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A Study of the Correlation between Lymph Nodes Levels and Characteristics of the Lowe Lip Squamous Cell Carcinoma

دراسة العلاقة بين مستويات العقد اللمفية و خصائص السرطان شائك الخلايا في الشفة السفلية

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 Publication date 2012
and research's language is العربية
 Created by Shamra Editor




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Cancer of the lip is relatively common malignancy of the head and neck region. Squamous cell carcinoma most frequently occurs in the lower lip (LLSCC) or Lower Lip Squamous Cell Carcinoma. This study aimed to evaluate the correlation between the involved lymph nodes level and the tumor appearance, greatest dimension (T) and its degree of differentiation.

References used
Kornevs. E, Skagers. A, Juris. T. 5 Years Experience With Lower Lip Cancer. Stomatologija, Baltic Dental and Maxillofacial Journal 2005; 3: 95-98
Nuutinen. J, Karja. J. Local and distant metastases in patients with surgically treated squamous cell carcinoma of the lip. ClinOtolaryngol 1981; 6: 415-419
Spitzer. W, Krafft .T. Results of surgical therapy of regional lymph nodes in lower lip cancer. Fortschr Kiefer Gesichtschir1992; 37: 77-78
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this study Aimes to Investigate CXCR4 expression in primary head and neck squamous cell carcinomas tumors in all clinical stages and histological grades, then compare it with control normal oral epithelial tissues. Compare metastatic lymph nodes CXCR4 expression with their primary HNSCC tumors at high stages which associated with metastatic lymph nodes.
Aim of study: study of the differences in the protein expression of Cyclin-dependent Kinase CdK1, CdK2 in Oral Squamous Cell Carcinoma (OSCC) and in clinically- normal oral mucosa.
Background & Objective: This immunohistochemical study is to investigate the correlation between p53 & Ki67 and the grade of malignancy of squamous cell carcinoma, to estimate functional behavior of the cancerous cell by Ck17, and to compare the resu lts with the histological grading. Methods & Materials: 64 samples (biopsies) were chosen to check for p53, Ki67 & Ck17 at department of oral histology and pathology between 2002- 2009. Conclusion: There is a strong positive correlation between the degree of malignancy and the signs of cellular atypism (morphological changes) and the immunhistochemical positivity specially p53 and Ki67, and there is a strong negative correlation between the positivity of p53, Ki67 and the plasmolymphatic infiltrate. We must be sure of the correct diagnosis of squamous cell carcinoma by histological and immunohistochemical examination, and attention should be given to use more than one immune reactive.
The protein p53 is the guardian of the cell gene contents from changes, and the gene that produces it is called Tumor Suppressor Gene which mutates in 50% of Squamous cell carcinoma’s cases producing defective protein .Studies have not detailed the expression ratio of the defective protein Within the cancer cells, also studies have less details about the cases which did not show a mutated protein.
Cancer stem cells in solid tumors are a "rare" group of cells and their role in carcinogenesis has been proven during the past few years. The pursuit for specific oral epithelial stem cell surface markers leads to the identification of markers su ch as CD44 and Bmi-1. The combination between CD44 which has been considered a potential prognostic marker for cancer stem cells in Head and Neck Squamous Cell Carcinoma (HNSCC), and Bmi-1 the pluripotency stemness marker may lead to identify the cells sharing the properties of both markers and could give a closer look into its appearance and density in the tissue. The aim of this study was to study the percent of cells stained positive for both markers and the histological grade of (HNSCC) and the anatomic location of the tumor. Statistical analysis showed that higher density of positive stained cells for both markers was in the severe grade of the tumor, whereas the second higher ratio was in the mild grade then the moderate , there was no significant association between the density of cells and the anatomical location. Our results suggest that the two markers together could be used as prognostic factors for patients with even mild grade SCC, which might help in prediction of recurrence.
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