Papillomatosis

乳头状瘤病
  • 文章类型: Journal Article
    目的:这项研究的目的是描述丹麦喉乳头状瘤病(LP)的发病率和人口统计学,包括性别和年龄分布,复发率,和HPV亚型,使用一种新的寄存器识别方法。
    方法:使用SNOMED代码从丹麦病理学数据库中提取数据,而不是使用丹麦国家卫生注册中心的ICD代码的常规方法。衍生的病理记录由三名医生手动验证。研究期为1994-2021年。根据年龄将患者分类为青少年发病RRP(JoRRP)(如果<18岁)或成人发病RRP(AoRRP)(如果18岁或以上)。
    结果:我们确定了1819例RRP患者(JoRRP:56;AoRRP:1763)。JoRRP每100,000居民的总发病率为0.17,AoRRP为1.45。绝大多数(72%)的患者是男性,但RRP发病年龄或性别间复发率无显著差异.3岁以下儿童的复发概率最高。使用SNOMED代码提取数据导致关于活检总数的阳性预测值为99%,关于个体的阳性预测值为98%。在整个研究期间发病率下降。
    结论:丹麦和挪威的RRP发病率和复发率相当。在这项研究中,发现丹麦病理学注册是一种非常有价值的鉴定LP患者的方法.可以使用这种方法评估全国HPV疫苗接种计划的效果,因为接种疫苗的队列开始变老和繁殖。
    方法:基于回顾性注册的国家队列研究,证据水平3喉镜,2024.
    OBJECTIVE: The aim of this study is to describe the incidence and demographics of laryngeal papillomatosis (LP) in Denmark, including sex and age distribution, recurrence rates, and HPV subtypes, using a new method of register identification.
    METHODS: The data were extracted from the Danish Pathology Data Bank using SNOMED codes instead of the usual method using ICD codes from the Danish National Health Register. The derived pathology records were manually verified by three medical doctors. The study period was 1994-2021. Patients were categorized according to age as either juvenile-onset RRP (JoRRP) if <18 years or adult-onset RRP (AoRRP) if 18 years or older.
    RESULTS: We identified 1819 RRP patients (JoRRP: 56; AoRRP:1763). The overall incidence per 100,000 inhabitants were 0.17 for JoRRP and 1.45 for AoRRP. The vast majority (72%) of the patients were male, but there was no significant difference in age at onset of RRP or recurrence rates between the sexes. Children below 3 years of age had the highest recurrence probability. Extracting data using SNOMED codes resulted in a positive predictive value of 99% regarding total number of biopsies and 98% regarding individuals. The incidence decreased throughout the study period.
    CONCLUSIONS: Comparable incidence and recurrence rates of RRP were found between Denmark and Norway. In this study, the Danish Pathology Register was found to be a highly valuable method for identifying LP patients. The effect of the nationwide HPV vaccination program can be evaluated using this method as the vaccinated cohort is starting to grow older and reproduce.
    METHODS: Retrospective registry-based national cohort study, level of evidence 3 Laryngoscope, 2024.
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  • 文章类型: Case Reports
    特发性破裂性黄斑色素沉着(IEMP)是一种罕见且可能未被诊断的皮肤病。它表现为脸上无症状的色素性黄斑,儿童和青少年的躯干和近端四肢。Degos等人。1978年首次记录了这种情况,揭示了其独特的特征。斑疹,最初是深棕黑色,在几个月到几年内自然减少,没有持久的色素沉着或疤痕。在这份报告中,我们重点介绍了一个14岁女孩的案例,该女孩表现出IEMP的所有独特特征。
    Idiopathic Eruptive Macular Pigmentation (IEMP) is an uncommon and possibly underdiagnosed dermatosis. It manifests as asymptomatic pigmented macules over the face, trunk and proximal extremities among children and adolescents. Degos et al. first documented this condition in 1978, unveiling its distinct characteristics. The macules, initially dark brown-black, naturally diminish over several months to years, with no lasting pigmentation or scarring. In this report, we highlight the case of a 14-year-old girl displaying all the distinctive traits of IEMP.
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  • 文章类型: Journal Article
    The literature review presents current data on the epidemiology, drug, and surgical treatment of laryngeal papillomatosis in adults. Possible prospects for further study of the prevalence and incidence of the disease and provoking factors of recurrence of the disease for the development of possible preventive measures are considered.
    В обзоре литературы представлены современные данные об эпидемиологии, лекарственном и хирургическом лечении папилломатоза гортани у взрослых. С целью разработки профилактических мероприятий рассмотрены возможные перспективы дальнейшего изучения распространенности и заболеваемости папилломатозом гортани, а также факторов, провоцирующих рецидивирование заболевания.
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  • 文章类型: Journal Article
    幼年发作的复发性呼吸道乳头状瘤是与HPV感染相关的终生良性鳞状病变,特别是HPV6和HPV11基因型。这些病变很罕见,但是会导致喉阻塞,会导致呼吸困难,或者转变成鳞状细胞癌.这里的目的是提供一种流行病学,这种病理学的生物学和临床概述,特别是在儿童中,为了了解在研究和开发医疗和治疗管理工具方面的问题。
    Juvenile onset recurrent respiratory papillomatosis is a lifelong benign squamous lesion associated with HPV infection, particularly HPV6 and HPV11 genotypes. These lesions are rare, but can lead to laryngeal obturations, which can cause disabling dyspnea, or transform into squamous cell carcinoma. The aim here is to provide an epidemiological, biological and clinical overview of this pathology, particularly in children, in order to understand the issues at stake in terms of research and the development of medical and therapeutic management tools.
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  • 文章类型: Journal Article
    本研究旨在评估细胞增殖,通过免疫组织化学方法检测犬口腔乳头状瘤病的p53水平和凋亡指数。研究材料包括从六只狗身上采集的肿瘤组织样本,这些狗被动物医学院病理学系录取,卡夫卡斯大学,Kars,蒂尔基耶.免疫组织化学染色选择抗生物素蛋白-生物素过氧化物酶法。犬口腔乳头状瘤病病例,确定是由犬乳头瘤病毒1引起的,被发现具有相当高的细胞增殖指数。此外,所有病例经免疫组化证实携带突变型p53基因.尽管p53基因突变,诊断为肿瘤的狗的Bax/Bcl-2比率的变化有利于促凋亡Bax基因。确定凋亡机制通过胱天蛋白酶依赖性和胱天蛋白酶非依赖性途径发生。虽然在某些情况下病变占据了整个口腔,组织病理学,在6例中均未发现恶性转化。
    This study was aimed at the evaluation of cell proliferation, p53 level and apoptotic index by immunohistochemical methods in canine oral papillomatosis. The study material comprised of tumor tissue samples taken from six dogs being admitted to the Pathology Department of Faculty of Veterinary Medicine, Kafkas University, Kars, Türkiye. Choice of immunohistochemical staining was avidin-biotin peroxidase method. Cases of canine oral papillomatosis, determined to have been caused by canine papillomavirus-1, were found to have a rather high cell proliferation index. Furthermore, all cases were immunohisto-chemically demonstrated to carry a mutant p53 gene. Despite the mutation of p53 gene, the shift in the Bax/Bcl-2 ratio of dogs diagnosed with tumor was in favor of the pro-apoptotic Bax gene. The apoptotic mechanism was determined to occur through both the caspase-dependent and caspase-independent pathways. While the lesions occupied the entire oral cavity in some cases, histopathologically, malignant transformation was not detected in any of the six cases.
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  • 文章类型: Journal Article
    据报道,乳头瘤病是引起乳牛乳腺炎和牛奶损失的因素之一。对欧洲牛群中的牛乳头瘤病毒(BPV)循环知之甚少,目前还没有关于其在波兰牛群中流行的报道。在这项研究中,从109头屠宰母牛的乳头中收集了177个BPV样病变。在39只被检查的动物中鉴定出BPV,使用PCR扩增和Sanger双脱氧测序。总的来说,分离出10种BPV类型,其中最常见的是由8型和7型引起的感染。宏观上,“稻谷”型病变占主导地位(76%),主要在一个乳头上发现(57.4%)。导致波兰奶牛乳头乳头状瘤病的BPV类型的多样性似乎很大,分离出9种已知类型,并发现了一种新的推定类型。新类型在世界范围内的牛种群中的传播可以首次看到,在欧洲牛群中发现了25型和所谓的分离株BPV42和BPV43。
    Teat papillomatosis is reported to be one of the factors causing mastitis and milk losses in dairy cattle. Little is known about bovine papillomavirus (BPV) circulation in the European cattle population, and no reports can yet be found about its prevalence in Polish herds. In this study, 177 BPV-like lesions were collected from teats of 109 slaughtered cows. BPV was identified in 39 of the examined animals, using PCR amplification and Sanger dideoxy sequencing. In total, 10 BPV types were isolated, among which the most common were infections caused by types 8 and 7. Macroscopically, \"rice-grain\" type lesions dominated (76%) and were mainly found on one teat (57.4%). The diversity of BPV types causing teat papillomatosis in Polish cows seems to be large, with nine already known types isolated and a new putative type found. The spread of new types among the worldwide cattle population can be seen for the first time, as type 25 and so called isolates BPV42 and BPV43 were found in the European cattle population.
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  • 文章类型: Journal Article
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  • 文章类型: Journal Article
    背景:呼吸道乳头状瘤是气道常见的良性病变之一,通常难以治疗且发病率高。贝伐单抗是一种作用于血管内皮生长因子受体的单克隆抗体,已知对呼吸道乳头状瘤病具有作用。本研究旨在系统回顾关于贝伐单抗在青少年性呼吸道乳头状瘤病中的疗效的文献。材料和方法。对各种数据库中的文献进行了系统的检索。搜索仅限于英语,然而,12月31日的出版日期没有限制,2020年为最后发布日期。我们严格遵守PRISMA准则。结果。在分析的145篇文章中,仅3例入选合格,共评估21例.随着手术次数的减少,开始病灶内Bevacizumb后,解剖Derkay评分有所改善。据报道,与语音相关的功能结果也得到了改善.没有报告与药物相关的不良反应。结论:皮损内贝伐单抗可能是一种有前途的有效药物,和JORRP管理中的安全佐剂。未来还需要精心设计的研究来证明其相对于其他可用佐剂的功效和安全性。
    Background: Respiratory papillomatosis is one of the common benign lesions of the airway that is often difficult to treat and carries significant morbidity. Bevacizumab is a monoclonal antibody that acts upon vascular endothelial growth factor receptor and is known to have an effect in respiratory papillomatosis. This study aims to systematically review the literature on efficacy of intralesional Bevacizumab in juvenile onset respiratory papillomatosis. Materials and methods. A systematic search of literature in various databases was conducted. The search was restricted to the English language, however, no restrictions were made regarding the date of publication keeping December 31st, 2020 as the last date of publication. We strictly complied with the PRISMA guidelines. Results. Of 145 articles analyzed, only 3 were selected as eligible and a total of twenty-one cases were evaluated. There was improvement in anatomic Derkay score after initiating intralesional Bevacizumb with reduction in the number of surgeries. Where reported, voice related functional outcomes also were also improved. No adverse effect related to the drug was reported. Conclusion: Intralesional Bevacizumab can be a promising efficacious, and safe adjuvant in the management of JORRP. Well-designed studies are further required in the future to prove its efficacy and safety over other adjuvants available.
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