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Japanese Journal of Head and Neck Cancer最新文献

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In Their Words 用他们的话来说
Q4 Medicine Pub Date : 2020-01-01 DOI: 10.1007/978-3-030-27881-6_14
C. Fundakowski
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引用次数: 0
Clinical features of death cases in human papillomavirus related oropharyngeal carcinoma 人乳头瘤病毒相关口咽癌死亡病例的临床特征
Q4 Medicine Pub Date : 2019-01-01 DOI: 10.5981/jjhnc.45.397
H. Kinjo, Y. Yamashita, T. Ikegami, Yuki Kayo, J. Uezato, S. Agena, Takayuki Uehara, H. Hirakawa, H. Maeda, Mikio Suzuki
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引用次数: 0
Clinical analysis for head and neck cancer cases treated with nivolumab in Osaka International Cancer Institute 大阪国际癌症研究所纳武单抗治疗头颈癌的临床分析
Q4 Medicine Pub Date : 2019-01-01 DOI: 10.5981/JJHNC.45.46
Tomoyuki Otsuka, Takayuki Kimura, R. Koike, Hironori Cho, S. Otozai, T. Yoshii, T. Yagi, T. Fujii
要 旨 CheckMate 141 試験において,再発・転移性頭頸部扁平上皮癌に対してニボルマブは医師選択治療と比較して 全生存期間(OS)を有意に延長することが示された。しかし,同試験には扁平上皮癌以外の組織型および上咽頭 癌は含まれていない。今回我々は,当院でニボルマブを投与した頭頸部癌 28 例について後方視的に検討した。本 検討では,非扁平上皮癌が 2 例,上咽頭癌が 9 例含まれていた。全症例の無増悪生存期間(PFS)中央値 4.3 ヶ 月,OS 中央値は未到達であった。測定可能病変を有する 24 例の検討で,奏効率は 16.7%,病勢コントロール率は 54.2%であった。免疫関連有害事象(irAE)は 46.4%で発症し,Grade 3 の irAE は 7.1%で発症した。irAE 発症 群は未発症群と比較して有意な PFS の延長が示された。本検討では非扁平上皮癌や上咽頭癌の症例が含まれてい たが,ニボルマブの有効性が示されていた。
CheckMate 141试验显示,与医生选择的治疗相比,nivolumab可显著延长复发和转移性头颈部鳞状细胞癌的总生存期(OS)。但是,该试验不包括鳞状细胞癌以外的组织型及鼻咽癌。这次我们对我院使用nivolumab的28例头颈癌病例进行了后视研究。本研究包括2例非鳞状细胞癌和9例鼻咽癌。所有病例的中位数无加重生存期(PFS) 4.3个月,中位数OS未达标。在24例具有可测定病变的研究中,奏效率为16.7%,病情控制率为54.2%。免疫相关不良事件(irAE)发病率为46.4%,Grade 3的irAE发病率为7.1%。与未发病组相比,irAE发病组的PFS有显著的延长。本研究包含了非鳞状细胞癌和鼻咽癌的病例,显示了nivolumab的有效性。
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引用次数: 1
Update on paraganglioma and pheochromocytoma based on WHO tumour classification 2017 基于2017年WHO肿瘤分类的副神经节瘤和嗜铬细胞瘤的最新进展
Q4 Medicine Pub Date : 2019-01-01 DOI: 10.5981/jjhnc.45.350
N. Kimura, K. Shiga, K. Kaneko, K. Takekoshi
要 旨 褐色細胞腫(PCC)・パラガングリオーマ(PGL)はいずれも神経堤由来の腫瘍で,PCC は副腎髄質に,PGL は副 腎外に生ずるものを呼ぶ。さらに,PGL は頭頸部に生ずる副交感神経性 PGL(Head & Neck PGL:HNPGL)と,胸 腹部・骨盤内に生ずる交感神経性 PGL に分けられる。HNPGL は頸動脈小体腫瘍(CBT)60%,中耳 PGL 30%,迷 走神経 PGL 10%である。また,家族性 30%,両側性 10–25%,多発 17–37%,転移 4–8%である。PCC/PGL はいず れも転移する腫瘍であることから,WHO 第 4 版ではすべての PCC/PGL を悪性腫瘍と定義づけ,ICD-O3(コード) を付与した。PCC/PGL では現在 20 個ほどの腫瘍感受性遺伝子が判明しており,約 40%は胚細胞変異に伴う腫瘍で, 遺伝子と形質発現の関係が明らかになっている。特に SDHx 変異例では両側性・多発性・家族発生が高頻度である。
要旨褐色细胞瘤(PCC)和副神经细胞瘤(PGL)都是来自神经嵴的肿瘤,PCC产生于肾上腺髓质,PGL产生于肾上腺外。另外,PGL可分为长在头颈部的副交感神经性PGL(head&neck PGL:HNPGL)和长在胸腹部、骨盆内的交感神经性PGL。HNPGL为颈动脉小体肿瘤(CBT)60%、中耳PGL 30%、迷走神经PGL 10%。另外,家族性为30%,双侧性为10 - 25%,多发性为17 - 37%,转移为4 - 8%。由于PCC/PGL是可转移的肿瘤,WHO第4版将所有PCC/PGL定义为恶性肿瘤,并赋予ICD-O3(代码)。PCC/PGL目前已发现约20个肿瘤易感基因,约40%是胚胎细胞变异引起的肿瘤,基因与性状表现的关系明确。特别是SDHx异常情况,双侧性、多发性、家族发生的频率高。
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引用次数: 0
Effectiveness of Vandetanib for unresectable medullary thyroid cancer 万德替尼治疗不可切除甲状腺髓样癌的疗效
Q4 Medicine Pub Date : 2019-01-01 DOI: 10.5981/jjhnc.45.71
Hiroyuki Yamada, Tomohito Fuke, Kohei Fukukita, Mamika Kaneko, Masahiro Sawa, K. Ueda, D. Kobayashi
Surgical therapy is the main strategy for medullary thyroid cancer, but there is no effective therapy for resectable advanced cases. Vandetanib is a once-daily oral inhibitor of RET kinase, vascular endothelial growth factor receptor, and epidermal growth factor receptor signaling. We experienced a case medicated by Vandetanib for medullary thyroid cancer. A 55-year-old female was diagnosed with medullary thyroid cancer by aspiration cytology of a thyroid tumor and needle biopsy histology. Since FDG-PET showed multiple bone metastases, she was treated with Vandetanib. Serum calcitonin and carcinoembryonic antigen decreased after withdrawal of the medication, and US showed decreased size of the thyroid tumor and cervical lymph nodes similarly. Since PET-CT showed decreased accumulation into these nodules, she was judged to have responded to the treatment. Though Vandetanib is a first-line TKI for unresectable medullary thyroid cancer, the purpose of this therapy is to control progression of the cancer.
手术治疗是治疗甲状腺髓样癌的主要策略,但对于可切除的晚期病例没有有效的治疗方法。Vandetanib是一种每日一次的口服RET激酶、血管内皮生长因子受体和表皮生长因子受体信号传导抑制剂。我们经历了一个用万德替尼治疗甲状腺髓样癌的病例。一个55岁的女性被诊断为甲状腺髓样癌通过甲状腺肿瘤的穿刺细胞学和针活检组织学。由于FDG-PET显示多发骨转移,她接受万德替尼治疗。停药后血清降钙素和癌胚抗原下降,US显示甲状腺肿瘤和颈部淋巴结大小减小。由于PET-CT显示这些结节的积聚减少,因此判断她对治疗有反应。虽然Vandetanib是不可切除的甲状腺髓样癌的一线TKI,但这种治疗的目的是控制癌症的进展。
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引用次数: 0
3 Carcinoma of the Buccal Mucosa 3口腔粘膜癌
Q4 Medicine Pub Date : 2019-01-01 DOI: 10.1055/b-0039-171241
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引用次数: 0
27 Surveillance of the Patient 27病人的监护
Q4 Medicine Pub Date : 2019-01-01 DOI: 10.1055/b-0039-171265
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引用次数: 0
A case of double cancer performing total laryngectomy and transhiatal esophagectomy preserving hypopharyngeal mucosa 双癌行全喉切除及经食道切除,保留下咽黏膜1例
Q4 Medicine Pub Date : 2019-01-01 DOI: 10.5981/jjhnc.45.61
Tomohito Fuke, Hiroyuki Yamada, Kohei Fukukita, Mamika Kaneko, Masahiro Sawa, K. Ueda, D. Kobayashi
要 旨 頭頸部癌治療では重複癌の検索は必須であり,同時重複癌が判明した場合には原発巣や転移部のみならず,患 者の社会的背景や全身状態も考慮した上で治療方針を決定する必要がある。今回,食道癌を合併した喉頭癌症例 に対して同時手術を行った症例を提示する。症例は 72 歳男性で,既往歴として脊髄小脳変性症があった。左声門 T3N2bM0 の精査中に,食道表在癌(Mt,Pw,0-IIc,T1b-SM)が判明した。咽喉頭摘出および食道抜去,挙上胃 管による咽頭食道再建も考慮したが,リスク因子(脊髄小脳変性症の基礎疾患,高度喫煙による閉塞障害)を考慮 して,喉頭摘出・非開胸食道抜去術を行った。喉頭摘出時に可能な限り下咽頭粘膜を温存し,残存する咽頭食道粘 膜の血流障害がないことを確認し,咽頭縫合して縫合不全の軽減目的に甲状腺で被覆し,その尾側で挙上胃管と吻 合した。手術 13 日後より経口摂取を開始したが縫合不全はなく,再発転移はみられていない。
要旨头颈癌治疗中重复癌的检索是必须的,在同时重复癌被判明的情况下,不仅要考虑原发灶和转移部,还要在考虑患者的社会背景和全身状态的基础上决定治疗方针。此次将介绍对合并食道癌的喉癌病例同时进行手术的病例。病例为72岁男性,既往有脊髓小脑变性症。在检查左声门T3N2bM0时,发现食道表在癌(Mt,Pw,0-IIc, tb - sm)。虽然也考虑了喉头摘除及食道拔除,以及通过胃举上管重建咽食道,但考虑到风险因素(脊髓小脑变性的基础疾病,高度吸烟引起的闭塞障碍),最终还是进行了喉头摘除及非开胸食道拔除术。喉头摘除时尽可能保留了咽部粘膜,确认了咽部食道粘膜没有残留的血流障碍,咽缝合后以减轻缝合不全为目的覆盖了甲状腺,在其尾侧与胃管吻合。手术13天后开始口服,没有缝合不全,也没有复发转移。
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引用次数: 0
14 Carcinoma of the Hypopharynx 14下咽癌
Q4 Medicine Pub Date : 2019-01-01 DOI: 10.1055/b-0039-171252
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引用次数: 0
29 The Vessel-Depleted Neck: Microvascular Reconstruction 血管衰竭的颈部:微血管重建
Q4 Medicine Pub Date : 2019-01-01 DOI: 10.1055/b-0039-171267
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引用次数: 0
期刊
Japanese Journal of Head and Neck Cancer
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