Tostes Oliveira Denise, Tjioe Kellen Cristine, Assao Agnes, Sita Faustino Simone Eloiza, Lopes Carvalho André, Landman Gilles, Kowalski Luiz Paulo
Department of Stomatology, Bauru School of Dentistry, University of São Paulo, São Paulo, Brazil.
Int J Surg Pathol. 2009 Jun;17(3):244-9. doi: 10.1177/1066896909333778.
This study investigated if tumor-associated tissue eosinophilia (TATE) could be associated with the process of tissue invasion in oral squamous cell carcinomas (OSCCs) and its influence on patient's prognosis. Forty-three patients treated for OSCCs with or without lymph nodes involvement, at A. C. Camargo Cancer Hospital, Brazil, were selected for TATE analysis. Two degrees of tissue eosinophilia were established in OSCC: absent/mild and intense. The TATE was evaluated in relation to the clinicopathological features and prognostic value using chi( 2) test and the Kaplan-Meier method. Most of the patients with OSCC in advanced clinical stage presented muscular infiltration and significantly intense TATE whereas those with tumors in early stage frequently showed absent/mild eosinophilia (P = .009). The TATE showed no prognostic value for 5-year and 10-year survival rates of the OSCC. These findings suggest that intense TATE seems to reflect the stromal invasion of the OSCCs that occur in advanced clinical stage.
本研究调查了肿瘤相关组织嗜酸性粒细胞增多症(TATE)是否与口腔鳞状细胞癌(OSCC)的组织侵袭过程相关,以及其对患者预后的影响。在巴西A.C.卡马戈癌症医院,选取了43例接受OSCC治疗的患者,无论有无淋巴结受累,均进行TATE分析。在OSCC中确定了两种程度的组织嗜酸性粒细胞增多:无/轻度和重度。使用卡方检验和Kaplan-Meier方法评估TATE与临床病理特征及预后价值的关系。大多数处于临床晚期的OSCC患者出现肌肉浸润且TATE明显重度,而早期肿瘤患者常表现为无/轻度嗜酸性粒细胞增多(P = 0.009)。TATE对OSCC的5年和10年生存率无预后价值。这些发现表明,重度TATE似乎反映了临床晚期发生的OSCC的基质侵袭。