• Title/Summary/Keyword: 구강암

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Knowledge, Attitude and Beliefs About Oral Cancer of Dept. of Dental Hygiene Students (치위생과 학생의 구강암에 대한 지식, 태도 및 신념)

  • Han, Ji-Hyoung;Shin, Myung-Suk;Hwang, Ji-Min
    • Journal of dental hygiene science
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    • v.5 no.4
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    • pp.179-184
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    • 2005
  • The purpose of this study was to examine the knowledge of university students on oral cancer, their attitude toward it and their belief about it. The subjects in this study were sophomores and juniors who majored in dental hygiene in Gyeonggi province. The findings of the study were as follows: (1) As for knowledge on oral cancer, 63.3 percent acquired it from school, and just 32.2 percent were aware of how to prevent oral cancer. And they looked upon operation as the best way to treat oral cancer. (2) With regard to attitude toward oral cancer, 45.4 percent had interest in oral cancer. (3) In relation to oral cancer belief, poor oral environments were cited as the first cause of oral cancer, and 91.3 percent felt oral cancer was one of serious diseases. And the majority of the respondents believed that it's possible to prevent and cure that disease, and regular oral examination was considered most important to prevent it. (4) As for correlation between dental health and oral cancer belief, they thought there was a weak positive correlation between the two. Those who were more concerned about oral health were more interested in oral cancer, and those respondents found oral cancer to be more grave. Their concern for oral health had a statistically significant relationship with their interest in oral cancer and their perception of its gravity.

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Literature Review on the Incidence and Risk Factor of Oral Cancer (구강암의 발생현황과 원인)

  • Han, Ji-Hyoung;Kim, Eung-Kwon;Lim, Soon-Hwan;Kim, Chang-Hee
    • Journal of dental hygiene science
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    • v.12 no.5
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    • pp.451-458
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    • 2012
  • The purpose of this study was to examine pervasive trends in oral cancer in different countries in an effort to discuss what to do to prevent cancer and drop a death rate. The materials of the study were selected from among articles of oral cancer by searching risk factor and epidemiology at a website (www.oraloncology.com). As a result of analyzing the selected literature, it's found that in our country, the percentage of oral cancer in total cancer dropped but the number of oral cancer patients was on the rise every year. In foreign countries, the number of oral cancer patients was on the increase as well, whereas the lethality dropped. In terms of demographic characteristics, the incidence rate of oral cancer was higher among men than women overall. The incidence rate of oral cancer was larger among older people. The major causes of oral cancer were smoking and drinking. To reduce the incidence rate of oral cancer, every possible institutional, administrative and legal measure should be taken to ensure of anti-smoking policies, and publicity of moderation in and abstinence from drinking should be reinforced. The additional causes of oral cancer were demographic characteristics by country and region. The incidence of oral cancer was under the influence of that was affected when the level of personal economy and education was low. Therefore it's important to redress social imbalance within a country and among countries to remove socioeconomic divide. As the oral cancer patients has increased every year, the incidence rate of it should accurately be grasped, and sustained research efforts should be made in consideration of demographic characteristics. Early diagnosis, public oral health education and preventive policies are all required to decrease the incidence rate of oral cancer.

구강암환자의 치과치료

  • Kim, Yong-Gak
    • The Journal of the Korean dental association
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    • v.24 no.7 s.206
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    • pp.583-591
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    • 1986
  • 근년에 이르러 암환자의 증가, 암치료성적의 호전, 그리고 암환자의 통원치료 증가등으로 암전문변원이나 암연구소의 치과의사(institutional dentist)뿐만 아니라, 일반 치과의사(non-institutional dentist)들도 암과 관련된 환자들을 접하는 기회가 늘고 있다. 일반적으로 구강함환자는 구강암 자체, 혹 그 처치를 통하여 전신적으로, 혹은 국소적으로 위약된 조건을 갖게되므로 치과치료시에는 특별한 지식과 세심한 주의가 필요하다. 이러한 필요에 이해 선진국에서는 이미 치과종양학(Dental Oncology)의 임상이 활발하다. 이제 이러한 치과종양학적 입장에서 외과적 수술, 방사선요법, 그리고 화학요법을 통한 구강암 (혹은 두경부암)의 처치시에 치과의사의 역할과 치과치료의 문제점 및 그 해결책에 대하여 기술하고자 한다.

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Distinct cell subtype composition using gene expression data in oral cancer (유전자 발현 데이터 기반 구강암에서의 세포 조성 차이 분석)

  • Rhee, Je-Keun
    • Journal of the Korea Convergence Society
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    • v.10 no.8
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    • pp.59-65
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    • 2019
  • There are various subtypes of cells in cancer tissues, but it is hard to confirm their composition experimentally. Here, we estimated the cell composition of each sample from gene expression data by using statistical machine learning approaches, two different regression models and investigated whether the cell composition was different between cancer and normal tissue. As a result, we found that CD8 T cell and Neutrophil were increased in oral cancer tissues compared to normal tissues. In addition, we applied t-SNE, which is one of the unsupervised learning, to verify whether normal tissue and oral cancer tissue can be clustered by the derived cell composition. Moreover, we showed that it is possible to predict oral cancer and normal tissue by several supervised classification algorithms. The study would help to improve the understanding of the immune cell infiltration at oral cancer.

흡연의 폐해

  • Seo, Hong-Gwan
    • 건강소식
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    • v.30 no.5 s.330
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    • pp.16-17
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    • 2006
  • 모든 암 사망률의 30%가 흡연으로 밝혀졌다. 담배 연기가 직접 접촉하는 부위에 생기는 암인 구강암, 혀암, 식도암, 기관지암, 폐암은 흡연이 원인의 90%를 차지한다. 담배 연기가 직접 접촉하지 않는 부위에 생기는 암인 자궁경부암, 췌장암, 방광암, 신장암, 위암, 혈액암의 위험은 흡연으로 인하여 1.5~3.0배 정도 증가하게 된다.

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MAKING IN VIVO MODEL TO STUDY ABOUT HUMAN ORAL CANCER (I) (구강암 연구를 위한 동물실험모델의 개발(I))

  • Park, Hyung-Kook;Kim, Yong-Kack
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.19 no.3
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    • pp.300-310
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    • 1997
  • In order to make in vivo model of human oral squamous cell cancer, we brought up BALB/C nude mice in specially designed housystem, and maintained some kind of human oral squamous cancer cell lines ; KB, SCC-4, SCC-9, SCC-15, SCC-25. Various concentration of cancer cells were inoculated subcutaneouly into flank area of nude mice. We observed each nude mouse more than 5 weeks after tumor inoculation. We appraised the results, measured the tumor size, and calculated the growing tumor volumes after tumor inoculation according to cancer cell line and concentration of cancer cells in media. Some cancer cell lines were rapidly growing in nude mice, but some cancer cell line couldn't grow in nude mice and resorbed completely. And in some cancer cell line, some nude mice showed continuously growing tumor, but other didn't show any tumor growing. And as a new try, we implanted specially disigned caps on the back of nude mice, and cancer cell lines were brought into the caps with media. We removed the cap after 1 week, and observed over 4 weeks. The shape and size of growing tumor were observed.

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Expression of Bcl-2 Family in 4-Nitroquinoline 1-Oxide-Induced Tongue Carcinogenesis of the Rat (백서 혀에서의 4-nitroquinoline 1-oxide 유도 발암과정에서 Bcl-2 계 유전자의 발현)

  • Choi, Jae-Wook;Chung, Sung-Su;Lee, Geum-Sug;Kim, Byung-Gook;Kim, Jae-Hyeong;Kook, Eun-Byul;Jang, Mi-Sun;Ko, Mi-Kyeong;Jung, Kwon;Choi, Hong-Ran;Kim, Ok-Joon
    • Journal of Oral Medicine and Pain
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    • v.30 no.3
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    • pp.301-317
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    • 2005
  • The number of patients with tongue carcinoma is increasing rapidly among young individuals in many parts of the world. Oral carcinoma progresses from hyperplastic lesion through dysplasia to invasive carcinoma and the concept of "field cancerization" with molecular alteration has been suggested for oral cavity carcinogenesis. Significant improvement in treatment and prognosis will depend on more detailed understanding of the multi-step process leading to cancer development. To induce tongue carcinoma in rat by 4-NQO, each drinking water was made to 10 ppm, 25 ppm, 50 ppm and control (only D.W. without 4-NQO). Specimens were classified into 4 groups such as control, I (mild & moderate dysplasia), II (severe dysplasia and carcinoma in situ), III (carcinoma). The mRNA expressions of Bcl-2 family were evaluated by RT-PCR technique. For anti-apoptotic Bcl-2 family, mRNA expression of Bcl-w was down-regulated in all stages of tongue carcinogenesis model. However, mRNA expression of Bcl-2 was up-regulated. For pro-apoptotic Bcl-2 family, all members were down-regulated in all stages of tongue carcinogenesis model except for Bad mRNA in group III. In terms of BH3 only protein, mRNA expressions of Bok and Mcl-1 were down regulated in all stages of specimen, but Bmf in group II and BBC3 in group III were up-regulated. Our current findings demonstrated the involvements of mRNA expression of Bcl-2 family in multi-step tongue carcinogensis. This highlights the necessity for continued efforts to discover suitable biomakers (Bcl-2 family) for early diagnosis of the disease, and to understand its pathogenesis as a first step in improving methods of treatment. The discovery of these potential biomarkers and molecular targets for cancer diagnostics and therapeutics has the potential to significantly change the clinical approach and outcome of the disease.

Analysis of Intraoral Squamous Cell Carcinoma Reconstructed with Radial Forearm Flap (전완부 유리 피판으로 재건한 구강내 편평상피암환자의 예후분석)

  • Park Myong-Chul;Soutar David S.
    • Korean Journal of Head & Neck Oncology
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    • v.10 no.1
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    • pp.53-62
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    • 1994
  • 미세외과 수술에 의한 유리 피판술의 도입은 두경부 종양제거후 재건에 괄목할 만한 진보를 가져왔다. 특히 광범위한 종양의 제거가 필요하며 인근의 조직으로 수복이 어렵고 기능 및 외모상의 재건이 문제가 되는 경우 유리 피판은 절대적인 적응이 된다. 구강은 언어구사 와 연하(deglutition)기능을 담당하므로 재건을 위해서는 얇고 부드러운 조직으로 수복하여 주어야 한다. 전완부 유리피판은 혈관경의 위치가 대부분 일정하고 종양 제거후 결손의 모양에 따라 피판을 계획할 수 있기 때문에 구강암 제거후 가장 많이 이용되는 유리피판이다. 저자는 1982년 부터 1988년까지 영국 글라스고우 소재 서부 스코틀랜드 성형 및 구강외과 병원에서 구강의 편평상피암환자로 암종제거 후, 전완부 피판에 의한 재건 및 방사선 치료를 받은 151명의 치료결과(재발율 및 생존율)를 분석하였다. 절제연의 종양조직의 양성(P<0.05), 경부 임파절의 extracapsular node spread여부(P<0.001), 경부 임파절 곽청술의 종류(P<0.05) 등은 재발율과 관련하여 통계적으로 유의하였다. 반면에 종양의 구강내 위치, 하악골의 침범여부등은 통계적의의가 없었다. 생존율에 관하여는 종양의 구강내 위치 (P<0.05), 종양절제연 종양여부(P<0.005), 하악골의 침범여부(P<0.05), 경부 임파절의 extracapsular node spread여부(P<0.001) 등이 통계적으로 유의할 만한 요소로 밝혀졌다. 젊은 나이의 환자들에서(50세이하) 특징적으로 높은 사망률을 보였다. 하악골절제방법의 차이는 환자의 생존예후에 통계적으로 유의할 만한 영향을 주지 못했다.

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The Study of Optical Biopsy‘s Usefulness in Radiotherapy (방사선 치료에서 광학적 생검의 유용성에 관한 연구)

  • ;;Muller M.G.,;Feld M.S.
    • Progress in Medical Physics
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    • v.12 no.1
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    • pp.9-17
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    • 2001
  • The prior purpose of this study is to introduce a optical biopsy and evaluate whether the optical biopsy, real-time, non-invasive technique, is a reliable tool to assess response to radiotherapy Four healthy volunteers, and four patients with inflammatory conditions of the oral cavity participated on the study. was obtained from each person enrolled in the study. Using FastEEM(Ercited Emission Matrix) as a optical biopsy tool, normal and tumor spectra are taken from the normal and the tumor regions. And then second optical biopsy are taken from the tumor regions in 4 patients with time delay at 7days.. Using a diagnostic algorithm, made by Gillenwater based on spectra excited at 337nm The Optical Biopsy turned out to be more suited for tumor diagnostic resulting in significant difference fluorescence spectra. The fluorescence intensity of cancerous tissue showed a higher position. The second fluorescence intensity of optical biopsy of cancerous oral tissue has more smaller than the first result. I conclude that optical biopsy, which technique don't need to remove tissue sample from body, and is a real time , and non-invasive measurement is a reliable tool to access to radiotherapy because FastEEM can do measure the variation of the tissue composition chemical, biological, and morphological after radiotherapy. Based on the fluorescence spectrum are taken from the optical biopsy in normal and tumor spectra as well as tumor spectra after 7days.

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