The distribution pattern of the basement membrane (EM) around tumor cells was determined in 72 oral squamous cell carcinomas by immunohistochemical staining with antibodies against human type IV collagen, laminin, and heparan sulfate proteoglycan. An intact continuous BM was found in 29 cases, where
Immunohistologic study of mononuclear cell infiltrates in oral squamous cell carcinomas
β Scribed by Dr. Jyusui Hirota; Eisaku Ueta; Tokio Osaki; Dr. Yasuhiro Ogawa
- Publisher
- John Wiley and Sons
- Year
- 1990
- Tongue
- English
- Weight
- 690 KB
- Volume
- 12
- Category
- Article
- ISSN
- 1043-3074
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β¦ Synopsis
Abstract
Intensity of mononuclear cell infiltrates in 50 oral cancer tissues was evaluated by immunohistochemical stainings. The intensity of the infiltrates was graded into four degrees from marked (+ + +) to absent (β); and the degree of each infiltrated lymphocyte subpopulation including Leuβ3a3b/Leuβ2a ratio was matched against clinical and histopathologic features. The vast majority of the infiltrated lymphocytes had antigens which were reactive with antiβT cell antibodies. In T cell subsets, Leuβ3a3b^+^ cells infiltrated clearly (grade ++ or +++) in 44 cases, and infiltration greater than grade + + of Leuβ2a^+^ cells was found in nearly half of the cases (26 of 50). In contrast, B cells (Leuβ14+ cells) were obviously detectable in only a few cases, and moderate or marked infiltration of the natural killer (NK) population (Leuβ11b^+^ cells) was not observed. Regarding correlation of T cell infiltrates with clinicopathologic features of the tumors, the degrees of Leuβ4^+^ cell and Leuβ2a^+^ cell infiltration became weak with advancing T stage. Leuβ2a^+^ cells also infiltrated weakly into diffusely invading tumors. Out of 28 cases with no metastasis, 22 cases (78.6%) showed grade ++ βΌ + + + of Leuβ2a^+^ cells, and only 4 (18.2%) of 22 cases with lymph node metastasis were clearly positive for Leuβ2a^+^ cells (p < 0.001). However, Leuβ3a3b^+^ cell infiltration was only slightly related to T stage, metastasis, and to mode of invasion. Therefore, the Leuβ3a3b/Leuβ2a ratio increased significantly in advanced (T3 + T4) tumors, metastasized cases, or diffuse invasion type.
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## Abstract ## Objectives/Hypothesis: Previous studies have demonstrated a relationship between elevated serum squamous cell carcinoma (SCC) antigen (SCCβAg) levels and shorter survival in cancer patients. Few studies, however, have investigated the role of serum SCCβAg levels in oral SCC (OSCC).
## Abstract ## Background Extracapsular spread (ECS) in the cervical lymph nodes represents the most significant adverse prognostic indicator in oral squamous cell carcinoma (OSCC). ## Methods In a consecutive cohort of OSCC treated by primary surgery, ECS was seen in 25% (101) of 400 patients.
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