Publications by authors named "Shan Kang"

Background: It has been shown that antinuclear antibodies (ANAs) are associated with adverse reproductive events. The presence of ANAs may reduce the pregnancy rate in women undergoing assisted reproductive technology (ART) treatment.

Methods: This study aimed to investigate the potential effect of ANAs on the outcomes of infertile women undergoing in-vitro fertilization and embryo transfer (IVF-ET) or intracytoplasmic sperm injection (ICSI) for the first time.

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Background: Platinum-based chemotherapy with or without bevacizumab is the first-line treatment for patients with recurrent or metastatic cervical cancer (r/mCC), and the treatment options are limited for r/mCC after first-line treatment. Enlonstobart (SG001) is a fully humanized and high-affinity anti-PD-1 immunoglobulin G4 monoclonal antibody. Previous phase Ib study demonstrated that SG001 had a promising efficacy in patients with PD-L1 positive r/mCC.

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Objective: The purpose of this experiment is to explore the role of long intergenic noncoding RNA 261 (LINC00261) gene in the chemoresistance and clinical prognosis of epithelial ovarian cancer (EOC).

Methods: We used matrix-assisted laser desorption ionization time-of-flight (MALDI-TOF) mass spectrometry to detect the methylation levels of the LINC00261 promoter region in EOC patient specimens. The expression levels of LINC00261, miR-545-3p, and MT1M in EOC patients were evaluated by quantitative real-time reverse transcriptase PCR (RT-qPCR).

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Objective: To identify the relationship between thyroid autoimmunity and antinuclear antibody (ANA) prevalence in Chinese pregnant women.

Methods: The study involved 1923 first-trimester women who were measured for thyroid stimulating hormone (TSH) level, thyroid autoantibodies (thyroperoxidase antibody [TPOAb] and thyroglobulin antibody [TgAb]) and ANA titer. Social demographic data were collected through standardized questionnaires.

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Ovarian immature teratomas (OITs) are malignant tumors originating from the ovarian germ cells that mainly occur during the first 30 y of a female's life. Early age of onset strongly suggests the presence of susceptibility gene mutations for the disease yet to be discovered. Whole exon sequencing was used to screen pathogenic mutations from pedigrees with OITs.

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Objective: This multicenter study aimed to investigate the disparity in clinical features and prognosis among different histopathologic subtypes of endocervical adenocarcinoma (EA) based on the 2014 World Health Organization (WHO) classification.

Methods: We retrieved and analyzed data from the Chinese Four C Database between 2004 and 2018. 672EA patients with radical hysterectomies from 32 institutions were retrospectively reviewed.

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Growing evidence indicates that aberrant methylation is pivotal in the development and progression of endometriosis (EMs). This study explores the relationship between abnormal methylation of the ENPP3 promoter and the pathogenesis of ovarian EMs, focusing on its regulatory effect on ENPP3 expression. We analyzed the methylation levels of ENPP3 in ectopic endometrial tissues from ovarian EMs patients and in normal endometrial tissues from women without EMs.

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Background: In the past, the primary treatment for MRKH syndrome (Mayer-Rokitansky-Küster-Hauser syndrome) with a functional primordial uterus was surgical removal of the functional primordial uterus. In rare instances, the endometrium of the functional primordial uterus is well developed, and surgical preservation of the functional primordial uterus provides the possibility of preserving reproductive function for these patients.

Case Presentation: A 14-year-old female was diagnosed with type I MRKH syndrome with a functional primordial uterus through physical examination and imaging investigations.

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Objective: To compare the long-term survival outcomes of laparoscopic radical hysterectomy (LRH) and open radical hysterectomy (ORH) in International Federation of Gynecology and Obstetrics (FIGO) 2018 early-stage cervical adenocarcinoma.

Methods: Based on the clinical diagnosis and treatment for cervical cancer in mainland China (Four C) database, the medical records of 1098 patients with FIGO 2018 early-stage cervical adenocarcinoma were retrospectively reviewed. Long-term and short-term survival outcomes of the two groups were compared using a multivariate Cox regression model and the log-rank method in the whole study population and after propensity score matching.

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This study aimed at exploring the expression and clinical significance of aromatase P450, adhesion molecule CD24 and HER2/neu in endometrial cancer. The expression of aromatase P450, adhesion molecule CD24 and HER2/neu was detected by immunohistochemistry in 15 cases of endometrial hyperplasia group, 50 cases of endometrial adenocarcinoma and 3 cases of uterine papillary adenocarcinoma, with 15 cases of normal endometrium as control group. We detected no expression of aromatase P450, adhesion molecule CD24 or HER2/neu in control group.

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Introduction: FIGO 2018 IIIC remains controversial for the heterogeneity of its prognoses. To ensure a better management of cervical cancer patients in Stage IIIC, a revision of the FIGO IIIC version classification is required according to local tumor size.

Material And Methods: We retrospectively enrolled cervical cancer patients of FIGO 2018 Stages I-IIIC who had undergone radical surgery or chemoradiotherapy.

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Article Synopsis
  • The study investigates clinicopathological factors affecting parametrial involvement (PI) in patients with stage IB cervical cancer and the outcomes of two types of radical hysterectomy (RH).
  • Key risk factors for PI included deep stromal invasion, positive vaginal margins, lymphovascular space invasion, and lymph node metastasis.
  • Results indicated that patients with negative PI had better overall and disease-free survival rates after Q-M type B RH compared to Q-M type C, while those with positive PI showed no survival benefits from either surgical type.
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Article Synopsis
  • The study compares cancer outcomes for patients with FIGO 2018 stage IIIC cervical cancer treated with three different methods: abdominal radical hysterectomy (ARH), neoadjuvant chemotherapy (NACT), and radical chemoradiotherapy (R-CT).
  • Researchers analyzed survival data from 4,086 patients categorized into T1, T2a, T2b, and T3 groups using Kaplan-Meier and Cox regression methods to assess overall survival (OS) and disease-free survival (DFS).
  • The results suggest that NACT generally resulted in worse OS and DFS compared to ARH, while R-CT showed comparable outcomes to both ARH and NACT across different tumor
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Background: Cytoreductive surgery combined with hyperthermic intraperitoneal chemotherapy (CRS-HIPEC) is the standard treatment for patients with peritoneal cancer (PC). Following CRS-HIPEC, patients may also face risks caused by whole body hyperthermia. This study analyzed the incidence of temperature increases following CRS-HIPEC and identified the attendant risk factors.

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Objective: We aimed to compare the 5-year oncological outcomes of laparoscopic/abdominal radical hysterectomy (LRH/ARH) in patients with cervical adenosquamous carcinoma at stage IA2 to IIA2 based on the 2009 or 2018 International Federation of Gynecology and Obstetrics (FIGO) staging criteria.

Methods: Based on the clinical diagnosis and treatment of cervical cancer in China (Four C) database, Cox risk regression models were applied to analyze tumor prognosis treated with ARH/LRH in FIGO 2009 and 2018 IA2-IIA2 patients and stratified findings according to tumor diameter (≤4 and >4 cm subgroups). And to avoid bias, propensity score matching (PSM) was also used for the cohort study.

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Article Synopsis
  • The study aims to compare the survival outcomes of different postoperative adjuvant therapies (PATs) in patients with early-stage cervical cancer who have one intermediate-risk pathological factor.
  • It analyzed data from 2889 patients, dividing them into three groups: no adjuvant therapy (NAT), adjuvant radiotherapy/chemoradiotherapy (ART), and adjuvant chemotherapy (ACT), to see how these treatments affect overall and disease-free survival rates.
  • The results showed no significant differences in survival rates among the groups, suggesting that the choice of postoperative therapy may not influence survival, and emphasizes the importance of weighing treatment side effects against quality of life.
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  • The study investigated risk factors for genitourinary fistulas and delayed recognition after radical hysterectomy for cervical cancer, analyzing data from over 23,000 patients in a specific database from 2004-2016.
  • Key findings indicated that certain surgical environments, injury types, and cancer stages significantly increased the risk of ureterovaginal and vesicovaginal fistulas.
  • The research concluded that surgical method and location impacted both the occurrence of fistulas and the timing of their diagnosis, particularly in high-volume hospitals and for patients with advanced cancer stages.
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Objective: This study aimed to explore the roles of PARP1 mRNA and protein expression in platinum resistance and prognosis of EOC patients, and reveal the different roles of PARP1 protein in epithelial tumor and stroma cells.

Methods: The mRNA expression of the EOC tissues was examined by RT-qPCR. The impacts of expression on prognosis were measured by Kaplan-Meier and Cox regression.

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Purpose: To develop and validate a deep learning-based pathological risk score (RS) with an aim of predicting patients' prognosis to investigate the potential association between the information within the whole slide image (WSI) and cervical cancer prognosis.

Methods: A total of 251 patients with the International Federation of Gynecology and Obstetrics (FIGO) Stage IA1-IIA2 cervical cancer who underwent surgery without any preoperative treatment were enrolled in this study. Both the clinical characteristics and WSI of each patient were collected.

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Article Synopsis
  • - This study explores how specific genetic variations (polymorphisms) in the PD-L1 gene are linked to the risk and outcomes for patients with epithelial ovarian cancer (EOC).
  • - Researchers analyzed data from 568 patients and 532 healthy women, identifying that certain genotypes (rs2297136 AG + GG) are associated with poorer progression-free survival (PFS) and overall survival (OS) compared to another genotype (AA).
  • - Results indicate that the presence of the rs2297136 polymorphism not only affects the expression of the PD-L1 protein but also correlates with worse outcomes for patients, highlighting its potential role as a biomarker in EOC treatment.
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Abnormal gene expression caused by epigenetic changes, including DNA methylation, is associated with the development and progression of endometriosis. Grainyhead-like 2 gene (GRHL2), a suppressor of epithelial-mesenchymal transition, has been suggested to be associated with the occurrence, progression and poor survival of a variety of cancers. Although endometriosis is a benign disease, it has the biological behaviour of migration and invasion as malignant tumor.

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