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  • 1
    Digitale Medien
    Digitale Medien
    Springer
    Annals of oncology 8 (1997), S. 820-820 
    ISSN: 1569-8041
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Materialart: Digitale Medien
    Bibliothek Standort Signatur Band/Heft/Jahr Verfügbarkeit
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  • 2
    Digitale Medien
    Digitale Medien
    Springer
    Annals of oncology 9 (1998), S. 589-600 
    ISSN: 1569-8041
    Schlagwort(e): brain neoplasms ; chemotherapy ; gene therapy ; glioma ; immunotherapy ; review literature
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract Despite more than two decades of clinical research with chemotherapy, theoutcome of malignant gliomas remains poor. Recent years have seen majoradvances in elucidation of the biology of these tumors, which in turn haveled to the current development of innovative therapeutic strategies. Thequestion confronting us at the end of the 1990s is whether we shouldcontinue to use and investigate chemotherapy or whether the time has comefor experimental treatments. As a contribution to this debate, we reviewed the abundant literature onchemotherapy of malignant glioma, paying special attention to methodologicalfeatures. The new treatment approaches based on current knowledge aboutglioma biology are then briefly summarized. Assessment of more than 20 years of chemotherapy trials is discouragingdespite a few areas of modest success. Only patients with specific histology(oligodendroglioma, anaplastic astrocytoma) and good prognostic factors (youngage, good performance status) may benefit from chemotherapy, with a possiblereversal of neurological dysfunction. However, the real impact on survival issmall (anaplastic astrocytoma) or undefined (oligodendroglioma). Furthermore,it is unfortunately obvious that the outcome of glioblastoma patients is notsignificantly modified by chemotherapy. We believe the time has come toexplore the potential of novel biological therapies in glioblastoma patients.This could also be proposed for anaplastic astrocytoma and oligodendrogliomapatients after failure of chemotherapy.
    Materialart: Digitale Medien
    Bibliothek Standort Signatur Band/Heft/Jahr Verfügbarkeit
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  • 3
    Digitale Medien
    Digitale Medien
    Springer
    Der Onkologe 4 (1998), S. 618-621 
    ISSN: 1433-0415
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Die gegenwärtigen Standard-Therapien der malignen Gliome bzw. anaplastische Astrozytome Grad III und Grad IV sind die Operation und die Strahlentherapie. Aufgrund des typischen infiltrativen Wachstums der malignen Gliome ist in der Regel eine komplette Resektion nicht möglich und über 90% der Tumoren rezidivieren innerhalb von 2 cm von der Primärlokalisation. Zwar kann die postoperative Bestrahlung bezüglich des Überlebens einen günstigen Effekt erzielen [12, 28] sie ändert jedoch im Prinzip nichts an der schlechten Prognose der Patienten, von denen nur wenige zwei Jahre nach Diagnose noch am Leben sind. In den vergangenen drei Jahrzehnten wurde eine große Zahl von klinischen Studien mit der Fragestellung, ob die Chemotherapie den Krankheitsverlauf beeinflussen kann, durchgeführt. Generell waren die Ergebnisse unbefriedigend. Die Beurteilung des Chemotherapie-Effekts bei malignen Gliomen wird jedoch dadurch erschwert, daß einerseits erhebliche methodologische Probleme bestehen, andererseits die ausgeprägte Heterogenität der malignen Gliome unterschätzt wurde. Wir wissen heute, daß bezüglich einer Chemotherapie-Wirkung anaplastische Astrozytome Grad III, Glioblastome Grad IV und Tumoren mit oligodendroglialen Anteilen eigenständige Entitäten sind.
    Materialart: Digitale Medien
    Bibliothek Standort Signatur Band/Heft/Jahr Verfügbarkeit
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  • 4
    Digitale Medien
    Digitale Medien
    Springer
    Virchows Archiv 415 (1989), S. 551-557 
    ISSN: 1432-2307
    Schlagwort(e): Actin isoforms ; Myofibroblasts ; Desmoplasia ; Gut development ; Carcinoma of the colon
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary Experimental evidence has shown that fetal gut mesenchymal cells can modulate epithelial cell differentiation. It is postulated that reciprocal stromal-epithelial interactions in the digestive tract are maintained beyond embryonic life. The mature colonic mucosa contains pericryptal fibroblasts (PCF), a stromal cell type exhibiting smooth muscle morphological features, which are thought to regulate the growth and differentiation of adjacent epithelial cells. Using an antibody directed at α-smooth muscle actin, which is constantly expressed in smooth muscle cells, we performed an immunohistochemical study on human embryonic tissues to assess PCF differentiation during development. PCF expressing ct-smooth muscle actin were first detected around the 21st week of gestation, at the bases of the crypts; the number of differentiated PCF increased then progressively, in synchrony with epithelial proliferation, to achieve at birth the characteristic distribution found in adults. We analyzed a series of non-malignant and malignant epithelial proliferative lesions of the adult colon by the same technique. Only sparse immunoreactive PCF were observed in 10/10 pure tubular adenomas, whereas in 11/11 villous adenomas immunoreactive PCF were consistently found bordering proliferative epithelia. Interestingly, 3/5 papillary adenomas, associated with areas of moderate to marked dysplasia, demonstrated foci of multi-layered immunoreactive PCF. In 14/14 carcinomas examined, PCF were no longer recognizable; stromal cells expressing variable amounts of β-smooth muscle actin, constituting the desmoplastic reaction, were constantly present. These observations establish immunohistochemically a smooth muscle phenotypic feature of PCF, which is acquired at mid-gestation, and the ability of PCF to proliferate in conjunction with some epithelial neoplasias. These findings might help to clarify the histogenesis of PCF and to improve our understanding of the mesenchymal-epithelial interactions suspected to operate during organogenesis as well as benign and malignant neoplastic conditions.
    Materialart: Digitale Medien
    Bibliothek Standort Signatur Band/Heft/Jahr Verfügbarkeit
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  • 5
    Digitale Medien
    Digitale Medien
    Springer
    Annals of oncology 10 (1999), S. 483-484 
    ISSN: 1569-8041
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Materialart: Digitale Medien
    Bibliothek Standort Signatur Band/Heft/Jahr Verfügbarkeit
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  • 6
    Digitale Medien
    Digitale Medien
    Springer
    Journal of neuro-oncology 15 (1993), S. 275-283 
    ISSN: 1573-7373
    Schlagwort(e): gliomatosis ; primary ; chronic meningitis
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract Cancerous ‘chronic meningitis’ may be related to subarachnoid space involvement by solid tumors, hematologic malignancies or rarely intraparenchymatous gliomas. Primary leptomeningeal gliomatosis is a rare condition that is attributed to malignant transformation of heterotopic neuroglial tissue. We discuss the clinical and biological features of a patient who died with the diffuse form of primary leptomeningeal gliomatosis (PDLG). A literature search shows that a one to two months long non-specific prodromal phase followed by a fluctuating neurologic downhill course is suggestive of this disease. Cerebro-spinal fluid (CSF) cytology has been diagnostic in only 1 of 8 reported cases. Recent technical progress, including the use of GFAP (glial fibrillary acidic protein) directed antibody, may enhance the sensitivity of CSF cytologies. Diagnosis may require repeated cerebral biopsies, because the hemispheric lesions are often separated by normal tissue. PDLG must be added to the large differential diagnosis of ‘chronic meningitis’.
    Materialart: Digitale Medien
    Bibliothek Standort Signatur Band/Heft/Jahr Verfügbarkeit
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