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Adenoid Cystic Carcinoma of the Head and Neck:Epidemiology and Predictors of Prognosis

International Journal of Otolaryngology and Head & Neck Surgery 2013年第5期2卷 165-173页

作者： Daniel Monteiro Joao Lino teresa bernardo Joao Fernandes Eurico Monteiro Department of Otorhinolaryngology and Head and Neck Surgery Saint Antonio HospitalPortoPortugal Department of Otorhinolaryngology and Head and Neck Surgery Portuguese Institute of OncologyPortoPortugal

Objectives: The biologic behavior of the adenoid cystic carcinoma (ACC) and the factors predicting outcome for these tumors are still poorly understood. Our objective is to analyze the predicting factors and the value of different treatment possibilities, since none sole treatment has been standardized. Methods: A retrospective analysis of the epidemiologic, clinical and histologic aspects of ACC, as well as treatment options and other prognostic factors of all the cases of ACC of the head and neck treated at this Institution were analyzed. From 1974 until 2011, 152 patients were diagnosed with ACC and treated at the Portuguese Institute of Oncology (Porto Centre). Main outcome measures: overall survival, local recurrence and distant metastasis were calculated by the Kaplan-Meier method. Factors predictive of outcome were identified by univariate and multivariate analysis. Results: The mean age at diagnosis was 55.8 years (range, 19-83 years). Incidence was higher in the female population, with a female to male ratio of 1.7:1 respectively. The primary tumor location was hard palate and submandibular region in 56 cases, 28 in each location (24.6%), parotid gland (17 cases, 14.9%) and oral cavity excluding palate (16 cases, 14%).Distributions according to T stage were: T1 (29.8%);T2 (30.7%);T3 (17.5%);T4 (22%). The overall 1-year, 5-year and 10-year survival for all patients were 94.6%, 60.5%, 41.6%, respectively. Conclusions: Univariate survival analysis revealed that age older than 60 years (p = 0.002), solid histologic subtype (p = 0.042), advanced clinical stage (p p = 0.036) were correlated with a poor survival. Multivariate analysis confirmed that age and advanced clinical stage were worst independent predicators of overall survival as well as perineural invasion for local recurrence and distant metastasis. In our analysis, radiotherapy did not have a relevant impact on survival, except in cases of solid histologic subtype. To analyze distant metastatic capacity

关键词： Adenoid Cystic Carcinoma Head and Neck Cancer Prognostic Factors

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Sinonasal Adenocarcinoma—Experience of an Oncology Center

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International Journal of Otolaryngology and Head & Neck Surgery 2013年第1期2卷 13-16页

作者： teresa bernardo Edite Ferreira Joaquim Castro Silva Eurico Monteiro Servico de Otorrinolaringologia Instituto Portugues de Oncologia do PortoFrancisco GentilPortugal

Introduction and Objectives: Sinonasal tumours represent only 3% of all head and neck cancers. Adenocarcinoma is the second most frequent histopathology type. Hardwood exposure has been considered a risk factor. Sinonasal adenocarcinoma grows silently which leads to a late diagnosis and low survival rates. The aim of this study was to present our experience in the management of the patients with sinonasal adenocarcinoma. Method: Retrospective medical records review of patients with sinonasal adenocarcinomas (1974 to 2009). Results: From 301 patients with sinonasal tumors, 67 had histology of adenocarcinoma. Patient average age was 60.1 ± 11.1 years (30 - 84 years). 83.6% were man. 65.7% had history of working with wood. 70.1% of the patients had advance disease. The most common treatment strategy was external surgery (lateral rhinotomy (47.8%), sublabial (17.9%) or cranio-facial resection (6%)) or endoscopic approaches with postoperative radiotherapy. The 3 and 5 years overall survival rate were 60% and 49%, respectively. Conclusions: Our group study showed similar epidemiologic characteristics than other series. We confirmed sinonasal adenocarcinomas tendency to late diagnosis and wood dust exposure relation. In our experience, the limited surgical treatment (without craniofacial resection) and postoperative radiotherapy has good survival rates results, similar to other departments who consider the craniofacial resection as the standard treatment.

关键词： Sinonasal Adenocarcinomas Wood Dust Surgical Treatment Radiotherapy

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Clinical significance of"anti-HBc alone"in human immunodeficiency virus-positive patients

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World Journal of Gastroenterology 2009年第10期15卷 1237-1241页

作者： M~ateresa Pérez-Rodríguez bernardo Sopea Manuel Crespo Alberto Rivera teresa González del Blanco Antonio Ocampo César Martínez-Vázquez Infectious Diseases Unit Internal Medicine DepartmentXeral-Cíes University Hospital36204 VigoSpain Faculty of Medicine University of Santiago de Compostela15705 Santiago de CompostelaA CoruaSpain Infectious Diseases Department Vall d' Hebron Hospital08035 BarcelonaSpain Microbiology Department Xeral-Cíes University Hospital36204 VigoSpain

AIM： TO determine the prevalence and clinical relevance of isolated antibodies to hepatitis B core antigen as the only marker of infection （“anti-HBc alone”） among human immunodeficiency virus （HIV） type-1 infected patients. Occult hepatitis B infection frequency was also evaluated. METHODS： Three hundred and forty eight histories from 2388 HIV-positive patients were randomly reviewed. Patients with serological markers of hepatitis B virus （HBV） infection were classified into three groups： past hepatitis, ＂anti-HBc alone＂ and chronic hepatitis. Determination of DNA from HBV, and RNA and genotype from hepatitis C virus （HCV） were performed on ＂anti-HBc alone＂ patients. RESULTS： One hundred and eighty seven （53.7%） HIV-positive patients had markers of HBV infection： 118 past infection （63.1%）, 14 chronic hepatitis （7.5%） and 55 ＂anti-HBc alone＂（29.4%）. Younger age [2.3-fold higher per every 10 years younger; 95% confidence intervals （Cl） 1.33-4.00] and antibodies to HCV infection [odds ratio （OR） 2.87; 95% CI 1.10-7.48] were factors independently associated with the ＂anti-HBc alone＂ pattern. No differences in liver disease frequency were detected between both groups. Serum levels of anti-HBs were not associated with HCV infection （nor viral replication or HCV genotype）, or with HIV replication or CD4 level. No ＂anti-HBc alone＂ patient tested positive for HBV DNA. CONCLUSION：＂Anti-HBc alone＂ prevalence in HIM- positive patients was similar to previously reported data and was associated with a younger age and with antibodies to HCV infection. In clinical practice, HBV DNA determination should be performed only in those patients with clinical or analytical signs of liver injury,

关键词： Human immunodeficiency virus "Anti-HBcalone" Occult hepatitis Hepatitis B virus DNA Liverdisease

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Probiotic Potential of Autochthone Microbiota from São Jorge and <i>Parmigiano-Reggiano</i>Cheeses

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Food and Nutrition Sciences 2014年第18期5卷 1793-1799页

作者： Sofia Dias Manuela Oliveira teresa Semedo-Lemsaddek Fernando bernardo Centro de Investigaç o Interdisciplinar em Sanidade Animal Faculdade de Medicina Veterinária Universidade de Lisboa Avenida da Universidade Técnica Lisboa Portugal

For a long time, ripened cheeses have been officially recognized as having human health beneficial properties. However, to date only a few studies have investigated the complex microbiota of S?o Jorge and Parmigiano-Reggiano cheeses in order to identify microorganisms with probiotic potential. Hence, with the purpose of analyzing the probiotic potential of autochthone bacteria from S?o Jorge and Parmigiano-Reggiano cheeses, lactic acid bacteria isolated from both products were isolated and their direct biotic interaction against three bacteria found in the human intestine evaluated. From a total of 225 bacterial autochthone isolates, 67 had synergetic behavior with Bifidobacterium animalis , 34 had no synergetic behavior with Shigella dysenteriae and 33 had antagonistic activity with this human pathogen. Biochemical tests were used to identify these cheese isolates with probiotic potential. Lactobacillus paracasei subsp paracasei Lactobacillus arhamnosus were found in São Jorge cheese and Lactobacillus rhamnosus , Lactobacillus buchneri and Lactobacillus curvatus in the Parmigiano cheese. Overall, initial exploratory studies with São Jorge cheese seem to show a higher number of potential probiotic agents than those found in the Parmigiano-Reggiano cheese. However, in order to better understand the functional potential of this traditional Portuguese cheese, further confirmatory studies should be pursued.

关键词： Probiotic Potential Autochthone Microbiota S. Jorge Cheese Parmigiano-Reggiano Cheese

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