Usefulness of nuclear morphometry and agNOR score in predicting radiation response in squamous cell cancer of the head and neck

Squamous cell cancers of the head and neck have diverse biological behavior and prediction of radiation response. There is lack of specific investigation tool to predict the subgroup of cancers unresponsive to radiotherapy. This is a prospective study in the use of nuclear and nucleolar morphometri...

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Main Authors: Biswal, Biswa Mohan, Othman, Nor Hayati
Format: Conference or Workshop Item
Language:English
Published: 2000
Subjects:
Online Access:http://eprints.usm.my/42542/
http://eprints.usm.my/42542/1/GP...Usefulness_Of_Nuclear_Morphometry_And_AgNOR_Score_In_Predicting_Radiation_Response_In_Sguamous_Cell_Cancer_Of_The_Head_And_Neck...2000...OCR...pdf
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author Biswal, Biswa Mohan
Othman, Nor Hayati
author_facet Biswal, Biswa Mohan
Othman, Nor Hayati
author_sort Biswal, Biswa Mohan
building USM Institutional Repository
collection Online Access
description Squamous cell cancers of the head and neck have diverse biological behavior and prediction of radiation response. There is lack of specific investigation tool to predict the subgroup of cancers unresponsive to radiotherapy. This is a prospective study in the use of nuclear and nucleolar morphometric parameters for the prediction of radiation response. Twenty six patients with squamous cell cancers of the head and neck region were recruited to receive a course of palliative radiation therapy to a dose of 30Gy in 10 fractions over 2 weeks. Fine needle aspiration cytology was performed on day 1 and day-5 of the above radiotherapy schedule. The AgNOR score and nuclear morphometric study was done using computerized image analyzer. A total of 26 patients were evaluable with a median age of 44 years (range 17-76 years). The primary tumors were from nasopharynx (11), larynx & hypopharynx (5), metastatic node (4), and miscellaneous tumors of head and neck (6). The response to radiation was gradual with a median regression time of 4 weeks.The mean AgNOR score was 3 dots/ nucleus (range (1.2-7dots/nucleus). The average nuclear diameter was 11.073J (range 7.70-16.6) and nucleolar diameter 2.92 (1.09-11.66). Patients with higher pretreatment AgNOR score (> 2.5) were associated with disease progression and metastasis. However patients whose cancer cells showed increase in the diameter of the nucleus after initial radiotherapy fared better with local control by radiotherapy than those cancer cells were not.
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spelling usm-425422020-03-20T04:48:39Z http://eprints.usm.my/42542/ Usefulness of nuclear morphometry and agNOR score in predicting radiation response in squamous cell cancer of the head and neck Biswal, Biswa Mohan Othman, Nor Hayati RB151-214 Theories of disease. Etiology. Pathogenesis Squamous cell cancers of the head and neck have diverse biological behavior and prediction of radiation response. There is lack of specific investigation tool to predict the subgroup of cancers unresponsive to radiotherapy. This is a prospective study in the use of nuclear and nucleolar morphometric parameters for the prediction of radiation response. Twenty six patients with squamous cell cancers of the head and neck region were recruited to receive a course of palliative radiation therapy to a dose of 30Gy in 10 fractions over 2 weeks. Fine needle aspiration cytology was performed on day 1 and day-5 of the above radiotherapy schedule. The AgNOR score and nuclear morphometric study was done using computerized image analyzer. A total of 26 patients were evaluable with a median age of 44 years (range 17-76 years). The primary tumors were from nasopharynx (11), larynx & hypopharynx (5), metastatic node (4), and miscellaneous tumors of head and neck (6). The response to radiation was gradual with a median regression time of 4 weeks.The mean AgNOR score was 3 dots/ nucleus (range (1.2-7dots/nucleus). The average nuclear diameter was 11.073J (range 7.70-16.6) and nucleolar diameter 2.92 (1.09-11.66). Patients with higher pretreatment AgNOR score (> 2.5) were associated with disease progression and metastasis. However patients whose cancer cells showed increase in the diameter of the nucleus after initial radiotherapy fared better with local control by radiotherapy than those cancer cells were not. 2000 Conference or Workshop Item NonPeerReviewed application/pdf en http://eprints.usm.my/42542/1/GP...Usefulness_Of_Nuclear_Morphometry_And_AgNOR_Score_In_Predicting_Radiation_Response_In_Sguamous_Cell_Cancer_Of_The_Head_And_Neck...2000...OCR...pdf Biswal, Biswa Mohan and Othman, Nor Hayati (2000) Usefulness of nuclear morphometry and agNOR score in predicting radiation response in squamous cell cancer of the head and neck. In: Usefulness of nuclear morphometry and agNOR score in predicting radiation response in squamous cell cancer of the head and neck, 1 November 1998. (Submitted)
spellingShingle RB151-214 Theories of disease. Etiology. Pathogenesis
Biswal, Biswa Mohan
Othman, Nor Hayati
Usefulness of nuclear morphometry and agNOR score in predicting radiation response in squamous cell cancer of the head and neck
title Usefulness of nuclear morphometry and agNOR score in predicting radiation response in squamous cell cancer of the head and neck
title_full Usefulness of nuclear morphometry and agNOR score in predicting radiation response in squamous cell cancer of the head and neck
title_fullStr Usefulness of nuclear morphometry and agNOR score in predicting radiation response in squamous cell cancer of the head and neck
title_full_unstemmed Usefulness of nuclear morphometry and agNOR score in predicting radiation response in squamous cell cancer of the head and neck
title_short Usefulness of nuclear morphometry and agNOR score in predicting radiation response in squamous cell cancer of the head and neck
title_sort usefulness of nuclear morphometry and agnor score in predicting radiation response in squamous cell cancer of the head and neck
topic RB151-214 Theories of disease. Etiology. Pathogenesis
url http://eprints.usm.my/42542/
http://eprints.usm.my/42542/1/GP...Usefulness_Of_Nuclear_Morphometry_And_AgNOR_Score_In_Predicting_Radiation_Response_In_Sguamous_Cell_Cancer_Of_The_Head_And_Neck...2000...OCR...pdf