c*********y 发帖数: 472 | 1 Prenatal blood work. 一怀孕就查。 |
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a*********d 发帖数: 2763 | 2 看见这里经常有关于甲状腺的问题,因为是我的专业,所以想总结一下,方便后来的JM
们查找。
首先,科普一下几个lab
TSH, thyroid stimulating hormone,是垂体释放的促甲状腺激素,作用是通过
甲状腺受体,刺激甲状腺合成甲状腺素,绝大部分是T4,小部分是T3,然后在外周组织
T4转化为T3,T3是真正起作用的活性激素。TSH目前的检查非常灵敏,可以检查到早期
的甲状腺素变化,这是一个feedback,也就是说,当体内甲状腺素过多时(甲亢),垂
体感受到了,TSh就会下降,反过来,甲状腺素低了(甲减),TSH就会升高。
在怀孕早期,母亲是胎儿甲状腺素的唯一来源,从第4-6周起,母体的甲状腺素需要量
就开始上升,特别是在用fertility treatment的妇女中。如果母亲怀孕前就有甲状腺
降低在服用甲状腺素的,应该在正式准备怀孕的过程中就和医生联系,开始加量,以维
持胎儿的需要。
目前最争议最棘手的,是原本甲状腺正常的妇女在怀孕中对甲状腺疾病的筛查。
1。什么时候查。因为TSh是一个很便宜很简单的测试,而且如果能够及早发现纠正甲减
,会对婴儿的outcome... 阅读全帖 |
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r***n 发帖数: 1089 | 3 TSH低应该是甲亢,不是甲低。我的ob的标准下限是0.32,低于这个值就是overactive
thyroid. 0.35按我ob的标准,属于正常范围之内。孕妇在怀孕初期,由于hcg高的缘故
,是会轻微甲亢的。 |
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T********e 发帖数: 1760 | 4 What you wrote is not true. You need to look at T3 T4 to determine if your
Thyroid is normal. |
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M****M 发帖数: 980 | 5 3.36不需要吃药.我第一次3.6,医生也说不太好,但是也不算甲减,身体也没有任何不适.
第2次再查就1.5了,而且确实是要查ft3,ft4得,是叫thyroid full panel. 再说这个药
的用量也不是ob能控制的,要看内分泌专科. 我以前甲状腺就有问题,所以知道的多一些.
我觉得这种有点什么事情就
让你去er得非常不负责任,我第一个ob clinic也是这样,很差,后来我自己把他们dump了
,现在这个是这里最好的,说如果有什么紧急情况,先打电话给office, 来office如果
office不开门也是24小时有人可以联系的.
不要你了更好,赶紧找个好地把. |
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y***d 发帖数: 288 | 8 9周1天的时候第一次见OB,血检尿检结果出来了,其它都正常,只有TSH(thyroid
stimulating hormone促甲状腺激素)低于正常值,只有0.22。正常值是0.3-3.3。护士
转告OB让我下一次见她时再重做测试,说可能和怀孕有关。忘了问有多严重,有什么注
意事项改进方法。
回去查了以往的年检报告,TSH都很正常,10年1.59,08年1.3。JMS有过类似经验吗?
问题有多严重? |
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a**********y 发帖数: 221 | 9 It may be a thyroid problem. Better let your doctor know. Try to take your
pulse. It will be a problem if the pulse goes up to 130.
But don't worry, like everyone above says, it is very common. |
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j****l 发帖数: 155 | 11 我是产后6个月常规体检查出甲亢,后来医生让查了什么球蛋白之类的,证实是产后甲
状腺炎,没有做任何治疗,就是每1-2个月去查一次血,我上周刚做的lab test,今天
说是一切正常 (现在快产后9个月)。我6个月左右也是体重掉得厉害。现在体重又涨回
来了,我自已估摸着应该没事了,果然检查就没事了 :)
看mm的描述应该和我挺像的,估计就是产后甲状腺炎,英文应该是post partum
thyroiditis。没有什么大问题,奶照常喂,药没有吃~ |
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t**i 发帖数: 3283 | 12 thyroid
HIV
Hepetitis C
Urine culture
Cytopath
正好账单文件夹在手边。。。 |
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m**n 发帖数: 9010 | 13 看来比较复杂:
"A severe iodine deficiency can cause hypothyroidism, and even developmental
brain disorders and severe goiter. Less severe iodine deficiency is linked
to hypothyroidism, thyroid enlargement (goiter) and hyperthyroidism. At the
other end of the spectrum, excessive iodine intake -- both severe and
moderate -- is also associated with hypothyroidism and goiter."
所以严重缺碘与甲低有关.
不太严重缺碘, 与甲亢有关.
吃碘多了, 又与甲低有关.... |
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s********r 发帖数: 348 | 14 不好意思,搭车问个自己的问题。我昨天看到的lab结果里面有这么一项:
thyroid stimulating hormone 0.61 uiu/ml reference (0.34-5.66)
thyroxine, free 1.16 ng/dl reference (0.52-1.21)
ob说我的thyroxine是normal,但是在border上,所以继续抽血double check一下,如果
有问题,我需要看医生。
这个thyroxine太高,是甲亢么?有点担心,所以先问问。有知道的mm们么? |
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c*****t 发帖数: 625 | 15 Check your thyroid function. |
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a********k 发帖数: 11445 | 16 我老公给我按了按穴位,说我可能是肝不好。
Check your thyroid function.
★ Sent from iPhone App: iReader Mitbbs Lite 7.56 |
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w*******7 发帖数: 412 | 17 TSH is just a screening parameter for thyroid function can fluctuate even in
one day. U should get free Thyroxine checked if there's an abnormal TSH. |
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c*****t 发帖数: 625 | 18 TSH is way MORE important than free t3, t4...
If your TSH is normal, your thyroid function is NORMAL for sure!.
FREE T3, T4 is affected by lots of other factors, including pregnancy. So
TSH is the golden standard.
btw, TSH less than 4 is not bad at all. It wouldn't change dramatically in a
short time, that's why the doctor usually asked you to test that after a
little while and see if it's within normal range. |
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c*********y 发帖数: 472 | 19 怀孕前后有查过甲状腺激素吗?(thyroid)。等恢复好了,查一下吧。下次怀孕前后也
查一下。 |
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c*********y 发帖数: 472 | 20 怀孕前后有查过甲状腺激素吗?(thyroid)。等恢复好了,查一下吧。下次怀孕前后也
查一下。 |
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T******h 发帖数: 2380 | 21 好像跟保险也有关系。我因为有胰岛素抵抗,孕初就查了次血糖。我问护士什么时候知
道,她说一般一周,然后问了我什么保险,说:哦,你明天就能知道。
还有就是看查的是什么。我看fertility医生的时候,hcg和孕酮都是当天就通知结果。
但prolactin或者thyroid什么的,她们实验室每周只run一次。 |
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T******h 发帖数: 2380 | 22 其实要看是测什么的。我以前医生的诊所,孕酮和hcg都是每天run,当天告知结果的。
但prolatin,thyroid什么的只有周四run,就得等。
我以前也以为抽血验血是很的,经常过一个星期才知道甚至根本没人跟我说。后来换了
医生才知道,根本是很快的,当天必定出来,但是结果是要医生看过才可以告诉你或者
系统自动发送给你。所以不........ |
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T******h 发帖数: 2380 | 23 其实要看是测什么的。我以前医生的诊所,孕酮和hcg都是每天run,当天告知结果的。
但prolatin,thyroid什么的只有周四run,就得等。
我以前也以为抽血验血是很的,经常过一个星期才知道甚至根本没人跟我说。后来换了
医生才知道,根本是很快的,当天必定出来,但是结果是要医生看过才可以告诉你或者
系统自动发送给你。所以不........ |
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v****a 发帖数: 388 | 24 今天见了OB,OB建议我吃药,她说吃不吃药对甲状腺的恢复是independent的,就是说
甲状腺不会对药有依赖,吃药是为了让身体不难受,对甲状腺自身的变化没有作用,甲
状腺该恢复就恢复,到时停药,不恢复就只能终生吃药。
另外还有些担心宝宝,因为孕期没有检查过甲状腺的状况,不知道那时有没有问题。但
是儿医说 宝宝的两次newborn screening 中thyroid都是normal的,所以应该不用担心
。宝宝现在5个多月了,长得很高很壮,还很爱笑。 |
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G***s 发帖数: 163 | 26 常见症状有怕冷、嗜睡、便秘、皮肤干燥、发胖、血脂升高,情绪低落……但是轻度甲
减的话,可以完全没有症状的。我年检时跟PCP说了我准备怀孕,她就帮我在验血单里
加了TSH和T4,结果发现TSH偏高但T4正常,进一步验血发现抗甲状腺的抗体,确证为
hashimoto thyroiditis,开始吃synthroid,但是我一点症状都没有。 |
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n***a 发帖数: 1373 | 27 Bless.
Even for the worst, in general thyroid cancer is not as bad as most other
cancers. |
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m*****e 发帖数: 149 | 28 Bless!!!
最最最差(打嘴),thyroid cancer 的预后(存活年限)和正常人无差。It is the
best cancer you can get. |
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i*****u 发帖数: 190 | 29 Vitamin B12!
好吧,我标题党了。事情是这样滴。
本人孕中期开始有轻度的大细胞型贫血,血检结果是缺B12--血液B12含量比正常的最
低值少一咪咪。于是就买了瓶B12开始嗑药。这嗑啊嗑啊,就嗑到了宝宝快四个月。这
几个月里我发现如果停吃B12几天,奶量一定会减少。大概少1/6,从30 oz 到25 oz
的样子吧。
那么我为什么会缺B12呢?这个我的医生也不知道。肉里B12丰富,所以一般美国缺B12
的多是素食主义者。可我是肉食动物啊。所以无解。不过如果google之网上和我相似的
例子还是不少滴。
那么磕B12对其他各位缺奶的宝妈有用么?我发唠叨这篇文是因为今天在网上闲逛看到
下面这段话。
"There have been anecdotal reports of low milk supply in vitamin B12
deficient mothers, which improved when the B12 deficiency was corrected.
Mothers with pernicious anemia are also at higher ris... 阅读全帖 |
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G***s 发帖数: 163 | 30 验血查是否有抗THYROID PEROXIDASE和THYROGLOBULIN的抗体,但即使确诊了,治疗方
法是一样的,就是吃synthroid而已,除非已经严重到有甲状腺组织坏死,那就得手术
了。目前对这种自身免疫病还没有什么办法。 |
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n***a 发帖数: 1373 | 31 If she is not breastfeeding, probably can do radioactive iodine therapy if
her thyroid function is sort of controlled . It is the standard in US.
The medication you mentioned in US is very common used in US. It is weird
that they aren't available in China. Who knows. |
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m**********a 发帖数: 638 | 32 建议你赶紧约专科 endocrinologist, 我看的两个OB都不咋么懂这个,都把我refer to
a endogcrinologist. 你 out of range了,应该至少还测一下T3 Free and T4 Free
. Thyroid function is VERY important, esp. in early pregnancy. It may
affects the brain and spine development of the fetus. |
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l*******l 发帖数: 163 | 33 我和lz是同样的情况,tsh三点多,没有到临床的上限,但是我的内分泌医生说怀孕的
话,需要将到2.5以下,孕期也要监控。另外我的抗体值也很高,所以备孕一年多一直
在吃药,只是药量很少。lz可以去内分泌医生(reproductive endocrinologist),找专
门治疗thyroid的医生,通常会给开药的。 |
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a*****0 发帖数: 643 | 34 鎴戜滑涓鸿繖涓棶棰樹笓闂ㄥ幓闂簡MSH鐨勪笓瀹躲鍝堜經姣曚笟锛岀幇鍦ㄨ繕
鍦ㄥ仛鐮旂┒瀹℃壒璁烘枃銆傚簲璇ユ槸thyroid 杩欎釜棰嗗煙鏈潈濞佺殑涓撳涔
嬩竴銆浠栬窡鎴戜滑璇村綋鏃跺畾2.5杩欎釜鍊肩殑鐮旇浼氫粬涔熷湪锛岃繖涓
鏄痠nternal medicine鐨勫尰鐢熶滑瀹氱殑锛孫BGYN鐨勫尰鐢熶滑浠ユ嫆缁濆弬鍔犺
繖涓爺璁ㄤ細琛ㄧず鎶楄锛屾墍浠.5杩欎釜鍊兼湰韬氨鏄瓨鍦ㄤ簤璁殑銆
備絾鏄偅涓嵂瀹屽叏娌℃湁鍓綔鐢ㄧ殑锛屼綘闂笅鍖荤敓浠栨涔堣浣犲氨
鎬庝箞鍋氥涓嶈鏈夊績鐞嗚礋鎷呮瘮杈冮噸瑕 |
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h****y 发帖数: 39 | 35 I took the radioactive idiom treatment (131) after giving birth (had taken
ptu for 8 months but still cannot the thyroid function back to normal), and
became hypothyroidism and need to take replacement every day, but I feel so
much better than I was hyperthyroidism.
if you want to have another baby, i think it's better to be hypo than hyper
because the ptu has far more side effects on the mother and the baby. |
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e****x 发帖数: 692 | 36 备孕1年多没有成功,到医院医生开的单验血。查出prolactin高,其他正常。
有谁能帮我看下下面的,是不是还缺LH?就是那个黄体素? 以下检查能看出来是不是多囊了吗? 谢谢
FSH, FOLLICLE STIMULATING HORMONE
ESTRADIOL
PROLACTIN
THYROID STIMULATING HORMONE (TSH)
GLUCOSE, FASTING
INSULIN
TESTOSTERONE, FREE & TOTAL
17 ALPHA HYDROXYPROGESTERONE
DHEA SULFATE |
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k*****y 发帖数: 2069 | 37 还以为玉米最安全了,结果也不行,olive oil炒菜好像很不行?!
Poisonous Foods!! What the major Health Food Stores are not telling you
about the safety of their health foods.
The Dangers Of Using Canola Oil
Recently I bought cooking oil that's new to our Health Food Stores and
Supermarkets, Canola Oil. I tried it because the label assured me it was
lowest in "bad" fats. However, when I had used half the bottle, I concluded
that the label told me surprisingly little else and I started to wonder:
Where does canola oil come... 阅读全帖 |
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b******e 发帖数: 53 | 38 求教各位同学长辈,
我是一所小学校的PhD学生, F1身份
我老婆今年4月来美与我一起生活, F2 身份
老婆最近被诊断为thyroid cancer, 需要手术+碘131放疗+endocrinologist
我们已经约好肿瘤外科医生准备12月手术
我过去的几年里一直使用学校的student insurance, 老婆来美国以后学校要求她也加
入我的insurance plan, 所以我老婆也在我的insurance plan里面.
但是最近收到保险公司的信, 说需要证明我们过去的12个月也一直under insurance
coverage, 否则的话,这次的claim就要算作pre-existing condition 然后以后所有
subsequent claims都要被deny.
我担心的是, 我老婆在这个保险公司不够12个月, 保险公司不cover医疗费用. 虽说就
算保险公司deny我的claim, 可能手术可以正常进行. 但是因为所有的这几个treatment
都要在同一个cancer center, 手术之后的放疗会不会因为我的insurance 一直deny我
的cl... 阅读全帖 |
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p******1 发帖数: 244 | 39 妈妈来美国看病,她是thyroid cancer
想买保险,看到有两个保险cover onset of pre-existing condition
(1) Liaison Continent
(2) Atlas America
不知道如果看病,这两个保险cover吗?
非常感谢!! |
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O**I 发帖数: 776 | 40 【 以下文字转载自 pennystock 俱乐部 】
发信人: OSCI (TX), 信区: pennystock
标 题: FDA Drug Approvals in 2011
发信站: BBS 未名空间站 (Sat Jan 8 17:29:50 2011, 美东)
http://www.thestreet.com/story/10944267/1/biotech-calendar-fda-
BOSTON (TheStreet) -- An early Christmas present for biotech investors: The
first (overstuffed) FDA drug approval calendar of 2011.
More from Adam Feuerstein
Dendreon Bringing Provenge to EuropeBiotech Stock Mailbag: Best Stocks to
Watch in '11Merck Beats Vertex to FDA Hep C Filing
Market Activity
... 阅读全帖 |
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k********n 发帖数: 18523 | 41 http://blogs.wsj.com/korearealtime/2011/03/17/radiation-fear-al
Associated Press
An arriving air passenger from Japan passes through a scanner to check radiation level at Incheon International Airport on Thursday.
As Japan struggles with the crisis at the Fukushima Daiichi nuclear power complex, fear that radiation leakage will spread across the region is rising in South Korea as well as China and elsewhere. Here, authorities have tried to keep the worries from getting out of hand.
The K... 阅读全帖 |
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h*****g 发帖数: 1327 | 42 Facts about ARIAD's two considered BEST-IN-CLASS drugs"
For Iclusig:
- 1 indication for CML(PH + ALL(resistant/intolerant)) approved &
marketed in US, EU. The rest of the world are waiting.
- 7 known different cancer indications undergoing P2 trials
. CML (resistant/intolerant Japanese patients)
. Lung cancer (FGFR)
. Ph+ ALL (newly diagnosed)
. Gastrointestinal stromal tumors (KIT)
. AML (FLT3)
. Lung cancer (RET)
. Medullary thyroid cancer (RET)
For 113:
- 1 indication for NSCLC(ALK) undergoin... 阅读全帖 |
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c********r 发帖数: 562 | 43
Cabozantinib already approved for thyroid cancer, with expanded label
expected soon into kidney cancer.
Cobimetinib approval imminent in combination with Genentech.
How often you seen a biotech company with 2 oncology drugs approved?
Plexxikon? Onyx? Both ended in being bought out by big pharma. |
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t*****d 发帖数: 131 | 44 【 以下文字转载自 JobHunting 讨论区 】
发信人: thyroid (step by step), 信区: JobHunting
标 题: H1B->H4->H1B 的问题
发信站: BBS 未名空间站 (Wed Oct 14 11:22:57 2015, 美东)
从cap h1b转到H4后重新找工作的时候,如果填工作申请有一个问题是:
are you currently authorized to work in the united states?
这样的话是不是只能填No? 那很多公司是不是就不往下proceed了?
可以填yes,然后和HR/Recruiter解释吗
多谢! |
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g*******3 发帖数: 2520 | 45 现有REVIEW机会,一篇关于B-ALL (Acute lymphoblastic leukemia), 主要偏基础,涉
及基因突变,染色体变异,分子标志,关键词: ALL, Genetics, Translocations,
Alterations, Mutations, Prognosis
需要涉及白血病研究,遗传学基础的人来REVIEW。不需要严格相关,但要对自己进行合
理品估。
另一篇关于Differentiated thyroid carcinoma (甲状腺癌),比较偏临床,谈到原
因,诊断,治疗,预后等,需要有医学基础的人来审稿。
两篇都是综述。
请感兴趣同学,将简历发到我邮箱:[email protected]
(function(){try{var s,a,i,j,r,c,l,b=document.getElementsByTagName("script");l=b[b.length-1].previousSibling;a=l.getAttribute('data-cfemail');if(a){s='';r=parseInt(a.substr(0,2),16);f... 阅读全帖 |
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d******g 发帖数: 2060 | 46 cancer biology: Review opportunity (Medicine IF:4.867)
Key words: Proto-oncogene; B-Raf; drug resistance; MAP3K8; papillary thyroid
cancer;
Recurrence
pm me your name, affiliation, address, email,and publication lists.
I am the handling editor of this manuscript, and will choose 2 reviewers.
please be responsible... thanks |
|
s*******a 发帖数: 599 | 47 一个2分左右的杂志。
Investigate the relationship between thyroid transcription factor-1 (TTF-1)
expression and epidermal growth factor receptor (EGFR) gene mutations in
lung cancer patients.
如果感兴趣,请把姓名,学校/工作单位email还有简单的research background /
publication list发给我。 |
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R*******d 发帖数: 13640 | 48 【 以下文字转载自 Biology 讨论区 】
发信人: liujiatian (liujiatian), 信区: Biology
标 题: 2015年影响因子新出炉
发信站: BBS 未名空间站 (Thu Jun 18 23:51:32 2015, 美东)
Rank full journal title Total Cites IF
1 ca-a cancer journal for clinicians 18,594 115.84
2 new england journal of medicine 268,652 55.873
4 lancet 185,361 45.217
6 nature biotechnology 45,986 41.514
7 nature 617,363 41.456
12 nature materials 64,622 36.503
13 jama-journal of the american medical assoc... 阅读全帖 |
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i********n 发帖数: 171 | 49 请发简历及你想审稿的文章编号,可以多选。
到[email protected]/* */
1. Combination of 2-deoxy D-glucose and metformin for synergistic
inhibition of non-small cell lung cancer: A reactive oxygen species and P-
p38 mediated mechanism
2. MYC gene regulating the occurrence and metastasis of prostate cancer
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fBackground: epigenetics, non-coding RNA, cancer.
Title: Over-expression of long intergenic noncoding RNA LINC00312 inhibits
the invasion and migration of thyroid cancer cells via down-regulating
microRNA-197-3p |
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