简介：Thelymphaticsystemhasanimportantdefensiveroleinthehumanbody.Themetastasisofmosttumorsinitiallyspreadsthroughthesurroundinglymphatictissueandeventuallyformslymphaticmetastatictumors;thetumorcellsmayeventransfertootherorganstoformothertypesoftumors.Clinically,lymphaticmetastatictumorsdeveloprapidly.Giventhelimitationsofsurgicalresectionandtheloweffectivenessofradiotherapyandchemotherapy,thetreatmentoflymphaticmetastatictumorsremainsagreatchallenge.Lymphnodemetastasismayleadtothefurtherspreadoftumorsandmaybepredictiveoftheendpointevent.Underthesecircumstances,novelandeffectivelymphatictargeteddrugdeliverysystemshavebeenexploredtoimprovethespecificityofanticancerdrugstotumorcellsinlymphnodes.Inthisreview,wesummarizetheprinciplesoflymphatictargeteddrugdeliveryanddiscussrecentadvancesinthedevelopmentoflymphatictargetedcarriers.

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简介：调查瘤的目的淋巴的联系转移的基因；它的分子的机制。方法22690鼠标染色体cDNA微数组(包括14500知道基因；4371EST)被用来比较；分析老鼠肝细胞癌房间线Hca-F(高度淋巴的转移潜力)的基因表示侧面；Hca-P(低潜力)。结果901基因；129EST至少是起来调整的在Hca-F的2褶层房间。在表示显示出重要改变的33基因被介绍，包括endoglin(EDG)，MCAM，Cdc42ep5，F2r，D7Ertd458e，Serpinh1(HSP47)，AXL，Areg；那么上。这些基因有血管生成的函数，房间粘附，信号转导变异，房间活动性，女伴活动，蛋白质激酶活动；受体绑定。微数组与淋巴的转移模型相结合的结论cDNA可能贡献新方法；淋巴的转移研究的瘤的线索。在表示基因上的一些可能提供新奇线索给瘤的分子的机制淋巴的转移。

简介：AbstractBackgroundEndometrial cancer (EC) has been one of the most general cancers with respect to gynecological malignancies; however, there are debates on clinical strategies concerning treatments especially for patients with grade 3 (G3) endometroid endometrial cancer (EEC). Present study aimed to evaluate the lymphatic metastasis (LM) related factors and figure out the necessity of lymphadenectomy for G3 EEC patients.MethodsFrom January 2009 to April 2019, 3751 EC patients were admitted to Obstetrics and Gynecology Hospital of Fudan University. Clinical characteristics include age, grade, stage, and clinical pathological features. A total of 1235 EEC patients were involved in the multivariable analysis. Three hundred and eighty-one patients were involved in the survival analysis and the data attributed to sufficient follow-up information. Kaplan-Meier curve and log-rank test were utilized to analyze the survival rate.ResultsAmong the 1235 EEC patients, 181 (14.7%) were categorized as G3 and 1054 (85.3%) were grade 1 to grade 2 (G1-2). Multivariate analysis demonstrated that lymphovascular space invasion, adnexal involvement, and cervical stroma involvement were independent risk factors of LM in G3 cohort with odds ratio 3.4, 5.8, and 8.9; 95% confidence interval 1.1-10.6, 1.5-22.4, and 2.8-28.0, respectively. LM rates increased from 3.3% (3/92) to 75% (9/12) for G3 EEC cohort as related factor numbers increased from one to three. There were no differences between G3 and G1-2 EEC in overall survival and progression free survival. Additionally, no survival advantage was observed for G3 EEC patients at early stage with different plans of adjuvant treatment.ConclusionsFor G3 EEC patients without other pathological positive factor, the LM rate is lower than those with other pathological positive factor. Survival analysis showed no difference between G3 cohort and G1-2 cohort. Also, different adjuvant treatments had no impact on the overall survival for G3 EEC patients.

简介：客观尽管翻斗车上的许多临床的研究在非小的房间肺癌症的淋巴的转移被报导了，为淋巴的转移仍然是的翻斗车的风险因素争吵并且可争辩。这研究调查了，由multivariate逻辑回归分析，到在非小的房间肺癌症(NSCLC)的mediastinal淋巴节点(N2)的翻斗车转移的临床的特征病人。我们收集了在福建医药大学联合医院里加全身的淋巴节点解剖经历了叶切除术的256个pN2-NSCLC病人的clinicopathological数据的方法。在现在的学习的案例被划分成二个组：翻斗车转移(N2skip+)并且非--翻斗车转移(N2翻斗车)。二个组的临床的病理学的特征的回顾的分析被执行。决定一个独立因素，multivariate逻辑回归分析被用来识别可能的风险因素。256个pN2-NSCLC病人全部的结果A被招募。分析结果证明那性，病理学的类型，手术，肋膜的参与，吸烟历史，年龄，肿瘤阶段，和区别不是在pN2-NSCLC影响翻斗车转移的统计重要因素(P>0.05)，而肿瘤尺寸是为翻斗车转移(P=0.02)的一个独立因素。结论淋巴的转移在pN2-NSCLC病人增加的翻斗车的率，在里面与一种增加的肿瘤尺寸伴随。

简介：Objective:Thisstudyaimstoinvestigatetheclinicopathologicsignificanceoflymphaticvesselinvasion(LVI)labeledbyD2-40monoclonalantibodyinesophagealsquamouscellcarcinoma(ESCC).Methods:ImmunohistochemicalassaywasusedtodetecttheexpressionofD2-40andLVIin107ESCCpatients.Then,thecorrelationbetweentheclinicopathologicfeatureandtheoverallsurvivaltimeofthepatientswasanalyzed.Results:Thelymphnodemetastasisrateswere70%and21%intheLVI-positiveandLVI-negativegroups,respectively.ThenodalmetastasisratewashigherintheLVI-positivegroupthanintheLVI-negativegroup.MultivariateregressionanalysisshowedthatLVIwasrelatedtonodalmetastasis(P<0.001).Themediansurvivaltimeofthepatientswas26and43monthsintheLVI-positiveandLVI-negativegroups,respectively.Althoughunivariateregressionanalysisshowedsignificantdifferencebetweenthetwogroups(P=0.014),multivariateregressionanalysisrevealedthatLVIwasnotanindependentprognosticfactorforoverallsurvivalintheESCCpatients(P=0.062).Lymphaticnodemetastasis(P=0.031),clinicalstage(P=0.019),andresidualtumor(P=0.026)weretheindependentprognosticfactors.Conclusion:LVIlabeledbyD2-40monoclonalantibodyisariskfactorpredictiveoflymphnodemetastasisinESCCpatients.