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  • Frontiers Media SA  (2)
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  • Frontiers Media SA  (2)
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  • 1
    In: Frontiers in Surgery, Frontiers Media SA, Vol. 10 ( 2023-2-16)
    Abstract: To figure out the difference of integrity of Gerota's fascia and perirenal fat between Retroperitoneal Laparoscopic Radical Nephrectomy (RLRN) and Transperitoneal Laparoscopic Radical Nephrectomy (TLRN). Methods This is a prospective comparative study of patients with Renal Cell Carcinoma (RCC) from a designated tertiary center in Lanzhou, China. We have developed and propose a scoring tool to quantify the integrity of nephrectomy specimens from both approaches. The integrity score is based on 6 common conditions of nephrectomy specimens. Specimens are scored on a 1 to 6-point scale according to the integrity of Gerota's fascia and perirenal fat. We applied the integrity score to 142 consecutive patients. Integrity scores were compared between RLRN and TLRN groups. Factors associated with low integrity score were assessed by logistic regression. Results Among 142 patients, 79 (55.6%) patients and 63 (44.4%) patients, respectively, underwent RLRN and TLRN. There was a significant difference in the distribution of integrity score between the two groups ( P   & lt; 0.001). RLRN (odds ratio 10.65, 95%CI 4.29–26.45, P   & lt; 0.001), tumor size (odds ratio 1.22, 95%CI 1.04–1.42, P  = 0.015) and Body Mass Index (BMI) (odds ratio 0.83, 95%CI 0.72–0.96, P  = 0.010) were significantly associated with low integrity score. The logistic regression equation showed good power to predict low integrity score. Conclusion RLRN has poor integrity of Gerota's fascia and the perirenal fat. The integrity score can be used to evaluate the extent of resection and specimen completeness in LRN. Postoperative evaluation of the integrity score is of great value for urologists to evaluate the risk of tumor residue.
    Type of Medium: Online Resource
    ISSN: 2296-875X
    Language: Unknown
    Publisher: Frontiers Media SA
    Publication Date: 2023
    detail.hit.zdb_id: 2773823-1
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  • 2
    Online Resource
    Online Resource
    Frontiers Media SA ; 2022
    In:  Frontiers in Genetics Vol. 13 ( 2022-11-9)
    In: Frontiers in Genetics, Frontiers Media SA, Vol. 13 ( 2022-11-9)
    Abstract: Epidermal growth factor receptor 2 ( ERBB2 ) is commonly over-expressed in advanced or metastatic tissues of papillary thyroid cancer (PTC) with poor prognosis, while it remains unknown whether ERBB2 plays a role in the progression of PTC. Thus, we analyzed the data derived from online repositories, including TCGA, KEGG, GO, GeneMANIA, and STRING, to explore the relationship between ERBB2 expression and prognosis, tumor phenotypes of interest, and immune infiltrates in PTC. Compared to normal thyroid tissue, ERBB2 was up-regulated in PTC samples ( p & lt; 0.001); In comparison with the group with low expression of ERBB2 , the group with high expression of ERBB2 had poorer progression-free interval in stage III/IV patients ( p = 0.008) and patients aged & gt;45 years ( p = 0.019). The up-regulated ERBB2 was associated with iodine metabolism dysfunction, proliferation, metastasis, angiogenesis, and drug resistance. The expression of ERBB2 negatively correlated with enrichment scores of B cells (r = −0.176, p & lt; 0.001), CD8 + T cells (r = −0.160, p & lt; 0.001), cytotoxic cells (r = −0.219, p & lt; 0.001), NK CD56dim cells (r = −0.218, p & lt; 0.001), plasmacytoid dendritic cells (r = −0.267, p & lt; 0.001), T cells (r = −0.164, p & lt; 0.001), T follicular helper cells (r = −0.111, p = 0.012), gamma delta T cells (r = −0.105, p = 0.017), and regulatory T cells (r = −0.125, p = 0.005). In conclusion, ERBB2 may serve as a prognostic biomarker and an immunotherapeutic target in PTC, deserving further exploration.
    Type of Medium: Online Resource
    ISSN: 1664-8021
    Language: Unknown
    Publisher: Frontiers Media SA
    Publication Date: 2022
    detail.hit.zdb_id: 2606823-0
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