64 results on '"Neoplasias orofaríngeas"'
Search Results
52. HPV em ORL
- Author
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Freire, F
- Subjects
Neoplasias da boca ,Neoplasias da cabeça e pescoço ,Neoplasias orofaríngeas ,Infecções por vírus do papiloma humano - Published
- 2016
53. Social inequality in morbidity and mortality from oral and oropharyngeal cancer in the city of São Paulo, Brazil: 1997-2008
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Fernanda Alessandra Silva Michels, Maria Angela Fernandes Ferreira, Maria do Rosário Dias de Oliveira Latorre, Aldo Dantas, and Murilo Novaes Gomes
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Neoplasias Orofaríngeas ,education.field_of_study ,Geography ,Iniquidade Social ,Incidence (epidemiology) ,Mortality rate ,Population ,Public Health, Environmental and Occupational Health ,Cancer registry ,Oropharyngeal Neoplasms ,Mortality data ,GeoDa ,Georeference ,Social Inequity ,education ,Socioeconomic status ,Geografia ,Demography - Abstract
A ocupação do espaço geográfico é determinada historicamente pelo modelo socioeconômico e pelo dinamismo de suas relações sociais, políticas e ideológicas. O objetivo deste trabalho é avaliar a distribuição espacial e o efeito de indicadores socioeconômicos no adoecimento e morte por câncer de boca e orofaríngeo no Município de São Paulo, Brasil, no período de 1997 a 2008. Os dados foram coletados no Registro de Câncer de Base Populacional e no Programa de Aprimoramento das Informações de Mortalidade - PRO-AIM e georreferenciados pelos softwares Terraview e GeoDa. O referencial teórico para avaliação dos resultados foi baseado na teoria de Milton Santos. As taxas de incidência apresentaram um índice de autocorrelação Global de Moran de 0,226 e as taxas de mortalidade de 0,337. A Incidência de câncer de boca e orofaríngeo não apresenta um padrão espacial bem definido no Município de São Paulo, mas é bastante desigual no que se refere à Mortalidade, concentrando as suas menores taxas na área central, mais rica e economicamente menos desigual. Occupation of geographical space is historically determined by the socioeconomic model and the dynamism of its social, political, and ideological relations. This study aimed to evaluate the spatial distribution of morbidity and mortality from cancer of the mouth and oropharynx and related socioeconomic variables in the city of São Paulo, Brazil, from 1997 to 2008. Data were collected from the Population-Based Cancer Registry and the Program for Improvement of Mortality Data (PRO-AIM) and were georeferenced using Terraview and GeoDa. The theoretical framework for evaluating the results was the work of Milton Santos. The incidence rates showed spatial autocorrelation with a Global Moran index of 0.226 and mortality rates of 0.337. Incidence of cancer of the mouth and oropharynx did not show a well-defined spatial pattern in the city of São Paulo, but mortality rates were highly unequal, concentrating the lowest rates in the central area of the city, which is wealthier and economically less unequal.
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- 2012
54. Functional outcomes and survival of patients with oral and oropharyngeal cancer after total glossectomy.
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Quinsan ICM, Costa GC, Priante AVM, Cardoso CA, and Nunes CLS
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- Glossectomy, Humans, Male, Middle Aged, Pectoralis Muscles, Plastic Surgery Procedures, Retrospective Studies, Tongue Neoplasms, Tracheostomy, Oropharyngeal Neoplasms
- Abstract
Introduction: Cancer of the oral cavity and oropharynx presents aggressive behavior and its diagnosis is, in most cases, performed in advanced stages. Total glossectomy is a therapeutic option in locally advanced cancer, and the only one in the recurrent or residual disease, after chemoradiotherapy., Objective: To evaluate the clinical-epidemiological profile, postoperative complications, survival rates and functional aspects of patients with oral cavity and oropharynx cancer after total glossectomy., Methods: It was a retrospective study where 22 patients were included with oral cavity and oropharyngeal cancer after total glossectomy at the Hospital Regional do Vale do Paraíba, em Taubaté, São Paulo., Results: All patients were male, with a median age of 57 years, most of tumors are located in the tongue and floor of the mouth and classified as stage IVa. Total glossectomy as initial treatment was performed in 18 and as salvage in four patients. The major pectoralis myocutaneous flap was used for reconstruction in all cases. The main postoperative complication was wound infection and salivary fistula., Conclusion: Overall survival was 19% and cancer-specific survival was 30.8% in five years. Eight patients were rehabilitated for exclusive oral feeding without the dependence tracheostomy and enteral tube, all with an overall survival greater than 15 months., (Copyright © 2019 Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial. Published by Elsevier Editora Ltda. All rights reserved.)
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- 2020
- Full Text
- View/download PDF
55. Increasing neck staging with step-serial sectioning of neck dissection specimens for oral end oropharyngeal SCC patients
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Alliegro, Fernando Canola, 1981, Chone, Carlos Takahiro, 1968, Crespo, Agrício Nubiato, 1958, Paschoal, Jorge Rizzato, Padovani Junior, João Armando, Universidade Estadual de Campinas. Faculdade de Ciências Médicas, Programa de Pós-Graduação em Ciências Médicas, and UNIVERSIDADE ESTADUAL DE CAMPINAS
- Subjects
Neoplasias primárias desconhecidas ,Neoplasms, Unknown primary ,Mouth ,Neoplasias de cabeça e pescoço ,Oropharyngeal neoplasms ,Boca ,Carcinoma, Squamous cell ,Carcinoma de células escamosas ,Mouth neoplasms ,Neoplasias bucais ,Neoplasias orofaríngeas ,Head and neck neoplasms - Abstract
Orientadores: Carlos Takahiro Chone, Agricio Nubiato Crespo Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciências Médicas Resumo: Objetivo. Avaliar a mudança no estadiamento cervical de pacientes com carcinoma espino celular (CEC) de cavidade oral e orofaringe, após alteração na padronização da análise anátomo-patológica dos linfonodos de espécimes cirúrgicos de esvaziamentos cervicais, clinicamente livres de metástases (cN0), com cortes seriados de todos os linfonodos. Materiais e Métodos. Estudo retrospectivo com 21 pacientes previamente classificados como cN0 submetidos a cirurgia para exérese do tumor primário e esvaziamento cervical eletivo. Realizou-se inicialmente a revisão das laminas originais e, posteriormente, cortes seriados com 5 µm de espessura e nova análise das lâminas. Para avaliar o impacto da mudança na sobrevida foi realizada análise de Kaplan-Meier (IC 95%). Resultados. Após a avaliação convencional, 14 pacientes foram classificados como pN0, isto é, patologicamente livres de metástases cervicais, e sete (33%) como pN+, ou seja, patologicamente acometidos. A análise com cortes seriados detectou outros três pacientes com acometimento linfonodal, previamente classificados como pN0 e 1 previamente estadiado como N1 mudou para N2b com 10 pacintes pN+ (48%). Houve aumento de 43% (3/7) no número de pacientes com acometimento linfonodal e 19% de aumento no estadiamento linfonodal após a nova padronização anátomo-patológica, porém sem impacto na sobrevida (p=0,554). Conclusão. Análise com cortes seriados de linfonodos de esvaziamento cervicais permitiu um aumento de 14% no número de pescoços com metastases ocultas e de 19% no estadiamento cervical inicial frente à técnica convencional Abstract: Objective. Asses the change in neck staging in patients with squamous cell carcinoma (SCC) of oral cavity and oropharynx after new methodology for histopathological analysis of lymph nodes of surgical specimens from neck dissections, with step serial sections of all harvested lymph nodes, in clinically neck negative patients (cN0). It was also studied the impact of this changes on survival. Materials and methods. Retrospective study with 21 patients previously classified as cN0 undergoing surgery for excision of the primary tumor and elective neck dissection. Initially was held to revise the original pathology slides and, subsequently, step-serial sectioning with 5 µm thick and re-examination of the slides. In order to assess the impact of change in disease-free survival was held Kaplan-Meier analysis (IC 95%). Results. After conventional evaluation, 14 patients were found to be without lymphatic metastases (pN0) and seven (33%) were affected (pN+). The analysis with step serial section has detected three other patients with lymphatic metastases, previously classified as pN0, and one patient previously as N1 increased to N2b with 10 pN(+) cases (48%). There was an increase of 43% in patients with lymph node metastases and 19% of increase in neck staging after the new histopathological standardization, but without impact on survival (p = 0.554). Conclusion. Analysis of lymph nodes in surgical specimens of neck dissections with step-serial sectioning allowed an increase of 43% of necks with occult metastases and increase of neck staging in 19% when compared to conventional technique Mestrado Otorrinolaringologia Mestre em Ciências Médicas
- Published
- 2015
56. Oral and general health-related quality of life in patients treated for oral cancer compared to control group
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Georgios Tsakos, Blas García-Medina, José Antonio Gil-Montoya, Rocío Barrios, Manuel Bravo, Ildefonso Martínez-Lara, [Barrios,R]Research Fellow of the Spanish Ministry of Education, School of Dentistry, University of Granada,Granada. [Barrios,R, Bravo,M] Preventive and Community Dentistry, School of Dentistry, University of Granada, Granada, Spain. [Gil-Montoya,JA] Special Care in Dentistry and Gerodontology, School of Dentistry, University of Granada, Granada, Spain. [Martínez-Lara,I, García-Medina,B] Oral and Maxillofacial Surgeon, Servicio de Cirugía Maxilofacial, Hospital Universitario 'Virgen de las Nieves',Granada, Spain. [Tsakos,G] Department of Epidemiology and Public Health, Dental Public Health, Institute of Epidemiology and Health, University College London, London, UK., and This study was supported by the Andalusian Research Group CTS-503.
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Male ,Cross-sectional study ,Health Status ,Calidad de vida ,Oral Health ,Disease ,Diseases::Neoplasms::Neoplasms by Site::Head and Neck Neoplasms::Otorhinolaryngologic Neoplasms::Pharyngeal Neoplasms::Oropharyngeal Neoplasms [Medical Subject Headings] ,Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans [Medical Subject Headings] ,Evaluación del desenlace (asistencia sanitaria) ,SF-12 ,Quality of life ,Surveys and Questionnaires ,Cuestionarios ,Masculino ,Aged, 80 and over ,Mouth neoplasm ,education.field_of_study ,Oral cancer ,Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Data Collection::Questionnaires [Medical Subject Headings] ,Health Care::Population Characteristics::Socioeconomic Factors::Social Class [Medical Subject Headings] ,General Medicine ,Middle Aged ,Neoplasias orofaríngeas ,humanities ,Humanos ,Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Epidemiologic Study Characteristics as Topic::Epidemiologic Studies::Cross-Sectional Studies [Medical Subject Headings] ,Female ,Mouth Neoplasms ,Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Epidemiologic Research Design::Control Groups [Medical Subject Headings] ,Health Care::Health Services Administration::Quality of Health Care::Outcome and Process Assessment (Health Care)::Outcome Assessment (Health Care) [Medical Subject Headings] ,Attitude to Health ,OHIP ,Adult ,Salud bucal ,medicine.medical_specialty ,Population ,Clase social ,Check Tags::Male [Medical Subject Headings] ,Grupos control ,Odds ,Disciplines and Occupations::Social Sciences::Quality of Life [Medical Subject Headings] ,Internal medicine ,medicine ,Humans ,OIDP ,In patient ,education ,Aged ,Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Data Collection::Health Surveys [Medical Subject Headings] ,business.industry ,Research ,Public Health, Environmental and Occupational Health ,Cancer ,medicine.disease ,Surgery ,stomatognathic diseases ,Cross-Sectional Studies ,Neoplasias de la Boca ,Diseases::Neoplasms::Neoplasms by Site::Head and Neck Neoplasms::Mouth Neoplasms [Medical Subject Headings] ,Health Care::Population Characteristics::Health::Oral Health [Medical Subject Headings] ,business - Abstract
Background: Health-related quality of life (HRQoL) is gaining importance as a valuable outcome measure in oral cancer area. The aim of this study was to assess the general and oral HRQoL of oral and oropharyngeal cancer patients 6 or more months after treatment and compare them with a population free from this disease., Methods: A cross-sectional study was carried out with patients treated for oral cancer at least 6 months post-treatment and a gender and age group matched control group. HRQoL was measured with the 12-Item Short Form Health Survey (SF-12); oral HRQoL (OHRQoL) was evaluated using the Oral Health Impact Profile (OHIP-14) and the Oral Impacts on Daily Performances (OIDP). Multivariable regression models assessed the association between the outcomes (SF-12, OHIP-14 and OIDP) and the exposure (patients versus controls), adjusting for sex, age, social class, functional tooth units and presence of illness., Results: For patients (n = 142) and controls (n = 142), 64.1% were males. The mean age was 65.2 (standard deviation (sd): 12.9) years in patients and 67.5 (sd: 13.7) years in controls. Patients had worse SF-12 Physical Component Summary scores than controls even in fully the adjusted model [β-coefficient = −0.11 (95% CI: −5.12-(−0.16)]. The differences in SF-12 Mental Component Summary were not statistically significant. Regarding OHRQoL patients had 11.63 (95% CI: 6.77-20.01) higher odds for the OHIP-14 and 21.26 (95% CI: 11.54-39.13) higher odds for OIDP of being in a worse category of OHRQoL compared to controls in the fully adjusted model., Conclusion: At least 6 months after treatment, oral cancer patients had worse OHRQoL, worse physical HRQoL and similar psychological HRQoL than the general population., Rocio Barrios, academic training, is being supported by the postgraduate research fellowship “Programa de Formación del Profesorado Universitario” from the Spanish Ministry of Education, Culture and Sport. This study was also supported by the Andalusian Research Group CTS-503.
- Published
- 2015
57. Ocupação e câncer da cavidade oral e orofaringe Occupational status and cancer of the oral cavity and oropharynx
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Magda Andreotti, Aparecida Natália Rodrigues, Luiza Maria Nunes Cardoso, Rejane A. de Oliveira Figueiredo, José Eluf-Neto, and Victor Wünsch-Filho
- Subjects
Neoplasias Orofaríngeas ,Occupational Diseases ,Oropharyngeal Neoplasms ,lcsh:Public aspects of medicine ,lcsh:R ,lcsh:Medicine ,Mouth Neoplasms ,lcsh:RA1-1270 ,Neoplasias Bucais ,Doenças Ocupacionais - Abstract
Estudo caso-controle conduzido para avaliar a associação de exposições ocupacionais e câncer oral e orofaringe na Região Metropolitana de São Paulo. Inclui 325 casos e 468 controles, recrutados por freqüência de sexo e faixa etária, entrevistados entre janeiro de 1999 e março de 2002. A análise por ramos de atividade e ocupações foi restrita aos homens (266 casos, 362 controles) e os odds ratios (OR), calculados por regressão logística não-condicional, foram controlados por idade, tabagismo e consumo de álcool. Observou-se risco em trabalhadores de oficinas mecânicas (26 casos, 12 controles) OR = 2,45 (IC95%: 1,14-5,27), que aumentou nos que estavam empregados por dez ou mais anos (OR = 7,90; IC95%: 2,03-30,72). Os mecânicos de veículos (14 casos, 7 controles) apresentaram OR = 2,10 (IC95%: 0,78-5,68), e os expostos por 10 ou mais anos OR = 26,21 (IC95%: 2,34-294,06). Outros ramos de atividade e ocupações apresentaram OR > 1,5, porém não estatisticamente significantes. Em conclusão, emprego em oficinas mecânicas e a profissão de mecânico de automóveis revelaram risco para câncer oral e orofaringe, independente da idade, tabaco e álcool. Longas exposições aumentaram o risco.To estimate the risk of occupation in oral and oropharyngeal cancer, a hospital-based case-control study was conducted in Greater Metropolitan São Paulo, Brazil. The study included 325 cases and 468 controls, frequency-matched with cases by sex and age, and interviewed from January 1999 to March 2002. Occupational risks were examined by industry and job titles and restricted to males (266 cases, 362 controls). Odds ratios (OR) were calculated by unconditional logistic regression, controlling for age, smoking, and alcohol. Males working in vehicle maintenance shops (26 cases, 12 controls) showed adjusted OR = 2.45 (95%CI: 1.14-5.27), increasing among those employed 10 or more years (OR = 7.90; 95%CI: 2.03-30.72). Occupation as vehicle repair worker (14 cases, 7 controls) showed OR = 2.10 (95%CI: 0.78-5.68), increasing among workers exposed 10 or more years (OR = 26.21; 95%CI: 2.34-294.06). Other industries and occupations revealed OR higher than 1.5, but not statistically significant. In conclusion, employment in vehicle maintenance shops and occupation as vehicle repair worker showed risk for oral cancer, independently of smoking and alcohol. More prolonged exposure increased the risk.
- Published
- 2006
58. Alterações do fluxo salivar total não estimulado em pacientes portadores de carcinoma espinocelular de boca e orofaringe submetidos à radioterapia por hiperfracionamento
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M.I. Guebur, Benedito Valdecir de Oliveira, Laurindo Moacir Sassi, José Carlos Gasparin Pereira, Abrão Rapoport, and Gyl Henrique Albrecht Ramos
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Neoplasias Orofaríngeas ,Glândulas Salivares ,Radioterapia Hiperfracionada ,General Engineering ,Neoplasms. Tumors. Oncology. Including cancer and carcinogens ,General Earth and Planetary Sciences ,Neoplasias Bucais ,Xerostomia ,RC254-282 ,General Environmental Science - Abstract
A prevenção e o diagnóstico precoces são atualmente, as medidas mais eficazes de que dispomos para melhorar o prognóstico dos tumores malignos. Os tumores de boca e orofaringe são tratados com sucesso quando descobertos precocemente. A radioterapia é quase sempre um dos tratamentos de eleição para estes tumores. Quando as neoplasias são diagnosticadas em estádios mais avançados, o tratamento muitas vezes necessita ser mais rápido para ser eficiente, e com isso os radioterapeutas lançam mão do hiperfracionamento, no qual o paciente recebe duas doses diárias de radiação, com dose diária menor por fração, mas maior ao dia, ficando em cerca de 160cGy/2x/dia. Quando as glândulas salivares maiores estão presentes no campo irradiado, a xerostomia torna-se presente já na segunda semana de tratamento (1500 a 2000 cGy), alterando a saúde geral do paciente, que fica com dificuldade para se alimentar, falar e dormir. O objetivo deste estudo foi avaliar as alterações quantitativas do fluxo salivar total não estimulado de pacientes que se submetem ao hiperfracionamento para tratamento de carcinoma espinocelular de boca e orofaringe. Foram avaliadas as amostras de saliva de doze pacientes do Hospital Erasto Gaertner, de Curitiba, Paraná, pacientes esses do sexo masculino. Foram coletadas duas amostras de saliva, a primeira antes da radioterapia e a segunda, ao término do tratamento. Como resultado, obtivemos perda salivar em 91,7% dos pacientes, com uma porcentagem de perda de fluxo salivar total de 62,9%, registrada na segunda coleta. Concluindo, o hiperfracionamento ocasiona xerostomia bastante acentuada quando as glândulas salivares maiores encontram-se presentes no campo irradiado.
- Published
- 2004
59. Sobrevida de pacientes com câncer de lábio, boca e faringe: um estudo de coorte de 10 anos
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Mayara Eloisa Flores, Luiz Gustavo Teixeira Martins, Daniela Alba Nickel, Jefferson Traebert, and Ione Jayce Ceola Schneider
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Male ,medicine.medical_specialty ,Pediatrics ,Time Factors ,Oropharyngeal neoplasms ,Epidemiology ,Estudos longitudinais ,Lip Neoplasm ,Cohort Studies ,stomatognathic system ,medicine ,Humans ,Lip neoplasms ,Neoplasias labiais ,Risk factor ,Epidemiologia ,Survival rate ,Mouth neoplasia ,Survival analysis ,Retrospective Studies ,Análise de sobrevida ,business.industry ,lcsh:Public aspects of medicine ,Longitudinal studies ,Pharynx ,Public Health, Environmental and Occupational Health ,Retrospective cohort study ,lcsh:RA1-1270 ,Pharyngeal Neoplasms ,General Medicine ,Middle Aged ,Neoplasias bucais ,Neoplasias orofaríngeas ,Surgery ,Survival Rate ,medicine.anatomical_structure ,Lip Neoplasms ,Female ,Mouth Neoplasms ,business ,Cohort study - Abstract
Introduction: Cancer of the lip, mouth and pharynx is a serious health problem. High incidence rates are found worldwide. In Brazil, the Southern and Southeastern regions have the highest incidences in the country. Objective: To describe 5 and 10-year survival rates in patients with cancer of the lip, mouth and pharynx at a referral center in Florianopolis, Santa Catarina, Brazil. Methods: Retrospective cohort study using data from patients diagnosed between January 1st and December 31st, 2001, with follow-up until December 31st, 2011. Descriptive analysis was performed and survival was estimated by Kaplan-Meier method. Cox semi-parametric model was used to estimate death risk. Results: Survival rates at 5 and 10 years were 33.3 and 26.9%, respectively. Advanced clinical stage in the diagnosis increased death risk by 2.88 and 2.51, respectively. Sex, ethnicity, level of education, previous diagnosis and treatment, as well as age, did not show significant association. Conclusion: Survival rate at 5 years was 33.3% and, at 10 years, was 26.9%. Advanced stage was an independent risk factor for death due to cancer of the lip, mouth and pharynx in both periods analyzed. Introdução: O câncer de lábio, boca e faringe é um sério problema de saúde. Altas taxas de incidência são encontradas no mundo. No Brasil, as regiões Sul e Sudeste são as que apresentam maiores taxas de incidência. Objetivo: Descrever a taxa de sobrevida em cinco e dez anos em portadores de câncer de lábio, boca e faringe atendidos em um centro de referência de Florianópolis, SC. Métodos: Estudo de coorte histórica, realizado com dados de pacientes que tiveram diagnóstico entre 1º de janeiro e 31 de dezembro de 2001 e acompanhados até 31 de dezembro de 2011. Foi realizada análise descritiva e estimada a sobrevida pelo método de Kaplan-Meier. O modelo semiparamétrico de Cox foi utilizado para estimar o risco de óbito. Resultados: As taxas de sobrevida ao final de 5 e 10 anos foram de 33,3 e 26,9%, respectivamente. O estadio clínico avançado ao momento do diagnóstico aumentou em 2,88 e 2,51 o risco de óbito, respectivamente. Sexo, etnia, nível de escolaridade, diagnóstico e tratamento prévios, bem como idade, não se mostraram significativamente associados. Conclusão: As taxas de sobrevida aos 5 anos foi de 33,3% e, aos 10 anos, foi de 26,9%. O estadio avançado mostrou-se como fator de risco independente para o óbito por câncer de lábio, boca e faringe nos dois períodos analisados.
- Published
- 2014
60. Ocupação e câncer da cavidade oral e orofaringe
- Author
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Magda Andreotti, Aparecida Natália Rodrigues, Luiza Maria Nunes Cardoso, Rejane A. de Oliveira Figueiredo, José Eluf-Neto, and Victor Wünsch-Filho
- Subjects
Neoplasias Bucais ,Neoplasias Orofaríngeas ,Doenças Ocupacionais ,Medicine ,Public aspects of medicine ,RA1-1270 - Abstract
Estudo caso-controle conduzido para avaliar a associação de exposições ocupacionais e câncer oral e orofaringe na Região Metropolitana de São Paulo. Inclui 325 casos e 468 controles, recrutados por freqüência de sexo e faixa etária, entrevistados entre janeiro de 1999 e março de 2002. A análise por ramos de atividade e ocupações foi restrita aos homens (266 casos, 362 controles) e os odds ratios (OR), calculados por regressão logística não-condicional, foram controlados por idade, tabagismo e consumo de álcool. Observou-se risco em trabalhadores de oficinas mecânicas (26 casos, 12 controles) OR = 2,45 (IC95%: 1,14-5,27), que aumentou nos que estavam empregados por dez ou mais anos (OR = 7,90; IC95%: 2,03-30,72). Os mecânicos de veículos (14 casos, 7 controles) apresentaram OR = 2,10 (IC95%: 0,78-5,68), e os expostos por 10 ou mais anos OR = 26,21 (IC95%: 2,34-294,06). Outros ramos de atividade e ocupações apresentaram OR > 1,5, porém não estatisticamente significantes. Em conclusão, emprego em oficinas mecânicas e a profissão de mecânico de automóveis revelaram risco para câncer oral e orofaringe, independente da idade, tabaco e álcool. Longas exposições aumentaram o risco.
61. Selective use of postoperative neck radiotherapy in oral cavity and oropharynx cancer: a prospective clinical study
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Rosario Del Moral Ávila, Ildefonso Martínez Lara, Isabel Tovar Martín, Miguel Martínez Carrillo, José Mariano Ruiz de Almodóvar Rivera, [Martínez Carrillo,M, Tovar Martín,I, Moral Ávila,R del] Department of Radiation Oncology, Virgen de las Nieves University Hospital, Granada, Spain. [Martínez Lara,I] Department of Maxillo-Facial Surgery, Virgen de las Nieves University Hospital, Granada, Spain. [Ruiz de Almodóvar Rivera,JM] Department of Radiology and Physical Medicine, University of Granada, Granada, Spain., and This work was supported, in part, by Grants-in-Aid for Scientific Research from the Health Andalusian Authority PI-SAS-209/04.
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Male ,medicine.medical_treatment ,Oral Surgical Procedures ,Postoperative radiotherapy ,Selective neck irradiation ,Diseases::Neoplasms::Neoplasms by Site::Head and Neck Neoplasms::Otorhinolaryngologic Neoplasms::Pharyngeal Neoplasms::Oropharyngeal Neoplasms [Medical Subject Headings] ,Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans [Medical Subject Headings] ,Postoperative Period ,Lymph node ,Analytical, Diagnostic and Therapeutic Techniques and Equipment::Therapeutics::Radiotherapy [Medical Subject Headings] ,Middle Aged ,Primary tumor ,Combined Modality Therapy ,Humanos ,Dissection ,Oropharyngeal Neoplasms ,medicine.anatomical_structure ,Oncology ,Radiology Nuclear Medicine and imaging ,Head and Neck Neoplasms ,Lymphatic Metastasis ,Toxicity ,Carcinoma, Squamous Cell ,Neck Dissection ,Female ,Mouth Neoplasms ,Radiology ,Adult ,Neoplasias Orofaríngeas ,medicine.medical_specialty ,Neoplasias de cabeza y cuello ,Oral cavity and oropharynx cancer ,Radioterapia Ayuvante ,Radioterapia ,medicine ,Humans ,Radiology, Nuclear Medicine and imaging ,Aged ,business.industry ,Squamous Cell Carcinoma of Head and Neck ,Research ,Radiotherapy Planning, Computer-Assisted ,Cancer ,medicine.disease ,Surgery ,Radiation therapy ,Neoplasias de la Boca ,Diseases::Neoplasms::Neoplasms by Site::Head and Neck Neoplasms::Mouth Neoplasms [Medical Subject Headings] ,Prospective clinical study ,Analytical, Diagnostic and Therapeutic Techniques and Equipment::Therapeutics::Radiotherapy::Radiotherapy, Adjuvant [Medical Subject Headings] ,Radiotherapy, Adjuvant ,business - Abstract
Background: In cervical postoperative radiotherapy, the target volume is usually the same as the extension of the previous dissection. We evaluated a protocol of selective irradiation according to the risk estimated for each dissected lymph node level. Methods: Eighty patients with oral/oropharyngeal cancer were included in this prospective clinical study between 2005 and 2008. Patients underwent surgery of the primary tumor and cervical dissection, with identification of positive nodal levels, followed by selective postoperative radiotherapy. Three types of selective nodal clinical target volume (CTV) were defined: CTV0, CTV1, and CTV2, with a subclinical disease risk of < 10%, 10-25%, and 25% and a prescribed radiation dose of < 35 Gy, 50 Gy, and 66-70 Gy, respectively. The localization of node failure was categorized as field, marginal, or outside the irradiated field. Results: A consistent pattern of cervical infiltration was observed in 97% of positive dissections. Lymph node failure occurred within a high-risk irradiated area (CTV1-CTV2) in 12 patients, marginal area (CTV1/CTVO) in 1 patient, and non-irradiated low-risk area (CTV0) in 2 patients. The volume of selective lymph node irradiation was below the standard radiation volume in 33 patients (mean of 118.6 cc per patient). This decrease in irradiated volume was associated with greater treatment compliance and reduced secondary toxicity. The three-year actuarial nodal control rate was 80%. Conclusion: This selective postoperative neck irradiation protocol was associated with a similar failure pattern to that observed after standard neck irradiation and achieved a significant reduction in target volume and secondary toxicity., This work was supported, in part, by Grants-in-Aid for Scientific Research from the Health Andalusian Authority PI-SAS-209/04.
- Published
- 2013
62. Factors associated with the interval between diagnosis and initiation of treatment in patients with oral and oropharyngeal cancer in Brazil: a national database analysis
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BORGES, Marcio Vinícius Campos, RODRIGUES, Vandilson Pinheiro, PEREIRA, Erika Martins, CRUZ, Maria Carmen Fontoura Nogueira da, CONCEIÇÃO, Thalita Santana, PEREIRA, Érika Martins, and CANTANHEDE, Luana Martins
- Subjects
Tempo para o Tratamento ,Neoplasias Orofaríngeas ,Brasil ,Neoplasias Bucais ,Oropharyngeal Neoplasms ,Mouth Neoplasms ,Epidemiology ,Brazil ,Odontologia ,Cancerologia ,Epidemiologia ,Time-to- Treatment - Abstract
Submitted by Jonathan Sousa de Almeida (jonathan.sousa@ufma.br) on 2022-11-29T14:40:59Z No. of bitstreams: 1 MARCIOVINÍCIUSCAMPOSBORGES.pdf: 997269 bytes, checksum: 1505ad1425cdb1f1860d7cf2b1db1101 (MD5) Made available in DSpace on 2022-11-29T14:40:59Z (GMT). No. of bitstreams: 1 MARCIOVINÍCIUSCAMPOSBORGES.pdf: 997269 bytes, checksum: 1505ad1425cdb1f1860d7cf2b1db1101 (MD5) Previous issue date: 2011-11-24 FAPEMA CAPES Oral and Oropharyngeal cancer is one of the cancers which has the highest mortality in the world and the prevention of the treatment delay is a key to decrease this high mortality. The objective of this study was to analyze temporal trends and factors associated to the interval between diagnose of these diseases established from the date of the histopathological report to the beginning of the treatment in Brazil between 2013 and 2019. A retrospective observational study was conducted with secondary data from the Brazilian Health System Database (DATASUS). The analyzed variables were year of treatment, sex, age group, anatomic region, staging of the disease, type of treatment and Federated Unit of Brazil. Thematic maps were created and the statistical analyses was performed using Chi-Square statistics (χ2). The sample of the study was 72,062 cases. The majority of the cases was men (79.32%), people older than 45 (91.15%) and lesions diagnosed in the oropharynx (31.3%) or regions of the tongue (29.3%). The treatment was earlier in young people, lip cancer and surgery treatment. There was high variability through time among the Federated Units of Brazil and just the Brazilian state of Santa Catarina showed decrease in those cases whose treatment had begun after 60 days for both oral and oropharyngeal cancer. Factors such as age group, anatomic region and type of treatment of the oral and oropharyngeal cancer are factors that influenced the interval between the diagnose and beginning of treatment of these diseases in Brazil and there was a decrease in the interval to begin the treatment specially in 2018 and 2019. O câncer de boca e de orofaringe é um dos tipos de câncer com maior mortalidade em todo o mundo e uma das chaves para diminuir essa alta mortalidade é prevenir o tratamento tardio dessas doenças. O objetivo desta dissertação foi investigar mudanças temporais e fatores associados ao intervalo entre o diagnóstico do câncer de boca e de orofaringe estabelecido a partir da data do laudo histopatológico até início do tratamento no Brasil entre 2013 a 2019. Um estudo observacional retrospectivo de série temporal foi conduzido com dados secundários extraídos do Departamento de Informática do Sistema Único de Saúde do Brasil (DATASUS). As variáveis coletadas incluíram ano de tratamento, sexo, faixa etária, localização anatômica, estadiamento da doença, modalidade de tratamento e Unidade Federativa do Brasil. Foram construídos mapas temáticos e a análise estatística foi feita com o teste do qui-quadrado (χ2). A amostra do estudo totalizou 72.062 casos. A maioria dos casos ocorreu em indivíduos do sexo masculino (79,32%), em pessoas acima de 45 anos (91,15%) e lesões notificadas na orofaringe (31,3%) ou regiões da língua (29,3%). Houve tratamento mais precoce em lesões diagnosticadas em indivíduos mais jovens, em câncer de lábio, e na modalidade de tratamento cirúrgico. Houve grande variabilidade no comportamento temporal entre as Unidades Federativas no Brasil e apenas Santa Catarina apresentou decréscimo no percentual de casos com início de tratamento após 60 dias tanto para o câncer de boca quanto para o câncer de orofaringe. Os achados sugerem que houve diminuição do tempo para iniciar o tratamento especialmente nos anos 2018 e 2019 e fatores como faixa etária, localização anatômica e modalidade de tratamento do câncer de boca e de orofaringe são fatores que influenciaram no intervalo entre o diagnóstico e início do tratamento dessas doenças no Brasil.
- Published
- 2011
63. Detecção do papilomavírus humano em carcinoma espinocelular de orofaringe através da reação em cadeia da polimerase. Correlação com dados demográficos, clínico-patológicos e de sobrevida
- Author
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Kawata, Leandro Toyoji [UNESP], Universidade Estadual Paulista (Unesp), Miyahara, Glauco Issamu [UNESP], and Biasoli, Eder Ricardo [UNESP]
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Oropharyngeal neoplasms ,Pathology Oral ,Patologia bucal ,Neoplasias orofaríngeas ,Papillomaviridae ,Polymerase chain reaction - Abstract
Made available in DSpace on 2014-06-11T19:32:06Z (GMT). No. of bitstreams: 0 Previous issue date: 2007-12-06Bitstream added on 2014-06-13T20:03:02Z : No. of bitstreams: 1 kawata_lt_dr_araca.pdf: 1246612 bytes, checksum: 16cc6433f58bd5e31123db2601352d36 (MD5) Os resultados da presença do papilomavírus humano (HPV) em relação ao câncer das vias aerodigestivas superiores são muito controversos. Destas vias, a orofaringe tem sido a localização com maior prevalência de HPV, o que desperta grande interesse dos pesquisadores sobre a real participação do vírus na carcinogênese desta região. Este trabalho teve como objetivo verificar a prevalência de HPV em pacientes com carcinoma espinocelular de orofaringe, através da reação em cadeia polimerase (PCR) e correlacioná-la com dados demográficos, clínico-patológicos e de sobrevida. O estudo foi realizado através da análise de 27 peças oriundas de blocos de parafina obtidos de pacientes portadores de carcinoma espinocelular de orofaringe diagnosticados e tratados no Centro de Oncologia Bucal da Faculdade de Odontologia de Araçatuba - UNESP. Foram realizadas extrações do DNA com o QIAamp DNA minikit, conforme instrução do fabricante. Após confirmar a presença e integridade do DNA, foi realizada a nPCR para detecção do HPV. Dois grupos foram formados considerando-se a presença ou ausência do HPV. Foram amplificadas 26 amostras para o gene -globina sendo que o HPV foi detectado em 50% dos casos estudados. Não houve diferença estatisticamente significativa entre os grupos em relação as variáveis clínico-patológicas e a sobrevida. Reports on the presence of human papillomavirus (HPV) in upper aerodigestive tract are very controversial. In this tract, the oropharynx has been the site with the highest prevalence of HPV, which encourage the great interest of researchers for the real role of the virus in the carcinogenesis of this area. This study had the objective of verifying the HPV prevalence in patients with oropharyngeal squamous cell carcinoma using polymerase chain reaction (PCR) and its correlation with demographic data, clinicopathological aspects and survival. This study was accomplished by the analysis of embedded paraffin tissues of oropharyngeal squamous cell carcinoma from 27 patients diagnosed and treated in São Paulo State University, Dentistry College of Araçatuba – UNESP. DNA extraction was accomplished with QIAamp DNA minikit, according to the manufacturer´s protocol. After confirming the presence and integrity of DNA, nPCR for HPV was performed. Two groups were formed, considering patients with HPV and without HPV. -globin gene was PCR amplified in 26 samples and the HPV detected in 50% of the studied cases. There was no statistically significant difference between the groups in relation of clinicopathological variables and survival.
- Published
- 2007
64. Avaliação do fluxo salivar total não estimulado durante e após radioterapia, com o uso do lauril-dietileno-glicol-éter-sulfato de sódio associado ao hidróxido de cálcio
- Author
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Correia, Christiano Marinho [UNESP], Universidade Estadual Paulista (Unesp), and Biasoli, Eder Ricardo [UNESP]
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Tumores odontogenicos ,Radioterapia ,Dodecilsulfato de sódio ,Radiotherapy ,Salivação ,Calcium hydroxide ,Hidroxido de calcio ,Mouth neoplasms ,Neoplasias bucais ,Salivation ,Neoplasias orofaríngeas ,Sodium dodecyl sulfate - Abstract
Made available in DSpace on 2014-06-11T19:32:06Z (GMT). No. of bitstreams: 0 Previous issue date: 2006-12-18Bitstream added on 2014-06-13T19:42:27Z : No. of bitstreams: 1 correia_cm_dr_araca.pdf: 275887 bytes, checksum: 756fbfef30ea96ed1ecb1864b78586b4 (MD5) Os tratamentos utilizados para a prevenção da xerostomia não atingem a eficácia esperada pelos pacientes, podendo ainda produzir efeitos colaterais indesejáveis. O objetivo deste trabalho foi avaliar quantitativamente o índice de fluxo salivar total não estimulado de pacientes portadores de câncer de cabeça e pescoço durante e após tratamento radioterápico exclusivo tratados com a associação de laurildietileno- glicol-éter-sulfato de sódio e hidróxido de cálcio (HcT20). Este estudo foi realizado no Hospital Dr. Hélio Angotti envolvendo trinta e um pacientes (n=31) divididos em dois grupos: o grupo I composto por dezessete pacientes (n=17) submetidos à telecobaltoterapia, na dose total de 7.000 cGy e receberam o HcT20 durante o tratamento. O grupo II composto por quatorze pacientes (n=14) iniciaram o uso do HcT20 após a conclusão da radioterapia. Foram realizadas e mensuradas coletas semanais do índice de fluxo salivar total não estimulado para os pacientes dos dois grupos. Os valores obtidos foram analisados estatisticamente através dos testes de aderência à curva normal, teste de Bartlett, teste de Friedman e teste de Wilcoxon, visando avaliar a eficácia do HcT20 tanto na prevenção da queda acentuada do fluxo salivar durante a radioterapia quanto na hipofunção salivar no período pós-radioterapia. Os pacientes do grupo I, ao término da radioterapia, mantiveram o índice de fluxo salivar total não estimulado em relação aos valores basais; os do grupo II, que utilizaram a associação medicamentosa após radioterapia, apresentaram melhora acentuada no índice de fluxo salivar total não estimulado em relação ao basal; e o uso do HcT20 apresentou melhor resultado quando utilizado durante a radioterapia. The treatments used to prevent the xerostomy do not reach the efficiency expected by the patients, and it can have undesirable effects. The goal of this report was to make a quantifiable evaluation of the total non stimulated salivary flow index in patients with head and neck cancers during and after the exclusive radiotherapy with an association of lauryl-diethylene-glycol-ether sodium sulfate and calcium hydroxide (HcT20). This study was held at the hospital Dr. Hélio Angotti involving thirty one patients (n=31) divided into two groups: Group one had seventeen patients (n=17) submitted to fractioned radiation treatment in the head and neck region at the total dose of 7.000 cGy and had HcT20 during the treatment. Group two with fourteen patients (n=14) started with the use of HcT20 after the end of radiotherapy. A weekly and measured collection of the index of the total non stimulated saliva flow was done on the patients of both groups. The values that were obtained were analyzed statistically through the Bartlett test, the Friedman test and the Wilcoxon test, to seek an evaluation of the effectiveness of the medication on the prevention of the intense drop of the salivary flow during the radiotherapy and do avoid the xerostomy during the postradiotherapeutic period. The patients from group one at the end of the radiotherapy kept the base index of the total non stimulated salivary flow, the ones from group two that used the medication association after the radiotherapy had a great improvement of the total non stimulated salivary flow and the usage of HcT20 had a better result on the index of salivary flow during the radiotherapy.
- Published
- 2006
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