A case report of targeted therapy with apatinib in a patient with advanced gastric cancer and high serum level of alpha-fetoprotein.

Abstract:

BACKGROUND:Alpha-fetoprotein (AFP) is an important marker for hepatocellular carcinoma, and the detection of serum AFP is currently the principle method for the diagnosis of hepatocellular carcinoma. The prevalence of gastric cancer (GC) with high level of serum AFP is extremely rare, but has unique clinical features. CASE SUMMARY:We herein present a rare case with GC and high level of serum AFP. A 64-year-old Chinese female underwent gastrectomy was diagnosed as gastric adenocarcinoma and the pathological stage was T1bN0M0, IA. With the progression of disease, the tumor widely metastasized and the serum AFP level increased progressively with the highest level of 3396 ng/mL. She successively entered into 3 lines palliative systematic chemotherapy and fourth-line targeted therapy of apatinib, a small molecule tyrosine kinase inhibitor targeting vascular endothelial growth factor receptor-2. Although previous studies suggested that the prognosis of this special type of GC was poor, this patient lived for 22 months after tumor transfer. Apatinib kept her progression-free survival for 5 months, and the overall survival was 4.5 years. CONCLUSION:So, we speculate that maybe we can focus apatinib on serum AFP elevated GC patients.

journal_name

Medicine (Baltimore)

journal_title

Medicine

authors

Zhu XR,Zhu ML,Wang Q,Xue WJ,Wang YW,Wang RF,Chen SY,Zheng LZ

doi

10.1097/MD.0000000000004610

subject

Has Abstract

pub_date

2016-09-01 00:00:00

pages

e4610

issue

37

eissn

0025-7974

issn

1536-5964

pii

00005792-201609130-00012

journal_volume

95

pub_type

杂志文章

相关文献

MEDICINE文献大全
  • A novel mutation of the HNF1B gene associated with hypoplastic glomerulocystic kidney disease and neonatal renal failure: a case report and mutation update.

    abstract::Hepatocyte nuclear factor 1 beta (HNF1B) plays an important role in embryonic development, namely in the kidney, pancreas, liver, genital tract, and gut. Heterozygous germline mutations of HNF1B are associated with the renal cysts and diabetes syndrome (RCAD). Affected individuals may present a variety of renal develo...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000000469

    authors: Alvelos MI,Rodrigues M,Lobo L,Medeira A,Sousa AB,Simão C,Lemos MC

    更新日期:2015-02-01 00:00:00

  • Using bioinformatics approach identifies key genes and pathways in idiopathic pulmonary fibrosis.

    abstract::Idiopathic pulmonary fibrosis is a chronic and irreversible respiratory disease with a high incidence worldwide and no specific treatment. Currently, the etiology and pathogenesis of this disease remain largely unknown. In main purpose of this study, bioinformatics analysis was used to uncover key genes and pathways r...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000022099

    authors: Xu Z,Mo L,Feng X,Huang M,Li L

    更新日期:2020-09-04 00:00:00

  • Effects of oxymatrine on the proliferation of human liver cancer Bel-7404 cells: A protocol of systematic review and meta-analysis.

    abstract:BACKGROUND:This study will examine the effects of oxymatrine on the proliferation of human liver cancer Bel-7404 cells (HLCBC). METHODS:This study will search electronic bibliographic databases available in PUBMED, EMBASE, Cochrane Library, Scopus, Cumulative Index to Nursing and Allied Health Literature, China Biolog...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析

    doi:10.1097/MD.0000000000020181

    authors: Li J,Liu ZY,Yu HB,Xue Q,Qu XS

    更新日期:2020-06-05 00:00:00

  • Renal sarcoidosis: clinical, laboratory, and histologic presentation and outcome in 47 patients.

    abstract::We conducted the current study to investigate the clinical, laboratory, and histologic features at presentation and the outcome of renal sarcoidosis (RS). Exhaustive retrospective data were collected by the French Sarcoidosis Group. Forty-seven adult patients were assessed (30 male/17 female, M/F ratio: 1.76). Median ...

    journal_title:Medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1097/MD.0b013e31819de50f

    authors: Mahévas M,Lescure FX,Boffa JJ,Delastour V,Belenfant X,Chapelon C,Cordonnier C,Makdassi R,Piette JC,Naccache JM,Cadranel J,Duhaut P,Choukroun G,Ducroix JP,Valeyre D

    更新日期:2009-03-01 00:00:00

  • Herbal medicine (zhishi xiebai guizhi decoction) for unstable angina: Protocol for a systematic review and meta-analysis.

    abstract:BACKGROUND:Unstable angina (UA) is a clinically common coronary heart disease. Zhishi xiebai guizhi decoction (ZXGD) has been widely used in the management of UA, although its effective evidence is not clear and there is no systematic review regarding its efficacy and safety. Therefore, we conduct this systematic revie...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析,评审

    doi:10.1097/MD.0000000000013965

    authors: Tang Y,Cai H,Zhan Z,Luo Y,Huang Y,Chen D,Chen B

    更新日期:2018-12-01 00:00:00

  • Does glycopyrrolate premedication facilitate tracheal intubation with a rigid video-stylet?: A randomized controlled trial.

    abstract:BACKGROUND:A rigid video-stylet intubation device provides safe and accurate access to the trachea by enabling visualization of the airway structures during tracheal intubation. The primary purpose of this study was to examine the effects of glycopyrrolate premedication on tracheal intubation with a rigid video-stylet....

    journal_title:Medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/MD.0000000000011834

    authors: Cho EA,Hwang SH,Lee SH,Ryu KH,Kim YH

    更新日期:2018-08-01 00:00:00

  • Effects of periodontal therapy on metabolic control in patients with type 2 diabetes mellitus and periodontal disease: a meta-analysis.

    abstract::Epidemiologic studies have reported increased incidence, prevalence and acuity of periodontitis in adults with diabetes and some have also suggested that treating periodontal disease may improve glycemic control in diabetic patients. This meta-analysis was conducted to evaluate the effects of different periodontal the...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析,评审

    doi:10.1097/MD.0000000000000292

    authors: Wang TF,Jen IA,Chou C,Lei YP

    更新日期:2014-12-01 00:00:00

  • Comparative effectiveness and acceptability of the FDA-licensed proton pump inhibitors for erosive esophagitis: A PRISMA-compliant network meta-analysis.

    abstract:BACKGROUND:This study compared the effectiveness and acceptability of all Food and Drug Administration (FDA)-recommended dose proton pump inhibitors (PPIs) in erosive esophagitis (EE): Dexlansoprazole 60 mg, Esomeprazole 40 mg, Esomeprazole 20 mg, Pantoprazole 40 mg, Lansoprazole 30 mg, Rabeprazole 20 mg, Omeprazole 20...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析

    doi:10.1097/MD.0000000000008120

    authors: Li MJ,Li Q,Sun M,Liu LQ

    更新日期:2017-09-01 00:00:00

  • Association between miRNA polymorphisms and susceptibility to brain tumors: A meta-analysis.

    abstract:BACKGROUND:Previous studies have demonstrated that single-nucleotide polymorphisms (SNPs) in miRNAs are related to the susceptibility to brain tumors, but the conclusions remain controversial. This study was to perform a meta-analysis to re-assess the associations between miRNA SNPs and brain tumor risk. METHODS:Relev...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析

    doi:10.1097/MD.0000000000016933

    authors: Gao F,Zhu Y

    更新日期:2019-08-01 00:00:00

  • Estimated Glomerular Filtration Rate Trajectories in HIV-Infected Subjects Treated With Different Ritonavir-Boosted Protease Inhibitors and Tenofovir Disoproxil Fumarate or Abacavir.

    abstract::The aim of the study was to evaluate in human immunodeficiency virus (HIV)-infected patients estimated glomerular filtration rate (eGFR) trajectories during treatment with different protease inhibitors (PIs) or a non-nucleoside reverse transcriptase inhibitor (NNRTI) plus tenofovir (TDF) or abacavir (ABC) and lamivudi...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000003780

    authors: Gianotti N,Galli L,Poli A,Salpietro S,Nozza S,Carbone A,Merli M,Ripa M,Lazzarin A,Castagna A

    更新日期:2016-05-01 00:00:00

  • Acupuncture combined Bobath approach for limbs paralysis after hypertensive intracerebral hemorrhage: A protocol for a systematic review.

    abstract:BACKGROUND:Previous studies have reported that acupuncture combined Bobath approach (BA) can be used to treat limbs paralysis (LP) after hypertensive intracerebral hemorrhage (HICH) effectively. However, no systematic review has explored its effectiveness and safety for LP following HICH. In this systematic review, we ...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000014750

    authors: Song GF,Li X,Feng Y,Yu CH,Lian XY

    更新日期:2019-03-01 00:00:00

  • Risk factors associated with hepatic osteopathy in HBV related cirrhosis measured by liver stiffness: An Observational study.

    abstract::To investigate the differences in bone mineral density between patients with liver cirrhosis and healthy control, and to analyze the risk factors of hepatic osteoporosis in patients with HBV related liver cirrhosis.A total of 189 patients with liver cirrhosis and 207 health controls were enrolled. The bone mineral den...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000016628

    authors: Zhang W,Gong H,Su Z,Zhang X,Cao S

    更新日期:2019-08-01 00:00:00

  • Carbon monoxide-releasing molecule-2 suppresses thrombomodulin and endothelial protein C receptor expression of human umbilical vein endothelial cells induced by lipopolysaccharide in vitro.

    abstract:OBJECTIVE:The aim of this study was to observe the counter-effect of carbon monoxide-releasing molecule-2 (CORM-2) on lipopolysaccharide (LPS)-suppressed thrombomodulin (TM) and endothelial protein C receptor (EPCR) expressions from human umbilical vein endothelial cell (HUVEC), and to reveal its mechanisms. METHODS:H...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000006978

    authors: Meng X,Fei D,Liu M,Yang S,Song N,Jiang L,Kang K,Nan C,Luo Y,Pan S,Zhao M

    更新日期:2017-05-01 00:00:00

  • A new CO2 laser technique for the treatment of pediatric hypertrophic burn scars: An observational study.

    abstract::Treatment of hypertrophic scars arising as a result of thermal burns in children is still a big problem. The results of the treatment are not satisfactory for patients and parents, and new methods of treatment are still investigated.We present the use of one of the most modern carbon dioxide (CO2) lasers (Lumenis Enco...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000005168

    authors: Żądkowski T,Nachulewicz P,Mazgaj M,Woźniak M,Cielecki C,Wieczorek AP,Beń-Skowronek I

    更新日期:2016-10-01 00:00:00

  • Folic Acid and Vitamins D and B12 Correlate With Homocysteine in Chinese Patients With Type-2 Diabetes Mellitus, Hypertension, or Cardiovascular Disease.

    abstract::Elevated serum homocysteine has been shown to be a risk factor for hypertension, cardiovascular disease (CVD), and type-2 diabetes mellitus (T2DM).We characterized the relationships between the serum levels of homocysteine, folic acid, and vitamins D2, D3, and B12 in patients with T2DM, CVD, and hypertension in Shangh...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000002652

    authors: Mao X,Xing X,Xu R,Gong Q,He Y,Li S,Wang H,Liu C,Ding X,Na R,Liu Z,Qu Y

    更新日期:2016-02-01 00:00:00

  • The relationship between physical fitness and health self-assessment in elderly.

    abstract:BACKGROUND:The process of population aging inclines to seek determinants of the quality of life in the older people. Health self-assessment is the one of the main elements of the quality of life. In the older people it is associated with functional efficiency. The aim of the study was to determine correlations of physi...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000015984

    authors: Knapik A,Brzęk A,Famuła-Wąż A,Gallert-Kopyto W,Szydłak D,Marcisz C,Plinta R

    更新日期:2019-06-01 00:00:00

  • Effects of tumor origins and therapeutic options on the prognosis of hepatic neuroendocrine tumors: A retrospective study.

    abstract:ABSTRACT:Hepatic neuroendocrine tumors (HNETs) are uncommon neoplasms that can be subdivided into 2 types: primary and metastatic HNETs. Due to its rarity, heterogeneity and complexity, the diagnosis, treatment modalities and prognosis are still controversial.This retrospective study reviewed the effects of tumor origi...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000023655

    authors: Jiao X,Luan W,Peng X,Liu L,Zhang L,Zhou L

    更新日期:2020-12-18 00:00:00

  • Acute Effects of Hemodiafiltration Versus Conventional Hemodialysis on Endothelial Function and Inflammation: A Randomized Crossover Study.

    abstract::Endothelial dysfunction and chronic inflammatory process are prevalent in patients with end-stage renal disease (ESRD) on maintenance hemodialysis (HD). The aim of this study was to evaluate the acute and short-term effects of online hemodiafiltration (OL-HDF) versus conventional HD on endothelial function and inflamm...

    journal_title:Medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/MD.0000000000003440

    authors: Jia P,Jin W,Teng J,Zhang H,Zou J,Liu Z,Shen B,Cao X,Ding X

    更新日期:2016-04-01 00:00:00

  • Effect of dexmedetomidine as an adjuvant to ropivacaine for wound infiltration in patients undergoing open gastrectomy: A prospective randomized controlled trial.

    abstract:OBJECTIVES:The primary objective of this study was to investigate whether dexmedetomidine could potentiate the analgesic efficacy of ropivacaine, when added to ropivacaine for wound infiltration in patients undergoing open gastrectomy. METHODS:Fifty patients scheduled for open gastrectomy were divided into 2 equal gro...

    journal_title:Medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/MD.0000000000007950

    authors: Luan H,Zhu P,Zhang X,Tian L,Feng J,Wu Y,Yan Y,Zhao Z,Gu X

    更新日期:2017-09-01 00:00:00

  • Olfactory function and quality of life following microscopic endonasal transsphenoidal pituitary surgery.

    abstract::Olfactory outcomes as well as oronasal postoperative complications of transsphenoidal pituitary surgery have not been well studied. The objective of this study was to investigate nasal symptoms including olfactory function as well as quality of life following transsphenoidal pituitary surgery. The study is designed as...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000000465

    authors: Wang S,Chen Y,Li J,Wei L,Wang R

    更新日期:2015-01-01 00:00:00

  • The myocardial protective effect of monosodium phosphate cardioplegia in cardiopulmonary bypass in infants with an atrial septal defect.

    abstract::This study aimed to investigate the myocardial protective effect of liquid sodium phosphocreatine cardiac arrest in extracorporeal circulation surgery treating infants with atrial septal defects.Eighty-four infants with atrial septal defects who required extracorporeal circulation surgery treatment at our hospital fro...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000020934

    authors: Yang F,Wang J,Zhai B

    更新日期:2020-07-10 00:00:00

  • Comparison of the effectiveness of autologous grafts for anterior cruciate ligament reconstruction: A protocol for an overview of systematic review and network meta-analysis.

    abstract:BACKGROUND:Anterior cruciate ligament rupture is a common motor system injury, and the most effective treatment is anterior cruciate ligament reconstruction (ACLR). Choosing the right graft is an important factor to ensure the success of the surgery. Current research shows that the clinical effect of autologous ligamen...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000022832

    authors: Jin JX,Fang PZ,Hu ZW,Chen JL,Wang RR,Wang X

    更新日期:2020-10-23 00:00:00

  • Fibrosing mediastinitis: clinical presentation, therapeutic outcomes, and adaptive immune response.

    abstract::Fibrosing mediastinitis (FM) is a rare disorder characterized by the invasive proliferation of fibrous tissue within the mediastinum. FM frequently results in the compression of vital mediastinal structures and has been associated with substantial morbidity and mortality. Its pathogenesis remains unknown. However, in ...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0b013e318237c8e6

    authors: Peikert T,Colby TV,Midthun DE,Pairolero PC,Edell ES,Schroeder DR,Specks U

    更新日期:2011-11-01 00:00:00

  • Failed percutaneous kyphoplasty in treatment of stage 3 Kummell disease: A case report and literature review.

    abstract:RATIONALE:Albeit it is rare, the authors report a stage 3 Kummell disease case. It is diagnosed by dynamic thoracic magnetic resonance imaging (MRI). Because there is no established strategy on stage 3 Kummell disease, we performed percutaneous kyphoplasty at first, but unfortunately made a revision surgery to remove t...

    journal_title:Medicine

    pub_type: 杂志文章,评审

    doi:10.1097/MD.0000000000008895

    authors: Zhang C,Wang G,Liu X,Li Y,Sun J

    更新日期:2017-11-01 00:00:00

  • Efficacy and safety of tripterygium glycosides for Graves ophthalmopathy: A systematic review and meta-analysis.

    abstract:BACKGROUND:Graves ophthalmopathy (GO) is one of the remaining enigmas in thyroidology. Glucocorticoids (GCs) are strongly recommended but their effects are not completely satisfactory and adverse reactions can occur. Tripterygium glycosides (TG) is a promising component extracted from Tripterygium wilfordii Hook F (TwH...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析

    doi:10.1097/MD.0000000000018242

    authors: Liu X,Gao C,Liu X,Gao T

    更新日期:2019-12-01 00:00:00

  • Comparison Between Ultrasound-Guided Supraclavicular and Interscalene Brachial Plexus Blocks in Patients Undergoing Arthroscopic Shoulder Surgery: A Prospective, Randomized, Parallel Study.

    abstract::Although supraclavicular brachial plexus block (SCBPB) was repopularized by the introduction of ultrasound, its usefulness in shoulder surgery has not been widely reported. The objective of this study was to compare motor and sensory blockades, the incidence of side effects, and intraoperative opioid analgesic require...

    journal_title:Medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/MD.0000000000001726

    authors: Ryu T,Kil BT,Kim JH

    更新日期:2015-10-01 00:00:00

  • Clinical observation for acupuncture treatment of a small area of hyperplastic scars in young and middle-aged women.

    abstract:INTRODUCTION:Hypertrophic scars are a common disease in plastic surgery, which is the reaction of skin connective tissue to trauma beyond the normal range. Although scholars around the world have explored the tissue structure and formation mechanism of HS for decades, they are not satisfactory the result of. No effecti...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000020790

    authors: Liu YH,Xiang J,Han PP,Yang C,Wang YZ,Wang W,Zhang PA

    更新日期:2020-06-26 00:00:00

  • Oral oxymatrine for hepatitis B cirrhosis: A systematic review protocol.

    abstract:BACKGROUND:Characterized by diffuse hepatic fibrosis and nodule formation, hepatitis B cirrhosis (HBC), an important result of chronic hepatitis B development, mainly contains compensated and decompensated stage. Compensated cirrhosis can further develop into decompensated stage and hepatocellular carcinoma with seriou...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析

    doi:10.1097/MD.0000000000013482

    authors: Jiang X,Xie L,Huang C,Liu Y,Liu H,Liu B,Zheng L

    更新日期:2018-12-01 00:00:00

  • Effects of dexmedetomidine vs sufentanil during percutaneous tracheostomy for traumatic brain injury patients: A prospective randomized controlled trial.

    abstract:BACKGROUND:Percutaneous tracheostomy, almost associated with cough reflex and hemodynamic fluctuations, is a common procedure for traumatic brain injury (TBI) patients, especially those in neurosurgery intensive care units (NICUs). However, there are currently a lack of effective preventive measures to reduce the risk ...

    journal_title:Medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/MD.0000000000017012

    authors: Gao J,Wei L,Xu G,Ren C,Zhang Z,Liu Y

    更新日期:2019-08-01 00:00:00

  • Clinicopathological features and prognostic factors of young patients with surgically treated liver cancer.

    abstract::This article compares the clinical characteristics and prognosis of young patients in different age groups with liver cancer (LC). In this retrospective study, we searched the Surveillance, Epidemiology, and End Results population-based database and identified 2641 patients who had been diagnosed with LC between 1988 ...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000000684

    authors: Zhang W,Jiang R,Hou J,Sun B

    更新日期:2015-03-01 00:00:00