A challenge for colorectal surgeons: pathogenesis, progression and management of the secondary tumors of the ovary / 中华胃肠外科杂志

A common clinical problem encountered by colorectal surgeons is the secondary tumors of the ovary (STO), particularly in young female patients. Most STO are from the digestive tract, and the known possible metastatic mechanisms include lymphatic, hematogenous, and intraperitoneal spreading. The molecular and histopathological characteristics of STO from different sites are diverse. It is particularly important to correctly identify the origin and feature of STO, which should be clarified by combining medical history, histopathology, immunohistochemistry, molecular biology, imaging and other means. The prognosis of patients with STO is poor in general. Comprehensive therapies based on surgical resection can benefit some patients. There is no specific treatment for STO at present, but not giving up easily on these patients is the right choice that every surgeon should understand.

Chemical constituents from aerial part of Polygonatum cyrtonema / 中草药

Objective: To study the chemical constituents from the aerial part of Polygonatum cyrtonema. Methods: The compounds were isolated and purified by means of chromatographic techniques and their structures were identified on the basis of spectral features. Results: Fifteen known compounds were isolated in methanol extract from the aerial part of P. cyrtonema and their structures were identified as (3R)-5,7-dihydroxy-3-(2'-hydroxy-4'-methoxybenzyl)-chroman-4-one (1), 5,7-dihydroxy-6-methyl-3-(2',4'-dihydroxybenzyl)- chroman-4-one (2), 5,7-dihydroxy-6-methyl-3-(4'-hydroxybenzyl)-chroman-4-one (3), (3S)-3,7-dihydroxy-8-methoxy-3-(3',4'- methylenedioxybenzyl)-chroman-4-one (4), apigenin (5), kaempferol (6), vanillic acid (7), trans-p-hydroxycinnamic acid (8), trans-p-hydroxycinnamic acid methyl ester (9), saliylic acid (10), (+)-syringaresinol (11), balanophonin B (12), caffeic acid (13), phenylalanine (14), and coniferaldehyde (15). Conclusion: Compounds 1, 2, 7, 11, 14, and 15 are firstly obtained from P. cyrtonema. Compounds 3, 4, and 12 are isolated from the plants of Polygonatum Mill. for the first time.