpose}$: This study evaluated the results of definitive radiation therapy and the prognostic factors that affect survival rates for T2N0 glottic cancer patients. $\underline{Materials\;and\;Methods}$: Thirty patients with T2N0 glottic cancer who were treated with definitive radiation therapy at our institution between September 1986 and June 2004 were retrospectively reviewed. All patients were pathologically confirmed as having squamous cell carcinoma and were staged as AJCC T2N0. The age of the patients ranged from 39 to 79 (median 62) years and all were male. A total dose of $66{\sim}70\;Gy$ (median 66 Gy) was delivered with a 6-MV linear accelerator in $6.5{\sim}7$ weeks. The median follow-up period was 63 months. $\underline{Results}$: The actuarial disease-free survival rate for the entire group of the patients was 79% at 5 years. The five-year disease-free survival rates for patients without and with subglottic extension were 90% and 56%, respectively (p=0.03). However, anterior commissure involvement, supraglottic extension, and impaired cord mobility were not statistically significant prognostic factors. The five-year disease-free survival rates for patients with and without concurrent chemotherapy were 86% and 69%, respectively (p=0.47). $\underline{Conclusion}$: Subglottic extension can be considered a poor prognostic factor for T2N0 glottic cancer.

Proper Planting Density and Depth for Acclimation of Tissue-cultured Bulblets in Lilium Oriental Hybrids (오리엔탈 나리 조직배양구의 순화, 비대를 위한 적정 재식밀도 및 깊이)

  • Ko, Jae-Young;Choi, Kang-Joon;Hong, Dae-Ki;Rhee, Hye-Kyung
    • Horticultural Science & Technology
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    • v.28 no.3
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    • pp.363-369
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    • 2010
  • This study was carried out to investigate proper planting density and depth of tissue-cultured oriental lily bulblets for bulb production. Planting densities of bulblets were 200, 400, 600, 800, 1,000 bulblets/ $m^2$, and planting depths were 1, 3, 6, 9, 12 cm. Proper planting density of tissue-cultured 'Siberia' bulblets was 400 bulblets/ $m^2$ with 87.3% of survival rate, 6.4 cm of bulb circumference, and 8.3 g of bulb weight. For 'Sorbonne', it was thought to be 400 bulbs/ $m^2$ with 88.8% of survival rate, 5.0 cm of bulb circumference, and 7.1 g of bulb weight. Proper planting depth of tissue-cultured 'Siberia' bulbs was 3 cm with 77.8% of survival rate, 5.9 cm of bulb circumference, and 7.9 g of bulb weight. For 'Sorbonne' bulbs, it was 3 cm with 87.1% of survival rate, 5.1 cm of bulb circumference, and 6.5 g of bulb weight.

Enhancement of NK Cytotoxicity, Antimetastasis and Elongation Effect of Survival Time in B16-F10 Melanoma Cells by Oregonin

  • Joo, Seong-Soo;Kim, Min-Soo;Oh, Won-Sik;Lee, Do-Ik
    • Archives of Pharmacal Research
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    • v.25 no.4
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    • pp.493-499
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    • 2002
  • We investigated the antitumor activity of oregonin, a diarylheptanoid derivative purified from Alnus hirsuta Turcz, Betulaceae. Oregonin is a potential novel immunomodulator, which augments the activation of natural killer (NK) cells, and thereby leads to a powerful antitumor activity. To evaluate the cytotoxicity of oregonin against tumor cells, we examined the effectiveness of NK cells and determined that oregonin could increase NK cell cytotoxicity. This was confirmed by MTT assay. In addition, the survival time of C57BL/6 mice were measured by inoculating 816-F10 melanoma cells to mice via intra muscular (i.m.) injection. Oregonin treatment after 10 hours of inoculation at 10 mg/kg dosage showed a significant extension of survival time by up to 51.32%, when compared to the control group. Moreover, oregonin significantly reduced the incidence of pulmonary metastasis, which may be developed from 816-F10 melanoma cells. These findings suggest that oregon in may be classified as a new and novel immunomodulator due to its potential antitumor activity.

The identification of optimum condition for direct regeneration in black raspberry

  • Ran, Choi-Heh;Park, Pill-Jae;Lee, Hee-Kwon;Joong, Yun-Song;Lee, In-Sok
    • Journal of Plant Biotechnology
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    • v.35 no.2
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    • pp.163-167
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    • 2008
  • Adventitious buds appeared within 2 weeks on the base of the petiole explants and increased for two months. A maximum of regeneration (15.6%) was obtained on the medium containing $1.5\;{\mu}M$ TDZ in combination with $1\;{\mu}M$ IBA. To know which explants are the best for the induction of regeneration, three explants such as leaf, petiole and leaf-petiole were used. Among the explant types, the leaf-petiole explant was significantly more effective than leaf and petiole for promoting adventitious shoots, with leaf-petiole inducing at the highest regeneration frequency (33.7%). The regeneration frequency of adventitious shoots in the leaf-petiole explants was significantly affected by leaf size and the position of explants. The leaf-petiole smaller than 5 mm leaf in width was induced at the highest regeneration frequency (68.9%). The smaller leaf sizes, the greater regeneration frequency. Also when the leaves are nearer to the shoot tip, the regeneration frequency is higher. When the rooted micro-shoots were transferred to the soil after growing for 6 weeks in the media, the survival rate was 90%.

Improvement of ex vitro acclimatization of mulberry plantlets by supplement of abscisic acid to the last subculture medium

  • Huh, Yoon Sun;Lee, Joung Kwan;Nam, Sang Young
    • Journal of Plant Biotechnology
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    • v.44 no.4
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    • pp.431-437
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    • 2017
  • Mulberry (Morus sp.) of the family Moraceae is very economically important in Asian countries including Korea, because its leaf and fruit have been commercially used in sericulture and horticultural industries. Therefore it is necessary to develop the optimal production system for rapid and cost-effective propagation of mulberry. Our studies focused on establishing an acclimatization method for the successful plantlet production of new cultivar 'Cheongsu' which was transferred ex vitro after in vitro culture. In particular, effect of abscisic acid (ABA) addition into the last subculture medium on plantlet response to subsequent ex vitro transfer and its growth was investigated. During acclimatization, stomatal conductance and transpiration rate of ABA-pretreated plantlets were significantly lower than those of non-treated plantlets. Net photosynthetic rate of ABA-pretreated plantlets decreased after ex vitro transfer but increased after 14 days, and it was mostly higher than that of non-treated plantlets. Moreover, relative water content as well as chlorophyll contents and its ratio were also higher in ABA-pretreated plantlets. On the other hand, proline was considerably higher than in control plantlets. After 1 month of ex vitro transfer, survival rate of ABA-pretreated plantlets was 85.6%, which increased by 29.1% in comparison with control (56.5%). More vigorous growth was also observed in ABA-pretreated plantlets. From these results, it was found that application of ABA to the last subculture medium could improve acclimatization and promote survival of mulberry plantlets after ex vitro transfer, inducing water stress tolerance and alleviating abiotic stresses.

Adjuvant Postoperative Radiation Therapy for Carcinoma of the Uterine Cervix (자궁경부암의 수술 후 방사선치료)

  • Lee Kyung-Ja;Moon Hye Seong;Kim Seung Cheol;Kim Chong Il;Ahn Jung Ja
    • Radiation Oncology Journal
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    • v.21 no.3
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    • pp.199-206
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    • 2003
  • Purpose: This study was undertaken to evaluate the efficacy of postoperative radiotherapy, and to investigate the prognostic factors for FIGO stages IB-IIB cervical cancer patients who were treated with simple hysterectomy, or who had high-risk factors following radical hysterectomy and pelvic lymph node dissection. Materials and Methods: Between March 1986 and December 1998, 58 patients, with FIGO stages IB-IIB cervical cancer were included in this study. The indications for postoperative radiation therapy were based on the pathological findings, including lymph node metastasis, positive surgical margin, parametrial extension, lymphovascular invasion, invasion of more than half the cervical stroma, uterine extension and the incidental finding of cervix cancer fellowing simple hysterectomy. All patients received external pelvic radiotherapy, and 5 patients, received an additional intracavitary radiation therapy. The radiation dose from the external beam to the whole pelvis was $40\~50$ Gy. Vagina cuff Irradiation was peformed, after completion of the external beam irradiation, at a low-dose rate of Cs-137, with the total dose of $4488\~4932$ chy (median: 4500 chy) at 5 mm depth from the vagina surface. The median follow-up period was 44 months ($15\~108$ months). Results: The 5-yr actuarial local control rate, distant free survival and disease-free survival rate were $98\%,\;95\%\;and\;94\%$, respectively. A univariate analysis of the clinical and pathological parameters revealed that the clinical stage (p=0.0145), status of vaginal resection margin (p=0.0002) and parametrial extension (p=0.0001) affected the disease-free survival. From a multivariate analysis, only a parametrial extension independently influenced the disease-free survival. Five patients ($9\%$) experienced Grade 2 late treatment-related complications, such as radiation proctitis (1 patient), cystitis (3 patients) and lymphedema of the leg (1 patient). No patient had grade 3 or 4 complications. Conclusion: Our results indicate that postoperative radiation therapy can achieve good local control and survival rates for patients with stages IB-IIB cervical cancer, treated with a simple hysterectomy, as well as for those treated with a radical hysterectomy, and with unfavorable pathological findings. The prognostic factor for disease-free survival was invasion of the parametrium. The prognosic factor identified in this study for treatment failure can be used as a selection criterion for the combined treatment of radiation and che motherapy.

Overall Survival and Clinicopathological Characteristics of Patients with Breast Cancer in Relation to the Expression Pattern of HER-2, IL-6, TNF-α and TGF-β1

  • Tripsianis, Gregory;Papadopoulou, Evropi;Romanidis, Konstantinos;Katotomichelakis, Michael;Anagnostopoulos, Kostas;Kontomanolis, Emmanuel;Botaitis, Sotirios;Tentes, Ioannis;Kortsaris, Alexandros
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.11
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    • pp.6813-6820
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    • 2013
  • The present study was conducted to investigate the prognostic significance of co-expression patterna of HER-2, IL-6, TNF-a and TGF-${\beta}1$ in breast cancer, by correlating the number of markers with positive expression with clinicopathological characteristics indicative of tumor progression and overall survival. One hundred thirty consecutive patients with primary breast cancer were prospectively included and evaluated. Serum concentrations of the above markers were measured by ELISA. Median split was used to subdivide patients with marker positive or negative expression. The presence of ${\geq}3$ positive markers was independently associated with extended lymph node (>3) involvement (aOR, 11.94, p=0.001) and lymphovascular invasion (aOR, 12.04, p=0.018), increasing the prognostic significance of each marker considered separately. Additional prognostic information regarding survival was also provided; as the number of positive markers increased, a gradually reduction of survival time was observed. In addition, patients with 4 positive markers had significantly shorter survival (25 vs 39 months, p=0.006) and a more than 4 fold increased risk of death (aHR, 4.35, p=0.003) compared to patients with 3 positive markers. Our findings suggest that the coexpression pattern of these four markers could be used clinically as a useful marker for tumor extension and outcome of breast cancer.

Long-Term Results of the Leaflet Extension Technique for Rheumatic Aortic Regurgitation: A 20-Year Follow-up

  • Kwak, Yu-jin;Ahn, Hyuk;Choi, Jae Woong;Kim, Kyung-Hwan
    • Journal of Chest Surgery
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    • v.52 no.1
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    • pp.9-15
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    • 2019
  • Background: Although aortic valve repair can reduce prosthesis-related complications, rheumatic aortic regurgitation (AR) caused by leaflet restriction is a significant risk factor for recurrent AR. In this study, we evaluated the long-term results of the leaflet extension technique for rheumatic AR. Methods: Between 1995 and 2016, 33 patients underwent aortic valve repair using the leaflet extension technique with autologous pericardium for rheumatic pure AR. Twenty patients had severe AR and 9 had combined moderate or greater mitral regurgitation. Their mean age was $32.2{\pm}13.9$ years. The mean follow-up duration was $18.3{\pm}5.8$ years. Results: There were no cases of operative mortality, but postoperative complications occurred in 5 patients. Overall survival at 10 and 20 years was 93.5% and 87.1%, respectively. There were no thromboembolic cerebrovascular events, but 4 late deaths occurred, as well as a bleeding event in 1 patient who was taking warfarin. Twelve patients underwent aortic valve reoperation. The mean interval to reoperation was $13.1{\pm}6.1$ years. Freedom from reoperation at 10 and 20 years was 96.7% and 66.6%, respectively. Conclusion: The long-term results of the leaflet extension technique showed acceptable durability and a low incidence of thromboembolic events and bleeding. The leaflet extension technique may be a good option for young patients with rheumatic AR.