Objective To investigate the expression of ATP-binding cassette superfamily G member 2 （ABCG2） in liver cancer cell lines and the relationship between ABCG2 expression and liver cancer drug resistance，and observe the difference of function between the ABCG2 positive cells and negative cells．Methods The expressions of ABCG2 in four liver cancer cell lines （PLC/PRF/5，7402，7701，and 7721） were detected by flow cytometry．IC50 of 5-fluorouracil （5-FU） and adriamycin were calculated．The expression of the ABCG2 in the 7721 cell lines was observed by immunofluorescence staining．The ABCG2 positive and negative cells were selected by the axenic flow sorting method，the difference of function between the ABCG2 positive cells and negative cells was compared．Results The positive expression rate of ABCG2 in the cell line 7721 was highest among four liver cancer cell lines（P＜0.05），and the ABCG2 positive and negative cells had clear bimodal．IC50 of 5-FU and adriamycin to the cell line 7721 were higher than those of the other three cell lines （P＜0.05） except for 5-FU to the cell line 7701．There was no difference in cell proliferation between ABCG2 positive cells and negative cells．Cell cycle analysis showed that the ABCG2 positive cells had more quiescent cells as compared with the negative cells（P＜0.05）．Conclusions ABCG2 expresses in a variety human liver cancer cell lines，ABCG2 positive cells have some stem cell features like drug resistance and more quiescent cells comparing with the negative cells．
目的 討論多窗技術+凝血酶封閉在CT導向下經皮肺穿刺活檢中的應用價值。 方法 2009年6月－2010年3月收集分析由同一工作組連續完成的CT導向下肺穿刺活檢患者共128例，其中A組58例，采用雙窗技術+注射生理鹽水；B組70例，采用多窗技術+注射凝血酶）。比較兩組患者的診斷陽性率、氣胸及肺出血發生率的差異。 結果 128例均穿刺成功，A組的穿刺診斷陽性率、氣胸發生率及肺出血發生率分別為87.9%、13.8%、17.5%。B組的穿刺診斷陽性率為92.9%，氣胸發生率為8.6%，肺出血發生率為5.7%。兩組穿刺診斷陽性率和氣胸發生率的差異無統計學意義（P＞0.05）；B組肺出血的發生率均明顯低于A組，兩組間肺內出血的發生率差異有統計學意義（P＜0.05）。 結論 多窗技術+凝血酶針道封閉技術能有助于減少氣胸、肺出血等肺穿刺活術的并發癥，具有重要的臨床應用價值。
Objective To improve the vigilance and awareness of malignancy presenting as dermatosis and reduce misdiagnosis. Methods Two cases of gastric cancer presenting as dermatomyositis and erythroderma respectively in the last two years were retrospectively analyzed and the relevant literatures were reviewed. Results The two patients were admitted to hospital due to skin diseases， diagnosis of gastric cancer through endoscopy， and proved to be gastric cancer associated with dermatosis by pathological examination after surgical resection. Conclusions Paraneoplastic dermatoses can be seen as an early manifestation of the internal malignancy. The patients with paraneoplastic dermatoses should be excluded visceral tumors by the means of biomarkers， endoscopy， PET/CT， and so on.
Objective To explore predictive value of radiological indexes for hemorrhage in patients with portal hypertension. Methods The clinical data and radiological data of patients with portal hypertension accompanied with hepatitis B from June 2008 to June 2014 in the Nanjing Drum Tower Hospital were analyzed retrospectively. Patients with hepatocellular carcinoma, portal vein thrombosis, or portal hypertension due to other causes, such as autoimmune hepatitis, pancreatitis, or hematological diseases were excluded. Results Ninety-eight patients were studied and subsequently divided into a hemorrhage group (n=57) and a non-hemorrhage group (n=41). There were no statistical differences in the clinical indexes such as the age, prothrombin time, serum albumin, serum creatinine, serum sodium, white blood cell count, and blood platelet count (P>0.05). However, the differences were statistically significant in the serum total bilirubin, hemoglobin, and liver function with theP values of 0.023, 0.000, and 0.039, respectively. For the radiological indexes, the hemorrhage was correlated with the diameter of posterior gastric vein (P=0.028 3) or grading of esophageal varices (P=0.022 1). Logistic procedure was used to construct the model with stepwise selection and finally the diameter of inferior mesenteric vein, diameter of posterior gastric vein, grading of esophageal varices, and diameter of short gastric vein were enrolled into this model. These indexes were scored, the risk of bleeding increased with increasing the points. Then the model was validated with 26 patients with portal hypertension from July 2014 to December 2014, the area under the receiver operating characteristic curve was 0.884 9 by this radiological model. Conclusions A radiological scoring model is constructed including diameter of inferior mesenteric vein, grading of esophageal varices, diameter of posterior gastric vein, and diameter of short gastric vein, which might predict risk of hemorrhage in patients with portal hypertension. However, further protective study of large sample is needed to validate this model.