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Hara M, Saburi S, Uehara N, Tsujikawa T, Kubo M, Furukawa T, Teshima M, Shinomiya H, Hirano S, Nibu KI. Induction of Immunological Antitumor Effects by the Combination of Adenovirus-Mediated Gene Transfer of B7-1 and Anti-Programmed Cell Death-1 Antibody in a Murine Squamous Cell Carcinoma Model. Cancers (Basel) 2024; 16:1359. [PMID: 38611038 PMCID: PMC11010972 DOI: 10.3390/cancers16071359] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2024] [Revised: 03/26/2024] [Accepted: 03/28/2024] [Indexed: 04/14/2024] Open
Abstract
BACKGROUND The goal of this study was to evaluate the antitumor immune effects of B7-1 gene expression in addition to immune checkpoint inhibitor against squamous cell carcinoma. METHODS A murine SCC cell line, KLN205, was infected with adenoviral vector carrying B7-1 (AdB7). Infected cells were injected subcutaneously in the flanks of DBA/2 mice. Three weeks after implantation, anti-mouse PD-1 antibody (antiPD1) was intraperitonially administrated twice a week for a total of six times. RESULTS CD80 was significantly overexpressed in the AdB7-infected tumors. IFN-gamma in the T cells in the spleen was significantly increased and tumor size was significantly reduced in the mice treated with both AdB7 and antiPD1. Targeted tumors treated with both AdB7 and antiPD1 exhibited significantly increased cell densities of total immune cells as well as Ki-67+ CD8+ T cells and decreased regulatory T cells. CONCLUSIONS These results suggest that the B7-1 gene transfer may enhance the antitumor effect of anti-PD1 antibody against SCC.
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Affiliation(s)
- Makiko Hara
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe 650-0017, Japan; (M.H.); (M.K.); (T.F.); (M.T.); (H.S.); (K.-i.N.)
| | - Sumiyo Saburi
- Department of Otolaryngology-Head and Neck Surgery, Kyoto Prefectural University of Medicine, Kyoto 602-8566, Japan; (S.S.); (T.T.); (S.H.)
| | - Natsumi Uehara
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe 650-0017, Japan; (M.H.); (M.K.); (T.F.); (M.T.); (H.S.); (K.-i.N.)
| | - Takahiro Tsujikawa
- Department of Otolaryngology-Head and Neck Surgery, Kyoto Prefectural University of Medicine, Kyoto 602-8566, Japan; (S.S.); (T.T.); (S.H.)
| | - Mie Kubo
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe 650-0017, Japan; (M.H.); (M.K.); (T.F.); (M.T.); (H.S.); (K.-i.N.)
| | - Tatsuya Furukawa
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe 650-0017, Japan; (M.H.); (M.K.); (T.F.); (M.T.); (H.S.); (K.-i.N.)
| | - Masanori Teshima
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe 650-0017, Japan; (M.H.); (M.K.); (T.F.); (M.T.); (H.S.); (K.-i.N.)
| | - Hirotaka Shinomiya
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe 650-0017, Japan; (M.H.); (M.K.); (T.F.); (M.T.); (H.S.); (K.-i.N.)
| | - Shigeru Hirano
- Department of Otolaryngology-Head and Neck Surgery, Kyoto Prefectural University of Medicine, Kyoto 602-8566, Japan; (S.S.); (T.T.); (S.H.)
| | - Ken-ichi Nibu
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe 650-0017, Japan; (M.H.); (M.K.); (T.F.); (M.T.); (H.S.); (K.-i.N.)
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Ariizumi Y, Hanai N, Asakage T, Seto A, Tomioka T, Miyabe J, Kessoku H, Mukaigawa T, Omura G, Teshima M, Nishikawa D, Saito Y, Asada Y, Fujisawa T, Makino T, Nishino H, Sano D, Nakahira M, Tokashiki K, Uemura H, Ueda T, Sakai A, Masuda M, Tsujikawa T, Hiei Y, Nishio N, Matsui H, Kiyota N, Homma A. Extent of thyroidectomy and paratracheal lymph node dissection in total pharyngolaryngectomy for pyriform sinus cancer, and recurrence, survival, and postoperative hypoparathyroidism: A multicenter retrospective study. Head Neck 2024; 46:269-281. [PMID: 37955187 DOI: 10.1002/hed.27572] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2023] [Revised: 09/19/2023] [Accepted: 11/03/2023] [Indexed: 11/14/2023] Open
Abstract
BACKGROUND Total pharyngolaryngectomy (TPL) is standard treatment for hypopharyngeal cancer. However, extensive thyroidectomy and paratracheal nodal dissection (PTND) can cause hypoparathyroidism. We sought to determine the optimum extent of resection. METHODS We analyzed the clinicopathological information of 161 pyriform sinus cancer patients undergoing TPL from 25 Japanese institutions. Rates of recurrence and risk factors for hypoparathyroidism, as well as incidence of pathological contralateral level VI nodal metastasis and stomal recurrence, were investigated. RESULTS The extent of thyroidectomy and nodal dissection were not independent risk factors for recurrence. Incidences of contralateral level VI nodal involvement and stomal recurrence were 1.8% and 1.2%, respectively. Patients undergoing hemithyroidectomy/ipsilateral PTND did not develop stomal recurrence and had the lowest incidence of hypoparathyroidism. Prognosis in patients without tracheostomy prior to hemithyroidectomy/ipsilateral PTND was comparable to that with more extensive resections. CONCLUSIONS Hemithyroidectomy/ipsilateral PTND may be sufficient for pyriform sinus cancer cases without tracheostomy.
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Affiliation(s)
- Yosuke Ariizumi
- Department of Head and Neck Surgery, Tokyo Medical and Dental University, Tokyo, Japan
| | - Nobuhiro Hanai
- Department of Head and Neck Surgery, Aichi Cancer Center Hospital, Nagoya, Japan
| | - Takahiro Asakage
- Department of Head and Neck Surgery, Tokyo Medical and Dental University, Tokyo, Japan
| | - Akira Seto
- Division of Head and Neck, Cancer Institute Hospital of Japanese Foundation for Cancer Research, Tokyo, Japan
| | - Toshifumi Tomioka
- Department of Head and Neck Surgery, National Cancer Center Hospital East, Kashiwa, Japan
| | - Junji Miyabe
- Department of Head and Neck Surgery, Osaka International Cancer Institute, Osaka, Japan
| | - Hisashi Kessoku
- Department of Otorhinolaryngology, The Jikei University School of Medicine, Tokyo, Japan
| | - Takashi Mukaigawa
- Division of Head and Neck Surgery, Shizuoka Cancer Center, Shizuoka, Japan
| | - Go Omura
- Department of Head and Neck Surgery, National Cancer Center Hospital, Tokyo, Japan
| | - Masanori Teshima
- Department of Otolaryngology - Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Daisuke Nishikawa
- Department of Head and Neck Surgery, Aichi Cancer Center Hospital, Nagoya, Japan
| | - Yuki Saito
- Department of Otolaryngology - Head and Neck Surgery, University of Tokyo, Tokyo, Japan
| | - Yukinori Asada
- Department of Head and Neck Surgery, Miyagi Cancer Center, Natori, Japan
| | - Takuo Fujisawa
- Department of Otorhinolaryngology - Head and Neck Surgery, Kansai Medical University, Osaka, Japan
| | - Takuma Makino
- Department of Otolaryngology - Head and Neck Surgery, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama, Japan
| | - Hiroshi Nishino
- Otolaryngology Head and Neck Surgery, Jichi Medical University, Shimotsuke City, Japan
| | - Daisuke Sano
- Department of Otorhinolaryngology - Head and Neck Surgery, Yokohama City University School of Medicine, Yokohama, Japan
| | - Mitsuhiko Nakahira
- Department of Head Neck Surgery, Saitama Medical University International Medical Cancer, Saitama, Japan
| | - Kunihiko Tokashiki
- Department of Head and Neck Surgery, Tokyo Medical University, Tokyo, Japan
| | - Hirokazu Uemura
- Department of Otolaryngology - Head and Neck Surgery, Nara Medical University, Kashihara, Japan
| | - Tsutomu Ueda
- Department of Otorhinolaryngology - Head and Neck Surgery, Hiroshima University Hospital, Hiroshima, Japan
| | - Akihiro Sakai
- Department of Otolaryngology - Head and Neck Surgery, Tokai University, Isehara, Japan
| | - Muneyuki Masuda
- Department of Head and Neck Surgery, National Hospital Organization Kyushu Cancer Center, Fukuoka, Japan
| | - Takahiro Tsujikawa
- Department of Otolaryngology - Head and Neck Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan
| | - Yusuke Hiei
- Department of Otolaryngology - Head and Neck Surgery, School of Medicine, Fujita Health University, Toyoake, Japan
| | - Naoki Nishio
- Department of Otorhinolaryngology, Nagoya University Graduate School of Medicine, Nagoya, Japan
| | - Hidetoshi Matsui
- Department of Head and Neck Surgery, Hyogo Cancer Center, Akashi, Japan
| | - Naomi Kiyota
- Department of Medical Oncology and Hematology, Kobe University Hospital, Kobe, Japan
| | - Akihiro Homma
- Department of Otolaryngology - Head and Neck Surgery, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Japan
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Yamada A, Shinomiya H, Uehara N, Iritani K, Tatehara S, Furukawa T, Teshima M, Miyawaki D, Fujita T, Kakigi A, Kiyota N, Sasaki R, Nibu KI. Oncological outcomes of concurrent chemoradiotherapy with docetaxel, cisplatin, and 5-fluorouracil for locally advanced squamous cell carcinoma of the external auditory canal: A single-center study. Head Neck 2023; 45:2498-2504. [PMID: 37503962 DOI: 10.1002/hed.27461] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2023] [Revised: 05/30/2023] [Accepted: 06/23/2023] [Indexed: 07/29/2023] Open
Abstract
BACKGROUND Squamous cell carcinoma of the external auditory canal (EACSCC) is a rare condition. However, a standard treatment has not yet been established. We retrospectively evaluated the efficacy, adverse events, and feasibility of TPF-CCRT (concomitant chemoradiotherapy with docetaxel, cisplatin, and 5-fluorouracil) in patients with advanced EACSCC. METHODS Thirty-five consecutive patients with advanced EACSCC (T3, T4) initially treated with TPF-CCRT at Kobe University Hospital were included. T4 diseases with invasion of the brain, internal carotid artery, or internal jugular vein were classified as T4b, and those without these features were classified as T4a. RESULTS Five-year overall survival rates for T3 and T4 were 100% and 64.2%, respectively. A significant difference was observed between T4a and T4b (82.4% vs. 30%, p = 0.007). Five-year progression-free survival rates of T3, T4a, and T4b were 100%, 68%, and 20% (p = 0.022), respectively. CONCLUSIONS TPF-CCRT should be considered as a plausible treatment option for advanced EACSCC.
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Affiliation(s)
- Akihiro Yamada
- Department of Otolaryngology - Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Hirotaka Shinomiya
- Department of Otolaryngology - Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Natsumi Uehara
- Department of Otolaryngology - Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Keisuke Iritani
- Department of Otolaryngology - Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Shun Tatehara
- Department of Otolaryngology - Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Tatsuya Furukawa
- Department of Otolaryngology - Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Masanori Teshima
- Department of Otolaryngology - Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Daisuke Miyawaki
- Department of Radiation Oncology, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Takeshi Fujita
- Department of Otolaryngology - Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Akinobu Kakigi
- Department of Otolaryngology - Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Naomi Kiyota
- Kobe University Hospital Cancer Center, Kobe, Japan
| | - Ryohei Sasaki
- Department of Radiation Oncology, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Ken-Ichi Nibu
- Department of Otolaryngology - Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
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Shimoda H, Teshima M, Murase T, Nagao T, Kusafuka K, Nakaguro M, Urano M, Taguchi KI, Yamamoto H, Kano S, Tada Y, Tsukahara K, Okami K, Onitsuka T, Fujimoto Y, Kawakita D, Sakurai K, Hanai N, Nagao T, Kawata R, Hato N, Nibu KI, Inagaki H. Prognostic scores for patients with salivary adenoid cystic carcinoma without lymph node metastasis. Oral Oncol 2023; 145:106491. [PMID: 37487445 DOI: 10.1016/j.oraloncology.2023.106491] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2023] [Revised: 05/16/2023] [Accepted: 07/02/2023] [Indexed: 07/26/2023]
Abstract
Adenoid cystic carcinoma (AdCC) of salivary gland grows relatively slowly, but occasionally develops distant metastasis. Although cervical lymph node metastasis (LNM) has been reported as a strong prognostic factor, most of AdCC do not have LNM. In this study, we investigated the prognostic factors to predict disease free survival (DFS), distant metastasis free survival (DMFS), and overall survival (OS) for 175 patients surgically treated for AdCC without LNM, and developed prognostic score (PS) determined as number of positive prognostic factors. The following emerged as significant prognostic factors: positive surgical margin in DFS, pT3/4 and positive surgical margin in DMFS, and positive surgical margin and high-histological grade in OS. 10-year DFS rates were 56.4% in PS0, and 19.1% in PS1 (p < 0.0001). 10-year DMFS rates were 86.3% in PS0, 56.4% in PS1, and 30.7% in PS2 (p < 0.0001). 10-year OS rates were 100% in PS0, 73.3% in PS1, and 38.8% in PS2 (p < 0.0001).
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Affiliation(s)
- Hikari Shimoda
- Department of Otolaryngology‑Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan; Department of Pathology and Molecular Diagnostics, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan
| | - Masanori Teshima
- Department of Otolaryngology‑Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Takayuki Murase
- Department of Pathology and Molecular Diagnostics, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan
| | - Toshitaka Nagao
- Department of Anatomic Pathology, Tokyo Medical University, Tokyo, Japan
| | | | - Masato Nakaguro
- Department of Pathology and Laboratory Medicine, Nagoya University Hospital, Nagoya, Japan
| | - Makoto Urano
- Department of Diagnostic Pathology, Bantane Hospital, Fujita Health University School of Medicine, Nagoya, Japan
| | - Ken-Ichi Taguchi
- Department of Pathology, National Hospital Organization Kyushu Cancer Center, Fukuoka, Japan
| | - Hidetaka Yamamoto
- Department of Anatomic Pathology, Graduate of School of Medical Science, Kyushu University, Fukuoka, Japan
| | - Satoshi Kano
- Department of Otolaryngology‑Head and Neck Surgery, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Japan
| | - Yuichiro Tada
- Department of Head and Neck Oncology and Surgery, International University of Health and Welfare, Mita Hospital, Tokyo, Japan
| | - Kiyoaki Tsukahara
- Department of Otorhinolaryngology, Head and Neck Surgery, Tokyo Medical University, Tokyo, Japan
| | - Kenji Okami
- Department of Otolaryngology‑Head and Neck Surgery, Tokai University School of Medicine, Isehara, Japan
| | - Tetsuro Onitsuka
- Division of Head and Neck Surgery, Shizuoka Cancer Center, Shizuoka, Japan
| | - Yasushi Fujimoto
- Department of Otorhinolaryngology, Nagoya University Graduate School of Medicine, Nagoya, Japan; Department of Otorhinolaryngology-Head and Neck Surgery, Aichi Medical University School of Medicine, Nagakute, Japan
| | - Daisuke Kawakita
- Department of Otorhinolaryngology, Head and Neck Surgery, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan
| | - Kazuo Sakurai
- Department of Otorhinolaryngology, Fujita Health University, Okazaki Medical Center, Okazaki, Japan
| | - Nobuhiro Hanai
- Department of Head and Neck Surgery, Aichi Cancer Center Hospital, Nagoya, Japan
| | - Toru Nagao
- Department of Maxillofacial Surgery, School of Dentistry, Aichi-Gakuin University, Nagoya, Japan
| | - Ryo Kawata
- Department of Otorhinolaryngology‑Head and Neck Surgery, Osaka Medical and Pharmaceutical University, Takatsuki, Japan
| | - Naohito Hato
- Department of Otolaryngology, Ehime University School of Medicine, Toon, Japan
| | - Ken-Ichi Nibu
- Department of Otolaryngology‑Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.
| | - Hiroshi Inagaki
- Department of Pathology and Molecular Diagnostics, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan.
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Tamagawa K, Otsuki N, Shimoda H, Morita N, Furukawa T, Teshima M, Shinomiya H, Nibu KI. Incidence and spread pattern of lymph node metastasis from submandibular gland cancer. Eur Arch Otorhinolaryngol 2023; 280:4233-4238. [PMID: 37212862 PMCID: PMC10382349 DOI: 10.1007/s00405-023-08020-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2022] [Accepted: 05/08/2023] [Indexed: 05/23/2023]
Abstract
OBJECTIVES To clarify the indication of neck dissection (ND) for patient with submandibular gland (SMG) cancer. METHODS A total of 43 patients with SMG cancer were retrospectively analyzed. Forty-one patients underwent ND: Levels I-V in 19 patients, Levels I-III in 18 patients, and Level Ib in 4 patients. The other two patients did not undergo ND, since preoperative diagnoses were benign. Postoperative radiotherapy was performed in 19 patients with positive surgical margin, high grade cancer or stage IV disease. RESULTS LN metastases were pathologically confirmed in all patients with cN + and 6 out of 31 patients with cN-. No patients developed regional recurrence during follow-up periods. Ultimately, LN metastases were pathologically confirmed in 17 of 27 high grade, one out of 9 intermediate grade, but not in 7 low grade. CONCLUSIONS Prophylactic neck dissection should be considered in T3/4 and high grade SMG cancers.
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Affiliation(s)
- Kotaro Tamagawa
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, 7-5-1, Kusunoki-Cho, Chuo-Ku, Kobe, Hyogo, 650-0017, Japan
| | - Naoki Otsuki
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, 7-5-1, Kusunoki-Cho, Chuo-Ku, Kobe, Hyogo, 650-0017, Japan.
- Department of Otolaryngology-Head and Neck Surgery, Hyogo Prefectural Harima-Himeji General Medical Center, 3-264, Kamiya-Cho, Himeji, Hyogo, 670-8560, Japan.
| | - Hikari Shimoda
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, 7-5-1, Kusunoki-Cho, Chuo-Ku, Kobe, Hyogo, 650-0017, Japan
| | - Naruhiko Morita
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, 7-5-1, Kusunoki-Cho, Chuo-Ku, Kobe, Hyogo, 650-0017, Japan
| | - Tatsuya Furukawa
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, 7-5-1, Kusunoki-Cho, Chuo-Ku, Kobe, Hyogo, 650-0017, Japan
| | - Masanori Teshima
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, 7-5-1, Kusunoki-Cho, Chuo-Ku, Kobe, Hyogo, 650-0017, Japan
| | - Hirotaka Shinomiya
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, 7-5-1, Kusunoki-Cho, Chuo-Ku, Kobe, Hyogo, 650-0017, Japan
| | - Ken-Ichi Nibu
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, 7-5-1, Kusunoki-Cho, Chuo-Ku, Kobe, Hyogo, 650-0017, Japan
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Hashimoto Y, Teshima M, Yui M, Tatehara S, Iritani K, Furukawa T, Shinomiya H, Nibu KI. OK432 sclerotherapy for refractory chylous leakage after neck dissection. J Surg Case Rep 2023; 2023:rjad310. [PMID: 37332664 PMCID: PMC10271211 DOI: 10.1093/jscr/rjad310] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2023] [Accepted: 05/08/2023] [Indexed: 06/20/2023] Open
Abstract
Chylous leakage is a rare but serious postoperative complication of neck dissection (ND). Most chylous leakages are successfully treated either by drainage or ligation of the thoracic duct, but the resolution is occasionally prolonged. OK432 sclerotherapy is used to treat various refractory cystic diseases of the head and neck. Three patients were treated with OK432 sclerotherapy for refractory chylous leakage following ND. Case 1 involved a 77-year-old man with chylous leakage after a total laryngectomy and bilateral ND. Case 2 involved a 71-year-old woman who underwent total thyroidectomy and left ND for thyroid cancer. Case 3 involved a 61-year-old woman who underwent right ND for oropharyngeal cancer. In all patients, chylous leakage rapidly improved after OK432 injection without any complications. Our results suggest the efficacy of OK432 sclerotherapy in patients with refractory chylous leakage after ND.
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Affiliation(s)
- Yuiko Hashimoto
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, 7-5-1, Kusunoki-Cho, Chuo-Ku, Kobe, Hyogo, 650-0017, Japan
| | - Masanori Teshima
- Correspondence address. Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, 7-5-1, Kusunoki-Cho, Chuo-Ku, Kobe, Hyogo 650-0017, Japan. Tel: +81-78-382-6020; Fax +81-78-382-6039; E-mail
| | - Mitsuko Yui
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, 7-5-1, Kusunoki-Cho, Chuo-Ku, Kobe, Hyogo, 650-0017, Japan
| | - Shun Tatehara
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, 7-5-1, Kusunoki-Cho, Chuo-Ku, Kobe, Hyogo, 650-0017, Japan
| | - Keisuke Iritani
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, 7-5-1, Kusunoki-Cho, Chuo-Ku, Kobe, Hyogo, 650-0017, Japan
| | - Tatsuya Furukawa
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, 7-5-1, Kusunoki-Cho, Chuo-Ku, Kobe, Hyogo, 650-0017, Japan
| | - Hirotaka Shinomiya
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, 7-5-1, Kusunoki-Cho, Chuo-Ku, Kobe, Hyogo, 650-0017, Japan
| | - Ken-ichi Nibu
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, 7-5-1, Kusunoki-Cho, Chuo-Ku, Kobe, Hyogo, 650-0017, Japan
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Tamagawa K, Shinomiya H, Okada T, Tatehara S, Teshima M, Sasaki R, Nibu KI. Ligation of the ethmoid arteries in superselective intra-arterial infusion of cisplatin for advanced maxillary sinus cancer fed by the ophthalmic artery. Head Neck 2023; 45:E16-E24. [PMID: 36891662 DOI: 10.1002/hed.27341] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2022] [Revised: 02/16/2023] [Accepted: 02/24/2023] [Indexed: 03/10/2023] Open
Abstract
BACKGROUND Superselective cisplatin (CDDP) infusion via the external carotid artery system and concomitant radiotherapy (RADPLAT) provides favorable oncological and functional outcomes in patients with maxillary sinus cancer. However, targeted lesions are occasionally fed by the branch of the internal carotid artery. METHODS In RADPLAT for maxillary sinus cancer partly fed by the ophthalmic artery, the ethmoid arteries were ligated in two patients without medial orbital wall involvement. In four patients with that, CDDP was administered via the ophthalmic artery. RESULTS A complete response was obtained in all six patients. Locoregional recurrence was not observed in any cases. However, visual acuity was lost in four patients who received the ophthalmic artery infusion. CONCLUSIONS Ligation of the ethmoid arteries is recommended in RADPLAT for maxillary sinus cancer with lesions fed by the ophthalmic artery. CDDP administered via the ophthalmic artery may be considered if a patient accepts the possibility of visual loss.
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Affiliation(s)
- Kotaro Tamagawa
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Hirotaka Shinomiya
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Takuya Okada
- Department of Radiology, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Shun Tatehara
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Masanori Teshima
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Ryohei Sasaki
- Department of Radiation Oncology, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Ken-Ichi Nibu
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
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Abe H, Abe S, Acciari VA, Aniello T, Ansoldi S, Antonelli LA, Arbet Engels A, Arcaro C, Artero M, Asano K, Baack D, Babić A, Baquero A, Barres de Almeida U, Barrio JA, Batković I, Baxter J, Becerra González J, Bednarek W, Bernardini E, Bernardos M, Berti A, Besenrieder J, Bhattacharyya W, Bigongiari C, Biland A, Blanch O, Bonnoli G, Bošnjak Ž, Burelli I, Busetto G, Carosi R, Carretero-Castrillo M, Ceribella G, Chai Y, Chilingarian A, Cikota S, Colombo E, Contreras JL, Cortina J, Covino S, D'Amico G, D'Elia V, Da Vela P, Dazzi F, De Angelis A, De Lotto B, Del Popolo A, Delfino M, Delgado J, Delgado Mendez C, Depaoli D, Di Pierro F, Di Venere L, Do Souto Espiñeira E, Dominis Prester D, Donini A, Dorner D, Doro M, Elsaesser D, Emery G, Fallah Ramazani V, Fariña L, Fattorini A, Font L, Fruck C, Fukami S, Fukazawa Y, García López RJ, Garczarczyk M, Gasparyan S, Gaug M, Giesbrecht Paiva JG, Giglietto N, Giordano F, Gliwny P, Godinović N, Green JG, Green D, Hadasch D, Hahn A, Hassan T, Heckmann L, Herrera J, Hrupec D, Hütten M, Imazawa R, Inada T, Iotov R, Ishio K, Jiménez Martínez I, Jormanainen J, Kerszberg D, Kobayashi Y, Kubo H, Kushida J, Lamastra A, Lelas D, Leone F, Lindfors E, Linhoff L, Lombardi S, Longo F, López-Coto R, López-Moya M, López-Oramas A, Loporchio S, Lorini A, Lyard E, Machado de Oliveira Fraga B, Majumdar P, Makariev M, Maneva G, Mang N, Manganaro M, Mangano S, Mannheim K, Mariotti M, Martínez M, Mas Aguilar A, Mazin D, Menchiari S, Mender S, Mićanović S, Miceli D, Miener T, Miranda JM, Mirzoyan R, Molina E, Mondal HA, Moralejo A, Morcuende D, Moreno V, Nakamori T, Nanci C, Nava L, Neustroev V, Nievas Rosillo M, Nigro C, Nilsson K, Nishijima K, Njoh Ekoume T, Noda K, Nozaki S, Ohtani Y, Oka T, Otero-Santos J, Paiano S, Palatiello M, Paneque D, Paoletti R, Paredes JM, Pavletić L, Persic M, Pihet M, Podobnik F, Prada Moroni PG, Prandini E, Principe G, Priyadarshi C, Puljak I, Rhode W, Ribó M, Rico J, Righi C, Rugliancich A, Sahakyan N, Saito T, Sakurai S, Satalecka K, Saturni FG, Schleicher B, Schmidt K, Schmuckermaier F, Schubert JL, Schweizer T, Sitarek J, Sliusar V, Sobczynska D, Spolon A, Stamerra A, Strišković J, Strom D, Strzys M, Suda Y, Surić T, Takahashi M, Takeishi R, Tavecchio F, Temnikov P, Terauchi K, Terzić T, Teshima M, Tosti L, Truzzi S, Tutone A, Ubach S, van Scherpenberg J, Vazquez Acosta M, Ventura S, Verguilov V, Viale I, Vigorito CF, Vitale V, Vovk I, Walter R, Will M, Wunderlich C, Yamamoto T, Zarić D, Hiroshima N, Kohri K. Search for Gamma-Ray Spectral Lines from Dark Matter Annihilation up to 100 TeV toward the Galactic Center with MAGIC. Phys Rev Lett 2023; 130:061002. [PMID: 36827578 DOI: 10.1103/physrevlett.130.061002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/10/2022] [Revised: 11/02/2022] [Accepted: 12/15/2022] [Indexed: 06/18/2023]
Abstract
Linelike features in TeV γ rays constitute a "smoking gun" for TeV-scale particle dark matter and new physics. Probing the Galactic Center region with ground-based Cherenkov telescopes enables the search for TeV spectral features in immediate association with a dense dark matter reservoir at a sensitivity out of reach for satellite γ-ray detectors, and direct detection and collider experiments. We report on 223 hours of observations of the Galactic Center region with the MAGIC stereoscopic telescope system reaching γ-ray energies up to 100 TeV. We improved the sensitivity to spectral lines at high energies using large-zenith-angle observations and a novel background modeling method within a maximum-likelihood analysis in the energy domain. No linelike spectral feature is found in our analysis. Therefore, we constrain the cross section for dark matter annihilation into two photons to ⟨σv⟩≲5×10^{-28} cm^{3} s^{-1} at 1 TeV and ⟨σv⟩≲1×10^{-25} cm^{3} s^{-1} at 100 TeV, achieving the best limits to date for a dark matter mass above 20 TeV and a cuspy dark matter profile at the Galactic Center. Finally, we use the derived limits for both cuspy and cored dark matter profiles to constrain supersymmetric wino models.
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Affiliation(s)
- H Abe
- Japanese MAGIC Group: Institute for Cosmic Ray Research (ICRR), The University of Tokyo, Kashiwa, 277-8582 Chiba, Japan
| | - S Abe
- Japanese MAGIC Group: Institute for Cosmic Ray Research (ICRR), The University of Tokyo, Kashiwa, 277-8582 Chiba, Japan
| | - V A Acciari
- Instituto de Astrofísica de Canarias and Departamento de Astrofísica, Universidad de La Laguna, E-38200 La Laguna, Tenerife, Spain
| | - T Aniello
- National Institute for Astrophysics (INAF), I-00136 Rome, Italy
| | - S Ansoldi
- Università di Udine and INFN Trieste, I-33100 Udine, Italy
| | - L A Antonelli
- National Institute for Astrophysics (INAF), I-00136 Rome, Italy
| | - A Arbet Engels
- Max-Planck-Institut für Physik, D-80805 München, Germany
| | - C Arcaro
- Università di Padova and INFN, I-35131 Padova, Italy
| | - M Artero
- Institut de Física d'Altes Energies (IFAE), The Barcelona Institute of Science and Technology (BIST), E-08193 Bellaterra (Barcelona), Spain
| | - K Asano
- Japanese MAGIC Group: Institute for Cosmic Ray Research (ICRR), The University of Tokyo, Kashiwa, 277-8582 Chiba, Japan
| | - D Baack
- Technische Universität Dortmund, D-44221 Dortmund, Germany
| | - A Babić
- Croatian MAGIC Group: University of Zagreb, Faculty of Electrical Engineering and Computing (FER), 10000 Zagreb, Croatia
| | - A Baquero
- IPARCOS Institute and EMFTEL Department, Universidad Complutense de Madrid, E-28040 Madrid, Spain
| | - U Barres de Almeida
- Centro Brasileiro de Pesquisas Físicas (CBPF), 22290-180 URCA, Rio de Janeiro (RJ), Brazil
| | - J A Barrio
- IPARCOS Institute and EMFTEL Department, Universidad Complutense de Madrid, E-28040 Madrid, Spain
| | - I Batković
- Università di Padova and INFN, I-35131 Padova, Italy
| | - J Baxter
- Japanese MAGIC Group: Institute for Cosmic Ray Research (ICRR), The University of Tokyo, Kashiwa, 277-8582 Chiba, Japan
| | - J Becerra González
- Instituto de Astrofísica de Canarias and Departamento de Astrofísica, Universidad de La Laguna, E-38200 La Laguna, Tenerife, Spain
| | - W Bednarek
- University of Lodz, Faculty of Physics and Applied Informatics, Department of Astrophysics, 90-236 Lodz, Poland
| | - E Bernardini
- Università di Padova and INFN, I-35131 Padova, Italy
| | - M Bernardos
- Instituto de Astrofísica de Andalucía-CSIC, Glorieta de la Astronomía s/n, 18008 Granada, Spain
| | - A Berti
- Max-Planck-Institut für Physik, D-80805 München, Germany
| | - J Besenrieder
- Max-Planck-Institut für Physik, D-80805 München, Germany
| | - W Bhattacharyya
- Deutsches Elektronen-Synchrotron (DESY), D-15738 Zeuthen, Germany
| | - C Bigongiari
- National Institute for Astrophysics (INAF), I-00136 Rome, Italy
| | - A Biland
- ETH Zürich, CH-8093 Zürich, Switzerland
| | - O Blanch
- Institut de Física d'Altes Energies (IFAE), The Barcelona Institute of Science and Technology (BIST), E-08193 Bellaterra (Barcelona), Spain
| | - G Bonnoli
- National Institute for Astrophysics (INAF), I-00136 Rome, Italy
| | - Ž Bošnjak
- Croatian MAGIC Group: University of Zagreb, Faculty of Electrical Engineering and Computing (FER), 10000 Zagreb, Croatia
| | - I Burelli
- Università di Udine and INFN Trieste, I-33100 Udine, Italy
| | - G Busetto
- Università di Padova and INFN, I-35131 Padova, Italy
| | - R Carosi
- Università di Pisa and INFN Pisa, I-56126 Pisa, Italy
| | | | - G Ceribella
- Japanese MAGIC Group: Institute for Cosmic Ray Research (ICRR), The University of Tokyo, Kashiwa, 277-8582 Chiba, Japan
| | - Y Chai
- Max-Planck-Institut für Physik, D-80805 München, Germany
| | - A Chilingarian
- Armenian MAGIC Group: A. Alikhanyan National Science Laboratory, 0036 Yerevan, Armenia
| | - S Cikota
- Croatian MAGIC Group: University of Zagreb, Faculty of Electrical Engineering and Computing (FER), 10000 Zagreb, Croatia
| | - E Colombo
- Instituto de Astrofísica de Canarias and Departamento de Astrofísica, Universidad de La Laguna, E-38200 La Laguna, Tenerife, Spain
| | - J L Contreras
- IPARCOS Institute and EMFTEL Department, Universidad Complutense de Madrid, E-28040 Madrid, Spain
| | - J Cortina
- Centro de Investigaciones Energéticas, Medioambientales y Tecnológicas, E-28040 Madrid, Spain
| | - S Covino
- National Institute for Astrophysics (INAF), I-00136 Rome, Italy
| | - G D'Amico
- Department for Physics and Technology, University of Bergen, Norway
| | - V D'Elia
- National Institute for Astrophysics (INAF), I-00136 Rome, Italy
| | - P Da Vela
- Università di Pisa and INFN Pisa, I-56126 Pisa, Italy
| | - F Dazzi
- National Institute for Astrophysics (INAF), I-00136 Rome, Italy
| | - A De Angelis
- Università di Padova and INFN, I-35131 Padova, Italy
| | - B De Lotto
- Università di Udine and INFN Trieste, I-33100 Udine, Italy
| | - A Del Popolo
- INFN MAGIC Group: INFN Sezione di Catania and Dipartimento di Fisica e Astronomia, University of Catania, I-95123 Catania, Italy
| | - M Delfino
- Institut de Física d'Altes Energies (IFAE), The Barcelona Institute of Science and Technology (BIST), E-08193 Bellaterra (Barcelona), Spain
| | - J Delgado
- Institut de Física d'Altes Energies (IFAE), The Barcelona Institute of Science and Technology (BIST), E-08193 Bellaterra (Barcelona), Spain
| | - C Delgado Mendez
- Centro de Investigaciones Energéticas, Medioambientales y Tecnológicas, E-28040 Madrid, Spain
| | - D Depaoli
- INFN MAGIC Group: INFN Sezione di Torino and Università degli Studi di Torino, I-10125 Torino, Italy
| | - F Di Pierro
- INFN MAGIC Group: INFN Sezione di Torino and Università degli Studi di Torino, I-10125 Torino, Italy
| | - L Di Venere
- INFN MAGIC Group: INFN Sezione di Bari and Dipartimento Interateneo di Fisica dell'Università e del Politecnico di Bari, I-70125 Bari, Italy
| | - E Do Souto Espiñeira
- Institut de Física d'Altes Energies (IFAE), The Barcelona Institute of Science and Technology (BIST), E-08193 Bellaterra (Barcelona), Spain
| | - D Dominis Prester
- Croatian MAGIC Group: University of Rijeka, Department of Physics, 51000 Rijeka, Croatia
| | - A Donini
- National Institute for Astrophysics (INAF), I-00136 Rome, Italy
| | - D Dorner
- Universität Würzburg, D-97074 Würzburg, Germany
| | - M Doro
- Università di Padova and INFN, I-35131 Padova, Italy
| | - D Elsaesser
- Technische Universität Dortmund, D-44221 Dortmund, Germany
| | - G Emery
- University of Geneva, Chemin d'Ecogia 16, CH-1290 Versoix, Switzerland
| | - V Fallah Ramazani
- Finnish MAGIC Group: Finnish Centre for Astronomy with ESO, University of Turku, FI-20014 Turku, Finland
| | - L Fariña
- Institut de Física d'Altes Energies (IFAE), The Barcelona Institute of Science and Technology (BIST), E-08193 Bellaterra (Barcelona), Spain
| | - A Fattorini
- Technische Universität Dortmund, D-44221 Dortmund, Germany
| | - L Font
- Departament de Física, and CERES-IEEC, Universitat Autònoma de Barcelona, E-08193 Bellaterra, Spain
| | - C Fruck
- Max-Planck-Institut für Physik, D-80805 München, Germany
| | - S Fukami
- ETH Zürich, CH-8093 Zürich, Switzerland
| | - Y Fukazawa
- Japanese MAGIC Group: Physics Program, Graduate School of Advanced Science and Engineering, Hiroshima University, 739-8526 Hiroshima, Japan
| | - R J García López
- Instituto de Astrofísica de Canarias and Departamento de Astrofísica, Universidad de La Laguna, E-38200 La Laguna, Tenerife, Spain
| | - M Garczarczyk
- Deutsches Elektronen-Synchrotron (DESY), D-15738 Zeuthen, Germany
| | - S Gasparyan
- Armenian MAGIC Group: ICRANet-Armenia at NAS RA, 0019 Yerevan, Armenia
| | - M Gaug
- Departament de Física, and CERES-IEEC, Universitat Autònoma de Barcelona, E-08193 Bellaterra, Spain
| | - J G Giesbrecht Paiva
- Centro Brasileiro de Pesquisas Físicas (CBPF), 22290-180 URCA, Rio de Janeiro (RJ), Brazil
| | - N Giglietto
- INFN MAGIC Group: INFN Sezione di Bari and Dipartimento Interateneo di Fisica dell'Università e del Politecnico di Bari, I-70125 Bari, Italy
| | - F Giordano
- INFN MAGIC Group: INFN Sezione di Bari and Dipartimento Interateneo di Fisica dell'Università e del Politecnico di Bari, I-70125 Bari, Italy
| | - P Gliwny
- University of Lodz, Faculty of Physics and Applied Informatics, Department of Astrophysics, 90-236 Lodz, Poland
| | - N Godinović
- Croatian MAGIC Group: University of Split, Faculty of Electrical Engineering, Mechanical Engineering and Naval Architecture (FESB), 21000 Split, Croatia
| | - J G Green
- Max-Planck-Institut für Physik, D-80805 München, Germany
| | - D Green
- Max-Planck-Institut für Physik, D-80805 München, Germany
| | - D Hadasch
- Japanese MAGIC Group: Institute for Cosmic Ray Research (ICRR), The University of Tokyo, Kashiwa, 277-8582 Chiba, Japan
| | - A Hahn
- Max-Planck-Institut für Physik, D-80805 München, Germany
| | - T Hassan
- Centro de Investigaciones Energéticas, Medioambientales y Tecnológicas, E-28040 Madrid, Spain
| | - L Heckmann
- Max-Planck-Institut für Physik, D-80805 München, Germany
| | - J Herrera
- Instituto de Astrofísica de Canarias and Departamento de Astrofísica, Universidad de La Laguna, E-38200 La Laguna, Tenerife, Spain
| | - D Hrupec
- Croatian MAGIC Group: Josip Juraj Strossmayer University of Osijek, Department of Physics, 31000 Osijek, Croatia
| | - M Hütten
- Japanese MAGIC Group: Institute for Cosmic Ray Research (ICRR), The University of Tokyo, Kashiwa, 277-8582 Chiba, Japan
| | - R Imazawa
- Japanese MAGIC Group: Physics Program, Graduate School of Advanced Science and Engineering, Hiroshima University, 739-8526 Hiroshima, Japan
| | - T Inada
- Japanese MAGIC Group: Institute for Cosmic Ray Research (ICRR), The University of Tokyo, Kashiwa, 277-8582 Chiba, Japan
| | - R Iotov
- Universität Würzburg, D-97074 Würzburg, Germany
| | - K Ishio
- University of Lodz, Faculty of Physics and Applied Informatics, Department of Astrophysics, 90-236 Lodz, Poland
| | - I Jiménez Martínez
- Centro de Investigaciones Energéticas, Medioambientales y Tecnológicas, E-28040 Madrid, Spain
| | - J Jormanainen
- Finnish MAGIC Group: Finnish Centre for Astronomy with ESO, University of Turku, FI-20014 Turku, Finland
| | - D Kerszberg
- Institut de Física d'Altes Energies (IFAE), The Barcelona Institute of Science and Technology (BIST), E-08193 Bellaterra (Barcelona), Spain
| | - Y Kobayashi
- Japanese MAGIC Group: Institute for Cosmic Ray Research (ICRR), The University of Tokyo, Kashiwa, 277-8582 Chiba, Japan
| | - H Kubo
- Japanese MAGIC Group: Institute for Cosmic Ray Research (ICRR), The University of Tokyo, Kashiwa, 277-8582 Chiba, Japan
| | - J Kushida
- Japanese MAGIC Group: Department of Physics, Tokai University, Hiratsuka, 259-1292 Kanagawa, Japan
| | - A Lamastra
- National Institute for Astrophysics (INAF), I-00136 Rome, Italy
| | - D Lelas
- Croatian MAGIC Group: University of Split, Faculty of Electrical Engineering, Mechanical Engineering and Naval Architecture (FESB), 21000 Split, Croatia
| | - F Leone
- National Institute for Astrophysics (INAF), I-00136 Rome, Italy
| | - E Lindfors
- Finnish MAGIC Group: Finnish Centre for Astronomy with ESO, University of Turku, FI-20014 Turku, Finland
| | - L Linhoff
- Technische Universität Dortmund, D-44221 Dortmund, Germany
| | - S Lombardi
- National Institute for Astrophysics (INAF), I-00136 Rome, Italy
| | - F Longo
- Università di Udine and INFN Trieste, I-33100 Udine, Italy
| | - R López-Coto
- Università di Padova and INFN, I-35131 Padova, Italy
| | - M López-Moya
- IPARCOS Institute and EMFTEL Department, Universidad Complutense de Madrid, E-28040 Madrid, Spain
| | - A López-Oramas
- Instituto de Astrofísica de Canarias and Departamento de Astrofísica, Universidad de La Laguna, E-38200 La Laguna, Tenerife, Spain
| | - S Loporchio
- INFN MAGIC Group: INFN Sezione di Bari and Dipartimento Interateneo di Fisica dell'Università e del Politecnico di Bari, I-70125 Bari, Italy
| | - A Lorini
- Università di Siena and INFN Pisa, I-53100 Siena, Italy
| | - E Lyard
- University of Geneva, Chemin d'Ecogia 16, CH-1290 Versoix, Switzerland
| | | | - P Majumdar
- Saha Institute of Nuclear Physics, A CI of Homi Bhabha National Institute, Kolkata 700064, West Bengal, India
| | - M Makariev
- Institute for Nuclear Research and Nuclear Energy, Bulgarian Academy of Sciences, BG-1784 Sofia, Bulgaria
| | - G Maneva
- Institute for Nuclear Research and Nuclear Energy, Bulgarian Academy of Sciences, BG-1784 Sofia, Bulgaria
| | - N Mang
- Technische Universität Dortmund, D-44221 Dortmund, Germany
| | - M Manganaro
- Croatian MAGIC Group: University of Rijeka, Department of Physics, 51000 Rijeka, Croatia
| | - S Mangano
- Centro de Investigaciones Energéticas, Medioambientales y Tecnológicas, E-28040 Madrid, Spain
| | - K Mannheim
- Universität Würzburg, D-97074 Würzburg, Germany
| | - M Mariotti
- Università di Padova and INFN, I-35131 Padova, Italy
| | - M Martínez
- Institut de Física d'Altes Energies (IFAE), The Barcelona Institute of Science and Technology (BIST), E-08193 Bellaterra (Barcelona), Spain
| | - A Mas Aguilar
- IPARCOS Institute and EMFTEL Department, Universidad Complutense de Madrid, E-28040 Madrid, Spain
| | - D Mazin
- Japanese MAGIC Group: Institute for Cosmic Ray Research (ICRR), The University of Tokyo, Kashiwa, 277-8582 Chiba, Japan
- Max-Planck-Institut für Physik, D-80805 München, Germany
| | - S Menchiari
- Università di Siena and INFN Pisa, I-53100 Siena, Italy
| | - S Mender
- Technische Universität Dortmund, D-44221 Dortmund, Germany
| | - S Mićanović
- Croatian MAGIC Group: University of Rijeka, Department of Physics, 51000 Rijeka, Croatia
| | - D Miceli
- Università di Padova and INFN, I-35131 Padova, Italy
| | - T Miener
- IPARCOS Institute and EMFTEL Department, Universidad Complutense de Madrid, E-28040 Madrid, Spain
| | - J M Miranda
- Università di Siena and INFN Pisa, I-53100 Siena, Italy
| | - R Mirzoyan
- Max-Planck-Institut für Physik, D-80805 München, Germany
| | - E Molina
- Universitat de Barcelona, ICCUB, IEEC-UB, E-08028 Barcelona, Spain
| | - H A Mondal
- Saha Institute of Nuclear Physics, A CI of Homi Bhabha National Institute, Kolkata 700064, West Bengal, India
| | - A Moralejo
- Institut de Física d'Altes Energies (IFAE), The Barcelona Institute of Science and Technology (BIST), E-08193 Bellaterra (Barcelona), Spain
| | - D Morcuende
- IPARCOS Institute and EMFTEL Department, Universidad Complutense de Madrid, E-28040 Madrid, Spain
| | - V Moreno
- Departament de Física, and CERES-IEEC, Universitat Autònoma de Barcelona, E-08193 Bellaterra, Spain
| | - T Nakamori
- Japanese MAGIC Group: Department of Physics, Yamagata University, Yamagata 990-8560, Japan
| | - C Nanci
- National Institute for Astrophysics (INAF), I-00136 Rome, Italy
| | - L Nava
- National Institute for Astrophysics (INAF), I-00136 Rome, Italy
| | - V Neustroev
- Finnish MAGIC Group: Space Physics and Astronomy Research Unit, University of Oulu, FI-90014 Oulu, Finland
| | - M Nievas Rosillo
- Instituto de Astrofísica de Canarias and Departamento de Astrofísica, Universidad de La Laguna, E-38200 La Laguna, Tenerife, Spain
| | - C Nigro
- Institut de Física d'Altes Energies (IFAE), The Barcelona Institute of Science and Technology (BIST), E-08193 Bellaterra (Barcelona), Spain
| | - K Nilsson
- Finnish MAGIC Group: Finnish Centre for Astronomy with ESO, University of Turku, FI-20014 Turku, Finland
| | - K Nishijima
- Japanese MAGIC Group: Department of Physics, Tokai University, Hiratsuka, 259-1292 Kanagawa, Japan
| | - T Njoh Ekoume
- Instituto de Astrofísica de Canarias and Departamento de Astrofísica, Universidad de La Laguna, E-38200 La Laguna, Tenerife, Spain
| | - K Noda
- Japanese MAGIC Group: Institute for Cosmic Ray Research (ICRR), The University of Tokyo, Kashiwa, 277-8582 Chiba, Japan
| | - S Nozaki
- Max-Planck-Institut für Physik, D-80805 München, Germany
| | - Y Ohtani
- Japanese MAGIC Group: Institute for Cosmic Ray Research (ICRR), The University of Tokyo, Kashiwa, 277-8582 Chiba, Japan
| | - T Oka
- Japanese MAGIC Group: Department of Physics, Kyoto University, 606-8502 Kyoto, Japan
| | - J Otero-Santos
- Instituto de Astrofísica de Canarias and Departamento de Astrofísica, Universidad de La Laguna, E-38200 La Laguna, Tenerife, Spain
| | - S Paiano
- National Institute for Astrophysics (INAF), I-00136 Rome, Italy
| | - M Palatiello
- Università di Udine and INFN Trieste, I-33100 Udine, Italy
| | - D Paneque
- Max-Planck-Institut für Physik, D-80805 München, Germany
| | - R Paoletti
- Università di Siena and INFN Pisa, I-53100 Siena, Italy
| | - J M Paredes
- Universitat de Barcelona, ICCUB, IEEC-UB, E-08028 Barcelona, Spain
| | - L Pavletić
- Croatian MAGIC Group: University of Rijeka, Department of Physics, 51000 Rijeka, Croatia
| | - M Persic
- Università di Udine and INFN Trieste, I-33100 Udine, Italy
| | - M Pihet
- Max-Planck-Institut für Physik, D-80805 München, Germany
| | - F Podobnik
- Università di Siena and INFN Pisa, I-53100 Siena, Italy
| | | | - E Prandini
- Università di Padova and INFN, I-35131 Padova, Italy
| | - G Principe
- Università di Udine and INFN Trieste, I-33100 Udine, Italy
| | - C Priyadarshi
- Institut de Física d'Altes Energies (IFAE), The Barcelona Institute of Science and Technology (BIST), E-08193 Bellaterra (Barcelona), Spain
| | - I Puljak
- Croatian MAGIC Group: University of Split, Faculty of Electrical Engineering, Mechanical Engineering and Naval Architecture (FESB), 21000 Split, Croatia
| | - W Rhode
- Technische Universität Dortmund, D-44221 Dortmund, Germany
| | - M Ribó
- Universitat de Barcelona, ICCUB, IEEC-UB, E-08028 Barcelona, Spain
| | - J Rico
- Institut de Física d'Altes Energies (IFAE), The Barcelona Institute of Science and Technology (BIST), E-08193 Bellaterra (Barcelona), Spain
| | - C Righi
- National Institute for Astrophysics (INAF), I-00136 Rome, Italy
| | - A Rugliancich
- Università di Pisa and INFN Pisa, I-56126 Pisa, Italy
| | - N Sahakyan
- Armenian MAGIC Group: ICRANet-Armenia at NAS RA, 0019 Yerevan, Armenia
| | - T Saito
- Japanese MAGIC Group: Institute for Cosmic Ray Research (ICRR), The University of Tokyo, Kashiwa, 277-8582 Chiba, Japan
| | - S Sakurai
- Japanese MAGIC Group: Institute for Cosmic Ray Research (ICRR), The University of Tokyo, Kashiwa, 277-8582 Chiba, Japan
| | - K Satalecka
- Finnish MAGIC Group: Finnish Centre for Astronomy with ESO, University of Turku, FI-20014 Turku, Finland
| | - F G Saturni
- National Institute for Astrophysics (INAF), I-00136 Rome, Italy
| | | | - K Schmidt
- Technische Universität Dortmund, D-44221 Dortmund, Germany
| | | | - J L Schubert
- Technische Universität Dortmund, D-44221 Dortmund, Germany
| | - T Schweizer
- Max-Planck-Institut für Physik, D-80805 München, Germany
| | - J Sitarek
- University of Lodz, Faculty of Physics and Applied Informatics, Department of Astrophysics, 90-236 Lodz, Poland
| | - V Sliusar
- University of Geneva, Chemin d'Ecogia 16, CH-1290 Versoix, Switzerland
| | - D Sobczynska
- University of Lodz, Faculty of Physics and Applied Informatics, Department of Astrophysics, 90-236 Lodz, Poland
| | - A Spolon
- Università di Padova and INFN, I-35131 Padova, Italy
| | - A Stamerra
- National Institute for Astrophysics (INAF), I-00136 Rome, Italy
| | - J Strišković
- Croatian MAGIC Group: Josip Juraj Strossmayer University of Osijek, Department of Physics, 31000 Osijek, Croatia
| | - D Strom
- Max-Planck-Institut für Physik, D-80805 München, Germany
| | - M Strzys
- Japanese MAGIC Group: Institute for Cosmic Ray Research (ICRR), The University of Tokyo, Kashiwa, 277-8582 Chiba, Japan
| | - Y Suda
- Japanese MAGIC Group: Physics Program, Graduate School of Advanced Science and Engineering, Hiroshima University, 739-8526 Hiroshima, Japan
| | - T Surić
- Croatian MAGIC Group: Ruđer Bošković Institute, 10000 Zagreb, Croatia
| | - M Takahashi
- Japanese MAGIC Group: Institute for Space-Earth Environmental Research and Kobayashi-Maskawa Institute for the Origin of Particles and the Universe, Nagoya University, 464-6801 Nagoya, Japan
| | - R Takeishi
- Japanese MAGIC Group: Institute for Cosmic Ray Research (ICRR), The University of Tokyo, Kashiwa, 277-8582 Chiba, Japan
| | - F Tavecchio
- National Institute for Astrophysics (INAF), I-00136 Rome, Italy
| | - P Temnikov
- Institute for Nuclear Research and Nuclear Energy, Bulgarian Academy of Sciences, BG-1784 Sofia, Bulgaria
| | - K Terauchi
- Japanese MAGIC Group: Department of Physics, Kyoto University, 606-8502 Kyoto, Japan
| | - T Terzić
- Croatian MAGIC Group: University of Rijeka, Department of Physics, 51000 Rijeka, Croatia
| | - M Teshima
- Japanese MAGIC Group: Institute for Cosmic Ray Research (ICRR), The University of Tokyo, Kashiwa, 277-8582 Chiba, Japan
- Max-Planck-Institut für Physik, D-80805 München, Germany
| | - L Tosti
- INFN MAGIC Group: INFN Sezione di Perugia, I-06123 Perugia, Italy
| | - S Truzzi
- Università di Siena and INFN Pisa, I-53100 Siena, Italy
| | - A Tutone
- National Institute for Astrophysics (INAF), I-00136 Rome, Italy
| | - S Ubach
- Departament de Física, and CERES-IEEC, Universitat Autònoma de Barcelona, E-08193 Bellaterra, Spain
| | | | - M Vazquez Acosta
- Instituto de Astrofísica de Canarias and Departamento de Astrofísica, Universidad de La Laguna, E-38200 La Laguna, Tenerife, Spain
| | - S Ventura
- Università di Siena and INFN Pisa, I-53100 Siena, Italy
| | - V Verguilov
- Institute for Nuclear Research and Nuclear Energy, Bulgarian Academy of Sciences, BG-1784 Sofia, Bulgaria
| | - I Viale
- Università di Padova and INFN, I-35131 Padova, Italy
| | - C F Vigorito
- INFN MAGIC Group: INFN Sezione di Torino and Università degli Studi di Torino, I-10125 Torino, Italy
| | - V Vitale
- INFN MAGIC Group: INFN Roma Tor Vergata, I-00133 Roma, Italy
| | - I Vovk
- Japanese MAGIC Group: Institute for Cosmic Ray Research (ICRR), The University of Tokyo, Kashiwa, 277-8582 Chiba, Japan
| | - R Walter
- University of Geneva, Chemin d'Ecogia 16, CH-1290 Versoix, Switzerland
| | - M Will
- Max-Planck-Institut für Physik, D-80805 München, Germany
| | - C Wunderlich
- Università di Siena and INFN Pisa, I-53100 Siena, Italy
| | - T Yamamoto
- Japanese MAGIC Group: Department of Physics, Konan University, Kobe, Hyogo 658-8501, Japan
| | - D Zarić
- Croatian MAGIC Group: University of Split, Faculty of Electrical Engineering, Mechanical Engineering and Naval Architecture (FESB), 21000 Split, Croatia
| | - N Hiroshima
- Department of Physics, University of Toyama, 3190 Gofuku, Toyama 930-8555, Japan
- RIKEN iTHEMS, Wako, Saitama 351-0198, Japan
| | - K Kohri
- Theory Center, IPNS, KEK, Tsukuba, Ibaraki 305-0801, Japan
- The Graduate University for Advanced Studies (SOKENDAI), 1-1 Oho, Tsukuba, Ibaraki 305-0801, Japan
- Kavli IPMU (WPI), UTIAS, The University of Tokyo, Kashiwa, Chiba 277-8583, Japan
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9
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Furukawa T, Tatehara S, Teshima M, Shinomiya H, Inokuchi G, Komatsu M, Hara S, Zen Y, Nibu KI. Expressions of NeuroD and GAP43 as diagnostic markers for olfactory neuroblastoma. Auris Nasus Larynx 2022; 50:358-364. [PMID: 35999123 DOI: 10.1016/j.anl.2022.08.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2022] [Revised: 07/30/2022] [Accepted: 08/03/2022] [Indexed: 10/15/2022]
Abstract
OBJECTIVE Olfactory neuroblastoma (ONB) is often difficult to pathologically distinguish from other small round cell tumors (SRCTs) arising in the nasal cavities. Although there are several diagnostic markers used for differential diagnosis of ONB, these molecules are also expressed in various neuronal derived tumors. Here, we examined the expression of NeuroD, GAP43, and olfactory marker protein (OMP) in ONB and non-ONB SRCT to determine their utility in the differential diagnosis of ONB. METHODS Twenty-six patients diagnosed with and treated for ONB at Kobe University Hospital between 1997 and 2017 with formalin-fixed, paraffin-embedded biopsy or surgical resection specimens were included. The expressions of NeuroD, GAP43, and OMP were immunohistochemically examined in these 26 ONB specimens and specimens from 13 SRCTs arising in the nasal cavities for reference. RESULTS Among the 26 ONB samples, focal, patchy, and marked staining for NeuroD was observed in 4, 3, and 9 samples, respectively. Focal, patchy, and marked GAP43 staining was observed in 5, 3, and 11 samples, respectively. Consequently, marked positive staining for either NeuroD or GAP43 was observed in 54% (14/26) of ONBs. Among the 13 SRCTs, marked staining for NeuroD was observed in two small cell carcinomas, one undifferentiated carcinoma, and one neuroendocrine carcinoma, whereas marked positive staining for GAP43 was observed only in one undifferentiated carcinoma. No specimen in this study exhibited OMP staining. CONCLUSIONS Our results suggest possible roles of GAP43 immunostaining in the differential diagnosis of ONB.
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Affiliation(s)
- Tatsuya Furukawa
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.
| | - Shun Tatehara
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Masanori Teshima
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Hirotaka Shinomiya
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Go Inokuchi
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Masato Komatsu
- Department of Diagnostic Pathology, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Shigeo Hara
- Department of Diagnostic Pathology, Kobe University Graduate School of Medicine, Kobe, Japan; Kobe City Medical Center General Hospital, Department of Pathology, Kobe, Japan
| | - Yoh Zen
- Department of Diagnostic Pathology, Kobe University Graduate School of Medicine, Kobe, Japan; Institute of Liver Studies, King's College Hospital & King's College London, London, UK
| | - Ken-Ichi Nibu
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
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10
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Iritani K, Teshima M, Shimoda H, Shinomiya H, Otsuki N, Nibu K. Intraoperative quantitative assessment of parathyroid blood flow during total thyroidectomy using indocyanine green fluorescence imaging ‐ surgical strategies for preserving the function of parathyroid glands. Laryngoscope Investig Otolaryngol 2022; 7:1251-1258. [PMID: 36000062 PMCID: PMC9392388 DOI: 10.1002/lio2.868] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2022] [Revised: 06/24/2022] [Accepted: 07/03/2022] [Indexed: 11/24/2022] Open
Abstract
Objective We investigated the factors affecting postoperative parathyroid gland (PTG) function and devised an objective index to predict the postoperative PTG function during total thyroidectomy. Method This was a retrospective clinical review of 21 consecutive patients who were diagnosed with papillary thyroid carcinoma and underwent total thyroidectomy. The maximum intensity ratio (MIR) was determined as the maximum fluorescence intensity after ICG injection divided by the intensity before ICG injection. Results Postoperative hypoparathyroidism is significantly associated with simultaneous central neck dissection (CND) and lateral neck dissection (LND) (p = .032). The Spearman correlation test showed a moderate correlation between the MIR and iPTH levels (p = .0047). The optimal MIR cutoff value for predicting postoperative hypoparathyroidism was 2.14 with area under the curve = 0.904 (sensitivity: 0.769 and specificity: 1.00). Conclusion CND + LND was significantly associated with postoperative hypoparathyroidism. MIR was found useful in predicting the postoperative PTG function. Level of Evidence: 3b.
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Affiliation(s)
- Keisuke Iritani
- Department of Otolaryngology‐Head and Neck Surgery Kobe University Graduate School of Medicine Kobe Japan
| | - Masanori Teshima
- Department of Otolaryngology‐Head and Neck Surgery Kobe University Graduate School of Medicine Kobe Japan
| | - Hikari Shimoda
- Department of Otolaryngology‐Head and Neck Surgery Kobe University Graduate School of Medicine Kobe Japan
| | - Hirotaka Shinomiya
- Department of Otolaryngology‐Head and Neck Surgery Kobe University Graduate School of Medicine Kobe Japan
| | - Naoki Otsuki
- Department of Otolaryngology‐Head and Neck Surgery Kobe University Graduate School of Medicine Kobe Japan
| | - Ken‐ichi Nibu
- Department of Otolaryngology‐Head and Neck Surgery Kobe University Graduate School of Medicine Kobe Japan
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11
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Nagatani Y, Kiyota N, Imamura Y, Koyama T, Funakoshi Y, Komatsu M, Teshima M, Nibu KI, Sakai K, Nishio K, Shimomura M, Nakatsura T, Ikarashi D, Nakayama T, Kitano S, Minami H. Abstract 6143: Tumor immune microenvironment in salivary gland cancer. Cancer Res 2022. [DOI: 10.1158/1538-7445.am2022-6143] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Abstract
Purpose/Objectives: Salivary gland cancer (SGC) is a rare malignancy with various pathological types. Although immune checkpoint inhibitors for SGC have been investigated in clinical trials, details of the tumor immune microenvironment (TIME) in SGC remain unclear. The aim of this study was to elucidate the TIME of SGC.
Materials/Methods: We selected five typical pathological types of SGC, namely adenoid cystic carcinoma (ACC); adenocarcinoma, not otherwise specified (ANOS); salivary duct carcinoma (SDC); and low/high-grade mucoepidermoid carcinoma (MEC low/high). We investigated the TIME as well as the tumor mutation burden (TMB) of each pathological type in surgical archival tissues obtained from 1999 to 2017 (7 patients in each type, stage III/IVA/IVB [UICC 8th]). TIME was evaluated by multiplexed immunofluorescent staining, including CD3, CD4, CD8, Foxp3, CD204, PD-1, PD-L1, and PD-L2. Tumors with > 1% tumor cells expressing PD-L1 were considered positive for PD-L1. TMB was measured by the Oncomine Tumor Mutation Load Assay, and a high TMB was defined by 10 or more mutations/Mb. Correlation analyses were performed using Pearson’s product moment correlation coefficient.
Results: Multiplexed immunofluorescent staining was performed in all 35 archival tissues. ACC showed the lowest infiltration of immune effector cells (ICeff) and suppressor cells (ICsup) in both the tumor and stroma, and a low proportion of cases was positive for PD-L1 (14%). Compared with ACC, MEC high showed higher infiltration of ICeff and ICsup in both the tumor and stroma, and a higher proportion of cases was positive for PD-L1 (71%). Although ANOS, SDC, and MEC low showed modest infiltration of ICeff in the tumor, these subtypes showed higher infiltration of ICeff in the stroma than ACC. TMB was measured in 29 samples; the proportion of TMB high was lower in ACC (33%) and MEC low (0%) than in the other pathological types (ANOS/SDC/MEC high: 60/67/57%). Regarding multiplexed immunofluorescent staining, correlation analysis showed a positive correlation between TMB and CD3+CD8+ T cells in the tumor (r=0.647, P<0.0001). In addition, CD3+CD8+ T cells in the tumor showed a positive correlation with PD-L1 expression in tumor cells (r=0.513, P=0.002) and with CD3+CD4+Foxp3+ T cells in the tumor (r=0.399, P=0.018). However, no correlation was seen between CD3+CD8+ T cells and CD204+ cells in the tumor (r=-0.049, P=0.779).
Conclusion: ACC showed less PD-L1 expression in tumor cells and the lowest infiltration of immune cells in both the tumor and stroma compared with other pathological types. These results suggest that the TIME of ACC is the so-called immune desert type, which may in turn explain the mechanisms of the poor response to immune check point inhibitors seen in clinical trials.
Citation Format: Yoshiaki Nagatani, Naomi Kiyota, Yoshinori Imamura, Taiji Koyama, Yohei Funakoshi, Masato Komatsu, Masanori Teshima, Ken-Ichi Nibu, Kazuko Sakai, Kazuto Nishio, Manami Shimomura, Tetsuya Nakatsura, Daiki Ikarashi, Takayuki Nakayama, Shigehisa Kitano, Hironobu Minami. Tumor immune microenvironment in salivary gland cancer [abstract]. In: Proceedings of the American Association for Cancer Research Annual Meeting 2022; 2022 Apr 8-13. Philadelphia (PA): AACR; Cancer Res 2022;82(12_Suppl):Abstract nr 6143.
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Affiliation(s)
| | - Naomi Kiyota
- 1Kobe University Graduate School of Medicine, Kobe, Japan
| | | | - Taiji Koyama
- 1Kobe University Graduate School of Medicine, Kobe, Japan
| | | | - Masato Komatsu
- 1Kobe University Graduate School of Medicine, Kobe, Japan
| | | | - Ken-Ichi Nibu
- 1Kobe University Graduate School of Medicine, Kobe, Japan
| | - Kazuko Sakai
- 2Kinki University Faculty of Medicine, Osakasayama, Japan
| | - Kazuto Nishio
- 2Kinki University Faculty of Medicine, Osakasayama, Japan
| | | | | | | | | | - Shigehisa Kitano
- 4The Cancer Institute Hospital of Japanese Foundation for Cancer Research, Tokyo, Japan
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12
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Teshima M, Shinomiya H, Kimura H, Hashikawa K, Kiyota N, Miyawaki D, Sasaki R, Kohmura E, Nibu K. Roles of skull base surgery and particle radiotherapy for orbital malignant tumors involving the skull base. Laryngoscope Investig Otolaryngol 2021; 6:1347-1352. [PMID: 34938873 PMCID: PMC8665474 DOI: 10.1002/lio2.687] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2021] [Revised: 09/30/2021] [Accepted: 10/05/2021] [Indexed: 02/02/2023] Open
Abstract
PURPOSE To investigate the oncological outcomes of orbital malignant tumors invading the skull base. METHODS A retrospective analysis was conducted on 16 patients with orbital malignant tumors invading the skull base. Eleven patients were treated with skull base surgery, four patients were treated with particle therapies, and one patient was treated with chemoradiotherapy (CRT) as initial treatment. RESULTS The most frequent histological type was adenoid cystic carcinoma in seven patients, followed by squamous cell carcinoma in two patients. Local recurrence occurred in two of the six surgically treated patients who did not receive postoperative radiotherapy (RT) or CRT. One of them was successfully salvaged by RT, and the other died of disease. With a median follow-up of 24 months, the 2-year overall, local control, and disease-free survival rates of all patients were 82.5%, 87.5%, and 59%, respectively. CONCLUSIONS Patients with positive surgical margins were at risk of local recurrence. Postoperative RT should be considered for all surgically treated patients.Level of Evidence: 4.
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Affiliation(s)
- Masanori Teshima
- Department of Otolaryngology—Head and Neck SurgeryKobe University Graduate School of MedicineKobeJapan
| | - Hirotaka Shinomiya
- Department of Otolaryngology—Head and Neck SurgeryKobe University Graduate School of MedicineKobeJapan
| | - Hidehito Kimura
- Department of NeurosurgeryKobe University Graduate School of MedicineKobeJapan
| | - Kazunobu Hashikawa
- Department of Plastic SurgeryKobe University Graduate School of MedicineKobeJapan
| | - Naomi Kiyota
- Department of Medical Oncology and HematologyKobe University Graduate School of MedicineKobeJapan
| | - Daisuke Miyawaki
- Department of Radiation OncologyKobe University Graduate School of MedicineKobeJapan
| | - Ryohei Sasaki
- Department of Radiation OncologyKobe University Graduate School of MedicineKobeJapan
| | | | - Ken‐ichi Nibu
- Department of Otolaryngology—Head and Neck SurgeryKobe University Graduate School of MedicineKobeJapan
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13
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Komatsu H, Furukawa T, Iritani K, Tatehara S, Takahashi M, Iwaki S, Kakei Y, Hasegawa T, Teshima M, Shinomiya H, Otsuki N, Hashikawa K, Kiyota N, Sasaki R, Akashi M, Nibu KI. Blowing time ratio and high-resolution manometry to evaluate swallowing function of patients with oral and oropharyngeal cancer. Auris Nasus Larynx 2021; 49:477-483. [PMID: 34789391 DOI: 10.1016/j.anl.2021.10.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2021] [Revised: 10/07/2021] [Accepted: 10/20/2021] [Indexed: 10/19/2022]
Abstract
OBJECTIVE The blowing time ratio, which is the ratio of the blowing time when the nostrils are open and closed, is significantly correlated with velopharyngeal pressure, not only during speech but also during swallowing. This study aimed to further evaluate the usefulness of the blowing time ratio as a screening tool to evaluate the swallowing pressure of patients treated for oral and oropharyngeal cancers using high-resolution manometery (HRM). METHODS Ten patients treated for oral or oropharyngeal cancer were recruited for this study. Swallowing pressures at the velopharynx, oropharynx, and upper esophageal sphincter (UES) were measured using HRM. Their correlations with the blowing time ratio were analyzed. RESULTS The blowing time ratio was significantly correlated with the swallowing pressures of the oropharynx (CC = 0.815, p = 0.004) and the velopharynx (CC = 0.657, p = 0.039), but not of the UES. CONCLUSIONS The present results further support our previous finding that the blowing time ratio is a useful screening tool to evaluate velopharyngeal and oropharyngeal swallowing pressures in patients treated for oral and oropharyngeal cancer.
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Affiliation(s)
- Hirokazu Komatsu
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Tatsuya Furukawa
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.
| | - Keisuke Iritani
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Shun Tatehara
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | | | - Shinobu Iwaki
- Department of Rehabilitation, Kobe University Hospital
| | - Yasumasa Kakei
- Department of Oral and Maxillofacial Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Takumi Hasegawa
- Department of Oral and Maxillofacial Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Masanori Teshima
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Hirotaka Shinomiya
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Naoki Otsuki
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Kazunobu Hashikawa
- Department of Plastic Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Naomi Kiyota
- Department of Medical Oncology/Hematology, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Ryohei Sasaki
- Division of Radiation Oncology, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Masaya Akashi
- Department of Oral and Maxillofacial Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Ken-Ichi Nibu
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
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14
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Iritani K, del Mundo DAA, Iwaki S, Masuda K, Kanzawa M, Furukawa T, Teshima M, Shinomiya H, Morimoto K, Otsuki N, Nibu K. Prognostic factors after transoral resection of early hypopharyngeal cancer. Laryngoscope Investig Otolaryngol 2021; 6:756-763. [PMID: 34401500 PMCID: PMC8356885 DOI: 10.1002/lio2.611] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2020] [Revised: 05/08/2021] [Accepted: 06/10/2021] [Indexed: 12/04/2022] Open
Abstract
OBJECTIVE This study aimed to investigate risk factors predictive of local recurrence and/or lymph node metastasis after transoral resection of early hypopharyngeal cancer. METHODS Forty-nine consecutive patients who underwent transoral videolaryngoscopic surgery (TOVS) as an initial treatment for hypopharyngeal cancer were evaluated. On univariate and multivariate analysis, local recurrence rates were assessed respectively using log-rank test and cox regression analysis according to the following parameters: subsite, pT, mucosal margin, lymphatic invasion, vessel invasion, tumor thickness (> 4 mm vs ≤4 mm), history of esophageal cancer, and multiple Lugol-voiding lesions (LVLs) in the esophagus. Categorical variables were evaluated for their associations with lymph node metastasis using chi-squared test or Fisher's exact test. RESULT The subsites of primary lesions were piriform sinus in 24 patients, posterior wall in 15 patients, and postcricoid in 10 patients. Thirty patients had esophageal cancer. Local recurrence occurred in 14 patients. Three patients had lymph node metastasis at the time of diagnosis and four patients developed lymph node metastasis after the initial treatment, resulting a total of seven patients having lymph node metastasis. While mucosal margin and LVLs showed significant associations with local recurrence on univariate analysis, only LVLs remained as a significant risk factor on multivariate analysis (P = .0395; hazard ratio = 8.897; 95% confidence interval, 1.113-71.15). Most cases of local recurrence were satisfactorily controlled by repeated TOVS. While multivariate analysis could not be performed due to the small number of the patients with lymph node metastases, venous invasion (P = .0166) and tumor thickness (P = .0092) were significantly associated with lymph node metastasis on univariate analysis. CONCLUSIONS Local recurrence was more frequent in patients with LVLs, but most of them were salvaged by repeated TOVS. Patients with venous invasion and/or tumor thickness greater than 4 mm should be followed up with special attention to lymph node metastasis.Level of Evidence: 3.
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Affiliation(s)
- Keisuke Iritani
- Department of Otolaryngology‐Head and Neck SurgeryKobe University Graduate School of MedicineKobeJapan
| | - Daryl Anne A. del Mundo
- Department of Otolaryngology‐Head and Neck SurgeryKobe University Graduate School of MedicineKobeJapan
- Department of OtorhinolaryngologyUniversity of the Philippines Manila‐ Philippine General HospitalManilaPhilippines
| | - Shinobu Iwaki
- Division of Rehabilitation MedicineKobe University HospitalKobeJapan
| | - Kuriko Masuda
- Department of Otolaryngology‐Head and Neck SurgeryKobe University Graduate School of MedicineKobeJapan
- Pennsylvania State UniversityState CollegePennsylvaniaUSA
| | - Maki Kanzawa
- Department of Diagnostic PathologyKobe University Graduate School of MedicineKobeJapan
| | - Tatsuya Furukawa
- Department of Otolaryngology‐Head and Neck SurgeryKobe University Graduate School of MedicineKobeJapan
| | - Masanori Teshima
- Department of Otolaryngology‐Head and Neck SurgeryKobe University Graduate School of MedicineKobeJapan
| | - Hirotaka Shinomiya
- Department of Otolaryngology‐Head and Neck SurgeryKobe University Graduate School of MedicineKobeJapan
| | | | - Naoki Otsuki
- Department of OtolaryngologyKindai University HospitalOsakaJapan
| | - Ken‐ichi Nibu
- Department of Otolaryngology‐Head and Neck SurgeryKobe University Graduate School of MedicineKobeJapan
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15
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Suzuki C, Kiyota N, Imamura Y, Goto H, Suto H, Chayahara N, Toyoda M, Ito Y, Miya A, Miyauchi A, Teshima M, Otsuki N, Nibu KI, Minami H. Exploratory Analysis to Predict Optimal Tumor Burden for Starting Lenvatinib in Patients With Radioiodine-Refractory Differentiated Thyroid Cancer. Front Oncol 2021; 11:638123. [PMID: 34307122 PMCID: PMC8298753 DOI: 10.3389/fonc.2021.638123] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2020] [Accepted: 06/23/2021] [Indexed: 01/18/2023] Open
Abstract
Background We previously reported that a high tumor burden is a prognostic factor based on an analysis of 26 patients with radioactive iodine-refractory differentiated thyroid cancer (RR-DTC) who were treated with lenvatinib. However, the optimal tumor burden for starting lenvatinib still remains to be defined. The aim of this retrospective study was to further explore in the same patient cohort the optimal timing for the start of lenvatinib by focusing on the pre- and post-treatment tumor burden. Methods The 26 patients were treated with lenvatinib from 2012 to 2017. We explored the optimal timing for the start of lenvatinib by comparing the characteristics of long-term responders who were defined as patients with progression-free survival ≥ 30 months and non-long-term responders. Results Long-term responders had a smaller post-treatment tumor burden at maximum shrinkage than non-long-term responders. Further, post-treatment tumor burden had a strong linear correlation with baseline tumor burden. We created an estimation formula for baseline tumor burden related to prognosis, using these regression lines. Patients with a sum of diameters of target lesions < 60 mm or maximum tumor diameter < 34 mm at baseline were estimated to have significantly better survival outcomes. Conclusions We found a strong linear correlation between pre- and post-treatment tumor burden. Our results suggested a cut-off value for baseline tumor burden for long-term prognosis among patients treated with lenvatinib.
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Affiliation(s)
- Chiaki Suzuki
- Department of Medical Oncology/Hematology, Kobe University Graduate School of Medicine, Kobe, Japan.,Department of Otolaryngology-Head and Neck Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan
| | - Naomi Kiyota
- Department of Medical Oncology/Hematology, Kobe University Graduate School of Medicine, Kobe, Japan.,Kobe University Hospital Cancer Center, Kobe, Japan
| | - Yoshinori Imamura
- Department of Medical Oncology/Hematology, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Hideaki Goto
- Department of Medical Oncology/Hematology, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Hirotaka Suto
- Department of Medical Oncology/Hematology, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Naoko Chayahara
- Department of Medical Oncology/Hematology, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Masanori Toyoda
- Department of Medical Oncology/Hematology, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Yasuhiro Ito
- Department of Surgery, Kuma Hospital, Kobe, Japan
| | - Akihiro Miya
- Department of Surgery, Kuma Hospital, Kobe, Japan
| | | | - Masanori Teshima
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Naoki Otsuki
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.,Kindai University Faculty of Medicine, Department of Otolaryngology, Osaka, Japan
| | - Ken-Ichi Nibu
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Hironobu Minami
- Department of Medical Oncology/Hematology, Kobe University Graduate School of Medicine, Kobe, Japan
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Sugitani I, Ito Y, Takeuchi D, Nakayama H, Masaki C, Shindo H, Teshima M, Horiguchi K, Yoshida Y, Kanai T, Hirokawa M, Hames KY, Tabei I, Miyauchi A. Indications and Strategy for Active Surveillance of Adult Low-Risk Papillary Thyroid Microcarcinoma: Consensus Statements from the Japan Association of Endocrine Surgery Task Force on Management for Papillary Thyroid Microcarcinoma. Thyroid 2021; 31:183-192. [PMID: 33023426 PMCID: PMC7891203 DOI: 10.1089/thy.2020.0330] [Citation(s) in RCA: 168] [Impact Index Per Article: 56.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
Abstract
Background: The question of how to manage patients with low-risk papillary thyroid microcarcinoma (PTMC; T1aN0M0) has recently become an important clinical issue. Two Japanese centers have conducted prospective clinical trials of active surveillance (AS) for low-risk PTMC since the 1990s, reporting favorable outcomes. This policy has thus seen gradual adoption worldwide to avoid overtreatment. Not all PTMCs are suitable for AS, however, and many physicians still hesitate to apply the management policy in daily clinical practice. A task force on management for PTMC created by the Japan Association of Endocrine Surgery collected and analyzed bibliographic evidence and has produced the present consensus statements regarding indications and concrete strategies for AS to facilitate the management of adult patients diagnosed with low-risk PTMC. Summary: These statements provide indications for AS in adult patients with T1aN0M0 low-risk PTMC. PTMCs with clinical lymph node metastasis, distant metastasis, recurrent laryngeal nerve (RLN) paralysis due to carcinoma invasion, or protrusion into the tracheal lumen warrant immediate surgery. Tumors suspected of aggressive subtypes on cytology are recommended for immediate surgery. Immediate surgery is also recommended for tumors adherent to the trachea or located along the course of the RLN. Practical strategies include diagnosis, decision-making, follow-up, and monitoring related to the implementation of AS. The rate of low-risk PTMC progression is lower in older patients. However, we recommend continuing AS as long as circumstances permit. Future tasks in optimizing management for low-risk PTMC are also described, including molecular markers and patient-reported outcomes. Conclusions: An appropriate multidisciplinary team is necessary to accurately evaluate primary tumors and lymph nodes at the beginning of and during AS, and to adequately reach a shared-decision with individual patients. If appropriately applied, AS of low-risk PTMC is a safe management strategy offering favorable outcomes and preserves quality of life at low cost.
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Affiliation(s)
- Iwao Sugitani
- Department of Endocrine Surgery, Nippon Medical School Graduate School of Medicine, Tokyo, Japan
- Address correspondence to: Iwao Sugitani, MD, PhD, Department of Endocrine Surgery, Nippon Medical School Graduate School of Medicine, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan
| | - Yasuhiro Ito
- Department of Surgery, Kuma Hospital, Kobe, Japan
| | - Dai Takeuchi
- Department of Breast and Endocrine Surgery, Nagoya University, Nagoya, Japan
| | | | - Chie Masaki
- Department of Surgery, Ito Hospital, Tokyo, Japan
| | - Hisakazu Shindo
- Department of Surgery, Yamashita Thyroid Hospital, Fukuoka, Japan
| | - Masanori Teshima
- Department of Otolaryngology, Head and Neck Surgery, Kobe University, Kobe, Japan
| | - Kazuhiko Horiguchi
- Division of Endocrinology and Metabolism, Department of Internal Medicine, Gunma University, Maebashi, Japan
| | - Yusaku Yoshida
- Department of Breast and Endocrine Surgery, Tokyo Women's Medical University, Tokyo, Japan
| | - Toshiharu Kanai
- Division of Breast and Endocrine Surgery, Department of Surgery, Shinshu University School of Medicine, Matsumoto, Japan
| | | | | | - Isao Tabei
- Department of Surgery, The Jikei University School of Medicine, Tokyo, Japan
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Fujita T, Kakigi A, Uehara N, Yokoi J, Hara M, Shinomiya H, Teshima M, Nibu KI. Reconstruction of the external auditory canal using full-thickness rolled-up skin graft after lateral temporal bone resection for T1 and T2 external auditory canal cancer. Auris Nasus Larynx 2021; 48:830-833. [PMID: 33454142 DOI: 10.1016/j.anl.2021.01.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2020] [Revised: 12/26/2020] [Accepted: 01/04/2021] [Indexed: 11/16/2022]
Abstract
OBJECTIVE To present our results of the external auditory canal (EAC) reconstruction procedure using rolled-up full-thickness skin graft with tympanoplasty after lateral temporal bone resection (LTBR) for early-stage EAC carcinoma. PATIENTS AND METHODS A retrospective review of 15 patients who had undergone LTBR with reconstruction of the EAC for T1 and T2 EAC cancer between 2016 and 2020. RESULTS Postoperative mean air-bone gap was 30.7 decibel hearing level. Although a few patients experienced chronic granulation, persistent otorrhea, and/or laterization of the tympanic membrane, most patients showed no serious complications related to the EAC reconstruction. CONCLUSION EAC reconstruction using a full-thickness skin graft in combination with tympanoplasty is useful for minimizing the hearing loss, maintaining the cosmetic appearance, and facilitating the observation into the ear cavity.
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Affiliation(s)
- Takeshi Fujita
- Department of Otorhinolaryngology Head and Neck Surgery, Kobe University Graduate School of Medicine, 7-5-1 Kusunokicho, Chuoku, Kobe, Hyogo 650-0017, Japan.
| | - Akinobu Kakigi
- Department of Otorhinolaryngology Head and Neck Surgery, Kobe University Graduate School of Medicine, 7-5-1 Kusunokicho, Chuoku, Kobe, Hyogo 650-0017, Japan
| | - Natsumi Uehara
- Department of Otorhinolaryngology Head and Neck Surgery, Kobe University Graduate School of Medicine, 7-5-1 Kusunokicho, Chuoku, Kobe, Hyogo 650-0017, Japan
| | - Jun Yokoi
- Department of Otorhinolaryngology Head and Neck Surgery, Kobe University Graduate School of Medicine, 7-5-1 Kusunokicho, Chuoku, Kobe, Hyogo 650-0017, Japan
| | - Makiko Hara
- Department of Otorhinolaryngology Head and Neck Surgery, Kobe University Graduate School of Medicine, 7-5-1 Kusunokicho, Chuoku, Kobe, Hyogo 650-0017, Japan
| | - Hirotaka Shinomiya
- Department of Otorhinolaryngology Head and Neck Surgery, Kobe University Graduate School of Medicine, 7-5-1 Kusunokicho, Chuoku, Kobe, Hyogo 650-0017, Japan
| | - Masanori Teshima
- Department of Otorhinolaryngology Head and Neck Surgery, Kobe University Graduate School of Medicine, 7-5-1 Kusunokicho, Chuoku, Kobe, Hyogo 650-0017, Japan
| | - Ken-Ichi Nibu
- Department of Otorhinolaryngology Head and Neck Surgery, Kobe University Graduate School of Medicine, 7-5-1 Kusunokicho, Chuoku, Kobe, Hyogo 650-0017, Japan
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18
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Kubota H, Miyawaki D, Mukumoto N, Ishihara T, Matsumura M, Hasegawa T, Akashi M, Kiyota N, Shinomiya H, Teshima M, Nibu KI, Sasaki R. Risk factors for osteoradionecrosis of the jaw in patients with head and neck squamous cell carcinoma. Radiat Oncol 2021; 16:1. [PMID: 33402192 PMCID: PMC7786900 DOI: 10.1186/s13014-020-01701-5] [Citation(s) in RCA: 56] [Impact Index Per Article: 18.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2020] [Accepted: 10/29/2020] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND To evaluate factors associated with osteoradionecrosis of the jaw (ORNJ) in patients with head and neck squamous cell carcinoma (HNSCC), focusing on jaw-related dose-volume histogram (DVH) parameters. METHODS We retrospectively reviewed the medical records of 616 patients with HNSCC treated with curative-intent or postoperative radiation therapy (RT) during 2008-2018. Patient-related (age, sex, history of smoking or alcohol use, diabetes mellitus, performance status, pre-RT dental evaluation, pre- or post-RT tooth extraction), tumor-related (primary tumor site, T-stage, nodal status), and treatment-related (pre-RT surgery, pre-RT mandible surgery, induction or concurrent chemotherapy, RT technique) variables and DVH parameters (relative volumes of the jaw exposed to doses of 10 Gy-70 Gy [V10-70]) were investigated and compared between patients with and without ORNJ. The Mann-Whitney U test was used to compare RT dose parameters. Univariate and multivariate Cox regression analyses were used to assess factors associated with ORNJ development. Kaplan-Meier analyses were performed for cumulative ORNJ incidence estimation. RESULTS Forty-six patients (7.5%) developed ORNJ. The median follow-up duration was 40 (range 3-145) months. The median time to ORNJ development was 27 (range 2-127) months. DVH analysis revealed that V30-V70 values were significantly higher in patients with than in those without ORNJ. In univariate analyses, primary tumor site, pre-RT mandible surgery, post-RT tooth extraction, and V60 > 14% were identified as important factors. In multivariate analyses, V60 > 14% (p = 0.0065) and primary tumor site (p = 0.0059) remained significant. The 3-year cumulative ORNJ incidence rates were 2.5% and 8.6% in patients with V60 ≤ 14% and > 14%, respectively (p < 0.0001), and 9.3% and 1.4% in patients with oropharyngeal or oral cancer and other cancers, respectively (p < 0.0001). CONCLUSIONS V60 > 14% and oropharyngeal or oral cancer were found to be independent risk factors for ORNJ. These findings might be useful to minimize ORNJ incidence in HNSCC treated with curative RT.
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Affiliation(s)
- Hikaru Kubota
- Division of Radiation Oncology, Kobe University Hospital, Kobe, Hyogo, Japan
| | - Daisuke Miyawaki
- Division of Radiation Oncology, Kobe University Hospital, Kobe, Hyogo, Japan
| | - Naritoshi Mukumoto
- Division of Radiation Oncology, Kobe University Hospital, Kobe, Hyogo, Japan
| | - Takeaki Ishihara
- Division of Radiation Oncology, Kobe University Hospital, Kobe, Hyogo, Japan
| | - Megumi Matsumura
- Department of Oral and Maxillofacial Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Takumi Hasegawa
- Department of Oral and Maxillofacial Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Masaya Akashi
- Department of Oral and Maxillofacial Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Naomi Kiyota
- Kobe University Hospital Cancer Center, Kobe, Japan
| | - Hirotaka Shinomiya
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Masanori Teshima
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Ken-Ichi Nibu
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Ryohei Sasaki
- Division of Radiation Oncology, Kobe University Hospital, Kobe, Hyogo, Japan.
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Fujii D, Shimoda H, Uehara N, Fujita T, Teshima M, Shinomiya H, Kakigi A, Terakawa T, Fujisawa M, Nibu KI. Facial nerve palsy as the presenting feature of metastatic prostatic cancer in the temporal bone. Acta Oto-Laryngologica Case Reports 2020. [DOI: 10.1080/23772484.2020.1865165] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
Affiliation(s)
- Daichi Fujii
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
- Department of Otolaryngology, Kobe City Nishi-Kobe Medical Center, Kobe, Japan
| | - Hikari Shimoda
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Natsumi Uehara
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Takeshi Fujita
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Masanori Teshima
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Hirotaka Shinomiya
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Akinobu Kakigi
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Tomoaki Terakawa
- Department of Urology, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Masato Fujisawa
- Department of Urology, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Ken-ichi Nibu
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
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20
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Otsuki N, Shimoda H, Morita N, Furukawa T, Teshima M, Shinomiya H, Nibu KI. Salvage surgery for structural local recurrence of papillary thyroid cancer: recurrence patterns and surgical outcome. Endocr J 2020; 67:949-956. [PMID: 32461508 DOI: 10.1507/endocrj.ej20-0152] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
To clarify the patterns of the recurrence and to assess the oncological and functional outcomes after salvage surgery for the patients with structural local recurrence of papillary thyroid cancer (PTC), twenty-five patients who underwent salvage surgery for structural local recurrence of PTC were retrospectively reviewed. Structural recurrences were observed in the tracheal lumen in 5 patients, intraluminal or intramuscular esophagus in 5 patients, trachea, and cricoid cartilage in 9 patients, cricoid and thyroid cartilage in 2 patients, intra-lumen of the larynx in 1 patient and soft tissue around thyroid in 3 patients, respectively. Although all local disease was resected with macroscopically negative margin, 10 patients diagnosed as microscopically positive margin. Major surgical complications occurred in 6 patients, including common carotid artery injury (n = 1), unintentional pharyngeal or esophageal injury (n = 2), recurrent laryngeal nerve paralysis (n = 2), and pharyngeal fistula resulting in common carotid artery rupture (n = 1), and were successfully managed. During the follow-up periods, 6 patients were alive without disease, 15 patients survived with distant metastases and/or locoregional recurrence, and 4 patients died of the disease. While tracheocutaneous fistula remained in 7 patients, the vocal function was preserved in all patients but one who underwent total laryngectomy. Normal oral intake was retained in all patients. In conclusion, although salvage surgery for structural recurrence of PTC has a high risk of complications, it may be worthwhile when macroscopic curative resection is available. The decision should be made considering various factors including curability, risk of surgical procedure, functional outcome, and life expectancy.
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Affiliation(s)
- Naoki Otsuki
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, 7-5-1, Kusunoki-Cho, Chuo-Ku, Kobe 650-0017, Japan
| | - Hikari Shimoda
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, 7-5-1, Kusunoki-Cho, Chuo-Ku, Kobe 650-0017, Japan
| | - Naruhiko Morita
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, 7-5-1, Kusunoki-Cho, Chuo-Ku, Kobe 650-0017, Japan
| | - Tatsuya Furukawa
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, 7-5-1, Kusunoki-Cho, Chuo-Ku, Kobe 650-0017, Japan
| | - Masanori Teshima
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, 7-5-1, Kusunoki-Cho, Chuo-Ku, Kobe 650-0017, Japan
| | - Hirotaka Shinomiya
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, 7-5-1, Kusunoki-Cho, Chuo-Ku, Kobe 650-0017, Japan
| | - Ken-Ichi Nibu
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, 7-5-1, Kusunoki-Cho, Chuo-Ku, Kobe 650-0017, Japan
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21
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Kimura H, Taniguchi M, Shinomiya H, Teshima M, Fujita Y, Hashikawa K, Nibu KI, Kohmura E. En Bloc Subtotal Temporal Bone Resection in a Case of Advanced Ear Cancer: 2-Dimensional Operative Video. Oper Neurosurg (Hagerstown) 2020; 19:E402-E403. [PMID: 32409835 DOI: 10.1093/ons/opaa124] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2019] [Accepted: 03/16/2020] [Indexed: 11/12/2022] Open
Abstract
Temporal bone cancer is extremely rare; thus, the optimal surgical strategy for advanced tumors, en bloc vs piecemeal resection, remain controversial. Some authors have favored piecemeal resection and reported comparable outcomes.1 Other authors recommend the use of en bloc subtotal temporal bone resection (STBR) for advanced tumors and reported better outcomes, although long-term cancer control remains uncertain.2 Because of the technical difficulty and the lack of demonstrative surgical videos, STBR has not been sufficiently distributed. This video demonstrates en bloc STBR in a stepwise manner with particular focus on the neurosurgeon's role and aims to improve its safety, feasibility, and distribution. This video conforms to the description of Osawa et al3 in the designations for each segment of the petrous ICA. A 67-yr-old man suffered from consistent otorrhea and underwent tympanoplasty at an outside hospital 1 yr earlier. Following a histopathological diagnosis of squamous cell carcinoma in the specimen, he underwent chemoradiotherapy (cisplatin + 70 Gy). However, a current imaging revealed a recurrent tumor and he was admitted to our hospital for radical resection. Computed tomography revealed a disrupted external auditory canal and magnetic resonance imaging indicated a carcinoma equivalent to Pittsburg stage T3. The patient underwent radical STBR without complications. His postoperative course was uneventful. At 2 yr postoperative, his modified Rankin scale score was 1, no recurrence was noted, and his facial nerve function was restored to House-Brackmann Grade IV. This video was reproduced with informed consent from the patient.
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Affiliation(s)
- Hidehito Kimura
- Department of Neurosurgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Masaaki Taniguchi
- Department of Neurosurgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Hirotaka Shinomiya
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Masanori Teshima
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Yuichi Fujita
- Department of Neurosurgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Kazunobu Hashikawa
- Department of Plastic Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Ken-Ichi Nibu
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Eiji Kohmura
- Department of Neurosurgery, Kobe University Graduate School of Medicine, Kobe, Japan
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Furukawa T, Tamagawa K, Fukui K, Iwaki S, Takahashi M, Iritani K, Shinomiya H, Teshima M, Otsuki N, Kano M, Nibu KI. Two cases of glottic closure for refractory aspiration pneumonia after vertical partial laryngectomy. Auris Nasus Larynx 2020; 48:1221-1225. [PMID: 32859443 DOI: 10.1016/j.anl.2020.08.008] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2020] [Revised: 07/30/2020] [Accepted: 08/06/2020] [Indexed: 10/23/2022]
Abstract
Vertical partial laryngectomy is a well-established surgical procedure for early glottic cancers with acceptable functional and oncological outcomes. However, on a long-term basis, aspiration might be a serious problem with aging. Here we presented two cases of refractory aspiration pneumonia after vertical laryngectomy. Case 1: A 76-year old gentleman with a past history of malignant lymphoma treated by chemotherapy and radiotherapy had glottic cancer, which was treated by repeated vertical partial laryngectomies. Although glottic caner had been well controlled, he started to suffer from refractory aspiration pneumonia. Since his cervical skin was very thin and hard and his general condition was poor, we employed modified Kano's method for glottic closure. Case 2: A 87-year old Japanese male had a past history of glottic cancer treated by radiotherapy and vertical partial laryngectomy. He was repeatedly hospitalized for severe aspiration pneumonia. At the age of 87, he had second primary oropharyngeal cancer. Kano's method was simultaneously performed at the time of resection of oropharyngeal cancer. Postoperative courses were uneventful without sign of leakage in both cases. The patients started oral intake 2 weeks after the surgery. They have been alive without aspiration pneumonia and takes normal diet.
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Affiliation(s)
- Tatsuya Furukawa
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, 7-5-1 Kusunoki-Cho, Chuo-ku, Kobe, Hyogo 650-0017, Japan.
| | - Kotaro Tamagawa
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, 7-5-1 Kusunoki-Cho, Chuo-ku, Kobe, Hyogo 650-0017, Japan
| | - Kenta Fukui
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, 7-5-1 Kusunoki-Cho, Chuo-ku, Kobe, Hyogo 650-0017, Japan
| | - Shinobu Iwaki
- Division of Rehabilitation Medicine, Kobe University Hospital, 7-5-2 Kusunoki-Cho, Chuo-ku, Kobe, Hyogo 650-0017, Japan
| | - Miki Takahashi
- Division of Rehabilitation Medicine, Kobe University Hospital, 7-5-2 Kusunoki-Cho, Chuo-ku, Kobe, Hyogo 650-0017, Japan
| | - Keisuke Iritani
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, 7-5-1 Kusunoki-Cho, Chuo-ku, Kobe, Hyogo 650-0017, Japan
| | - Hirotaka Shinomiya
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, 7-5-1 Kusunoki-Cho, Chuo-ku, Kobe, Hyogo 650-0017, Japan
| | - Masanori Teshima
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, 7-5-1 Kusunoki-Cho, Chuo-ku, Kobe, Hyogo 650-0017, Japan
| | - Naoki Otsuki
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, 7-5-1 Kusunoki-Cho, Chuo-ku, Kobe, Hyogo 650-0017, Japan
| | - Makoto Kano
- Department of Otorhinolaryngology-Head and Neck Surgery, Ohara General Hospital, 6-1 Uwamachi, Fukushima 960-8611, Japan
| | - Ken-Ichi Nibu
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, 7-5-1 Kusunoki-Cho, Chuo-ku, Kobe, Hyogo 650-0017, Japan
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Uehara N, Otsuki N, Kubo M, Kitamoto J, Kojima Y, Teshima M, Shinomiya H, Shirakawa T, Nibu KI. Oncolytic effect of Midkine promoter-based conditionally replicating adenoviruses expressing EGFR siRNA in head and neck squamous cancer cell line T891. Cancer Rep (Hoboken) 2020; 3:e1231. [PMID: 32671980 PMCID: PMC7941548 DOI: 10.1002/cnr2.1231] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2019] [Revised: 11/30/2019] [Accepted: 12/03/2019] [Indexed: 12/27/2022] Open
Abstract
Background Epidermal growth factor receptor (EGFR) is overexpressed in head and neck squamous cell carcinomas (HNSCCs). Midkine expression is restricted in adult tissues but is increased in several malignant tumors, including HNSCCs. Aim Here, we evaluated the antitumor effect of Midkine promoter–based conditionally replicative adenovirus expressing siRNA against EGFR for targeting HNSCCs expressing Midkine. Methods and results A conditionally replicative adenovirus vector controlled by the Midkine promoter, Ad‐MK‐siEGFR, was generated by integrating gene‐expressing siRNA against EGFR. Antitumor effect of Ad‐MK‐siEGFR was tested in vitro using established HNSCC cell line, T891 with strong Midkine expression. Expression of EGFR in T891 infected with Ad‐MK‐siEGFR was significantly lower than that of T891 infected with control. Cytotoxicity assays showed significant growth suppression of Ad‐MK‐siEGFR in T891 cells. Conclusions This study demonstrated the possibility of oncolytic therapy using the Midkine promoter–based conditional replication‐selective adenovirus containing siRNA against EGFR in HNSCC cell line T891. Further validation of the findings in more cell lines and in vivo should be performed to clarify the potential clinical application.
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Affiliation(s)
- Natsumi Uehara
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Naoki Otsuki
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Mie Kubo
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Junko Kitamoto
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Yasutaka Kojima
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Masanori Teshima
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Hirotaka Shinomiya
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Toshiro Shirakawa
- Division of Infectious Disease Control, Center for Infectious Disease, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Ken-Ichi Nibu
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
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Acciari VA, Ansoldi S, Antonelli LA, Arbet Engels A, Baack D, Babić A, Banerjee B, Barres de Almeida U, Barrio JA, Becerra González J, Bednarek W, Bellizzi L, Bernardini E, Berti A, Besenrieder J, Bhattacharyya W, Bigongiari C, Biland A, Blanch O, Bonnoli G, Bošnjak Ž, Busetto G, Carosi R, Ceribella G, Cerruti M, Chai Y, Chilingarian A, Cikota S, Colak SM, Colin U, Colombo E, Contreras JL, Cortina J, Covino S, D'Amico G, D'Elia V, Da Vela P, Dazzi F, De Angelis A, De Lotto B, Delfino M, Delgado J, Depaoli D, Di Pierro F, Di Venere L, Do Souto Espiñeira E, Dominis Prester D, Donini A, Dorner D, Doro M, Elsaesser D, Fallah Ramazani V, Fattorini A, Ferrara G, Foffano L, Fonseca MV, Font L, Fruck C, Fukami S, García López RJ, Garczarczyk M, Gasparyan S, Gaug M, Giglietto N, Giordano F, Gliwny P, Godinović N, Green D, Hadasch D, Hahn A, Herrera J, Hoang J, Hrupec D, Hütten M, Inada T, Inoue S, Ishio K, Iwamura Y, Jouvin L, Kajiwara Y, Karjalainen M, Kerszberg D, Kobayashi Y, Kubo H, Kushida J, Lamastra A, Lelas D, Leone F, Lindfors E, Lombardi S, Longo F, López M, López-Coto R, López-Oramas A, Loporchio S, Machado de Oliveira Fraga B, Maggio C, Majumdar P, Makariev M, Mallamaci M, Maneva G, Manganaro M, Mannheim K, Maraschi L, Mariotti M, Martínez M, Mazin D, Mender S, Mićanović S, Miceli D, Miener T, Minev M, Miranda JM, Mirzoyan R, Molina E, Moralejo A, Morcuende D, Moreno V, Moretti E, Munar-Adrover P, Neustroev V, Nigro C, Nilsson K, Ninci D, Nishijima K, Noda K, Nogués L, Nozaki S, Ohtani Y, Oka T, Otero-Santos J, Palatiello M, Paneque D, Paoletti R, Paredes JM, Pavletić L, Peñil P, Perennes C, Peresano M, Persic M, Prada Moroni PG, Prandini E, Puljak I, Rhode W, Ribó M, Rico J, Righi C, Rugliancich A, Saha L, Sahakyan N, Saito T, Sakurai S, Satalecka K, Schleicher B, Schmidt K, Schweizer T, Sitarek J, Šnidarić I, Sobczynska D, Spolon A, Stamerra A, Strom D, Strzys M, Suda Y, Surić T, Takahashi M, Tavecchio F, Temnikov P, Terzić T, Teshima M, Torres-Albà N, Tosti L, van Scherpenberg J, Vanzo G, Vazquez Acosta M, Ventura S, Verguilov V, Vigorito CF, Vitale V, Vovk I, Will M, Zarić D, Nava L. Bounds on Lorentz Invariance Violation from MAGIC Observation of GRB 190114C. Phys Rev Lett 2020; 125:021301. [PMID: 32701326 DOI: 10.1103/physrevlett.125.021301] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/28/2020] [Revised: 04/20/2020] [Accepted: 06/04/2020] [Indexed: 06/11/2023]
Abstract
On January 14, 2019, the Major Atmospheric Gamma Imaging Cherenkov telescopes detected GRB 190114C above 0.2 TeV, recording the most energetic photons ever observed from a gamma-ray burst. We use this unique observation to probe an energy dependence of the speed of light in vacuo for photons as predicted by several quantum gravity models. Based on a set of assumptions on the possible intrinsic spectral and temporal evolution, we obtain competitive lower limits on the quadratic leading order of speed of light modification.
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Affiliation(s)
- V A Acciari
- Instituto de Astrofísica de Canarias, E-38200 La Laguna, and Universidad de La Laguna, Departamento de Astrofísica, E-38206 La Laguna, Tenerife, Spain
| | - S Ansoldi
- Università di Udine, and INFN Trieste, I-33100 Udine, Italy
- Japanese MAGIC Consortium: ICRR, The University of Tokyo, 277-8582 Chiba, Japan; Department of Physics, Kyoto University, 606-8502 Kyoto, Japan; Tokai University, 259-1292 Kanagawa, Japan; RIKEN, 351-0198 Saitama, Japan
| | - L A Antonelli
- National Institute for Astrophysics (INAF), I-00136 Rome, Italy
| | | | - D Baack
- Technische Universität Dortmund, D-44221 Dortmund, Germany
| | - A Babić
- Croatian Consortium: University of Rijeka, Department of Physics, 51000 Rijeka; University of Split-FESB, 21000 Split; University of Zagreb-FER, 10000 Zagreb; University of Osijek, 31000 Osijek; Rudjer Boskovic Institute, 10000 Zagreb, Croatia
| | - B Banerjee
- Saha Institute of Nuclear Physics, HBNI, 1/AF Bidhannagar, Salt Lake, Sector-1, Kolkata 700064, India
| | - U Barres de Almeida
- Centro Brasileiro de Pesquisas Fsicas (CBPF), 22290-180 URCA, Rio de Janeiro (RJ), Brasil
| | - J A Barrio
- IPARCOS Institute and EMFTEL Department, Universidad Complutense de Madrid, E-28040 Madrid, Spain
| | - J Becerra González
- Instituto de Astrofísica de Canarias, E-38200 La Laguna, and Universidad de La Laguna, Departamento de Astrofísica, E-38206 La Laguna, Tenerife, Spain
| | - W Bednarek
- University of Lodz, Faculty of Physics and Applied Informatics, Department of Astrophysics, 90-236 Lodz, Poland
| | - L Bellizzi
- Università di Siena and INFN Pisa, I-53100 Siena, Italy
| | - E Bernardini
- Deutsches Elektronen-Synchrotron (DESY), D-15738 Zeuthen, Germany
- Università di Padova and INFN, I-35131 Padova, Italy
| | - A Berti
- Istituto Nazionale Fisica Nucleare (INFN), 00044 Frascati (Roma) Italy
| | - J Besenrieder
- Max-Planck-Institut für Physik, D-80805 München, Germany
| | - W Bhattacharyya
- Deutsches Elektronen-Synchrotron (DESY), D-15738 Zeuthen, Germany
| | - C Bigongiari
- National Institute for Astrophysics (INAF), I-00136 Rome, Italy
| | - A Biland
- ETH Zurich, CH-8093 Zurich, Switzerland
| | - O Blanch
- Institut de Física d'Altes Energies (IFAE), The Barcelona Institute of Science and Technology (BIST), E-08193 Bellaterra (Barcelona), Spain
| | - G Bonnoli
- Università di Siena and INFN Pisa, I-53100 Siena, Italy
| | - Ž Bošnjak
- Croatian Consortium: University of Rijeka, Department of Physics, 51000 Rijeka; University of Split-FESB, 21000 Split; University of Zagreb-FER, 10000 Zagreb; University of Osijek, 31000 Osijek; Rudjer Boskovic Institute, 10000 Zagreb, Croatia
| | - G Busetto
- Università di Padova and INFN, I-35131 Padova, Italy
| | - R Carosi
- Università di Pisa, and INFN Pisa, I-56126 Pisa, Italy
| | - G Ceribella
- Max-Planck-Institut für Physik, D-80805 München, Germany
| | - M Cerruti
- Universitat de Barcelona, ICCUB, IEEC-UB, E-08028 Barcelona, Spain
| | - Y Chai
- Max-Planck-Institut für Physik, D-80805 München, Germany
| | - A Chilingarian
- The Armenian Consortium: ICRANet-Armenia at NAS RA, A. Alikhanyan National Laboratory
| | - S Cikota
- Croatian Consortium: University of Rijeka, Department of Physics, 51000 Rijeka; University of Split-FESB, 21000 Split; University of Zagreb-FER, 10000 Zagreb; University of Osijek, 31000 Osijek; Rudjer Boskovic Institute, 10000 Zagreb, Croatia
| | - S M Colak
- Institut de Física d'Altes Energies (IFAE), The Barcelona Institute of Science and Technology (BIST), E-08193 Bellaterra (Barcelona), Spain
| | - U Colin
- Max-Planck-Institut für Physik, D-80805 München, Germany
| | - E Colombo
- Instituto de Astrofísica de Canarias, E-38200 La Laguna, and Universidad de La Laguna, Departamento de Astrofísica, E-38206 La Laguna, Tenerife, Spain
| | - J L Contreras
- IPARCOS Institute and EMFTEL Department, Universidad Complutense de Madrid, E-28040 Madrid, Spain
| | - J Cortina
- Centro de Investigaciones Energticas, Medioambientales y Tecnolgicas, E-28040 Madrid, Spain
| | - S Covino
- National Institute for Astrophysics (INAF), I-00136 Rome, Italy
| | - G D'Amico
- Max-Planck-Institut für Physik, D-80805 München, Germany
| | - V D'Elia
- National Institute for Astrophysics (INAF), I-00136 Rome, Italy
| | - P Da Vela
- Università di Pisa, and INFN Pisa, I-56126 Pisa, Italy
| | - F Dazzi
- National Institute for Astrophysics (INAF), I-00136 Rome, Italy
| | - A De Angelis
- Università di Padova and INFN, I-35131 Padova, Italy
| | - B De Lotto
- Università di Udine, and INFN Trieste, I-33100 Udine, Italy
| | - M Delfino
- Institut de Física d'Altes Energies (IFAE), The Barcelona Institute of Science and Technology (BIST), E-08193 Bellaterra (Barcelona), Spain
| | - J Delgado
- Institut de Física d'Altes Energies (IFAE), The Barcelona Institute of Science and Technology (BIST), E-08193 Bellaterra (Barcelona), Spain
| | - D Depaoli
- Istituto Nazionale Fisica Nucleare (INFN), 00044 Frascati (Roma) Italy
| | - F Di Pierro
- Istituto Nazionale Fisica Nucleare (INFN), 00044 Frascati (Roma) Italy
| | - L Di Venere
- Istituto Nazionale Fisica Nucleare (INFN), 00044 Frascati (Roma) Italy
| | - E Do Souto Espiñeira
- Institut de Física d'Altes Energies (IFAE), The Barcelona Institute of Science and Technology (BIST), E-08193 Bellaterra (Barcelona), Spain
| | - D Dominis Prester
- Croatian Consortium: University of Rijeka, Department of Physics, 51000 Rijeka; University of Split-FESB, 21000 Split; University of Zagreb-FER, 10000 Zagreb; University of Osijek, 31000 Osijek; Rudjer Boskovic Institute, 10000 Zagreb, Croatia
| | - A Donini
- Università di Udine, and INFN Trieste, I-33100 Udine, Italy
| | - D Dorner
- Universität Würzburg, D-97074 Würzburg, Germany
| | - M Doro
- Università di Padova and INFN, I-35131 Padova, Italy
| | - D Elsaesser
- Technische Universität Dortmund, D-44221 Dortmund, Germany
| | - V Fallah Ramazani
- Finnish MAGIC Consortium: Finnish Centre of Astronomy with ESO (FINCA), University of Turku, FI-20014 Turku, Finland; Astronomy Research Unit, University of Oulu, FI-90014 Oulu, Finland
| | - A Fattorini
- Technische Universität Dortmund, D-44221 Dortmund, Germany
| | - G Ferrara
- National Institute for Astrophysics (INAF), I-00136 Rome, Italy
| | - L Foffano
- Università di Padova and INFN, I-35131 Padova, Italy
| | - M V Fonseca
- IPARCOS Institute and EMFTEL Department, Universidad Complutense de Madrid, E-28040 Madrid, Spain
| | - L Font
- Departament de Física, and CERES-IEEC, Universitat Autònoma de Barcelona, E-08193 Bellaterra, Spain
| | - C Fruck
- Max-Planck-Institut für Physik, D-80805 München, Germany
| | - S Fukami
- Japanese MAGIC Consortium: ICRR, The University of Tokyo, 277-8582 Chiba, Japan; Department of Physics, Kyoto University, 606-8502 Kyoto, Japan; Tokai University, 259-1292 Kanagawa, Japan; RIKEN, 351-0198 Saitama, Japan
| | - R J García López
- Instituto de Astrofísica de Canarias, E-38200 La Laguna, and Universidad de La Laguna, Departamento de Astrofísica, E-38206 La Laguna, Tenerife, Spain
| | - M Garczarczyk
- Deutsches Elektronen-Synchrotron (DESY), D-15738 Zeuthen, Germany
| | - S Gasparyan
- The Armenian Consortium: ICRANet-Armenia at NAS RA, A. Alikhanyan National Laboratory
| | - M Gaug
- Departament de Física, and CERES-IEEC, Universitat Autònoma de Barcelona, E-08193 Bellaterra, Spain
| | - N Giglietto
- Istituto Nazionale Fisica Nucleare (INFN), 00044 Frascati (Roma) Italy
| | - F Giordano
- Istituto Nazionale Fisica Nucleare (INFN), 00044 Frascati (Roma) Italy
| | - P Gliwny
- University of Lodz, Faculty of Physics and Applied Informatics, Department of Astrophysics, 90-236 Lodz, Poland
| | - N Godinović
- Croatian Consortium: University of Rijeka, Department of Physics, 51000 Rijeka; University of Split-FESB, 21000 Split; University of Zagreb-FER, 10000 Zagreb; University of Osijek, 31000 Osijek; Rudjer Boskovic Institute, 10000 Zagreb, Croatia
| | - D Green
- Max-Planck-Institut für Physik, D-80805 München, Germany
| | - D Hadasch
- Japanese MAGIC Consortium: ICRR, The University of Tokyo, 277-8582 Chiba, Japan; Department of Physics, Kyoto University, 606-8502 Kyoto, Japan; Tokai University, 259-1292 Kanagawa, Japan; RIKEN, 351-0198 Saitama, Japan
| | - A Hahn
- Max-Planck-Institut für Physik, D-80805 München, Germany
| | - J Herrera
- Instituto de Astrofísica de Canarias, E-38200 La Laguna, and Universidad de La Laguna, Departamento de Astrofísica, E-38206 La Laguna, Tenerife, Spain
| | - J Hoang
- IPARCOS Institute and EMFTEL Department, Universidad Complutense de Madrid, E-28040 Madrid, Spain
| | - D Hrupec
- Croatian Consortium: University of Rijeka, Department of Physics, 51000 Rijeka; University of Split-FESB, 21000 Split; University of Zagreb-FER, 10000 Zagreb; University of Osijek, 31000 Osijek; Rudjer Boskovic Institute, 10000 Zagreb, Croatia
| | - M Hütten
- Max-Planck-Institut für Physik, D-80805 München, Germany
| | - T Inada
- Japanese MAGIC Consortium: ICRR, The University of Tokyo, 277-8582 Chiba, Japan; Department of Physics, Kyoto University, 606-8502 Kyoto, Japan; Tokai University, 259-1292 Kanagawa, Japan; RIKEN, 351-0198 Saitama, Japan
| | - S Inoue
- Japanese MAGIC Consortium: ICRR, The University of Tokyo, 277-8582 Chiba, Japan; Department of Physics, Kyoto University, 606-8502 Kyoto, Japan; Tokai University, 259-1292 Kanagawa, Japan; RIKEN, 351-0198 Saitama, Japan
| | - K Ishio
- Max-Planck-Institut für Physik, D-80805 München, Germany
| | - Y Iwamura
- Japanese MAGIC Consortium: ICRR, The University of Tokyo, 277-8582 Chiba, Japan; Department of Physics, Kyoto University, 606-8502 Kyoto, Japan; Tokai University, 259-1292 Kanagawa, Japan; RIKEN, 351-0198 Saitama, Japan
| | - L Jouvin
- Institut de Física d'Altes Energies (IFAE), The Barcelona Institute of Science and Technology (BIST), E-08193 Bellaterra (Barcelona), Spain
| | - Y Kajiwara
- Japanese MAGIC Consortium: ICRR, The University of Tokyo, 277-8582 Chiba, Japan; Department of Physics, Kyoto University, 606-8502 Kyoto, Japan; Tokai University, 259-1292 Kanagawa, Japan; RIKEN, 351-0198 Saitama, Japan
| | - M Karjalainen
- Instituto de Astrofísica de Canarias, E-38200 La Laguna, and Universidad de La Laguna, Departamento de Astrofísica, E-38206 La Laguna, Tenerife, Spain
| | - D Kerszberg
- Institut de Física d'Altes Energies (IFAE), The Barcelona Institute of Science and Technology (BIST), E-08193 Bellaterra (Barcelona), Spain
| | - Y Kobayashi
- Japanese MAGIC Consortium: ICRR, The University of Tokyo, 277-8582 Chiba, Japan; Department of Physics, Kyoto University, 606-8502 Kyoto, Japan; Tokai University, 259-1292 Kanagawa, Japan; RIKEN, 351-0198 Saitama, Japan
| | - H Kubo
- Japanese MAGIC Consortium: ICRR, The University of Tokyo, 277-8582 Chiba, Japan; Department of Physics, Kyoto University, 606-8502 Kyoto, Japan; Tokai University, 259-1292 Kanagawa, Japan; RIKEN, 351-0198 Saitama, Japan
| | - J Kushida
- Japanese MAGIC Consortium: ICRR, The University of Tokyo, 277-8582 Chiba, Japan; Department of Physics, Kyoto University, 606-8502 Kyoto, Japan; Tokai University, 259-1292 Kanagawa, Japan; RIKEN, 351-0198 Saitama, Japan
| | - A Lamastra
- National Institute for Astrophysics (INAF), I-00136 Rome, Italy
| | - D Lelas
- Croatian Consortium: University of Rijeka, Department of Physics, 51000 Rijeka; University of Split-FESB, 21000 Split; University of Zagreb-FER, 10000 Zagreb; University of Osijek, 31000 Osijek; Rudjer Boskovic Institute, 10000 Zagreb, Croatia
| | - F Leone
- National Institute for Astrophysics (INAF), I-00136 Rome, Italy
| | - E Lindfors
- Finnish MAGIC Consortium: Finnish Centre of Astronomy with ESO (FINCA), University of Turku, FI-20014 Turku, Finland; Astronomy Research Unit, University of Oulu, FI-90014 Oulu, Finland
| | - S Lombardi
- National Institute for Astrophysics (INAF), I-00136 Rome, Italy
| | - F Longo
- Università di Udine, and INFN Trieste, I-33100 Udine, Italy
- Institute for Nuclear Research and Nuclear Energy, Bulgarian Academy of Sciences, BG-1784 Sofia, Bulgaria
| | - M López
- IPARCOS Institute and EMFTEL Department, Universidad Complutense de Madrid, E-28040 Madrid, Spain
| | - R López-Coto
- Università di Padova and INFN, I-35131 Padova, Italy
| | - A López-Oramas
- Instituto de Astrofísica de Canarias, E-38200 La Laguna, and Universidad de La Laguna, Departamento de Astrofísica, E-38206 La Laguna, Tenerife, Spain
| | - S Loporchio
- Istituto Nazionale Fisica Nucleare (INFN), 00044 Frascati (Roma) Italy
| | | | - C Maggio
- Departament de Física, and CERES-IEEC, Universitat Autònoma de Barcelona, E-08193 Bellaterra, Spain
| | - P Majumdar
- Saha Institute of Nuclear Physics, HBNI, 1/AF Bidhannagar, Salt Lake, Sector-1, Kolkata 700064, India
| | - M Makariev
- Institute for Nuclear Research and Nuclear Energy, Bulgarian Academy of Sciences, BG-1784 Sofia, Bulgaria
| | - M Mallamaci
- Università di Padova and INFN, I-35131 Padova, Italy
| | - G Maneva
- Institute for Nuclear Research and Nuclear Energy, Bulgarian Academy of Sciences, BG-1784 Sofia, Bulgaria
| | - M Manganaro
- Croatian Consortium: University of Rijeka, Department of Physics, 51000 Rijeka; University of Split-FESB, 21000 Split; University of Zagreb-FER, 10000 Zagreb; University of Osijek, 31000 Osijek; Rudjer Boskovic Institute, 10000 Zagreb, Croatia
| | - K Mannheim
- Universität Würzburg, D-97074 Würzburg, Germany
| | - L Maraschi
- National Institute for Astrophysics (INAF), I-00136 Rome, Italy
| | - M Mariotti
- Università di Padova and INFN, I-35131 Padova, Italy
| | - M Martínez
- Institut de Física d'Altes Energies (IFAE), The Barcelona Institute of Science and Technology (BIST), E-08193 Bellaterra (Barcelona), Spain
| | - D Mazin
- Japanese MAGIC Consortium: ICRR, The University of Tokyo, 277-8582 Chiba, Japan; Department of Physics, Kyoto University, 606-8502 Kyoto, Japan; Tokai University, 259-1292 Kanagawa, Japan; RIKEN, 351-0198 Saitama, Japan
- Max-Planck-Institut für Physik, D-80805 München, Germany
| | - S Mender
- Technische Universität Dortmund, D-44221 Dortmund, Germany
| | - S Mićanović
- Croatian Consortium: University of Rijeka, Department of Physics, 51000 Rijeka; University of Split-FESB, 21000 Split; University of Zagreb-FER, 10000 Zagreb; University of Osijek, 31000 Osijek; Rudjer Boskovic Institute, 10000 Zagreb, Croatia
| | - D Miceli
- Università di Udine, and INFN Trieste, I-33100 Udine, Italy
| | - T Miener
- IPARCOS Institute and EMFTEL Department, Universidad Complutense de Madrid, E-28040 Madrid, Spain
| | - M Minev
- Institute for Nuclear Research and Nuclear Energy, Bulgarian Academy of Sciences, BG-1784 Sofia, Bulgaria
| | - J M Miranda
- Università di Siena and INFN Pisa, I-53100 Siena, Italy
| | - R Mirzoyan
- Max-Planck-Institut für Physik, D-80805 München, Germany
| | - E Molina
- Universitat de Barcelona, ICCUB, IEEC-UB, E-08028 Barcelona, Spain
| | - A Moralejo
- Institut de Física d'Altes Energies (IFAE), The Barcelona Institute of Science and Technology (BIST), E-08193 Bellaterra (Barcelona), Spain
| | - D Morcuende
- IPARCOS Institute and EMFTEL Department, Universidad Complutense de Madrid, E-28040 Madrid, Spain
| | - V Moreno
- Departament de Física, and CERES-IEEC, Universitat Autònoma de Barcelona, E-08193 Bellaterra, Spain
| | - E Moretti
- Institut de Física d'Altes Energies (IFAE), The Barcelona Institute of Science and Technology (BIST), E-08193 Bellaterra (Barcelona), Spain
| | - P Munar-Adrover
- Departament de Física, and CERES-IEEC, Universitat Autònoma de Barcelona, E-08193 Bellaterra, Spain
| | - V Neustroev
- Finnish MAGIC Consortium: Finnish Centre of Astronomy with ESO (FINCA), University of Turku, FI-20014 Turku, Finland; Astronomy Research Unit, University of Oulu, FI-90014 Oulu, Finland
| | - C Nigro
- Institut de Física d'Altes Energies (IFAE), The Barcelona Institute of Science and Technology (BIST), E-08193 Bellaterra (Barcelona), Spain
| | - K Nilsson
- Finnish MAGIC Consortium: Finnish Centre of Astronomy with ESO (FINCA), University of Turku, FI-20014 Turku, Finland; Astronomy Research Unit, University of Oulu, FI-90014 Oulu, Finland
| | - D Ninci
- Institut de Física d'Altes Energies (IFAE), The Barcelona Institute of Science and Technology (BIST), E-08193 Bellaterra (Barcelona), Spain
| | - K Nishijima
- Japanese MAGIC Consortium: ICRR, The University of Tokyo, 277-8582 Chiba, Japan; Department of Physics, Kyoto University, 606-8502 Kyoto, Japan; Tokai University, 259-1292 Kanagawa, Japan; RIKEN, 351-0198 Saitama, Japan
| | - K Noda
- Japanese MAGIC Consortium: ICRR, The University of Tokyo, 277-8582 Chiba, Japan; Department of Physics, Kyoto University, 606-8502 Kyoto, Japan; Tokai University, 259-1292 Kanagawa, Japan; RIKEN, 351-0198 Saitama, Japan
| | - L Nogués
- Institut de Física d'Altes Energies (IFAE), The Barcelona Institute of Science and Technology (BIST), E-08193 Bellaterra (Barcelona), Spain
| | - S Nozaki
- Japanese MAGIC Consortium: ICRR, The University of Tokyo, 277-8582 Chiba, Japan; Department of Physics, Kyoto University, 606-8502 Kyoto, Japan; Tokai University, 259-1292 Kanagawa, Japan; RIKEN, 351-0198 Saitama, Japan
| | - Y Ohtani
- Japanese MAGIC Consortium: ICRR, The University of Tokyo, 277-8582 Chiba, Japan; Department of Physics, Kyoto University, 606-8502 Kyoto, Japan; Tokai University, 259-1292 Kanagawa, Japan; RIKEN, 351-0198 Saitama, Japan
| | - T Oka
- Japanese MAGIC Consortium: ICRR, The University of Tokyo, 277-8582 Chiba, Japan; Department of Physics, Kyoto University, 606-8502 Kyoto, Japan; Tokai University, 259-1292 Kanagawa, Japan; RIKEN, 351-0198 Saitama, Japan
| | - J Otero-Santos
- Instituto de Astrofísica de Canarias, E-38200 La Laguna, and Universidad de La Laguna, Departamento de Astrofísica, E-38206 La Laguna, Tenerife, Spain
| | - M Palatiello
- Università di Udine, and INFN Trieste, I-33100 Udine, Italy
| | - D Paneque
- Max-Planck-Institut für Physik, D-80805 München, Germany
| | - R Paoletti
- Università di Siena and INFN Pisa, I-53100 Siena, Italy
| | - J M Paredes
- Universitat de Barcelona, ICCUB, IEEC-UB, E-08028 Barcelona, Spain
| | - L Pavletić
- Croatian Consortium: University of Rijeka, Department of Physics, 51000 Rijeka; University of Split-FESB, 21000 Split; University of Zagreb-FER, 10000 Zagreb; University of Osijek, 31000 Osijek; Rudjer Boskovic Institute, 10000 Zagreb, Croatia
| | - P Peñil
- IPARCOS Institute and EMFTEL Department, Universidad Complutense de Madrid, E-28040 Madrid, Spain
| | - C Perennes
- Università di Padova and INFN, I-35131 Padova, Italy
| | - M Peresano
- Università di Udine, and INFN Trieste, I-33100 Udine, Italy
| | - M Persic
- Università di Udine, and INFN Trieste, I-33100 Udine, Italy
| | | | - E Prandini
- Università di Padova and INFN, I-35131 Padova, Italy
| | - I Puljak
- Croatian Consortium: University of Rijeka, Department of Physics, 51000 Rijeka; University of Split-FESB, 21000 Split; University of Zagreb-FER, 10000 Zagreb; University of Osijek, 31000 Osijek; Rudjer Boskovic Institute, 10000 Zagreb, Croatia
| | - W Rhode
- Technische Universität Dortmund, D-44221 Dortmund, Germany
| | - M Ribó
- Universitat de Barcelona, ICCUB, IEEC-UB, E-08028 Barcelona, Spain
| | - J Rico
- Institut de Física d'Altes Energies (IFAE), The Barcelona Institute of Science and Technology (BIST), E-08193 Bellaterra (Barcelona), Spain
| | - C Righi
- National Institute for Astrophysics (INAF), I-00136 Rome, Italy
| | - A Rugliancich
- Università di Pisa, and INFN Pisa, I-56126 Pisa, Italy
| | - L Saha
- IPARCOS Institute and EMFTEL Department, Universidad Complutense de Madrid, E-28040 Madrid, Spain
| | - N Sahakyan
- The Armenian Consortium: ICRANet-Armenia at NAS RA, A. Alikhanyan National Laboratory
| | - T Saito
- Japanese MAGIC Consortium: ICRR, The University of Tokyo, 277-8582 Chiba, Japan; Department of Physics, Kyoto University, 606-8502 Kyoto, Japan; Tokai University, 259-1292 Kanagawa, Japan; RIKEN, 351-0198 Saitama, Japan
| | - S Sakurai
- Japanese MAGIC Consortium: ICRR, The University of Tokyo, 277-8582 Chiba, Japan; Department of Physics, Kyoto University, 606-8502 Kyoto, Japan; Tokai University, 259-1292 Kanagawa, Japan; RIKEN, 351-0198 Saitama, Japan
| | - K Satalecka
- Deutsches Elektronen-Synchrotron (DESY), D-15738 Zeuthen, Germany
| | | | - K Schmidt
- Technische Universität Dortmund, D-44221 Dortmund, Germany
| | - T Schweizer
- Max-Planck-Institut für Physik, D-80805 München, Germany
| | - J Sitarek
- University of Lodz, Faculty of Physics and Applied Informatics, Department of Astrophysics, 90-236 Lodz, Poland
| | - I Šnidarić
- Croatian Consortium: University of Rijeka, Department of Physics, 51000 Rijeka; University of Split-FESB, 21000 Split; University of Zagreb-FER, 10000 Zagreb; University of Osijek, 31000 Osijek; Rudjer Boskovic Institute, 10000 Zagreb, Croatia
| | - D Sobczynska
- University of Lodz, Faculty of Physics and Applied Informatics, Department of Astrophysics, 90-236 Lodz, Poland
| | - A Spolon
- Università di Padova and INFN, I-35131 Padova, Italy
| | - A Stamerra
- National Institute for Astrophysics (INAF), I-00136 Rome, Italy
| | - D Strom
- Max-Planck-Institut für Physik, D-80805 München, Germany
| | - M Strzys
- Japanese MAGIC Consortium: ICRR, The University of Tokyo, 277-8582 Chiba, Japan; Department of Physics, Kyoto University, 606-8502 Kyoto, Japan; Tokai University, 259-1292 Kanagawa, Japan; RIKEN, 351-0198 Saitama, Japan
| | - Y Suda
- Max-Planck-Institut für Physik, D-80805 München, Germany
| | - T Surić
- Croatian Consortium: University of Rijeka, Department of Physics, 51000 Rijeka; University of Split-FESB, 21000 Split; University of Zagreb-FER, 10000 Zagreb; University of Osijek, 31000 Osijek; Rudjer Boskovic Institute, 10000 Zagreb, Croatia
| | - M Takahashi
- Japanese MAGIC Consortium: ICRR, The University of Tokyo, 277-8582 Chiba, Japan; Department of Physics, Kyoto University, 606-8502 Kyoto, Japan; Tokai University, 259-1292 Kanagawa, Japan; RIKEN, 351-0198 Saitama, Japan
| | - F Tavecchio
- National Institute for Astrophysics (INAF), I-00136 Rome, Italy
| | - P Temnikov
- Institute for Nuclear Research and Nuclear Energy, Bulgarian Academy of Sciences, BG-1784 Sofia, Bulgaria
| | - T Terzić
- Croatian Consortium: University of Rijeka, Department of Physics, 51000 Rijeka; University of Split-FESB, 21000 Split; University of Zagreb-FER, 10000 Zagreb; University of Osijek, 31000 Osijek; Rudjer Boskovic Institute, 10000 Zagreb, Croatia
| | - M Teshima
- Japanese MAGIC Consortium: ICRR, The University of Tokyo, 277-8582 Chiba, Japan; Department of Physics, Kyoto University, 606-8502 Kyoto, Japan; Tokai University, 259-1292 Kanagawa, Japan; RIKEN, 351-0198 Saitama, Japan
- Max-Planck-Institut für Physik, D-80805 München, Germany
| | - N Torres-Albà
- Universitat de Barcelona, ICCUB, IEEC-UB, E-08028 Barcelona, Spain
| | - L Tosti
- Istituto Nazionale Fisica Nucleare (INFN), 00044 Frascati (Roma) Italy
| | | | - G Vanzo
- Instituto de Astrofísica de Canarias, E-38200 La Laguna, and Universidad de La Laguna, Departamento de Astrofísica, E-38206 La Laguna, Tenerife, Spain
| | - M Vazquez Acosta
- Instituto de Astrofísica de Canarias, E-38200 La Laguna, and Universidad de La Laguna, Departamento de Astrofísica, E-38206 La Laguna, Tenerife, Spain
| | - S Ventura
- Università di Siena and INFN Pisa, I-53100 Siena, Italy
| | - V Verguilov
- Institute for Nuclear Research and Nuclear Energy, Bulgarian Academy of Sciences, BG-1784 Sofia, Bulgaria
| | - C F Vigorito
- Istituto Nazionale Fisica Nucleare (INFN), 00044 Frascati (Roma) Italy
| | - V Vitale
- Istituto Nazionale Fisica Nucleare (INFN), 00044 Frascati (Roma) Italy
| | - I Vovk
- Japanese MAGIC Consortium: ICRR, The University of Tokyo, 277-8582 Chiba, Japan; Department of Physics, Kyoto University, 606-8502 Kyoto, Japan; Tokai University, 259-1292 Kanagawa, Japan; RIKEN, 351-0198 Saitama, Japan
| | - M Will
- Max-Planck-Institut für Physik, D-80805 München, Germany
| | - D Zarić
- Croatian Consortium: University of Rijeka, Department of Physics, 51000 Rijeka; University of Split-FESB, 21000 Split; University of Zagreb-FER, 10000 Zagreb; University of Osijek, 31000 Osijek; Rudjer Boskovic Institute, 10000 Zagreb, Croatia
| | - L Nava
- National Institute for Astrophysics (INAF), Osservatorio Astronomico di Brera, 23807 Merate, Italy
- Istituto Nazionale di Fisica Nucleare, Sezione di Trieste, 34149 Trieste, Italy
- Institute for Fundamental Physics of the Universe (IFPU), 34151 Trieste, Italy
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Uehara N, Otsuki N, Kubo M, Kitamoto J, Kojima Y, Teshima M, Shinomiya H, Shirakawa T, Nibu K. Cover Image. Cancer Rep (Hoboken) 2020. [DOI: 10.1002/cnr2.1260] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
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26
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Furukawa T, Otsuki N, Tomotsu M, Tatehara S, Morita N, Kojima Y, Teshima M, Shinomiya H, Nibu KI. Left non-recurrent inferior laryngeal nerve in a patient with right-sided aortic arch and aberrant left subclavian artery. Auris Nasus Larynx 2020; 48:317-321. [PMID: 32178945 DOI: 10.1016/j.anl.2020.02.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2020] [Revised: 02/08/2020] [Accepted: 02/18/2020] [Indexed: 11/19/2022]
Abstract
Non-recurrent inferior laryngeal nerve (NRILN) is rare but one of the important anatomical variations in thyroid and parathyroid surgery. Almost all cases were observed on the right side with aberrant right subclavian artery and left NRILN have been reported in only five cases so far. Here, we reported a 38 year-old Japanese male with left NRILN accompanying adenomatous goiter. He was referred to our hospital for the surgical treatment of left thyroid goiter. Preoperative computed tomography revealed right-sided aortic arch and aberrant left subclavian artery with no signs of complete situs inversus viscerum, suggesting possible left NRLN. Left hemithyroidectomy was performed using nerve monitoring system. Intraoperatively, left recurrent laryngeal nerve was not identified along tracheoesophageal groove, but directly originated from vagal nerve and was running horizontally to larynx. Mobility of vocal cords were not impaired and postoperative course was uneventful. During thyroid surgery for the patients with right-sided aortic arch, meticulous care should be taken using nerve monitoring system to avoid nerve injury.
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Affiliation(s)
- Tatsuya Furukawa
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe,7-5-2 Kusunoki-Cho, Chuo-ku, Kobe 650-0017, Japan
| | - Naoki Otsuki
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe,7-5-2 Kusunoki-Cho, Chuo-ku, Kobe 650-0017, Japan.
| | - Masahiro Tomotsu
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe,7-5-2 Kusunoki-Cho, Chuo-ku, Kobe 650-0017, Japan
| | - Shun Tatehara
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe,7-5-2 Kusunoki-Cho, Chuo-ku, Kobe 650-0017, Japan
| | - Naruhiko Morita
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe,7-5-2 Kusunoki-Cho, Chuo-ku, Kobe 650-0017, Japan
| | - Yasutaka Kojima
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe,7-5-2 Kusunoki-Cho, Chuo-ku, Kobe 650-0017, Japan
| | - Masanori Teshima
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe,7-5-2 Kusunoki-Cho, Chuo-ku, Kobe 650-0017, Japan
| | - Hirotaka Shinomiya
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe,7-5-2 Kusunoki-Cho, Chuo-ku, Kobe 650-0017, Japan
| | - Ken-Ichi Nibu
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe,7-5-2 Kusunoki-Cho, Chuo-ku, Kobe 650-0017, Japan
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Kakei Y, Komatsu H, Minamikawa T, Hasegawa T, Teshima M, Shinomiya H, Otsuki N, Nibu KI, Akashi M. Extent of neck dissection for patients with clinical N1 oral cancer. Int J Clin Oncol 2020; 25:1067-1071. [PMID: 32140953 PMCID: PMC7261274 DOI: 10.1007/s10147-020-01635-8] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2019] [Accepted: 02/12/2020] [Indexed: 01/30/2023]
Abstract
BACKGROUND No clear consensus has been reached on the indication of supraomohyoid neck dissection (SOHND) for clinically positive lymph-node metastasis. PATIENTS Consecutive 100 patients with previously untreated oral cancer treated at Kobe University Hospital were included in this study. All patients were clinically staged as anyTN1M0 and underwent radical dissection of the primary site and level I-V neck dissection as the initial treatment. RESULTS None of the 100 patients had pathological lymph-node metastasis (pLN) to level V. pLN to level IV was observed in two patients with tongue cancer in whom clinical lymph-node metastasis was preoperatively observed at level II. CONCLUSIONS Level V may be excluded in the neck dissection for patients with N1 oral cancers. Level IV dissection should be considered in the patient with tongue cancer and clinical lymph-node metastasis at level II.
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Affiliation(s)
- Yasumasa Kakei
- Department of Oral and Maxillofacial Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Hirokazu Komatsu
- Department of Otolaryngology, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Tsutomu Minamikawa
- Department of Oral and Maxillofacial Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Takumi Hasegawa
- Department of Oral and Maxillofacial Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Masanori Teshima
- Department of Otolaryngology, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Hirotaka Shinomiya
- Department of Otolaryngology, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Naoki Otsuki
- Department of Otolaryngology, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Ken-Ichi Nibu
- Department of Otolaryngology, Kobe University Graduate School of Medicine, Kobe, Japan.
| | - Masaya Akashi
- Department of Oral and Maxillofacial Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
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Otsuki N, Morita N, Furukawa T, Shinomiya H, Teshima M, Kojima Y, Nibu KI. Modified spiral tracheoplasty after extensive window resection of trachea for advanced thyroid cancer. Auris Nasus Larynx 2019; 46:946-951. [DOI: 10.1016/j.anl.2019.02.008] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2018] [Revised: 01/06/2019] [Accepted: 02/13/2019] [Indexed: 10/27/2022]
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Del Mundo DAA, Morimoto K, Masuda K, Iwaki S, Furukawa T, Teshima M, Shinomiya H, Miyawaki D, Otsuki N, Sasaki R, Nibu KI. Oncologic and functional outcomes of transoral CO2 laser cordectomy for early glottic cancer. Auris Nasus Larynx 2019; 47:276-281. [PMID: 31522907 DOI: 10.1016/j.anl.2019.08.005] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2018] [Revised: 08/03/2019] [Accepted: 08/13/2019] [Indexed: 01/14/2023]
Abstract
OBJECTIVE To investigate the oncological and functional outcomes of the patients treated with transoral CO2 laser cordectomy for early glottic cancer. PATIENTS AND METHODS Fifty-five consecutive patients who underwent CO2 laser cordectomy for early glottic cancer were retrospectively reviewed. RESULTS Overall survival, larynx preservation, and relapse free local control rates were 96%, 100%, and 91%, respectively. Five patients with local recurrences were salvaged with re-cordectomy and/or radiotherapy. In type I cordectomy, VHI-10 consistently improved during postoperative course and VHI-10 at postoperative 12months was significantly better than preoperative value (2.3 vs. 9.4, p=0.02). Perceptual grading, MPT, MFR and AC/DC also improved and were better than preoperative values. In type III cordectomy, shimmer at 12months after cordectomy was significantly better than preoperative value (14.7 vs. 9.3, p=0.007). CONCLUSIONS These results further support the rationale of CO2 cordectomy as initial and salvage surgery for early glottic cancer.
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Affiliation(s)
- Daryl Anne A Del Mundo
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan; Department of Otorhinolaryngology, University of the Philippines Manila & Philippine General Hospital, Manila, Philippines
| | - Koichi Morimoto
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.
| | | | - Shinobu Iwaki
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Tatsuya Furukawa
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Masanori Teshima
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Hirotaka Shinomiya
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Daisuke Miyawaki
- Division of Radiation Oncology, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Naoki Otsuki
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Ryohei Sasaki
- Division of Radiation Oncology, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Ken-Ichi Nibu
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
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30
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Kajimoto Y, Otsuki N, Teshima M, Morinaga Y, Itoh T, Nibu KI. Successful Treatment of Interdigitating Dendritic Cell Sarcoma Presenting as Multiple Parotid Tumors. Acta Oto-Laryngologica Case Reports 2019. [DOI: 10.1080/23772484.2019.1635887] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
Affiliation(s)
- Yasuyuki Kajimoto
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Naoki Otsuki
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Masanori Teshima
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Yukiko Morinaga
- Department of Diagnostic Pathology, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Tomoo Itoh
- Department of Diagnostic Pathology, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Ken-Ichi Nibu
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
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Otsuki N, Furukawa T, Avinçsal MO, Teshima M, Shinomiya H, Oshikiri T, Nakamura T, Nomura T, Hashikawa K, Nibu KI. Results of free flap reconstruction for patients aged 80 years or older with head and neck cancer. Auris Nasus Larynx 2019; 47:123-127. [PMID: 31060883 DOI: 10.1016/j.anl.2019.04.005] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2018] [Revised: 04/12/2019] [Accepted: 04/17/2019] [Indexed: 11/24/2022]
Abstract
OBJECTIVE Free flap reconstruction in elderly patients is one of the most challenging surgeries in the treatment of head and neck cancers. The aim of this study was to examine the oncological and functional outcomes of free flap reconstruction for elderly patients with head and neck cancer. METHODS We retrospectively reviewed elderly patients who underwent free flap reconstruction for the treatment of head and neck cancers. All patients were 80 years or older. Clinicopathologic features, surgical procedures, oncological and functional outcomes were obtained from medical records. RESULTS Free flap reconstructions were performed in 13 patients (3 female, 10 male). The mean age was 82.6 ± 3.4 years (range: 80-91). The mean follow-up period was 23.3 months (range 4-41 months). The mean disease-free survival was 49 ± 6 months (range 4-60 months). All patients had been alive more than one year after surgery. Reconstruction was performed using free jejunum in 10 patients and radial forearm flap in 3 patients. Graft necrosis occurred in 2 patients. Other two patients experienced major postoperative medical complications. CONCLUSION Free flap reconstruction in well-selected older adults is safe and effective. Advanced age should not preclude consideration of free flap reconstruction in those patients.
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Affiliation(s)
- Naoki Otsuki
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Tatsuya Furukawa
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Mehmet Ozgur Avinçsal
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Masanori Teshima
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Hirotaka Shinomiya
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Taro Oshikiri
- Division of Gastrointestinal Surgery, Department of Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Tetsu Nakamura
- Division of Gastrointestinal Surgery, Department of Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Tadashi Nomura
- Department of Plastic Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Kazunobu Hashikawa
- Department of Plastic Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Ken-Ichi Nibu
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.
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Furukawa T, Komatsu H, Fujio H, Kojima Y, Morita N, Teshima M, Shinomiya H, Morimoto K, Otsuki N, Kano M, Nibu KI. A laryngeal closure technique for the treatment of patients with head and neck cancer. Laryngoscope Investig Otolaryngol 2019; 4:246-249. [PMID: 31024995 PMCID: PMC6476292 DOI: 10.1002/lio2.253] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2018] [Revised: 01/08/2019] [Accepted: 01/13/2019] [Indexed: 11/30/2022] Open
Abstract
Background In 2008, Kano developed a new laryngeal closure technique (Kano's method) for the treatment of severe aspiration. The aim of this study was to evaluate the safety and efficacy of this technique in patients with head and neck cancer. Methods Since June 2014 until March 2018, six patients underwent Kano's method for management of severe aspiration after the treatment of head and neck cancers. The anterior parts of the thyroid and the cricoid cartilages were excised widely. The glottis was closed by suturing bilateral vocal folds and reinforced by the sternohyoid muscle. A tracheostoma was created with skin flaps, subglottic mucosal flaps, and stumps of cricoid and trachea cartilages. Results No severe complications were observed after the surgery. Oral intake improved without developing aspiration. Conclusions Kano's method can provide satisfactory functional results with minimal invasion for treating severe aspiration after advanced surgery, chemotherapy, and/or chemoradiotherapy, in patients with head and neck cancer. Level of Evidence 4
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Affiliation(s)
- Tatsuya Furukawa
- Department of Otolaryngology-Head and Neck Surgery Kobe University Hospital Kobe Japan
| | - Hirokazu Komatsu
- Department of Otolaryngology-Head and Neck Surgery Kobe University Hospital Kobe Japan
| | - Hisami Fujio
- Department of Otolaryngology-Head and Neck Surgery Kobe University Hospital Kobe Japan
| | - Yasutaka Kojima
- Department of Otorhinolaryngology-Head and Neck Surgery Nishi-Kobe Medical Center Kobe Japan
| | - Naruhiko Morita
- Department of Otolaryngology-Head and Neck Surgery Kobe University Hospital Kobe Japan
| | - Masanori Teshima
- Department of Otolaryngology-Head and Neck Surgery Kobe University Hospital Kobe Japan
| | - Hirotaka Shinomiya
- Department of Otolaryngology-Head and Neck Surgery Kobe University Hospital Kobe Japan
| | - Koichi Morimoto
- Department of Otolaryngology-Head and Neck Surgery Kobe University Hospital Kobe Japan
| | - Naoki Otsuki
- Department of Otolaryngology-Head and Neck Surgery Kobe University Hospital Kobe Japan
| | - Makoto Kano
- Department of Otorhinolaryngology-Head and Neck Surgery Ohara General Hospital Fukushima Japan
| | - Ken-Ichi Nibu
- Department of Otolaryngology-Head and Neck Surgery Kobe University Hospital Kobe Japan
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33
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Teshima M, Tokita K, Ryo E, Matsumoto F, Kondo M, Ikegami Y, Shinomiya H, Otsuki N, Hiraoka N, Nibu KI, Yoshimoto S, Mori T. Clinical impact of a cytological screening system using cyclin D1 immunostaining and genomic analysis for the diagnosis of thyroid nodules. BMC Cancer 2019; 19:245. [PMID: 30885146 PMCID: PMC6423761 DOI: 10.1186/s12885-019-5452-4] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2018] [Accepted: 03/12/2019] [Indexed: 11/10/2022] Open
Abstract
Background Fine-needle aspiration (FNA) is the most reliable method for diagnosing thyroid nodules; however, some features such as atypia of undetermined significance or follicular lesion of undetermined significance can confound efforts to identify malignancies. Similar to BRAF, cyclin D1 may be a strong marker of cell proliferation. Methods One hundred two patients with thyroidal nodule were enrolled in this prospective study. Expression of cyclin D1 in thyroid nodules was determined by immunohistochemistry using both surgical specimens and their cytological specimens. The identification of the optimal cut off points for the diagnosis of malignancy were evaluated using the receiver operating characteristic (ROC) curves and the assessment of the area under the ROC curve (AUC). The specificity, sensitivity, positive predictive value (PPV) of markers were evaluated from crosstabs based on cut off points and significance were calculated. We also analyzed genetic variants by target NGS for thyroid nodule samples. Results The positive predictive value (PPV) and median stain ratio (MSR) of cyclin D1 nuclear staining was determined in papillary thyroid carcinoma (PPV = 91.5%, MSR = 48.5%), follicular adenoma (PPV = 66.7%, MSR = 13.1%), and adenomatous goiter and inflammation controls (MSR = 3.4%). In FNA samples, a threshold of 46% of immunolabelled cells allows to discriminate malignant lesions from benign ones (P < 0.0001), with 81% sensitivity and 100% specificity. A 46% cutoff value for positive cyclin D1 immunostaining in thyroid cells demonstrated 81% sensitivity and 100% specificity. In surgical specimens, ROC curve analysis showed a 5.8% cyclin D1 immunostaining score predicted thyroid neoplasms at 94.4% sensitivity and 92.3% specificity (P = 0.003), while a 15.7% score predicted malignancy at 86.4% sensitivity and 80.5% specificity (P < 0.0001). Finally, three tested clinico-pathological variables (extra thyroidal extension, intraglandular metastasis, and lymph node metastasis) were significant predictors of cyclin D1 immunostaining (P < 0.001). Conclusion Our cytological cyclin D1 screening system provides a simple, accurate, and convenient diagnostic method in precision medicine enabling ready determination of personalized treatment strategies for patients by next generation sequencing using cytological sample. Electronic supplementary material The online version of this article (10.1186/s12885-019-5452-4) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Masanori Teshima
- Department of Pathology, National Cancer Center Hospital, Tokyo, Japan.,Department of Head and Neck Surgery, National Cancer Center Hospital, Tokyo, Japan.,Department of Otolaryngology - Head and Neck Surgery, Kobe University, School of Medicine, Kobe, Japan
| | - Kazuya Tokita
- Department of Pathology, National Cancer Center Hospital, Tokyo, Japan
| | - Eijitsu Ryo
- Division of Molecular Pathology, National Cancer Center Research Institute, Tokyo, Japan
| | - Fumihiko Matsumoto
- Department of Head and Neck Surgery, National Cancer Center Hospital, Tokyo, Japan
| | - Madoka Kondo
- Department of Pathology, National Cancer Center Hospital, Tokyo, Japan
| | - Yota Ikegami
- Department of Pathology, National Cancer Center Hospital, Tokyo, Japan
| | - Hirotaka Shinomiya
- Department of Otolaryngology - Head and Neck Surgery, Kobe University, School of Medicine, Kobe, Japan
| | - Naoki Otsuki
- Department of Otolaryngology - Head and Neck Surgery, Kobe University, School of Medicine, Kobe, Japan
| | - Nobuyoshi Hiraoka
- Department of Pathology, National Cancer Center Hospital, Tokyo, Japan.,Division of Molecular Pathology, National Cancer Center Research Institute, Tokyo, Japan
| | - Ken-Ichi Nibu
- Department of Otolaryngology - Head and Neck Surgery, Kobe University, School of Medicine, Kobe, Japan
| | - Seiichi Yoshimoto
- Department of Head and Neck Surgery, National Cancer Center Hospital, Tokyo, Japan
| | - Taisuke Mori
- Department of Pathology, National Cancer Center Hospital, Tokyo, Japan. .,Division of Molecular Pathology, National Cancer Center Research Institute, Tokyo, Japan.
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34
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Shinomiya H, Uehara N, Teshima M, Kakigi A, Otsuki N, Nibu KI. Clinical management for T1 and T2 external auditory canal cancer. Auris Nasus Larynx 2019; 46:785-789. [PMID: 30799138 DOI: 10.1016/j.anl.2019.02.004] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/24/2018] [Revised: 01/26/2019] [Accepted: 02/05/2019] [Indexed: 10/27/2022]
Abstract
OBJECTIVE The purpose of this study was to clarify the impact of superficial parotidectomy and postoperative radiotherapy (PORT) for the surgical treatment of early stage squamous cell carcinoma (SCC) in external auditory canal (EAC). MATERIALS AND METHODS Thirty-seven patients with T1 (n = 14) or T2 (n = 19) SCC in EAC treated between 2000 and 2016 at Kobe University Hospital were enrolled in this study. Thirty-three patients were operated with sleeve resection or lateral temporal bone resection. RESULTS The 5-year overall survival and disease-specific survival rates were 95% and 100%, respectively. Surgical margin was positive in 4 patients, who were treated by PORT and have been alive without disease. Prophylactic superficial parotidectomy was simultaneously performed at the time of initial surgery in 15 patients, in whom no lymph node (LN) metastasis was observed. Among the other 22 patients, regional recurrence in parotid LN was observed in one patient, who was successfully salvaged by total parotidectomy. Potential parotid lymph node metastasis rates of T1 and T2 SCC in EAC was 0% (0/14) and 5% (1/19) respectively. CONCLUSIONS Complete resection without positive surgical margins is essential for the treatment of the patients with T1 and T2 ear cancers. Prophylactic superficial parotidectomy or neck dissection is not mandatory for T1 and T2 diseases, as long as precisely extent of disease is assessed preoperatively. PORT should be performed for the patients with positive surgical margins. LEVELS OF EVIDENCE 4.
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Affiliation(s)
- Hirotaka Shinomiya
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Japan.
| | - Natsumi Uehara
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Japan
| | - Masanori Teshima
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Japan
| | - Akinori Kakigi
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Japan
| | - Naoki Otsuki
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Japan
| | - Ken-Ichi Nibu
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Japan
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Teshima M, Otsuki N, Shinomiya H, Morita N, Furukawa T, Morimoto K, Nakamura T, Hashikawa K, Kiyota N, Sasaki R, Nibu KI. Impact of retropharyngeal lymph node dissection in the surgical treatment of hypopharyngeal cancer. Head Neck 2019; 41:1738-1744. [PMID: 30620443 DOI: 10.1002/hed.25608] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2018] [Revised: 10/23/2018] [Accepted: 12/10/2018] [Indexed: 11/05/2022] Open
Abstract
OBJECTIVES To evaluate the impact of retropharyngeal lymph node (RPLN) dissection in the surgical treatment of hypopharyngeal cancer. METHODS Between 2007 and 2016, 98 previously untreated patients with pathological diagnosed hypopharyngeal squamous cell carcinoma underwent total pharyngolaryngectomy and bilateral neck dissection at Kobe University Hospital. Bilateral dissection of RPLN was simultaneously performed in all patients. Pharynx was reconstructed with free jejunal transfer in 94 patients and primarily closed in 4 patients. Postoperative chemoradiotherapy was performed in patients with high risk factors including metastasis to RPLN, multiple lymph node metastasis, extranodal invasion, and/or positive/close surgical margins. RESULTS The median follow-up period was 25 months ranging from 1 to 105 months. RPLN adenopathy was preoperatively identified in 9 patients in FDG-positron emission tomography. All of them had pathologically diagnosed RPLN metastases, which had been controlled in all patients during the observation periods. Among the other 89 patients, 7 patients had RPLN metastasis. The 2-year overall survival rates of the patients with and without RPLN metastasis were 65.7% and 69.8% (P = .61), respectively. CONCLUSIONS In the present study, patients with RPLN metastasis showed equally favorable oncological outcome compared with patients without RPLN metastasis. At least, ipsilateral RPLN dissection should be considered in the surgical treatment of advanced hypopharyngeal cancer and multiple neck lymph node metastasis regardless of primary subsite.
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Affiliation(s)
- Masanori Teshima
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Hyogo, Japan
| | - Naoki Otsuki
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Hyogo, Japan
| | - Hirotaka Shinomiya
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Hyogo, Japan
| | - Naruhiko Morita
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Hyogo, Japan
| | - Tatsuya Furukawa
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Hyogo, Japan
| | - Koichi Morimoto
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Hyogo, Japan
| | - Tetsu Nakamura
- Department of Gastrointestinal Surgery, Kobe University Graduate School of Medicine, Kobe, Hyogo, Japan
| | - Kazunobu Hashikawa
- Department of Plastic Surgery, Kobe University Graduate School of Medicine, Kobe, Hyogo, Japan
| | - Naomi Kiyota
- Department of Medical Oncology, Kobe University Graduate School of Medicine, Kobe, Hyogo, Japan
| | - Ryohei Sasaki
- Radiation Onocology, Kobe University Graduate School of Medicine, Kobe, Hyogo, Japan
| | - Ken-Ichi Nibu
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Hyogo, Japan
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Teshima M, Otsuki N, Morita N, Furukawa T, Shinomiya H, Shinomiya H, Nibu KI. Postoperative hypoparathyroidism after total thyroidectomy for thyroid cancer. Auris Nasus Larynx 2018; 45:1233-1238. [DOI: 10.1016/j.anl.2018.04.008] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2018] [Revised: 03/25/2018] [Accepted: 04/23/2018] [Indexed: 11/28/2022]
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Fujio H, Otsuki N, Horichi Y, Yanagisawa S, Nishio M, Teshima M, Shinomiya H, Hashikawa K, Nibu KI. Cardiac metastasis in a living patient with oral cancer. Auris Nasus Larynx 2018; 46:902-906. [PMID: 30470634 DOI: 10.1016/j.anl.2018.10.018] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2018] [Revised: 10/23/2018] [Accepted: 10/29/2018] [Indexed: 11/19/2022]
Abstract
Cardiac metastasis from head and neck cancers are very rare. Metastases to heart are mostly diagnosed at autopsy, and seldom found while patients are alive. Patients with cardiac metastasis do not present with specific symptoms in the early stages, and diagnosis is often delayed until the disease has advanced significantly. Here, we report a 66-year-old lady who was diagnosed with cardiac metastasis 10 months after surgical resection of oral cancer. She died one month following the discovery of cardiac metastasis. Cardiac metastasis should be considered when unexplained and progressive decline of general health is observed, even in the absence of abnormalities on the electrocardiogram. Early diagnosis may be made by analyzing the chronological changes in the cardiac accumulation of fluorodeoxyglucose during positron emission tomography-computed tomography scan.
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Affiliation(s)
- Hisami Fujio
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Naoki Otsuki
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.
| | - Yuto Horichi
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Shungaku Yanagisawa
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Mari Nishio
- Division of Pathology, Department of Pathology, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Masanori Teshima
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Hirotaka Shinomiya
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Kazunobu Hashikawa
- Department of Plastic Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Ken-Ichi Nibu
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
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Takahashi M, Kosaka N, Wakui E, Iwaki S, Nishii M, Teshima M, Shinomiya H, Morimoto K, Kiyota N, Sasaki R, Usami M, Otsuki N, Nibu KI. Role of intensive nutrition support and prophylactic percutaneous endoscopic gastrostomy during concomitant chemoradiotherapy for oropharyngeal cancer. Int J Clin Oncol 2018; 23:1023-1028. [PMID: 30121869 DOI: 10.1007/s10147-018-1328-x] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2018] [Accepted: 07/31/2018] [Indexed: 11/30/2022]
Abstract
BACKGROUND Concomitant chemoradiotherapy (CCRT) produces severe mucositis and swallowing dysfunction, often resulting in malnutrition. Intensive nutrition support (INS) in addition to percutaneous endoscopic gastrostomy (PEG) is reported to decrease adverse effects during CCRT. PATIENTS AND METHODS Fifty-eight patients with oropharyngeal cancer treated by CDDP-based CCRT were retrospectively analyzed. Twenty-nine patients treated with INS in addition to PEG were classified as INS group, and other 29 patients treated with PEG but without INS were classified as control group. RESULTS INS in addition to PEG significantly increased calorie intake in the second half of CCRT and reduced adverse events including mucositis (p = 0.0019), leukopenia (p = 0.04), and renal function (p = 0.006). Moreover, 21 out of 29 patients had successfully administration of 200 mg/m2 or more of CDDP, while only 10 out of 29 patients had enough amount of CDDP in control group. CONCLUSIONS These results suggest that INS in addition to prophylactic PEG not only decreases adverse effects but also may potentially improve oncological outcome of the patients with oropharyngeal cancer treated by CCRT.
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Affiliation(s)
- Miki Takahashi
- Department of Rehabilitation, Kobe University Hospital, Kobe, Japan
| | - Nana Kosaka
- Division of Nutrition and Metabolism, Kobe University Graduate School of Health Sciences, Kobe, Japan
| | - Emi Wakui
- Department of Rehabilitation, Kobe University Hospital, Kobe, Japan
| | - Shinobu Iwaki
- Department of Rehabilitation, Kobe University Hospital, Kobe, Japan
| | - Mika Nishii
- Department of Rehabilitation, Kobe University Hospital, Kobe, Japan
| | - Masanori Teshima
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Hospital, Kobe, Japan
| | - Hirotaka Shinomiya
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Hospital, Kobe, Japan
| | - Koichi Morimoto
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Hospital, Kobe, Japan
| | - Naomi Kiyota
- Department of Medical Oncology and Hematology, Kobe University Hospital, Kobe, Japan
| | - Ryohei Sasaki
- Department of Radiation Oncology, Kobe University Hospital, Kobe, Japan
| | - Makoto Usami
- Division of Nutrition and Metabolism, Kobe University Graduate School of Health Sciences, Kobe, Japan
| | - Naoki Otsuki
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Hospital, Kobe, Japan.
| | - Ken-Ichi Nibu
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Hospital, Kobe, Japan
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Avinçsal MO, Shinomiya H, Teshima M, Kubo M, Otsuki N, Kyota N, Sasaki R, Zen Y, Nibu KI. Impact of alcohol dehydrogenase-aldehyde dehydrogenase polymorphism on clinical outcome in patients with hypopharyngeal cancer. Head Neck 2017; 40:770-777. [PMID: 29286190 DOI: 10.1002/hed.25050] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2017] [Revised: 09/04/2017] [Accepted: 11/16/2017] [Indexed: 11/06/2022] Open
Abstract
BACKGROUND The purpose of this research was to investigate the association between alcohol dehydrogenase 1B (ADH1B) and aldehyde dehydrogenase 2 (ALDH2) polymorphisms and hypopharyngeal squamous cell carcinoma (SCC) survival. METHODS We genotyped ADH1B (rs1229984) and ALDH2 (rs671) single nucleotide polymorphisms (SNPs) in 85 Japanese male patients with hypopharyngeal SCC. The independent prognostic values of ADH1B-ALDH2 genotypes were analyzed by univariate and multivariate proportional hazard Cox regression, taking well-known clinical risk factors into account. RESULTS Heavy drinkers with ALDH2*2 allele resulted in significantly worse overall survival (OS; P = .028) and disease-free survival (DFS; P = .029) compared with other patients. Heavy drinkers with ALDH2*2 allele remained statistically significant in multivariate analysis for OS and DFS, indicating independent poor prognostic factor (hazard ratio [HR] 2.251; 95% confidence interval [CI] 1.018-4.975 and HR 2.261; 95% CI 1.021-5.006, respectively). CONCLUSION We conclude that heavy drinkers with the ALDH2*2 allele are associated with poor outcome in hypopharyngeal SCC.
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Affiliation(s)
- Mehmet Ozgur Avinçsal
- Department of Otolaryngology - Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.,Department of Diagnostic Pathology, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Hirotaka Shinomiya
- Department of Otolaryngology - Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Masanori Teshima
- Department of Otolaryngology - Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Mie Kubo
- Department of Otolaryngology - Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Naoki Otsuki
- Department of Otolaryngology - Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Naomi Kyota
- Department of Medical Oncology and Hematology, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Ryohei Sasaki
- Department of Radiation Oncology, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Yoh Zen
- Department of Diagnostic Pathology, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Ken-Ichi Nibu
- Department of Otolaryngology - Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
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Shinomiya H, Shinomiya H, Kubo M, Saito Y, Yoshida M, Ando M, Teshima M, Otsuki N, Kiyota N, Sasaki R, Nibu KI. Prognostic value of ALDH2 polymorphism for patients with oropharyngeal cancer in a Japanese population. PLoS One 2017; 12:e0187992. [PMID: 29206831 PMCID: PMC5716598 DOI: 10.1371/journal.pone.0187992] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2017] [Accepted: 10/30/2017] [Indexed: 01/02/2023] Open
Abstract
Background Half of Japanese possess a polymorphism of aldehyde dehydrogenase 2(ALDH2), while few white individuals possess this mutation. The purpose of this study was to investigate the possibility of ALDH2 polymorphism as a prognostic factor for oropharyngeal cancer (OPC) among Japanese population. Methods We analyzed 82 Japanese patients with OPC treated between 2006 and 2011. The median observation period was 50 months. P16-staining and ALDH2 polymorphisms were investigated. To examine the frequencies of second primary pharyngeal and esophageal cancers (SPPEC),37 Japanese patients with OPC treated at Tokyo University Hospital were included for statistical analysis. Results Statistically significant differences were noted in OS among sex, age, N classification, and p16 (p = 0.045, 0.024, 0.020, 0.007, respectively). In addition, OS and DSS rates of the patients with heterozygous ALDH2 tended to be worse than those of the patients with homozygous ALDH2 (p = 0.21, 0.086, respectively). Of note, OS and DSS of the patients with p16-negative OPC and heterozygous ALDH2 was significant poorer than those of the patients with p16-positive OPC (p = 0.002, 0.006, respectively), while there was no significant difference in OS and DSS between patients with p16-positive OPC and patients with p16-negative OPC and homozygous ALDH2. Conclusions ALDH2 polymorphism might be a promising prognostic factor for Japanese patients with p16-negative OPC.
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Affiliation(s)
- Hirotaka Shinomiya
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
- * E-mail: (HS); (KIN)
| | - Hitomi Shinomiya
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Mie Kubo
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Yuki Saito
- Department of Head and Neck Surgery-Otolaryngology, University of Tokyo, Tokyo, Japan
| | - Masafumi Yoshida
- Department of Head and Neck Surgery-Otolaryngology, University of Tokyo, Tokyo, Japan
| | - Mizuo Ando
- Department of Head and Neck Surgery-Otolaryngology, University of Tokyo, Tokyo, Japan
| | - Masanori Teshima
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Naoki Otsuki
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Naomi Kiyota
- Department of Medical Oncology and Hematology, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Ryohei Sasaki
- Department of Radiation Oncology, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Ken-ichi Nibu
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
- * E-mail: (HS); (KIN)
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Matsumoto F, Mori T, Matsumura S, Matsumoto Y, Fukasawa M, Teshima M, Kobayashi K, Yoshimoto S. Prognostic significance of surgical extranodal extension in head and neck squamous cell carcinoma patients. Jpn J Clin Oncol 2017; 47:699-704. [PMID: 28430988 DOI: 10.1093/jjco/hyx055] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2017] [Accepted: 04/05/2017] [Indexed: 11/15/2022] Open
Abstract
Background Lymph node metastasis with extranodal extension represents one of the most important adverse prognostic factors for survival in patients with head and neck squamous cell carcinoma. We propose that extranodal extension occurs to differing extents. The aim of this study was to determine the prognostic significance of extranodal extension in patients with head and neck squamous cell carcinoma. Methods Two hundred and ninety-eight patients with head and neck squamous cell carcinoma who underwent surgical resection and neck dissection were included. Cervical lymph nodes were classified into four categories: (i) pathological N negative, (ii) extranodal extension negative, (iii) non-surgical extranodal extension and (iv) surgical extranodal extension. Results Lymph node metastases were detected in 67.1% of laryngeal/hypopharyngeal cancer patients and 52.7% of oral cancer patients. The 3-year disease-specific survival rates for patients in the pathological N negative, extranodal extension negative, non-surgical extranodal extension and surgical extranodal extension groups were 90.9%, 79.6%, 63.8% and 48.3%, respectively. In laryngeal/hypopharyngeal cancer patients, surgical extranodal extension was associated with a significantly poorer disease-specific survival than a pathological N negative, extranodal extension negative or non-surgical extranodal extension status. In oral cancer patients, no significant differences were observed between the non-surgical and surgical extranodal extension groups. However, non-surgical extranodal extension was associated with a poorer disease-specific survival than a pathological N negative or extranodal extension negative status. Conclusions Surgical extranodal extension was a poor prognostic factor in patients with head and neck squamous cell carcinoma. The prognostic significance of surgical extranodal extension differed between laryngeal/hypopharyngeal and oral cancer patients. The clinical significance of surgical extranodal extension was much greater for patients with laryngeal/hypopharyngeal cancer than oral cancer.
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Affiliation(s)
- Fumihiko Matsumoto
- Department of Head and Neck Oncology, National Cancer Center Hospital, Tokyo
| | - Taisuke Mori
- Department of Pathology and Clinical Laboratory, National Cancer Center Hospital, Tokyo, Japan
| | - Satoko Matsumura
- Department of Head and Neck Oncology, National Cancer Center Hospital, Tokyo
| | - Yoshifumi Matsumoto
- Department of Head and Neck Oncology, National Cancer Center Hospital, Tokyo
| | - Masahiko Fukasawa
- Department of Head and Neck Oncology, National Cancer Center Hospital, Tokyo
| | - Masanori Teshima
- Department of Head and Neck Oncology, National Cancer Center Hospital, Tokyo
| | - Kenya Kobayashi
- Department of Head and Neck Oncology, National Cancer Center Hospital, Tokyo
| | - Seiichi Yoshimoto
- Department of Head and Neck Oncology, National Cancer Center Hospital, Tokyo
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Teshima M, Shinomiya H, Otsuki N, Kimura H, Taniguchi M, Hashikawa K, Kohmura E, Nibu KI. Complications in Salvage Surgery for Nasal and Paranasal Malignant Tumors Involving the Skull Base. J Neurol Surg B Skull Base 2017; 79:224-228. [PMID: 29765819 DOI: 10.1055/s-0037-1606382] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2017] [Accepted: 07/30/2017] [Indexed: 10/18/2022] Open
Abstract
Objective Nasal and paranasal malignant tumors invading the skull base are rare and poorly studied. We evaluated postoperative complications in patients undergoing salvage surgery for such tumors. Design Retrospective study. Setting Kobe University Hospital. Participants Among 48 patients who underwent surgery for tumors involving the skull base between 1993 and 2015, 21 patients had squamous cell carcinoma, 13 had olfactory neuroblastoma, 5 had adenocarcinoma, 2 had sarcoma, 2 had adenoid cystic carcinoma, and 1 each had malignant melanoma, poorly differentiated carcinoma, undifferentiated carcinoma, myoepithelial carcinoma, and malignant peripheral nerve sheath tumor. Prior to skull base surgery, radiotherapy, chemoradiotherapy (CRT), particle radiotherapy, chemotherapy, or surgery were applied in 3, 15, 4, 5, and 3 patients, respectively. Main Outcome Measures Main outcome measures were postoperative complications in patients who underwent skull base surgery after concomitant CRT and/or particle therapy. Results Major postoperative complications were observed in 14 surgical procedures (29%; 2 patients with cerebral herniation, 3 with cerebrospinal fluid leakages, 3 with meningitis, 1 with hydrocephalus, 6 with epidural abscesses, 2 with local infections, and 2 with partial flap necrosis). Four patients developed ≥2 complications. One patient died of postoperative lung infarction. Three (16.7%) of 18 patients without prior treatment and 9 (50%) of 18 patients who underwent preoperative radiotherapy/CRT had severe postoperative complications. Two (50%) of four patients treated with particle radiotherapy had postoperative complications. Conclusions CRT or particle radiotherapy were significantly associated with a high risk of severe postoperative complications after skull base surgery. Meticulous care should be taken in patients treated with radiotherapy/particle therapy prior to skull base surgery.
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Affiliation(s)
- Masanori Teshima
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Hirotaka Shinomiya
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Naoki Otsuki
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Hidehito Kimura
- Department of Neurosurgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Masaaki Taniguchi
- Department of Neurosurgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Kazunobu Hashikawa
- Department of Plastic Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Eiji Kohmura
- Department of Neurosurgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Ken-Ichi Nibu
- Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
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Kobayashi K, Mori T, Matsumoto F, Murakami N, Teshima M, Fukasawa M, Matsumoto Y, Matsumura S, Itami J, Asai M, Yoshimoto S. Impact of microscopic orbital periosteum invasion in orbital preservation surgery. Jpn J Clin Oncol 2017; 47:321-327. [DOI: 10.1093/jjco/hyw207] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2016] [Accepted: 12/28/2016] [Indexed: 11/12/2022] Open
Affiliation(s)
- Kenya Kobayashi
- Department of Head and Neck Oncology, National Cancer Center Hospital, Tokyo
| | - Taisuke Mori
- Department of Pathology, National Cancer Center Hospital, Tokyo
| | - Fumihiko Matsumoto
- Department of Head and Neck Oncology, National Cancer Center Hospital, Tokyo
| | - Naoya Murakami
- Department of Radiation oncology, National Cancer Center Hospital, Tokyo
| | - Masanori Teshima
- Department of Head and Neck Oncology, National Cancer Center Hospital, Tokyo
| | - Masahiko Fukasawa
- Department of Head and Neck Oncology, National Cancer Center Hospital, Tokyo
| | - Yoshifumi Matsumoto
- Department of Head and Neck Oncology, National Cancer Center Hospital, Tokyo
| | - Satoko Matsumura
- Department of Head and Neck Oncology, National Cancer Center Hospital, Tokyo
| | - Jun Itami
- Department of Radiation oncology, National Cancer Center Hospital, Tokyo
| | - Masahiro Asai
- Department of Otolaryngology, Kamagaya General Hospital, Tokyo, Japan
| | - Seiichi Yoshimoto
- Department of Head and Neck Oncology, National Cancer Center Hospital, Tokyo
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Kobayashi K, Matsumoto F, Kodaira M, Mori T, Murakami N, Yoshida A, Maki D, Teshima M, Fukasawa M, Itami J, Asai M, Yoshimoto S. Significance of delayed primary excision in localized nonmetastatic adult head and neck rhabdomyosarcoma. Cancer Med 2016; 5:2708-2714. [PMID: 27565892 PMCID: PMC5083723 DOI: 10.1002/cam4.855] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2016] [Revised: 07/11/2016] [Accepted: 07/14/2016] [Indexed: 12/28/2022] Open
Abstract
Adult rhabdomyosarcoma (RMS) is a highly aggressive tumor. Multidisciplinary treatment is important. However, the role of surgery is controversial. The purpose of this study was to reveal the role of a delayed primary excision (DPE) after induction chemotherapy (IC) in localized nonmetastatic adult head and neck RMS. We retrospectively reviewed 24 adult head and neck RMS. Treatment was classified into the following two groups: the DPE group, who received IC followed by surgery, postoperative radiotherapy, and adjuvant chemotherapy (17 patients); the chemoradiotherapy (CRT) group, who received IC followed by chemoradiotherapy (seven patients). We analyzed the efficacy of IC, local control rate (LCR), and overall survival (OS). In the DPE group, 10 patients (59%) underwent complete surgical resection. In the evaluation of the surgical specimens, 14 patients (82%) had residual viable tumors after IC. The response to IC was significantly associated with the 3‐year LCR (CR/PR vs. SD/PD: 100% vs. 33%, P = 0.0014). In patients with good response to chemotherapy, the DPE group had a significantly better 3‐year LCR compared with that of the CRT group (DPE group vs. CRT group, 100% vs. 44%, P = 0.018). However, the treatment modalities were not associated with OS (DPE group vs. CRT group, 65% vs. 57%: P = 0.98). The recurrence patterns differed according to treatments, and distant metastases were more frequent in the DPE group. DPE may impact local control of localized nonmetastatic adult head and neck RMS. Poor response to IC is a risk factor for local recurrence.
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Affiliation(s)
- Kenya Kobayashi
- Department of Head and Neck Oncology, National Cancer Center Hospital, Tokyo, Japan.
| | - Fumihiko Matsumoto
- Department of Head and Neck Oncology, National Cancer Center Hospital, Tokyo, Japan
| | - Makoto Kodaira
- Department of Medical Oncology and Breast Oncology, National Cancer Center Hospital, Tokyo, Japan
| | - Taisuke Mori
- Department of Pathology, National Cancer Center Hospital, Tokyo, Japan
| | - Naoya Murakami
- Department of Radiation Oncology, National Cancer Center Hospital, Tokyo, Japan
| | - Akihiko Yoshida
- Department of Pathology, National Cancer Center Hospital, Tokyo, Japan
| | - Daisuke Maki
- Department of Head and Neck Oncology, National Cancer Center Hospital, Tokyo, Japan
| | - Masanori Teshima
- Department of Head and Neck Oncology, National Cancer Center Hospital, Tokyo, Japan
| | - Masahiko Fukasawa
- Department of Head and Neck Oncology, National Cancer Center Hospital, Tokyo, Japan
| | - Jun Itami
- Department of Radiation Oncology, National Cancer Center Hospital, Tokyo, Japan
| | - Masahiro Asai
- Department of Otolaryngology, Kamagaya General Hospital, Tokyo, Japan
| | - Seiichi Yoshimoto
- Department of Head and Neck Oncology, National Cancer Center Hospital, Tokyo, Japan
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Aleksić J, Ansoldi S, Antonelli LA, Antoranz P, Babic A, Bangale P, Barrio JA, González JB, Bednarek W, Bernardini E, Biasuzzi B, Biland A, Blanch O, Bonnefoy S, Bonnoli G, Borracci F, Bretz T, Carmona E, Carosi A, Colin P, Colombo E, Contreras JL, Cortina J, Covino S, Da Vela P, Dazzi F, De Angelis A, De Caneva G, De Lotto B, Wilhelmi EDO, Mendez CD, Prester DD, Dorner D, Doro M, Einecke S, Eisenacher D, Elsaesser D, Fonseca MV, Font L, Frantzen K, Fruck C, Galindo D, López RJG, Garczarczyk M, Terrats DG, Gaug M, Godinović N, Muñoz AG, Gozzini SR, Hadasch D, Hanabata Y, Hayashida M, Herrera J, Hildebrand D, Hose J, Hrupec D, Idec W, Kadenius V, Kellermann H, Kodani K, Konno Y, Krause J, Kubo H, Kushida J, La Barbera A, Lelas D, Lewandowska N, Lindfors E, Lombardi S, Longo F, López M, López-Coto R, López-Oramas A, Lorenz E, Lozano I, Makariev M, Mallot K, Maneva G, Mankuzhiyil N, Mannheim K, Maraschi L, Marcote B, Mariotti M, Martínez M, Mazin D, Menzel U, Miranda JM, Mirzoyan R, Moralejo A, Munar-Adrover P, Nakajima D, Niedzwiecki A, Nilsson K, Nishijima K, Noda K, Orito R, Overkemping A, Paiano S, Palatiello M, Paneque D, Paoletti R, Paredes JM, Paredes-Fortuny X, Persic M, Poutanen J, Moroni PGP, Prandini E, Puljak I, Reinthal R, Rhode W, Ribó M, Rico J, Garcia JR, Rügamer S, Saito T, Saito K, Satalecka K, Scalzotto V, Scapin V, Schultz C, Schweizer T, Shore SN, Sillanpää A, Sitarek J, Snidaric I, Sobczynska D, Spanier F, Stamatescu V, Stamerra A, Steinbring T, Storz J, Strzys M, Takalo L, Takami H, Tavecchio F, Temnikov P, Terzić T, Tescaro D, Teshima M, Thaele J, Tibolla O, Torres DF, Toyama T, Treves A, Uellenbeck M, Vogler P, Zanin R, Kadler M, Schulz R, Ros E, Bach U, Krauß F, Wilms J. Black hole lightning due to particle acceleration at subhorizon scales. Science 2014; 346:1080-4. [DOI: 10.1126/science.1256183] [Citation(s) in RCA: 100] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022]
Affiliation(s)
- J. Aleksić
- Institut de Física d’Altes Energies, Campus UAB, E-08193 Bellaterra, Spain
| | - S. Ansoldi
- Università di Udine and Istituto Nazionale di Fisica Nucleare (INFN) Trieste, I-33100 Udine, Italy, and Istituto Nazionale di Astrofisica (INAF)-Trieste, I-34127 Trieste, Italy
| | - L. A. Antonelli
- INAF National Institute for Astrophysics, I-00136 Rome, Italy
| | - P. Antoranz
- Università di Siena and INFN Pisa, I-53100 Siena, Italy
| | - A. Babic
- Croatian MAGIC Consortium, Rudjer Boskovic Institute, University of Rijeka and University of Split, HR-10000 Zagreb, Croatia
| | - P. Bangale
- Max-Planck-Institut für Physik, D-80805 München, Germany
| | | | - J. Becerra González
- Instituto de Astrofísica de Canarias, E-38200 La Laguna, Tenerife, Spain
- Present address: NASA Goddard Space Flight Center, Greenbelt, MD 20771, USA, and Department of Physics and Department of Astronomy, University of Maryland, College Park, MD 20742, USA
| | | | - E. Bernardini
- Deutsches Elektronen-Synchrotron, D-15738 Zeuthen, Germany
| | - B. Biasuzzi
- Università di Udine and Istituto Nazionale di Fisica Nucleare (INFN) Trieste, I-33100 Udine, Italy, and Istituto Nazionale di Astrofisica (INAF)-Trieste, I-34127 Trieste, Italy
| | - A. Biland
- ETH Zurich, CH-8093 Zurich, Switzerland
| | - O. Blanch
- Institut de Física d’Altes Energies, Campus UAB, E-08193 Bellaterra, Spain
| | - S. Bonnefoy
- Universidad Complutense, E-28040 Madrid, Spain
| | - G. Bonnoli
- INAF National Institute for Astrophysics, I-00136 Rome, Italy
| | - F. Borracci
- Max-Planck-Institut für Physik, D-80805 München, Germany
| | - T. Bretz
- Universität Würzburg, D-97074 Würzburg, Germany
- Present address: Ecole Polytechnique Fédérale de Lausanne (EPFL), Lausanne, Switzerland
| | - E. Carmona
- Centro de Investigaciones Energéticas, Medioambientales y Tecnológicas, E-28040 Madrid, Spain
| | - A. Carosi
- INAF National Institute for Astrophysics, I-00136 Rome, Italy
| | - P. Colin
- Max-Planck-Institut für Physik, D-80805 München, Germany
| | - E. Colombo
- Instituto de Astrofísica de Canarias, E-38200 La Laguna, Tenerife, Spain
| | | | - J. Cortina
- Institut de Física d’Altes Energies, Campus UAB, E-08193 Bellaterra, Spain
| | - S. Covino
- INAF National Institute for Astrophysics, I-00136 Rome, Italy
| | - P. Da Vela
- Università di Siena and INFN Pisa, I-53100 Siena, Italy
| | - F. Dazzi
- Max-Planck-Institut für Physik, D-80805 München, Germany
| | - A. De Angelis
- Università di Udine and Istituto Nazionale di Fisica Nucleare (INFN) Trieste, I-33100 Udine, Italy, and Istituto Nazionale di Astrofisica (INAF)-Trieste, I-34127 Trieste, Italy
| | - G. De Caneva
- Deutsches Elektronen-Synchrotron, D-15738 Zeuthen, Germany
| | - B. De Lotto
- Università di Udine and Istituto Nazionale di Fisica Nucleare (INFN) Trieste, I-33100 Udine, Italy, and Istituto Nazionale di Astrofisica (INAF)-Trieste, I-34127 Trieste, Italy
| | | | - C. Delgado Mendez
- Centro de Investigaciones Energéticas, Medioambientales y Tecnológicas, E-28040 Madrid, Spain
| | - D. Dominis Prester
- Croatian MAGIC Consortium, Rudjer Boskovic Institute, University of Rijeka and University of Split, HR-10000 Zagreb, Croatia
| | - D. Dorner
- Universität Würzburg, D-97074 Würzburg, Germany
| | - M. Doro
- Università di Padova and INFN, I-35131 Padova, Italy
| | - S. Einecke
- Technische Universität Dortmund, D-44221 Dortmund, Germany
| | | | | | | | - L. Font
- Unitat de Física de les Radiacions, Departament de Física, and Centro de Estudios e Investigación Espaciales-Institut d’Estudis Espacials de Catalunya, Universitat Autònoma de Barcelona, E-08193 Bellaterra, Spain
| | - K. Frantzen
- Technische Universität Dortmund, D-44221 Dortmund, Germany
| | - C. Fruck
- Max-Planck-Institut für Physik, D-80805 München, Germany
| | - D. Galindo
- Universitat de Barcelona, Institut de Ciències del Cosmos, Institut d’Estudis Espacials de Catalunya-Universitat de Barcelona, E-08028 Barcelona, Spain
| | - R. J. García López
- Instituto de Astrofísica de Canarias, E-38200 La Laguna, Tenerife, Spain
| | - M. Garczarczyk
- Deutsches Elektronen-Synchrotron, D-15738 Zeuthen, Germany
| | - D. Garrido Terrats
- Unitat de Física de les Radiacions, Departament de Física, and Centro de Estudios e Investigación Espaciales-Institut d’Estudis Espacials de Catalunya, Universitat Autònoma de Barcelona, E-08193 Bellaterra, Spain
| | - M. Gaug
- Unitat de Física de les Radiacions, Departament de Física, and Centro de Estudios e Investigación Espaciales-Institut d’Estudis Espacials de Catalunya, Universitat Autònoma de Barcelona, E-08193 Bellaterra, Spain
| | - N. Godinović
- Croatian MAGIC Consortium, Rudjer Boskovic Institute, University of Rijeka and University of Split, HR-10000 Zagreb, Croatia
| | - A. González Muñoz
- Institut de Física d’Altes Energies, Campus UAB, E-08193 Bellaterra, Spain
| | - S. R. Gozzini
- Deutsches Elektronen-Synchrotron, D-15738 Zeuthen, Germany
| | - D. Hadasch
- Institute of Space Sciences, E-08193 Barcelona, Spain
- Present address: Institut für Astro- und Teilchenphysik, Leopold-Franzens-Universität Innsbruck, A-6020 Innsbruck, Austria
| | - Y. Hanabata
- Japanese MAGIC Consortium, Division of Physics and Astronomy, Kyoto University, Japan
| | - M. Hayashida
- Japanese MAGIC Consortium, Division of Physics and Astronomy, Kyoto University, Japan
| | - J. Herrera
- Instituto de Astrofísica de Canarias, E-38200 La Laguna, Tenerife, Spain
| | | | - J. Hose
- Max-Planck-Institut für Physik, D-80805 München, Germany
| | - D. Hrupec
- Croatian MAGIC Consortium, Rudjer Boskovic Institute, University of Rijeka and University of Split, HR-10000 Zagreb, Croatia
| | - W. Idec
- University of Łódz', PL-90236 Lodz, Poland
| | - V. Kadenius
- Finnish MAGIC Consortium, Tuorla Observatory, University of Turku and Department of Physics, University of Oulu, Finland
| | - H. Kellermann
- Max-Planck-Institut für Physik, D-80805 München, Germany
| | - K. Kodani
- Japanese MAGIC Consortium, Division of Physics and Astronomy, Kyoto University, Japan
| | - Y. Konno
- Japanese MAGIC Consortium, Division of Physics and Astronomy, Kyoto University, Japan
| | - J. Krause
- Max-Planck-Institut für Physik, D-80805 München, Germany
| | - H. Kubo
- Japanese MAGIC Consortium, Division of Physics and Astronomy, Kyoto University, Japan
| | - J. Kushida
- Japanese MAGIC Consortium, Division of Physics and Astronomy, Kyoto University, Japan
| | - A. La Barbera
- INAF National Institute for Astrophysics, I-00136 Rome, Italy
| | - D. Lelas
- Croatian MAGIC Consortium, Rudjer Boskovic Institute, University of Rijeka and University of Split, HR-10000 Zagreb, Croatia
| | | | - E. Lindfors
- Finnish MAGIC Consortium, Tuorla Observatory, University of Turku and Department of Physics, University of Oulu, Finland
- Present address: Finnish Centre for Astronomy with ESO (FINCA), Turku, Finland
| | - S. Lombardi
- INAF National Institute for Astrophysics, I-00136 Rome, Italy
| | - F. Longo
- Università di Udine and Istituto Nazionale di Fisica Nucleare (INFN) Trieste, I-33100 Udine, Italy, and Istituto Nazionale di Astrofisica (INAF)-Trieste, I-34127 Trieste, Italy
| | - M. López
- Universidad Complutense, E-28040 Madrid, Spain
| | - R. López-Coto
- Institut de Física d’Altes Energies, Campus UAB, E-08193 Bellaterra, Spain
| | - A. López-Oramas
- Institut de Física d’Altes Energies, Campus UAB, E-08193 Bellaterra, Spain
| | | | - I. Lozano
- Universidad Complutense, E-28040 Madrid, Spain
| | - M. Makariev
- Institute for Nuclear Research and Nuclear Energy, BG-1784 Sofia, Bulgaria
| | - K. Mallot
- Deutsches Elektronen-Synchrotron, D-15738 Zeuthen, Germany
| | - G. Maneva
- Institute for Nuclear Research and Nuclear Energy, BG-1784 Sofia, Bulgaria
| | - N. Mankuzhiyil
- Università di Udine and Istituto Nazionale di Fisica Nucleare (INFN) Trieste, I-33100 Udine, Italy, and Istituto Nazionale di Astrofisica (INAF)-Trieste, I-34127 Trieste, Italy
- Present address: Astrophysics Science Division, Bhabha Atomic Research Centre, Mumbai 400085, India
| | - K. Mannheim
- Universität Würzburg, D-97074 Würzburg, Germany
| | - L. Maraschi
- INAF National Institute for Astrophysics, I-00136 Rome, Italy
| | - B. Marcote
- Universitat de Barcelona, Institut de Ciències del Cosmos, Institut d’Estudis Espacials de Catalunya-Universitat de Barcelona, E-08028 Barcelona, Spain
| | - M. Mariotti
- Università di Padova and INFN, I-35131 Padova, Italy
| | - M. Martínez
- Institut de Física d’Altes Energies, Campus UAB, E-08193 Bellaterra, Spain
| | - D. Mazin
- Max-Planck-Institut für Physik, D-80805 München, Germany
| | - U. Menzel
- Max-Planck-Institut für Physik, D-80805 München, Germany
| | - J. M. Miranda
- Università di Siena and INFN Pisa, I-53100 Siena, Italy
| | - R. Mirzoyan
- Max-Planck-Institut für Physik, D-80805 München, Germany
| | - A. Moralejo
- Institut de Física d’Altes Energies, Campus UAB, E-08193 Bellaterra, Spain
| | - P. Munar-Adrover
- Universitat de Barcelona, Institut de Ciències del Cosmos, Institut d’Estudis Espacials de Catalunya-Universitat de Barcelona, E-08028 Barcelona, Spain
| | - D. Nakajima
- Japanese MAGIC Consortium, Division of Physics and Astronomy, Kyoto University, Japan
| | | | - K. Nilsson
- Finnish MAGIC Consortium, Tuorla Observatory, University of Turku and Department of Physics, University of Oulu, Finland
- Present address: Finnish Centre for Astronomy with ESO (FINCA), Turku, Finland
| | - K. Nishijima
- Japanese MAGIC Consortium, Division of Physics and Astronomy, Kyoto University, Japan
| | - K. Noda
- Max-Planck-Institut für Physik, D-80805 München, Germany
| | - R. Orito
- Japanese MAGIC Consortium, Division of Physics and Astronomy, Kyoto University, Japan
| | - A. Overkemping
- Technische Universität Dortmund, D-44221 Dortmund, Germany
| | - S. Paiano
- Università di Padova and INFN, I-35131 Padova, Italy
| | - M. Palatiello
- Università di Udine and Istituto Nazionale di Fisica Nucleare (INFN) Trieste, I-33100 Udine, Italy, and Istituto Nazionale di Astrofisica (INAF)-Trieste, I-34127 Trieste, Italy
| | - D. Paneque
- Max-Planck-Institut für Physik, D-80805 München, Germany
| | - R. Paoletti
- Università di Siena and INFN Pisa, I-53100 Siena, Italy
| | - J. M. Paredes
- Universitat de Barcelona, Institut de Ciències del Cosmos, Institut d’Estudis Espacials de Catalunya-Universitat de Barcelona, E-08028 Barcelona, Spain
| | - X. Paredes-Fortuny
- Universitat de Barcelona, Institut de Ciències del Cosmos, Institut d’Estudis Espacials de Catalunya-Universitat de Barcelona, E-08028 Barcelona, Spain
| | - M. Persic
- Università di Udine and Istituto Nazionale di Fisica Nucleare (INFN) Trieste, I-33100 Udine, Italy, and Istituto Nazionale di Astrofisica (INAF)-Trieste, I-34127 Trieste, Italy
| | - J. Poutanen
- Finnish MAGIC Consortium, Tuorla Observatory, University of Turku and Department of Physics, University of Oulu, Finland
| | | | | | - I. Puljak
- Croatian MAGIC Consortium, Rudjer Boskovic Institute, University of Rijeka and University of Split, HR-10000 Zagreb, Croatia
| | - R. Reinthal
- Finnish MAGIC Consortium, Tuorla Observatory, University of Turku and Department of Physics, University of Oulu, Finland
| | - W. Rhode
- Technische Universität Dortmund, D-44221 Dortmund, Germany
| | - M. Ribó
- Universitat de Barcelona, Institut de Ciències del Cosmos, Institut d’Estudis Espacials de Catalunya-Universitat de Barcelona, E-08028 Barcelona, Spain
| | - J. Rico
- Institut de Física d’Altes Energies, Campus UAB, E-08193 Bellaterra, Spain
| | | | - S. Rügamer
- Universität Würzburg, D-97074 Würzburg, Germany
| | - T. Saito
- Japanese MAGIC Consortium, Division of Physics and Astronomy, Kyoto University, Japan
| | - K. Saito
- Japanese MAGIC Consortium, Division of Physics and Astronomy, Kyoto University, Japan
| | | | - V. Scalzotto
- Università di Padova and INFN, I-35131 Padova, Italy
| | - V. Scapin
- Universidad Complutense, E-28040 Madrid, Spain
| | - C. Schultz
- Università di Padova and INFN, I-35131 Padova, Italy
| | - T. Schweizer
- Max-Planck-Institut für Physik, D-80805 München, Germany
| | - S. N. Shore
- Università di Pisa and INFN Pisa, I-56126 Pisa, Italy
| | - A. Sillanpää
- Finnish MAGIC Consortium, Tuorla Observatory, University of Turku and Department of Physics, University of Oulu, Finland
| | - J. Sitarek
- Institut de Física d’Altes Energies, Campus UAB, E-08193 Bellaterra, Spain
| | - I. Snidaric
- Croatian MAGIC Consortium, Rudjer Boskovic Institute, University of Rijeka and University of Split, HR-10000 Zagreb, Croatia
| | | | - F. Spanier
- Universität Würzburg, D-97074 Würzburg, Germany
| | - V. Stamatescu
- Institut de Física d’Altes Energies, Campus UAB, E-08193 Bellaterra, Spain
- Present address: School of Chemistry and Physics, University of Adelaide, Adelaide 5005, Australia
| | - A. Stamerra
- INAF National Institute for Astrophysics, I-00136 Rome, Italy
| | | | - J. Storz
- Universität Würzburg, D-97074 Würzburg, Germany
| | - M. Strzys
- Max-Planck-Institut für Physik, D-80805 München, Germany
| | - L. Takalo
- Finnish MAGIC Consortium, Tuorla Observatory, University of Turku and Department of Physics, University of Oulu, Finland
| | - H. Takami
- Japanese MAGIC Consortium, Division of Physics and Astronomy, Kyoto University, Japan
| | - F. Tavecchio
- INAF National Institute for Astrophysics, I-00136 Rome, Italy
| | - P. Temnikov
- Institute for Nuclear Research and Nuclear Energy, BG-1784 Sofia, Bulgaria
| | - T. Terzić
- Croatian MAGIC Consortium, Rudjer Boskovic Institute, University of Rijeka and University of Split, HR-10000 Zagreb, Croatia
| | - D. Tescaro
- Instituto de Astrofísica de Canarias, E-38200 La Laguna, Tenerife, Spain
| | - M. Teshima
- Max-Planck-Institut für Physik, D-80805 München, Germany
- Japanese MAGIC Consortium, Division of Physics and Astronomy, Kyoto University, Japan
| | - J. Thaele
- Technische Universität Dortmund, D-44221 Dortmund, Germany
| | - O. Tibolla
- Universität Würzburg, D-97074 Würzburg, Germany
| | - D. F. Torres
- ICREA and Institute of Space Sciences, E-08193 Barcelona, Spain
| | - T. Toyama
- Max-Planck-Institut für Physik, D-80805 München, Germany
| | - A. Treves
- Università dell’Insubria and INFN Milano Bicocca, Como, I-22100 Como, Italy
| | - M. Uellenbeck
- Technische Universität Dortmund, D-44221 Dortmund, Germany
| | - P. Vogler
- ETH Zurich, CH-8093 Zurich, Switzerland
| | - R. Zanin
- Universitat de Barcelona, Institut de Ciències del Cosmos, Institut d’Estudis Espacials de Catalunya-Universitat de Barcelona, E-08028 Barcelona, Spain
| | - M. Kadler
- Universität Würzburg, D-97074 Würzburg, Germany
| | - R. Schulz
- Universität Würzburg, D-97074 Würzburg, Germany
- Dr. Remeis-Sternwarte Bamberg, Astronomisches Institut der Universität Erlangen-Nürnberg, ECAP, D-96049 Bamberg, Germany
| | - E. Ros
- Max-Planck-Institut für Radioastronomie, D-53121 Bonn, Germany
- Observatori Astronòmic, Universitat de València, E-46980 Paterna, València, Spain
- Departament d’Astronomia i Astrofísica, Universitat de València, E-46100 Burjassot, València, Spain
| | - U. Bach
- Max-Planck-Institut für Radioastronomie, D-53121 Bonn, Germany
| | - F. Krauß
- Universität Würzburg, D-97074 Würzburg, Germany
- Dr. Remeis-Sternwarte Bamberg, Astronomisches Institut der Universität Erlangen-Nürnberg, ECAP, D-96049 Bamberg, Germany
| | - J. Wilms
- Dr. Remeis-Sternwarte Bamberg, Astronomisches Institut der Universität Erlangen-Nürnberg, ECAP, D-96049 Bamberg, Germany
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Teshima M, Iwae S, Hirayama Y, Furukawa T. Nonsteroidal anti-inflammatory drug treatment for desmoid tumor recurrence after surgery. Otolaryngol Head Neck Surg 2012; 147:978-9. [PMID: 22760417 DOI: 10.1177/0194599812453561] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- Masanori Teshima
- Department of Head and Neck Surgery, Hyogo Cancer Center, Hyogo, Akashi-shi, Hyogo, Japan
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Acciari VA, Aliu E, Arlen T, Bautista M, Beilicke M, Benbow W, Bradbury SM, Buckley JH, Bugaev V, Butt Y, Byrum K, Cannon A, Celik O, Cesarini A, Chow YC, Ciupik L, Cogan P, Cui W, Dickherber R, Fegan SJ, Finley JP, Fortin P, Fortson L, Furniss A, Gall D, Gillanders GH, Grube J, Guenette R, Gyuk G, Hanna D, Holder J, Horan D, Hui CM, Humensky TB, Imran A, Kaaret P, Karlsson N, Kieda D, Kildea J, Konopelko A, Krawczynski H, Krennrich F, Lang MJ, LeBohec S, Maier G, McCann A, McCutcheon M, Millis J, Moriarty P, Ong RA, Otte AN, Pandel D, Perkins JS, Petry D, Pohl M, Quinn J, Ragan K, Reyes LC, Reynolds PT, Roache E, Roache E, Rose HJ, Schroedter M, Sembroski GH, Smith AW, Swordy SP, Theiling M, Toner JA, Varlotta A, Vincent S, Wakely SP, Ward JE, Weekes TC, Weinstein A, Williams DA, Wissel S, Wood M, Walker RC, Davies F, Hardee PE, Junor W, Ly C, Aharonian F, Akhperjanian AG, Anton G, Barres de Almeida U, Bazer-Bachi AR, Becherini Y, Behera B, Bernlöhr K, Bochow A, Boisson C, Bolmont J, Borrel V, Brucker J, Brun F, Brun P, Bühler R, Bulik T, Büsching I, Boutelier T, Chadwick PM, Charbonnier A, Chaves RCG, Cheesebrough A, Chounet LM, Clapson AC, Coignet G, Dalton M, Daniel MK, Davids ID, Degrange B, Deil C, Dickinson HJ, Djannati-Ataï A, Domainko W, Drury LO, Dubois F, Dubus G, Dyks J, Dyrda M, Egberts K, Emmanoulopoulos D, Espigat P, Farnier C, Feinstein F, Fiasson A, Förster A, Fontaine G, Füssling M, Gabici S, Gallant YA, Gérard L, Gerbig D, Giebels B, Glicenstein JF, Glück B, Goret P, Göhring D, Hauser D, Hauser M, Heinz S, Heinzelmann G, Henri G, Hermann G, Hinton JA, Hoffmann A, Hofmann W, Holleran M, Hoppe S, Horns D, Jacholkowska A, de Jager OC, Jahn C, Jung I, Katarzyński K, Katz U, Kaufmann S, Kendziorra E, Kerschhaggl M, Khangulyan D, Khélifi B, Keogh D, Kluźniak W, Kneiske T, Komin N, Kosack K, Lamanna G, Lenain JP, Lohse T, Marandon V, Martin JM, Martineau-Huynh O, Marcowith A, Maurin D, McComb TJL, Medina MC, Moderski R, Moulin E, Naumann-Godo M, de Naurois M, Nedbal D, Nekrassov D, Nicholas B, Niemiec J, Nolan SJ, Ohm S, Olive JF, de Oña Wilhelmi E, Orford KJ, Ostrowski M, Panter M, Paz Arribas M, Pedaletti G, Pelletier G, Petrucci PO, Pita S, Pühlhofer G, Punch M, Quirrenbach A, Raubenheimer BC, Raue M, Rayner SM, Renaud M, Rieger F, Ripken J, Rob L, Rosier-Lees S, Rowell G, Rudak B, Rulten CB, Ruppel J, Sahakian V, Santangelo A, Schlickeiser R, Schöck FM, Schröder R, Schwanke U, Schwarzburg S, Schwemmer S, Shalchi A, Sikora M, Skilton JL, Sol H, Spangler D, Stawarz Ł, Steenkamp R, Stegmann C, Stinzing F, Superina G, Szostek A, Tam PH, Tavernet JP, Terrier R, Tibolla O, Tluczykont M, van Eldik C, Vasileiadis G, Venter C, Venter L, Vialle JP, Vincent P, Vivier M, Völk HJ, Volpe F, Wagner SJ, Ward M, Zdziarski AA, Zech A, Anderhub H, Antonelli LA, Antoranz P, Backes M, Baixeras C, Balestra S, Barrio JA, Bastieri D, Becerra González J, Becker JK, Bednarek W, Berger K, Bernardini E, Biland A, Bock RK, Bonnoli G, Bordas P, Borla Tridon D, Bosch-Ramon V, Bose D, Braun I, Bretz T, Britvitch I, Camara M, Carmona E, Commichau S, Contreras JL, Cortina J, Costado MT, Covino S, Curtef V, Dazzi F, De Angelis A, De Cea del Pozo E, Delgado Mendez C, De los Reyes R, De Lotto B, De Maria M, De Sabata F, Dominguez A, Dorner D, Doro M, Elsaesser D, Errando M, Ferenc D, Fernández E, Firpo R, Fonseca MV, Font L, Galante N, García López RJ, Garczarczyk M, Gaug M, Goebel F, Hadasch D, Hayashida M, Herrero A, Hildebrand D, Höhne-Mönch D, Hose J, Hsu CC, Jogler T, Kranich D, La Barbera A, Laille A, Leonardo E, Lindfors E, Lombardi S, Longo F, López M, Lorenz E, Majumdar P, Maneva G, Mankuzhiyil N, Mannheim K, Maraschi L, Mariotti M, Martínez M, Mazin D, Meucci M, Miranda JM, Mirzoyan R, Miyamoto H, Moldón J, Moles M, Moralejo A, Nieto D, Nilsson K, Ninkovic J, Oya I, Paoletti R, Paredes JM, Pasanen M, Pascoli D, Pauss F, Pegna RG, Perez-Torres MA, Persic M, Peruzzo L, Prada F, Prandini E, Puchades N, Reichardt I, Rhode W, Ribó M, Rico J, Rissi M, Robert A, Rügamer S, Saggion A, Saito TY, Salvati M, Sanchez-Conde M, Satalecka K, Scalzotto V, Scapin V, Schweizer T, Shayduk M, Shore SN, Sidro N, Sierpowska-Bartosik A, Sillanpää A, Sitarek J, Sobczynska D, Spanier F, Stamerra A, Stark LS, Takalo L, Tavecchio F, Temnikov P, Tescaro D, Teshima M, Torres DF, Turini N, Vankov H, Wagner RM, Zabalza V, Zandanel F, Zanin R, Zapatero J. Radio Imaging of the Very-High-Energy γ-Ray Emission Region in the Central Engine of a Radio Galaxy. Science 2009; 325:444-8. [PMID: 19574351 DOI: 10.1126/science.1175406] [Citation(s) in RCA: 157] [Impact Index Per Article: 10.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Moralejo A, Baixeras C, Bastieri D, Bednarek W, Bigongiari C, Biland A, Blanch O, Böck R, Bretz T, Chilingarian A, A Coarasa J, Colombo E, Commichau S, Contreras JL, Cortina J, De Angelis A, De los Reyes R, De Lotto B, Domingo C, Domingo E, Dorner D, Ferenc D, Fernández E, Flix J, Fonseca V, Font L, Galante N, Gaug M, Garczarczyk M, Gebauer J, Giannitrapani R, Giller M, Goebel F, Hengstebeck T, Jacon P, Jager OCD, Kalekin O, Kestel M, Kim KS, Kneiske T, Laatiaoui M, Laille A, Lindfors E, Longo F, López M, López J, Lorenz E, Lucarelli F, Mannheim K, Mariotti M, Martínez M, Mase K, Merck M, Meucci M, Mirzoyan R, Mizobuchi S, Moralejo A, Oña-Wilhelmi E, Orduña R, Paneque D, Paoletti R, Pasanen M, Pascoli D, Pauss F, Pavel N, Pegna R, Peruzzo L, Piccioli A, Pin M, Robert A, Saggion A, Sánchez A, Sartori P, Scalzotto V, Shinozaki K, Sillanpaa A, Sobczynska D, Stamerra A, Stark LS, Stepanian A, Stiehler R, Takalo L, Teshima M, Tonello N, Torres A, Turini N, Viertel G, Vitale V, Volkov S, Wagner R, Wibig T, Wittek W. The MAGIC Telescope for Gamma-Ray Astronomy above 30 GeV. ACTA ACUST UNITED AC 2009. [DOI: 10.1088/1009-9271/3/s1/531] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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49
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Aliu E, Anderhub H, Antonelli LA, Antoranz P, Backes M, Baixeras C, Barrio JA, Bartko H, Bastieri D, Becker JK, Bednarek W, Berger K, Bernardini E, Bigongiari C, Biland A, Bock RK, Bonnoli G, Bordas P, Bosch-Ramon V, Bretz T, Britvitch I, Camara M, Carmona E, Chilingarian A, Commichau S, Contreras JL, Cortina J, Costado MT, Covino S, Curtef V, Dazzi F, De Angelis A, De Cea del Pozo E, de los Reyes R, De Lotto B, De Maria M, De Sabata F, Delgado Mendez C, Dominguez A, Dorner D, Doro M, Elsässer D, Errando M, Fagiolini M, Ferenc D, Fernandez E, Firpo R, Fonseca MV, Font L, Galante N, Garcia Lopez RJ, Garczarczyk M, Gaug M, Goebel F, Hadasch D, Hayashida M, Herrero A, Höhne D, Hose J, Hsu CC, Huber S, Jogler T, Kranich D, La Barbera A, Laille A, Leonardo E, Lindfors E, Lombardi S, Longo F, Lopez M, Lorenz E, Majumdar P, Maneva G, Mankuzhiyil N, Mannheim K, Maraschi L, Mariotti M, Martinez M, Mazin D, Meucci M, Meyer M, Miranda JM, Mirzoyan R, Moles M, Moralejo A, Nieto D, Nilsson K, Ninkovic J, Otte N, Oya I, Paoletti R, Paredes JM, Pasanen M, Pascoli D, Pauss F, Pegna RG, Perez-Torres MA, Persic M, Peruzzo L, Piccioli A, Prada F, Prandini E, Puchades N, Raymers A, Rhode W, Ribó M, Rico J, Rissi M, Robert A, Rügamer S, Saggion A, Saito TY, Salvati M, Sanchez-Conde M, Sartori P, Satalecka K, Scalzotto V, Scapin V, Schweizer T, Shayduk M, Shinozaki K, Shore SN, Sidro N, Sierpowska-Bartosik A, Sillanpää A, Sobczynska D, Spanier F, Stamerra A, Stark LS, Takalo L, Tavecchio F, Temnikov P, Tescaro D, Teshima M, Tluczykont M, Torres DF, Turini N, Vankov H, Venturini A, Vitale V, Wagner RM, Wittek W, Zabalza V, Zandanel F, Zanin R, Zapatero J, de Jager O, de Ona Wilhelmi E. Observation of Pulsed γ-Rays Above 25 GeV from the Crab Pulsar with MAGIC. Science 2008; 322:1221-4. [DOI: 10.1126/science.1164718] [Citation(s) in RCA: 144] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022]
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50
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Albert J, Aliu E, Anderhub H, Antonelli LA, Antoranz P, Backes M, Baixeras C, Barrio JA, Bartko H, Bastieri D, Becker JK, Bednarek W, Berger K, Bernardini E, Bigongiari C, Biland A, Bock RK, Bonnoli G, Bordas P, Bosch-Ramon V, Bretz T, Britvitch I, Camara M, Carmona E, Chilingarian A, Commichau S, Contreras JL, Cortina J, Costado MT, Covino S, Curtef V, Dazzi F, De Angelis A, De Cea del Pozo E, de los Reyes R, De Lotto B, De Maria M, De Sabata F, Mendez CD, Dominguez A, Dorner D, Doro M, Errando M, Fagiolini M, Ferenc D, FernaÌndez E, Firpo R, Fonseca MV, Font L, Galante N, LoÌpez RJG, Garczarczyk M, Gaug M, Goebel F, Hayashida M, Herrero A, HoÌhne D, Hose J, Hsu CC, Huber S, Jogler T, Kneiske TM, Kranich D, La Barbera A, Laille A, Leonardo E, Lindfors E, Lombardi S, Longo F, LoÌpez M, Lorenz E, Majumdar P, Maneva G, Mankuzhiyil N, Mannheim K, Maraschi L, Mariotti M, MartiÌnez M, Mazin D, Meucci M, Meyer M, Miranda JM, Mirzoyan R, Mizobuchi S, Moles M, Moralejo A, Nieto D, Nilsson K, Ninkovic J, Otte N, Oya I, Panniello M, Paoletti R, Paredes JM, Pasanen M, Pascoli D, Pauss F, Pegna RG, Perez-Torres MA, Persic M, Peruzzo L, Piccioli A, Prada F, Prandini E, Puchades N, Raymers A, Rhode W, RiboÌ M, Rico J, Rissi M, Robert A, RuÌgamer S, Saggion A, Saito TY, Salvati M, Sanchez-Conde M, Sartori P, Satalecka K, Scalzotto V, Scapin V, Schmitt R, Schweizer T, Shayduk M, Shinozaki K, Shore SN, Sidro N, Sierpowska-Bartosik A, SillanpaÌaÌ A, Sobczynska D, Spanier F, Stamerra A, Stark LS, Takalo L, Tavecchio F, Temnikov P, Tescaro D, Teshima M, Tluczykont M, Torres DF, Turini N, Vankov H, Venturini A, Vitale V, Wagner RM, Wittek W, Zabalza V, Zandanel F, Zanin R, Zapatero J. Very-High-Energy Gamma Rays from a Distant Quasar: How Transparent Is the Universe? Science 2008; 320:1752-4. [DOI: 10.1126/science.1157087] [Citation(s) in RCA: 314] [Impact Index Per Article: 19.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022]
Affiliation(s)
- J. Albert
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - E. Aliu
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - H. Anderhub
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - L. A. Antonelli
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - P. Antoranz
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - M. Backes
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - C. Baixeras
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - J. A. Barrio
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - H. Bartko
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - D. Bastieri
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - J. K. Becker
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - W. Bednarek
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - K. Berger
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - E. Bernardini
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - C. Bigongiari
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - A. Biland
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - R. K. Bock
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - G. Bonnoli
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - P. Bordas
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - V. Bosch-Ramon
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - T. Bretz
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - I. Britvitch
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - M. Camara
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - E. Carmona
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - A. Chilingarian
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - S. Commichau
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - J. L. Contreras
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - J. Cortina
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - M. T. Costado
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - S. Covino
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - V. Curtef
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - F. Dazzi
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - A. De Angelis
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - E. De Cea del Pozo
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - R. de los Reyes
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - B. De Lotto
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - M. De Maria
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - F. De Sabata
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - C. Delgado Mendez
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - A. Dominguez
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - D. Dorner
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - M. Doro
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - M. Errando
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - M. Fagiolini
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - D. Ferenc
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - E. FernaÌndez
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - R. Firpo
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - M. V. Fonseca
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - L. Font
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - N. Galante
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - R. J. GarciÌa LoÌpez
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - M. Garczarczyk
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - M. Gaug
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - F. Goebel
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - M. Hayashida
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - A. Herrero
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - D. HoÌhne
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - J. Hose
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - C. C. Hsu
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - S. Huber
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - T. Jogler
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - T. M. Kneiske
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - D. Kranich
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - A. La Barbera
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - A. Laille
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - E. Leonardo
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - E. Lindfors
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - S. Lombardi
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - F. Longo
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - M. LoÌpez
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - E. Lorenz
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - P. Majumdar
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - G. Maneva
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - N. Mankuzhiyil
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - K. Mannheim
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - L. Maraschi
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - M. Mariotti
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - M. MartiÌnez
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - D. Mazin
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - M. Meucci
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - M. Meyer
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - J. M. Miranda
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - R. Mirzoyan
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - S. Mizobuchi
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - M. Moles
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - A. Moralejo
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - D. Nieto
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - K. Nilsson
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - J. Ninkovic
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - N. Otte
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - I. Oya
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - M. Panniello
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - R. Paoletti
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - J. M. Paredes
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - M. Pasanen
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - D. Pascoli
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - F. Pauss
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - R. G. Pegna
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - M. A. Perez-Torres
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - M. Persic
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - L. Peruzzo
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - A. Piccioli
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - F. Prada
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - E. Prandini
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - N. Puchades
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - A. Raymers
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - W. Rhode
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - M. RiboÌ
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - J. Rico
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - M. Rissi
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - A. Robert
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - S. RuÌgamer
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - A. Saggion
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - T. Y. Saito
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - M. Salvati
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - M. Sanchez-Conde
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - P. Sartori
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - K. Satalecka
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - V. Scalzotto
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - V. Scapin
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - R. Schmitt
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - T. Schweizer
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - M. Shayduk
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - K. Shinozaki
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - S. N. Shore
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - N. Sidro
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - A. Sierpowska-Bartosik
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - A. SillanpaÌaÌ
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - D. Sobczynska
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - F. Spanier
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - A. Stamerra
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - L. S. Stark
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - L. Takalo
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - F. Tavecchio
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - P. Temnikov
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - D. Tescaro
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - M. Teshima
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - M. Tluczykont
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - D. F. Torres
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - N. Turini
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - H. Vankov
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - A. Venturini
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - V. Vitale
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - R. M. Wagner
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - W. Wittek
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - V. Zabalza
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - F. Zandanel
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - R. Zanin
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
| | - J. Zapatero
- UniversitaÌt WuÌrzburg, D-97074 WuÌrzburg, Germany
- Institut de FiÌsica d'Altes Energies, Edifici Cn., Campus UAB, E-08193 Bellaterra, Spain
- ETH Zurich, CH-8093 Zurich, Switzerland
- Istituto Nazionale di Astrofisica (INAF) National Institute for Astrophysics, I-00136 Rome, Italy
- Universidad Complutense, E-28040 Madrid, Spain
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