Oral squamous cell carcinoma

口腔鳞状细胞癌
  • 文章类型: Journal Article
    我们系统地回顾了有关鳞状细胞癌(SCC)和Warthin's肿瘤(WT)同时发生的文献,被认为是相当罕见的,帮助减少误诊并改善治疗计划。对于这项系统审查,我们在WebofScience和PubMed数据库中搜索了文章,分析了正向和反向引用的相关研究,并仅确定了报告WT和SCC“共现”的文章。在确定的237项研究中,包括18例患者在内的12例符合纳入标准,我们增加了我们机构的一项研究。大多数WT与腮腺或颈部淋巴结中的SCC有关。由于识别出与原发性SCC分开的病变,大多数患者(89.5%)进行了选择性或根治性颈清扫术。尽管它经常与其他肿瘤同时发生,当将SCC观察为原发性肿瘤时,腮腺或颈淋巴结中的WT往往被误诊为转移淋巴结。诊断和颈部管理中需要考虑的因素包括确定淋巴管生成引起的生长或发育以外的关联,以及患者是否是吸烟者,一个强大的风险因素。
    We systematically reviewed the literature on the co-occurrence of squamous cell carcinoma (SCC) and Warthin\'s tumor (WT), thought to be quite rare, to help reduce misdiagnosis and improve treatment planning. For this systematic review, we searched for articles in the Web of Science and PubMed databases, analyzed relevant studies for forward and backward citations, and identified only articles reporting on the \"co-occurrence\" of WT and SCC. Of the 237 studies identified, 12 comprising 18 patients met the inclusion criteria, to which we added one study from our institution. Most WTs were associated with SCC in the parotid gland or cervical lymph nodes. Most patients (89.5%) underwent selective or radical neck dissection due to identification of lesions separate from the primary SCC. Despite its frequent co-occurrence with other neoplasms, WT in the parotid or cervical lymph nodes tends to be misdiagnosed as a metastatic node when SCC is observed as the primary tumor. Factors to consider in diagnosis and neck management include identification of an association other than growth or development by lymphangiogenesis and whether the patient is a smoker, a strong risk factor.
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  • 文章类型: Case Reports
    口腔鳞状细胞癌(OSCC)确实是最常见的口腔癌类型之一,通常影响50岁以上的人。它主要来源于口腔内的鳞状上皮细胞。虽然它在40岁以下的人中相对罕见,它仍然可能发生,虽然在这个年龄段不太频繁。发展OSCC的风险因素包括烟草使用(吸烟或咀嚼),过度饮酒,慢性刺激(如由于不合适的假牙),人乳头瘤病毒(HPV),感染,和某些饮食。早期发现和治疗对于改善预后和降低与此类癌症相关的死亡率至关重要。本报告描述了一个OSCC案例,分期T2N0M0,累及一名51岁男性患者的右侧颊粘膜。患者报告其脸颊右侧的溃疡剧烈疼痛。本报告着重于鳞状细胞癌的病因和简短的文献综述。
    Oral squamous cell carcinoma (OSCC) is indeed one of the most common types of oral cancer, typically affecting individuals over the age of 50. It primarily originates from the squamous epithelial cells lining the oral cavity. While it is relatively rare in individuals under 40 years old, it can still occur, albeit less frequently in that age group. Risk factors for developing OSCC include tobacco use (smoking or chewing), excessive alcohol consumption, chronic irritation (such as from poorly fitting dentures), human papillomavirus (HPV), infection, and certain dietary foods. Early detection and treatment are crucial for improving outcomes and reducing the mortality associated with this type of cancer. This report describes a case of OSCC, staged T2 N0 M0, involving the right buccal mucosa of a 51-year-old male patient. The patient reported intense pain in an ulcer on the right side of his cheek. This report focuses on the etiological factors and a brief literature review of squamous cell carcinoma.
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  • 文章类型: Journal Article
    背景:在青少年患者中诊断为口腔鳞状细胞癌(OSCC)极为罕见。当OSCC病变出现在牙齿和/或牙周组织附近时,它很容易被误诊为牙髓或牙周起源的炎症。
    方法:这是一例健康的14岁患者的病例报告,该患者被转诊进行牙髓评估和治疗前上颌骨软组织肿胀。
    结果:侵入性OSCC的意外明确诊断强调了正确诊断测试的重要性。
    结论:准确解释纸浆测试结果,根尖周和锥束计算机断层扫描(CBCT)成像,及时活检,当怀疑非牙源性病变时,及时的明确治疗至关重要。
    BACKGROUND: A diagnosis of oral squamous cell carcinoma in adolescent patients is extremely rare. When an oral squamous cell carcinoma lesion arises near the teeth and/or periodontium, it can be easily misdiagnosed as an inflammatory condition of endodontic or periodontal origin.
    METHODS: This is a case report of an otherwise healthy 14-year-old patient who was referred for endodontic evaluation and treatment of a soft-tissue swelling in the anterior maxilla.
    RESULTS: The unexpected definitive diagnosis of invasive oral squamous cell carcinoma underscores the importance of proper diagnostic testing.
    CONCLUSIONS: Accurate interpretation of pulp testing results, periapical and cone beam computed tomography imaging, timely biopsy, and prompt definitive treatment are critical when a lesion of nonodontogenic origin is suspected.
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  • 文章类型: Case Reports
    非闭塞性肠系膜缺血(NOMI)引起肠系膜缺血和肠坏死,尽管没有器质性梗阻,如肠系膜血管中的血栓和栓子,预后极差.我们报告了在使用西妥昔单抗进行生物放射疗法(BRT)治疗舌癌颈淋巴结转移期间发生的NOMI病例。该患者是一名73岁的男性,他在舌癌手术后因颈部淋巴结转移而接受了右根治性颈部清扫术。术后,患者接受BRT联合西妥昔单抗治疗.在BRT之后的第34天,患者出现腹胀和意识水平下降。对比增强计算机断层扫描显示肠系膜缺血,无血栓和广泛的肠气肿。患者被诊断为NOMI。此外,他患有感染性休克,并接受了血管加压药和抗菌剂治疗;然而,病人的情况没有改善,他在同一天死了.
    Nonocclusive mesenteric ischemia (NOMI) causes mesenteric ischemia and intestinal necrosis despite the absence of organic obstruction, such as thrombi and emboli in mesenteric blood vessels, and it has an extremely poor prognosis. We report a case of NOMI developed during bioradiotherapy (BRT) with cetuximab for cervical lymph node metastasis of tongue cancer. The patient was a 73-year-old man who underwent right radical neck dissection for neck lymph node metastasis after tongue cancer surgery. Postoperatively, the patient received BRT with cetuximab. On the 34th day after BRT, the patient had abdominal distension and a decreased level of consciousness. Contrast-enhanced computed tomography revealed mesenteric ischemia without thrombi and extensive intestinal emphysema. The patient was diagnosed with NOMI. Furthermore, he had septic shock and was treated with vasopressors and antibacterial agents; however, the condition of the patient did not improve, and he died on the same day.
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  • 文章类型: Case Reports
    伴有甲状腺转移的口腔鳞状细胞癌(OSCC)极为罕见,文献中的文献有限。在1984年至2023年之间,发表的文献中仅描述了40例头颈部鳞状细胞癌(SCC)伴甲状腺转移。在这里,我们提出了一个独特的病例,第二原发性口咽SCC转移到甲状腺,在对源自硬腭的SCC进行阴性切缘切除和放射治疗后的正电子发射断层扫描(PET)扫描过程中检测到。监测转移的潜在机制仍然难以捉摸,假设范围从连接甲状腺和咽后淋巴结的淋巴引流途径到血液学播散。甲状腺转移的处理是多方面的,包括从肺叶切除术和甲状腺全切除术到姑息干预的方法。我们介绍了这种非典型病例以及支持性的病理和放射学发现,并对这种罕见的临床实体进行了全面审查,以深入了解其诊断和管理。
    Oral squamous cell carcinoma (OSCC) with metastasis to the thyroid gland is exceedingly rare, with limited documentation within the literature. Between 1984 and 2023, only 40 cases of head and neck squamous cell carcinoma (SCC) with thyroid gland metastasis were described in published literature. Herein, we present a distinctive case of second primary oropharyngeal SCC with metastasis to the thyroid, detected during surveillance positron emission tomography (PET) scanning subsequent to negative margin resection and radiation therapy for SCC originating from the hard palate. The underlying mechanisms overseeing metastasis remain elusive, with hypotheses ranging from lymphatic drainage routes connecting the thyroid gland and retropharyngeal lymph nodes to hematologic dissemination. The management of metastases to the thyroid gland is multifaceted, encompassing approaches ranging from lobectomy and total thyroidectomy to palliative interventions. We present this atypical case alongside supportive pathological and radiological findings and a comprehensive review of this rare clinical entity to offer insight into its diagnosis and management.
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  • 文章类型: Journal Article
    背景:舌背鳞状细胞癌(SCC)极为罕见,它在临床上类似于各种良性病变。TP53和一些驱动基因的体细胞突变与SCC的发展有关;然而,背舌SCC的体细胞遗传特征仍然未知。通过对背舌SCC基因突变的详细分析,我们的目的是更好地了解它的生物学。
    方法:对4例最初发生在舌背端的SCC进行临床和组织学观察以及p53和p16的免疫组织化学表达。使用下一代测序与一组定制的驱动基因分析基因突变。
    结果:我们回顾性调查了557例舌鳞状细胞癌,只有4例SCC最初发生在舌背。四名患者(病例1-4)为一名女性和三名男性,平均年龄为53.75岁(范围:15-74岁)。组织学分析显示分化良好的SCC。通过分子分析,我们确定了致病性体细胞突变,即,在案例3中TP53p.C176F(c.527G>T)和在案例4中TP53p.R282W(c.844C>T)。在PI3K/AKT或RAS/RAF途径中未鉴定出致病变体。p53免疫组织化学检查显示在病例1-3中为野生型表达模式,在病例4中为强表达。所有病例的p16免疫染色结果均为阴性。
    结论:我们描述了舌背SCC的四个以前未报道的遗传特征。体细胞TP53突变可能有助于背舌SCC子集的发展;然而,需要积累更多的遗传分析病例。
    BACKGROUND: Squamous cell carcinoma (SCC) of the dorsum of the tongue is extremely rare, and it clinically resembles various benign lesions. Somatic mutations in TP53 and some driver genes were implicated in the development of SCC; however, the somatic genetic characteristics of dorsal tongue SCC remain unknown. With a detailed analysis of gene mutations in dorsal tongue SCC, we aimed to better understand its biology.
    METHODS: Four cases of SCC initially occurring on the tongue dorsum were evaluated for clinical and histological findings and immunohistochemical expression of p53 and p16. Gene mutations were analyzed using next-generation sequencing with a custom panel of driver genes.
    RESULTS: We retrospectively investigated 557 cases of tongue SCC, and only four cases of SCC initially occurred on the tongue dorsum. The four patients (cases 1-4) were one woman and three men with a mean age of 53.75 years (range: 15-74 years). Histological analysis revealed well-differentiated SCC. Through molecular analysis, we identified pathogenic somatic mutations, namely, TP53 p.C176F (c.527G > T) in case 3 and TP53 p.R282W (c.844 C > T) in case 4. No pathogenic variants were identified in the PI3K/AKT or RAS/RAF pathways. The p53 immunohistochemical examination revealed a wild-type expression pattern in cases 1-3 and strong expression in case 4. The results of p16 immunostaining were negative in all cases.
    CONCLUSIONS: We described four previously unreported genetic characteristics of dorsal tongue SCC. Somatic TP53 mutations may contribute to the development of a subset of dorsal tongue SCC; however, more cases with genetic analysis need to be accumulated.
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  • 文章类型: Journal Article
    口腔鳞状细胞癌(OSCC)是一种普遍的恶性肿瘤,对全球健康产生重大影响。鉴定用于早期检测和监测OSCC的非侵入性生物标志物仍然至关重要。
    总共100个科目,包括50例经组织病理学证实的OSCC患者和50例年龄和性别匹配的健康对照,参加了这项研究。从所有参与者收集唾液样品,并使用酶联免疫吸附测定(ELISA)进行分析以测量IL-1水平。临床数据,包括人口统计信息,吸烟习惯,和酒精消费,是从患者记录中获得的。
    OSCC患者的平均唾液IL-1水平明显高于健康对照组(P<0.001)。此外,亚组分析显示,与早期OSCC相比,晚期OSCC与IL-1水平显著升高相关(P<0.05).此外,高唾液IL-1水平与更具侵袭性的肿瘤表型和较差的预后相关,正如肿瘤大小所反映的,淋巴结转移,总生存期(P<0.01)。
    这项病例对照研究提供了令人信服的证据,证明OSCC患者的唾液白细胞介素-1(IL-1)水平显着升高。
    UNASSIGNED: Oral squamous cell carcinoma (OSCC) is a prevalent malignancy with a significant impact on global health. The identification of non-invasive biomarkers for early detection and monitoring of OSCC remains crucial.
    UNASSIGNED: A total of 100 subjects, comprising 50 patients with histopathologically confirmed OSCC and 50 age- and sex-matched healthy controls, were enrolled in the study. Salivary samples were collected from all participants and analyzed using enzyme-linked immunosorbent assays (ELISA) to measure IL-1 levels. Clinical data, including demographic information, smoking habits, and alcohol consumption, were obtained from patient records.
    UNASSIGNED: The mean salivary IL-1 level was significantly higher in OSCC patients compared to healthy controls (P < 0.001). Furthermore, subgroup analysis demonstrated that advanced stages of OSCC correlated with significantly elevated IL-1 levels when compared to early-stage OSCC (P < 0.05). Additionally, high salivary IL-1 levels were associated with a more aggressive tumor phenotype and poorer prognosis, as reflected by tumor size, lymph node metastasis, and overall survival (P < 0.01).
    UNASSIGNED: This case-control study provides compelling evidence that salivary Interleukin-1 (IL-1) levels are significantly elevated in patients with OSCC.
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  • 文章类型: Case Reports
    口腔鳞状细胞癌与主要在颈部淋巴结中同时出现的淋巴瘤很少发生。这里,我们报告了一个罕见的发现。一名66岁的男性,被诊断患有右下颌鳞状细胞癌,随后被发现患有淋巴结滤泡性淋巴瘤作为第二恶性肿瘤。患者接受了口腔鳞状细胞癌的手术切除,并进行了右选择性颈清扫术。多学科团队的术后治疗策略涉及口腔鳞状细胞癌的辅助放疗,同时对滤泡性淋巴瘤采取密切随访的方法。经过18个月的随访,没有疾病进展的证据.此病例报告强调了发生在头颈部区域的同步原发性恶性肿瘤的诊断挑战。它还强调了进行全面的临床和组织病理学检查以排除同步肿瘤的可能性的重要性。
    The occurrence of oral squamous cell carcinoma synchronously with lymphoma arising primarily in cervical lymph nodes is rare. Here, we report a case representing an infrequent finding. A 66-year-old male who was diagnosed with right mandibular squamous cell carcinoma and was subsequently found to have a nodal follicular lymphoma as a second malignancy. The patient underwent surgical resection for the oral squamous cell carcinoma with right selective neck dissection. The multidisciplinary team\'s postoperative treatment strategy involved adjuvant radiotherapy for the oral squamous cell carcinoma, while adopting a close follow-up approach for the follicular lymphoma. After an 18-month follow-up, there were no evidence of disease progression. This case report highlights the diagnostic challenges of synchronous primary malignancies occurring in the head and neck region. It also underscores the importance to conduct a comprehensive clinical and histopathological examination to rule out the possibility of synchronous neoplasms.
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  • 文章类型: Case Reports
    口腔癌是全球六种最常见的癌症之一。它与不良预后有关,延迟临床诊断,缺乏明确的生物标志物,和昂贵的治疗选择。这是一个严重的健康风险。在癌症患者中,压力增加和情绪低落是普遍存在的心理问题。在临床环境中治疗焦虑和抑郁的最有趣的新技术之一可能是虚拟现实(VR)。VR最近已经成为治疗许多症状的一种迷人的补救措施,取代了传统的基于暴露的治疗方法。沉浸在由计算机创建的虚拟世界中可以减少回避并加快情绪的处理。该病例涉及一名40岁的男性,他因左颊粘膜癌接受了颌骨切除术。以下最典型的口腔副作用是不适,脓毒症,吃食物困难,和说话的困难。疼痛和难以张开嘴是他的主要抱怨。此外,他不能动他的舌头,让他说话和吞咽具有挑战性。在过去的10年里,他一直在嚼烟草。病人被建议进行理疗,其中包括打开下巴的练习,吞咽练习,等。,减轻他的不适。为了减少焦虑和压力,对患者进行VR治疗。该病例的研究结果表明,与结果指标相比,所有目标均已实现,患者的日常活动也取得了进展。
    Oral cancer is among the six most common cancers worldwide. It is associated with a poor prognosis, delayed clinical diagnosis, absence of a clear biomarker, and expensive treatment choices. It is a serious health risk. Among people with cancer, increased stress and low mood are prevalent psychological issues. One of the most intriguing new technologies for treating anxiety and depression in the clinical setting may be virtual reality (VR). VR has recently emerged as a fascinating remedy for many symptoms in place of conventional exposure-based treatments. Immersion in a virtual world created by a computer reduces avoidance and speeds up the processing of emotions. This case concerns a 40-year-old male who underwent a mandibulectomy for left buccal mucosa carcinoma. The most typical oral side effects following are discomfort, sepsis, difficulty in eating food, and talking difficulties. Pain and difficulty opening his mouth were his main complaints. Additionally, he could not move his tongue, making it challenging for him to speak and swallow. He had chewed tobacco for the previous 10 years. The patient was advised to engage in physiotherapy, which included jaw-opening exercises, gulping exercises, etc., to lessen his discomfort. And to reduce anxiety and stress, VR therapy was given to the patient. The case\'s findings indicate that all goals were achieved and the patient progressed in his daily activities compared to the outcome measures.
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  • 文章类型: Case Reports
    口腔中最常见的恶性肿瘤是鳞状细胞癌(SCC)。社会交往受到阻碍,包括吃,交谈,和练习基本的口腔卫生。一名43岁的男子以前曾在颊粘膜右侧流脓,抱怨下颚右下背部隐隐作痛。患者的右颊黏膜在两年前接受了SCC手术治疗。他接受了30个周期的高剂量放射治疗,用于治疗右侧颊粘膜的SCC。右上颌骨和下颌骨骨坏死,根据临床和影像学评估。强调心脏康复和张口运动在口腔鳞状细胞癌(OSCC)中的重要性的目的是解决此类癌症对患者整体健康和福祉的多方面影响。OSCC是指一种发生在口腔内衬细胞中的癌症,包括嘴唇,舌头,牙龈,还有嘴巴的地板.OSCC的影响超出了对口腔区域的局部影响,并可能产生系统性后果。影响患者健康的各个方面。
    The most prevalent malignant tumor in the oral cavity is squamous cell carcinoma (SCC). Social interactions are impeded, including eating, conversing, and practicing basic oral hygiene. A 43-year-old man who had previously suffered pus discharge in the right side of the buccal mucosa complained of dull aching in the lower right back of his jaw. The patient\'s right buccal mucosa was surgically treated for SCC two years ago. He received 30 cycles of high-dose radiation therapy for SCC of the right buccal mucosa. The right maxilla and mandible had osteoradionecrosis, according to a clinical and radiographic assessment. The aim of emphasizing the importance of cardiac rehabilitation and mouth opening exercises in oral squamous cell carcinoma (OSCC) is to address the multifaceted impact of this type of cancer on a patient\'s overall health and well-being. OSCC refers to a type of cancer that occurs in the cells lining the oral cavity, including the lips, tongue, gums, and the floor of the mouth. The implications of OSCC go beyond the local effects on the oral region and can have systemic consequences, affecting various aspects of a patient\'s health.
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