11 results on '"Bezerra, TMM"'
Search Results
2. Occupational group, educational level, marital status and deleterious habits among individuals with maxillofacial fractures: retrospective study
- Author
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Esses, DFS, primary, Costa, FWG, additional, Sa, CDL, additional, Silva, PGB, additional, Bezerra, TMM, additional, Carvalho, FSR, additional, de Medeiros, JR, additional, and Soares, ECS, additional
- Published
- 2017
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3. Assessment of the association of myofibroblasts and structural components of the extracellular matrix with histopathological parameters of actinic cheilitis and lower lip squamous cell carcinoma.
- Author
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Martinez FEO, Bezerra TMM, Alves APNN, Fernandes IJLS, Sousa FB, de Barros Silva PG, and Mota MRL
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- Humans, Male, Female, Middle Aged, Aged, Transforming Growth Factor beta, Adult, Actins, Immunohistochemistry, Ki-67 Antigen, Collagen, Elastic Tissue pathology, Cheilitis pathology, Cheilitis metabolism, Lip Neoplasms pathology, Lip Neoplasms metabolism, Myofibroblasts pathology, Carcinoma, Squamous Cell pathology, Extracellular Matrix pathology
- Abstract
Background: To evaluate the presence of myofibroblasts (MFs) in the development of lip carcinogenesis, through the correlation of clinical, histomorphometric and immunohistochemical parameters, in actinic cheilitis (ACs) and lower lip squamous cell carcinomas (LLSCCs)., Methods: Samples of ACs, LLSCCs, and control group (CG) were prepared by tissue microarray (TMA) for immunohistochemical TGF-β, α-SMA, and Ki-67 and histochemical hematoxylin and eosin, picrosirius red, and verhoeff van gieson reactions. Clinical and microscopic data were associated using the Mann-Whitney, Kruskal-Wallis/Dunn, and Spearman correlation tests (SPSS, p < 0.05)., Results: ACs showed higher number of α-SMA
+ MFs when compared to CG (p = 0.034), and these cells were associated with the vertical expansion of solar elastosis (SE) itself (p = 0.027). Areas of SE had lower deposits of collagen (p < 0.001), immunostaining for TGF-β (p < 0.001), and higher density of elastic fibers (p < 0.05) when compared to areas without SE. A positive correlation was observed between high-risk epithelial dysplasia (ED) and the proximity of SE to the dysplastic epithelium (p = 0.027). LLSCCs showed a higher number of α-SMA+ MFs about CG (p = 0.034), as well as a reduction in the deposition of total collagen (p = 0.009) in relation to ACs and CG. There was also a negative correlation between the amount of α-SMA+ cells and the accumulation of total collagen (p = 0.041). Collagen and elastic density loss was higher in larger tumors (p = 0.045) with nodal invasion (p = 0.047)., Conclusions: Our findings show the possible role of MFs, collagen fibers, and elastosis areas in the lip carcinogenesis process., (© 2024 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.)- Published
- 2024
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4. Tumor Budding and Poor Prognosis in Oral Cancer: A Systematic Review and Meta-Analysis.
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Feitosa SG, Oliveira RV, Bezerra TMM, Chaves FN, Viana KF, Oliveira DFG, and Pereira KMA
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- Humans, Disease-Free Survival, Progression-Free Survival, Multivariate Analysis, PubMed, Mouth Neoplasms
- Abstract
Background: Tumor budding (TB) has been investigated in several types of solid tumors. In oral cancer, studies show its association with survival. However, for its implementation in routine histological analyses, results with a high certainty of evidence are needed. Therefore, the aim of this systematic review is to explore the association between tumor budding and overall survival (OS), disease-specific survival (DSS), and disease-free survival (DFS) in oral cancer., Methods: A search was performed in Embase, PubMed, Scopus, Livivo, Web of Science, and Google Scholar. We adopted the following inclusion criteria: studies that evaluate tumor budding in oral cancer, that investigate survival, and presenting cohort design. We excluded reviews and studies without hazard-ratio (HR) data., Results: This systematic review included 22 studies and showed an association between TB and survival. High-grade TB is associated with a worse OS in univariate analysis (HR = 3.11; 95% CI: 2.06-4.69, p<0.01) and multivariate analysis (HR = 2.62; 95% CI: 1.64-4.20, p<0.01); with a poorer DSS in univariate (HR = 2.43; 95% CI: 1.94-3.03, p<0.01) and multivariate analysis (HR = 2.01; 95% CI: 1.43-2.83, p< 0.01); and with a worse DFS in univariate (HR = 1.94; 95% CI: 1.44-2.62, p<0.01) and multivariate analysis (HR = 2.15; 95% CI: 1.31-3.53, p< 0.01). Sensitivity analysis showed that the results are robust, and no significant publication bias was identified in univariate analysis for DFS (Egger's test: p = 0.94). The certainty of the evidence was graded as low or very low., Conclusion: Our findings indicate that TB is an independent prognostic factor of OS, DSS, and DFS in oral cancer. However, further studies are needed to increase the certainty of the evidence.
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- 2023
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5. Assessment of the presence of interleukin 17 + macrophages and Th17 cells in situ in lip and oral tongue cancer.
- Author
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Bezerra TMM, Monteiro BVB, Pereira JDS, Silva LAB, Nonaka CFW, Silveira ÉJDD, and Miguel MCDC
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- Female, Humans, Male, Interleukin-17 immunology, Lip Neoplasms immunology, Lip Neoplasms pathology, Lymphocytes, Tumor-Infiltrating immunology, Lymphocytes, Tumor-Infiltrating pathology, Neoplasm Proteins immunology, Th17 Cells immunology, Th17 Cells pathology, Tongue Neoplasms immunology, Tongue Neoplasms pathology, Tumor-Associated Macrophages immunology, Tumor-Associated Macrophages pathology
- Abstract
Increasing clinical evidence indicates that Th17 cells may promote or inhibit tumor progression, however the exact role of these cells in Oral Squamous Cell Carcinoma (OSCCs) pathogenesis and progression remains unclear. Tumor associated macrophages are highly plastic phenotype cells which can differentiate as M1 or M2. The mechanism and cellular phenotype of IL-17 expressing macrophages are unknown. 40 cases of lip and 28 of tongue SCCs were submitted to immunohistochemical analysis, and histologically graded. In tongue cases TNM was analyzed. The number of IL-17
+ T cells was higher in lip SCC (p = 0.028). IL-17+ macrophages was greater in tongue SCC (p = 0.014). There were more IL-17+ macrophages in the high-grade malignancy oral tongue SCCs (p = 0.016), yet there was no significant difference in the numbers of RORγt+ lymphocytes by histopathological or TNM analysis. This study provides evidence concerning IL-17's pleiotropic roles, being possibly dependent on its cellular sources in the tumor microenvironment., Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2021 American Society for Histocompatibility and Immunogenetics. Published by Elsevier Inc. All rights reserved.)- Published
- 2021
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6. Do Protocadherins Show Prognostic Value in the Carcinogenesis of Human Malignant Neoplasms? Systematic Review and Meta-Analysis.
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Dutra TTB, Bezerra TMM, Luna ECM, Carvalho FSR, Chaves FN, Barros Silva PG, Costa FWG, and Pereira KMA
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- Cadherins metabolism, Carcinogenesis metabolism, Humans, Neoplasms genetics, Neoplasms therapy, Prognosis, Cadherins genetics, Carcinogenesis pathology, DNA Methylation, Neoplasms diagnosis
- Abstract
Background: Protocadherins (PCDHs) have been reported as tumor suppressor genes, implying that these genes may be involved in tumor suppression in a variety of cancers. However, a thorough understanding of the functions and mechanisms of PCDHs remains limited. Our aim was to investigate the methylation profile of PCDHs in human malignant neoplasms., Methods: This systematic review has been recorded in PROSPERO (#42019117844) and conducted according to PRISMA's checklist; search was conducted in LILACS, PubMed, Science Direct, Scopus, and Web of Science databases, manually, with search queries and without date or language restrictions., Results: We found 91 articles, of which 26 were used for this meta-analysis and categorized according to the origin of the neoplasia. In total, 3,377 cases were compiled, with PCDH10, PCDH17, and PCDH8 being the most studied; males were 2.22 times more affected than females. Studies have shown significant heterogeneity (p <0.001), with the odds ratio varying between cases and controls [2.20 (95% CI = 1.11- 4.35) to 209.05 (95% CI = 12.64- 2,457.18)], and the value of association between methylation and cancers studied was 26.08 (95% CI = 15.42-44.13)., Conclusion: In this systematic review, we have demonstrated using meta-analysis that PCDHs could emerge as potential tumor suppressor genes and that a significant increase in methylation may be useful for early detection of different cancers. This work may help in the identification of new prognostic biomarkers in malignant neoplasms.
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- 2020
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7. CD133 Role in Oral Carcinogenesis.
- Author
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Luna ECM, Bezerra TMM, Barros Silva PG, Cavalcante RB, Costa FWG, Alves APNN, Chaves FN, and Pereira KMA
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- Adult, Aged, Aged, 80 and over, Carcinoma, Squamous Cell metabolism, Female, Focal Epithelial Hyperplasia metabolism, Follow-Up Studies, Humans, Male, Middle Aged, Mouth Neoplasms metabolism, Precancerous Conditions metabolism, Prognosis, AC133 Antigen metabolism, Biomarkers, Tumor metabolism, Carcinoma, Squamous Cell pathology, Focal Epithelial Hyperplasia pathology, Mouth Neoplasms pathology, Precancerous Conditions pathology
- Abstract
Objective: to investigate CD133 immunoexpression, cancer stem cells marker, in oral epithelial dysplasias (OEDs) and oral squamous cells carcinomas (OSCCs) and understandits possible involvement in the malignant transformation process of these lesions and to better elucidate their biological behavior., Material and Methods: Tissue samples of 15 cases of OSCCs and 15 OEDs were subjected to CD133 antibody immunohistochemistry reactions. The analysis used quantitative parameters (number of immunostained cells regardless of immunostaining sublocations)., Results: All samples of OSCCs and OEDs showed positive immunostaining, with no significant difference between these groups (p = 0.283). We did not observe statistical difference between the degree of dysplasia and the amount of CD133+ cells (p = 0.899). CD133 immunoexpression showed no association with the OEDs and OSCCs sites. It was observed that nuclear and cytoplasmic immunostaining was more evident with the progression of the malignant process., Conclusion: It is suggested that the CD133 cellular localization together with the histopathological criteria of OEDs classification can contribute to provide more concrete indications about the oral carcinogenesis process.
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- 2020
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8. Loss of heterozygosity and immunoexpression of PTEN in oral epithelial dysplasia and squamous cell carcinoma.
- Author
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Chaves FN, Bezerra TMM, Moraes DC, Costa SFDS, Silva PGB, Alves APNN, Costa FWG, Bernardes VF, and Pereira KMA
- Subjects
- Carcinoma in Situ genetics, Carcinoma in Situ pathology, Carcinoma, Squamous Cell pathology, Cell Transformation, Neoplastic genetics, Female, Gene Expression Regulation, Neoplastic genetics, Humans, Immunohistochemistry methods, Male, Microsatellite Repeats genetics, Mouth Mucosa pathology, Mouth Neoplasms pathology, Precancerous Conditions genetics, Precancerous Conditions pathology, Risk Factors, Carcinoma, Squamous Cell genetics, Loss of Heterozygosity genetics, Mouth Neoplasms genetics, PTEN Phosphohydrolase genetics
- Abstract
Introduction: Oral epithelial dysplasia (OED) is a risk factor for developing subsequent oral squamous cell carcinoma (OSCC). Loss of heterozygosity (LOH) profiles have been validated as risk predictors of malignant transformation of OED. It is still unclear if Phosphatase and tensin homologue deleted on chromosome 10 (PTEN) allelic loss also occurs in initial stage malignant lesions and if the allelic loss is involved as one of the mechanisms of oral carcinogenesis. Thus, this study objective investigate LOH of PTEN gene and the immunohistochemical expression of the protein in OED and OSCC samples., Material and Methods: Formalin-fixed paraffin-embedded samples of 19 OEDs and 16 OSCCs were included to immunohistochemistry and LOH analysis. Two polymorphic microsatellite markers (AFMA086WG9 and D10S1765) located in chromosome 10 were used in this study for LOH analysis. For immunohistochemical analysis, 5 random fields with 400× magnification were evaluated quantitatively and qualitatively in epithelial and neoplastic cells., Results: AFMA086WG9 marker only demonstrated LOH in OEDs cases (10.5%). D10S1765 marker demonstrated LOH in 57.2% of OEDs and 50% of OSCCs. Higher nuclear immunostaining was detected in cases of OSCCs when compared to OEDs (p < .001) and there was strong cytoplasmic immunoexpression in OSCCs (p < .045)., Conclusions: We provide evidence that the allelic loss of PTEN is present in premalignant oral lesions and OSCCs, however the LOH of PTEN does not seems to influence its protein expression., Competing Interests: Declaration of Competing Interest The authors declare that they have no conflict of interest., (Copyright © 2019 Elsevier Inc. All rights reserved.)
- Published
- 2020
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9. Pharmacological Characterization and Raman Spectroscopy Evaluation of Oral and Maxillofacial Surgery-Related Carnoy´S Solution Modified by Different Viscosity Agents.
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Carvalho FSR, Verde MML, Viana KF, Bezerra TMM, Fonseca SGDC, Pereira KMA, Ribeiro TR, and Costa FWG
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- Humans, Surgery, Oral, Viscosity, Acetic Acid administration & dosage, Chloroform administration & dosage, Drug Compounding, Ethanol administration & dosage, Fixatives chemistry, Odontogenic Cysts surgery, Odontogenic Tumors surgery, Spectrum Analysis, Raman methods
- Abstract
Background: There are several lesions of odontogenic and non-odontogenic origin in the oral cavity, such as odontogenic keratocyst, as well as many treatment options for such lesions. In order to reduce recurrence due to conservative treatments and less aesthetic and functional impairment of the patient (radical therapies), Carnoy's solution has been used as an adjuvant to surgery, showing satisfactory results. Its application is not standardized, presenting risks to adjacent tissues. Thus, we characterized the Carnoy's solution with different viscosity agents to enhance its applicability., Material and Methods: All solutions prepared (Carnoy with and without chloroform) were added with viscosity agent: ethyl cellulose, propylene glycol, and glycerol totaling eight solutions. The pharmacological characterization of the solutions was performed by determining the mass density and relative density (using a clean and dry pycnometer), pH (using pH meter), and concentration of Fe3+ (using ultraviolet/visible spectroscopy). The analyses of the inorganic components were determined by Raman micro spectrometry. Data were analyzed with statistical program BIOESTAT 5.3., Results: Solutions with ethyl cellulose were discarded due to precipitate formation and suspension of the viscosity agent. In the other solutions, viscosity increase (propylene glycol solutions) and acidic pH were observed mainly in the glycerol group. The ferric chloride characterized as a hemostatic agent had its concentration increased with the use of thickening agents, theoretically favoring its action., Conclusion: The similarity of the propylene glycol and glycerol molecules justifies the Raman spectra of these substances to be similar and the difficulty in obtaining a "fingerprint"., .
- Published
- 2019
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10. Progressive ossificans fibrodysplasia endodontic management: Case report.
- Author
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Dutra TTB, Bezerra TMM, Chaves FN, Feitosa SG, Costa FWG, and Pereira KMA
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- Dental Pulp Necrosis, Female, Humans, Mandible, Dental Caries, Myositis Ossificans
- Abstract
The objective of this case is to discuss the endodontic management in patient diagnosed with Progressive Ossificans Fibrodysplasia (POF) who sought the dental service due to discomfort in the mandible. Minor mobility of the peripheral joints, spinal involvement, gait limitation, inability to sit, report of joint pain, and limitation of TMJ movements were observed on the extra-oral examination. The intraoral examination revealed the presence of ectopic teeth (13 and 23), prolonged retention of primary teeth (53 and 63), dental gyrosurgery (34 and 33), caries lesion on teeth 36 and 47, and dental crowding. To the percussion test and the thermal pulp sensitivity of the tooth 36, there was no response, indicating pulp necrosis. Conventional endodontic therapy was performed under intrapulpal anesthesia and the dental chair placed at 45º. The patient evolved without painful symptomatology, is free of heterotopic ossification resulting from the treatment and her ability to open the mouth remained the same. Thus, endodontic treatment is a viable procedure and should be eligible in patients with POF because it minimizes local trauma and reduces iatrogenic risks, which may exacerbate the progression of the disease., (© 2019 Special Care Dentistry Association and Wiley Periodicals, Inc.)
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- 2019
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11. Subjective well-being and oral discomfort in older people.
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Saintrain MVL, Bezerra TMM, Santos FDS, Saintrain SV, Pequeno LL, da Silva RM, and Vieira-Meyer APGF
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- Aged, Aged, 80 and over, Brazil, Burning Mouth Syndrome, Cross-Sectional Studies, Deglutition, Eating, Female, Geriatric Psychiatry, Humans, Interviews as Topic, Male, Middle Aged, Quality of Life, Socioeconomic Factors, Speech, Surveys and Questionnaires, Taste, Health Status, Healthy Aging, Oral Health, Xerostomia physiopathology
- Abstract
ABSTRACTBackground:The study aims to assess the relationship between oral discomfort and subjective well-being (SWB) in older people., Methods: A quantitative cross-sectional study was conducted in four Reference Centers for Social Welfare in Fortaleza, Northeastern Brazil. A census was held and individual interviews were carried out with all the older people (n = 246) enrolled in the centers. A questionnaire addressing sociodemographic data (age, gender, marital status, income, and education) and oral discomfort (dry mouth, difficulty in chewing and swallowing food, problems with the taste of food, burning mouth sensation, pain for no apparent reason, and mouth swelling) and the 62-item SWB scale were used., Results: Participants were 246 people aged 60-89 years (mean of 69 ± 6.9 years). The majority were women (n = 199; 80.9%), had incomplete primary education (n = 161; 65.4%), had an income of up to one minimum wage (n = 182; 74%), were retired (n = 169; 68.7%), were white (n = 100; 40.7%), and had no partner (n = 177; 72%). The mean SWB score (subscale 1) was associated with age (p = 0.010), gender (p = 0.019), health in the previous year (p = 0.027), systemic diseases (p = 0.007), speech problems (p = 0.016), vision problems (p = 0.006), number of teeth (p = 0.010), and dry mouth (p = 0.044). SWB (subscale 2) was associated with gender (p = 0.029), skin color (p = 0.023), general health (p < 0.001), health in the previous year (p < 0.001), systemic diseases (p = 0.001), drinking (p = 0.022), soft tissue problems (p = 0.001), and pain for no apparent reason (p = 0.025)., Conclusion: The relationship between oral discomfort and SWB reveals that older people's poor oral health leads to physical, psychological, and/or social problems that directly interfere with their well-being.
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- 2018
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