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Analysis of PD-L1 expression in salivary duct carcinoma with its efficacy as a tumor marker PD-L1在涎腺导管癌中的表达及其作为肿瘤标志物的作用分析
Pub Date : 2019-05-30 DOI: 10.21593/KJHNO/2019.35.1.13
Yong Ju Lee, Y. Koh, S. Yoon, H. Ryu, H. Kim, H. Shin
Background/Objectives: Despite multiple approaches of treatments for salivary duct carcinoma, there has been a need for more successful treatment methods because of its poor prognosis. Treatment options like immunotherapy using new technologies have been attempted. Based on recent study results indicating that targeting programmed death receptors are effective in treating various cancers, this study aimed to identify the frequency of PD-L1 expression and its impact on survival rate in salivary duct carcinoma. Materials & Methods: We studied 33 patients with salivary gland cancer who were available for histologic specimens. We examined the expression of PD-L1 in the tissues and analyzed the association with the survival rate and the association with various clinical parameters. Results: According to this study and review of similar studies, we discovered that the expression of PD-L1 in salivary duct carcinoma was lower than other types of cancers. The impact of PD-L1 on survival rate also showed inconsistency in salivary duct carcinoma. Conclusion: Immunotherapy by PD-1/PD-L1 checkpoint blockade in salivary duct carcinoma needs further evaluation for clinical application.
背景/目的:涎腺导管癌的治疗方法多种多样,但由于其预后较差,需要更多成功的治疗方法。已经尝试了使用新技术的免疫疗法等治疗方案。基于最近的研究结果表明靶向程序性死亡受体可有效治疗多种癌症,本研究旨在确定PD-L1在涎腺导管癌中的表达频率及其对生存率的影响。材料与方法:我们研究了33例唾液腺癌患者的组织学标本。我们检测了PD-L1在组织中的表达,分析了其与生存率的关系以及与各种临床参数的关系。结果:通过本研究和对类似研究的回顾,我们发现PD-L1在涎腺导管癌中的表达低于其他类型的癌症。在唾液管癌中,PD-L1对生存率的影响也不一致。结论:PD-1/PD-L1检查点阻断免疫治疗涎腺导管癌的临床应用有待进一步评价。
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引用次数: 1
Two cases of osseous choristoma on tongue base 舌底骨性脉络瘤2例
Pub Date : 2019-05-30 DOI: 10.21593/KJHNO/2019.35.1.45
Geonho Lee, Ho-Ryun Won, B. Koo, J. Chang
Osseous choristoma is a rare, benign proliferative osseous lesion, which is defined as the growth of normal tissue in an abnormal location. The etiopathogenesis for its formation is unknown, but various hypotheses have been proposed. Treatment of choice is en-bloc resection, and no recurrence has been reported. Here, we report the two cases of osseous choristoma, presented with a mass on the base of the tongue with/without globus symptom and were treated with surgical excision.
骨性脉络膜瘤是一种罕见的良性增殖性骨性病变,其定义为正常组织在异常位置的生长。其形成的病因尚不清楚,但提出了各种假设。治疗选择整体切除,无复发报道。在此,我们报告了两例骨性脉络瘤,表现为舌底肿块,伴有或不伴有球症状,并接受手术切除治疗。
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引用次数: 0
Contribution of Perforator Flaps in the Flap Selection for Head and Neck Reconstruction 穿支皮瓣在头颈部重建皮瓣选择中的作用
Pub Date : 2019-05-30 DOI: 10.21593/KJHNO/2019.35.1.1
J. Kim
In head and neck reconstruction, microsurgeons are faced with various demands, such as thin resurfacing, or three-dimensional reconstruction, and therefore, conventional flap as well as perforator flaps are all useful for the functional and aesthetic reconstruction successfully. Among perforator flaps, the pros and cons of anterolateral thigh perforator flap(ALTp) and thoracodorsal perforator flap(TAp) is compared and selected depending on the surgeon’s preference, recipient site condition or patient status. Both flaps can be elevated in a chimeric pattern by combining different aspects of tissue components. Customized or tailored reconstruction as well as 3 dimensional reconstructions are all available with perforator flaps and it is useful in head and neck reconstruction. The most outstanding update in head and neck reconstruction is the perforator based island flap (PBIF) compared to conventional flaps. The conventional local flap has evolved on behalf of the perforator concept and its design becomes more flexible and freestyle with less limitations. Actually, random pattern flap is now a misnomer and most conventional local flaps turn into PBIFs. Finally we can say all conventional donor site becomes universal, depending on the surgeons’ preference or idea. Moreover, there is no more “flap of choice” and postoperative results are quite variable by surgeons’ ability. Operative procedures and plans are very flexible to freestyle flap. With all these advantages, surgeons should be armed with both conventional and perforator concepts for solving any defects or problems.
在头颈部重建中,显微外科医生面临着各种需求,如薄面层重建,或三维重建,因此,传统皮瓣和穿支皮瓣都有助于功能和美学重建的成功。在穿支皮瓣中,比较大腿前外侧穿支皮瓣(ALTp)和胸背穿支皮瓣(TAp)的优缺点,并根据外科医生的偏好、受体部位的情况或患者的状况进行选择。两个皮瓣可以通过结合组织成分的不同方面以嵌合模式升高。定制或定制重建以及三维重建都可以使用穿支皮瓣,在头颈部重建中很有用。与传统皮瓣相比,头颈部重建中最突出的更新是基于穿支的岛状皮瓣(PBIF)。传统的局部皮瓣已经演变为穿孔概念,其设计变得更加灵活和自由,限制更少。实际上,随机皮瓣现在是一个不恰当的名称,大多数传统的局部皮瓣变成了pif。最后,我们可以说所有传统的供体部位都是通用的,这取决于外科医生的偏好或想法。此外,没有更多的“皮瓣选择”,术后结果因外科医生的能力而变化很大。手术程序和计划非常灵活,以自由皮瓣。有了所有这些优点,外科医生应该同时使用传统和穿支概念来解决任何缺陷或问题。
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引用次数: 0
A Case of Angioimmunoblastic T-cell Lymphoma Involving the Ipsilateral Parotid and Lateral Neck 血管免疫母细胞t细胞淋巴瘤累及同侧腮腺及侧颈1例
Pub Date : 2019-05-30 DOI: 10.21593/KJHNO/2019.35.1.37
Seok Jung Hong, Mi Ji Lee, Seung Woo Kim
Angioimmunoblastic T-cell lymphoma (AITL) is a rare subtype of malignant lymphoma (ML), accounting for only 1 to 2% of all non-Hodgkin’s lymphoma (NHL). Although ML of the parotid gland is rare, the majority are B-cell types. The AITL occurring synchronously in the parotid gland and lateral neck has not been reported earlier. It is classified as a high-grade malignancy with aggressive clinical features, and the prognosis is worse than any other type of NHL. We recently encountered a 72-year-old man with multiple mass on the ipsilateral parotid tail and lateral neck, and he was finally diagnosed as AITL. We report the unique and rare disease entity with a brief literature review.
血管免疫母细胞t细胞淋巴瘤(AITL)是一种罕见的恶性淋巴瘤(ML)亚型,仅占所有非霍奇金淋巴瘤(NHL)的1 - 2%。虽然腮腺的ML是罕见的,大多数是b细胞型。在腮腺和侧颈同时发生的AITL以前未见报道。它被归类为具有侵袭性临床特征的高度恶性肿瘤,预后比任何其他类型的NHL都差。我们最近遇到一位72岁的男性,在同侧腮腺尾部和外侧颈部有多发肿块,最终诊断为AITL。我们报告独特和罕见的疾病实体与简要的文献回顾。
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引用次数: 0
A case of cavernous lymphangioma causing shoulder pain 海绵状淋巴管瘤引起肩痛1例
Pub Date : 2018-11-30 DOI: 10.21593/KJHNO/2018.34.2.69
Ji Hoon Park, B. Lee, Jong Kyu Lee, S. Jang, Jin Hwan Kim, Jung Won Kim, Dong Jin Lee
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引用次数: 0
A case of nasopharyngeal mucoepidermoid carcinoma in a 5 year-old female patient 鼻咽部粘液表皮样癌1例5岁女性患者
Pub Date : 2018-11-30 DOI: 10.21593/kjhno/2018.34.2.89
Soyeon Yoon, Mijoo Kim, Minbum Kim, H. Hong, K. Song
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引用次数: 1
A Case of Neurogenic Tumor-like Cervical Arteriovenous Malformation 神经源性肿瘤样宫颈动静脉畸形1例
Pub Date : 2018-11-30 DOI: 10.21593/KJHNO/2018.34.2.85
Sung Hwan Lim, M. A. Kim, Seung Woo Kim
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引用次数: 0
Nasopharyngeal cancer found after treatment of unknown primary cancer in the head and neck 鼻咽癌治疗后发现头颈部不明原发癌
Pub Date : 2018-11-30 DOI: 10.21593/kjhno/2018.34.2.53
Eunji Kim, K. Hong, Y. Hong
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引用次数: 0
IgG4-related chronic sclerosing sialadenitis in both submandibular glands that developed at intervals of months igg4相关的慢性硬化性涎腺炎发生于两个下颌骨腺体,每隔几个月发生一次
Pub Date : 2018-11-30 DOI: 10.21593/kjhno/2018.34.2.73
T. Kang, H. Kim, Jae Gu Kim, K. Lee, D. Lee
Accepted : September 4, 2018 : October 2, 2018(1차) / October 18, 2018(2차) October 19, 2018(3차) : October 22, 2018 +Corresponding author: Dong Hoon Lee, MD, PhD Department of Otolaryngology-Head and Neck Surgery Chonnam National University Medical School and Hwasun Hospital, 160 Ilsimri, Hwasun, Jeonnam, South Korea 519-809 Tel: +82-61-379-8190, Fax: +82-61-379-7761 E-mail: leen3l@hanmail.net 대한두경부종양학회지, 제34권 제2호, 2018. pp.73-76 Korean Journal of Head & Neck Oncology, Vol.34, No.2 https://doi.org/10.21593/kjhno/2018.34.2.73 ISSN 1229-5183(Print) / ISSN 2586-2553(Online)
接受:2018年9月4日:10月2日,2018(1차)/ 10月18日,2018(2차)10月19日,2018(3차):10月22日2018 +通讯作者:李董胡恩,医学博士,博士头颈外科学系Chonnam国立大学医学院和Hwasun医院,160 Ilsimri Hwasun, Jeonnam,韩国519 - 809电话:+ 82-61-379-8190,传真:+ 82-61-379-7761电子邮件:leen3l@hanmail.net대한두경부종양학회지,제34권제호,2018。pp.73-76韩国头颈肿瘤杂志第34卷第2期https://doi.org/10.21593/kjhno/2018.34.2.73 ISSN 1229-5183(印刷)/ ISSN 2586-2553(在线)
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引用次数: 0
The treatment outcome of T2 laryngeal squamous cell carcinoma in one institution with long term follow-up: Radiotherapy alone vs Chemoradiotherapy 一个机构长期随访的T2喉鳞癌的治疗结果:单纯放疗vs放化疗
Pub Date : 2018-11-30 DOI: 10.21593/KJHNO/2018.34.2.11
S. Jin, Jae-Gu Kim, K. Park, I. Chung, W. Chung, Dong‐Hoon Lee, Joon-Kyoo Lee, S. Lim, T. Yoon
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引用次数: 0
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Korean Society for Head and Neck Oncology
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