Clinical Oncology,
Journal Year:
2023,
Volume and Issue:
50(2)
Published: Jan. 1, 2023
Мета
дослідження
-вивчення
особливостей
клініко-морфологічного
перебігу
раку
передміхурової
залози
(РПЗ)
у
хворих
з
метаболічним
синдромом
(МС)
та
його
впливу
на
розповсюдження
метастатичного
процесу.Матеріали
методи.У
включено
79
місцево-поширений
РПЗ,
які
проходили
стаціонарне
лікування
в
період
2015-2020
рр.в
умовах
відділення
пластичної
реконструктивної
онкоурології
ДНП
«Національний
інститут
раку»
проходять
подальше
амбулаторне
спостереження,
діагностику
протягом
часу
до
розвитку
кісткових
метастазів
(КМ)
моменту
проведення
радикальної
простатектомії
(РПЕ),
серед
яких
МС
діагностовано
40
(50,6%)
відсутність
-у
39
(49,4%).Середній
вік
становив
69
(59-80)
років.Пацієнти,
що
взяли
участь
дослідженні,
наявним
розподілені
2
досліджувані
групи:
17
(21,5%)
помірним
(Grade
group
2,
3)
23
(29,1%)
високим
ризиком
4,
5)
прогресії
захворювання,
противагу
пацієнтам
без
МС:
20
(25,3%)
Grade
3
19
(24,1%)
5.
Середній
ініціальний
рівень
загального
простатспецифічного
антигену
(ПСА)
16,35
нг/мл,
5
-23,75
нг/мл.У
-14
-21,45
нг/мл.Результати.Серед
учасників
після
проведеної
РПЕ
35
(44,3%)
розвиток
вісцеральних
метастазів,
44
(55,7%)
метастазів.Серед
пацієнтів
із
розвитком
КМ
-27
(77,1%)
МС,
8
(22,9%)
-ознаки
відсутні.У
(48,5%)
поєднані
вісцеральними
метастазами,
при
тому
виявлено
переважної
більшості
цієї
когорти
-11
(64,7%).Із
37
підгрупі
помірного
ризику
(Глісон
7
(3+4,
4+3)
розвинулися
12
(32,4%)
25
(67,6%)
не
виявлено.Співвідношення
наявності
було
наступним:
(18,9%)
(13,5%)
відповідно.Аналізуючи
підгрупу
42
високого
8,
9),
виявили
(54,7%)
їх
(45,3%),
відповідно
(47,6%)
9
(21,4%)
хворих.Середні
ініціальні
показники
ПСА
3+4,
становили
(14,1-18,9)
відсутністю
14,05
(12,7-18,6)
нг/мл.Рівень
лужної
фосфатази
(ЛФ)
момент
-233,55
(214-240)
Од/л,
-230,85
(212-237)
Од/л.Показники
кальцію
-2,47
(2,41-2,52)
ммоль/л
-2,34
(2,29-2,41).Показники
гемоглобіну
були
істотно
зниженими
-93,85
(91-94)
г/л,
відсутньому
-95,45
(93-99)
г/л.У
висо-/л,
висо-л,
висо-/л.У
висо-.У
9)
23,75
(20-28,1)
(19,8-24,4)
є
показником
агресивного
диференціювання
аденокарциноми
хвороби.Рівень
ЛФ
-244,8
(235-250)
-237,4
(223-252)
-2,67
(2,62-2,75)
-2,61
(2,48-2,69).Показники
низькими
-90,35
(86-99)
за
відсутності
-96
(90-102)
г/л.Висновки.Клініко-лабораторна
діагностика
РПЗ
актуальним
методом
моніторингу
сучасній
клінічній
практиці.Наявність
зумовлює
агресивний
перебіг
хвороби
середнього
порівняно
пацієнтами
МС.Пацієнти
наявністю
мають
бути
включені
окрему
групу
хворих,
прогнозовано
матимуть
агресивніший
захворювання
та,
як
наслідок,
гірший
прогноз
виживаності.Персоналізований
підхід
діагностики
вплине
підвищення
тривалості
якості
життя
РПЗ.
Signal Transduction and Targeted Therapy,
Journal Year:
2025,
Volume and Issue:
10(1)
Published: Feb. 20, 2025
The
progression
of
malignant
tumors
leads
to
the
development
secondary
in
various
organs,
including
bones,
brain,
liver,
and
lungs.
This
metastatic
process
severely
impacts
prognosis
patients,
significantly
affecting
their
quality
life
survival
rates.
Research
efforts
have
consistently
focused
on
intricate
mechanisms
underlying
this
corresponding
clinical
management
strategies.
Consequently,
a
comprehensive
understanding
biological
foundations
tumor
metastasis,
identification
pivotal
signaling
pathways,
systematic
evaluation
existing
emerging
therapeutic
strategies
are
paramount
enhancing
overall
diagnostic
treatment
capabilities
for
tumors.
However,
current
research
is
primarily
metastasis
within
specific
cancer
types,
leaving
significant
gaps
our
complex
cascade,
organ-specific
tropism
mechanisms,
targeted
treatments.
In
study,
we
examine
sequential
processes
elucidate
driving
organ-tropic
systematically
analyze
tumors,
those
tailored
organ
involvement.
Subsequently,
synthesize
most
recent
advances
technologies
challenges
opportunities
encountered
pertaining
bone
metastasis.
Our
objective
offer
insights
that
can
inform
future
practice
crucial
field.
Biomedicines,
Journal Year:
2024,
Volume and Issue:
12(5), P. 1075 - 1075
Published: May 13, 2024
The
phenomenon
of
bone
metastases
presents
a
significant
challenge
within
the
context
advanced
cancer
treatments,
particularly
pertaining
to
breast,
prostate,
and
lung
cancers.
These
metastatic
occurrences
stem
from
dissemination
cancerous
cells
into
bone,
thereby
interrupting
equilibrium
between
osteoblasts
osteoclasts.
Such
disruption
results
in
skeletal
complications,
adversely
affecting
patient
morbidity
quality
life.
This
review
discusses
intricate
interplay
microenvironment,
positing
not
merely
as
passive
recipient
but
an
active
contributor
progression
through
its
distinctive
biochemical
cellular
makeup.
A
thorough
examination
structure
dynamics
remodeling
is
undertaken,
elucidating
how
exploit
these
processes.
explores
genetic
molecular
pathways
that
underpin
onset
development
metastases.
Particular
emphasis
placed
on
roles
cytokines
growth
factors
facilitating
osteoclastogenesis
influencing
osteoblast
activity.
Additionally,
this
paper
offers
meticulous
critique
current
diagnostic
methodologies,
ranging
conventional
radiography
imaging
techniques,
implications
nuanced
understanding
metastasis
biology
for
therapeutic
intervention.
includes
targeted
therapies
strategies
managing
pain
other
skeletal-related
events.
Moreover,
underscores
imperative
ongoing
research
efforts
aimed
at
identifying
novel
targets
refining
management
approaches
It
advocates
multidisciplinary
strategy
integrates
advancements
medical
oncology
radiology
with
insights
derived
genetics,
enhance
prognostic
outcomes
life
patients
afflicted
by
debilitating
condition.
In
summary,
constitute
complex
issue
demands
comprehensive
informed
approach
treatment.
article
contributes
discourse
consolidating
existing
knowledge
avenues
future
investigation,
overarching
objective
ameliorating
care
domain
oncology.
Journal of Nippon Medical School,
Journal Year:
2025,
Volume and Issue:
92(1), P. 37 - 43
Published: Feb. 25, 2025
Background:
Diagnosis
of
bone
metastases
would
be
hastened
if
they
could
detected
on
plain
radiographs
obtained
at
the
first
visit
to
an
orthopedic
surgeon.
However,
lesions
are
often
undetectable
radiography.
Bone
metastasis
is
diagnosed
in
only
a
few
patients,
and
diagnosis
delayed
many
cases.
We
investigated
diagnostic
performance
radiography
that
used
new
image
processing
method,
Dynamic
Visualization
II
(DV),
diagnose
metastases.
Methods:
enrolled
29
patients
with
symptomatic
pelvic
who
visited
our
hospital
between
April
2018
March
2021.
The
evaluation
images
were
created
by
original
data
default
settings
for
DV
(Presets
1-4).
Processing
Preset
1
resulted
converted
conventional
film
parameters,
whereas
Presets
2-4
utilized
different
methods.
readers
six
trainees,
reading
time
was
30
seconds
per
image.
rate
correct
answers
processed
compared
rates
those
other
presets.
Additionally,
analyzed
relation
clinical
variables.
Results:
answer
significantly
higher
3
(43.7%)
4
(42.5%)
than
(28.7%).
Correct
elderly
male
innominate
lesions,
osteolytic
metastases,
normal
body
weight.
Conclusions:
Image
improved
might
hasten
help
prevent
associated
complications.
Cancer Control,
Journal Year:
2025,
Volume and Issue:
32
Published: Feb. 1, 2025
Introduction
Lung
adenocarcinoma
is
the
leading
cause
of
cancer-related
mortality
worldwide.
Understanding
clinicopathological
profiles
and
genomic
drivers
its
metastatic
patterns
a
crucial
step
for
risk
stratification.
Herein,
we
investigated
clinicogenomic
features
bone
metastases
in
lung
their
prognostic
value.
Methods
A
retrospective
cohort
study
with
total
4064
patients
various
were
included,
obtaining
relevant
clinical
data
profiles.
Patients
categorized
based
on
presence
or
absence
metastases.
comparative
analysis
both
groups
terms
demographics,
disease
status,
somatic
mutations,
microsatellite
instability
was
carried
out.
Significantly
different
variables
tested
association
Cox
regression
analyses
utilized
to
identify
independent
survival
sub-cohort.
Results
Gender,
concomitant
(to
adrenal
gland,
nervous
system,
lymph
nodes,
liver,
lung,
mediastinum,
pleura,
skin),
aberrations
TP53
,
EGFR
KEAP1
MYC
associated
adenocarcinoma.
Survival
within
sub-cohort
have
illustrated
following
possess
poor
signature
including
age
>
75,
female
gender,
White
ethnicity,
distant
(adrenal
central
intra-abdominal,
liver),
(wild
type),
(mutant),
KRAS
SMARCA4
(mutant).
Conclusion
Key
factors
been
highlighted,
providing
exploratory
insights
into
high-risk
individuals.
Future
studies
should
be
directed
validate
these
larger,
more
diverse
cohorts
enhance
generalizability.
Expert Review of Anticancer Therapy,
Journal Year:
2025,
Volume and Issue:
unknown
Published: April 12, 2025
Bone
metastasis
often
develops
in
advanced
malignancies.
Lipid
metabolic
dysregulation
might
play
pivotal
role
cancer
progression
and
subsequent
deterioration
of
bone
health
at
metastatic
condition.
In-depth
understanding
lipid
reprogramming
metastasized
cells
other
stromal
including
marrow
adipocyte
(BMA)
is
an
urgent
need
to
develop
effective
therapy.
This
paper
emphasizes
providing
overview
multifaceted
dysregulated
lipids
BMA
association
with
by
utilizing
search
terms
metabolism,
PubMed.
study
extends
address
mechanism
linked
metabolism
various
crucial
genes
(e.g.
CSF-1,
RANKL,
NFkB
NFATc1)
involved
metastasis.
review
examines
therapeutic
strategies
targeting
offer
potential
avenues
disrupt
lipid-driven
On
condition,
molecules
especially
not
only
favors
but
also
potentiate
within
cells.
Distinct
lipid-metabolism
associated
may
act
as
biomarker,
these
challenging
task
for
specific
treatment.
Curbing
function
resorption
controlling
drugs
statins,
omega-3
FA
metformin)
provide
additional
support
curtail
lipid-associated
Chemical Engineering Journal,
Journal Year:
2024,
Volume and Issue:
485, P. 149761 - 149761
Published: Feb. 16, 2024
Given
that
the
treatment
of
drug-resistant
osteosarcoma
is
a
significant
clinical
challenge,
in
tumors,
role
endothelial
cells
has
been
recently
emphasized.
We
noted
heterogeneous
vascular
(HVECs)
tissues
may
inhibit
macrophage-mediated
killing
tumor
cells,
thus
promoting
occurrence
drug
resistance.
Accordingly,
we
designed
type
hybrid
membrane-coated
multifunctional
nanoparticle
(NP),
SiO2@PDA/Fe3+@Cis@HM.
The
NPs
had
good
biocompatibility
and
enhanced
low-temperature
photothermal
Fenton-like
reactions.
membrane
endowed
with
homing
ability
homologous
cell
targeting
ability,
simultaneously
HVECs,
addition
to
via
efficient
delivery
cisplatin
ROS
produced
by
accelerated
Through
vivo
vitro
experiments,
confirmed
SiO2@PDA/Fe3+@Cis@HM
efficiently
killed
as
well
HVECs.
endogenous
exosomes
damaged
HVECs
induced
anti-tumor
M1
macrophage
polarization
indirectly
kill
achieve
synergistic
therapy.
This
immune
regulation
was
completely
inherent
exhibited
consistent
efficacy,
without
ethical
connotations.
In
conclusion,
this
strategy
first
adopt
cell/vascular
double-targeted
concept,
which
realized
direct
natural
enhancement
response
could
become
new
paradigm
for
osteosarcoma.
Journal of bone oncology,
Journal Year:
2024,
Volume and Issue:
45, P. 100598 - 100598
Published: March 21, 2024
Previous
studies
illustrated
that
macrophage,
a
type
of
innate
immune
cells,
plays
critical
roles
in
tumour
progression
and
metastasis.
Bone
is
the
most
frequent
site
metastasis
for
several
cancer
types
including
breast,
prostate,
lung.
In
bone
metastasis,
osteoclast,
macrophage
subset
specialized
resorption,
was
heavily
investigated
past.
Recent
other
subsets,
e.g.
monocyte-derived
macrophages
resident
macrophages,
promoted
independent
osteoclast
function.
These
novel
mechanisms
further
improved
our
understanding
heterogeneity
context
new
opportunities
future
studies.
Frontiers in Endocrinology,
Journal Year:
2023,
Volume and Issue:
14
Published: April 17, 2023
In
a
precision
medicine
perspective,
among
the
biomarkers
potentially
useful
for
early
diagnosis
of
cancers,
as
well
to
define
their
prognosis
and
eventually
identify
novel
more
effective
therapeutic
targets,
there
are
long
non-coding
RNAs
(lncRNAs).
The
term
lncRNA
identifies
class
RNA
molecules
involved
in
regulation
gene
expression
that
intervene
at
transcriptional,
post-transcriptional,
epigenetic
level.
Metastasis
is
natural
evolution
some
malignant
tumours,
frequently
encountered
patients
with
advanced
cancers.
Onset
development
metastasis
represents
detrimental
event
worsen
patient's
by
profoundly
influencing
quality
life
responsible
ominous
progression
disease.
Due
peculiar
environment
biomechanical
properties,
bone
preferential
site
secondary
growth
breast,
prostate
lung
Unfortunately,
only
palliative
pain
therapies
currently
available
metastases,
while
no
definitive
treatments
available.
understanding
pathophysiological
basis
formation
progression,
improvement
clinical
management
patient,
central
but
challenging
topics
basic
research
practice.
identification
new
molecular
species
may
have
role
hallmarks
metastatic
process
could
open
door
definition
new,
effective,
diagnostic
approaches.
Non-coding
and,
particularly,
lncRNAs
promising
compounds
this
setting,
study
bring
relevant
processes.
review,
we
highlight
emerging
mediating
possible
cancer
prognosis,
targets
counteract
spread.