verrucous squamous cell carcinoma

疣状鳞状细胞癌
  • 文章类型: Journal Article
    鳞状细胞癌是影响口腔的常见恶性肿瘤,可能累及周围的颌面部区域。治疗通常包括切除肿瘤,然后对切除缺损进行修复。这份临床报告介绍了一名62岁的亚洲男性患者,他以前接受过手术切除,导致Aramany术后II级上颌骨缺损。患者的病史包括严重的三嘴,以张嘴受限为特征,以及上颌窦疣状鳞状细胞癌的诊断。本报告全面介绍了使用数字辅助牙科技术快速制造临时闭塞器的情况。
    Squamous cell carcinoma is a common malignant condition affecting the oral cavity and may involve the surrounding maxillofacial regions. Treatment commonly involves resection of the tumor, followed by prosthetic rehabilitation of the resection defect. This clinical report presents a 62-year-old Asian male patient who had previously undergone surgical resection, resulting in a post-surgical Aramany Class II maxillary defect. The patient\'s medical history included severe trismus, characterized by restricted mouth opening, as well as a diagnosis of maxillary sinus verrucous squamous cell carcinoma. This report provides a comprehensive account of the rapid fabrication of an interim obturator using digitally assisted dentistry techniques.
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  • 文章类型: Case Reports
    组织工程的出现和培养的表皮自体移植物(CEA)的临床应用改善了严重烧伤患者的预后。马乔林溃疡(MU)是众所周知的烧伤并发症。这些烧伤疤痕的恶性肿瘤转化通常是鳞状细胞癌,具有较高的区域转移发生率。根治性手术仍然是首选的治疗方法。在68例严重烧伤的患者中,确定在CEA部位发生恶性转化的病例。2017年4月至2019年6月在Clamart(法国)军事医院进行了回顾性单中心研究。共纳入1991年至2013年期间接受治疗的34例患者(包括1例验尸)。4例鳞状细胞癌发生在先前被CEA覆盖的区域。提供了来自临床和组织病理学检查以及治疗方式的数据。一名患者因鳞状细胞癌的演变而死亡,另外两人由于局部复发而需要抢救截肢。这些CEA-MU的患病率估计在5.9%至11.7%之间,与CEA相关的MU的人时发病率约为每1000人年5.9。在我们的研究中,恶性转化的平均时间似乎大大缩短(“经典烧伤MU”为32-35年,而CEA-MU为15.7年)。第一个记录的CEA-MU病例系列表明需要告知护理人员和教育患者。需要进一步的研究来确定CEA移植部位恶性肿瘤的真实发生率。
    The advent of tissue engineering and the clinical applications with cultured epidermal autograft (CEA) have improved the prognosis of severely burned patients. Marjolin ulcers (MUs) are a well-known complication of burns. These malignant neoplasm transformations of burn scars are usually squamous cell carcinomas with a higher incidence of regional metastases. Radical surgery remains the treatment of choice. To identify cases of malignant transformation occurring at sites of CEA in a cohort of 68 massively burned patients. A retrospective single-centre study was performed from April 2017 to June 2019 at the Military Hospital of Clamart (France). A total of 34 patients treated between 1991 and 2013 (including one post-mortem) were included. Four cases of squamous cell carcinoma occurred in areas previously covered by CEA. The data from clinical and histopathological examination as well as treatment modalities are presented. One patient died as a result of the evolution of his squamous cell carcinoma, and two others required salvage amputation due to locoregional recurrence. The prevalence of these CEA-MUs is estimated at between 5.9% and 11.7% and the person-time incidence rate of CEA-related MUs is about 5.9 per 1,000 persons-years. In our study, the average time to malignant transformation seems considerably shortened (32-35 years for \"classic burn MU\" versus 15.7 years for CEA-MU). This first documented case series of CEA-MUs demonstrates the need to inform caregivers and educate patients. Further studies are needed to specify the true incidence of CEA-graft site malignancy.
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  • 文章类型: Journal Article
    尽管大多数喉癌是传统的鳞状细胞癌(SCC),各种各样的恶性上皮肿瘤可以影响喉。目前的治疗指南旨在指导临床医生处理常规喉部SCC。对其他恶性上皮病变的生物学行为和对治疗的反应性以及总体结果知之甚少。因为这些罕见的表型代表了一系列疾病生物学,对基础生物学的了解有助于指导治疗以优化该组患者的临床结局.这篇综述提供了与诊断相关的文献的批判性分析,管理,喉部非常规鳞状恶性上皮肿瘤患者的预后。特别注意与常规SCC不同的特征以及这些特征如何影响这些罕见肿瘤的管理。
    Although the majority of laryngeal malignancies are the conventional squamous cell carcinomas (SCC), a wide variety of malignant epithelial tumors can affect the larynx. Current treatment guidelines are designed to guide clinicians in management of conventional laryngeal SCC. Less is known about the biological behavior and responsiveness to therapy and overall outcomes of other malignant epithelial lesions. Because a spectrum of disease biology is represented by these rare phenotypes, an understanding of the basic biology can help direct management to optimize clinical outcome in this group of patients. This review provides a critical analysis of literature relating to the diagnosis, management, and outcome of patients with non-conventional squamous malignant epithelial neoplasms of the larynx. Particular attention is paid to features which are at variance with the conventional SCC and how these impact on management of these rare tumors.
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  • 文章类型: Journal Article
    OBJECTIVE: Verrucous carcinoma of the larynx (VCL) is a rare entity with reportedly favorable prognosis. Current analyses are limited primarily to case reports and case series, thus making a population-based analysis useful in characterizing frequency, incidence, and survival trends to guide clinical diagnosis and decision making.
    METHODS: Analysis of the National Cancer Institute\'s SEER (Surveillance, Epidemiology, and End Results) database.
    METHODS: Cases of VCL diagnosed between 1973 and 2011 were searched in the SEER database. Analysis was carried out with respect to patient demographics, tumor characteristics, incidence, treatment modality, and survival.
    RESULTS: In sum, 516 patients with VCL were identified. Males composed 88.4% of cases. Whites accounted for 88.4% of cases, with 8.1% of cases occurring in black patients. Most cases (79.7%) arose in the glottis, a statistically significant predilection when compared with other laryngeal malignancies (P < .0001). Incidence of VCL decreased from 2000 to 2011, with an annual percent change of -5.4%. Overall 1-, 5-, and 10-year disease-specific survival for VCL was 97.5%, 88.0%, and 77.4%, while 1-, 5-, and 10-year relative survival was 98.1%, 85.5%, and 74.2%, respectively. Surgery seemed to confer better prognosis when compared with other treatment modalities.
    CONCLUSIONS: This large population-based analysis of VCL demonstrates that this entity has a good prognosis, arises in the glottis, and is decreasing in incidence. Five-year survival seems highest when surgery is utilized. However, this finding may be subject to selection bias in high-stage lesions.
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