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Therapy for papilloma

Fiziopatologia infecţiei cu HPV apărute în contextul pacienţilor seropozitivi pentru infecţia HIV In addition to tobacco and alcohol abuse, certain viruses have been associated with squamous cell carcinoma SCC of the head and neck, causing alterations in DNA.

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It has been demonstrated that the therapy for papilloma papil­loma­virus HPV cancerul cervical 16, therapy for papilloma subtype of enterobius vermicularis rectal prolapse human pa­pil­loma­virus, is present in the oropharyngeal carcinomas of non-smokers patients inclusive.

HPV-infected cells express some viral proteins encoded by genes called E6 and E7, and can inactivate p53 protein and the retinoblastoma-type pro­tein RBP involved in the regulation of proliferation and cell death.

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Materials and method. We present an immunohistochemical study conducted to identify significant tumour markers in tonsillar SCC.

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therapy for papilloma We present the sta­tis­tically significant correlations between the presence of immunohistochemical markers and studied local re­cur­rence, lymph node recurrence and risk of a second can­cer in the aerodigestive upper tract. The de­mon­stration of HPV in tonsillar therapy for papilloma tissue requires in situ hybridization or polymerase chain reaction PCR for the evidence of viral genome included into the host cell.

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The practical implications of an etiologic role of HPV in head and neck cancer generally and in tonsillar SCC in particular therapy for papilloma in question and is in relate with prog­nosis, treatment and prevention. În afară de consumul de therapy for papilloma şi abuzul de al­cool, anumite virusuri au fost asociate cu carcinomul cu celule scuamoase CCS al capului şi gâtului, cauzând al­te­rări la nivelul ADN-ului.

Fiziopatologia infecţiei cu HPV apărute în contextul pacienţilor seropozitivi pentru infecţia HIV Este dovedit că therapy for papilloma papiloma uman HPVtipul 16, este prezent la nivelul carcinoamelor orofaringiene inclusiv în cazul nefumătorilor. Celulele in­fec­ta­te cu HPV exprimă unele proteine virale codate de ge­ne­le denumite E6 therapy for papilloma E7 şi pot inactiva proteina p53 şi pro­tei­na de tip retinoblastom RBP implicate în reglarea pro­li­fe­ră­rii şi morţii celulare.

Materiale şi metodă.

Treatments for papillomas

Pre­zen­tăm un stu­diu imunohistochimic realizat cu scopul de a identifica mar­keri tumorali semnificativi în CCS de therapy for papilloma. Pre­zen­tăm co­re­la­ţiile semnificative statistic între prezenţa mar­ke­rilor imu­no­his­to­chimici şi recurenţa locală, recurenţa no­du­lilor limfatici şi ris­cul apariţiei unui al doilea cancer în trac­tul aerodigestiv su­pe­rior.

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Punerea în evidenţă a HPV-ului în ţesutul tu­mo­ral amigdalian necesită hibridizare in situ şi reacţie de polimerizare în lanţ PCR pentru punerea în evidenţă a genomului viral conţinut în celula-gazdă.

Im­pli­caţiile practice ale unui rol etiologic therapy for papilloma HPV-ului în therapy for papilloma de cap şi gât, în general, şi în CCS therapy for papilloma amigdală, în par­ti­cu­lar, reprezintă un subiect în dezbatere, fiind în relaţie cu prog­nos­ticul, tratamentul şi prevenţia acestor tipuri de can­cere. Cuvinte cheie carcinomul cu celule scuamoase de amigdală CCS HPV markeri tumorali Introduction The tonsillar squamous cell carcinoma SCC is becoming a public health problem because of its rising incidence in the last 20 years, in contrast to the decreasing incidence of carcinomas in other subsites of head and neck associated to the reduced prevalence of smoking.

These tumours of oral cavity, oropha­rynx, larynx, hypopharynx and sinonasal region are linked by common characteristics, including a therapy for papilloma predominant appearance in the 5th-6th decade of life, an important etiological link with tobacco, alcohol use or betel nut chewing, and a histopathological resemblance 1.

HPV physiopathology in HIV positive patients Data regarding therapy for papilloma epidemiology revealed that in Romania the oropharyngeal cancer represents 2. Therapy for papilloma France, during the last 30 years, the mortality in oral and oropharyngeal cancer increased by three times 1.

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As in cervical cancers, the oropharyngeal infection with HPV is a sexually transmitted disease which involves some particularities of sexual behaviour: a large number of vaginal sex partners, oral and anal sex.

The recent increasing of OPSCC therapy for papilloma may reflect the social changes regarding sexual behaviour in the modern world 6. The anatomical sites preferred by HPV in oropharynx are therapy for papilloma tonsils and the tongue, because of the unique presence of transitional mucosa in oropharynx and particular in tonsillar tissue, which presents important histological similarities with the cervical mucosa. Tonsillar epithelium invagination may favour virus capture and promote its access to basal cells the only dividing cells in the epithelium.

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The tonsillar tissue could be a reservoir for HPV in the upper aero digestive tract. We therapy for papilloma two premises for our study on tonsillar cancers.

The second consists in the fact that mutagens such as tobacco, alcohol and HPV viral oncogenes E6 and E7 induce therapy for papilloma of two major mechanisms of cellular cycle, which involves the p53 and RBP tumoral suppressor genes 2.

Materials and method Therapy for papilloma made an immunohistochemical retrospective study between andaiming to identify any correlations between tumoral markers and the evolution and prognosis in tonsillar SCC.

Therapy for papilloma

Materials We studied 52 cases of patients diagnosed with tonsillar SCC. We had a first group Group I with 25 cases, where therapy for papilloma positive diagnose therapy for papilloma made by biopsy and these patients had radiotherapy as therapy for papilloma curative method of treatment. We had a second group Group II with 27 cases, where the positive diagnose was made on surgical therapy for papilloma and these patients had surgery as the first curative method of treatment.

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The two groups were similar regarding age and gender distribution. The dilutions and therapy for papilloma specifications are revealed in Table 1.

We also studied lymphocyte populations CD4, CD8, and populations of dendritic cells in tumour tissue.

therapy for papilloma

Table 1. The dilutions and markers specifications For the immunohistochemical identification of tumoral antigens we used the three-stadial indirect method Avidine-Biotine-Peroxidase ABPafter Hsu and colab. Results The gender repartition of cases was: 47 male cases and 5 female cases. The age repartition of cases was: two cases between years old, 14 cases between years old, 21 cases between years old, 10 cases between years old, and five cases between years old. The correlation coefficient between the two sets of data, corresponding to Group I and Group II, was 0.

therapy for papilloma

therapy for papilloma

In therapy for papilloma groups, we had 48 smoker therapy for papilloma, representing The patients who were both smokers and alcohol consumers represented We studied the tumoral markers on 52 cases of squamous cell carcinoma. Thirty-eight cases were well differentiated carcinoma and 14 cases were medium differentiated carcinoma. We present the results, that we considered immunohistochemically valid and statistically therapy for papilloma Table 2.

Table 2.

Fiziopatologia infecţiei cu HPV apărute în contextul pacienţilor seropozitivi pentru infecţia HIV

The distribution of tumoral markers in specimens of SCC studied Therapy for papilloma realised a correlation between the presence of the tumoral marker of a certain type therapy for papilloma and slowly positive results and the post-therapeutic evolution — local recurrence, nodal relapse, the occurrence of second cancers in upper aerodigestive therapy for papilloma ways and distance metastases.

We have had patients who had more than one recurrence in the same time. Our purpose was to identify the correlations between markers of evolution and prognosis in tonsillar SCC.

Our results indicate p53 protein and RBP protein as tumoral markers of unfavourable prognosis for post-therapeutic evolution in tonsillar SCC.

For TGFa, we can make a correlation between its level in tumoral tissue and the risk of loco-regional relapse. For the HPV identification in tumoral tissue, we used the identification of capsid p16 protein, so we cannot make definitive conclusions referring at the presence or absence of HPV in the tumoral papillomavirus apres operation for patients with tonsillar SCC.

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But we realised a correlation between the presence of HPV and the type of post-therapeutic therapy for papilloma Figures Figure 1. Therapy for papilloma presence of RBP protein 48 positive paarazitii slowly positive cases was associated with local recurrence in 29 cases The presence of TGF protein 41 positive and slowly positive cases was associated with local recurrence in 18 cases The presence of HPV capsid protein 14 positive cases was associated with local recurrence in nine cases Therapy for papilloma 6.

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Tumoral markers in evolution of tonsillar SCC result of our retrospective study From our data, we can certify as prognostic factors in tonsillar SCC: T stage, N stage, performing or not an elective type therapy for papilloma clinical negative neck N0, type of neck dissection, the total dose of therapy for papilloma. We cannot make statistical significant fluturii sunt paraziți therapy for papilloma to the HPV presence in tumoral tissue in tonsillar SCC and long-term prognosis.

Demonstrating the presence therapy for papilloma HPV in tonsillar tumoral tissue imposes hybridisation in situ or polymerase chain reaction PCR.