Ivan Marcelo Gonçalves Agra

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Luiz Paulo Kowalski12
André Lopes Carvalho8
Jose Magrin6
João Gonçalves Filho4
Vera Cavalcanti De Araújo4
13Luiz Paulo Kowalski
9André Lopes Carvalho
6José Magrin
4Everton Pontes Martins
4João Gonçalves Filho

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2003
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Distribution of metastatic lymph nodes in oropharyngeal carcinoma and its implications for the elective treatment of the neck.
OBJECTIVES To analyze the distribution of lymph node metastases in patients with oropharyngeal squamous cell carcinoma and improve the rationale for elective treatment of the neck. DESIGN AND SETTING Retrospective cohort study of patients evaluated from 1990 to 1998 in a tertiary cancer care center. PATIENTS The 81 consecutive patients who were… (More)
Postoperative complications after en bloc salvage surgery for head and neck cancer.
OBJECTIVE To analyze the frequency of and risk factors for postoperative complications after en bloc salvage surgery for head and neck cancer. DESIGN Retrospective cohort study. SETTING Patients were evaluated from February 7, 1990, to November 17, 1999, in a tertiary cancer center hospital. PATIENTS Consecutive sample of 124 patients from the… (More)
Prognostic factors in salvage surgery for recurrent oral and oropharyngeal cancer.
BACKGROUND Therapeutic decisions in recurrent oral and oropharyngeal squamous carcinoma (SCC) remain controversial. METHODS Two hundred forty-six consecutive patients who underwent salvage surgery for recurrent squamous cell carcinoma (SCC) of the oral cavity and oropharynx were studied. The tumor sites were lip, 33 cases; oral cavity, 143; oropharynx,… (More)
Density of mast cells and microvessels in minor salivary gland tumors
The aim of this study was to investigate the density of mast cells and microvessels in minor salivary gland tumors. Forty-one cases of minor salivary gland tumors (pleomorphic adenoma, n = 10; adenoid cystic carcinoma, n = 11; mucoepidermoid carcinoma, n = 10; and polymorphous low-grade adenocarcinoma) were investigated using immunohistochemistry for mast… (More)
Biological markers and prognosis in recurrent oral cancer after salvage surgery.
OBJECTIVE To analyze the prognostic effect of epidermal growth factor receptor (EGFR), matrix metalloproteinases 2 and 9, and vascular endothelial growth factor expression in patients with locally recurrent oral carcinoma after salvage surgery. DESIGN Retrospective cohort study. Settings Tertiary center cancer hospital. PATIENTS The charts of 111… (More)
Diagnosis and treatment of recurrent laryngeal cancer following initial nonsurgical therapy.
Surgery is the preferred modality for curative treatment of recurrent laryngeal cancer after failure of nonsurgical treatments. Patients with initial early-stage cancer experiencing recurrence following radiotherapy often have more advanced-stage tumors by the time the recurrence is recognized. About one third of such recurrent cancers are suitable for… (More)
Treatment results on advanced neck metastasis (N3) from head and neck squamous carcinoma.
OBJECTIVE To analyze the long-term results of patients with N3 neck metastasis from squamous carcinoma of the head and neck. STUDY DESIGN This study is based on the analysis of a retrospective cohort of 224 previously untreated patients with squamous cell carcinoma of the head and neck and lymph node metastasis sized greater than 6 cm (N3) who were… (More)
MCM3: A Novel Proliferation Marker in Oral Squamous Cell Carcinoma.
The present study sought to evaluate and compare the immunoexpression of proteins minichromosome maintenance (MCM) 3 and Ki-67 in oral squamous cell carcinoma (OSCC) to assess the potential of these proteins as markers of cellular proliferation. Twenty-eight cases of OSCC, 9 of tumor-free resection margins (TM), and 4 of non-neoplastic oral mucosa (NNM)… (More)
Internal jugular vein preservation in neck dissection for pN1-N2c oral and oropharyngeal carcinoma.
PURPOSE The aim of this study is to evaluate risk factors of neck recurrence in patients with pN1-N2 neck stage, submitted to a modified radical neck dissection with preservation of the internal jugular vein. MATERIALS AND METHODS We reviewed the medical records of 72 patients with squamous cell carcinoma of the oral cavity (43 cases) and oropharynx (29… (More)
Preservation of the internal jugular vein in the radical treatment of node-positive neck--is it safe?
BACKGROUND The aim of this study was to evaluate risk factors of neck recurrence in patients with pN+ necks submitted to a modified or a classic radical neck dissection and the safety of preserving the internal jugular vein in the treatment of a subgroup of these patients. METHODS The medical records of 311 untreated patients with squamous cell carcinoma… (More)