ABSTRACT
BACKGROUND AND OBJECTIVES: Fas and Fas ligand (Fas-L) interactions mediate apoptosis of eosinophils. It is possible that reduction of Fas/Fas-L or Fas-L expression on eosinophils could induce the eosinophilia seen in Samter's triad. The purpose of this study was to analyse the release of LT and Fas/Fas-L expression pattern following exposure to varying concentrations of aspirin in aspirin sensitive nasal polyp (ASP) and non-aspirin sensitive nasal polyp (NASP) patients. MATERIALS AND METHODS: Twenty NASP patients and 16 ASP patients were recruited. Nine healthy subjects served as normal controls. LT levels and Fas/Fas ligand expressions were analysed by ELISA and flow cytometry. RESULTS: Both NASP and ASP patients showed increased release of LT on aspirin exposure in blood and nasal polyps. But ASP patients showed an even greater release of LT on aspirin exposure in blood as compared to NASP patients (p<0.05). LT release from peripheral blood elements do not necessarily coincide with those results obtained from nasal polyps. Eosinophils in ASP patients have significantly decreased Fas expression when compared to NASP patients (p<0.0001). CONCLUSION: These results suggested the role of LT and eosinophils in aspirin intolerance mechanisms in both blood and nasal polyp tissues. The decreased expression of the Fas receptor or defect of Fas/Fas-L interaction could be an important role in pathogenesis of nasal polyp regardless of their association with aspirin sensitivity.
Subject(s)
Humans , fas Receptor , Apoptosis , Aspirin , Enzyme-Linked Immunosorbent Assay , Eosinophilia , Eosinophils , Fas Ligand Protein , Flow Cytometry , Nasal Polyps , ViperidaeABSTRACT
Sweat gland carcinoma is the uncommon neoplasm, with few cases reported in the literatures. In a review of literatures, the most commonly used term is malignant nodular hidradenoma; however, similar cases also have been known as a malignant clear cell hidradenoma, malignant clear cell myoepithelioma, clear cell eccrine carcinoma and malignant clear cell acrospiroma. It is difficult to differentiate clinically between sweat gland carcinomas and other skin lesion, such as keloids, sebaceous cyst, dermatofibroma, lymphoma, and squamous cell carcinoma. Thus, a preoperative diagnosis of sweat gland carcinoma is rarely made and histologic examination is the only means of diagnosis. Most sweat gland carcinomas are found on the scalp, face, upper extremities, and axilla. The lesions are typically small, very slow growing, painless nodules. However, it is aggressive, infiltrative, and has highly recurrent rate. Lymph node metastases are frequent and overall survival is poor. So, that must be treated with wide local excision of the lesion and primary regional node dissection is recommended.We have experienced of a case of malignant nodular hidradenoma in cheek area. It was widely excised by total parotidectomy and covered by scapula fasciocutaneous free flap. We report this case with the review of the literature.
Subject(s)
Acrospiroma , Axilla , Carcinoma, Squamous Cell , Cheek , Diagnosis , Epidermal Cyst , Free Tissue Flaps , Histiocytoma, Benign Fibrous , Keloid , Lymph Nodes , Lymphoma , Myoepithelioma , Neoplasm Metastasis , Scalp , Scapula , Skin , Sweat Glands , Upper ExtremityABSTRACT
Sweat gland carcinoma is the uncommon neoplasm, with few cases reported in the literatures. In a review of literatures, the most commonly used term is malignant nodular hidradenoma; however, similar cases also have been known as a malignant clear cell hidradenoma, malignant clear cell myoepithelioma, clear cell eccrine carcinoma and malignant clear cell acrospiroma. It is difficult to differentiate clinically between sweat gland carcinomas and other skin lesion, such as keloids, sebaceous cyst, dermatofibroma, lymphoma, and squamous cell carcinoma. Thus, a preoperative diagnosis of sweat gland carcinoma is rarely made and histologic examination is the only means of diagnosis. Most sweat gland carcinomas are found on the scalp, face, upper extremities, and axilla. The lesions are typically small, very slow growing, painless nodules. However, it is aggressive, infiltrative, and has highly recurrent rate. Lymph node metastases are frequent and overall survival is poor. So, that must be treated with wide local excision of the lesion and primary regional node dissection is recommended.We have experienced of a case of malignant nodular hidradenoma in cheek area. It was widely excised by total parotidectomy and covered by scapula fasciocutaneous free flap. We report this case with the review of the literature.
Subject(s)
Acrospiroma , Axilla , Carcinoma, Squamous Cell , Cheek , Diagnosis , Epidermal Cyst , Free Tissue Flaps , Histiocytoma, Benign Fibrous , Keloid , Lymph Nodes , Lymphoma , Myoepithelioma , Neoplasm Metastasis , Scalp , Scapula , Skin , Sweat Glands , Upper ExtremityABSTRACT
BACKGROUND AND OBJECTIVES: Cell proliferation and differentiation are regulated by growth factors and growth factor receptors. Inappropriate expressions of growth factors and oncogenes may influence the biological and clinical phenotype of tumor. But there are still controversy regarding their clinical attributions in head and neck cancer. The authors evaluated the prognostic significance of p53 protein, EGF and c-erbB-2 expression in the squamous cell carcinoma of head and neck to determine their relationship with the clinicopathologic parameters. MATERIALS AND METHODS: Paraffin embedded tissue specimen from 64 cases of squamous cell carcinomas of head and neck were studied by immunohistochemical staining. RESULT: p53 protein, EGF and c-erbB-2 were expressed 53.1%, 29.7% and 57.8%, respectively, in 64 cases of head and neck cancer. The positive expression of p53 protein was associated closely with T-stage and clinical stage. This expression was statistically significant(P<0.05). There were no significant relationships between the reactivity of EGF, c-erbB-2 and clinical parameters. CONCLUSION: The expressions of p53 protein, EGF and c-erbB-2 could be related to oncogenesis in squamous cell carcinoma of the head and neck. And, the expression of p53 protein can be used as a prognostic factor in head and neck squamous cell carcinoma.
Subject(s)
Carcinogenesis , Carcinoma, Squamous Cell , Cell Proliferation , Epidermal Growth Factor , Head and Neck Neoplasms , Head , Intercellular Signaling Peptides and Proteins , Neck , Oncogenes , Paraffin , Phenotype , Receptors, Growth FactorABSTRACT
Rhabdomyosarcoma is a highly aggressive and the most common soft tissue sarcoma in children. Sites of involvement include the orbit, the nose, the paranasal sinuses, the oropharynx, soft tissue, the nasopharynx, and the external ear or mastoid; however, the nasal vestibule, in particular, is an uncommon site. Rhabdomyosarcoma in the nasal vestibule has been reported in only one case in the literature so far and has never been reported in Korea. We experienced a case of embryonal rhabdomyosarcoma of the nasal vestibule which was managed with total excision of tumor mass and chemotherapy. We report the case and discuss the therapy and management of this unusual problem.
Subject(s)
Child , Humans , Drug Therapy , Ear, External , Korea , Mastoid , Nasopharynx , Nose , Orbit , Oropharynx , Paranasal Sinuses , Rhabdomyosarcoma , Rhabdomyosarcoma, Embryonal , SarcomaABSTRACT
BACKGROUND AND OBJECTIVES: The Epstein-Barr virus (EBV) is a human herpes virus which causes certain type of lymphoma and some epithelial neoplasm such as undifferentiated nasopharyngeal carcinoma. However, the role of EBV as a causative factor in other head and neck tumor especially, in laryngeal squamous cell carcinoma is not fully elucidated. The aim of this study was to analyze the relationship between the prescence of EBV in laryngeal squamous cell carcinoma and clinicopathologic characteristics. MATERIALS AND METHODS: 65 cases of laryngeal squamous cell carcinoma were retrieved from formalin-fixed, paraffin-embedded blocks and analyzed for EBV by immunohistochemical staining. Results : The EBV was detected in 26(40%) of the 65 patients with laryngeal squamous cell carcinoma and 2(10%) of the 20 control ases. In 26 cases of EBV-positive patients, 13(46.4%) cases were supraglottic cancer and 13(35.1%) cases were glottic cancer. CONCLUSION: These results suggest that EBV may possibly play an etiologic role in the pathogenesis of laryngeal squamous cell carcinoma.
Subject(s)
Humans , Carcinoma, Squamous Cell , Head , Herpesvirus 4, Human , Lymphoma , Neck , Neoplasms, Glandular and EpithelialABSTRACT
BACKGROUND AND OBJECTIVES: Cancer is a disease characterized by deregulation of cell cycle control. During the last decade, many alterations in the signaling pathways that ultimately lead to DNA replication and mitosis have been identified in various tumor types. DNA analysis by flow cytometry is considered to be of prognostic value in squamous cell carcinoma of the head and neck. However, a few and contradictory studies have been made on squamous cell carcinoma of the larynx. Expression of the cell cycle control gene cyclin D1 may, at least in some tumor types, provide a prognostic marker. Cyclin D1 is expressed during the G1 phase of the cell cycle and becomes associated with its catalytic partner CDK4 or CDK6. The authors evaluated the prognostic significance of cyclin D1, DNA ploidy and S-phase fraction (SPF) in the squamous cell carcinoma of the larynx to determine their relationship with the various clinicopathological parameters. MATERIALS AND METHODS: Paraffin embedded tissue specimens from 28 cases of squamous cell carcinoma of larynx were studied by the immunohistochemical method using cyclin Dl antibody and by flow cytometric DNA analysis. RESULT: The positive expression of cyclin D1 protein was 60.7% in squamous cell carcinoma of the larynx. In 28 cases of flow sytometric DNA analysis, 23 cases (82.1%) were diploidy and 5 cases (17.9%) were aneuploidy. The SPF ranged from 0.0% to 83.9% (mean 41.4, median 35.2). The mean SPF of DNA diploid cases was 34.2%, whereas that of DNA aneuploid cases was 74.7%. Expression of cyclin D1 protein was found in 52.2% of the diploid cases and in 100% of the aneuploid cases. This expression was statistically significant (p or = 35.2). The expression of cyclin D1 protein did not correlate with clinical features. CONCLUSION: The expression of cyclin D1 protein may be related with development of squamous cell carcinoma of the larynx, but not correlated with prognostic indicators. In cases of aneuploidy/higher SPF (> or = 35.2), The expression of cyclin Dl protein did not significantly correlate with lymph node metastasis, but showed a high expression rate of cyclin Dl protein. However, these correlations were not sufficient for the prognostic indicators in squamous cell carcinoma of the larynx.
Subject(s)
Aneuploidy , Carcinoma, Squamous Cell , Cell Cycle , Cell Cycle Checkpoints , Cyclin D1 , Cyclins , Diploidy , DNA Replication , DNA , Flow Cytometry , G1 Phase , Head , Larynx , Lymph Nodes , Mitosis , Neck , Neoplasm Metastasis , Paraffin , PloidiesABSTRACT
BACKGROUND AND OBJECTIVES: Apoptosis may play a key role in determining the growth, aggressiveness, and therapy responsiveness of tumors. Dysregulation of apoptosis can cause the tumorigenesis of sinonasal malignant tumors. The purpose of this study was to assess apoptosis and the expression of its related proteins, bcl-2 and Fas-L, in the sinonasal malgnant tumors. MATERIALS AND METHODS: The study samples were obtained after surgical removal of 22 cases of inverted papilloma (IPs), 4 cases of IPs associated with squamous cell carcinoma (SCC), 14 cases of SCC in sinonasal cavity and 5 cases of normal inferior turbinate mucosa as a control. Apoptosis was evaluated by analysing DNA fragmentation using the TUNEL method. Bcl-2 and Fas-L expressions were assessed by immunohistochemical staining. RESULTS: Apoptotic index (Al) was decreased progressively from IPs, through IP with SCC to reach the lowest level in SCC (p<0.05). Bcl-2/Fas-L expressions were increased as tumor progressed but Fas-L expression was statistically significant only (p<0.05). An inverse relationship between the Fas-L expression and apoptosis was observed as tumor progressed (p<0.05). No significant correlation was found between AI, expressions of bcl-2/Fas-L and other clinicopathologic factors. CONCLUSIONS: These data suggest that bcl-2/Fas-L expressions are related to apoptosis and tumorigenesis of sinonasal malignant tumors. The inverse tendency between Fas-L expression and apoptosis might be an important role in evading surveillance of the immune system of sinonasal malignant tumors.
Subject(s)
Apoptosis , Carcinogenesis , Carcinoma, Squamous Cell , DNA Fragmentation , Fas Ligand Protein , Immune System , In Situ Nick-End Labeling , Mucous Membrane , Papilloma, Inverted , TurbinatesABSTRACT
As the use computed tomographic (CT) scanning spread, the diagnosis of blowout fractures of the medial orbital wall increased. Now, the diagnosis of blowout fracture in the medial wall are not uncommon. Conventionally, the surgery of blowout fractures in medial orbital wall was performed by the various approach with external incision. The conventional method had seveal possible disadvantages, including an external scar, incomplete reduction, increased mobidity rate and general anesthesia. Recently, endoscopic reconstruction of the medial orbital wall has provided good functional and cosmetic results. We performed endoscopic transnasal reduction surgery without external incision in 12 cases of medial blowout fracture under local anesthesia. The fractured bony fragments were removed after the intranasal ethmoidectomy and the entrapped medial rectus was released. And then a sheet of silicone late or uncinate process were placed on the fracture site. For the maintain of the position of fractured wall, Merocel packing or urinary ballon catheter were used in orbital fracture site for 1-3 weeks. There were no specific complications related to this procedure. Result of the surgery in all cases were satisfactory. In this article, we discussed the surgical procedure, the benifit of the transnasal endoscopic approach, the indications for surgery, and possible comlications.
Subject(s)
Anesthesia, General , Anesthesia, Local , Catheters , Cicatrix , Diagnosis , Orbit , Orbital Fractures , SiliconesABSTRACT
To investigate the changes in the responses of vestibular neurons with time during vestibular compensation, the resting activity and dynamic responses of type I and II neurons in the medial vestibular nuclei to sinusoidal angular acceleration were recorded following unilateral labyrinthectomy (ULX) in Sprague-Dawley rats. The unitary extracellular neuronal activity was recorded from the bilateral medial vestibular nuclei with stainless steel microelectrodes of 3~5 MOMEGA before ULX, and 6, 24, 48, 72 hours, and I week after ULX under pentobarbital sodium anesthesia (30 mg/kg, i.p.). Gain (spikes/s/deg/s) and phase (in degrees) were determined from the neuronal activity induced by sinusoidal head rotation with 0.05, 0.1, 0.2, and 0.4 Hz. The mean resting activity before ULX was 16.7+/-8.6 spikes/s in type I neurons (n=67, M+-SD) and 14.5+/-8.4 spikes/s in type II neurons (n=43). The activities of ipsilateral type I and contralateral type 11 neurons to the lesion side decreased markedly till 24 hr post-op, and a significant difference between ipsilateral and contralateral type I neurons sustained till 24 hr post-op. The gain at 4 different frequencies of sinusoidal rotation was depressed in all neurons till 6 or 24 hr post-op and then increased with time. The rate of decrease in gain was more prominent in ipsilateral type I and contralateral type 11 neurons immediately after ULX. Although the gain of those neurons increased gradually after 24 hours, it remained below normal levels. The phase was significantly advanced in all neurons following ULX. These results suggest that a depression of activities in ipsilateral type I and contralateral type II neurons is closely related with the occurrence of vestibular symptoms and restoration of activities in those neurons ameliorates the vestibular symptoms.
Subject(s)
Animals , Rats , Acceleration , Anesthesia , Compensation and Redress , Depression , Head , Microelectrodes , Neurons , Pentobarbital , Rats, Sprague-Dawley , Stainless Steel , Vestibular NucleiABSTRACT
BACKGROUND AND OBJECTIVES: The p53 protein is a 53 kD phosphoprotein. It is also one of the early recognition markers of malignancy and can be used to predict the aggressive behaviors of tumor. The human papilloma virus (HPV) is a species-specific, epitheliotrophic, double-stranded DNA virus. The purpose of this study was to evaluate the expression rate of p53, and to investigate whether a correlation exists between the rate of recurrence and the severity of lesion. We also investigated whether p53 expression rate and HPV affect recurrence and carcinogenesis of inverted papilloma. MATERIALS AND METHODS: Twenty-two cases of the inverted papilloma and 6 cases of squamous cell carcinoma arising in the inverted papilloma were used for the study. We used immunohistochemical staining for p53 and performed the molecular study of HPV DNA with in situ hybridization (ISH) on the paraffin embedded materials. RESULTS: 1) The overall expression rate of p53 was 39% (11/28). A significant correlation was observed between p53 protein accumulation and the severity of the lesion (p=0.0015). 2) Seven of 11 patients who tested positive for p53 showed recurrence, whereas two of the 12 patients who tested negative for p53 showed recurrence. There was a correlation between the rates of p53 expression and recurrence (p=0.029). 3) The HPV was detected in four cases (13%) of inverted papilloma. There was no statistical significance between HPV and the rate of recurrence(p=0.147). CONCLUSION: The results demonstate that p53 mutations and HPV may play a role in the oncogenesis of inverted papilloma.
Subject(s)
Humans , Carcinogenesis , Carcinoma, Squamous Cell , DNA , In Situ Hybridization , Papilloma , Papilloma, Inverted , Paraffin , RecurrenceABSTRACT
BACKGROUND AND OBJECTIVES: Cell proliferation and differentiation are regulated by growth factors and growth factor receptors. Inappropriate expressions of growth factors and altered responsiveness of growth factor receptors may influence the biological and clinical phenotype of tumor. The purpose of this study is to investigate the relationship between the expressions of TGF-alpha, EGF, EGFR and clinical behaviors in thyroid tumors. MATERIALS AND METHODS: The material consisted of 19 papillary carcinomas, 8 follicular carcinomas, 6 anaplastic carcinomas, 8 follicular adenomas and 5 normal thyroid tissues. The authors performed immunohistochemical staining for TGF-alpha, EGF and EGFR. RESULTS: Positive staining for TGF-alpha was found in 84.2% of papillary carcinomas, 100% of follicular carcinomas, 83.3% of anaplastic carcinomas and 25% of follicular adenomas. EGF was positive in 57.8% of papillary carcinomas, 25% of follicular carcinomas, 0% of anaplastic carcinomas and 25% of follicular adenomas. EGFR was positive in 52.6% of papillary carcinomas, 85.7% of follicular carcinomas, 83.3% of anaplastic carcinomas and 75% of follicular adenomas. There was no statistical relationship between regional lymph node metastasis, primary tumor size, patient's age and positive expression rates for TGF-alpha, EGF and EGFR. CONCLUSION: TGF-alpha expression was statistically higher in the malignant thyroid tumors than in benign thyroid tumors. However, the expression of EGFR was shown to be higher in thyroid tumors than in the normal thyroid tissues, but there was no statistical difference between benign and malignant tumors. EGF expressions demonstrated no statistical significance in thyroid tumors.
Subject(s)
Adenoma , Carcinoma , Carcinoma, Papillary , Cell Proliferation , Epidermal Growth Factor , Intercellular Signaling Peptides and Proteins , Lymph Nodes , Neoplasm Metastasis , Phenotype , ErbB Receptors , Receptors, Growth Factor , Thyroid Gland , Transforming Growth Factor alphaABSTRACT
The benign mesenchymoma, in which fibrous tissue is accompanied by two or more mesencymal components, occurs very rarely in the head and neck area. The majority appear in patients under 25 years of age, most commonly in the subcutaneous scalp, cheek, or tongue. There is a 20% recurrence rate. Wide surgical excision is the treatment of choice. We report a case of mesenchymoma in the nasopharynx which was removed by transpalatine approach with a brief review of literature.
Subject(s)
Humans , Cheek , Head , Mesenchymoma , Nasopharynx , Neck , Recurrence , Scalp , TongueABSTRACT
Hemangiopericytoma is an uncommon vascular tumor described first by Stout and Murray in 1942. These tumors arise from Zimmerman's pericytes, which are found outside capillaries and postcapillary venules. Although hemangiopericytomas are well characterized, many controversies still exist regarding their malignant potential and management. The hemangiopericytomas usually present as rapidly growing, painless masses. They are usually detected because of their rapid growth, or become symptomatic secondary to compression of adjacent structures. Pain occurs with local invasion or bony metastasis. The hemangiopericytoma in the nasal cavity and paranasal sinus often has local recurrence but appears to be a lower grade malignancy. And wide surgical excision is the treatment of the choice. We report a case of hemangiopericytoma occurred in the right nasal cavity and paranasal sinus treated by median maxillectomy via lateral rhinotomy incision.