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Dos Santos ES, Rocha AFL, Leite AA, Gallagher KPD, Penafort PVM, Cintra ML, Vargas PA. A crateriform lesion on the upper lip. Oral Surg Oral Med Oral Pathol Oral Radiol 2024; 137:446-450. [PMID: 38519297 DOI: 10.1016/j.oooo.2024.02.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2023] [Revised: 02/09/2024] [Accepted: 02/26/2024] [Indexed: 03/24/2024]
Affiliation(s)
- Erison Santana Dos Santos
- Department of Oral Diagnosis, Piracicaba Dental School, University of Campinas (UNICAMP), Piracicaba, Brazil
| | - Audrey Foster Lefort Rocha
- Oral Medicine, Department of Diagnosis and Surgery, Araraquara Dental School, Universidade Estadual Paulista (UNESP), São Paulo, Brazil
| | - Amanda Almeida Leite
- Department of Oral Diagnosis, Piracicaba Dental School, University of Campinas (UNICAMP), Piracicaba, Brazil
| | | | | | - Maria Letícia Cintra
- Pathology Department, Dermatopathology Division, School of Medical Sciences, UNICAMP, Sao Paulo, Brazil
| | - Pablo Agustin Vargas
- Department of Oral Diagnosis, Piracicaba Dental School, University of Campinas (UNICAMP), Piracicaba, Brazil.
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Raza SA, Jawed I, Zoorob RJ, Salemi JL. Completeness of Cancer Case Ascertainment in International Cancer Registries: Exploring the Issue of Gender Disparities. Front Oncol 2020; 10:1148. [PMID: 32766152 PMCID: PMC7378680 DOI: 10.3389/fonc.2020.01148] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2019] [Accepted: 06/08/2020] [Indexed: 11/13/2022] Open
Affiliation(s)
- Syed Ahsan Raza
- Department of Family and Community Medicine, Baylor College of Medicine, Houston, TX, United States.,Department of Medicine, Section of Epidemiology and Population Sciences, Dan L. Duncan Comprehensive Cancer Center, Baylor College of Medicine, Houston, TX, United States
| | - Irfan Jawed
- Houston Cancer Treatment Centers, Houston, TX, United States
| | - Roger Jamil Zoorob
- Department of Family and Community Medicine, Baylor College of Medicine, Houston, TX, United States
| | - Jason Lee Salemi
- Department of Family and Community Medicine, Baylor College of Medicine, Houston, TX, United States.,College of Public Health, Morsani College of Medicine, University of South Florida, Tampa, FL, United States
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da Silva KD, Caldeira PC, Alves AM, Vasconcelos ACU, Gomes APN, de Aguiar MCF, Tarquinio SBC. High CD3 + lymphocytes, low CD66b + neutrophils, and scarce tumor budding in the invasive front of lip squamous cell carcinomas. Arch Oral Biol 2019; 104:46-51. [PMID: 31170531 DOI: 10.1016/j.archoralbio.2019.05.027] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2019] [Revised: 04/05/2019] [Accepted: 05/25/2019] [Indexed: 12/30/2022]
Abstract
OBJECTIVE This study aimed to evaluate tumor budding (TB) and quantify the neutrophilic and lymphocytic infiltration in the invasive front of lip squamous cell carcinomas. In addition, the associations between these features and the histopathological grading in the invasive front were analyzed. DESIGN A total of 43 lip squamous cell carcinoma surgical specimens were included and classified in accordance with a histological invasive front grading system. Immunohistochemistry was performed for CD66b and CD3 for the evaluation of neutrophils and T lymphocytes, respectively, in the invasive front of the tumors. Tumor budding was evidenced by AE1/AE3 staining. RESULTS Thirty-six (83.7%) of the tumors were well-differentiated tumors. Eleven (25.6%) of the cases exhibited high-intensity tumor budding. There were low neutrophil and high T lymphocyte infiltrations in the invasive front, leading to a low neutrophil/T lymphocyte ratio in the same region. Moreover, we found an association between tumor budding and the pattern of invasion, and between the CD3+ cell count and the inflammatory infiltrate (p < 0.05). CONCLUSIONS The low neutrophil and high T lymphocyte infiltration in the invasive front, and the few high-intensity tumor budding cases are in accordance with the histopathological features of well-differentiated lip tumors. If these characteristics remain in lip squamous cell carcinomas with more aggressive histopathological features, it deserves to be investigated.
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Affiliation(s)
- Karine Duarte da Silva
- Department of Semiology and Clinic, School of Dentistry, Universidade Federal de Pelotas, Pelotas, RS, Brazil.
| | - Patrícia Carlos Caldeira
- Department of Oral Pathology and Surgery, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
| | - Alessandro Menna Alves
- Department of Semiology and Clinic, School of Dentistry, Universidade Federal de Pelotas, Pelotas, RS, Brazil.
| | | | - Ana Paula Neutzling Gomes
- Department of Semiology and Clinic, School of Dentistry, Universidade Federal de Pelotas, Pelotas, RS, Brazil.
| | - Maria Cássia Ferreira de Aguiar
- Department of Oral Pathology and Surgery, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
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Monteiro LS, Antunes L, Santos LL, Bento MJ, Warnakulasuriya S. Survival probabilities and trends for lip, oral cavity and oropharynx cancers in Northern Portugal in the period 2000-2009. Ecancermedicalscience 2018; 12:855. [PMID: 30093917 PMCID: PMC6070366 DOI: 10.3332/ecancer.2018.855] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2018] [Indexed: 12/15/2022] Open
Abstract
Background Oral cancer represents a serious public health problem worldwide. Our aim was to analyse the survival probabilities and trends of patients presenting with lip, oral cavity and oropharynx cancers, who were residents in the north of Portugal. Methods Using cancer-registry data, we conducted a population-based study of lip, oral cavity and oropharynx cancers diagnosed in the period 2000-2009, among residents in the north of Portugal. Net survival was estimated using the Pohar-Perme estimator. Excess hazard ratios (for gender, age group, tumour location, stage, residence area and period of diagnosis) were estimated using flexible parametric models. Results A total of 2,947 cases (79.5% males) were included of which 18.5% were located on the lip, 56.2% in the oral cavity and 25.3% in the oropharynx. A large proportion of patients were diagnosed in stages III and IV (18.6% and 48.7%, respectively). The 5-year net survival (5yr-NS) for all three cancer sites together was 46% (95%CI 44-48), being 88% (95%CI 83-94), 41% (95%CI 38-43) and 27% (95%CI 23-30) for lip, oral cavity and oropharynx cancer, respectively. The 5yr-NS stratified by tumour stage was 84% (95%CI 78-90) for stage I, 69% (95%CI 63-76) for stage II, 42% (95%CI 37-47) for stage III and 19% (95%CI 16-21) for stage IV. When comparing the periods 2000-4 and 2005-9, no overall improvements in survival were observed. However, when analysed by stage, a significant reduction in the adjusted excess mortality was observed for stages II (p = 0.021) and III (p < 0.001). Conclusion More than half of the oral cavity and oropharynx cancers were diagnosed in advanced stages of the disease, having a low survival probability. Improvements in survival in the first decade of this century were limited to stages II and III, which were the result of changes in hospital cancer care practices.
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Affiliation(s)
- Luís Silva Monteiro
- Department of Medicine and Oral Surgery, Cancer Research Group, IINFACTS, Instituto Universitário de Ciências da Saúde Norte-CESPU, Paredes 4585-116, Portugal
| | - Luís Antunes
- Cancer Epidemiology Group, IPO Porto Research Center (CI-IPOP), Portuguese Oncology Institute of Porto (IPO Porto), Porto 4200-072, Portugal
| | - Lúcio Lara Santos
- Experimental Pathology and Therapeutics Group, IPO Porto Research Center (CI-IPOP), Portuguese Oncology Institute of Porto, Porto 4200-072, Portugal.,Department of Surgical Oncology, Portuguese Oncology Institute of Porto, Porto 4200-072 Portugal
| | - Maria José Bento
- Cancer Epidemiology Group, IPO Porto Research Center (CI-IPOP), Portuguese Oncology Institute of Porto (IPO Porto), Porto 4200-072, Portugal
| | - Saman Warnakulasuriya
- King's College London and WHO Collaborating Centre for Oral Cancer, London SE5 9RW, UK
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Tseng HW, Liou HH, Tsai KW, Ger LP, Shiue YL. Clinicopathological study of lip cancer: a retrospective hospital-based study in Taiwan. APMIS 2017; 125:1007-1016. [PMID: 28913905 DOI: 10.1111/apm.12751] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2017] [Accepted: 07/17/2017] [Indexed: 11/30/2022]
Abstract
To evaluate the clinicopathological characteristics, high-risk lifestyle factors (HRLF: chronic exposure to sun, betel quid, alcohol, and tobacco), and prognostic factors of lip cancer. The hospital records of patients with pathologically confirmed lip squamous cell carcinoma (LSCC, n = 112) and lip basal cell carcinoma (LBCC, n = 21) were reviewed. Differences in clinicopathological characteristics between LSCC and LBCC, upper and lower lip, and status of second primary tumors were compared by chi-square test and logistic regression. The prognostic factors for LSCC were analyzed by Cox regression. Compared with LBCC patients, LSCC patients were men-predominant (p < 0.001), had younger ages at onset (p < 0.001), and higher rates of lower lips involvement (p < 0.001) and HRLFs. Patients with second primary tumors were highly associated with lower lip cancer involvement (adjusted odds ratio = 2.91, p = 0.03). Patients with lower lip cancer had more HRLFs with an increasing linear trend (p = 0.004). The poorer prognostic factors of LSCC for disease-specific survival were advanced stage III/IV [crude hazard ratio (CHR) = 11.16, p < 0.001], tumor dimension >4 cm (CHR = 8.19, p = 0.006), lymph node involvement (CHR = 11.48, p < 0.001), and recurrence (CHR = 3.96, p = 0.01); whereas for disease-free survival were moderately to poorly differentiated LSCC (CHR = 4.97, p = 0.002) and alcohol consumption (CHR = 3.13, p = 0.04). LSCC and lower lip cancer were highly associated with HRLFs.
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Affiliation(s)
- Hui-Wen Tseng
- Department of Dermatology, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.,Institute of Biomedical Sciences, National Sun Yat-Sen University, Kaohsiung, Taiwan
| | - Huei-Han Liou
- Department of Medical Education and Research, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan
| | - Kuo-Wang Tsai
- Department of Medical Education and Research, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan
| | - Luo-Ping Ger
- Institute of Biomedical Sciences, National Sun Yat-Sen University, Kaohsiung, Taiwan.,Department of Medical Education and Research, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan
| | - Yow-Ling Shiue
- Institute of Biomedical Sciences, National Sun Yat-Sen University, Kaohsiung, Taiwan
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Diz P, Meleti M, Diniz-Freitas M, Vescovi P, Warnakulasuriya S, Johnson NW, Kerr AR. Oral and pharyngeal cancer in Europe. TRANSLATIONAL RESEARCH IN ORAL ONCOLOGY 2017. [DOI: 10.1177/2057178x17701517] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022] Open
Affiliation(s)
- Pedro Diz
- School of Medicine and Dentistry, Special Needs Unit and OMEQUI Research Group, Santiago de Compostela University, Santiago de Compostela, Spain
| | - Marco Meleti
- Department of Biomedical, Biotechnological and Translational Science-Center of Oral Laser Surgery and Oral Pathology, Dental School, University of Parma, Parma, Italy
| | - Márcio Diniz-Freitas
- School of Medicine and Dentistry, Special Needs Unit and OMEQUI Research Group, Santiago de Compostela University, Santiago de Compostela, Spain
| | - Paolo Vescovi
- Department of Biomedical, Biotechnological and Translational Science-Center of Oral Laser Surgery and Oral Pathology, Dental School, University of Parma, Parma, Italy
| | | | - Newell W Johnson
- Menzies Health Institute Queensland, Griffith University, Queensland, Australia
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Strieder L, Coutinho-Camillo CM, Costa V, da Cruz Perez DE, Kowalski LP, Kaminagakura E. Comparative analysis of three histologic grading methods for squamous cell carcinoma of the lip. Oral Dis 2016; 23:120-125. [PMID: 27667675 DOI: 10.1111/odi.12586] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2016] [Revised: 08/30/2016] [Accepted: 09/11/2016] [Indexed: 11/28/2022]
Abstract
OBJECTIVES The aim of this study was to evaluate three histologic grading methods for squamous cell carcinoma (SCC) of the lip, the conventional three-grade model proposed by the World Health Organization, tumor budding and depth of invasion (BD) model, and histologic risk assessment (HRA) model, and to correlate them with prognosis. MATERIALS AND METHODS Fifty-three patients with lip SCC were evaluated. RESULTS The mean age was 65 years, 69.8% of the participants were men, and 66.0% of the patients had early-stage tumors. Using the BD and conventional three-grade methods, 52.8% and 64.2% of the cases were graded as low risk, respectively. The HRA model graded 54.7% of the cases as medium risk. In the BD model, the higher histologic grade was associated with worse prognosis (P = 0.045). Overall survival at 5 years was 87.8%. Tumor size (T3 + T4) and lymph node involvement (N+) were associated with reduced overall survival and recurrence-free survival (RFS) (P = 0.002 and 0.005; 0.007 and 0.01, respectively). Surgical treatment combined with radiotherapy was associated with lower RFS (P = 0.03). CONCLUSIONS High-grade lip SCC in advanced stages is associated with a poor prognosis. The BD model is a simple and effective tool for the prognostic evaluation of lip SCC.
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Affiliation(s)
- L Strieder
- Department of Bioscience and Oral Diagnosis, Institute of Science and Technology, UNESP - Univ. Estadual Paulista, São José dos Campos, Brazil
| | | | - V Costa
- Department of Bioscience and Oral Diagnosis, Institute of Science and Technology, UNESP - Univ. Estadual Paulista, São José dos Campos, Brazil
| | - D E da Cruz Perez
- Department of Clinical and Preventive Dentistry, Federal University of Pernambuco, Recife, Brazil
| | - L P Kowalski
- Department of Head and Neck Surgery and Otorhinolaryngology, A.C. Camargo Cancer Center, São Paulo, Brazil
| | - E Kaminagakura
- Department of Bioscience and Oral Diagnosis, Institute of Science and Technology, UNESP - Univ. Estadual Paulista, São José dos Campos, Brazil
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