Molecular introduction to head and neck cancer (HNSCC) carcinogenesis

Of all human cancers, HNSCC is the most distressing affecting pain, disfigurement, speech and the basic survival functions of breathing and swallowing. Mortality rates have not significantly changed in the last 40 years despite advances in radiotherapy and surgical treatment. Molecular markers are currently being identified that can determine prognosis preoperatively by routine tumour biopsy Leading to improved management of HNSCC patients. The approach could help decide which early stage patient should have adjuvant neck dissection and radiotherapy, and whether Later stage patients with operable lesions would benefit from resection and reconstructive surgery or adopt a conservative approach to patients with poor prognosis regardless of treatment. In the future, understanding these basic genetic changes in HNSCC would be important for the management of HNSCC. (C) 2004 The British Association of Plastic Surgeons. Published by Elsevier Ltd. All rights reserved.

Novel markers for poor prognosis in head and neck cancer

Head and neck cancer (HNSCC) is one of the most distressing human cancers, causing pain and affecting the basic survival functions of breathing and swallowing. Mortality rates have not changed despite recent advances in radiotherapy and surgical treatment. We have compared the expression of over 13,000 unique genes in 7 cases of matched HNSCC and normal oral mucosa. Of the 1,260 genes that showed statistically significant differences in expression between normal and tumor tissue at the mRNA level, the three top ranking of the top 5% were selected for further analysis by immunohistochemistry on paraffin sections,. along with the tumor suppressor genes p16 and p53, in a total of 62 patients including 55 for whom >4-year clinical data was available. Using univariate and multivariate survival analysis, we identified SPARC/osteonectin as a powerful independent prognostic marker for short disease-free interval (DFI) (p < 0.002) and poor overall survival (OS) (p = 0.018) of HNSCC patients. In combination with other ECM proteins found in our analysis, PAI-1 and uPA, the association with DFI and OS became even more significant (p < 0.001). Our study represents the first instance of SPARC as an independent prognostic marker in HNSCC.

Mining-associated Seismicity in Kolar Gold Mines: Some Case Studies using Multi-fractals

The occurrence of rockbursts was quite common during active mining periods in the Champion reef mines of Kolar gold fields, India. Among the major rockbursts, the ‘area-rockbursts’ were unique both in regard to their spatio-temporal distribution and the extent of damage caused to the mine workings. A detailed study of the spatial clustering of 3 major area-rockbursts (ARB) was carried out using a multi-fractal technique involving generalized correlation integral functions. The spatial distribution analysis of all 3 area-rockbursts showed that they are heterogeneous. The degree of heterogeneity (D2 – D∞) in the cases of ARB-I, II and III were found to be 0.52, 0.37 and 0.41 respectively. These differences in fractal structure indicate that the ARBs of the present study were fully controlled by different heterogeneous stress fields associated with different mining and geological conditions. The present study clearly showed the advantages of the application of multi-fractals to seismic data and to characterise, analyse and examine the area-rockbursts and their causative factors in the Kolar gold mines.