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Calotă ND, Oprea C, Iliescu MG, Ciota AE, Obadă B, Gidu DV, Gheorghe E, Oltean A, Ionescu EV. Multiple Bone Metastatic Invasion with Clinical Implications due to Ductal Mammary Carcinoma – Case report and Short Literature Review. BALNEO AND PRM RESEARCH JOURNAL 2023. [DOI: 10.12680/balneo.2023.544] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/07/2023] Open
Abstract
Multidisciplinary approach of clinical cases in rehabilitations units can be very complex and divers. Method: We present a case of a woman 30 years old, whose oncological histo-ry begins 9 years ago, when the diagnosis of invasive ductal mammary infiltrating ca-nelular carcinoma grade I was made and treated by tumorectomy (lumpectomy). The pa-tient refused oncological treatment at that time and resorted to alternative medicine dur-ing a period of 7 years: diet without sugar and animal products; regular vitamin B17 treatments; almond kernel cure; high-dose intravenous vitamin C treatment for; intrave-nous ozone therapy; apitherapy with bee venom; oral administration of cannabis oil dur-ing the past four years until now; physical therapy. Results: The evolution is marked by the appearance of multiple bone metastatic lesions. The most worst clinical consequence was a hyperalgesic cervicobrachial neuralgia, due to multiple C6-T3 lytic lesions diag-nosed 2 years ago and C7 compression (close to spinal cord injury), situation which had as medical approach two surgeries interventions, radiotherapy and chemotherapy. Con-clusions: The rehabilitation program was adapted to every stage of clinical evolution and was marked by many complications. All the steps were made for functional improvement and for increase the quality of life.
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Affiliation(s)
- Nicoleta Daniela Calotă
- Department of Kinetotherapy, Faculty of Physical Education and Sport, „Ovidius” University of Constanța, 1 Cpt. Aviator Alexandru Șerbănescu street, 900470, Constanța, România
| | - Carmen Oprea
- Department of Rehabilitation, Faculty of Medicine, „Ovidius” University of Constanța, 1 Uni-versity Alley, Campus – Corp B, 900470, Constanța, România
| | - Madalina Gabriela Iliescu
- Department of Rehabilitation, Faculty of Medicine, „Ovidius” University of Constanța, 1 Uni-versity Alley, Campus – Corp B, 900470, Constanța, România
| | - Alexandra Ecaterina Ciota
- Department of Rehabilitation, Faculty of Medicine, „Ovidius” University of Constanța, 1 Uni-versity Alley, Campus – Corp B, 900470, Constanța, România
| | - Bogdan Obadă
- Department of Orthopedics, Faculty of Medicine, „Ovidius” University of Constanța, 1 Univer-sity Al-ley, Campus – Corp B, 900470, Constanța, România
| | - Diana Victoria Gidu
- Department of Kinetotherapy, Faculty of Physical Education and Sport, „Ovidius” University of Constanța, 1 Cpt. Aviator Alexandru Șerbănescu street, 900470, Constanța, România
| | - Emma Gheorghe
- Department of Histology, Faculty of Medicine, „Ovidius” University of Constanța, 1 University Alley, Campus – Corp B, 900470, Constanța, România
| | - Antoanela Oltean
- Department of Kinetotherapy, Faculty of Physical Education and Sport, „Ovidius” University of Constanța, 1 Cpt. Aviator Alexandru Șerbănescu street, 900470, Constanța, România
| | - Elena Valentina Ionescu
- Department of Rehabilitation, Faculty of Medicine, „Ovidius” University of Constanța, 1 Uni-versity Alley, Campus – Corp B, 900470, Constanța, România
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Mitroi AF, Leopa N, Dumitru E, Dumitru A, Tocia C, Popescu I, Mitroi A, Popescu RC. TCF7L2, CASC8, and GREM1 polymorphism and colorectal cancer in south-eastern Romanian population. Medicine (Baltimore) 2023; 102:e33056. [PMID: 36800588 PMCID: PMC9936048 DOI: 10.1097/md.0000000000033056] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/19/2023] Open
Abstract
Colorectal cancer (CRC) is a heterogeneous disease with an increasing trend and with multiple epigenetic alterations and different molecular features, a major cause of mortality and morbidity. The Wnt/β-Catenin pathway is involved in multiple aspects of cell dynamics, architecture of developing gastrointestinal tissues, and intestinal tissue homeostasis in adults, but its aberrant activity plays an important role in every aspect of colorectal carcinogenesis. The aim of our study was to investigate the association of the TCF7L2 rs7903146, CASC8 rs6983267, and Gremlin1 (GREM1) rs16969681 polymorphism in patients with CRC without other pathologies. A case-control study conducted on 31 patients diagnosed with CRC and 30 healthy controls age and sex-matched with the patients. Real time PCR was used to determine the genotypes of rs7903146, rs698267, rs1696981. We observed no association between rs6983267 and rs16969681 polymorphism and risk of CRC and low association between TCF7L2, rs7903146, polymorphism and risk of CRC. The recessive model of the TCF7L2 rs7903146 had an OR of 1.6 (95% CI 0.058-4.414, P < .05) which means that TT genotype increased the risk and possibility of development of CRC. Our study did not confirm a significant association between TCF7L2 rs7903146, CASC8 rs6983267, and GREM1 rs16969681 with CRC, but emphasizes the possibility of existence of a high risk of CRC development in patients with TT genotype of rs7903146.
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Affiliation(s)
- Anca Florentina Mitroi
- Department of Pathology, Emergency Hospital of Constanța, Romania
- Ovidius University, Faculty of Medicine and Pharmacy Constanta, Romania
| | - Nicoleta Leopa
- Ovidius University, Faculty of Medicine and Pharmacy Constanta, Romania
- Department of General Surgery, Emergency Hospital of Constanța, Romania
- * Correspondence: Nicoleta Leopa, Ovidius University, Faculty of Medicine and Pharmacy Constanta, 900470, Romania (e-mail: )
| | - Eugen Dumitru
- Ovidius University, Faculty of Medicine and Pharmacy Constanta, Romania
- Department of Gastroenterology, Emergency Hospital of Constanța, Romania
| | - Andrei Dumitru
- Ovidius University, Faculty of Medicine and Pharmacy Constanta, Romania
- Department of Gastroenterology, Emergency Hospital of Constanța, Romania
| | - Cristina Tocia
- Ovidius University, Faculty of Medicine and Pharmacy Constanta, Romania
- Department of Gastroenterology, Emergency Hospital of Constanța, Romania
| | - Ioana Popescu
- Department of Gastroenterology, Emergency Hospital of Constanța, Romania
| | - Adrian Mitroi
- Ovidius University, Faculty of Medicine and Pharmacy Constanta, Romania
| | - Răzvan Cătălin Popescu
- Ovidius University, Faculty of Medicine and Pharmacy Constanta, Romania
- Department of General Surgery, Emergency Hospital of Constanța, Romania
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Brinzan CS, Aschie M, Cozaru GC, Deacu M, Dumitru E, Burlacu I, Mitroi A. KRAS, NRAS, BRAF, PIK3CA, and AKT1 signatures in colorectal cancer patients in south-eastern Romania. Medicine (Baltimore) 2022; 101:e30979. [PMID: 36221415 PMCID: PMC9542653 DOI: 10.1097/md.0000000000030979] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/05/2023] Open
Abstract
Somatic mutations in the oncogenes of the epidermal growth factor receptor signaling pathway play vital roles in colorectal carcinogenesis and have been closely linked with clinical resistance to monoclonal therapy. In this study, we have analyzed the mutation frequencies of 5 genes and compared the genetic findings with clinicopathological variables in order to determine diagnostically relevant alterations and compare these findings with those of other studies In our Sanger sequencings, KRAS (exons 2, 3, and 4), NRAS (exons 2, 3, and 4), PIK3CA (exons 9 and 20), BRAF (exon 15), AKT1 (exon 2) genes, and microsatellite instability (MSI) status were analyzed using an ABI 3500 analyzer in a cohort of 58 Romanian colorectal cancer (CRC) patients who underwent surgical resection at Emergency County Clinical Hospital in Constanța, Romania. In our series, mutation rates of KRAS, BRAF, PIK3CA, and AKT1 genes were 39.63%, 8.62%, 6.88%, and 3.44%, respectively. By contrast, we did not find any tumor harboring mutation in the NRAS gene. Notably, the KRAS and PIK3CA mutations were not mutually exclusive, 1 patient harbored 2 mutations in exon2, codon 12 (Gly12Val) of KRAS and exon 20, codon 1047 (His1047Arg) of PIK3CA. The finding of our study are generally consistent with data found in the literature. Regarding to clinicopathological variables, mutation of KRAS was associated with distant metastasis at the time of diagnosis, while mutation of BRAF was significantly associated with MSI-H in contrast with MSI-L/MSS tumors. Moreover, PIK3CA mutation tends to be located in the proximal segment of the colon and to be well/moderately differentiated compared to wild-type tumors. In conclusion, the assessment of these mutations suggests that CRC patients from southeast Romania exhibit a mutation profile similar to other populations. These results could contribute to creating a better method of qualifying patients for molecularly targeted therapies and obtaining better screening strategies.
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Affiliation(s)
- Costel Stelian Brinzan
- Pathology Department, Sf. Apostol Andrei Clinical Emergency County Hospital, Constanta, Romania
- CEDMOG Center, Ovidius University, Constanta, Romania
| | - Mariana Aschie
- Pathology Department, Sf. Apostol Andrei Clinical Emergency County Hospital, Constanta, Romania
- CEDMOG Center, Ovidius University, Constanta, Romania
- Faculty of Medicine, Ovidius University, Constanta, Romania
| | - Georgeta Camelia Cozaru
- Pathology Department, Sf. Apostol Andrei Clinical Emergency County Hospital, Constanta, Romania
- CEDMOG Center, Ovidius University, Constanta, Romania
| | - Mariana Deacu
- Pathology Department, Sf. Apostol Andrei Clinical Emergency County Hospital, Constanta, Romania
- Faculty of Medicine, Ovidius University, Constanta, Romania
| | - Eugen Dumitru
- CEDMOG Center, Ovidius University, Constanta, Romania
- Faculty of Medicine, Ovidius University, Constanta, Romania
| | - Ionut Burlacu
- Pathology Department, Sf. Apostol Andrei Clinical Emergency County Hospital, Constanta, Romania
| | - Anca Mitroi
- Pathology Department, Sf. Apostol Andrei Clinical Emergency County Hospital, Constanta, Romania
- CEDMOG Center, Ovidius University, Constanta, Romania
- *Correspondence: Anca Mitroi, Pathology Department, Sf. Apostol Andrei Clinical Emergency County Hospital, 145 Tomis Blvd, Constanta 900591, Romania (e-mail: )
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Mitroi AF, Leopa N, Dumitru E, Brînzan C, Tocia C, Dumitru A, Popescu RC. Association of TCF7L2, CASC8 and GREM1 Polymorphisms in Patients with Colorectal Cancer and Type II Diabetes Mellitus. Genes (Basel) 2022; 13:1297. [PMID: 35893034 PMCID: PMC9332733 DOI: 10.3390/genes13081297] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2022] [Revised: 07/12/2022] [Accepted: 07/20/2022] [Indexed: 02/04/2023] Open
Abstract
BACKGROUND The aim of the study is to explore the association between the TCF7L2 rs7903146, CASC8 rs6983267 and GREM1 rs16969681 polymorphisms in patients diagnosed with type 2 diabetes mellitus (T2DM) and colorectal cancer. METHODS Sixty individuals were enrolled in this case-control study: thirty with colorectal cancer and type II diabetes mellitus (T2DM) and thirty healthy control individuals. Real-time PCR was used to determine the genotypes of TCF7L2 rs7903146, CASC8 rs 6983267 and GREM1 rs16969681 in patients with CRC and T2DM and in patients without T2DM and CRC. The Hardy-Weinberg equilibrium was determined in the control group for the genotype distribution of every polymorphism. RESULTS People carrying the TT genotype of rs7903146, rs6983267 and rs1696981 had a significant association with T2DM and CRC. Moreover, the people with the TT genotype of rs1696981 had a greater risk for T2DM and CRC (OR = 7, CI 0.397-23.347). CONCLUSIONS TCF7L2 rs7903146, CASC8 rs6983267 and GREM1 rs16969681 could be risk factors for the association of T2DM with CRC.
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Affiliation(s)
- Anca Florentina Mitroi
- Department of Pathology, Emergency Hospital of Constanța, 900591 Constanta, Romania; (A.F.M.); (C.B.)
- CEDMOG Center, Ovidius University of Constanta, 900591 Constanta, Romania;
| | - Nicoleta Leopa
- Faculty of Medicine, Ovidius University of Constanta, 900470 Constanta, Romania; (C.T.); (A.D.); (R.C.P.)
- Department of General Surgery, Emergency Hospital of Constanța, 900591 Constanta, Romania
| | - Eugen Dumitru
- CEDMOG Center, Ovidius University of Constanta, 900591 Constanta, Romania;
- Faculty of Medicine, Ovidius University of Constanta, 900470 Constanta, Romania; (C.T.); (A.D.); (R.C.P.)
- Department of General Surgery, Emergency Hospital of Constanța, 900591 Constanta, Romania
| | - Costel Brînzan
- Department of Pathology, Emergency Hospital of Constanța, 900591 Constanta, Romania; (A.F.M.); (C.B.)
- CEDMOG Center, Ovidius University of Constanta, 900591 Constanta, Romania;
| | - Cristina Tocia
- Faculty of Medicine, Ovidius University of Constanta, 900470 Constanta, Romania; (C.T.); (A.D.); (R.C.P.)
- Department of Gastroenterology, Emergency Hospital of Constanța, 900591 Constanta, Romania
| | - Andrei Dumitru
- Faculty of Medicine, Ovidius University of Constanta, 900470 Constanta, Romania; (C.T.); (A.D.); (R.C.P.)
- Department of Gastroenterology, Emergency Hospital of Constanța, 900591 Constanta, Romania
| | - Răzvan Cătălin Popescu
- Faculty of Medicine, Ovidius University of Constanta, 900470 Constanta, Romania; (C.T.); (A.D.); (R.C.P.)
- Department of General Surgery, Emergency Hospital of Constanța, 900591 Constanta, Romania
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Synthesis of diaryl urea derivatives and evaluation of their antiproliferative activities in colon adenocarcinoma. J Mol Struct 2022. [DOI: 10.1016/j.molstruc.2021.132318] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
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Pătraşcu Ş, Cercelaru L, Graure GM, Firuţ MA, Rotaru I, Cârţu D, Marinescu D, Pătraşcu AM, Radu RI, Mitroi G, Şurlin V. The histopathological features and their prognostic impact in the postoperative follow-up of colorectal cancer patients. ROMANIAN JOURNAL OF MORPHOLOGY AND EMBRYOLOGY = REVUE ROUMAINE DE MORPHOLOGIE ET EMBRYOLOGIE 2022; 63:555-561. [PMID: 36588494 PMCID: PMC9926144 DOI: 10.47162/rjme.63.3.10] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
Abstract
The validation of histological prognostic markers in colorectal cancer not only for survival parameters but also for early postoperative outcomes is of paramount importance. The aim of our study was to search for the tumor histopathological (HP) characteristics that may influence the postoperative morbidity, especially the occurrence of anastomotic leakage. Our results indicated that peritumoral inflammatory cell infiltrate appeared to correlate with both anastomotic fistula and overall postoperative complications. Likewise, high-grade and undifferentiated colorectal tumors seemed to be correlated with a higher incidence of postoperative leakage and complications. No relation could be established between the other HP features and the postoperative untoward outcomes.
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Affiliation(s)
- Ştefan Pătraşcu
- Department of Surgery, Department of Hematology, University of Medicine and Pharmacy of Craiova, Romania; ;
| | - Liliana Cercelaru
- Department of Anatomy, University of Medicine and Pharmacy of Craiova, Romania
| | | | - Maria Andreea Firuţ
- Department of Surgery, University of Medicine and Pharmacy of Craiova, Romania
| | - Ionela Rotaru
- Department of Hematology, University of Medicine and Pharmacy of Craiova, Romania
| | - Dan Cârţu
- Department of Surgery, University of Medicine and Pharmacy of Craiova, Romania
| | - Daniela Marinescu
- Department of Surgery, University of Medicine and Pharmacy of Craiova, Romania
| | - Ana Maria Pătraşcu
- Department of Hematology, University of Medicine and Pharmacy of Craiova, Romania
| | - Răzvan Ilie Radu
- Department of Interventional Cardiology, Prof. Dr. C. C. Iliescu Emergency Institute for Cardiovascular Diseases, Bucharest, Romania
| | - George Mitroi
- Department of Urology, University of Medicine and Pharmacy of Craiova, Romania
| | - Valeriu Şurlin
- Department of Surgery, University of Medicine and Pharmacy of Craiova, Romania
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Manolea MM, Istrate-Ofiţeru AM, Săndulescu MS, Camen IV, Piciu IA, Dijmărescu AL, Vrabie SC, Neamţu SD, Obleagă CV, Siminel MA. Clinical and morphopathological assay in vulvovaginal candidiasis. ROMANIAN JOURNAL OF MORPHOLOGY AND EMBRYOLOGY = REVUE ROUMAINE DE MORPHOLOGIE ET EMBRYOLOGIE 2022; 63:511-520. [PMID: 36588489 PMCID: PMC9926141 DOI: 10.47162/rjme.63.3.05] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
Abstract
Candida vulvovaginitis is characterized by the appearance of inflammatory changes in the vaginal and vulvar epithelium secondary to infection with Candida species. The purpose of this study was to analyze and compare the clinical, microbiological, and histopathological aspects of pregnant and non-pregnant patients, symptomatic or asymptomatic in the case of candida vaginitis and to correlate the microscopic aspects with the symptoms before applying the local treatment with Nystatin. The study presents a retrospective analysis of the management of vaginitis in 166 pregnant or non-pregnant patients during 2021-2022. We observed the structure of the Malpighian squamous epithelium without keratinization present on the vaginal mucosa and the structure of the subepithelial connective tissue, which shows increased numerical values of inflammatory and vascular cellularity in the case of candida vaginitis symptomatic compared to asymptomatic ones. We noticed also in the microscopic study that in cases of asymptomatic patients before treatment, the number of inflammatory cells and blood vessels situated immediately under the epithelium was significantly lower compared to their number in symptomatic patients before treatment. Analyzing the results obtained after the administration of the treatment proposed by us, we can say that local Nystatin treatment is beneficial and safe for pregnant and non-pregnant patients and is a good alternative for patients with recurrent vulvovaginal candidiasis.
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Affiliation(s)
- Maria Magdalena Manolea
- Department of Histology, Department of Obstetrics and Gynecology, University of Medicine and Pharmacy of Craiova, Romania; ;
| | - Anca-Maria Istrate-Ofiţeru
- Department of Histology, University of Medicine and
Pharmacy of Craiova, Romania , Research Center for Microscopic Morphology and
Immunology, University of Medicine and Pharmacy of Craiova, Romania
| | - Maria Sidonia Săndulescu
- Department of Obstetrics and Gynecology, University of
Medicine and Pharmacy of Craiova, Romania
| | - Ioana Victoria Camen
- PhD Student, Doctoral School, University of Medicine and
Pharmacy of Craiova, Romania
| | - Ionel Alin Piciu
- PhD Student, Doctoral School, University of Medicine and
Pharmacy of Craiova, Romania
| | - Anda Lorena Dijmărescu
- Department of Obstetrics and Gynecology, University of
Medicine and Pharmacy of Craiova, Romania
| | - Sidonia Cătălina Vrabie
- Department of Obstetrics and Gynecology, University of
Medicine and Pharmacy of Craiova, Romania
| | - Simona Daniela Neamţu
- Department of Hematology and Immunology, University of
Medicine and Pharmacy of Craiova, Romania
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Huang Y, Duanmu J, Liu Y, Yan M, Li T, Jiang Q. Analysis of multi-omics differences in left-side and right-side colon cancer. PeerJ 2021; 9:e11433. [PMID: 34026368 PMCID: PMC8123232 DOI: 10.7717/peerj.11433] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2020] [Accepted: 04/20/2021] [Indexed: 12/22/2022] Open
Abstract
Background Colon cancer is one of the most common tumors in the digestive tract. Studies of left-side colon cancer (LCC) and right-side colon cancer (RCC) show that these two subtypes have different prognoses, outcomes, and clinical responses to chemotherapy. Therefore, a better understanding of the importance of the clinical classifications of the anatomic subtypes of colon cancer is needed. Methods We collected colon cancer patients’ transcriptome data, clinical information, and somatic mutation data from the Cancer Genome Atlas (TCGA) database portal. The transcriptome data were taken from 390 colon cancer patients (172 LCC samples and 218 RCC samples); the somatic mutation data included 142 LCC samples and 187 RCC samples. We compared the expression and prognostic differences of LCC and RCC by conducting a multi-omics analysis of each using the clinical characteristics, immune microenvironment, transcriptomic differences, and mutation differences. The prognostic signatures was validated using the internal testing set, complete set, and external testing set (GSE39582). We also verified the independent prognostic value of the signature. Results The results of our clinical characteristic analysis showed that RCC had a significantly worse prognosis than LCC. The analysis of the immune microenvironment showed that immune infiltration was more common in RCC than LCC. The results of differential gene analysis showed that there were 360 differentially expressed genes, with 142 upregulated genes in LCC and 218 upregulated genes in RCC. The mutation frequency of RCC was generally higher than that of LCC. BRAF and KRAS gene mutations were the dominant genes mutations in RCC, and they had a strong mutual exclusion with APC, while APC gene mutation was the dominant gene mutation in LCC. This suggests that the molecular mechanisms of RCC and LCC differed. The 4-mRNA and 6-mRNA in the prognostic signatures of LCC and RCC, respectively, were highly predictive and may be used as independent prognostic factors. Conclusion The clinical classification of the anatomic subtypes of colon cancer is of great significance for early diagnosis and prognostic risk assessment. Our study provides directions for individualized treatment of left and right colon cancer.
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Affiliation(s)
- Yanyi Huang
- Department of Gastrointestinal Surgery, First Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, China.,Nanchang University, The Second Clinical Medicine College, Nanchang, Jiangxi, China
| | - Jinzhong Duanmu
- Department of Gastrointestinal Surgery, First Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, China
| | - Yushu Liu
- Department of Gastrointestinal Surgery, First Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, China.,Nanchang University, The Second Clinical Medicine College, Nanchang, Jiangxi, China
| | - Mengyun Yan
- Department of Gastrointestinal Surgery, First Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, China.,Nanchang University, The First Clinical Medicine College, Nanchang, Jiangxi, China
| | - Taiyuan Li
- Department of Gastrointestinal Surgery, First Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, China
| | - Qunguang Jiang
- Department of Gastrointestinal Surgery, First Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, China
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