• Title/Summary/Keyword: head and neck squamous cell carcinoma

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상악동내 국균증과 편평상피세포암의 동시발생 증례: 조직학적 연구 및 문헌고찰 (Squamous cell carcinoma occurring with aspergillosis in the maxillary sinus: a case report and histological study)

  • 변준호;이정희;노규진;박봉욱
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제36권2호
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    • pp.125-127
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    • 2010
  • The coexistence of aspergillosis and squamous cell carcinoma (SCC) in the maxillary sinus was very rare. To our knowledge, this is the second report of coexistent SCC and aspergillosis in the maxillary sinus. A 58-year-old man underwent surgery for unilateral maxillary sinus infection with oroantral fistula. In the surgical specimen, SCC and aspergillosis were co-detected with routine and immunohistochemical stainings. Moreover, human papillomavirus 18 (HPV-18) was detected by polymerase chain reaction in the sinus specimen. The patient was re-operated with subtotal maxillectomy and has been followed up for two years without any evidence of recurrence or metastasis. Although it is not understood how aspergillosis could induce carcinoma formation, the chronic inflammation caused by prolonged fungal infection might be carcinogenic. Moreover, HPV-16 and -18 were another causative pathogens of SCC in the head and neck region. We recommend careful examination, including preoperative cytology, in patients with maxillary sinus fungal infections because of the potential for cancer development.

인체 편평상피세포암세포주에서 9-Hydroxypheophorbide-$\alpha$와 660nm Diode 레이저를 이용한 광역학치료의 항암효과 (Anticancer Effect of Photodynamic Therapy using 9-Hydroxypheophorbide-$\alpha$ and 660nm Diode Laser on Human Squamous Cell Carcinoma Cell Line)

  • 김한균
    • 대한두경부종양학회지
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    • 제17권1호
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    • pp.3-7
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    • 2001
  • Objectives: New photosensitizer 9-hydroxypheophorbide-$\alpha$(9-HpbD-$\alpha$) was derived from chlorophyll in water with peak absorption at 660nm. 9-HpbD-$\alpha$ was tested with 660 nm diode laser for the anticancer effect of photodynamic therapy. Materials and Methods: Human SNU 1041 cells were seeded into 96 well plate at a density of $$ cells/well for 24 hours. Cells were washed with media containing various concentration of 9-HpbD-$\alpha$ ranging from $0{\mu}g/ml\;to\;3.75{\mu}g/ml$. Then, laser treatment was done with 660nm diode laser ($10mW/cm^2$) at various time setting (0, 30, 60, 90, 120 minutes) and with various time interval (0, 1, 4, 6, 18 hours). The treated cells were incubated 48 hours and MTT assay was done to measure the viability of cells. Results: The viability of cells was more than 90% after laser treatment in control group. The viability of cells was decreased with increasing concentration of 9-HpbD-$\alpha$ and laser treatment time in experimental groups. The viability of cells was decreased significantly as the interval time between addition of 9-HpbD-$\alpha$ and laser irradiation was increased. Conclusion: This study shows the anticancer effect of photodynamic therapy using 9-HpbD-$\alpha$ and 660nm Diode laser on carcinoma cell line. 9-HpbD-$\alpha$ is considerd as one of new photo sensitizers in the field of photodynamic therapy.

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Use of Real-Time Quantitative PCR to Identify High Expressed Genes in Head and Neck Squamous Cell Carcinoma Cell Lines

  • Lee, Yong-Gyoo;Chun, So-Young;Lee, Hae-Ahm;Sohn, Yoon-Kyung;Kang, Ku-Seong;Kim, Joung-Ok;Yun, Sang-Mo;Kim, Jung-Wan;Jang, Hyun-Jung
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제32권1호
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    • pp.69-75
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    • 2006
  • Head and neck squamous cell carcinoma(HNSCC) is the sixth most common cancer among men in the developed world affecting the tongue, pharynx, larynx and oral cavity. HNSCC is thought to represent a multistep process whereby carcinogen exposure leads to genetic instability in the tissue and accumulation of specific genetic events, which result in dysregulation of proliferation, differentiation, and cell loss and the acquisition of invasive capacity. Despite therapeutic and diagnostic progress in oncology during the past decades, the prognosis of HNSCC remains poor. Thus it seems that finding a biological tumor markers which will increase the early diagnosis and treatment monitoring rates, is of paramount importance in respect to improving prognosis. In an effort to identify gene expression signatures that may serve as biomarkers, this study several genes were selected, such as H3,3A, S100A7, UCHL1, GSTP1, PAI-2, PLK, TGF${\beta}$1 and bFGF, and used 7 HNSCC cell lines that were established various anatomical sites, and also 17 other cancer cell lines were used for control group using real-time quantitative RT-PCR and immunocytochemical analysis with a monoclonal antibody. In this study, S100A7 showed a clearly restricted occurrence in tongue originated cell line, and GSTP1 expression level in the pharynx originated cell line was very increased, relative to corresponding other cell lines. These results suggest that S100A7 and GSTP1 genes' expression can occur during tongue and pharynx originated head and neck tumorigenesis and that genetic change is an important driving force in the carcinogenesis process. This data indicate that S100A7 and GSTP1 expression pattern in HNSCC reflect both diagnostic clue and biological marker. And this is provides a foundation for the development of site-specific diagnostic strategies and treatments for HNSCC.

인체 상피 세포암의 일차 배양을 이용한 방사선 민감도 측정 (In Vitro Intrinsic Radiosensitivity Of Human Squamous Cell Carcinoma in Primary Culture)

  • 최은경;양광모;이병용;장혜숙;김상윤;남주현;유은실;이인철
    • Radiation Oncology Journal
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    • 제12권1호
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    • pp.27-31
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    • 1994
  • 종양의 조직학적 형태에 따라 또 같은 조직의 종양에서도 각 환자에 따라 방사선 치료에 대한 반응 정도에는 많은 차이가 관찰된다. 이러한 방사선 감수성을 예측하는 한 방법으로 각 환자에서 떼어낸 종양조직을 일차 배양하여 방사선 조사에 의한 세포 생존 곡선을 구한뒤 2Gy에서의 생존(SF2)을 얻었다. 방사선 치료가 계획된 두경부 종양과 자궁경부암 환자의 종양 조직을 얻어 기계적인 방법으로 미세절편으로 만든 후 collagenase type IV와 2시간 배양하여 단일 종양세포 혼탁액을 얻었다. Cell adhesive matix로 전처리된 24 well plate에 각 well당 일정수의 세포를 넣어 24시간 배양한뒤 각 열에 0, 1, 2, 3, 4. 6Gy의 방사선을 조사하였다. 13일간 배양후 crystal violet으로 염색한뒤 image analysis system을 이용하여 각 well의 광학밀도를 측정하여 세포 생존을 구한다. Linear quadratic model에 의한 생존 곡선을 얻은 뒤 2Gy에서의 생존율을 구하였다. 배양된 세포가 편평상 피암세포임을 확인하기 위하여 cytokeratin과 epithelial monoclonal 항체를 이용한 Immunocytochemical 염색을 하여 형광 현미경으로 관찰하였다. 5명의 두경부종양 환자와 20명의 자궁경부암 환자의 종양조직을 얻어 실험하여 15명(60$ \% $) 종양의 2Gy 생존을 얻는데 성공하였다. 10명의 일차 배양 실패의 원인은 단일 종양세포 혼탁액에 종양세포가 너무 적었거나 세포 이식후 배양이 잘 자라지 않은 것으로 판정되었다. 15편평 상피암 세포의 SF2의 평균은 0.55$\pm$0.17이었으며 범위는 0.20에서 0.79까지로 같은 편평상피암이라도 각 환자에 따라 SF2 간에 큰 차이를 보이는 것을 알 수 있었다. 이상에서 같은 부위에 생긴 같은 조직 유형의 종양이라도 각 환자마다 SF2 값의 차이가 큰 것으로 보아 방사선 치료의 효과를 예측할 수 있는 한 인자로 SF2 값을 이용할 수 있을 것으로 생각된다.

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Basic principles and applications of $^{18}F$-FDG-PET/CT in oral and maxillofacial imaging: A pictorial essay

  • Omami, Galal;Tamimi, Dania;Branstetter, Barton F.
    • Imaging Science in Dentistry
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    • 제44권4호
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    • pp.325-332
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    • 2014
  • A combination of positron emission tomography (PET) with $^{18}F$-labeled fluoro-2-deoxyglucose ($^{18}F$-FDG) and computed tomography ($^{18}F$-FDG-PET/CT) has increasingly become a widely used imaging modality for the diagnosis and management of head and neck cancer. On the basis of both recent literature and our professional experience, we present a set of principles with pictorial illustrations and clinical applications of FDG-PET/CT in the evaluation and management planning of squamous cell carcinoma of the oral cavity and oropharynx. We feel that this paper will be of interest and will aid the learning of oral and maxillofacial radiology trainees and practitioners.

Helical Rim Advancement Flap with an Additional Postauricular Skin Flap: A Case Report

  • Kim, Seung Ho;Choi, Jeong Hwan
    • 대한청각학회지
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    • 제23권4호
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    • pp.210-213
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    • 2019
  • The auricle is a three-dimensional cartilaginous frame covered with thin overlying skin. Due to its complex features, reconstructing helical rim defects after the excision of an auricular mass is challenging. Shortage of subcutaneous tissue and the presence of a tightly bound epithelium further hamper the primary closure of lateral (anterior) auricular skin defects. We present herein a case in which we used a helical rim advancement flap along with an additional postauricular skin flap. We achieved a satisfactory esthetic result with minimal loss of helical diameter and a low risk of flap necrosis by preserving the vascular network of the flap. This technique is less traumatic and will facilitate faster healing as well as improved patient recovery.

Helical Rim Advancement Flap with an Additional Postauricular Skin Flap: A Case Report

  • Kim, Seung Ho;Choi, Jeong Hwan
    • Journal of Audiology & Otology
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    • 제23권4호
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    • pp.210-213
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    • 2019
  • The auricle is a three-dimensional cartilaginous frame covered with thin overlying skin. Due to its complex features, reconstructing helical rim defects after the excision of an auricular mass is challenging. Shortage of subcutaneous tissue and the presence of a tightly bound epithelium further hamper the primary closure of lateral (anterior) auricular skin defects. We present herein a case in which we used a helical rim advancement flap along with an additional postauricular skin flap. We achieved a satisfactory esthetic result with minimal loss of helical diameter and a low risk of flap necrosis by preserving the vascular network of the flap. This technique is less traumatic and will facilitate faster healing as well as improved patient recovery.

An anesthetic management of head and neck cancer reconstructive surgery in a patient having hemophilia A: a case report

  • Ryoo, Seung-Hwa;Kwon, Dohyun;Lee, Jong-Ho;Seo, Kwang-Suk;Kim, Hyun Jeong;Karm, Myong-Hwan
    • Journal of Dental Anesthesia and Pain Medicine
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    • 제21권3호
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    • pp.261-268
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    • 2021
  • Hemophilia A is a hemorrhagic disease caused by coagulation factor VIII deficiency. In head and neck cancer surgery, especially during a reconstructive one, complications can occur. These include hematomas due to bleeding which can then lead to flap ischemia, necrosis, and impaired wound healing. There are fewer cases of reconstructive surgery in patients with hemophilia A. Here in we report, a reconstructive surgery that involved mass resection, partial glossectomy (right), selective neck dissection (right, Levels I, II, III, IV), and reconstruction at the lateral arm free flap (left) in a 25-year-old man with hemophilia A. The surgery was successfully performed without any complications after pretreatment with Factor VIII concentrate, which has not been reported earlier.