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Intramucosal Inoculation of Squamous Cell Carcinoma Cells in Mice for Tumor Immune Profiling and Treatment Response Assessment
Published on: April 22, 2019
Radiation-related cytological changes in oral malignant cells
Ravi Mehrotra1, Neeta Goel, Mamta Singh
1The Departments of Pathology and Preventive Medicine Moti Lal Nehru Medical College, Allahabad. mravi1@sancharnet.in
This study investigated radiation responses in oral cancer cells using cytology. Fractionated radiotherapy significantly increased radiation-induced cytological changes in squamous cell carcinoma patients.
Area of Science:
- Oncology
- Cytopathology
- Radiotherapy Research
Background:
- Oral cavity carcinoma is a significant health concern in India, accounting for approximately 40% of malignant tumors.
- Cytological assessment of radiation responses in oral cancer cells remains underexplored.
- Understanding cellular changes post-radiotherapy is crucial for treatment efficacy.
Purpose of the Study:
- To evaluate the cytological effects of fractionated radiotherapy on oral squamous cell carcinoma.
- To quantify specific radiation-induced nuclear abnormalities in oral cancer cells.
- To correlate cytological changes with radiotherapy treatment mechanisms.
Main Methods:
- A study involving 102 patients with oral squamous cell carcinoma undergoing fractionated radiotherapy.
- Serial cytological scrape smears collected from tumors before and after irradiation.
- Quantitative analysis of micronucleation, nuclear budding, binucleation, and multinucleation.
Main Results:
- Significant increases observed in micronucleation (1.6 to 14.1), nuclear budding (0.9 to 5.5), binucleation (7.6 to 28.1), and multinucleation (2.4 to 11.7) post-radiotherapy (p<0.001 for all).
- Other observed radiation changes included abnormal nuclear divisions, fibroblast-like cells, nuclear enlargement, and cytoplasmic granulation.
- These cytological responses demonstrated a significant rise following radiotherapy.
Conclusions:
- Fractionated radiotherapy induces significant and measurable cytological changes in oral squamous cell carcinoma.
- The observed nuclear abnormalities and cellular alterations provide insights into radiotherapy's cell-killing mechanisms.
- Cytology is a valuable tool for assessing treatment response in oral cancer radiotherapy.
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