Using the Lugols solution for detection of seconds primary tumors of oral and oropharyngeal in patients with head and neck squamous cell carcinoma: correlation of histopathology findings with immunohistochemical p53 expression and metallothionein. / Uso da solução de Lugol para a detecção de segundos tumores primários de boca e orofaringe em portadores de carcinoma epidermóide na cabeça e pescoço: correlação dos achados na histopatologia com a imunoexpressão do p53 e metalotioneína

AUTOR(ES)
DATA DE PUBLICAÇÃO

2009

RESUMO

The early diagnosis of seconds primary tumors (STP) in patients already treated for carcinoma of the head and neck should be done, because enables a resolutive treatment with low morbidity. The objective of this paper is to evaluate whether chromoscopia using Lugols solution allows an improvement in the identification of malignant or pre malignant lesions in early stages in the mouth and oropharynx, and whether the expression of P53 and metallothionein in tumor index predict the emergence of a STP. A prospective study was conducted, where two groups statistically similar of patients with head and neck squamous cell carcinoma (one with 106 patients and another with 105 patients) were followed-up for a median period of 25 months, approximately. In the first group dyes were not used, and in the second Lugols solution was employed. It was observed a number of diagnoses 100%i higher in the group that Lugols solution was used. The increasing of P53 expression in tumor index was statistically significant when the patient developed a second primary tumor diagnosed by Lugol, not visible without dye, which has not occurred with metallothionein.

ASSUNTO(S)

proteína supressora de tumor p53 neoplasias bucais carcinoma squamous cell metalotioneína metallothionein segundos tumores primários tumor suppressor protein p53 estudos prospectivos prospective studies agentes corantes/uso diagnóstico coloring agents/diagnostic use prevalence prevalência carcinoma de células escamosas mouth neoplasms

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