有哪些信誉好的足球投注网站an evolutionary explanation for the perturbation of the dynamics of metastatic tumors induced by surgery and acute inflammation进化解释的扰动的动态转移性肿瘤手术和急性炎症引起的.pdfVIP
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an evolutionary explanation for the perturbation of the dynamics of metastatic tumors induced by surgery and acute inflammation进化解释的扰动的动态转移性肿瘤手术和急性炎症引起的
Cancers 2011, 3, 945-970; doi:10.3390/cancers3010945
OPEN ACCESS
cancers
ISSN 2072-6694
/journal/cancers
Review
An Evolutionary Explanation for the Perturbation of the
Dynamics of Metastatic Tumors Induced by Surgery and
Acute Inflammation
Alberto Carmona Bayonas
Department of Hematology and Medical Oncology, Hospital Morales Meseguer, Murcia, Spain;
E-Mail: alberto.carmonabayonas@; Tel.: 0034968360900 ext. 4121
Received: 4 January 2011; in revised form: 17 February 2011 / Accepted: 22 February 2011 /
Published: 2 March 2011
Abstract: Surgery has contributed to unveil a tumor behavior that is difficult to reconcile
with the models of tumorigenesis based on gradualism. The postsurgical patterns of
progression include unexpected features such as distant interactions and variable rhythms.
The underlying evidence can be summarized as follows: (1) the resection of the primary
tumor is able to accelerate the evolution of micrometastasis in early stages, and (2) the
outcome is transiently opposed in advanced tumors. The objective of this paper is to give
some insight into tumorigenesis and surgery-related effects, by applying the concepts of
the evolutionary theory in those tumor behaviors that gompertzian and tissular-centered
models are unable to explain. According to this view, tumors are the consequence of
natural selection operating at the somatic level, which is the basic mechanism of
tumorigene
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