Document Detail


Characteristics of esophageal squamous cell carcinomas and lugol-voiding lesions in patients with head and neck squamous cell carcinoma.
MedLine Citation:
PMID:  19730116     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The relationship between esophageal squamous cell carcinoma (ESCC) and Lugol-voiding lesions (LVLs) in patients with head and neck squamous cell carcinoma (HNSCC) is unclear. AIM: To investigate the characteristics of ESCC and the relationship between ESCC and LVLs in patients with HNSCC. METHODS: Between 2003 and 2006, 157 patients with primary HNSCC underwent Lugol chromoendoscopy at the Hiroshima University Hospital, Hiroshima, Japan. Of the patients, 135 were followed up for more than 6 months. We retrospectively analyzed the incidence of synchronous and metachronous ESCC and cumulative proportions of patients without metachronous ESCC with or without multiple LVLs. RESULTS: Synchronous and metachronous ESCC were detected in 17 of 157 (10.8%) and 9 of 135 (6.7%) patients, respectively. The incidence of synchronous and metachronous ESCC was significantly higher in patients with LVLs compared with the incidence in those without LVLs [13 of 32 (40.6%) vs. 4 of 125 (3.2%), P<0.0001 and 8 of 19 (42.1%) vs. 1 of 116 (0.9%), P<0.0001, respectively]. Cumulative proportions of patients without metachronous ESCC were significantly lower in patients with multiple LVLs compared with that in those without multiple LVLs (P<0.0001). CONCLUSIONS: Patients who had HNSCC, especially those with multiple LVLs in the esophagus, should be followed with close endoscopic observation with Lugol chromoendoscopy.
Authors:
Tatsuma Fukuhara; Toru Hiyama; Shinji Tanaka; Shiro Oka; Masaharu Yoshihara; Koji Arihiro; Kazuaki Chayama
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of clinical gastroenterology     Volume:  44     ISSN:  1539-2031     ISO Abbreviation:  J. Clin. Gastroenterol.     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-01-21     Completed Date:  2010-03-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7910017     Medline TA:  J Clin Gastroenterol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  e27-33     Citation Subset:  IM    
Affiliation:
Department of Medicine and Molecular Science, Division of Frontier Medical Science, Programs for Biomedical Research, Graduate School of Biomedical Sciences, Hiroshima University, Hiroshima, Japan.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Carcinoma, Squamous Cell / pathology*
Coloring Agents / diagnostic use
Esophageal Neoplasms / pathology*
Esophagoscopy / methods
Female
Follow-Up Studies
Head and Neck Neoplasms / pathology*
Hospitals, University
Humans
Iodides / diagnostic use
Japan
Male
Middle Aged
Neoplasms, Multiple Primary / pathology
Neoplasms, Second Primary / pathology
Retrospective Studies
Chemical
Reg. No./Substance:
0/Coloring Agents; 0/Iodides; 12298-68-9/Lugol's solution

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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