AIM:To evaluate the location,histopathology,stages,and treatment of gastric cancer and to conduct survival analysis on prognostic factors.METHODS:Patients diagnosed with of stomach cancer in our clinic between 2000 an...AIM:To evaluate the location,histopathology,stages,and treatment of gastric cancer and to conduct survival analysis on prognostic factors.METHODS:Patients diagnosed with of stomach cancer in our clinic between 2000 and 2011,with follow-up or a treatment decision,were evaluated retrospectively.They were followed up by no treatment,adjuvant therapy,or metastatic therapy.We excluded from the study any patients whose laboratory records lacked the operating parameters.The type of surgery in patients diagnosed with gastric cancer was total gastrectomy,subtotal gastrectomy or palliative surgery.Patients with indications for adjuvant treatment were treated with adjuvant and/or radio-chemotherapy.Prognostic evaluation was made based on the parameters of the patient,tumor and treatment.RESULTS:In this study,outpatient clinic records of patients with gastric cancer diagnosis were analyzed retrospectively.A total of 796 patients were evaluated(552male,244 female).The median age was 58 years(22-90 years).The median follow-up period was 12 mo(1-276 mo),and median survival time was 12 mo(11.5-12.4 mo).Increased T stage and N stage resulted in a decrease in survival.Other prognostic factors related to the disease were positive surgical margins,lymphovascular invasion,perineural invasion,cardio-esophageal settlement,and the levels of tumor markers in metastatic disease.No prognostic significance of the patient's age,sex or tumor histopathology was detected.CONCLUSION:The prognostic factors identified in all groups and the proposed treatments according to stage should be applied,and innovations in the new targeted therapies should be followed.展开更多
全球范围细菌对抗菌药物耐药问题日益严重,特别是广泛耐药革兰阴性杆菌感染,常造成临床束手无策的困境。近年来美国食品药品管理局(Food and Drug Administration,FDA)批准上市了一些新抗菌药物,对耐药菌具有抗菌活性,另外一些新抗菌药...全球范围细菌对抗菌药物耐药问题日益严重,特别是广泛耐药革兰阴性杆菌感染,常造成临床束手无策的困境。近年来美国食品药品管理局(Food and Drug Administration,FDA)批准上市了一些新抗菌药物,对耐药菌具有抗菌活性,另外一些新抗菌药物也进入了临床各期的研究。本文分别就对耐药革兰阴性菌有效、对耐药革兰阳性菌有效和具有广谱抗菌作用的数个新抗菌药物进行综述,谨供临床医生和药师参考。展开更多
文摘AIM:To evaluate the location,histopathology,stages,and treatment of gastric cancer and to conduct survival analysis on prognostic factors.METHODS:Patients diagnosed with of stomach cancer in our clinic between 2000 and 2011,with follow-up or a treatment decision,were evaluated retrospectively.They were followed up by no treatment,adjuvant therapy,or metastatic therapy.We excluded from the study any patients whose laboratory records lacked the operating parameters.The type of surgery in patients diagnosed with gastric cancer was total gastrectomy,subtotal gastrectomy or palliative surgery.Patients with indications for adjuvant treatment were treated with adjuvant and/or radio-chemotherapy.Prognostic evaluation was made based on the parameters of the patient,tumor and treatment.RESULTS:In this study,outpatient clinic records of patients with gastric cancer diagnosis were analyzed retrospectively.A total of 796 patients were evaluated(552male,244 female).The median age was 58 years(22-90 years).The median follow-up period was 12 mo(1-276 mo),and median survival time was 12 mo(11.5-12.4 mo).Increased T stage and N stage resulted in a decrease in survival.Other prognostic factors related to the disease were positive surgical margins,lymphovascular invasion,perineural invasion,cardio-esophageal settlement,and the levels of tumor markers in metastatic disease.No prognostic significance of the patient's age,sex or tumor histopathology was detected.CONCLUSION:The prognostic factors identified in all groups and the proposed treatments according to stage should be applied,and innovations in the new targeted therapies should be followed.
文摘全球范围细菌对抗菌药物耐药问题日益严重,特别是广泛耐药革兰阴性杆菌感染,常造成临床束手无策的困境。近年来美国食品药品管理局(Food and Drug Administration,FDA)批准上市了一些新抗菌药物,对耐药菌具有抗菌活性,另外一些新抗菌药物也进入了临床各期的研究。本文分别就对耐药革兰阴性菌有效、对耐药革兰阳性菌有效和具有广谱抗菌作用的数个新抗菌药物进行综述,谨供临床医生和药师参考。