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Lin M, Ashraf NS, Mahjabeen I. Deregulation of MMP-2 and MMP-9 in laryngeal cancer: A retrospective observational study. Medicine (Baltimore) 2024; 103:e38362. [PMID: 38968481 PMCID: PMC11224865 DOI: 10.1097/md.0000000000038362] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/12/2023] [Accepted: 05/03/2024] [Indexed: 07/07/2024] Open
Abstract
Laryngeal carcinoma (LC) is reported to have a higher incidence rate among all types of head and neck cancers around the globe. Mechanisms resulting in the pathogenesis of LC are complicated due to involvement of invasion and metastasis and there is a need to understand this complicated multistep process. Numerous molecules including matrix metalloproteinases (MMPs) are involved in regulating metastatic mechanisms. Furthermore, activation and expression of different classes of MMPs have been observed in multiple pathological and physiological events including inflammation, invasion, and metastasis. Among all members of MMPs, matrix metalloproteinases-2 (MMP-2), and matrix metalloproteinases-9 (MMP-9) have been frequently reported to correlate with tumor pathogenesis. The present study is designed to check the involvement of MMP-2 and MMP-9 in LC pathogenesis. 184 laryngeal tumor samples along with adjacent uninvolved healthy sections were collected to check the expression deregulation of the above-mentioned gene in LC using real-time PCR and immunohistochemistry (IHC). Real-time PCR and IHC analyses showed the significant upregulation of MMP-2 (P < .0001) and MMP-9 (P < .0001) genes in laryngeal tumors compared to controls. Spearman correlation showed the positive correlation of expression deregulation of selected MMPs with advanced TNM stage [MMP-2, (P < .0001); MMP-9, P < .0001] and smoking status [MMP-2 (P < .0001); MMP-9 P < .0001] in laryngeal pathogenesis. Receiver operating curve (ROC) analysis showed the good diagnostic/prognostic value of said markers in laryngeal cancer patients. The present study showed that significant upregulation of selected MMPs was found associated with an increased risk of laryngeal cancer and can act as good diagnostic markers for the detection of said disease.
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Affiliation(s)
- Mingxia Lin
- Department of Otolaryngology, Pingyang Hospital of Wenzhou Medical University, Wenzhou City, Zhejiang Province, China
| | - Nida Sarosh Ashraf
- Cancer Genetics and Epigenetics Research Group, Department of Biosciences, COMSATS University Islamabad, Pakistan
| | - Ishrat Mahjabeen
- Cancer Genetics and Epigenetics Research Group, Department of Biosciences, COMSATS University Islamabad, Pakistan
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Tawfik A, El-Fattah AMA, Hassan A, Helal FA, Ebada HA. Discrepancy between clinical and pathological staging of laryngeal carcinoma: a dilemma to be solved. Eur Arch Otorhinolaryngol 2024; 281:2507-2513. [PMID: 38345614 PMCID: PMC11023994 DOI: 10.1007/s00405-024-08506-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2023] [Accepted: 01/24/2024] [Indexed: 04/18/2024]
Abstract
OBJECTIVES The aim of this study was to investigate the degree of discrepancy between the clinical and pathological staging of laryngeal carcinoma, and the potential impact of this discrepancy on the outcomes and prognosis. METHODS This study was conducted on 127 patients who underwent total laryngectomy over five years (October 2016-October 2021). Data collected from pretherapeutic clinical staging regarding the extent of the tumor affection of different laryngeal subsites was compared to the postsurgical pathological assessment. RESULTS Overall, 12 out of 127 patients (9.4%) in the current study, were clinically over-staged from T3 to T4 due to radiological diagnosis of tumor infiltration of laryngeal cartilages that proved pathologically to be free of tumor. Additionally, discordance in the N stage was found in 12.6% (n = 16). However, stage discrepancy did not have a significant impact on the prognosis and survival. CONCLUSION Discordance between clinical and pathological TNM staging of laryngeal carcinoma may affect the decision making and the choice of the treatment options. Some improvement can be probably achieved with advancements and higher accuracy of the preoperative diagnostic tools.
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Affiliation(s)
- Ali Tawfik
- Department of Otorhinolaryngology, Mansoura University, Mansoura, 35511, Egypt
| | | | | | - Fatma Ahmad Helal
- Department of Otorhinolaryngology, Mansoura University, Mansoura, 35511, Egypt
| | - Hisham Atef Ebada
- Department of Otorhinolaryngology, Mansoura University, Mansoura, 35511, Egypt.
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Cheburkanov V, Keene E, Pipal J, Johns M, Applegate BE, Yakovlev VV. Porcine vocal fold elasticity evaluation using Brillouin spectroscopy. JOURNAL OF BIOMEDICAL OPTICS 2023; 28:087002. [PMID: 37560326 PMCID: PMC10407566 DOI: 10.1117/1.jbo.28.8.087002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/08/2023] [Revised: 07/18/2023] [Accepted: 07/21/2023] [Indexed: 08/11/2023]
Abstract
Significance The vocal folds are critically important structures within the larynx which serve the essential functions of supporting the airway, preventing aspiration, and phonation. The vocal fold mucosa has a unique multilayered architecture whose layers have discrete viscoelastic properties facilitating sound production. Perturbations in these properties lead to voice loss. Currently, vocal fold pliability is inferred clinically using laryngeal videostroboscopy and no tools are available for in vivo objective assessment. Aim The main objective of the present study is to evaluate viability of Brillouin microspectroscopy for differentiating vocal folds' mechanical properties against surrounding tissues. Approach We used Brillouin microspectroscopy as an emerging optical imaging modality capable of providing information about local viscoelastic properties of tissues in noninvasive and remote manner. Results Brillouin measurements of the porcine larynx vocal folds were performed. Elasticity-driven Brillouin spectral shifts were recorded and analyzed. Elastic properties, as assessed by Brillouin spectroscopy, strongly correlate with those acquired using classical elasticity measurements. Conclusions These results demonstrate the feasibility of Brillouin spectroscopy for vocal fold imaging. With more extensive research, this technique may provide noninvasive objective assessment of vocal fold mucosal pliability toward objective diagnoses and more targeted treatments.
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Affiliation(s)
- Vsevolod Cheburkanov
- Texas A&M University, Department of Biomedical Engineering, College Station, Texas, United States
| | - Ethan Keene
- Texas A&M University, Department of Biomedical Engineering, College Station, Texas, United States
- Tarleton State University, Department of Physics, Stephenville, Texas, United States
| | - Jason Pipal
- Texas A&M University, Department of Biomedical Engineering, College Station, Texas, United States
- Tarleton State University, Department of Physics, Stephenville, Texas, United States
| | - Michael Johns
- University of Southern California, Caruso Department of Otolaryngology–Head and Neck Surgery, Los Angeles, California, United States
| | - Brian E. Applegate
- University of Southern California, Caruso Department of Otolaryngology–Head and Neck Surgery, Los Angeles, California, United States
- University of Southern California, Department of Biomedical Engineering, Los Angeles, California, United States
| | - Vladislav V. Yakovlev
- Texas A&M University, Department of Biomedical Engineering, College Station, Texas, United States
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Sahu A, Mahajan A, Palsetia D, Vaish R, Laskar SG, Kumar J, Kamath N, Bhalla AS, Shah D, Sahu A, Agarwal U, Venkatesh A, Ankathi SK, Janu A, Patil V, Kapadia TH, Bal M, Sinha S, Prabhash K, Dcruz AK. Imaging Recommendations for Diagnosis, Staging and Management of Larynx and Hypopharynx Cancer. Indian J Med Paediatr Oncol 2023. [DOI: 10.1055/s-0042-1759504] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023] Open
Abstract
AbstractWe discussed the imaging recommendations for diagnosis, staging, and management of larynx and hypopharynx cancer. Carcinoma of the larynx is a common cancer, with males being affected more. Hypopharyngeal carcinoma is less common than laryngeal malignancies. Squamous cell carcinoma is the most common histological type. Nonsquamous cell malignant lesions are rare and mostly submucosal lesions. Clinical examination and endoscopy play an integral role in its detection and staging. Imaging also plays a major role in its staging, including local disease extent, nodal and distant metastatic status, as well as to assess response to therapy. Follow-up of treated cases and differentiation of recurrence from post treatment changes can be done on imaging. Early stage disease is treated with single modalities such as radiotherapy or surgery. Advanced disease is treated with multimodality of either chemoradiotherapy or surgery followed by adjuvant radiotherapy with or without concurrent chemotherapy.
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Affiliation(s)
- Arpita Sahu
- Department of Radiodiagnosis and Imaging, Homi Bhabha National Institute, Tata Memorial Hospital, Mumbai, Maharashtra, India
| | - Abhishek Mahajan
- Department of Radiodiagnosis, The Clatterbridge Cancer Centre, Liverpool, United Kingdom
| | - Delnaz Palsetia
- Department of Radiodiagnosis, Homi Bhabha National Institute, Tata Memorial Hospital, Mumbai, Maharashtra, India
| | - Richa Vaish
- Department of Head and Neck Oncology, Mumbai, Homi Bhabha National Institute, Tata Memorial Hospital, Mumbai, Maharashtra, India
| | - Sarbani Ghosh Laskar
- Department of Radiation Oncology, Homi Bhabha National Institute, Tata Memorial Hospital, Mumbai, Maharashtra, India
| | - Jyoti Kumar
- Department of Radiodiagnosis, Maulana Azad Medical College, New Delhi, India
| | - Namita Kamath
- Department of Radiodiagnosis, Southend University Hospital, Southend, United Kingdom
| | - Ashu Seith Bhalla
- Department of Radiodiagnosis and Interventional Radiology, All India Institute of Medical Sciences, New Delhi, India
| | - Diva Shah
- Departmentof Radiodiagnosis, HCG Cancer Centre, Gujarat, India
| | - Amit Sahu
- Department of Neuro and Peripheral Interventional Radiology, Neuro and Peripheral Interventional Radiology, Lilavati Hospital, Mumbai, Maharashtra, India
| | - Ujjwal Agarwal
- Department of Radiodiagnosis, Homi Bhabha National Institute, Tata Memorial Hospital, Mumbai, Maharashtra, India
| | - Aditi Venkatesh
- Department of Radiodiagnosis, Homi Bhabha National Institute, Tata Memorial Hospital, Mumbai, Maharashtra, India
| | - Suman Kumar Ankathi
- Department of Radiodiagnosis and Imaging, Homi Bhabha National Institute, Tata Memorial Hospital, Mumbai, Maharashtra, India
| | - Amit Janu
- Department of Radiodiagnosis and Imaging, Homi Bhabha National Institute, Tata Memorial Hospital, Mumbai, Maharashtra, India
| | - Vasundhara Patil
- Department of Radiodiagnosis and Imaging, Homi Bhabha National Institute, Tata Memorial Hospital, Mumbai, Maharashtra, India
| | - Tejas H. Kapadia
- Children's X-ray Department/Academic Unit of Paediatric Radiology, Royal Manchester Children's Hospital, Manchester, United Kingdom
| | - Munita Bal
- Department of Pathology, Homi Bhabha National Institute, Tata Memorial Hospital, Mumbai, Maharashtra, India
| | - Shwetabh Sinha
- Department of Radiation Oncology, Homi Bhabha National Institute, Tata Memorial Hospital, Mumbai, Maharashtra, India
| | - Kumar Prabhash
- Department of Medical Oncology, Homi Bhabha National Institute, Tata Memorial Hospital, Mumbai, Maharashtra, India
| | - A. K. Dcruz
- Department of Oncology, Apollo Hospitals, Tata Memorial Hospital Mumbai, Mumbai, Maharashtra, India
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Aliye IA, Nour AS. Laryngeal Cancer Imaging Patterns and Agreement with Laryngoscopy Findings at Tikur Anbessa Specialized Hospital: A Retrospective Study. Ethiop J Health Sci 2023; 33:91-96. [PMID: 36890935 PMCID: PMC9987276 DOI: 10.4314/ejhs.v33i1.12] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2022] [Accepted: 10/16/2022] [Indexed: 03/10/2023] Open
Abstract
Background Head and neck cancer is the commonest cancer among male patients and the third commonest cancer in females at Tikur Anbessa Specialized Hospital from 1998 to 2010. Methods A retrospective cross-sectional study of 90 patients with laryngeal mass who came to oncology and radiology departments at Tikur Anbessa specialized hospital from 2016 to 2019. Medical records were reviewed for clinical data, history, laryngoscope exam and computed tomography (CT) reports. The agreement between imaging and laryngoscope examination were analyzed. Results The mean age of presentation was 51.5 years ±14 (SD). The primary patient complaint was hoarseness of voice 77(85.6%) followed by shortness of breath in 28(31.1%). Among 34 cases for which risk factors were indicated, 23 (67.6%) had cigarette smoking. Out of the 79 cases with laryngeal subsites described, 38 (48.1%) were transglottic, 27 (34.2%) were glottic and 12 (15.2%) were supraglottic. Extra-laryngeal spread was seen in 46(51.1%) patients and 42(46.7) were stage IVA. Out of 90 patients only 38(42.2%) patients had laryngoscope findings. Conclusions Transglottic involvement with extra-laryngeal spread was common with advanced stage at presentation.
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Affiliation(s)
- Ilili Amin Aliye
- Addis Ababa University, College of Health Sciences, Department of Radiology, Addis Ababa, Ethiopia
| | - Amal Saleh Nour
- Addis Ababa University, College of Health Sciences, Department of Radiology, Addis Ababa, Ethiopia
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Machine-learning-assisted spontaneous Raman spectroscopy classification and feature extraction for the diagnosis of human laryngeal cancer. Comput Biol Med 2022; 146:105617. [DOI: 10.1016/j.compbiomed.2022.105617] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2022] [Revised: 03/16/2022] [Accepted: 05/11/2022] [Indexed: 11/23/2022]
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7
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Bowkett‐Pritchard C, Morgan RE. Laryngeal dysplasia: Computed tomographic findings in an Oldenburg mare. EQUINE VET EDUC 2022. [DOI: 10.1111/eve.13652] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Rajgor AD, Patel S, McCulloch D, Obara B, Bacardit J, McQueen A, Aboagye E, Ali T, O'Hara J, Hamilton DW. The application of radiomics in laryngeal cancer. Br J Radiol 2021; 94:20210499. [PMID: 34586899 PMCID: PMC8631034 DOI: 10.1259/bjr.20210499] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022] Open
Abstract
OBJECTIVES Radiomics is the conversion of medical images into quantitative high-dimensional data. Laryngeal cancer, one of the most common head and neck cancers, has risen globally by 58.7%. CT, MRI and PET are acquired during the diagnostic process providing potential data for radiomic analysis and correlation with outcomes.This review aims to examine the applications of this technique to laryngeal cancer and the future considerations for translation into clinical practice. METHODS A comprehensive systematic review-informed search of the MEDLINE and EMBASE databases was undertaken. Keywords "laryngeal cancer" OR "larynx" OR "larynx cancer" OR "head and neck cancer" were combined with "radiomic" OR "signature" OR "machine learning" OR "artificial intelligence". Additional articles were obtained from bibliographies using the "snowball method". RESULTS The included studies (n = 15) demonstrated that radiomic features are significantly associated with various clinical outcomes (including stage, overall survival, treatment response, progression-free survival) and that predictive models incorporating radiomic features are superior to those that do not. Two studies demonstrated radiomics could improve laryngeal cancer staging whilst 12 studies affirmed its predictive capability for clinical outcomes. CONCLUSIONS Radiomics has potential for improving multiple aspects of laryngeal cancer care; however, the heterogeneous cohorts and lack of data on laryngeal cancer exclusively inhibits firm conclusions. Large prospective well-designed studies in laryngeal cancer are required to progress this field. Furthermore, to implement radiomics into clinical practice, a unified research effort is required to standardise radiomics practice. ADVANCES IN KNOWLEDGE This review has highlighted the value of radiomics in enhancing laryngeal cancer care (including staging, prognosis and predicting treatment response).
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Affiliation(s)
- Amarkumar Dhirajlal Rajgor
- Otolaryngology Department, Newcastle-Upon-Tyne Hospitals NHS Foundation Trust, Newcastle Upon Tyne, UK.,Applied Cancer Therapeutics and Outcomes, Newcastle University, Newcastle Upon Tyne, UK.,National Institute for Health Research, Academic Clinical Fellow, Newcastle University, Newcastle Upon Tyne, UK
| | - Shreena Patel
- East of England NHS Foundation Trainee, Bedfordshire, UK
| | - David McCulloch
- Radiology Department, Newcastle-Upon-Tyne Hospitals NHS Foundation Trust, Newcastle Upon Tyne, UK
| | - Boguslaw Obara
- School of Computing, Newcastle University, Urban Sciences Building, Newcastle upon Tyne, UK
| | - Jaume Bacardit
- School of Computing, Newcastle University, Urban Sciences Building, Newcastle upon Tyne, UK
| | - Andrew McQueen
- Radiology Department, Newcastle-Upon-Tyne Hospitals NHS Foundation Trust, Newcastle Upon Tyne, UK
| | - Eric Aboagye
- Imperial College London Cancer Imaging Centre, Department of Surgery & Cancer, Hammersmith Hospital, London, UK
| | - Tamir Ali
- Radiology Department, Newcastle-Upon-Tyne Hospitals NHS Foundation Trust, Newcastle Upon Tyne, UK
| | - James O'Hara
- Otolaryngology Department, Newcastle-Upon-Tyne Hospitals NHS Foundation Trust, Newcastle Upon Tyne, UK.,Applied Cancer Therapeutics and Outcomes, Newcastle University, Newcastle Upon Tyne, UK
| | - David Winston Hamilton
- Otolaryngology Department, Newcastle-Upon-Tyne Hospitals NHS Foundation Trust, Newcastle Upon Tyne, UK.,Applied Cancer Therapeutics and Outcomes, Newcastle University, Newcastle Upon Tyne, UK
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Arora M, Thakker VD, Sindhwani G, Bhatt J, Gupta M, Shah J. Pretherapeutic Assessment by Multidetector Computed Tomography for Thyroid Cartilage Invasion in Laryngeal Cancer: A Double‑edged Sword. Indian J Med Paediatr Oncol 2021. [DOI: 10.4103/ijmpo.ijmpo_101_17] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/30/2023] Open
Abstract
Abstract
Introduction:Almost one-fourth of head and neck cancers in India are laryngeal cancers. Both conservative and surgical therapeutic approaches are available. According to present tumor-node-metastasis staging protocol, thyroid cartilage invasion is a crucial criterion for diagnosing advanced stages of the disease. A major cartilage invasion depicts T4A stage of disease for which surgical treatment is required. Aims: The present study aims to evaluate the accuracy of multidetector computed tomography (MDCT) in evaluation thyroid cartilage invasion in T3 and T4 stage of laryngeal cancers. Materials and Methods: It is a retrospective analysis done in the Department of Radiology, Pramukhswami Medical College, Anand, Gujarat, on 22 patients of T3 and T4 stage of laryngeal cancer who presented for pretherapeutic MDCT neck evaluation. The MDCT results were retrospectively reviewed and compared with postoperative histopathological results. Statistical analysis was done for each parameter as positive predictive value (PPV) (main statistical parameter), negative predictive value, sensitivity, and specificity. Results: MDCT showed a PPV of 60.00% in detecting any type of thyroid cartilage invasion, 66.66% for major and 33.33% for minor cartilage invasion. Extralaryngeal spread of disease was the most specific marker for cartilage involvement. In total, 31.8% of cases were downgraded in staging by pathology. Conclusion: Overestimation of thyroid cartilage invasion by MDCT is a reality which should be in mind before making final therapeutic decisions. Although crucial, it should not be the sole criteria preventing while making a surgical versus conservative therapeutic call.
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Affiliation(s)
- Manali Arora
- Department of Radio-Diagnosis, Pramukhswami Medical College, Anand, Gujarat, India
| | - Vishal D Thakker
- Department of Radio-Diagnosis, Pramukhswami Medical College, Anand, Gujarat, India
| | - Geetika Sindhwani
- Department of Radio-Diagnosis, Pramukhswami Medical College, Anand, Gujarat, India
| | - Jayesh Bhatt
- Department of Radio-Diagnosis, Pramukhswami Medical College, Anand, Gujarat, India
| | - Monica Gupta
- Department of Pathology, Pramukhswami Medical College, Anand, Gujarat, India
| | - Jay Shah
- Department of Radio-Diagnosis, Pramukhswami Medical College, Anand, Gujarat, India
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Jain TK, Singh G, Goyal S, Yadav A, Yadav D, Khunteta N, Malhotra H. Should fluorodeoxyglucose positron emission tomography/computed tomography be the first-line imaging investigation for restaging the laryngeal carcinoma patients? World J Nucl Med 2021; 20:164-171. [PMID: 34321969 PMCID: PMC8286000 DOI: 10.4103/wjnm.wjnm_95_20] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2020] [Revised: 08/26/2020] [Accepted: 11/19/2020] [Indexed: 11/09/2022] Open
Abstract
Posttreatment detection of residual/recurrence disease in the head and neck cancers is not an easy task. Treatment induces changes create difficulties in diagnosis on conventional imaging (computed tomography [CT], magnetic resonance imaging) as well as macroscopic inspection (direct laryngoscopy). Hence, we evaluate the diagnostic performance of contract-enhanced F-18 fluorodeoxyglucose positron emission tomography (FDG PET)/CT in restaging of laryngeal carcinoma Postchemotherapy-surgery and/or radiation therapy. We retrospectively analyzed patients of carcinoma larynx (n = 100) who has completed treatment and were referred for FDG PET/CT. Two reviewers performed image analysis to determine recurrence at primary site and/lymph nodes and distant metastases. Receiver operating characteristic (ROC) was used to determine the maximum standardized uptake value (SUVmax) cut off for disease detection. Histopathological examination and clinical or imaging follow-up were taken as gold standard for recurrence. One hundred laryngeal carcinoma patients with mean age of 57.2 years (range of 40–76) were included in the present study. Among the 100 patients, 96 were male and remaining 4 were female. The average interval between completion of treatment and FDG PET/CT scan was 8.5 months (minimum 6 months). Of the 100 patients, FDG PET/CT detected FDG avid lesions in 66 patients. Sensitivity, specificity, positive predictive value, negative predictive value, and diagnostic accuracy of FDG PET/CT for residual/recurrence disease detection was 90.3%, 73.7%, 84.8%, 82.3%, and 84.0%, respectively (P < 0.05). In addition, in 10 patients, metachronous primaries were detected (lung-4, thyroid-2, tongue, colon, esophagus, and lymphoma-one each). On ROC curve analysis, SUVmax >6.1 had sensitivity and specificity of 80.6% and 94.7% respectively for detection of recurrent/metastatic disease. FDG PET/CT demonstrates high diagnostic accuracy for detection of residual/recurrent disease in treated laryngeal cancer patients and our findings suggest that this imaging modality should be the first-line diagnostic investigation in this cohort of patients.
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Affiliation(s)
- Tarun Kumar Jain
- Department of Nuclear Medicine, Mahatma Gandhi Medical College and Hospital, Jaipur, Rajasthan, India
| | - Guman Singh
- Department of Radiation Oncology, Mahatma Gandhi Medical College and Hospital, Jaipur, Rajasthan, India
| | - Sumit Goyal
- Department of Radiation Oncology, Mahatma Gandhi Medical College and Hospital, Jaipur, Rajasthan, India
| | - Ajay Yadav
- Department of Medical Oncology, Mahatma Gandhi Medical College and Hospital, Jaipur, Rajasthan, India
| | - Dinesh Yadav
- Department of Surgical Oncology, Mahatma Gandhi Medical College and Hospital, Jaipur, Rajasthan, India
| | - Nitin Khunteta
- Department of Surgical Oncology, Mahatma Gandhi Medical College and Hospital, Jaipur, Rajasthan, India
| | - Hemant Malhotra
- Department of Medical Oncology, Mahatma Gandhi Medical College and Hospital, Jaipur, Rajasthan, India
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Batuwitage BT, Hanlon R, Charters P. Imaging in head and neck cancers. BJA Educ 2021; 21:2-9. [PMID: 33456968 DOI: 10.1016/j.bjae.2020.08.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/06/2020] [Indexed: 11/29/2022] Open
Affiliation(s)
- B T Batuwitage
- Liverpool University Hospitals NHS Foundation Trust, Liverpool, UK
| | - R Hanlon
- Liverpool University Hospitals NHS Foundation Trust, Liverpool, UK
| | - P Charters
- Liverpool University Hospitals NHS Foundation Trust, Liverpool, UK
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12
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Bakshi J, Goyal AK, Singh V, Sannigrahi M, Khullar M. Stage-specific expression analysis ofMMP-2 & MMP-9 in laryngeal carcinoma. J Cancer Res Ther 2020; 16:517-520. [PMID: 32719260 DOI: 10.4103/jcrt.jcrt_360_18] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Aim of the Study Both matrix metalloproteinase-2 (MMP-2) and matrix metalloproteinase-9 (MMP-9) is involved in degradation of extracellular matrix and found to stimulate invasion and metastasis in cancer patients. However, studies on the stage-specific expression of MMPs at different stages of larynx carcinoma are still lacking. In the present study, we compare the expression level of MMP-2 and MMP-9 at different stages of laryngeal carcinoma. Material and Methods Tumor tissues samples were taken from larynx cancer patients by deep biopsy during direct laryngoscopy. Gene expression for MMP-2 and MMP-9 was analyzed using RT-PCR. Results Significantly high expression of MMP-2 was observed compared to the MMP-9 at stage IV compared to the less advanced stages of the disease. Conclusion Present study concluded that the MMP-2 expressed with a greater magnitude as compared to the MMP-9 in advance stages of laryngeal carcinoma.
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Affiliation(s)
- Jaimanti Bakshi
- Department of Otolaryngology and Head Neck Surgery (ENT), PGIMER, Chandigarh, India
| | - Atul Kumar Goyal
- Department of Otolaryngology and Head Neck Surgery (ENT), PGIMER, Chandigarh, India
| | - Virender Singh
- Department of Otolaryngology and Head Neck Surgery (ENT), PGIMER, Chandigarh, India
| | | | - Madhu Khullar
- Department of Experimental Medicine and Biotechnology, PGIMER, Chandigarh, India
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Current role of computed tomography imaging in the evaluation of cartilage invasion by laryngeal carcinoma. Radiol Med 2020; 125:1301-1310. [PMID: 32415474 DOI: 10.1007/s11547-020-01213-y] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2020] [Accepted: 04/27/2020] [Indexed: 02/06/2023]
Abstract
OBJECTIVES To evaluate thyroid, arytenoid, and cricoid cartilage invasion on computed tomography (CT) imaging in patients undergoing total laryngectomy for both primary and recurrent laryngeal carcinoma. Secondary endpoint was to compare laryngeal cartilage invasion between primary and recurrent tumours. METHODS Pre-treatment CT of 40 patients who had undergone total laryngectomy was retrospectively evaluated and compared with histology. Focal erosions of thyroid cartilage were accounted for neoplastic invasion of the inner cortex. Full-thickness thyroid cartilage invasion was defined as a tumour-like tissue replacing thyroid cartilage or extended in extra-laryngeal soft tissues. Sclerosis and erosion of arytenoid and cricoid cartilages were assessed as signs of neoplastic invasion. RESULTS CT erosion showed perfect agreement for thyroid inner cortex and cricoid cartilage invasion and almost perfect agreement (87%) for arytenoid cartilage invasion. For tumours in contact with thyroid cartilages, the absence of CT erosion underestimated inner cortex infiltration. CT showed perfect agreement in predicting full-thickness thyroid cartilage invasion only in the case of extra-laryngeal neoplastic extension. Arytenoid sclerosis showed poor correlation with neoplastic invasion. For primary tumours, CT demonstrated good (inner cortex 75%; full-thickness 85%), substantial (67.5%), and perfect (100%) accuracy in thyroid, arytenoid, and cricoid cartilage invasion, respectively. No CT differences were observed between primary and recurrent laryngeal tumours. CONCLUSION Tumour-like tissue extension in the extra-laryngeal soft tissues was accurate in predicting thyroid cartilage full-thickness invasion. Erosions of arytenoid, cricoid, and thyroid cartilages' inner cortex on CT were highly indicative of neoplastic infiltration. No CT difference in cartilage infiltration between primary and recurrent tumours was observed.
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Ehigiamusoe F, Obi-Egbedi-Ejakpovi E. Computed tomographic scan utilization in the diagnosis of otorhinolaryngological diseases. SAHEL MEDICAL JOURNAL 2020. [DOI: 10.4103/smj.smj_47_19] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022] Open
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Bailly L, Cochereau T, Orgéas L, Henrich Bernardoni N, Rolland du Roscoat S, McLeer-Florin A, Robert Y, Laval X, Laurencin T, Chaffanjon P, Fayard B, Boller E. 3D multiscale imaging of human vocal folds using synchrotron X-ray microtomography in phase retrieval mode. Sci Rep 2018; 8:14003. [PMID: 30228304 PMCID: PMC6143640 DOI: 10.1038/s41598-018-31849-w] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2018] [Accepted: 07/29/2018] [Indexed: 12/15/2022] Open
Abstract
Human vocal folds possess outstanding abilities to endure large, reversible deformations and to vibrate up to more than thousand cycles per second. This unique performance mainly results from their complex specific 3D and multiscale structure, which is very difficult to investigate experimentally and still presents challenges using either confocal microscopy, MRI or X-ray microtomography in absorption mode. To circumvent these difficulties, we used high-resolution synchrotron X-ray microtomography with phase retrieval and report the first ex vivo 3D images of human vocal-fold tissues at multiple scales. Various relevant descriptors of structure were extracted from the images: geometry of vocal folds at rest or in a stretched phonatory-like position, shape and size of their layered fibrous architectures, orientation, shape and size of the muscle fibres as well as the set of collagen and elastin fibre bundles constituting these layers. The developed methodology opens a promising insight into voice biomechanics, which will allow further assessment of the micromechanics of the vocal folds and their vibratory properties. This will then provide valuable guidelines for the design of new mimetic biomaterials for the next generation of artificial larynges.
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Affiliation(s)
- Lucie Bailly
- Univ. Grenoble Alpes, CNRS, Grenoble INP, 3SR, Grenoble, F-38000, France.
| | - Thibaud Cochereau
- Univ. Grenoble Alpes, CNRS, Grenoble INP, 3SR, Grenoble, F-38000, France.,Univ. Grenoble Alpes, CNRS, Grenoble INP, GIPSA-lab, Grenoble, F-38000, France
| | - Laurent Orgéas
- Univ. Grenoble Alpes, CNRS, Grenoble INP, 3SR, Grenoble, F-38000, France
| | | | | | - Anne McLeer-Florin
- Univ. Grenoble Alpes, CHU Grenoble Alpes, CNRS, Grenoble INP, IAB, Grenoble, F-38000, France
| | - Yohann Robert
- Univ. Grenoble Alpes, CHU Grenoble Alpes, LADAF, Grenoble, F-38000, France
| | - Xavier Laval
- Univ. Grenoble Alpes, CNRS, Grenoble INP, GIPSA-lab, Grenoble, F-38000, France
| | - Tanguy Laurencin
- Univ. Grenoble Alpes, CNRS, Grenoble INP, 3SR, Grenoble, F-38000, France
| | - Philippe Chaffanjon
- Univ. Grenoble Alpes, CNRS, Grenoble INP, GIPSA-lab, Grenoble, F-38000, France.,Univ. Grenoble Alpes, CHU Grenoble Alpes, LADAF, Grenoble, F-38000, France
| | | | - Elodie Boller
- ID19 beamline, ESRF - European Synchrotron Radiation Facility, CS40220, Grenoble, 38043, France
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Ricciardiello F, Addeo R, Di Lullo AM, Abate T, Mazzone S, Oliva F, Motta G, Caraglia M, Mesolella M. Adenoid cystic carcinoma of the larynx in a 70-year-old patient: A case report. Oncol Lett 2018; 16:2783-2788. [PMID: 30127863 PMCID: PMC6096139 DOI: 10.3892/ol.2018.8976] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2015] [Accepted: 07/28/2016] [Indexed: 12/29/2022] Open
Abstract
Adenoid cystic carcinoma (ACC) is a relatively rare tumor that accounts for <1% of all head and neck malignancies. Laryngeal localization of ACC, which is most commonly hypoglottic, is relatively rare, occurring in 0.07-0.25% of all laryngeal tumors. ACC is characterized as a slow-growing tumor with a high recurrence rate, which often causes dyspnea and hoarseness. ACC exhibits a propensity for perineural invasion and thus, patients may experience pain as a late symptom of the disease. Distant metastasis occurs in 35-50% of cases and the lungs are the most common site of metastasis. Tumors are usually diagnosed by physical examination with fiberoscopy and computed tomography of the neck and chest, due to the high rate of lung metastases. The standard therapy for ACC is surgery followed by radiotherapy. In this study, a 70-year-old patient presented with laryngeal ACC, who underwent total laryngectomy with bilateral neck dissection and adjuvant radiotherapy, is presented. Follow-up examination performed 2 years after surgery revealed no evidence of locoregional recurrence or distant metastases. Previously published literature regarding ACC of the larynx was also reviewed.
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Affiliation(s)
| | - Raffaele Addeo
- Oncology Unit, 'San Giovanni di Dio' Hospital, I-80027 Naples, Italy
| | - Antonella Miriam Di Lullo
- Department of Neuroscience, Reproductive and Odontostomatological Science, Ear Nose and Throat Unit, University of Naples 'Federico II', I-80131 Naples, Italy
| | - Teresa Abate
- Ear Nose and Throat Unit, 'Antonio Cardarelli' Hospital, I-80131 Naples, Italy
| | - Salvatore Mazzone
- Department of Mental and Physical Health and Preventive Medicine, University of Campania 'L. Vanvitelli', I-80138 Naples, Italy
| | - Flavia Oliva
- Ear Nose and Throat Unit, 'Antonio Cardarelli' Hospital, I-80131 Naples, Italy
| | - Giovanni Motta
- Department of Precision Medicine, University of Campania 'L. Vanvitelli', I-80138 Naples, Italy
| | - Michelle Caraglia
- Department of Precision Medicine, University of Campania 'L. Vanvitelli', I-80138 Naples, Italy
| | - Massimo Mesolella
- Department of Neuroscience, Reproductive and Odontostomatological Science, Ear Nose and Throat Unit, University of Naples 'Federico II', I-80131 Naples, Italy
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Tamaki A, Miles BA, Lango M, Kowalski L, Zender CA. AHNS Series: Do you know your guidelines? Review of current knowledge on laryngeal cancer. Head Neck 2017; 40:170-181. [PMID: 29076227 DOI: 10.1002/hed.24862] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2017] [Accepted: 05/22/2017] [Indexed: 11/07/2022] Open
Abstract
The following article is part of a series in an initiative by the American Head and Neck Society's Education Committee and will review clinical practice guidelines for head and neck oncology. The primary goal is to increase awareness of current best practices pertaining to head and neck surgery and oncology. This manuscript is a review of current knowledge in laryngeal cancer with a focus on anatomy, epidemiology, diagnosis, evaluation, and treatment.
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Affiliation(s)
- Akina Tamaki
- Ear, Nose, and Throat Institute, Case Western Reserve University, University Hospitals Cleveland Medical Center, Cleveland, Ohio
| | - Brett A Miles
- Department of Otolaryngology - Head and Neck Surgery, Icahn School of Medicine at Mount Sinai Medical Center, New York, New York
| | - Miriam Lango
- Department of Surgical Oncology, Division of Head and Neck Surgery, Fox Chase Cancer Center, Temple University School of Medicine, Philadelphia, Pennsylvania
| | - Luiz Kowalski
- Head and Neck Surgery and Otorhinolaryngology Department, A C Camargo Cancer Center, Sao Paulo, Brazil
| | - Chad A Zender
- Ear, Nose, and Throat Institute, Case Western Reserve University, University Hospitals Cleveland Medical Center, Cleveland, Ohio
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18
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Shen Z, Cao B, Lin L, Zhou C, Ye D, Qiu S, Li Q, Cui X. The Clinical Signification of Claudin-11 Promoter Hypermethylation for Laryngeal Squamous Cell Carcinoma. Med Sci Monit 2017; 23:3635-3640. [PMID: 28743857 PMCID: PMC5541974 DOI: 10.12659/msm.904751] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022] Open
Abstract
Background Claudin-11 (CLDN11) is frequently silenced by its promoter hypermethylation. Previous studies have shown that CLDN11 promoter hypermethylation is a potential biomarker for diagnosing various cancers. The aim of this study was to investigate CLDN11 promoter methylation and its potential relevance to clinicopathologic features and prognosis of patients with laryngeal squamous cell carcinoma (LSCC). Material/Methods Using the quantitative methylation-specific polymerase chain reaction (qMSP), CLDN11 promoter methylation was measured in 91 tumor tissues and their paired adjacent normal tissues, and the relationship between CLDN11 methylation and clinicopathologic features was evaluated. A receiver operating characteristic (ROC) curve was created to assess diagnostic values, and the Kaplan-Meier survival analysis was used to evaluate the association between CLDN11 methylation and prognosis of patients with LSCC. Results Our results showed significantly elevated promoter methylation of CLDN11 in tumor tissues compared to their adjacent tissues (p=1.227E-16). CLDN11 promoter methylation also increased in patients with lymph node metastasis (p=0.009), advanced clinical stage (p=9.26E-06) and higher T classification (p=0.003). The area under the ROC curve (AUC) of CLDN11 was 0.884 (95% CI=0.835–0.932, p<0.01). The Kaplan-Meier analysis indicated that high CLDN11 promoter methylation levels were associated with poor overall survival of LSCC patients (log-rank test, p=0.007). Conclusions We demonstrated that CLDN11 promoter hypermethylation is a frequent event in LSCC, and contributes to metastasis and progression of LSCC. Thus, CLDN11 could be a potential biomarker for diagnosis and prognosis of LSCC patients.
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Affiliation(s)
- Zhisen Shen
- Department of Otolaryngology (Head and Neck Surgery), Ningbo Medical Center Lihuili Hospital Affiliated to Ningbo University, Ningbo, Zhejiang, China (mainland)
| | - Bing Cao
- Department of Otolaryngology, School of Medicine, Ningbo University, Ningbo, Zhejiang, China (mainland)
| | - Lexi Lin
- Department of Otolaryngology, School of Medicine, Ningbo University, Ningbo, Zhejiang, China (mainland)
| | - Chongchang Zhou
- Department of Otolaryngology, School of Medicine, Ningbo University, Ningbo, Zhejiang, China (mainland)
| | - Dong Ye
- Department of Otolaryngology (Head and Neck Surgery), Ningbo Medical Center Lihuili Hospital Affiliated to Ningbo University, Ningbo, Zhejiang, China (mainland)
| | - Shijie Qiu
- Department of Otolaryngology (Head and Neck Surgery), Ningbo Medical Center Lihuili Hospital Affiliated to Ningbo University, Ningbo, Zhejiang, China (mainland)
| | - Qun Li
- Department of Otolaryngology (Head and Neck Surgery), Ningbo Medical Center Lihuili Hospital Affiliated to Ningbo University, Ningbo, Zhejiang, China (mainland)
| | - Xiang Cui
- Department of Otolaryngology (Head and Neck Surgery), Ningbo Medical Center Lihuili Hospital Affiliated to Ningbo University, Ningbo, Zhejiang, China (mainland)
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Role of imaging in the follow-up of T2–T3 glottic cancer treated by transoral laser microsurgery. Eur Arch Otorhinolaryngol 2017. [DOI: 10.1007/s00405-017-4642-4] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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22
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Antoniou AJ, Marcus C, Subramaniam RM. Value of Imaging in Head and Neck Tumors. Surg Oncol Clin N Am 2014; 23:685-707. [DOI: 10.1016/j.soc.2014.07.001] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
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