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  1. NTU Theses and Dissertations Repository
  2. 生命科學院
  3. 基因體與系統生物學學位學程
請用此 Handle URI 來引用此文件: http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/73236
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dc.contributor.advisor周玉山(Yuh-Shan Jou)
dc.contributor.authorChen-Hao Hsiaoen
dc.contributor.author蕭丞皓zh_TW
dc.date.accessioned2021-06-17T07:23:56Z-
dc.date.available2022-07-15
dc.date.copyright2019-07-15
dc.date.issued2019
dc.date.submitted2019-07-01
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dc.identifier.urihttp://tdr.lib.ntu.edu.tw/jspui/handle/123456789/73236-
dc.description.abstractPneumonia may progress to parapneumonic empyema. Streptococcus pneumoniae is the common pathogen. IL-17 produced by Th17 cells has a role to against Streptococcus pneumonia. However, old age and heart failure with reduced left ventricular ejection fraction are high risks for operation. This kind of patients developing parapneumonic empyema remain challenges for surgeons. To overcome this problem, a novel therapeutic protocol using non-intubated video assisted thoracoscopic surgery was applied. We investigated the morbidities, mortality, and quality of life in high risk parapneumonic empyema patients. There were two methods, conventional tube thoracostomy and non-intubated video assisted thoracoscopic surgery, to deal with the patients. The novel therapy surgery was proven to have better results of morbidities, mortality, and quality of life than conventional tube thoracostomy.
IL-17 of Th 17 response not only involves pulmonary inflammation, but promotes non-small cell lung cancer development. Epidermal growth factor receptor tyrosine kinase inhibitor therapy is the main treatment in advanced stage lung cancer patients harbored EGFR mutation. We retrospectively investigated the clinical characteristics and treatment outcomes of advanced stage lung cancer patients treated with tyrosine kinase inhibitor therapy. Non-smokers have a benefit in overall survival. Unfortunately, there are no good biomarkers to predict overall survival in advanced stage lung cancer. We detected sialylated LewisA, a cancer related O-glycan or CA 19-9, on lung cancer tumor cells. Immunohistochemistry staining was performed using sialylated LewisA antibody. There were sixty-six advanced stage patients receiving tyrosine kinase inhibitor therapy in our study. Positive immunohistochemistry staining patients (n=37) had better overall survival than negative immunohistochemistry staining patients (median survival time: 29.9 versus 12.5 months; p = 0.006). In proper selected lung cancer patients, sialylated LewisA or CA 19-9 immunohistochemistry staining may serve as a biomarker to predict overall survival.
en
dc.description.provenanceMade available in DSpace on 2021-06-17T07:23:56Z (GMT). No. of bitstreams: 1
ntu-108-F00b48006-1.pdf: 2640647 bytes, checksum: 6435a9ad51a950df0cc7980b4e0dea01 (MD5)
Previous issue date: 2019
en
dc.description.tableofcontentsList of Abbreviations…………………………………………………………………...3
中文摘要…………………………………………………………………………….…5
Abstract…………………………………………………………………………………7
Part I. A Novel Protocol of Therapeutic Surgery in the Pulmonary Disease
Chapter 1. Introduction…………………………………………………………………9
Chapter 2. Materials and Methods……………………………………………………..10
Chapter 3. Results……………………………………………………………………...13
Chapter 4. Discussion………………………………………………………………….15
Part II. Complicated Role of Interleukin-17 in the Pulmonary Diseases
Chapter 5. Introduction………………………………………………………………...18
Chapter 6. Materials and Methods……………………………………………………..22
Chapter 7. Results……………………………………………………………………...25
Chapter 8. Discussion………………………………………………………………….28
References……………………………………………………………………………..32
Figures and Figure Legends………………………………………………………….44
Tables…………………………………………………………………………………..51
dc.language.isoen
dc.subject肺部疾病zh_TW
dc.subject癌抗原19-9zh_TW
dc.subjectpulmonary diseaseen
dc.subjectCA 19-9en
dc.title評估治療性胸腔手術與白細胞介素17相關之肺部疾病zh_TW
dc.titleAssessment of a Novel Protocol of Therapeutic Surgery and the Complicated Role of Interleukin-17 in the Pulmonary Diseasesen
dc.typeThesis
dc.date.schoolyear107-2
dc.description.degree博士
dc.contributor.oralexamcommittee陳晉興(Jin-Shing Chen),蔡勝國(Shen-Kou Tsai),莊依萍(Yi-Ping Chuang),陳威廷(Wei-Teing Chen)
dc.subject.keyword肺部疾病,癌抗原19-9,zh_TW
dc.subject.keywordpulmonary disease,CA 19-9,en
dc.relation.page53
dc.identifier.doi10.6342/NTU201901127
dc.rights.note有償授權
dc.date.accepted2019-07-02
dc.contributor.author-college生命科學院zh_TW
dc.contributor.author-dept基因體與系統生物學學位學程zh_TW
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