• 제목/요약/키워드: Squamous cell carcinomas

검색결과 271건 처리시간 0.021초

비소세포폐암에서 21q 이형체 소실 (Loss of Heterozygosity on the Long Arm of Chromosome 21 in Non-Small Cell Lung Cancer)

  • 채포희;배락천;이응배;박재용;강경희;김경록;배문섭;차승악;채상철;김창호;정태훈
    • Tuberculosis and Respiratory Diseases
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    • 제50권6호
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    • pp.668-675
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    • 2001
  • 연구배경 : 제21번 염색체가 3개(trisomy)인 다운 증후군(Down syndrome) 에서는 폐암을 포함한 고형종양의 빈도가 일반인에 비해 유의하게 낮다. 이와 같이 디운증후군에서 폐암 위험도가 낮은 것은 여분의 21번 염색체가 존재함에 따른 유전자-용량 효과(gene-dosage effect) 때문일 가능성이 있으며 이는 폐암의 발생과정에 관여하는 종양억제유전자가 21번 염색체에 있음을 의미한다. 저자들은 21번 염색체의 종양억제 유전자 발굴을 위한 선행연구로 21번 염색체 장암의 LOH 빈도와 LOH 유 무에 따른 임상상을 비교하였다. 방 법 : 근치적 절제술을 받은 비소세포폐암 39예를 대상으로 하였다. 동결된 폐암조직과 환자의 림프구에서 DNA를 추출한 후 21q의 5개의 현미부수체 표지자를 이용하여 PCR을 시행하고 6% polyacrylamide-8M urea gel에서 전기영동 한 후 silver 염색을 하였다. LOH는 암조직의 대립유전자 signal이 림프구의 50%이하로 감소된 경우로 판정하였으며 종양의 fractional allelic loss(FAL)는 informative 표지자 수에 대한 LOH가 발견된 표지자 수의 비로 계산하였다. 결 과 : 대상환자 39예 가운데 21예(53.8%)에서 한 개 이상의 표시자에서 LOH가 관찰되었다. LOH는 편평상피세포암의 경우 23예 가운데 15예(65.2%)에서, 선암의 경우는 16예 가운데 6예(37.5%)에서 관찰되어 편평상피세포암에서 LOH의 빈도가 높은 경향이 있었다. 편평상피세포암에서 LOH 빈도는 I 기 53.8%와 II-III기 80.0%로 진행된 병기에서 높은 경향이 있었으나 통계적 유의성은 없었다. 종양에서 대립 유전자 소실의 축적 정도를 반영하는 지표인 FAL치는 편평상피세포암의 경우 0.431(${\pm}0.375$)로 선암의 0.192(${\pm}0.276$)에 비해 통계적으로 유의하게 높았다. 편평상피세포암에서 FAL치는 I 기 0.391(${\pm}0.427$)인데 비해 II-III기는 0.484(${\pm}0.310$)로 통계적 유의성은 없었으나 진행된 병기에서 높은 경향을 보였다. 결 론 : 비소세포폐암에서 21q의 LOH가 흔히 관찰되었으며 이러한 결과는 비소세포폐암의 발암과정에 관여하는 종양억제유전자가 21q에 존재할 가능성을 강력히 시사한다. 21q에 존재하는 LOH의 역할을 규명하기 위해서는 향후 보다 많은 예를 대상으로 한 연구가 필요할 것으로 생각된다.

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Frequency of EGFR Mutations in Non-small Cell Lung Cancer Patients: Screening Data from West Siberia

  • Gervas, Polina;Ivanova, Anna;Vasiliev, Nikolay;Ananina, Olga;Zharkova, Olga;Rogovieva, Olga;Verzhbitskaya, Natalia;Didichuk, Ivan;Cheremisina, Olga;Popova, Natalia;Goldberg, Victor;Cherdyntsev, Evgeny;Choynzonov, Evgeny;Cherdyntseva, Nadezda
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권2호
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    • pp.689-692
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    • 2015
  • Background: Incorporation of molecular analysis of the epidermal growth factor receptor (EGFR) gene into routine clinical practice has shown great promise to provide personalized therapy of the non-small cell lung cancer (NSCLC) in the developed world. However, the genetic testing of EGFR mutations has not yet become routine clinical practice in territories remote from the central regions of Russia. Therefore, we aimed to study the frequency of major types of activating mutations of the EGFR gene in NSCLC patients residing in West Siberia. Materials and Methods: We examined EGFR mutations in exons 19 and 21 in 147 NSCLC patients (excluding squamous cell lung carcinomas) by real time polymerase chain reaction. Results: EGFR mutations were detected in 28 of the 147 (19%) patients. There were 19 (13%) cases with mutations in exon 19 and 9 cases (6%) in exon 21. Mutations were more frequently observed in women (42%, p=0.000) than in men (1%). A significantly higher incidence of EGFR mutations was observed in bronchioloalveolar carcinomas (28%, p=0.019) and in adenocarcinomas (21%, p=0.024) than in large cell carcinomas, mixed adenocarcinomas, and NOS (4%). The EGFR mutation rate was much higher in never-smokers than in smokers: 38% vs. 3% (p=0.000). The frequency of EGFR mutations in the Kemerovo and Tomsk regions was 19%. Conclusions: The incorporation of molecular analysis of the EGFR gene into routine clinical practice will allow clinicians to provide personalised therapy, resulting in a significant increase in survival rates and improvement in life quality of advanced NSCLC patients.

연구개 및 구개수에 발생한 편평세포암종 (SQUAMOUS CELL CARCINOMA OF THE SOFT PALATE AND UVULA)

  • 김창룡;조규승;김기영;이성훈;이승호;박문성;류선열
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제18권4호
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    • pp.673-678
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    • 1996
  • 독특한 해부학적 구조와 상기도에서 수행하는 기능으로 인해 수술후에 발음이나 연하에 심각한 문제를 야기할 수 있는 연구개 및 구개수에 발생한 편평세포암종 환자에서, 저자들은 술전 항암화학요법과 외과적 절제술 그리고 6000 cGy의 방사선 조사를 시행하여 치료하였다. 2년 이상 경과한 현재까지 재발의 소견은 관찰되지 않고 비교적 양호한 기능을 보이고 있다.

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Survivin, Possible Marker and Prognostic Factor in Oral Squamous Cell Carcinomas

  • Kim, Young-Youn;Kim, Myung-Jin;Choi, Keum-Kang;Hong, Seong-Doo;Myoung, Hoon
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제34권1호
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    • pp.71-82
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    • 2008
  • Survivin is a member of the inhibitors of apoptosis (IAP) family that have been known to inhibit activated caspases in apoptosis. In contrast to most IAP family members, survivin mRNA is expressed during fetal development, is not found in normal adult tissues and is overexpressed again in the cancer. Though survivin expression has been documented in most human cancers, little is known about its expression in OSCC and its potential value as a predictor of cancer survival. The purpose of this study was to investigate survivin expression in OSCC and to evaluate its value as a prognostic marker. We evaluated survivin expressions in cancer lines and OSCC samples and investigated the relationships between survivin expressions and clini-co-pathological parameters including stage, differentiation, proliferation, lymph node metastasis, blood vessel density, and gelatinolytic activity. With immunohistochemistry, we analyzed survivin expression in 38 OSCCs. Patients' clinico-pathological parameters and their survival rate were analyzed to reveal their correlations with Survivin expressions. We cultured oral cancer cell lines and evaluated the correlation between gelatinolytic activities and survivin expressions of them. Survivin protein was observed both in nuclei and cytoplasm of tumor specimens while little or not observed in normal gingival mucosal tissues. Additionally, survivin expressions were correlated with lymph node metastasis, tumor proliferation and survival rate. Survivin expression was observed in 100% of 38 samples of OSCC and its expression levels are statistically associated with the proliferative activity of the tumors, lymph node metastasis and the survival of the patients. Based on these results, survivin is commonly expressed in OSCC and may thus provide valuable prognostic information related with lymph node metastasis, proliferation and survival rate as well as a potential therapeutic target in OSCC.

설과 편도 편평 상피세포암에서 P53의 표현양상에 관한 연구 (P53 Expression in Squamous Cell Carcinomas of Tongue and Tonsil)

  • 최건;김만수;최종욱;황순재;유홍균
    • 대한기관식도과학회:학술대회논문집
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    • 대한기관식도과학회 1993년도 제27차 학술대회 초록집
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    • pp.83-83
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    • 1993
  • 정상 p53 유전자는 17번 염색체의 short arm에 위치하는 항암 유전자이나 point mutation에 의한 p53 유전자의 변이는 반감기가 긴 p53단백을 합성하여 핵내에 축적되고 변이형 p53은 암의 발생을 일으키는 것으로 알려졌다. 최근 p53에 대한 단크론성 항체가 개발되어 조직에서 변이형 p53의 검색이 가능하여 여러종류의 종양조직에서 면역세포화학적 방법으로 p53에 대한 표현 양상이 연구되었다. 이에 설 및 편도의 편평상피세포암 조직에서 면역세포화학적 방법으로 p53의 표현 양상을 검색하고 p53의 표현 양상과 임상적, 병리적 소견과의 관계를 알아보고자 29례의 편평상피세포암(설암 19례, 편도암 10례)의 진단시 채취한 생검조직에서 p53에 대한 단크론성 항체를 사용하여 p53의 표현양상과 병리조직학적 분화도, 종양의 원발부위, 원발종양의 크기, 경부 임파전이 여부와의 관계를 비교 분석하여 다음과 같은 결과를 얻었다. 1. p53은 대조군과 실험군의 모든 비종양핵에서는 음성반응을 보였고, 29례의 실험군 중 4례의 종양핵에서 양성반응을 보여 양성율은 13.8%이었다. 2. p53의 양성반응은 종양의 크기가 4cm 이상인 예에서 4cm 미만인 예에서 보다 양성인 예가 많았다(p<0.05). 3. p53의 양성반응은 종양의 병리조직학적 분화도, 종야의 원발부위, 경부 임파전이 여부와 유의한 관계가 없었다.

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구강 편평세포암종 세포주에서 Cyclosporin A와 Taxol 투여시 PI-3 kinase/Akt1 Pathway에 의한 세포사멸 병용효과 (APOPTOTIC EFFECT IN COMBINATION OF CYCLOSPORIN A AND TAXOL ON ORAL SQUAMOUS CELL CARCINOMA CELL LINE THROUGH THE PI-3 KINASE/AKT1 PATHWAY)

  • 김규영;이재훈
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제33권5호
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    • pp.426-436
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    • 2007
  • Oral cancer take up 2-6% of all carcinomas and squamous cell carcinoma, which is the most common type in oral cancer, has a poor prognosis due to its high metastasis and recurrence rates. In treating oral cancer, chemotherapy to the primary, metastasized and recurrent lesion is a very important and useful treatment, even though its widespread usage is limited due to high general toxicity and local toxicity to other organs. Taxol, a microtubule stabilizing agent, is an anticancer drug that induces cell apoptosis by inhibiting depolymerization of microtubules in between the metaphase and anaphase of the cell mitosis. Recently, its effectiveness and mechanism on various tumor has been reported. However, not much research has been done on the application of Taxol to oral squamous cell carcinoma. Cyclosporin A, which is an immunosuppressant, is being used on cancers and when co-administered with Taxol, effectiveness of Taxol is enhanced by inhibition of Taxol induced multidrug resistance. In this study, Cyclosporin A with different concentration of Taxol was co-administered to HN22, the oral squamous cell carcinomacell line. To observe the cell apoptosis and the mechanisms that take part in this process, mortality evaluation of tumor cell using wortmannin, c-DNA microarray, RT-PCR analysis, cytometry analysis and western blotting were used, and based upon the observation on the effect and mechanism of the agent, the following results were obtained: 1. The HN22 cell line viability was lowest when $100{\mu}M$ of Wortmannin and $5{\mu}g/ml$ of Taxol were co-administered, showing that Taxol participates in P13K-AKT1 pathway. 2. In c-DNA microarray, where $1{\mu}g/ml$ of cyclosporine A and 3mg/ml of Taxol were co-administered, no up regulation of AKT1, PTEN and BAD c-DNA that participate in cell apoptosis was observed. 3. When $1{\mu}g/ml$ of Cyclosporin A was applied alone to HN22 cell line, no difference was found in AKT1, PTEN and BAD mRNA expression. 4. Increased AKT1, mRNA expression was observed when $3{\mu}g/ml$ of Taxol was applied alone to HN22 cell line. 5. When $1{\mu}g/ml$ of Cyclosporin A and Taxol($3{\mu}g/ml\;and\;5{\mu}g/ml$) were co-administered to HN22 cell line, PTEN mRNA expression increased, whereas AKT1 and BAD mRNA decreased. 6. As a result of cytometry analysis, in the group of Cyclosporin A($1{\mu}g/ml$) and Taxol($3{\mu}g/ml$) co-administration, increased Annxin V was observed, which shows that apoptosis occurred by deformation of plasma membrane. However, no significant difference was observed with vary ing concentration. 7. In western blot analysis, no caspase 3 was observed in the group of Cyclosporin A($1{\mu}g/ml$) and Taxol($3{\mu}g/ml$) co-administration. From the results of this study, it can be concluded that synergistic effect can be observed in combination therapy of Taxol and Cyclosporin A on oral squamous cell carcinoma cell line, where decreased activity of the cell line was observed. This resulted in decreased AKT1 and BAD mRNA and increased PTEN mRNA expression and when wortmannin and Taxol were co-administered, the viability decreased which confirms that Taxol decreases the viability of tumor cell line. Hence, when Taxol and cyclosporine A are co-administered, it can be assumed that cell apoptosis occurs through AKt1 pathway.

비인강암의 임상적 특성 (Clinical Characteristics of Nasopharyngeal Cancer)

  • 심윤상;이원종
    • 대한두경부종양학회지
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    • 제12권1호
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    • pp.81-87
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    • 1996
  • We studied the clinical charcteristics of 265 cases of nasopharyngeal carcinomas diagnosed at Korea Cancer Center Hospital over a span of 8 years from Jan. 1987. Male were 187 and Female were 78 and male: female ratio was 2.4 : 1. The age distribution ranged from 2nd decade to 9th decade evenly and mean age was 46.1 years old. Histopathologically squamous cell carcinoma (WHO type 1, 2, 60.8%) were 161 cases and undifferentiated carcinoma (WHO type 3, 39.2%) were 104 cases. Main symptoms and signs were neck mass 199 cases (75.1%), ear symptoms 126(47.5%), nasal symptom 101 (38.1%). The distribution of anatomical subsites were posterior wall 75 (24.7%), lateral wall 175 (72.8%), Inferior wall 15 (2.5%). Tumor staging by AJCC classification, 1992, distributed with stage I 3 cases (1.1%), stage II 5 cases (1.9%), stage III 24 cases (9.1%), stage IV 233 cases (87.9%).

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경부기관에 발생한 선양낭성암종 1예 (Histopathologic Classification of Salivary Gland Neoplasm)

  • 추호석;정은재;권순영;정광윤
    • 대한기관식도과학회지
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    • 제9권1호
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    • pp.75-78
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    • 2003
  • Primary adenoid cystic carcioma of trachea is rare, with an incidence of only 0.2 per 100,000 persons per year. When all series of the tracheal carcinomas are combined, adenoid cystic carcinoma is the second most common tumor only to squamous cell carcinoma in incidence. Most patients have wheezing or stridor, dyspnea, hemoptysis, and cough as symptoms. Treatment options include surgery alone, radiation therapy alone, or a combination of both. The recommended surgical option is primary tracheal resection and reconstruction. Recently, we experienced a case of adenoid cystic carcinoma in 45 year old female patient who was treated tracheal tumor resection and end-to-end anastomosis of the trachea, so we report this case with the literatures.

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A Case Report of Huge Oral Verrucous Carcinoma in Oral Cavity

  • Kim, Jae-Jin
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제35권1호
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    • pp.45-48
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    • 2009
  • Verrucous carcinoma is a distinctive form of low-grade squamous cell carcinoma. The tumor has an exophytic, cauliflower-like appearance, and usually occurs in males and tends to affect individuals over 60 years of age. It typically involves the oral cavity, larynx, esophagus and skin. Most intraoral cases involve the mandibular vestibule, the buccal mucosa and the hard palate. The cause is unknown, but most verrucous carcinomas arise from the oral mucosa in people who chronically use chewing tobacco or snuff. The treatment of oral verrucous carcinoma remains controversial. Whenever possible, surgically total excision and skin or mucosal grafting is recommended. After total excision of huge verrucous carcinoma,instead of dermal or mucosal grafting, we used artificial dermis silicone membrane. We had a good result without recurrence and present this case.

우췌성암종;증례보고 (VERRUCOUS CARCINOMA A CASE REPORT)

  • 장현선;김수관
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제23권3호
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    • pp.277-280
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    • 2001
  • Verrucous carcinoma is a distinctive, extremely well-differentiated, slow-growing variant of the squamous cell carcinoma. Verrucous carcinoma of the oral cavity is relatively rare. McCoy reported about 49 verrucous carcinomas of the oral cavity. McCoy reported that the most common site of occurrence was the buccal mucosa, followed by the mandibular alveolar ridge and gingiva, and that The majority of the patients were between the ages of 50 and 80 years. Although most other series of oral verrucous carcinoma show a male predominence, our case occurred in female. The role of radiation therapy in treatment of oral verrucous carcinoma is controversial, and adequate surgical excision appears to be the treatment of choice. In this paper a case of verrucous carcinoma of the buccal mucosa and a review of the literature is presented.

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