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调查喉鳞状细胞癌患者中饮酒与单纯疱疹病毒协同作用。

Investigation of the synergism between alcohol consumption and herpes simplex virus in patients with laryngeal squamous cell cancers.

机构信息

Department of Otorhinolaryngology and Head and Neck Surgery, Ankara Numune Education and Research Hospital, Ankara, Turkey.

出版信息

Eur Arch Otorhinolaryngol. 2009 Dec;266(12):1977-82. doi: 10.1007/s00405-009-0965-0. Epub 2009 Apr 3.

Abstract

We investigated the synergism between alcohol consumption and herpes simplex virus (HSV) in the development of laryngeal squamous cell cancer and in the clinical course of this disease. HSV DNA was searched by polymerase chain reaction (PCR) technique in the fresh tumor tissues of 22 patients with laryngeal cancer without alcohol consumption (Group 1) and of 23 patients with chronic alcohol consumption (Group 2), and their HSV prevalences were compared. No statistically significant difference was detected between the two groups in terms of HSV incidence frequency (P > 0.05), but the risk of finding HSV in tumor tissue in patients with alcohol consumption history was 3.4-fold higher than in those without alcohol consumption history (OR = 3.378, 95% CI = 0.762-14.982). There were no statistically significant differences in terms of lymph node metastasis, tumor localization, tumor diameter, tumor stage and tumor differentiation between the patients in Group 1 and Group 2 (P > 0.05). Larger case series will further elucidate the role of HSV in the development of laryngeal cancer, the nature of its interactions with other carcinogens and its effect on the clinical course.

摘要

我们研究了饮酒与单纯疱疹病毒(HSV)在喉鳞状细胞癌发展过程中的协同作用以及该疾病的临床病程。通过聚合酶链反应(PCR)技术在 22 例无饮酒史的喉癌患者(第 1 组)和 23 例慢性饮酒史的患者(第 2 组)的新鲜肿瘤组织中搜索 HSV DNA,并比较了它们的 HSV 流行率。两组之间 HSV 发生率(P>0.05)无统计学差异,但有饮酒史的患者在肿瘤组织中发现 HSV 的风险是非饮酒史患者的 3.4 倍(OR=3.378,95%CI=0.762-14.982)。第 1 组和第 2 组患者在淋巴结转移、肿瘤定位、肿瘤直径、肿瘤分期和肿瘤分化方面无统计学差异(P>0.05)。更大的病例系列将进一步阐明 HSV 在喉癌发展中的作用、它与其他致癌物的相互作用的性质及其对临床病程的影响。

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