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Authors' reply to Gurushankari and Kate, and Patil 作者对Gurushankari、Kate和Patil的回复
Q1 Medicine Pub Date : 2023-04-01 DOI: 10.4103/crst.crst_181_23
N. Kurian, E. Mathew
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引用次数: 0
Demographic profile and risk factors of head-and-neck squamous cell carcinoma in west Tamil Nadu: A cross-sectional observational study 西泰米尔纳德邦头颈部鳞状细胞癌的人口统计学特征和危险因素:一项横断面观察研究
Q1 Medicine Pub Date : 2023-04-01 DOI: 10.4103/crst.crst_364_22
M. Michaelraj, Karthikesh Kuttiappan, Sivasamy Ramasamy, Fenwick Edwin Rodrigues, Sangami Govindaraj
Background: Head-and-neck squamous cell carcinomas (HNSCC) comprise 30% of all cancer cases in India. The risk factors for HNSCC include tobacco and alcohol consumption. Objectives: Our primary objective was to evaluate the epidemiological profile of patients with HNSCC in the western Tamil Nadu population. Our secondary objective was to assess the association of the epidemiological profile with different anatomical sites and risk factors. Materials and Methods: This was a cross-sectional study of data compiled from the clinical records of Sri Ramakrishna Institute of Oncology and Research Department, Sri Ramakrishna Hospital, Coimbatore (Tamil Nadu, India) from January 2018 to December 2021. Clinicodemographic data like age, sex, primary tumor site, clinical staging, family history, and exposure to risk factors (smoking, tobacco chewing, alcohol) were collected from patients with histologically confirmed HNSCC using a specially designed questionnaire. Human papillomavirus (HPV) status was determined by p16 immunohistochemistry and validated using polymerase chain reaction (PCR) by employing consensus primers for HPV deoxyribonucleic acid (DNA). Results: We enrolled 150 patients. The male-to-female ratio was 3:1. The mean age was 54.4 ± 10.2 years; majority of patients (59 [39.3%]) were aged between 51 and 60 years. The most frequently affected site was the oral cavity (58 [38.7%]). Tobacco chewing was the most common and the only risk factor observed among female patients (23 [62.2%]), while smoking along with alcohol consumption was commonly observed among male patients (24 [21.2%]). Smoking in combination with other risk factors (44 [29.3%]) was more common than smoking alone (9 [8%]). Tobacco chewing was a predominant risk factor for nasopharyngeal (4 [63.6%]) and oral cavity cancer (19 [32.8%]), while smoking was a predominant risk factor for laryngeal cancer (3 [30%]). Smoking with alcohol consumption was largely seen in oropharyngeal cancer (5 [33.3%]), while all three risk factors were observed in hypopharyngeal cancer (4 [14.3%]). Out of 38 samples tested, only four were positive for HPV (10.5%). Conclusions: The most affected demographic group with regard to HNSCC is middle-aged men (51–60 years), and the oral cavity is the most commonly affected site. Tobacco chewing is the most prevalent risk factor among women while smoking and alcohol consumption are the most common risk factors among men. Spreading awareness about the risk factors of HNSCC and their prevention is crucial to optimizing disease control.
背景:头颈部鳞状细胞癌(HNSCC)占印度所有癌症病例的30%。HNSCC的危险因素包括吸烟和饮酒。目的:我们的主要目的是评估泰米尔纳德邦西部人群中HNSCC患者的流行病学概况。我们的第二个目的是评估流行病学概况与不同解剖部位和危险因素的关系。材料和方法:这是一项横断面研究,数据汇编自2018年1月至2021年12月哥印拜陀(泰米尔纳德邦,印度)室利罗摩克里希纳医院肿瘤研究所和研究部临床记录。临床人口学资料,如年龄,性别,原发肿瘤部位,临床分期,家族史,暴露于危险因素(吸烟,咀嚼烟草,酒精)使用专门设计的问卷调查组织学证实的HNSCC患者。采用p16免疫组化检测人乳头瘤病毒(HPV)状态,并采用聚合酶链反应(PCR)验证,采用HPV脱氧核糖核酸(DNA)的一致引物。结果:我们入组了150例患者。男女比例为3:1。平均年龄54.4±10.2岁;大多数患者(59例[39.3%])年龄在51 ~ 60岁之间。最常见的感染部位为口腔(58例[38.7%])。咀嚼烟草是女性患者中最常见的,也是唯一的危险因素(23例[62.2%]),而男性患者中吸烟伴饮酒最常见(24例[21.2%])。吸烟合并其他危险因素(44例[29.3%])比单独吸烟(9例[8%])更为常见。咀嚼烟草是鼻咽癌(4例[63.6%])和口腔癌(19例[32.8%])的主要危险因素,吸烟是喉癌(3例[30%])的主要危险因素。吸烟伴饮酒在口咽癌中多见(5例[33.3%]),而在下咽癌中均观察到这三种危险因素(4例[14.3%])。在测试的38个样本中,只有4个HPV阳性(10.5%)。结论:HNSCC以中年男性(51 ~ 60岁)为高发人群,口腔为高发部位。咀嚼烟草是女性中最常见的危险因素,而吸烟和饮酒是男性中最常见的危险因素。提高对HNSCC危险因素及其预防的认识对优化疾病控制至关重要。
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引用次数: 5
Authors' reply to Saleem et al. 作者对Saleem等人的答复。
Q1 Medicine Pub Date : 2023-04-01 DOI: 10.4103/crst.crst_179_23
Tabitha M. Sabu, V. Noronha, K. Prabhash
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引用次数: 0
Rucaparib in metastatic prostate cancer 鲁卡帕尼治疗转移性前列腺癌
Q1 Medicine Pub Date : 2023-04-01 DOI: 10.4103/crst.crst_131_23
Praful Pandey, A. Gogia
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引用次数: 0
Caregiving: A loving burden 照顾:爱的负担
Q1 Medicine Pub Date : 2023-04-01 DOI: 10.4103/crst.crst_72_23
Vandana N. Mahajan
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引用次数: 0
Somewhere over the rainbow: Love is love 彩虹之上的某处:爱就是爱
Q1 Medicine Pub Date : 2023-04-01 DOI: 10.4103/crst.crst_188_23
Prasad R. Dandekar, Gargi Mhatre, R. Das
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引用次数: 0
ChatGPT in the Indian healthcare scenario: Look before you leap ChatGPT在印度医疗保健领域:三思而后行
Q1 Medicine Pub Date : 2023-04-01 DOI: 10.4103/crst.crst_161_23
Divya Gupta, J. Mahadevan
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引用次数: 1
Reporting rectal dose in pelvic radiotherapy: Valid or virtual? 盆腔放疗报告直肠剂量:有效还是虚假?
Q1 Medicine Pub Date : 2023-04-01 DOI: 10.4103/crst.crst_101_23
C. Waghmare
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引用次数: 0
Breast-conserving surgery without irradiation in early breast cancer 早期乳腺癌保乳手术无放疗
Q1 Medicine Pub Date : 2023-04-01 DOI: 10.4103/crst.crst_132_23
S. Mallick, Praful Pandey, A. Gogia
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引用次数: 0
Low number of transgender persons with cancer: A survey assessment of the Indian scenario 患癌症的跨性别者人数少:对印度情况的调查评估
Q1 Medicine Pub Date : 2023-04-01 DOI: 10.4103/crst.crst_136_23
Biplab Sarkar, Anirudh Pradhan
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引用次数: 0
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Cancer Research, Statistics, and Treatment
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