Songshu Xiao's research while affiliated with The Third Xiangya Hospital of the Central South University and other places

Publications (66)

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Background Narrative Medicine (NM), a contemporary medical concept proposed in the 21st century, emphasizes the use of narrative as a literary form in medicine. This study aims to explore the understanding about NM and willingness to learn NM among medical students in our hospital. Methods A questionnaire survey was conducted among 130 students at...
Article
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Background As the cesarean delivery rate continues to rise globally, the treatment of previous cesarean scar defects (PCSD) remains challenging. This study aimed to analyze the variables that may influence the clinical cure rate of patients with PCSD-related abnormal uterine bleeding (AUB) as determined by preoperative magnetic resonance imaging (M...
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Despite receiving first-line treatment, ovarian cancer patients continue to experience a high rate of recurrence; nearly all women with ovarian cancer develop chemoresistance and succumb to the disease. In this study, cancer-associated fibroblasts (CAFs) and normal fibroblasts (NFs) were isolated from tumor-containing and normal omenta, respectivel...
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Objective: To explore the effect on empathy skills of integrating narrative medicine instruction into clinical internship undergraduate medical education. Methods: One hundred clinical undergraduate students who were transferred to gynecology and obstetrics in 2016 were selected as subjects and divided into two groups. The control group adopted the...
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Objective To compare and analyze the clinical efficacy and reproductive outcomes of the hysteroscopic tissue removal system (MyoSure) and hysteroscopic electroresection in the treatment of benign intrauterine lesions in women of reproductive age. Methods This is a retrospective study of patients with benign intrauterine lesions treated with MyoSur...
Article
This study aims to explore the role of SKA1 in cancer diagnosis and prognosis and to investigate the mechanism by which SKA1 affects the malignant behaviors of ovarian cancer. Herein, we analyzed the oncogenic role of SKA1 at pan-cancer level by multiple informatics databases and verified the analysis by in vitro experiments. As a result, SKA1 was...
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Objective: To present a rare case of retroperitoneal ectopic pregnancy with lymphatic migration after in vitro fertilization-embryo transfer (IVF-ET) and propose the possible explanation for embryonic migration. Design: Illustrative video presentation. Images, videos (educational videos), and title slides were used to introduce the case of a pat...
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Minichromosome maintenance 2 (MCM2) is a member of the minichromosomal maintenance family of proteins that mainly regulates DNA replication and the cell cycle and is involved in regulating cancer cell proliferation in various cancers. Previous studies have reported that MCM2 plays a pivotal role in cell proliferation and cancer development. However...
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Recent studies have reported that T-cell differentiation protein 2 (MAL2) is an important regulator in cancers. Here, we downloaded data from multiple databases to analyze MAL2 expression and function in pan-cancers, especially in ovarian cancer (OC). Gene Expression Profiling Interactive Analysis (GEPIA) databases was used to examine MAL2 expressi...
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Minichromosome maintenance (MCM) family members are a group of genes involved in regulating DNA replication and cell division and have been identified as oncogenes in various cancer types. Several experimental studies have suggested that MCMs are dysregulated in endometrial carcinoma (EC). However, the expression pattern, clinical value and functio...
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Objective To evaluate the efficiency, postoperative hysterectomy rate, and influencing factors for therapeutic effect of the NovaSure endometrial ablation procedure in abnormal uterine bleeding (AUB). Methods We conducted a retrospective cohort study of 2152 patients from the Department of Gynecology at the Third Xiangya Hospital, CSU from October...
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Ovarian cancer is one of the most common gynecological malignancies with highest mortality rate among all gynecological malignant tumors. Advanced ovarian cancer patients can obtain a survival benefit from chemotherapy, including platinum drugs and paclitaxel. In more recent years, the administration of poly-ADP ribose polymerase inhibitor to patie...
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Background Ovarian cancer (OC) has the highest mortality rate among gynecologic malignancy. Hypoxia is a driver of the malignant progression in OC, which results in poor prognosis. We herein aimed to develop a validated model that was based on the hypoxia genes to systematically evaluate its prognosis in tumor immune microenvironment (TIM). Result...
Preprint
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In this report, We discuss a case of epidermoid cyst originating from the female vulva, which was completely excised by surgery. Pathologically confirmed as a vulva epidermoid cyst.
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Background To investigate the clinical efficacy of the MyoSure hysteroscopic tissue removal system in the treatment of endometrial and cervical polyps in women with an intact hymen. Methods Retrospective analysis was performed on the clinical data of 32 patients treated with the MyoSure hysteroscopic tissue removal system for endometrial and cervi...
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Ovarian cancer (OC) is one of the most lethal gynecologic malignant tumors. The interaction between autophagy and the tumor immune microenvironment has clinical importance. Hence, it is necessary to explore reliable biomarkers associated with autophagy-related genes (ARGs) for risk stratification in OC. Here, we obtained ARGs from the MSigDB databa...
Preprint
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Objective: To investigate the clinical efficacy of the MyoSure hysteroscopic tissue removal system in the treatment of benign intrauterine lesions. Methods: Retrospective analysis was performed on the clinical data of 740 patients treated with the MyoSure hysteroscopic tissue removal system for benign intrauterine lesions from September 2014 to Dec...
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Previous studies have found that LPS and FRA1 play opposite roles in cervical cancer. In addition, LPS functions by regulating the expression of FRA1 in many disease models, but there is currently no study of their relationship in the energy metabolism of tumor cells. This study, therefore, investigates the effects of LPS on FRA1-mediated glucose m...
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Objective To investigate the effect of hysteroscopic surgery on the outcomes of obstetrics and gynecology among patients with cesarean section diverticulum.Methods Ninety-nine infertile patients with cesarean section diverticulum received hysteroscopic treatment and were retrospectively analyzed. Patients were followed for 1 year.ResultsThe study i...
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The oncogenesis of cervical cancer is a multi-factor and multi-step process, and major risk factors include oncogene activation with tumor suppressor gene inactivation, viral factors, and immune factors. For example, the human papillomavirus (HPV) has been linked to the occurrence of cervical cancer. At present, the pathogenesis of cervical cancer...
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Objectives Post-cesarean section scar diverticulum (PCSD) is a long-term sequela of cesarean section (CS). The aim of this study was to evaluate the clinical utility of PCSD scoring criteria, and also retrospectively investigate the efficacy and fertility of two different surgical methods in 304 patients with PCSD. Methods A total of 304 PCSD pati...
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Chemoresistance to platinum‑based chemotherapy for ovarian cancer in the advanced stage remains a formidable concern clinically. Increasing evidence has revealed that apoptosis represents the terminal events of the anti‑tumor mechanisms of a number of chemical drugs and has a close association with chemoresistance in ovarian cancer. The B‑cell lymp...
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Background: Alpha protein kinase 2 (ALPK2) was known to play a vital role in cancer by regulating cell cycle and DNA repair. Ovarian cancer (OC) is one of the most lethal malignancies in the female reproductive system. The emphasis of this study is to explore the role of ALPK2 in OC. Methods: Firstly, tumor and normal tissues were collected for...
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Objectives This study on all-trans retinoic acid was designed to explore its effect on the ability of Fra-1 to cervical cancer cell development. The results show that all-trans retinoic acid enhances the effect of Fra-1 on inhibiting cervical cancer proliferation and the glucose consumption, its effect on the loss of mitochondrial membrane potentia...
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Epithelial ovarian cancer (EOC) is the most malignant gynecological carcinoma and is of a high incidence of death due to detection at late stages when metastasis already occurs. However, the mechanism underlying metastasis of EOC remains unclear. Analysis of the open database and experiments with immunochemistry showed that LRRC4 is lowly expressed...
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AP-1 is a dimeric complex that is composed of JUN, FOS, ATF and MAF protein families. FOS-related antigen 1 (FRA1) which encoded by FOSL1 gene, belongs to the FOS protein family, and mainly forms an AP-1 complex with the protein of the JUN family to exert an effect. Regulation of FRA1 occurs at levels of transcription and post-translational modific...
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Background: Emerging proof suggests that microRNA (miRNA) malfunction is correlated to the generation and development of multiple malignancies. It has been proven that miRNA (miR)-139 represses a variety of malignancies. However, the understanding of its impact on ovarian cancer (OC) is insufficient. We aimed to investigate the expression and func...
Article
Evidence has indicated the associations between thioredoxin interacting protein (TXNIP) and cancers. However, the role of TXNIP in cervical cancer remains unclear. Hence, this study aims to investigate the role of TXNIP in regulating cervical cancer cell proliferation, migration, and invasion. TXNIP expression can be regulated by either MondoA or C...
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Ovarian cancer is the most common gynecological malignancy that causes cancer-related deaths in women today; this being the case, developing an understanding of ovarian cancer has become one of the major driving forces behind cancer research overall. Moreover, such research over the last 20 years has shown that the Jun N-terminal kinase (JNK) signa...
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Objectives: Persistent high-risk human papillomavirus infection is a major factor in the development of cervical intraepithelial neoplasia and cervical cancer. However, the exact point during this infection that cervical intraepithelial neoplasia develops has eluded researchers. Therefore, we designed a study investigating infection duration betwee...
Preprint
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Background: In the present study, we aimed to investigate the human papillomavirus (HPV) infection rate in females of Hunan Province, China, as well as the common HPV genotype distribution. Moreover, we also explored the differences in HPV infections among females of different ages. Methods: Clinical data were collected from 157,038 females who had...
Article
Objective: Cervical HR-HPV persistence is the main risk factor for cervical cancer. We aimed to investigate the association of age and viral factors with HR-HPV persistence. Methods: From 2010 to 2017, 343,128 women underwent 390,411 tests performed by the Cervista HR-HPV assay (Data C3) and 157,123 women underwent 206,505 tests performed by the...
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Background The aim of this study was to investigate the significance of folate receptor-mediated staining solution (FRD) in examination of cervical lesions during gynecological examination. Material/Methods A total of 404 patients participated in this study. FRD staining was applied to screen high grade cervical lesions. ThinPrep cytology test (TC...
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Study objective: To identify factors that affect reproductive outcomes after hysteroscopic adhesiolysis in patients with severe intrauterine adhesions (IUAs, scored between 9 and 12 according to the American Fertility Society classification) and amenorrhea. Design: A retrospective cohort study. Setting: A university-affiliated hospital. Patie...
Article
Cisplatin (DDP)‐based chemotherapy is a standard strategy for ovarian cancer (OC), while chemoresistance remains a major therapeutic challenge. Transcription factor SOX9 has been reported to be associated with tumor cell proliferation, metastasis, and chemoresistance. In the current study, we observed a higher SOX9 expression in OC cell lines; SOX9...
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Nasopharyngeal carcinoma (NPC) is the most common malignant tumor type in Southern China and South‑East Asia. Cluster of differentiation (CD)38 is highly expressed in the human immune system and participates in the activation of T, natural killer and plasma cells mediated by CD2 and CD3 through synergistic action. CD38 is a type II transmembrane gl...
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Mature teratomas are usually detected in the ovary, while they are very rarely found in the vagina. Only several cases of vaginal mature teratomas have been reported. In this article, the authors describe the case of a 28-year-old female with dyspareunia for four months diagnosed by MRI. The MRI findings in vaginal teratoma are easily confused with...
Article
Study objective: To investigate risk factors for infertility and recurrent cesarean scar pregnancy (CSP) after previous CSP. Design: A retrospective cohort study (II-1). Setting: University hospital. Patients: From January 2007 to April 2016, A total of 650 patients were included, all diagnosed as CSP and treated by high-intensity focused ul...
Article
We reported a case of giant solitary fibrous tumor of vagina and reviewed literature. The clinical features, diagnosis, and treatment schemes for the disease were summarized to improve the understanding of the disease. An elder female patient came to the Third Xiangya Hospital, Central South University, because of abdominal distention and pain for...
Article
Cervical cancer is the most common gynecological malignancy. In recent years, the incidence of cervical cancer has had a younger trend. Cervical cancer morbidity and mortality rates have been significantly reduced due to recent decades of cervical cytology screening leading to the early detection and treatment of cervical cancer and precancerous le...
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Cervical cancer is one of the most common malignant tumors in women all over the world. However, the exact etiology of cervical cancer remains unclear. The receptor for activated protein kinase C (RACK1) is reported to be involved in tumorigenesis and tumor progression. Besides, the prognostic value of RACK1 in several kinds of tumors has been iden...
Article
Cervical cancer is one of the most common malignant tumors in women all over the world. The exact mechanism of occurrence and development of cervical cancer has not been fully elucidated. CD38 is a type II transmembrane glycoprotein, which was found to mediate diverse activities, including signal transduction, cell adhesion, and cyclic ADP-ribose s...
Article
A case of primary yolk sac tumor of endometrium was retrospectively analyzed and relevant literature was systematically reviewed. We found that the primary yolk sac tumor of endometrium showed low incidence rate and was clinically characterized by abnormal vaginal bleeding, intrauterine lesions and significantly elevated alpha-fetoprotein (AFP) lev...
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Ovarian cancer is a clinical type of gynecological malignant tumor with poor prognosis and a high mortality rate. At present, the primary treatment method used is surgery, with chemotherapy as an ajdunctive therapy. Thus, new short-term treatments should be identified. The aim of the present study was to investigate the short-term curative effects...
Article
Background: Previous studies have revealed the important role of miR-200b in cancer biology, including its upregulation in cervical cancer. However, miR-200b function in cervical cancer progression remains unclear. Thus, this study aims to explore the functional role of miR-200b in cervical cancer development, involving its potential regulation on...
Article
Objective: Removal of retained adherent placental remnants (RAPR) may be challenging using traditional 5 Fr or 7 Fr hysteroscopic grasping forceps as they are very small. This is particularly true when the retained placental remnant is large. This video demonstrates the advantages of using Hysteroscopy Endo-Operative System (HEOS), a specially des...
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The protein CD24 is a cell surface protein that appears to function as an adhesion molecule; its expression has been shown to correlate with prognosis in a variety of tumors. Herein, we investigated the possible role and mechanism of CD24 in cervical cancer. Our results showed that CD24 was overexpressed in cervical cancer tissues compared with tha...
Article
Purpose: The aim of this study was to retrospectively analyse the clinical data of 122 patients with caesarean scar pregnancy (CSP) treated in our hospital, to compare the outcomes between high-intensity focused ultrasound (HIFU) and uterine artery embolisation (UAE). Materials and methods: Among the 122 patients, 76 patients were treated with H...
Article
The majority of the current published literature describes hysteroscopic adhesiolysis (HA) for patients with intrauterine adhesions (IUA) using electrical instruments which may cause thermal injury to the endometrium. This video shows the technique of HA using"ploughing" technique with cold scissors. Step-by-step explanation of the technique using...
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The aim of this study was to retrospectively evaluate the safety and feasibility of high-intensity focused ultrasound (HIFU) treatment combined with suction curettage under hysteroscopic guidance for cesarean scar pregnancy (CSP). Fifty-three patients with definite CSP were treated with HIFU followed by suction curettage under hysteroscopic guidanc...
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To evaluate the efficacy and safety of auto-crosslinked hyaluronic acid (HA) gel for preventing intrauterine adhesion (IUA) after hysteroscopic adhesiolysis. A prospective, randomized, double blinded and controlled clinical trial (level I) was performed. According to American Fertility Society (AFS) scoring system, 120 patients (treatment group: 60...
Article
To evaluate the genital human papillomavirus (HPV) infection in patients from gynecology clinic, and to investigate the association of persistent HPV infection with cervical lesions. From January, 2009 to December, 2013, clinical data of 16 320 patients in Th ird Xiangya Hospital were collected. A retrospective analysis was carried out to evaluate...
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Cervical cancer is the third most commonly diagnosed cancer worldwide and the fourth leading cause of cancer-related mortality in females worldwide, accounting for 10-15% of cancer-related mortalities. Cytological screening and DNA testing for high-risk human papillomavirus (HPV) types have markedly decreased the rates of cervical cancer in develop...
Article
Cervical cancer is a potentially preventable disease; however, it is the third most commonly diagnosed cancer and the fourth leading cause of cancer deaths in women worldwide. Cervical cancer is thought to develop through a multistep process involving virus, tumor suppressor genes, proto‑oncogenes and immunological factors. It is known that human p...
Article
Cancer stem cells (CSCs) are thought to be responsible for cancer progression and therapeutic resistance but identification of this subpopulation requires selective markers. Fortunately, side population (SP) cells analysis brings a novel method to CSCs study. In this study, we identified SP cells, which are demonstrated rich in CSCs, in four nasoph...
Article
Cervical cancer is the second most common cancer and the fifth most deadly malignancy in females worldwide, affecting 500,000 individuals each year. It is the leading cause of cancer mortality among women in developing countries. Dysregulated activation of genes, such as CD44, SOX9 and SKP2, plays a role in cervical cancer. CD38 is known to be invo...
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Introduction Obstructing uterine septum is a rare uterine malformation. Patients with obstructing uterine septum are usually treated with laparouterotomy, causing obvious injury to both the uterus and body of the patients. Therefore, using the natural channel of the vagina is undoubtedly the best way to carry out the surgery. However, obstructing u...
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Introduction Intrauterine fetal bone retention is a rare complication and the bony fragments probably work like an intrauterine contraceptive device resulting in secondary infertility. Among the scarcely reported cases in the literature, there was no report described the retention of a large number of fetal bones with nearly intact morphology. Cas...
Article
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Cervical carcinoma is the second most prevalent malignancy in females worldwide. The crucial etiologic factors involved in the development of cervical carcinoma include infection with papillomavirus, and the structural or functional mutation of oncogenes and tumor suppressor genes. The abnormal change of octamer transcription factor 1 (OCT1) is ass...
Article
Objective To analyze data from the hysteroscopic adhesiolysis of moderate-to-severe intrauterine adhesions (IUAs), and to review the disease etiology, changes in menstruation, uterine recovery, and reproductive prognosis of women after comprehensive therapy. Methods In a retrospective descriptive analysis, clinical data were assessed from 683 pati...
Article
Cervical carcinoma is the second most prevalent type of malignancy in females worldwide. The crucial etiological factors involved in the development of cervical carcinoma include infection with the papillomavirus, and the structural or functional mutation of oncogenes and tumor suppressor genes. CD44 refers to a multifunctional family of type I tra...
Article
Cervical cancer remains a great problem for woman health, as it is the second deadly cancer of females worldwide. The infection of human papilloma virus (HPV) is the major risk factor for this cancer, although several other factors are also associated. Oxidative stress or antioxidant deficiency has been frequently identified to be associated with c...
Article
Objective: To investigate the expression of high risk human papilloma virus (HPV) 16-E6 protein in non-neoplastic epithelial disorders of the vulva (NNEDV) and squamous cell carcinoma of the vulva (VSCC), and to explore whether HPV16-E6 protein is the etiological factor in NNEDV and its correlation with squamous cell carcinoma of the vulvae. Meth...
Article
Background: Female müllerian cysts are commonly found in the fallopian tube, sometimes in ovary, but it is rare for them to be found in the uterus. Müllerian cysts are formed by mucus secretion from these residual müllerian tissues, and they are usually single form. Case: A 51-year-old woman had a history of 4+ years of menstrual disorders, but was...

Citations

... Currently, platinumbased chemotherapy is the mainstream treatment for OC [7]. Although improved surgical techniques and intensive chemotherapy regimens have improved survival in patients with advanced OC over the past two decades, treatment with non-selective cytotoxic drugs often results in severe toxic effects and transient antitumor responses [8]. Additionally, neurotoxicity, neuropathy, and cardiomyopathy caused by chemotherapy are common side effects that affect the normal life of OC patients [9]. ...
... SPs are a new type of simulated patient characterized by their ability to mimic the progression and reactions of real patients, thus integrating academic knowledge with clinical practice [16,17]. They have been widely used in clinical internships and have achieved good teaching results [18,19]. The combined application of SPs with other teaching methods, such as PBL, CBL, and mind mapping, has also further improved teaching effectiveness [20,21]. ...
... Newer lower cost manual mHTR devices have come on the market with previous studies confirming their efficacy in hysteroscopic polypectomy [13][14][15]. Nonetheless, head-tohead comparisons with the resectoscope, cold-knife resection, and elecromechanical mHTR devices are limited. This includes a recent report that compared the electromechanical mHTR to the Resectr™ 3 mm (Minerva Surgical, Inc., Sanat Clara, CA, USA) manual mHTR, and overall, it was non-inferior to the electromechanical mHTR (TruClear™, Medtronic, Minneapolis, MN, USA) for hysteroscopic polypectomy when comparing procedure duration, conversion rates, and incomplete resection rates, including a 10% reduction in average instrument setup time and a 30% increase in average removal time. ...
... The results, as shown in Figure 2B, showed that there was a significant difference in the expression of SKA1 between cancerous and paracancerous tissues (P=0.015). Many previous studies have demonstrated the important role of SKA1 in the malignant transformation and progression of multiple cancer types, because this gene can regulate various signaling pathways to affect tumor cell growth and metastasis [6]. Increasing clinical evidence has indicated that poor clinical prognosis, tumor invasion, and metastasis are all connected to increased SKA1 expression in a wide variety of cancers, including non-small cell lung cancer, bladder cancer, and hepatocellular carcinoma [7][8][9]. ...
... In the present case, the patient had a retroperitoneal ectopic pregnancy with natural conception. This may be a rare occurrence since almost all cases have been reported relative to IVF treatment [16][17][18]. Retroperitoneal implantation of a fertilized ovum may be primary or secondary to a ruptured EP originating at another site. However, an original tendency of embryonic location alongside the great blood vessels and invasion into the lymph node tissue has been found in some cases [9,18]. ...
... Minichromosome maintenance complex (MCM) genes play important roles in the process of DNA replication and cell cycle. MCM2 belongs to MCM family and participate in the regulation of cell proliferation and the development of cancers [45]. Elevated MCM2 has been found in pan-cancer and is associated with TMB, stage, immunotherapy response and dismal prognosis, indicating that MCM2 acts as a potential target for cancer immunotherapy [45]. ...
... Recently, T Cell Differentiation Protein 2 (MAL2) emerged as a potential driver of cancer immune escape and novel therapeutic target [7]. MAL2 was overexpressed in tumors and was associated with poor prognosis, and MAL2 knockdown improved major histocompatibility complex type 1 (MHC-1) recognition on tumor surfaces by CD8 + T cells, highlighting the role of MAL2 in immune regulation [8][9][10][11]. While the exact mechanism remains unknown, reducing MAL2 expression may be a novel therapeutic approach. More research is needed to fully understand the protein potential. ...
... Upregulation of NCAPH expression was significantly associated with hypomethylation [54]. Hua and colleagues used a variety of databases to describe a series of changes in MCM in EC, and they concluded that the mRNA and protein levels of MCMs were greatly increased in individuals with EC, while the average methylation level in the promoter region of MCM was dramatically reduced [55]. ...
... Although these studies included a large number of patients (sample sizes between 340 and 8,670), we did not include these studies as the exact follow-up moment between ablation and hysterectomy was unknown. [66][67][68][69] A reason for the increasing rate of hysterectomy rate over the years may be linked to regrowth of endometrial tissue, which can result in recurrent vaginal bleeding. Beelen et al 70 shows that especially patients who have an ablation at a young age (younger than 45 years) have a higher risk of experiencing recurrent vaginal bleeding. ...
... Although this approach can achieve complete remission in most patients, unfortunately, due to inherent/acquired drug resistance and severe adverse side effects, most patients are intolerant or refractory to platinum-based chemotherapy, resulting in low overall survival (6). Tumor cell spread and drug resistance lead to tumor relapse, thereby causing psychological and physical harm (7). Natural products from plants or their derivatives are critical sources of anti-tumor drugs, such as vincristine, vincaleukoblastinum, irinotecan, and topotecan, etc., which are provided with unique advantages owing to their multi-target function, extensive availability and long application history (8,9). ...