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1.
Mol Biol Rep ; 47(10): 7903-7916, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-33029703

RESUMO

Many Nerita species live in warm-water environments, and they are some of the few organisms from the intertidal zone that can live in both freshwater and seawater. Previous comparative studies of the mitogenomes of Nerita species suggest that the genome rearrangements are very conservative. Generally, the species possess a set of similar mitochondrial gene arrangements, but nucleotide sequences can be used to elucidate phylogenetic relationships at various levels of divergence. Here, the mitogenomes of Nerita undata and Nerita balteata were sequenced and found to be 15,583 bp and 15,571 bp, respectively. The mitogenomes of both species contain 13 protein-coding genes, 22 tRNA genes, and two rRNA genes. The nucleotides of the two mitogenomes are highly similar, with the same gene composition and genomic organization as those present in other Nerita species. The tRNA secondary structures were different from those of other gastropods: trnS2 is not folded into typical secondary structures, and the dihydrouridine (DHU) arm simply forms a loop. The phylogenetic analysis showed that Neritimorpha is a sister group of Vetigastropoda and Caenogastropoda. Nerita balteata is a sister group of Nerita versicolor and Nerita undata, and all three species belong to Neritimorpha. This study contributes towards the comparative mitogenomic analysis of Neritidae and phylogenetic considerations among Neritimorpha species. The estimation of divergence time revealed that the two Nerita species were differentiated in the late Paleogene of the Cenozoic Era, and their evolution may be related to environmental changes.


Assuntos
Gastrópodes/genética , Ordem dos Genes , Genoma Mitocondrial , Filogenia , Análise de Sequência de DNA , Animais , Gastrópodes/classificação , Especificidade da Espécie
2.
Int J Clin Oncol ; 25(7): 1215-1222, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-32347433

RESUMO

Glioblastoma (GBM) is one of the most malignant neural tumors, and patients with GBM often die soon after the onset. The pathogenesis of GBM is very complicated, and there is no effective treatment for GBM. The current research results show that a variety of microRNA (miRNA) are involved in the regulation of GBM occurrence and development through specific signal pathways. Meanwhile, as a non-invasive biological indicator, there is an important clinical value of miRNA in the diagnosis and prognosis of GBM. The research of targeted miRNA treatment for GBM is still in the cell and animal model stage, although the basic research shows a good result, there is still a certain distance to the clinical application.


Assuntos
Biomarcadores Tumorais/genética , Glioblastoma/genética , MicroRNAs/genética , Animais , Neoplasias Encefálicas/genética , Neoplasias Encefálicas/patologia , Regulação Neoplásica da Expressão Gênica , Glioblastoma/mortalidade , Glioblastoma/patologia , Glioblastoma/terapia , Humanos , Masculino , Prognóstico
3.
Int J Clin Oncol ; 25(10): 1879, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-32833103

RESUMO

The authors would like to update the affiliations and email addresses of the original publication as given in this correction.

4.
J Cell Mol Med ; 23(8): 4876-4882, 2019 08.
Artigo em Inglês | MEDLINE | ID: mdl-31210419

RESUMO

Despite aggressive multimodality treatment, the prognosis of glioma, especially malignant glioma, remains very poor. After decades of effort, anti-angiogenic therapy has become an important method of cancer treatment in addition to surgery, radiotherapy and chemotherapy. Although the performance of anti-angiogenic therapy in colorectal cancer is good, its performance in malignant glioma remains unsatisfactory. Several phase III clinical trials showed no overall survival benefits. To solve this problem, the division of patients into groups based on their molecular biomarkers is an important step. This paper provides current insights into anti-angiogenic drugs undergoing clinical trials and discusses the potential of molecular biomarkers to guide glioma diagnosis.


Assuntos
Inibidores da Angiogênese/uso terapêutico , Biomarcadores Tumorais/metabolismo , Neoplasias Encefálicas/tratamento farmacológico , Glioma/tratamento farmacológico , Inibidores da Angiogênese/farmacologia , Bevacizumab/farmacologia , Bevacizumab/uso terapêutico , Biomarcadores Tumorais/sangue , Neoplasias Encefálicas/classificação , Neoplasias Encefálicas/enzimologia , Neoplasias Encefálicas/metabolismo , Glioma/classificação , Glioma/enzimologia , Glioma/metabolismo , Humanos , Indóis/farmacologia , Indóis/uso terapêutico , Terapia de Alvo Molecular , Prognóstico , Venenos de Serpentes/farmacologia , Venenos de Serpentes/uso terapêutico
5.
Ecol Evol ; 12(6): e8984, 2022 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-35784089

RESUMO

Neritids are ancient gastropod species which can live in marine, brackish water, and freshwater environments. In this study, we sequenced and annotated the mitochondrial genomes of five brackish water neritids (i.e., Clithon corona, Clithon lentiginosum, Clithon squarrosum, Neritina iris, and Septaria lineata). The mitogenomes ranged from 15,618 to 15,975 bp, and all contain 13 protein-coding genes (PCGs), 22 tRNA genes, and two rRNA genes, with a closed ring structure. We calculated the Ka/Ks values of all 13 PCGs of Neritidae species, all ratios are less than 1, under purification selection. Phylogenetic analysis of the 13 PCGs showed that Neritimorpha is a sister group with Vetigastropoda and Caenogastopoda, genus Clithon is a sister group with Neritina and Septaria. Estimation of divergence time for all species of Neritidae showed that the main differentiation of Neritidae occurred in Cenozoic period (65 Mya), C. corona and C. lentiginosum were differentiated in the Cenozoic Neogene, the other three species diverged in the Cenozoic Paleogene. These results will help to better understand the evolutionary position of Neritidae and provide reference for further phylogenetic research on Neritidae species.

6.
Front Neurol ; 12: 632063, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34552546

RESUMO

Background: Revascularization surgery sometimes can achieve recanalization in patients with internal carotid artery occlusion (ICAO). High-resolution vessel wall magnetic resonance imaging (HRVWI) is a feasible technique to give detailed characteristics of the vessel wall, which may help to identify patients that carry higher success rates and more suitable for revascularization surgery. Objective: To examine the association between HRVWI characteristics of ICAO and the success rate of revascularization surgery in ICAO patients. Methods: We conducted a retrospective analysis of 31 ICAO recanalization patients enrolled from October 2017 to May 2019. The clinical data of patients and lesions were collected and analyzed. Results: A total of 31 ICAO patients were enrolled in this study. No significant differences were found between recanalization success and recanalization failure groups with regard to occlusion length, distal end of the occluded segment, and the treatment applied. The ipsilateral-to-contralateral diameter ratios (I/C ratios) of C1 or C2 and the diameter of C7 were positively related to recanalization success. A two-factor predictive model was constructed, and the I/C ratio of C2 < 0.86 and the diameter of C7 < 1.75mm were separately assigned 1 point. The ICAO patients who scored 0, 1, or 2 points had a risk of 5.6% (1/18), 55.6% (5/9), or 100% (4/4) to fail in the recanalization. Conclusions: The I/C ratios of C1 or C2 and the diameter of C7 are predictive factors of a revascularization surgery success in ICAO patients. A risk stratification model involving C2 and C7 was constructed for future clinical applications.

7.
Front Oncol ; 11: 719623, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34568049

RESUMO

The most common primary intracranial tumor is glioma, among which glioblastoma (GBM) has the worst prognosis. Because of the high degree of malignancy of GBM and frequent recurrence after surgery, postoperative therapy, including chemotherapy, radiotherapy, targeted therapy, and immunotherapy, is particularly important. A wide variety of targeted drugs have undergone phase III clinical trials for patients with GBM, but these drugs do not work for all patients, and few patients in these trials have prolonged overall survival. In this review, some imposing phase III clinical trials of targeted drugs for glioma are introduced, and some prospective phase II clinical trials that have been completed or are in progress are summarized. In addition, the mechanisms of these drugs are briefly introduced, and deficiencies of these clinical trials are analyzed. This review aims to provide a comprehensive overview of current research on targeted drugs for glioma to clarify future research directions.

8.
PLoS One ; 16(4): e0249446, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33822813

RESUMO

Siliqua minima (Gmelin, 1791) is an important economic shellfish species belonging to the family Pharidae. To date, the complete mitochondrial genome of only one species in this family (Sinonovacula constricta) has been sequenced. Research on the Pharidae family is very limited; to improve the evolution of this bivalve family, we sequenced the complete mitochondrial genome of S. minima by next-generation sequencing. The genome is 17,064 bp in length, consisting of 12 protein-coding genes (PCGs), 22 transfer RNA genes (tRNA), and two ribosomal RNA genes (rRNA). From the rearrangement analysis of bivalves, we found that the gene sequences of bivalves greatly variable among species, and with closer genetic relationship, the more consistent of the gene arrangement is higher among the species. Moreover, according to the gene arrangement of seven species from Adapedonta, we found that gene rearrangement among families is particularly obvious, while the gene order within families is relatively conservative. The phylogenetic analysis between species of the superorder Imparidentia using 12 conserved PCGs. The S. minima mitogenome was provided and will improve the phylogenetic resolution of Pharidae species.


Assuntos
Bivalves/genética , Rearranjo Gênico , Genes Mitocondriais/genética , Filogenia , Animais , Sequência de Bases
9.
Sci Rep ; 11(1): 11748, 2021 06 03.
Artigo em Inglês | MEDLINE | ID: mdl-34083683

RESUMO

Neritidae is one of the most diverse families of Neritimorpha and possesses euryhaline properties. Members of this family usually live on tropical and subtropical coasts and are mainly gregarious. The phylogenetic relationships between several subclasses of Gastropoda have been controversial for many years. With an increase in the number of described species of Neritidae, the knowledge of the evolutionary relationships in this family has improved. In the present study, we sequenced four complete mitochondrial genomes from two genera (Clithon and Nerita) and compared them with available complete mitochondrial genomes of Neritidae. Gene order exhibited a highly conserved pattern among three genera in the Neritidae family. Our results improved the phylogenetic resolution within Neritidae, and more comprehensive taxonomic sampling of subclass Neritimorpha was proposed. Furthermore, we reconstructed the divergence among the main lineages of 19 Neritimorpha taxa under an uncorrelated relaxed molecular clock.


Assuntos
Gastrópodes/classificação , Gastrópodes/genética , Genoma Mitocondrial , Mitocôndrias/genética , Filogenia , Animais , Composição de Bases , Códon , Biologia Computacional/métodos , Rearranjo Gênico , Genes Mitocondriais , Genômica/métodos , Anotação de Sequência Molecular , Seleção Genética
10.
Mitochondrial DNA B Resour ; 5(3): 2256-2257, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33366997

RESUMO

We determined the complete mitochondrial genome of Batillaria zonalis. The B. zonalis mitochondrial genome is 15748 bp in length, comprising 13 protein-coding genes, 22 transfer RNA genes, and two ribosomal RNA genes. The nucleotide composition for B. zonalis is 17.71% of C, 16.74% of G, 34.99% of T, and 30.3% of A. In 13 protein-coding genes, all genes start with ATG. For the stop codon, the cox2 gene stops with TTC, the cytb, nad1, nad2 genes stop with TAG, the other nine genes are with TAA. Of these 37 genes identified, nine protein-coding genes and six transfer RNA genes are encoded on the heavy strand and the other genes on the light strand. The phylogenetic tree was constructed based on 13 protein-coding genes of the B. zonalis and other 19 Gastropoda species, Sepia latimanus as outgroup using the Neighbour-joining method. The result showed that B. zonalis is most closely related to the Tylomelania sarasinorum in Cerithioidea. We believe that this result will be helpful for the study of population genetic and phylogenetic analysis of the family Batillariidae.

11.
Mitochondrial DNA B Resour ; 5(3): 2355-2356, 2020 Jun 08.
Artigo em Inglês | MEDLINE | ID: mdl-33457788

RESUMO

We determined the complete mitochondrial genome of Batillaria cumingi. The B. cumingi mitochondrial genome is 16,100 bp in length, comprising 13 protein-coding genes, 22 transfer RNA genes, and two ribosomal RNA genes. The nucleotide composition for B. cumingi is 17.5% of C, 16.88% of G, 35.3% of T, and 30.31% of A. In 13 protein-coding genes, all genes start with ATG. For the stop codon, the cox2 gene stops with TTC, the cytb, nad1, and nad2 genes stop with TAG, and the other nine genes are with TAA. Of these 37 genes identified, nine protein-coding genes and six transfer RNA genes are encoded on the heavy strand and the other genes on the light strand. The phylogenetic tree was constructed based on 13 protein-coding genes of the B. cumingi and other 19 Gastropoda species, Sepia latimanus as outgroup using the Neighbour-joining method. The tree showed that the B. cumingi is closely related to the Semisulcospira coreana in Cerithioidea. We believe that this result will be helpful for the study of population genetic and phylogenetic analysis of the family Batillariidae.

12.
Onco Targets Ther ; 13: 1397-1412, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32104003

RESUMO

Breast carcinoma is one of the most malignant tumors, severely influencing the physical and mental health of people. The latest epidemiological and clinical studies have found that breast tumor and inflammation are determinate relationships with each other. Inflammation is an essential component of the tumor microenvironment, and the change of inflammatory cells might influence tumor progression, such as neoplastic cell proliferation, migration, invasion, the collapse of antitumor immunity, metastasis and so forth. Peripheral blood tests at the time of diagnosis and treatment can reflect inflammatory conditions within the neoplasm. Evaluation of peripheral blood parameters including white blood cell, neutrophil, lymphocyte, monocyte, platelet counts, as well as neutrophil-to-lymphocyte ratio (NLR), derived neutrophil-to-lymphocyte ratio (d-NLR) (neutrophil count divided by the result of white blood cell count minus neutrophil count), platelet-to-lymphocyte ratio (PLR) and lymphocyte-to-monocyte ratio (LMR), which are indicators of systematic inflammatory response, have been widely proposed as prognostic factors for many malignancies. To intensively study the relationship between the common markers in peripheral blood and the treatment or prognosis of breast cancer will have critical clinical significance and application prospect, and can provide useful information for the clinicians. Herein, we review the research progress in the prognostic role of the peripheral blood in breast cancer to provide a new method for the treatment and prognosis of breast cancer.

13.
Mitochondrial DNA B Resour ; 5(3): 2280-2281, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33367008

RESUMO

The complete mitochondrial genome of the Littorina brevicula was determined in this study. The complete mitogenome (mtDNA) is 16,356 base pairs (bp) in length and contains 13 protein-coding genes, two rRNA genes, and 22 tRNA genes. The control region was divided into two parts. The overall base composition of the genome in descending order was 35.33%-T, 28.41%-A, 20.43%-C, and 15.81%-G. In 13 protein-coding genes, 12 genes start with ATG, except nad5 starts with ATT. For the stop codon, seven genes end with TAA, atp6, nad41, and nad3 end with TAG. Phylogenetic analysis indicated that L. brevicula is close to Naticidea family. This study first determined the complete mitochondrial genome of L. brevicula. It would be a supplement for the genetic analysis of L. brevicula and promote the phylogenetic of Littorinidea.

14.
Mitochondrial DNA B Resour ; 5(3): 2282-2283, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33367009

RESUMO

The complete mitochondrial genome of the Omphalius rusticus has been determined. The complete genome is 18,067 bp and contained 13 protein-coding genes, two rRNA genes and 22 tRNA genes. The overall base composition is 33.48% (A), 33.52% (T), 15.58% (G) and 17.42% (C). The all start codon for 13 protein-coding genes is ATG and the most common termination codon is TAA. The phylogenetic tree showed that O. rusticus is most closely related to the Tectus pyramis. We suggest that this result will further supplement the genome information in mitochondria of the family Tegulidae and facilitate the study on population genetics.

15.
Sci Rep ; 10(1): 19277, 2020 11 06.
Artigo em Inglês | MEDLINE | ID: mdl-33159159

RESUMO

To improve the systematics and taxonomy of Patellogastropoda within the evolution of gastropods, we determined the complete mitochondrial genome sequences of Lottia goshimai and Nipponacmea fuscoviridis in the family Lottiidae, which presented sizes of 18,192 bp and 18,720 bp, respectively. In addition to 37 common genes among metazoa, we observed duplication of the trnM gene in L. goshimai and the trnM and trnW genes in N. fuscoviridis. The highest A + T contents of the two species were found within protein-coding genes (59.95% and 54.55%), followed by rRNAs (56.50% and 52.44%) and tRNAs (56.42% and 52.41%). trnS1 and trnS2 could not form the canonical cloverleaf secondary structure due to the lack of a dihydrouracil arm in both species. The gene arrangements in all Patellogastropoda compared with those of ancestral gastropods showed different levels of gene rearrangement, including the shuffling, translocation and inversion of single genes or gene fragments. This kind of irregular rearrangement is particularly obvious in the Lottiidae family. The results of phylogenetic and gene rearrangement analyses showed that L. goshimai and Lottia digitalis clustered into one group, which in turn clustered with N. fuscoviridis in Patellogastropoda. This study demonstrates the significance of complete mitogenomes for phylogenetic analysis and enhances our understanding of the evolution of Patellogastropoda.


Assuntos
Gastrópodes/genética , Genoma Microbiano , Animais , Especificidade da Espécie
16.
Medicine (Baltimore) ; 98(16): e14718, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-31008920

RESUMO

Xanthogranuloma of choroid plexus is an extremely rare, benign, and mostly asymptomatic intracranial lesion. We report a case of symptomatic lateral ventricular xanthogranuloma resected via a neuronavigator-guided ventriculoscopic approach. Then we review recent English medical literature and notice that craniotomies have been the most popular treatment. But our choice of a ventriculoscopic approach possesses unique advantages such as minimized neural tissue damage, shortened operative time, less blood loss, and safer access to central structures over conventional open surgeries. Informed consent has been obtained from the patient and his immediate family regarding this case report.


Assuntos
Encefalopatias/diagnóstico , Plexo Corióideo , Granuloma/diagnóstico , Ventrículos Laterais , Xantomatose/diagnóstico , Adulto , Encefalopatias/complicações , Encefalopatias/diagnóstico por imagem , Encefalopatias/cirurgia , Granuloma/complicações , Granuloma/diagnóstico por imagem , Granuloma/cirurgia , Cefaleia/etiologia , Humanos , Imageamento por Ressonância Magnética , Masculino , Neuroendoscopia , Exame Neurológico , Neuronavegação , Xantomatose/complicações , Xantomatose/diagnóstico por imagem , Xantomatose/cirurgia
17.
Front Oncol ; 9: 234, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31214487

RESUMO

FOXN3 (forkhead box N3; CHES1: check point suppressor 1) belongs to the forkhead box (FOX) protein family. FOXN3 displays transcriptional inhibitory activity, and is involved in cell cycle regulation and tumorigenesis. FOXN3 is a tumor suppresser and alterations in FOXN3 are found in of a variety of cancers including melanoma, osteosarcoma, and hepatocellular carcinoma. While the roles of FOXN3 role in some cancers have been explored, its role in breast cancer remains unclear. Here we describe current state of knowledge of FOXN3 functions, and focus on its roles (known and potential) in breast cancer.

18.
Neuroimage Clin ; 20: 51-60, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30069427

RESUMO

Antiangiogenic therapy is a universal approach to the treatment of malignant gliomas but fails to prolong the overall survival of newly diagnosed or recurrent glioblastoma patients. Imaging biomarkers are quantitative imaging parameters capable of objectively describing biological processes, pathological changes and treatment responses in some situations and have been utilized for outcome predictions of malignant gliomas in anti-angiogenic therapy. Advanced magnetic resonance imaging techniques (including perfusion-weighted imaging and diffusion-weighted imaging), positron emission computed tomography and magnetic resonance spectroscopy are imaging techniques that can be used to acquire imaging biomarkers, including the relative cerebral blood volume (rCBV), Ktrans, and the apparent diffusion coefficient (ADC). Imaging indicators for a better prognosis when treating malignant gliomas with antiangiogenic therapy include the following: a lower pre- or post-treatment rCBV, less change in rCBV during treatment, a lower pre-treatment Ktrans, a higher vascular normalization index during treatment, less change in arterio-venous overlap during treatment, lower pre-treatment ADC values for the lower peak, smaller ADC volume changes during treatment, and metabolic changes in glucose and phenylalanine. The investigation and utilization of these imaging markers may confront challenges, but may also promote further development of anti-angiogenic therapy. Despite considerable evidence, future prospective studies are critically needed to consolidate the current data and identify novel biomarkers.


Assuntos
Inibidores da Angiogênese/uso terapêutico , Biomarcadores Tumorais , Neoplasias Encefálicas/diagnóstico por imagem , Volume Sanguíneo Cerebral/fisiologia , Imagem de Difusão por Ressonância Magnética/métodos , Glioma/diagnóstico por imagem , Inibidores da Angiogênese/farmacologia , Biomarcadores Tumorais/metabolismo , Neoplasias Encefálicas/tratamento farmacológico , Neoplasias Encefálicas/metabolismo , Ensaios Clínicos como Assunto/métodos , Glioma/tratamento farmacológico , Glioma/metabolismo , Humanos
19.
Medicine (Baltimore) ; 96(4): e5892, 2017 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-28121933

RESUMO

Metastatic pheochromocytoma in the spine is rare, and there is no standard curative management. Treatment via open surgery is often risky in the perioperative period, while osteoplasty by cement augmentation is a less invasive option.We describe 2 patients with recurrence of pheochromocytoma involving the spine and the pelvis who were successfully treated with osteoplasty by cement augmentation. A 31-year-old female underwent cement augmentation for a pelvic lesion 6 months after the resection and screw fixation of an L3 lesion. A 58-year-old male underwent cement augmentation to directly destroy the functional tumor, with a surgical decompression 6 months later. Both patients showed appropriate destruction of the tumor, adequate pain relief, and the decreased release of catecholamine from metastatic lesions.Osteoplasty by cement augmentation may be a treatment option for patients with metastatic pheochromocytoma who cannot undergo appropriate surgery or decline surgery. This represents a safe approach to sustainably relieve pain and stabilize vertebral bodies with metastatic malignant pheochromocytoma.


Assuntos
Vértebras Lombares/cirurgia , Feocromocitoma/cirurgia , Neoplasias da Coluna Vertebral/cirurgia , Neoplasias das Glândulas Suprarrenais/patologia , Adulto , Cimentos Ósseos , Feminino , Humanos , Vértebras Lombares/patologia , Masculino , Pessoa de Meia-Idade , Procedimentos Cirúrgicos Minimamente Invasivos , Feocromocitoma/secundário , Neoplasias da Coluna Vertebral/secundário
20.
Medicine (Baltimore) ; 96(13): e6500, 2017 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-28353599

RESUMO

Spinal glioblastoma multiforme is not common among spinal cord tumors. According to our literature review, only 27 cases originating from the conus medullaris were reported. We herein reported a case of a 10-year-old child diagnosed with glioblastoma multiforme. The patient received adjuvant radiotherapy and standard temozolomide chemotherapy after total excision. Intracranial lesions were found 1 month after postoperative adjuvant therapy. We described the clinical characteristics and postoperative therapy of the patient, and reviewed all of the published cases of conus medullaris glioblastoma. Location, age, leptomeningeal spread, and secondary hydrocephalus may be predictive factors. Immunohistochemical factors such as p53 and Ki-67 are also important. Combined treatment of surgery and postoperative adjuvant therapy is commonly used, but is controversial.


Assuntos
Neoplasias Encefálicas/secundário , Encéfalo/diagnóstico por imagem , Glioblastoma/diagnóstico por imagem , Neoplasias da Medula Espinal/diagnóstico por imagem , Medula Espinal/diagnóstico por imagem , Encéfalo/patologia , Criança , Glioblastoma/patologia , Glioblastoma/secundário , Glioblastoma/terapia , Humanos , Imageamento por Ressonância Magnética , Masculino , Neoplasias da Medula Espinal/patologia , Neoplasias da Medula Espinal/terapia
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