RNF43 p.G659fs 通过 PI3K/AKT/mTOR 信号通路和 HLA-E 上调导致 MSI-high 结直肠癌中 NK 细胞功能障碍
RNF43 p.G659fs leads to natural killer cell dysfunction in MSI-high colorectal cancer through PI3K/AKT/mTOR signaling and HLA-E up-regulation.
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Giant cutaneous ulcer in Epstein-Barr virus positive T-cell/NK-cell lymphoproliferative disorder: A case report.
Giant cutaneous ulcer in Epstein-Barr virus positive T-cell/NK-cell lymphoproliferative disorder: A case report.
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由皮肤 EBV 阳性 NK/T 细胞增殖性疾病引起的巨大溃疡可通过多学科协作方法进行治疗。
EB 病毒 (EBV) 阳性 T 细胞/自然杀伤 (NK) 细胞淋巴增殖性疾病是一种罕见但具有挑战性的疾病,需要多学科团队合作,包括感染医学、放射治疗、康复和心理学专家以及伤口专科护士的共同管理。病例摘要:患者,33岁,女性,左上肢出现红斑样病变,随后脱落,继而起水泡,最终形成巨大溃疡,神经和肌肉外露。左手腕姿势固定,病理检查显示皮肤EBV阳性NK/T细胞增殖性疾病。我们采用多学科协作治疗方法,经过 45 天内 13 次伤口更换,结合放射治疗、膳食补充剂和心理社会治疗,左上肢伤口愈合。
Epstein-Barr virus (EBV)-positive T-cell/natural killer (NK)-cell lymphoproliferative disorder is a rare but challenging condition that requires multidisciplinary teamwork, including co-management by infection medicine, radiotherapy, rehabilitation, and psychology experts, as well as wound specialist nurses. CASE SUMMARY: The patient was a 33-year-old female who presented with an erythema-like lesion on the left upper extremity that became desquamated and then blistered and eventually became a giant ulcer with exposed nerves and muscles. The left wrist had a fixed posture, and pathology tests showed cutaneous EBV-positive NK/T-cell proliferative disease. We employed a multidisciplinary collaborative treatment approach, and after 13 wound changes over 45 days, combined with radiation therapy, dietary supplementation, and psychosocial therapy, the left upper extremity wound healed.
Giant ulcers caused by cutaneous EBV-positive NK/T-cell proliferative disease can be treated using a multidisciplinary collaborative approach.
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