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简介：AbstractObjective:Nasopharyngeal cancer (NPC) has distinct characteristics regarding its global prevalence, initial presentation, management and patient outcomes compared to other subtypes of head and neck cancer (HNC). The mainstay of NPC treatment is chemo-radiation (C/RT) and while dysphagia is a known early and late toxicity of C/RT treatment, the nature of dysphagia post NPC treatment has had limited investigation. The objective of this review is to summarise the existing evidence regarding dysphagia following NPC to inform the future research agenda for this population. Dysphagia incidence, characteristic deficits observed across the phases of swallowing, efficacy of current dysphagia interventions, and effect on quality of life will be explored.Data sources:Databases including MEDLINE, CINAHL, Embase, Scopus and Web of Science were included.Methods:A scoping review was conducted according to PRISMA-ScR guidelines. Two independent reviewers screened selected full text articles.Results:Of the initial 2495 articles found, 28 articles were included. Reports of penetration and aspiration varied widely (0%-91.6%), with high rates of silent aspiration identified in 2 studies (42%, 66%). Oral, pharyngeal and upper esophageal phase impairments were reported. Of these, upper esophageal stasis and multiple pharyngeal stage deficits were most prevalent. The pharyngeal constrictors were found to have a significant dose-effect relationship and shielding to the anterior neck field was effective to preserve swallowing function. Six treatment studies were identified with limited evidence supporting the use of neuromuscular electrical stimulation, dilatation and swallowing exercises. Quality of life was adversely affected.Conclusions:Dysphagia is a prevalent early and late problem post NPC treatment, with impairments across all phases of the swallow. Studies on preventing dysphagia and treatment efficacy remain limited. More systematic study of the nature of dysphagia and the efficacy of treatment in this population is warranted.

简介：AbstractObjective:To evaluate the survival outcomes for a cohort of nasopharyngeal cancer with intracranial extension (ICE) treated with induction chemotherapy (ICT) followed by chemo-intensity-modulated radiotherapy (CTRT) at a tertiary cancer center.Methods:We retrospectively analyzed 45 patients with histologically proven, non-metastatic NPC with ICE treated at our institute between October 2008 and October 2016. Patients were classified as minor ICE or major ICE, based on the extent of ICE. All the patients received 2-3 cycles of a taxane-based ICT regimen followed by CTRT. Radiotherapy was delivered with "riskadapted" intensity-modulated radiotherapy (IMRT) technique in all patients.Results:After a median follow up of 45 months (range: 8-113 months), the estimated 5-year DFS, LRFS, DMFS, and OS of the entire cohort was 58%, 82%, 67% and 74% respectively. On multivariate analysis, histological subtype was an independent predictor of LRFS, and age was an independent predictor of DFS. The extent of ICE showed only a trend towards worse DFS (P= 0.06). None of the factors significantly predicted for DMFS or OS. Gender, N-stage, and response to ICT did not significantly affect any of the outcomes. Grade 2 or worse subcutaneous fibrosis was seen in 22% of patients and grade 2 or worse xerostomia was seen in 24% of patients at last follow up. Thirty-three percent of the patients developed clinical hypothyroidism at last follow up. None of the patients experienced any neurological or vascular complications.Conclusions:Taxane-based induction chemotherapy followed by chemo-intensity modulated radiotherapy resulted in excellent locoregional control and survival with acceptable toxicities in patients of nasopharyngeal cancer with intracranial extension. Distant metastasis continues to be the predominant problem in these patients.

简介：AbstractUpper respiratory tract samples are the most commonly used samples for coronavirus disease 2019 (COVID-19) diagnosis. The samples collected from the nasopharynx are preferred for viral nucleic acids detection. Commercial nasopharyngeal swabs (NPSs) are the major factor that influences the sampling quality. We here evaluated the acceptability and efficiency of NPSs from five manufacturers by examining the concentration of glyceraldehyde-3-phosphate dehydrogenase gene (GAPDH) retrieved from the swabs using the RT-PCR method. Significant different concentrations of GAPDH were detected, ranged from 4.36 × 108 copies/mL to 6.98 × 1010 copies/mL among the five swabs (P < 0.05). The designation of the swab head, with or without tip expansion, had limited influence on the collection efficiency. The discrepancy among the NPSs emphasized the improvement of the swab head material.

简介：Nasopharyngealcarcinoma(NPC)isacommonheadandneckmalignancy.TheincidenceofNPCishigherinSouthernChinaandSoutheastAsiacomparedwithWesterncountries.Givenitshighradiosensitivity,thestandardtreatmentforNPCisradiotherapy.However,radioresistanceremainsaseriousobstacletosuccessfultreatment.Radioresistancecancauselocalrecurrenceanddistantmetastasesinsomepatientsaftertreatmentbyradiation.Thus,specialemphasishasbeengiventothediscoveryofeffectiveradiosensitizers.Thisreviewaimstodiscussthebiomarkers,classifiedaccordingtothemainmechanismsofradiosensitization,whichcanenhancethesensitivityofNPCcellstoionizingradiation.

简介：ＴＨＥＳＴＵＤＹＯＦＥＳＴＲＯＧＥＮＡＮＤＰＲＯＧＥＳＴＥＲＯＮＥＲＥＣＥＰＴＯＲＩＮＮＡＳＯＰＨＡＲＹＮＧＥＡＬＣＡＲＣＩＮＯＭＡＺｈｅｎｇＴｉａｎｒｏｎｇ郑天荣；ＬｉＪｉａｎｃｈｅｎｇ李建成；ＬｉｕＸｉｕｙｉｎｇ刘秀英；（Ｄｅｐａｒｔｍｅｎｔｏｆ...

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简介：AbstractWe describe the case of a nine-month-old patient with a nasopharyngeal choristoma. The case presented includes the retrospective review of the historical, radiological, surgical and histological assessment of this pathology as well as a literature review of this entity. This case was presented in an infant with difficulty feeding, nasal obstruction and failure to thrive, evaluated with flexible nasal endoscopy, CT and MRI. The lesion was then surgically removed without complications. Nasopharyngeal choristoma is a rare congenital non-malignant mass, which may present within a range of symptoms and severity according to its size, growth and location.

简介：ThetranswellchambermigrationassayandCCDdigitalcameraimagingtechniqueswereusedtoinvestigatetherelationshipbetweenregulatoryvolumedecrease(RVD)andcellmigrationinnasopharyngealcarcinomacells(CNE-2Zcells).Bothmigratedandnon-migratedCNE-2Zcells,whenswollenby47%hypotonicsolution,exhibitedRVDwhichwasinhibitedbyextracellularapplicationofchloridechannelblockersadenosine5'-triphosphate(ATP),5-nitro-2-(3-phenylpropylamino)benzoicacid(NPPB)andtamoxifen.However,RVDrateinmigratedCNE-2Zcellswasbiggerthanthatofnon-migratedcellsandthesensitivityofmigratedcellstoNPPBandtamoxifenwashigherthanthatofnonmigratedcells.ATP,NPPBandtamoxifenalsoinhibitedmigrationofCNE-2Zcells.TheinhibitionofmigrationwaspositivelycorrelatedtotheblockageofRVD,withacorrelationcoefficient(r)=0.99,suggestingafunctionalrelationshipbetweenRVDandcellmigration.WeconcludethatRVDisinvolvedincellmigrationandRVDmayplayanimportantroleinmigratoryprocessinCNE-2Zcells.

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简介：Cancerscreeningisasourceofmuchdebate.Attheinterfacebetweenpublichealth,specialistcare,economicsandpolicy,itcreatestensionsbetweenprofessionalgroups,politicians,themediaandthepublic.Ascreeningtestmaybecheap,butapplyingittoapopulation(withrigorousqualitycontrolandeffectiveprocessingofpatientswithabnormalresults)createsahugeworkloadandthereforecost.Screeningcanalsohavepsychologicaleffectsonindividualswithfalse-positiveresultswhorequireinvestigationbutareeventuallyfoundnottohavecancer.

简介：Inordertostudythemechanismoftheeffectofheparinonapoptosisincarcinomacells,thenasopharyngealcarcinomacelllineCNE2wasusedtoidentifytheeffectofheparinonapoptosisassociatedwiththeexpressionofc-myc,bax,bcl-2proteinsbyuseofHoechst33258staining,terminaldeoxynucleotidyltransferase-mediateddUTPnick-endlabeling(TUNEL),agarosegelelectrophoresis,andflowcytometry,aswellasWesternblotanalysis.TheresultsshowedthatheparininducedapoptosisofCNE2cellsincludingthemorphologicchangessuchasreductioninthevolume,andthenuclearchromatincondensation,aswellasthe“ladderpattern”revealedbyagarosegelelectrophoresisofDNAinaconcentration-dependentmanner.ThenumberofTUNEL-positivecellswasdramaticallyincreasedto33.6±1.2%from2.8±0.3%bytreatmentwithheparinindifferentconcentrations(10～40kU/L).Theapoptoticindexwasincreasedto32.5%from3.5%bydetectingSubG1peaksonflowcytometry.Westernblotanalysisshowedthatlevelsofbcl-2,baxandc-mycweresignificantlyoverexpressedbytreatmentwiththeincreaseofheparinconcentrations.TheseresultssuggestthatheparininducesapoptosisofCNE2cells,whichmayberegulatedbydifferentialexpressionofapoptosis-relatedgenes.

简介：Somaticstemcells(SSCs),beingessentialinmaintaininghomeostasisofnormaltissue,replenishdyingcellsandregeneratedamagedtissuesfororganism.Ontheotherhand,withtheself-renewedability,SSCsareidealcellulartargetstobeacquiredinmultiplemutationstransformingSSCstocancerstemcells(CSCs)whichcausemalignanciesandevenrecurrenceaftercancertreatmentifCSCsfailtobeeradicated(1).OneyearafterDrs.JohnB.GurdonandShinyaYamanakasharedthe2012NobelPrizeinPhysiologyorMedicinefortheirdiscoverythatmaturecellscanbereprogrammedtobecome

简介：Cancertreatmentfailure,drugresistance,ormetastaticrecurrencearethoughttobecausedmainlybytheexistenceofaverysmallnumberofcancerstemcells(CSCs).Thecharacteristicsofthissubgroupofcellsincludeself-renewal,tumorigenesis,multipledifferentiationandhighinvasiveness,metastasis,anddrugresistancepotential.ManystudieshavedemonstratedthatCSCsplayimportantrolesintumorgrowth,spreadandmetastaticrelapseaftertreatment,andarecloselyrelatedtotheprognosisofpatients.Fromatherapeuticviewpoint,deepinsightsintotheCSCsbiology,developmentofspecifictherapeuticstrategiesfortargetingCSCs,andcharacterizationoftheirmicroenvironmentcouldbeanidealwaytocombatcancer.

简介：Cancergenomicsisarapidlygrowingdisciplineinwhichthegeneticmolecularbasisofmalignancyisstudiedatthescaleofwholegenomes.Whilethedisciplinehasbeensuccessfulwithrespecttoidentifyingspecificoncogenesandtumorsuppressorsinvolvedinoncogenesis,itisalsochallengingourapproachtomanagingpatientssufferingfromthisdeadlydisease.Specificallycancergenomicsisdrivingclinicaloncologytotakeamoremolecularapproachtodiagnosis,prognostication,andtreatmentselection.Wereviewhererecentworkundertakenincancergenomicswithanemphasisontranslationofgenomicfindings.Finally,wediscussscientificchallengesandresearchopportunitiesemergingfromfindingsderivedthroughanalysisoftumorswithhigh-depthsequencing.

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简介：AbstractObjective:Nasopharyngeal carcinomas (NPC) are tumors arising from epithelium of the nasopharynx. The 5-year survival rate of primary NPC is 80% with significant risks of recurrence. The objective here is to provide an evidence-based systemic review of the diagnostic value of different modalities in detecting local, regional, and distal recurrent NPC, as well as the associated costs with these modalities.Methods:MEDLINE, EMBASE, and the Cochrane review database were queried. Two hundred and twenty-three abstracts were generated using the inclusion criteria: patients >18 years of age; histopathological reference standard; and modalities pertaining to imaging or microbiology.Results:Twenty-four manuscripts fulfilled the inclusion criteria and 5 surveillance tools identified: endoscopy, MR, FDG-PET, Tc-99m MIBI and 201TI SPECT, and EBV DNA.Conclusions:For local surveillance, endoscopy is the gold standard recommendation, with increased efficacy if Narrow Band Imaging or contact endoscopy are utilized. MRI and FDG-PET is also recommended to help with local to distal spread; however, Tc-99m MIBI and 201TI SPECT are options as well. EBV DNA is recommended as a cheap and accessible adjunct surveillance tool if an available as an option.

简介：Ithabeenknownforsometimethatsometumourshavetheabilitytoproducaehormones.Thishastraditionallybeentermed‘ectopic'hormoneproduction,butwiththeincreasingsensitivityofmodenmoleculartechniques,ithasbecomeclearthatthisisamisnomer;manytissuescanproducehormoner,andnormallydosoatlowlevels,thehormonesactinglocallyascytokinesinaparacrinemanner.Intumours,bymechanismsthatremainunclear,productionofthesehormonesand/orincompletelyprocessedprecursorsisinereased,andthetem‘eutopic’productionismoreappropriate.

简介：尽管氧化是最普通生物并且精力生产反应，因为象自由激进分子和过氧化物那样的氧化的产品损坏细胞的部件，氧化应力对房间有害，引起几疾病。在DNA的损坏为癌症形成和前进负责。然而，几酶象superoxidedismutase那样，过氧化氢酶，谷胱甘肽peroxidase，谷胱甘肽reductase，是的谷胱甘肽S-transferase等等行为影响氧化应力的抗氧化剂。在这些酶的多型性应当与DNA损坏被联系，随后，个人癌症冒险危险性。这篇评论文章试图进一步阐明在由在癌症病人有关表示层次和抗氧化剂酶的基因多型性总结一些重要学习的调查结果的抗氧化剂酶和癌症之间的关系。

简介：Cancerhasbecometheleadingcauseofdeath.Theprogressindiagnosisandtreatmentisstilllimited.Overthepastthreedecades,emergenceandrapiddevelopmentofnanotechnologyhavebroughtnewhopesforcancertherapy.Arepertoireofnanomaterialswithcontrollablesize-,shape-,andcomposition-dependentphysiochemicalproperties