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        "resumen" => "<span id="as0005" class="elsevierStyleSection elsevierViewall"><p id="sp0005" class="elsevierStyleSimplePara elsevierViewall">O cancro do pulm&#227;o &#233; a causa mais frequente de mortalidade por cancro no mundo&#44; sendo respons&#225;vel por cerca de 1&#44;1 milh&#245;es de mortes por ano&#46; A sobreviv&#234;ncia m&#233;dia dos doentes &#233; geralmente curta&#44; por a doen&#231;a se encontrar em est&#225;dios avan&#231;ados na altura do diagn&#243;stico&#44; mas tamb&#233;m devido &#224; falta de efic&#225;cia dos tratamentos dispon&#237;veis&#46; O advento da gen&#233;tica molecular dos tumores trouxe consigo a possibilidade de modificar esta situa&#231;&#227;o&#44; quer atrav&#233;s do refinamento do diagn&#243;stico&#44; quer da identifica&#231;&#227;o de alvos terap&#234;uticos espec&#237;ficos&#44; quer sobretudo por &#8211; pelo menos em teoria &#8211; permitir o diagn&#243;stico precoce da doen&#231;a&#46; No entanto&#44; e apesar de numerosos trabalhos terem j&#225; demonstrado a utilidade das t&#233;cnicas da gen&#233;tica molecular no estudo do cancro do pulm&#227;o&#44; o seu uso na rotina cl&#237;nica em Portugal tem sido limitado&#46;</p><p id="sp0010" class="elsevierStyleSimplePara elsevierViewall">No presente estudo&#44; utilizou-se a pesquisa de muta&#231;&#245;es no anti-oncogene p53 em amostras cl&#237;nicas de doentes com diagn&#243;stico de cancro do pulm&#227;o como m&#233;todo para identificar as dificuldades pr&#225;ticas &#224; integra&#231;&#227;o da gen&#233;tica molecular na rotina cl&#237;nica&#46; Os resultados obtidos sugerem que o principal factor limitante a essa integra&#231;&#227;o &#233; a obten&#231;&#227;o de amostras de ADN de qualidade&#44; um problema que pode ser superado pela altera&#231;&#227;o das pr&#225;ticas correntes de recolha de amostras&#46;</p><p id="sp0015" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2007&#59; XIII &#40;1&#41;&#58; 9-34</span></p></span>"
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        "resumen" => "<span id="as0010" class="elsevierStyleSection elsevierViewall"><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall">Lung cancer is the most frequent cause of cancer mortality worldwide&#44; responsible for approximately 1&#46;1 million deaths per year&#46; Median survival is short&#44; both as most tumours are diagnosed at an advanced stage and because of the limited efficacy of available treatments&#46; The development of tumour molecular genetics carries the promise of altering this state of affairs&#44; as it should lead to a more precise classification of tumours&#44; identify specific molecular targets for therapy and&#44; above all&#44; allow the development of new methods for early diagnosis&#46; Despite numerous studies demonstrating the usefulness of molecular genetic techniques in the study of lung cancer&#44; its routine clinical use in Portugal has&#44; however&#44; been limited&#46;</p><p id="sp0025" class="elsevierStyleSimplePara elsevierViewall">In this study&#44; we used a p53 mutation screen in multiple clinical samples from a series of lung cancer patients to attempt to identify the main practical limitations to the integration of molecular genetics in routine clinical practice&#46; Our results suggest that the main limiting factor is the availability of samples with good quality DNA&#59; a problem that could be overcome by alterations in common sample collection and storage procedures&#46;</p><p id="sp0030" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2007&#59; XIII &#40;1&#41;&#58; 9-34</span></p></span>"
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Artigo Original / Original Article
Alterações genéticas no cancro do pulmão: Avaliação das limitações ao seu uso na rotina clínica
Genetic alterations in lung cancer: Assessing limitations in routine clinical use
Joana Espiga Macedo1, Ângela M.S. Costa1,2, Inês A.M. Barbosa2,3, Sandra Rebelo1,4, Conceição Souto de Moura1,5, Luís Teixeira da Costa2,6, Venceslau Hespanhol1,7
1 Faculdade de Medicina da Universidade do Porto / University of Porto Faculty of Medicine
2 IPATIMUP
3 Faculdade de Ciências da Universidade do Porto / University of Porto Faculty of Science
4 Serviço de Histologia, Hospital de S. João / Hospital de S. João, Histology Unit
5 Serviço de Anatomia Patológica, Hospital de S. João / Hospital de S. João, Anatomic Pathology Unit
6 ICAM, Universidade de Évora / ICAM, University of Évora
7 Serviço de Pneumologia, Hospital de S. João / Hospital de S. João, Pulmonolgy Unit
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      "en" => array:1 [
        "titulo" => "Genetic alterations in lung cancer&#58; Assessing limitations in routine clinical use"
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    "fechaRecibido" => "2006-10-31"
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            0 => "Cancro"
            1 => "pulm&#227;o"
            2 => "cl&#237;nica"
            3 => "gen&#233;tica molecular"
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        "titulo" => "Resumo"
        "resumen" => "<span id="as0005" class="elsevierStyleSection elsevierViewall"><p id="sp0005" class="elsevierStyleSimplePara elsevierViewall">O cancro do pulm&#227;o &#233; a causa mais frequente de mortalidade por cancro no mundo&#44; sendo respons&#225;vel por cerca de 1&#44;1 milh&#245;es de mortes por ano&#46; A sobreviv&#234;ncia m&#233;dia dos doentes &#233; geralmente curta&#44; por a doen&#231;a se encontrar em est&#225;dios avan&#231;ados na altura do diagn&#243;stico&#44; mas tamb&#233;m devido &#224; falta de efic&#225;cia dos tratamentos dispon&#237;veis&#46; O advento da gen&#233;tica molecular dos tumores trouxe consigo a possibilidade de modificar esta situa&#231;&#227;o&#44; quer atrav&#233;s do refinamento do diagn&#243;stico&#44; quer da identifica&#231;&#227;o de alvos terap&#234;uticos espec&#237;ficos&#44; quer sobretudo por &#8211; pelo menos em teoria &#8211; permitir o diagn&#243;stico precoce da doen&#231;a&#46; No entanto&#44; e apesar de numerosos trabalhos terem j&#225; demonstrado a utilidade das t&#233;cnicas da gen&#233;tica molecular no estudo do cancro do pulm&#227;o&#44; o seu uso na rotina cl&#237;nica em Portugal tem sido limitado&#46;</p><p id="sp0010" class="elsevierStyleSimplePara elsevierViewall">No presente estudo&#44; utilizou-se a pesquisa de muta&#231;&#245;es no anti-oncogene p53 em amostras cl&#237;nicas de doentes com diagn&#243;stico de cancro do pulm&#227;o como m&#233;todo para identificar as dificuldades pr&#225;ticas &#224; integra&#231;&#227;o da gen&#233;tica molecular na rotina cl&#237;nica&#46; Os resultados obtidos sugerem que o principal factor limitante a essa integra&#231;&#227;o &#233; a obten&#231;&#227;o de amostras de ADN de qualidade&#44; um problema que pode ser superado pela altera&#231;&#227;o das pr&#225;ticas correntes de recolha de amostras&#46;</p><p id="sp0015" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2007&#59; XIII &#40;1&#41;&#58; 9-34</span></p></span>"
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        "titulo" => "Abstract"
        "resumen" => "<span id="as0010" class="elsevierStyleSection elsevierViewall"><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall">Lung cancer is the most frequent cause of cancer mortality worldwide&#44; responsible for approximately 1&#46;1 million deaths per year&#46; Median survival is short&#44; both as most tumours are diagnosed at an advanced stage and because of the limited efficacy of available treatments&#46; The development of tumour molecular genetics carries the promise of altering this state of affairs&#44; as it should lead to a more precise classification of tumours&#44; identify specific molecular targets for therapy and&#44; above all&#44; allow the development of new methods for early diagnosis&#46; Despite numerous studies demonstrating the usefulness of molecular genetic techniques in the study of lung cancer&#44; its routine clinical use in Portugal has&#44; however&#44; been limited&#46;</p><p id="sp0025" class="elsevierStyleSimplePara elsevierViewall">In this study&#44; we used a p53 mutation screen in multiple clinical samples from a series of lung cancer patients to attempt to identify the main practical limitations to the integration of molecular genetics in routine clinical practice&#46; Our results suggest that the main limiting factor is the availability of samples with good quality DNA&#59; a problem that could be overcome by alterations in common sample collection and storage procedures&#46;</p><p id="sp0030" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2007&#59; XIII &#40;1&#41;&#58; 9-34</span></p></span>"
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                              3 => "S&#46;C&#46; Yang"
                              4 => "C&#46;F&#46; Eisenberger"
                              5 => "M&#46; Esteller"
                              6 => "J&#46;G&#46; Herman"
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                          "tituloSerie" => "J Nat Cancer Inst"
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                        "titulo" => "Detection by denaturant gradient gel electrophoresis of tumor-specific mutations in biopsies and relative bronchoalveolar lavage fluid from resectable non-small cell lung cancer"
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                            "etal" => false
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                              3 => "A&#46; Cittadini"
                              4 => "G&#46; Eflamini"
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                              8 => "M&#46; Mandala"
                              9 => "M&#46; Colleoni"
                              10 => "L&#46; Spaggiari"
                              11 => "P&#46;L&#46; Granone"
                              12 => "G&#46; Pagliari"
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Article information
ISSN: 08732159
Original language: Portuguese
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