Abdul Hanan Nagi

Mucin Histochemistry in Tumours of Colon, Ovaries and Lung

Introduction: Mucins implicated in cancers of various organs. The apical epithelial surfaces of mammalian respiratory, gastrointestinal, and reproductive tracts are coated by mucus, a mixture of water, ions, glycoproteins, proteins, and lipids. The purpose of this study was to confirm the presence of mucin production using Haematoxylin and Eosin (H&E) stain as the gold standard and to describe the types of mucins produced in tumors of lung, colon and ovaries using various types of histochemical techniques. Methods: The resection specimens and biopsies from tumours of colon (n=16), ovaries (n=13) and lung (n=5) were included and stained with H&E to determin the histological diagnosis for selecting tissues with mucin production. Slides were stained with PAS, Alcian blue, High iron diamine-Alcian blue, Meyer’s mucicarmine and Alcian blue-PAS to demonstrate the mucin production and to identify types of mucins. Results: In the present study we observed predominance of acid mucins over neutral mucins. In addition in these cases we observed sulphomucin predominating over sialomucin. Conclusion: Mucin histochemistry can effectively determine the types of mucins.

A Study of 89 Cases of Oral Squamous Cell Carcinoma Presenting at Teaching Hospitals of Lahore, Pakistan

OBJECTIVE: Oral squamous cell carcinoma (OSCC) is one of the most prevalent malignant neoplasm in south Asia and a major public health problem in Pakistan due to its high morbidity and poor survival rates. The objective of the study was to describe the clinical pattern of oral squamous cell carcinoma in tertiary care hospitals of Lahore. METHODOLOGY: A cross sectional study was done at tertiary care hospitals of Lahore where demographic and clinical data of eighty nine histologically diagnosed cases of OSCC was studied. RESULTS: Mean age of the patients was 53.13 ±14.82 years and male to female ratio was 1.4:1 with 58.4%males and 41.6% females. Tongue was the most frequently affected site 37.1%followed by buccal mucosa 30.3%. The most common presenting complaint was non healing ulcer 50.6%.Mean duration of lesions at presentation was 5 ± 3.68 months. 66.3% cases reported with history of smoking, chewing tobacco/snuff and betel quid. Smoking was the most prevalent etiological agent accounting for 22.5% cases and was found to be significantly higher in the male population (p<0.001). CONCLUSIONS: Most cases of oral squamous cell carcinoma (OSCC) in major hospitals of Lahore, Pakistan are reported in 5th to 6 decade of life, with male preponderance. Ulceration is the most common clinical manifestation in OSCC patients with about two-third cases reporting within 6 months of onset of lesions. Tongue is the most commonly affected site and smoking tobacco and betel quid chewing are the main risk factors implicated in OSCC.

EMMPRIN (CD147) as a potential predictor of oral squamous cell carcinoma progression: A study from Pakistan

Abstract Background: Oral squamous cell carcinoma (OSCC) is among the frequently reported malignancies in Pakistan having unfavorable prognosis. Extracellular Matrix Metalloproteinase Inducer (EMMPRIN) is a

Concomitant-chemoradiotherapy-associated oral lesions in patients with oral squamous-cell carcinoma

Objective : Oral squamous-cell carcinoma (OSCC) accounts for >90% of oral cancers affecting adults mostly between the fourth to seventh decades of life. The most common OSCC treatment is concomitant chemoradiotherapy (CCRT) having both loco-regional and distant control, but CCRT has acute and chronic toxic effects on adjacent normal tissue. This study aimed to determine the side effects of CCRT on the oral mucosa and to characterize the clinicopathology of oral lesions in patients with OSCC. Methods: This descriptive, cross-sectional study was certified by the Ethical Review Committee (UHS/Education/126-12/2728) of the University of Health Sciences, Lahore, Pakistan. OSSC patients (n=81) with various histological subtypes, grades, and stages were recruited, and findings on their oral examination were recorded. These patients received 70, 90, and 119 Gy of radiotherapy dosages in combination with the chemotherapy drugs cisplatin and 5-fluorouracil. Data were analyzed using SPSS 20.0. Results : The most common presentation of OSCC was a nonhealing ulcer (63%) involving tongue (55.6%). Clinical findings included mucositis (92.6%) and xerostomia of mild, moderate, and severe degrees in 11.1%, 46.9%, and 35.8% cases, respectively. Ulcers (87.7%), palpable lymph nodes (64.2%), limited mouth opening (64.2%) and fistula (40.7%) were also observed. In females, the association of radiotherapy dosage with limited mouth opening, xerostomia, and histological grading was statistically significant (P<0.05). The association of chemotherapy drugs with xerostomia (P=0.003) was also statistically significant. Conclusions : CCRT induced mucositis, xerostomia, and trismus in patients with OSCC.