Publications by authors named "Changsheng Cong"

Esophageal pericardial fistula is a rare complication of esophageal cancer. This article reports the first documented case of an esophageal pericardial fistula following radiotherapy in the presence of an esophageal stent. A 62-year-old man with advanced esophageal and cardiac cancer underwent radiotherapy after esophageal stent placement and subsequently developed an esophageal pericardial fistula.

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Purpose: Colon adenocarcinoma (COAD) is a commonly diagnosed malignancy in the world. While immunotherapy, specifically PD-1/PD-L1, shows potential as a treatment for COAD, its efficacy is limited to a minority of patients. This study sought to explore new biomarker that could predict the response to anti-PD-1/PD-L1 therapies in COAD.

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Background: Radiation pneumonitis (RP) is the primary dose-limiting toxicity associated with radiotherapy. This study aimed to observe the effects of renin-angiotensin system inhibitors in Chinese patients with lung cancer who received thoracic radiation.

Methods: Patients with lung cancer who received thoracic radiation at a total dose of ≥45 Gray between October 2017 and December 2022 were enrolled in this study.

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Article Synopsis
  • Radiation pneumonitis (RP) is a common issue for lung cancer patients undergoing radiation therapy, with no existing effective treatments to improve outcomes.
  • The study explores the role of angiotensin-converting enzyme 2 (ACE2) in RP, finding that enhancing ACE2 expression can reduce lung injury in mice and that specific medications (captopril and valsartan) activate ACE2 and lessen RP effects.
  • A review of patients showed that those taking renin-angiotensin system inhibitors (RASis) experienced significantly lower rates of RP compared to those not on these medications, indicating potential for RASis as new treatment options for RP.
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Radiation-induced lung injury (RILI) is a common complication of radiotherapy for thoracic tumor. Its incidence rate is as high as 20%. At present, there is no effective treatment in clinical practice.

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Article Synopsis
  • Junctional adhesion molecule-like protein (JAML) is involved in immune cell and endothelial/epithelial cell processes, particularly in regulating inflammation, but its role in tumors is not yet clear.
  • In a study of 63 gastric cancer patients, JAML was found to be more expressed in cancer tissues compared to peritumoral tissues, and high JAML levels correlated with worse cancer characteristics.
  • Silencing JAML decreased gastric cancer cell migration and growth, while its overexpression had the opposite effect, indicating JAML's potential as a diagnostic biomarker and therapeutic target for gastric cancer.
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Purpose: Primary melanoma arising in the gastrointestinal (GI) tract is rare and poorly characterized. We sought to describe the epidemiology and survival outcomes of primary GI melanoma.

Patients And Methods: GI melanoma cases were extracted from the Surveillance, Epidemiology, and End Results (SEER) database by tumor site and histology codes.

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The immunity is dual host-protective and tumor-promoting in cancer development and progression. Many immune suppressive cells and cytokines in microenvironment can prevent cytotoxic T lymphocytes (CTL) and natural killer cells (NK) from killing tumor cells. Chemotherapy drugs and irradiation have been reported helpful in breaking immune tolerance and creating microenvironment for adoptive cell therapy.

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Objective: To investigate the correlation of radiation pneumonitis (RP) with standardized uptake value (SUV) for fluorodeoxyglucose (FDG) positron emission tomography and computed tomography (PET-CT) in lung cancer patients treated with radiation therapy.

Methods: Fourty patients with unresectable non-small cell lung cancer (NSCLC) received FDG PET-CT before and after radiotherapy. The average SUV of the lung tissue irradiated with a dose of < or = 5 Gy, 5.

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