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Wyświetlanie 1-15 z 37
Tytuł:
Clinical manifestations of granulomatosis with polyangiitis (GPA) in dermatology and otolaryngology
Autorzy:
Ziuzia, Laura
Dobrzyński, Paweł
Sobolewski, Piotr
Walecka-Herniczek, Irena
Powiązania:
https://bibliotekanauki.pl/articles/1400276.pdf
Data publikacji:
2017
Wydawca:
Index Copernicus International
Tematy:
granulomatosis with polyangitis
head and neck
rhinosinusitis
otitis media
sensineurinal leasing loss
subglottic stenosis
cutaneous changes
ocular changes
oral changes
Opis:
The diseases caused by vasculitis are rare. The difficulties in diagnosis may be due to this low frequency, as well as to rather slow development and various symptoms and locations of the symptoms. In the diagnosis of the vasculitis one should consider all of the clinical features, for they may include diagnostic criteria for various clinical entities.
Źródło:
Polski Przegląd Otorynolaryngologiczny; 2017, 6, 2; 8-14
2084-5308
2300-7338
Pojawia się w:
Polski Przegląd Otorynolaryngologiczny
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
BERBERINE INDUCES AUTOPHAGY, APOPTOSIS AND MODULATES MIR-155 IN HEAD AND NECK SQUAMOUS CARCINOMA CELLS.
Autorzy:
Xue, Kai
Zhang, Binbin
He, Jingchuan
Powiązania:
https://bibliotekanauki.pl/articles/895286.pdf
Data publikacji:
2020-06-29
Wydawca:
Polskie Towarzystwo Farmaceutyczne
Tematy:
apoptosis
miR-155
Autophagy
berberine
Head and Neck cancer cells
Opis:
Berberine (BBR) an active natural plant alkaloid extracted from Coptidis rhizoma, displays potent anticancer activity over a variety of cancer cell lines. The cytotoxic activity of BBR in cancer cells is attributed to persuade, programmed cell death characterized by the release of cytochrome c, accompanied by activation of caspase-3 and caspase-9. In the present study, we evaluated BBR significantly reduces the cell viability and clonogenic property of head and neck squamous carcinoma (HNSC) cells. Our results revealed that BBR simultaneously induces apoptosis and autophagy in HNSC cells. Mechanistically, BBR induces autophagy in HNSC cells which were confirmed by acridine orange (AO) staining by visualization of prominent orange red color acidic autophagosomes in the cytoplasm. However, immunoblotting shows the steady conversion of MAP-LC-3I to LC-3II with concomitant degradation of autophagy substrate protein SQSTM1/p62. Annexin V FITC staining analysis by flow cytometry revealed a significant induction of apoptosis at higher doses of BBR. Furthermore, the immunoblotting analysis revealed a prominent cleavage of proapoptotic proteins procaspase-3 and PARP1 at higher doses of BBR. Additionally, we found significant upregulation and downregulation of tumor suppressor microRNA-155 (miR-155) and oncogenic miR-21 respectively, when HNSC cells were exposed to higher doses of BBR. In conclusion, these results demonstrate that BBR exhibits a significant anti-proliferative effect with the simultaneous induction of autophagy and apoptosis and modulates miRNA expression in HNSC cells.
Źródło:
Acta Poloniae Pharmaceutica - Drug Research; 2020, 77, 3; 485-494
0001-6837
2353-5288
Pojawia się w:
Acta Poloniae Pharmaceutica - Drug Research
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Updated National Comprehensive Cancer Network guidelines for treatment of head and neck cancers 2010-2017
Autorzy:
Wierzbicka, Małgorzata
Napierała, Joanna
Powiązania:
https://bibliotekanauki.pl/articles/1398501.pdf
Data publikacji:
2017
Wydawca:
Index Copernicus International
Tematy:
head and neck cancers treatment guidelines
biological therapy
personalized treatment
recommendations
Opis:
Introduction: The diagnostic and therapeutic recommendations have been changing over the years to improve treatment outcomes and quality of life of Head and Neck Cancer (HNC) patients. Aim: The aim of this study was to present currently recommended Head and Neck Cancer treatment guidelines based on the literature review with particular emphasis on novel approaches the NCCN algorithms. Material and methods: The review of literature covering articles published in the last five years and pointing out essential changes in HNC treatment regarding evidence based medicine. The study focused on the analysis of novel approaches for the particular primaries, the implementation of biological therapies and personalized cancer therapies. Results: Updates in the oncological NCCN guidelines for all ENT primaries except major salivary glands and subglottis are based on knowledge derived from the basic sciences, clinical trials and the best evidence available currently. The latest recommendations emphasize value of biological therapies use.
Źródło:
Polish Journal of Otolaryngology; 2017, 71, 6; 1-6
0030-6657
2300-8423
Pojawia się w:
Polish Journal of Otolaryngology
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Tumor of the pharynx – an unexpected diagnosis
Autorzy:
Ura-Sabat, Katarzyna
Domka, Wojciech
Gamrot-Wrzoł, Marta
Szuber, Krzysztof
Powiązania:
https://bibliotekanauki.pl/articles/454943.pdf
Data publikacji:
2017
Wydawca:
Uniwersytet Rzeszowski. Wydawnictwo Uniwersytetu Rzeszowskiego
Tematy:
head and neck,
haemangioma
diagnosis
treatment
Opis:
Introduction. Head and neck haemangiomas occur quite rarely. These are benign lesions, often involving the pharynx and larynx. They almost always pose a diagnostic and therapeutic problem. Case description. This paper describes the case of an asymptomatic internal carotid artery aneurysm manifested by a throat tumour. A 78-year old woman with sudden deafness and vertigo was additionally diagnosed with a throat tumour. After radiological diagnosis of a haemangioma, the patient refused surgery. This article presents diagnostic methods and various types of treatments for head and neck haemangiomas. Attention was paid to the possibility of serious complications when deciding on surgical intervention of haemangiomas without a confirmed diagnosis. Conclusion. Suspicion of head and neck haemangiomas necessitates using all available diagnostic methods. The treatment plan should take into account the pace of progression, the patient’s age and co-morbid conditions. .
Źródło:
European Journal of Clinical and Experimental Medicine; 2017, 1; 78-81
2544-2406
2544-1361
Pojawia się w:
European Journal of Clinical and Experimental Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Salvage surgery of hypopharyngeal cancer as a second malignancy post radiotherapy and the possibility of digestive track reconstruction – study of three cases and the literature review
Autorzy:
Rzepakowska, Anna
Jasińska, Agnieszka
Wolniewicz, Maria
Baranek, Piotr
Osuch-Wójcikiewicz, Ewa
Bruzgielewicz, Antoni
Niemczyk, Kazimierz
Powiązania:
https://bibliotekanauki.pl/articles/1399615.pdf
Data publikacji:
2019
Wydawca:
Index Copernicus International
Tematy:
head and neck cancer
second primary cancer
hypopharyngeal cancer
salvage surgery
digestive tract reconstruction
radial forearm free flap
free autologous jejunal flap
Opis:
Patients with head and neck cancers have an increased risk of second malignant neoplasm occurrence (25% in long-term follow-up, 4% yearly). Most patients with a primary tumor can be treated with organ-preserving strategies including radiotherapy (RT) or chemoradiotherapy (CRT). Very often after radical surgical excision there are indications for adjuvant radiotherapy. However, if recurrence or second malignancy will develop after definitive primary RT, there are limitation to use therapeutic dose of radiation again for the same area. Salvage surgery is regarded as the only curative option in those cases. In our study we analysed 3 patients, who presented with head and neck second cancer in the area of hypopharynx, within 10-25 years after primary radiotherapy due to oropharyngeal and laryngeal cancer. A total pharyngectomy with larynx preservation and bilateral neck dissection were performed in the first case and the radial forearm free flap (RFFF) was used for reconstruction of the pharynx. Second patient, due to perilaryngeal invasion in radiological images, underwent total pharyngolaryngectomy with selective bilateral cervical lymph nodes dissection and digestive track was restored also with RFFF. The third patient had previously undergone laryngectomy and after total pharyngectomy the free autologous jejunal flap (FAJF) was used for reconstruction. The main goal of reconstruction after salvage surgery due to hypopharyngeal cancer is to reconstruct the digestive tract. The other important aspect is to optimize the anatomy for voice rehabilitation and swallowing. Unfortunately, radiation and chemotherapy impair wound healing, which indicates increased risk of postoperative complications and makes salvage surgery results unpredictable.
Źródło:
Polski Przegląd Otorynolaryngologiczny; 2019, 8, 1; 33-39
2084-5308
2300-7338
Pojawia się w:
Polski Przegląd Otorynolaryngologiczny
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Ionizing radiation affects profile of serum metabolites: increased level of 3-hydroxybutyric acid in serum of cancer patients treated with radiotherapy
Autorzy:
Roś-Mazurczyk, Małgorzata
Wojakowska, Anna
Marczak, Łukasz
Polański, Krzysztof
Pietrowska, Monika
Jelonek, Karol
Domińczyk, Iwona
Hajduk, Agata
Rutkowski, Tomasz
Składowski, Krzysztof
Widłak, Piotr
Powiązania:
https://bibliotekanauki.pl/articles/1038706.pdf
Data publikacji:
2017
Wydawca:
Polskie Towarzystwo Biochemiczne
Tematy:
head and neck cancer
mass spectrometry
metabolomics
radiation response
serum metabolome
Opis:
Radiotherapy causes molecular changes observed at the level of body fluids, which are potential biomarker candidates for assessment of radiation exposure. Here we analyzed radiotherapy-induced changes in a profile of small metabolites detected in sera of head and neck cancer patients using the gas chromatography coupled with mass spectrometry approach. There were about 20 compounds, including carboxylic acids, sugars, amines and amino acids, whose levels significantly differed between pre-treatment and post-treatment samples. Among metabolites upregulated by radiotherapy there was 3-hydroxybutyric acid, whose level increased about three times in post-treatment samples. Moreover, compounds affected by irradiation were associated with several metabolic pathways, including protein biosynthesis and amino acid metabolism.
Źródło:
Acta Biochimica Polonica; 2017, 64, 1; 189-193
0001-527X
Pojawia się w:
Acta Biochimica Polonica
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Immunotherapy of head and neck squamous cell carcinoma (HNSCC). Immune checkpoint blockade
Autorzy:
Przybylski, Krzysztof
Majchrzak, Ewa
Weselik, Liucija
Golusiński, Wojciech
Powiązania:
https://bibliotekanauki.pl/articles/1398281.pdf
Data publikacji:
2018
Wydawca:
Index Copernicus International
Tematy:
head and neck squamouscell carcinoma
immunotherapy
CTLA - 4
PD - 1
nivolumab
pembrolizumab
Opis:
Treating patients with squamous cell carcinoma of the head and neck is a significant problem. There is an increase in the incidence of malignant neoplasms in this region. Surgery, radiotherapy and chemotherapy are often not sufficient methods of treatment. Thorough analysis of processes occurring in the tumor microenvironment has allowed to distinguish three stages that make up the reaction of the human body to hostile antigens, which are tumor antigens. Understanding these mechanisms has resulted in the introduction of a new term immune-oncology. It is an area of cancer treatment that focuses on use of the patient’s immune system to combat the disease. Immunotherapy has had positive effects in cancer patients. The use of immune checkpoint inhibitors, such as anti-CTLA-4 and PD-1 monoclonal antibodies has enabled the modulation of T cell functions, consequently eliminating immunosuppression in the tumor microenvironment. Clinical trials were conducted using nivolumab and ipilimumab, which confirmed their clinical usefulness. The approval by FDA of nivolumab in treatment of recurrent and metastatic squamous cell carcinoma of the head and neck has increased the overall survival time of patients as well as disease free survival. Statistical data indicate an advantage of immunotherapy over other treatment methods at an advanced stage of cancer. This work aims to discuss basic issues related to immunotherapy, in particular immunotherapy in patients with squamous cell carcinoma of the head and neck.
Źródło:
Polish Journal of Otolaryngology; 2018, 72, 6; 10-16
0030-6657
2300-8423
Pojawia się w:
Polish Journal of Otolaryngology
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Serum and saliva levels of matrix metalloproteinase 3 and 9 in pharynx and larynx cancer
Autorzy:
Polz-Dacewicz, Małgorzata
Maciąg, Paweł
Kliszczewska, Ewa
Rolniak, Łukasz
Powiązania:
https://bibliotekanauki.pl/articles/972529.pdf
Data publikacji:
2017
Wydawca:
Instytut Medycyny Wsi
Tematy:
matrix metalloproteinases
larynx cancer
throat cancer
head and neck cancer
Opis:
Introduction and objective. Matrix metalloproteinases (MMPs) are proteolytic enzymes responsible for the decomposition of extracellular matrix elements. They play an important role during embryogenesis, wound healing, endometrial epithelial exfoliation, the formation of new blood vessels, and also during cancer development. Throat and larynx tumours are included in a large group of head and neck cancers. These tumours are characterized by a poor prognosis. Despite advances in medical science, cancer treatment is difficult and often ineffective. The aim of the study was to evaluate the level of MMP-3 and MMP-9 in the serum and saliva of patients with pharynx and larynx tumours. Materials and method. Samples of saliva and serum were collected from 60 patients with larynx or throat cancer. Twenty patients without cancer comprised the control group. MMPs in saliva and serum were determined by the ELISA method. Results. In the study group, concentrations of MMP-3 in saliva were from 0.2 – 77.6 ng/ml. Patients with malignant tumours had higher saliva MMP-3 levels than healthy subjects. The concentration of MMP-3 in the serum of the study group ranged from 10.9 – 200.00 ng/ml, which was also higher than in the control group. There were no statistically significant difference in the MMP-9 level between the study and control groups (both in serum and saliva). Conclusions. This study is another element that shows the phenomena taking place at the cellular level during oncological disease. In serum and saliva samples, higher values of MMP3 were found in patients with cancer. The increase in the concentration of this enzyme in the risk group may be used for early detection of tumour transformation and evaluation of treatment.
Źródło:
Journal of Pre-Clinical and Clinical Research; 2017, 11, 2; 106-110
1898-2395
Pojawia się w:
Journal of Pre-Clinical and Clinical Research
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Dermoidal cysts of head and neck in children
Autorzy:
Piszcz, Małgorzata
Skotnicka, Bożena
Hassmann-Poznańska, Elżbieta
Gościk, Elżbieta
Reszeć, Joanna
Powiązania:
https://bibliotekanauki.pl/articles/1401794.pdf
Data publikacji:
2015
Wydawca:
Index Copernicus International
Tematy:
dermoid cysts
head and neck
children
Opis:
Introduction: Dermoid cysts are benign epidermal tumors; in 7% of cases, they are located in the head and neck region. They are lesions of congenital origin, mostly presenting within the midline of the body. About 70% of cases are diagnosed before the age of 5 years. Methods: A retrospective analysis of medical data of children with dermoid cysts located within the head and neck region treated in the Department of Pediatric Otolaryngology in Bialystok in the period of 1994-2014 was performed. A review of relevant literature was presented. Results: A total of 17 patients were included in this study, with a mean age of 8.9 years; 76.5% of the study population was female. Dermoid cysts were mostly located in the anterior neck region and the floor of the mouth (76%). US and CT imaging scans were used in diagnostics. No recurrences were observed after surgical excision. Conclusion: Dermoid cysts should be taken into consideration when diagnosing head and neck masses in pediatric patients.
Źródło:
Polski Przegląd Otorynolaryngologiczny; 2015, 4, 2; 66-70
2084-5308
2300-7338
Pojawia się w:
Polski Przegląd Otorynolaryngologiczny
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Application of cone beam computed tomography in ENT and reconstructive head and neck surgery – literature review and own experience
Autorzy:
Piotrowska-Seweryn, Agnieszka
Krakowczyk, Łukasz
Maciejewski, Adam
Kaniszewska-Dorsz, Żaneta
Markowski, Jarosław
Pietrauszka, Kornelia
Goroszkiewicz, Karolina
Powiązania:
https://bibliotekanauki.pl/articles/1399645.pdf
Data publikacji:
2019
Wydawca:
Index Copernicus International
Tematy:
computed tomography
ENT
free flap
head and neck
reconstruction
Opis:
CBCT is a relatively new diagnostic imaging method. It was first used in 1982 at the Mayo Clinic Biodynamics Research Laboratory [1], and has been commercially used in dentistry since 2001. It differs from multidetector computed tomography in terms of implementation technique and some parameters. A low dose of radiation is its greatest advantage, thanks to which many specialists, including ENT doctors and reconstructive surgeons, are more willing to use it. In otorhinolaryngology, CBCT is applied in pre- and perioperative diagnostics in both rhinology and otology. In reconstructive surgery, CBCT facilitates precise planning of the flap and intraoperatively allows a perfect match of the reconstructed tissue elements. In the article, the authors present current information on CBCT in ENT obtained on the basis of a review of Polish and foreign literature and share their own experience in its application in reconstructive surgery within the craniofacial region.
Źródło:
Polski Przegląd Otorynolaryngologiczny; 2019, 8, 3; 1-7
2084-5308
2300-7338
Pojawia się w:
Polski Przegląd Otorynolaryngologiczny
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Fibromatosis aggressiva of parapharyngeal space – a case report and review of literature.
Autorzy:
Piotrowska, Angelika
Rzepakowska, Anna
Chęciński, Piotr
Niemczyk, Kazimierz
Powiązania:
https://bibliotekanauki.pl/articles/1400253.pdf
Data publikacji:
2017
Wydawca:
Index Copernicus International
Tematy:
desmoid-type fibromatosis
parapharyngeal space tumor
head and neck neoplasms
Opis:
Desmoid fibromatosis is defined as a rare fibroblastic proliferation. Although histologically benign, desmoids are locally invasive and associated with a high local recurrence rate. When located in the head and neck region, fibromatosis tends to be more aggressive and associated with significant morbidity, which may be attributed to the proximity of the vital structures. We report a case of 33-year-old woman with aggressive fibromatosis of parapharyngeal space. Complete surgical excision of the lesion was performed and the postoperative period was without complications. The patient remains under careful follow-up and there is no recurrence of the disease.
Źródło:
Polski Przegląd Otorynolaryngologiczny; 2017, 6, 2; 10-15
2084-5308
2300-7338
Pojawia się w:
Polski Przegląd Otorynolaryngologiczny
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
DNA damage and repair in lymphocytes of normal individuals and cancer patients: studies by the comet assay and micronucleus tests.
Autorzy:
Palyvoda, Olena
Polańska, Joanna
Wygoda, Andrzej
Rzeszowska-Wolny, Joanna
Powiązania:
https://bibliotekanauki.pl/articles/1043662.pdf
Data publikacji:
2003
Wydawca:
Polskie Towarzystwo Biochemiczne
Tematy:
ionizing radiation
DNA damage
human lymphocytes
comet assay
head and neck tumors
DNA repair
Opis:
A population study is reported in which the DNA damage induced by γ-radiation (2 Gy) and the kinetics of the subsequent repair were estimated by the comet and micronucleus assays in isolated lymphocytes of 82 healthy donors and patients with head and neck cancer before radiotherapy. The parameters of background and radiation-induced DNA damage, rate of repair, and residual non-repaired damage were measured by comet assay, and the repair kinetics for every donor were computer-fitted to an exponential curve. The level of background DNA damage before irradiation measured by comet assay as well as the level of micronuclei were significantly higher in the head and neck cancer patient group than in the healthy donors, while the parameters of repair were widely scattered in both groups. Cancer patient group contained significantly more individuals, whose irradiated lymphocytes showed high DNA damage, low repair rate and high non-repaired DNA damage level. Lymphocytes of donors belonging to this subgroup showed significantly lower inhibition of cell cycle after irradiation.
Źródło:
Acta Biochimica Polonica; 2003, 50, 1; 181-190
0001-527X
Pojawia się w:
Acta Biochimica Polonica
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
THE COMPARISON OF THE EFFECTS OF PANOBINOSTAT AND PKF118-310 ON β-CATENIN-DEPENDENT TRANSCRIPTION IN HEAD AND NECK SQUAMOUS CELL CARCINOMA CELL LINES
Autorzy:
Paluszczak, Jarosław
Kleszcz, Robert
Witczak, Olga
Krajka-Kuźniak, Violetta
Powiązania:
https://bibliotekanauki.pl/articles/895659.pdf
Data publikacji:
2020-02-29
Wydawca:
Polskie Towarzystwo Farmaceutyczne
Tematy:
Wnt signaling
head and neck cancer
panobinostat
PKF118-310
Opis:
Advanced head and neck squamous cell cancers (HNSCC) have unfavorable prognosis and new therapeutic options are necessary to improve treatment outcomes. The Wnt pathway plays an important role in the pathogenesis and progression of HNSCC. The aim of this study was to assess the effects of a histone deacetylase inhibitor – panobinostat on Wnt-dependent gene expression and on cell migration. Cell viability in HNSCC cell lines (BICR6, CAL27, FaDu, H314, SCC-25) was evaluated by MTT assay. The expression of β-catenin-target genes was assessed by qPCR and TCF/LEF-dependent reporter assay. Protein content was evaluated by Western blot. Cell migration was analyzed by the wound healing assay. Panobinostat showed differential modulation of gene expression. It reduced the level of Axin2 in CAL27 and SCC-25 cells but upregulated its expression in BICR6 and H314 cell lines. Moreover, it diminished the expression of MMP7 in BICR6, H314 and CAL27 cell lines. In contrast, the inhibitor of β-catenin transcriptional activity – PKF118-310 down-regulated the expression of β-catenin-target genes in HNSCC cell lines. Interestingly, panobinostat had opposite effects on cell migration in CAL27 and FaDu where it inhibited or stimulated migration, respectively. On the other hand, PKF118-310 reduced cell migration. The anti-cancer effects of panobinostat in HNSCC cells are rather not related to the inhibition of Wnt signaling. PKF118-310 attenuates Wnt signaling, but only in a limited number of HNSCC cell lines. Importantly, the inhibition of Wnt pathway reduces the capacity of cells for migration suggesting that it may potentially therapeutically reduce cell invasion.
Źródło:
Acta Poloniae Pharmaceutica - Drug Research; 2020, 77, 1; 77-88
0001-6837
2353-5288
Pojawia się w:
Acta Poloniae Pharmaceutica - Drug Research
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Head and neck amyloidosis – a report on five cases
Amyloidoza w rejonie głowy i szyi – opis serii przypadków
Autorzy:
Orłowska, Anna
Mastalerek, Jan
Jaskólska, Magdalena
Rzepakowska, Anna
Grzybowski, Jakub
Gotlib, Tomasz
Niemczyk, Kazimierz
Powiązania:
https://bibliotekanauki.pl/articles/1399353.pdf
Data publikacji:
2020
Wydawca:
Index Copernicus International
Tematy:
amyloidosis
amyloidosis of the nasopharynx
head and neck amyloidosis
larynx amyloidosis
localized amyloidosis
salivary gland amyloidosis
tongue amyloidosis
amyloidoza
amyloidoza głowy i szyi
amyloidoza języka
amyloidoza krtani
amyloidoza miejscowa
amyloidoza nosogardła
amyloidoza ślinianek
Opis:
Background: Amyloidosis is a group of diseases caused by the extracellular accumulation of insoluble fibers called amyloid in the tissues and organs. They have a secondary beta-sheet structure, which makes them resistant to proteolysis. In histological examination amyloid deposits stain with Congo red and show an apple-green birefringence in polarized light. Amyloid deposits disturb the function of organs and cause clinical symptoms. Their formation or accumulation in the system may be acquired or inherited. Due to the location of amyloid deposits we distinguish systemic and localized amyloidosis with the formation of tumors (usually from light chains). Case reports: 5 cases of amyloidosis in the head and neck region are presented in this paper. The locations of the amyloid deposits were as follows: larynx, nasopharynx, sublingual and submandibular gland and the tongue. The initial clinical presentation correlated with location of amyloid tumour in our patients. Two patients had history of local recurrence of the disease. Surgical resection and histopathological examination were performed. Sections stained with Congo red confirmed the diagnosis of amyloidosis. Three patients had potential conditions predisposing to amyloidosis: previous radiotherapy, chronic inflammation due to hepatitis C virus infection and graft versus host disease. Conclusion: Amyloidosis should be considered as the cause of symptoms in pathologies of the head and neck region. The diagnosis requires a histopathological examination. The systemic form of the disease must be ruled out in all patients with head and neck amyloidosis. In localized amyloidosis the surgical resection of the lesions is the procedure of choice, however the organ’s functionality should be taken into account.
Podstawy naukowe: Amyloidoza, czyli skrobawica, to grupa chorób, których wspólną cechą jest pozakomórkowe gromadzenie się w tkankach i narządach nierozpuszczalnych białek o budowie włókienkowej, zwanych amyloidem. Mają one drugorzędową strukturę β-kartki, co czyni je opornymi na proteolizę. W skrawkach histologicznych złogi amyloidu wybarwiają się czerwienią Kongo i wykazują zielone świecenie w świetle spolaryzowanym. Depozyty amyloidu zaburzają funkcje narządów i powodują objawy kliniczne. Ich powstawanie lub gromadzenie się w ustroju może być stanem nabytym lub dziedzicznym. Ze względu na lokalizację złogów amyloidu rozróżniamy: (1) amyloidozę układową, czyli uogólnioną, oraz (2) miejscową z tworzeniem guzów (najczęściej z łańcuchów lekkich immunoglobulin). Opisy przypadków: W niniejszej pracy opisano 5 przypadków amyloidozy w regionie głowy i szyi. Zmiany zlokalizowane były w obrębie: krtani, nosogardła, ślinianki podjęzykowej i podżuchwowej oraz języka. Pacjenci zgłaszali objawy typowe dla procesu rozrostowego obejmującego wymienione narządy. U dwóch osób choroba miała charakter nawrotowy. Zmiany usunięto operacyjnie. Na podstawie badania histopatologicznego pobranych tkanek i charakterystycznego barwienie czerwienią Kongo i Saturna, rozpoznano obecność złogów amyloidu. U trzech pacjentów występowały stany predysponujące do wystąpienia amyloidozy: uprzednia radioterapia, przewlekły stan zapalny związany z zakażeniem wirusem zapalenia wątroby typu C i choroba przeszczep przeciwko gospodarzowi. U chorego z makroglosją rozpoznano postać uogólnioną amyloidozy. Podsumowanie: Amyloidoza może imitować objawy zmian rozrostowych w rejonie głowy i szyi. Jej rozpoznanie wymaga badania histopatologicznego. U każdego chorego z miejscową amyloidozą musi zostać wykluczona postać uogólniona. W przypadku postaci miejscowej, resekcja chirurgiczna zmian jest postępowaniem z wyboru. Należy wziąć pod uwagę zachowanie funkcjonalności narządu.
Źródło:
Polski Przegląd Otorynolaryngologiczny; 2019, 8, 2; 32-37
2084-5308
2300-7338
Pojawia się w:
Polski Przegląd Otorynolaryngologiczny
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
The impact of radiotherapy on the quality of life in patients with early-stage clinical head and neck cancer
Autorzy:
Milecki, Jakub
Żmijewska-Tomczak, Małgorzata
Osmola, Krzysztof
Wierzbicka, Małgorzata
Powiązania:
https://bibliotekanauki.pl/articles/23203207.pdf
Data publikacji:
2021-05-07
Wydawca:
Index Copernicus International
Tematy:
head and neck cancer
Quality of life
radiotherapy
Opis:
Introduction: Radiotherapy (RT) for patients with head and neck squamous cell carcinoma (HNSCC) affects vital functions related to the irradiation volume of the head and neck region and, in addition, has a negative impact on social functioning, thereby significantly impairing patients’ quality of life (QoL). Aim: The aim of this study was to assess changes in the quality of life in patients with head and neck cancer treated with curative RT at 12 months after completion of RT. The aim of this study was to assess the differences between the baseline QoL of patients with early clinical stage HNSCC and at 12 months after curative/radical RT. Material and methods: The prospective clinical study included 92 patients in good general condition (ECOG 0–1 – Eastern Cooperative Oncology Group performance status), without regional or distant metastases, diagnosed with pathomorphologically confirmed early-stage head and neck squamous cell carcinoma treated with definitive RT. All patients participating in the study signed an informed consent form. QoL was assessed using the standard EORTC QLQ-C30 and QLQH&N35 questionnaires. In addition, information on clinical aspects and data relating to socio-demographic factors were obtained from each patient. Statistical analysis was performed using a statistical package (SPSS 17.0). T-test was used for dependent and independent samples. A general linear model was used for repeated measures. Results: Patients’ QoL deteriorated significantly after definitive RT. Worse QoL Core-30 scores in patients 12 months after the end of RT, compared with baseline QoL, before the start of RT, were observed in domains such as physical performance, fulfillment of life roles, cognitive functioning, loss of appetite, fatigue and constipation. For the QLQ-H&N35 questionnaires, patients 12 months after the end of RT reported problems in relation to aspects of life such as senses, mouth opening, dry mouth, thick saliva, pain, and weight loss. Conclusion: RT, even in early clinical stage head and neck cancer, has a negative impact on QoL, despite modern treatment techniques.
Źródło:
Polish Journal of Otolaryngology; 2021, 75, 5; 1-8
0030-6657
2300-8423
Pojawia się w:
Polish Journal of Otolaryngology
Dostawca treści:
Biblioteka Nauki
Artykuł
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