Qinjiang Liu,Youxin Tian,Yaqiong Ni. Scabrous patrinia root inhibits circulating tumor cells in differentiated thyroid carcinoma – a clinical observation. Oncol Transl Med, 2017, 3: 181-184.
Scabrous patrinia root inhibits circulating tumor cells in differentiated thyroid carcinoma – a clinical observation
Received:April 19, 2017  Revised:October 25, 2017
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KeyWord:scabrous patrinia root; Huikangling; differentiated thyroid carcinoma; flow cytometry; circulating tumor cell
Author NameAffiliationE-mail
Qinjiang Liu Department of Head and Neck Surgery, Gansu Provincial Cancer Hospital, Lanzhou 730050, China Email: LIUQJ99@126.com 
Youxin Tian Department of Head and Neck Surgery, Gansu Provincial Cancer Hospital, Lanzhou 730050, China  
Yaqiong Ni Department of Head and Neck Surgery, Gansu Provincial Cancer Hospital, Lanzhou 730050, China  
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Abstract:
      Objective To observe the clinical inhibition of circulating tumor cells (CTCs) in differentiated thyroid carcinoma (DTC) by the extract of scabrous patrinia root (Huikangling). Methods Eighty-seven DTC patients tested positive for CTCs were randomly divided into two groups; all patients were treated with oral levothyroxine sodium in accordance with the DTC endocrine inhibition treatment criteria. Patients (n = 45) in the treatment group were provided the standard endocrine therapy along with oral Huikangling (0.4 g/tablet, 0.4 g × 3 / time, 3 times / day, 12 weeks). Patients (n = 42) in the control group were only provided the standard therapy. After 4 and 12 weeks, CTCs in the blood were detected by flow cytometry. Results After 4 weeks of oral Huikangling treatment, CTCs were detected in 18 (40%) and 29 (69%) patients in the treatment and control groups, respectively; the difference was statistically significant (χ2 = 8.49, P < 0.05). After 12 weeks, CTCs were detected in 7 (15.6%) and 17 (44.7%) patients in the treatment and control groups, respectively; the difference was statistically significant (χ2 = 5.68, P < 0.05). Follow-up evaluation revealed two patients with lung metastasis and one patient with bone metastasis in the control group; one patient showed lateral neck lymph node metastasis without local recurrence in the treatment group. Conclusion Huikangling treatment reduces the number of CTC-positive DTC cases; however, further studies are needed to elucidate the underlying mechanisms.
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