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RESUMEN La metaplasia intestinal gástrica y la gastritis atrófica son condiciones precancerosas conocidas (CPCs) del estómago, lo que significa que los pacientes con CPCs están en riesgo de desarrollar cáncer gástrico y, por lo tanto, el diagnóstico y la categorización de riesgo para estos pacientes es un tema relevante. El objetivo de esta revisión es proporcionar una actualización sobre el problema, el diagnóstico y el manejo de las CPCs con énfasis en el papel de la detección endoscópica adecuada.
ABSTRACT Gastric intestinal metaplasia and atrophic gastritis are a known precancerous condition (PCC) of the stomach, meaning that patients with PCC are at risk for gastric cancer and so, diagnosis and risk categorization for these patients is relevant. The aim of this review is to provide an update regarding the problem, diagnosis, and management of PCCs with an emphasis on the role of appropriate endoscopic detection.
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Humans , Stomach/pathology , Gastritis, Atrophic/diagnosis , Intestines/pathology , Diagnostic Techniques, Digestive System , Metaplasia/diagnosisABSTRACT
@#Oral lichen planus (OLP) is a chronic inflammatory disease of the mucosa, some of which will develop into oral squamous cell carcinoma (OSCC). However, the pathogenesis of OLP remains unknown, but autoimmunity has been suggested as a potential cause. MicroRNAs (miRNAs), which are small noncoding RNAs, have been reported to be involved in a series of physiological events as well as the progression of diseases. The evidence indicates that miRNAs may be highly related to both the initiation and malignant progression of OLP. MiR-146a, miR-26b, miR-155, miR-19a and miR-125a are able to trigger OLP by regulating autoimmunity, and miR-137, miR-125b, and miR-27b may accelerate the carcinogenesis of OLP. These miRNAs may be potential targets for prognosis and treatment. Subsequent studies are expected to focus on a more comprehensive exploration of the role of miRNAs in OLP (including specific action pathways and other OLP-related miRNAs), as well as the potential for miRNAs to predict the treatment outcome of OLP. This review provides an updated summary of the roles of miRNAs in OLP to provide new ideas and approaches to OLP research.
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O diagnóstico precoce do câncer bucal e a detecção clínica de diversas desordens potencialmente malignas podem ser alcançados pelo rastreamento oportunista da cavidade bucal dos pacientes que buscam tratamento odontológico. O objetivo desse estudo foi fazer o levantamento retrospectivo da origem e prevalência das lesões malignas e desordens potencialmente malignas da cavidade bucal dos pacientes atendidos na Clínica de Estomatologia e Patologia Bucal da Odontoclínica Central da Marinha entre maio de 2011 a abril de 2018. O método utilizado foi o levantamento e análise das fichas clínicas e prontuários eletrônicos dos pacientes. Foram avaliadas como variáveis independentes o gênero, faixa etária, cor de pele, tabagismo e etilismo e, como variáveis dependentes, a presença de lesões malignas e/ou potencialmente malignas da cavidade bucal. Foram registradas, nesse período, o total de 45 lesões malignas e 177 desordens potencialmente malignas (DPM), sendo que, destas, 25 lesões malignas e 136 DPM foram diagnosticadas na Odontoclínica Central da Marinha. O estudo mostrou a importância da busca ativa e a detecção de diversas lesões da cavidade bucal em diversas especialidades da Odontologia.
The early diagnosis of Oral Cancer and the clinical detection of several potentially malignant lesions can be achieved by the opportunistic Screening of the Oral Mucosa of patients that search for dental assistance. The aim of this study was to perform a retrospective analysis of the origin and prevalence of malignant lesions of the oral mucosa as well as the potentially malignant disorders on patients assisted at the Stomatology and Oral Pathology Clinic of the Naval Dental Center (Odontoclínica Central da Marinha-OCM), from May 2011 to April 2018. The method used was the analysis of the clinical digital charts during this period. Independent variables were gender, age, skin, tobacco use, alcohol use; while dependent variables were the existence of malignant or potentially malignant disorders. Forty-five malignant lesions and 177 potentially malignant disorders were recorded. Among them, 25 malignant lesions and 136 potentially malignant disorders were diagnosed at the OCM. This study showed the importance of active search for lesions of oral cavity and the detection of several lesions of oral cavity by the diverse areas in Dentistry.
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ABSTRACT Gastric cancer is one of the main causes of death by cancer in the world and the infection with Helicobacter pylori is one of the main risk factors associated with its appearance. Helicobacter pylori is a bacterium that colonizes the gastric mucosa, infecting about half of the world´s population. The pathological effects caused by infections with H. pylori greatly depend on an IV type secretion system encoded in the cag pathogenicity island (cagPAI). In this review, we describe the composition of the cagPAI, the alterations of cellular signaling pathways mediated by cagPAI which regulate oncogenic cellular responses that may increase the risk of malignant transformation associated with the infection and the importance of polymorphisms in cagPAI genes as potential markers of progression to gastric cancer.
RESUMEN El cáncer gástrico es una de las principales causas de muerte por cáncer en el mundo y la infección con Helicobacter pylori es uno de los principales factores de riesgo, asociados a su aparición. H. pylori es una bacteria que coloniza la mucosa gástrica, infectando alrededor de la mitad de la población mundial. Los efectos patológicos ocasionados por la infección con H. pylori dependen, en buena parte, de un sistema de secreción tipo IV, codificado en el islote de patogenicidad cag (cagPAI). En esta revisión, se describe la composición del cagPAI, la alteración de las vías de señalización celular mediadas por el cagPAI, que regulan respuestas celulares oncogénicas, que pueden incrementar el riesgo de transformación maligna asociada a la infección y la importancia de los polimorfismos en genes del cagPAI, como posibles marcadores de progresión a cáncer gástrico.
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Objectives: Oral submucous fibrosis (OSMF) is a common chronic debilitating oral health problem in India. The present study was conducted to correlate clinical staging with histopathological grading in patients of OSMF. Material and methods: The present study comprised of 50 patients of OSMF, which were evaluated for the age, sex, site, habit and clinical stage and were correlated with histological grading. Results: OSMF was reported as more in younger age group with a male predominance. Smokeless tobacco particularly arecanut and gutka showed a strong association in early development of OSMF. Conclusion:Though the present study showed no significant correlation between clinicalstaging and histopathological grading with p=0.635. This difference may be attributed toseverity and amount of fibrosis in various parts of the oral mucosa.
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BACKGROUND/AIMS: Helicobacter pylori (Hp) infection is an important risk factor for gastric carcinogenesis. Although several studies have investigated the effect of Hp eradication on the development of metachronous neoplasm after endoscopic resection of the gastric dysplasia, the evidence is still insufficient to make a clear conclusion. The aims of this study was to evaluate the risk factors for the development of metachronous neoplasm after endoscopic resection of gastric dysplasia and to investigate the effect of Hp eradication. METHODS: Between 2005 and 2011, a total of 887 patients underwent endoscopic resection for gastric dysplasia. Among them, 521 patients who had undergone tests for Hp infection and been followed-up for at least one year were included in the final analyses. Of the 292 Hp-positive patients, 116 patients were successfully eradicated, while 176 failed or did not undergo eradication. RESULTS: During a mean follow-up of 59.1 months (range 12–125 months), metachronous neoplasm had developed in 63 patients (12.1%, dysplasia in 38, carcinoma in 25). In multivariate analyses, age ≥65 (hazard ratio [HR]=2.247, 95% confidence interval [CI] 1.297–3.895), tumor size (HR=1.283, 95% CI 1.038–1.585), synchronous lesion (HR=2.341, 95% CI 1.244–4.405), family history of gastric cancer (HR=3.240, 95% CI 1.776–5.912), and smoking (HR=1.016, 95% CI 1.003–1.029) were risk factors for metachronous neoplasm after endoscopic resection of gastric dysplasia. However, Hp eradication was not associated with metachronous neoplasm (HR=0.641, 95% CI 0.297–1.384). CONCLUSIONS: Hp eradication was not shown to be associated with the development of metachronous cancer after endoscopic resection of gastric dysplasia.
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Humans , Carcinogenesis , Follow-Up Studies , Helicobacter pylori , Helicobacter , Multivariate Analysis , Neoplasms, Second Primary , Precancerous Conditions , Risk Factors , Smoke , Smoking , Stomach NeoplasmsABSTRACT
Background:Gastric cancer is the result of comprehensive interactions among Helicobacter pylori(Hp)infection, environmental factors and host genetic factors. It has been demonstrated that rs2294008 polymorphism in prostate stem cell antigen(PSCA)gene is associated with increased risk of non-cardia gastric cancer. Aims:To investigate the relationship between PSCA rs2294008 polymorphism and precursors of gastric cancer. Methods:A total of 398 patients with gastric intestinal metaplasia( n = 328)and intraepithelial neoplasia( n = 70)from Nov. 2009 to Nov. 2015 at the Qingdao Municipal Hospital were enrolled,and 416 healthy subjects were served as controls. Genotype of PSCA rs2294008 was determined by direct DNA sequencing of PCR products,and Hp infection was examined by rapid urease test. Results:Significant difference in frequencies of CC,CT and TT genotypes of PSCA rs2294008 was observed between case and control groups(P = 0. 011);the frequency of TT genotype was significantly higher in case group than in control group (16. 3% vs. 9. 4% ,P = 0. 003). Compared with individuals carrying CC genotype,TT genotype carriers were found to be associated with a higher risk of precursors of gastric cancer(oR = 1. 840,95% CI:1. 174 ~ 2. 886). Taken individuals negative for Hp infection and carrying C allele(CC + CT)as reference,risk of precursors of gastric cancer was significantly increased by Hp infection(oR = 2. 389,95% CI:1. 799 ~ 3. 173)and Hp infection in combination with TT genotype (OR = 3. 335,95% CI:1. 935 ~ 5. 749),whereas TT genotype alone only slightly increased the risk(OR = 1. 783,95%CI:0. 900 ~ 3. 530). Conclusions:PSCA rs2294008 polymorphism is significantly associated with susceptibility to precursors of gastric cancer and Hp infection might further increase the risk in TT carriers.
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BACKGROUND AND OBJECTIVES: Laser cordectomy has been widely acknowledged to have advantages for the treatment of early glottic carcinoma. This study was performed to assess the results of laser cordectomy for its oncologic safeness, time-effectiveness, and to report a few interesting precancerous cases that have progressed to glottic cancer. SUBJECTS AND METHOD: Subjects (47) who had undergone laser cordectomy for the treatment of early glottic cancer from April 2006 to July 2009 were enrolled in this study. We analyzed the oncologic outcomes, the duration of hospital treatment after the surgery, and postoperative complications by reviewing of medical records. RESULTS: For 47 cases, the mean age was 66 years and the mean follow up period was 22.6 months. The mean duration of treatment was 1.9 days. Among them, 24 cases were classified into T1a, 12 T1b, and 2 T2. Local recurrence was observed in 2 cases, so salvage treatments, such as radiation therapy or near total laryngectomy, were performed, and both of them were alive in the disease-free state. The most common complication was anterior commissure web, which was observed in 6 cases (15.8%), followed by granuloma observed in 5 cases (13.1%). Serious complications such as aspiration, respiratory distress, and dysphagia were not found in any of 47 cases. Also, we could observe 3 cases in which the precancerous glottic lesion had progressed to glottic carcinoma over a long period of time. CONCLUSION: Laser cordectomy might be the treatment of choice for patient's convenience because of its excellent oncologic outcomes, low morbidity, and time-effectiveness.
Subject(s)
Deglutition Disorders , Follow-Up Studies , Glottis , Granuloma , Laryngectomy , Laser Therapy , Medical Records , Postoperative Complications , Precancerous Conditions , Recurrence , Respiratory AspirationABSTRACT
BACKGROUND AND OBJECTIVES: The degree of dysplasia of premalignant lesion of the larynx is related to malignant transformation. However, no single molecular marker that could be used to predict malignant transformation has been identified. Melanoma antigen genes (MAGE), which are expressed in malignant tissues but not in normal tissues, might provide such a marker. So, we investigated MAGE expressions in the various epithelial lesions of the larynx. SUBJECTS AND METHOD: Nested RT-PCR with MAGE common primers were performed to detect the expression of MAGE A genes in fresh frozen tissues obtained from laryngeal lesions (34 benign, 20 premalignant, 22 malignant epitheliums) and 12 normal oropharyngeal epitheliums. RESULTS: The expression of MAGE was positive in 12 (35.3%) of benign, 10 (50%) of premalignant, 18 (81.8%) of malignant laryngeal epithelium and 1 (8.5%) of normal epithelium. These expressions were different with statistic significance (p=0.003) between benign, premalignant and malignant laryngeal epithelium. CONCLUSION: The MAGE A expression could be utilized as a biomarker to predict malignant transformation of laryngeal epithelium.
Subject(s)
Epithelium , Genes, vif , Laryngeal Mucosa , Larynx , Melanoma , Precancerous Conditions , Biomarkers, TumorABSTRACT
OBJECTIVE To find a way of reserving high quality phonation function after phonomicrosurgery for premalignant lesions of the larynx.METHODS There were 77 cases with leukoplakia or atypical hyperplasia of the vocal cord included in this study.They were all treated with phonomicrosurgical techniques as mucosal epithelium ablation or mucosal stripping by using CO_2 laser.Ten patients with laryngeal papilloma were excised by CO_2 laser.RESULTS Twenty three patients with leukoplakia or mild atypical hyperplasia of the vocal cord achieved a normal phonation within 2 months.The 44 patients with moderate and advanced hyperplasia need 3～5 months to recover the normal phonation.Phonation recovery of the 10 patients with laryngeal papilloma treated with CO_2 laser was better than patients treated with transcervical approach.CONCLUSION The CO_2 laser assisted phonomicrosurgery is a reliable method for management the premalignant lesions of the larynx, which not only can remove the lesions and also can restore good voice function.
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OBJECTIVE To investigate the effects of N,N'-Dinitrosopiperazine (DNP) on the cell proliferation of nasal and nasopharyngeal epithelia and the expression levels of TRAF2 and p16 genes in TgN (p53mt-LMP1)/HT transgenic mice and the relationships between them.METHODS The epithelial proliferating characteristics of nasal cavity and nasopharynx in TgN (p53mt-LMP1)/HT cancerous lesion inducing group treated by DNP (TI),TgN (p53mt-LMP1)/HT controlling group (TC), C57BL/6J cancerous lesion inducing group (CI) treated by DNP and C57BL/6J controlling group (CC) were observed for pathological evaluation by HE staining,and the expression levels of TRAF2 and p16 genes in these tissue samples were determined by immunohistochemical methods.RESULTS The occurring rates of precancerous lesions in nasal and/or nasopharyngeal epithelia in TI,TC,CI and CC groups were 90%,10%,0 and 0,respectively (P
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Child , Humans , Anacardium , Capsaicin , Carcinogens , Chronic Disease , Cicatrix , Esophagus , Fibrosis , Follow-Up Studies , Genetic Predisposition to Disease , Hypersensitivity , Immunologic Factors , Iron , Mouth Mucosa , Mouth , Mucous Membrane , Pharynx , Precancerous Conditions , Skin , Thigh , Vitamin B ComplexABSTRACT
[Objective] To study the relationship between syndrome patterns of traditional Chinese medicine and bcl- 2 oncogene, p53 suppression gene mRNA expressions in precancerous lesions of gastric cancer (PIGC). [Methods] Forty PLGC cases were endoscopically and pathologically confinned, including 24 cases of moderate dysplasia of gastric mucosa, 9 cases of severe dysplasia, 7 cases of incomplete colonic intestinal metaplasia. Of the 40 cases, 10 were complicated with Qi stagnation, 12 with stomach-heat, and 18 with blood stasis, mRNA expression of bcl- 2 oncogene and p53 suppression gene were detected in situ by molecular hybridization method. [Results] The mRNA overexpression of bcl- 2 oncogene and p53 suppression gene were found in PLGC, and the expression was gradually increased with the progress of lesions. In the complicated cases, the mRNA expression of bcl- 2 oncogene and p53 suppression gene were the least in the cases with Qi stagnation and less in the cases with stomach- heat than in the cases with blood stasis. [Conclusion] Abnormal mRNA expression of bcl- 2 oncogene and p53 suppression gene were found in PLGC cases and related with different complicated cases, indicating the specificity of different syndrome patterns.
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To observe clinical therapeutic effect of Ren Zhu Jian Wei Granules on precancerous lesion of stomach. Methods: 130 cases of precancerous lesion of stomach were randomly divided into tow groups, the treatment group (88 cases) treated with Ren Zhu Jian Wei capsules and the control group (42 cases) treated with Wei Fu Chun Tablets, and clinical data were analyzed. Results: The comprehensive therapeutic effect was 92. 0% in the treatment group and 73. 8% in the control group; and the clinical therapeutic effect was 94. 3% in the treatment group and 78. 6% in the control group with a significant difference (P
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The purpose of this study was to explore the role of cyclin E and c fos in Helicobacter pylori ( H. pylori ) induced gastric precancerosis. The expression of cyclin E and c fos in mucosa of gastric antrum was determined by RT PCR and immunohistochemistry staining in Mongolian gerbil with H. pylori induced gastric precancerosis. Cyclin E mRNA levels were increased 2 2 fold 25 weeks ( P