Chronic Periodontitis and the Incidence of Head and Neck Squamous Cell Carcinoma
Identifieur interne : 005D76 ( Main/Exploration ); précédent : 005D75; suivant : 005D77Chronic Periodontitis and the Incidence of Head and Neck Squamous Cell Carcinoma
Auteurs : Mine Tezal [États-Unis] ; Maureen A. Sullivan [États-Unis] ; Andrew Hyland [États-Unis] ; James R. Marshaii [États-Unis] ; Daniel Stoler [États-Unis] ; Mary E. Reid [États-Unis] ; Thom R. Loree [États-Unis] ; Nestor R. Rigual [États-Unis] ; Mihai Merzianu [États-Unis] ; Linda Hauck [États-Unis] ; Cheryl Lillis [États-Unis] ; Jean Wactawski-Wende [États-Unis] ; Frank A. Scannapieco [États-Unis]Source :
- Cancer epidemiology, biomarkers & prevention [ 1055-9965 ] ; 2009.
Descripteurs français
- Pascal (Inist)
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Abstract
Substantial evidence supports an association between chronic infections/inflammation, and cancer. The aim of this study was to assess the effect of chronic periodontitis on head and neck squamous cell carcinoma (HNSCC). The study population consisted of new patients at the Department of Dentistry and Maxillofacial Prosthetics, Roswell Park Cancer Institute between 1999 and 2005. Cases were patients diagnosed with primary HNSCC. Controls were all patients seen during the same time period but negative for malignancy. Patients age <21 years, edentulous, immunocompromised, and those with history of cancer were excluded. Periodontitis was measured by alveolar bone loss (ABL) from panoramic radiographs by one examiner blind to cancer status. A total of 473 patients (266 cases and 207 controls) were included in the study. Each millimeter of ABL was associated with >4-fold increased risk of HNSCC (odds ratio, 4.36; 95% confidence interval, 3.16-6.01) after adjustment for age, gender, race/ethnicity, marital status, smoking status, alcohol use, and missing teeth. The strength of the association was greatest in the oral cavity, followed by oropharynx and larynx. The association persisted in subjects who never used tobacco and alcohol. There was a significant interaction between smoking and ABL (P = 0.03). Patients with periodontitis were more likely to have poorly differentiated oral cavity SCC than those without periodontitis (32.8% versus 11.5%; P = 0.038). This study suggests that chronic periodontitis is an independent risk factor for HNSCC and smoking modifies this association. These results have implications for practical and safe strategies for prevention, diagnosis, and treatment of HNSCC.
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Marshaii</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Department of Social and Preventive Medicine, The State University of New York</s1><s3>USA</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>12 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Department of Social and Preventive Medicine, The State University of New York</wicri:noRegion></affiliation><affiliation wicri:level="2"><inist:fA14 i1="08"><s1>Department ofCancer Prevention and Population Sciences, Roswell Park Cancer Institute</s1><s2>Buffalo, New York</s2><s3>USA</s3><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Stoler, Daniel" sort="Stoler, Daniel" uniqKey="Stoler D" first="Daniel" last="Stoler">Daniel Stoler</name><affiliation wicri:level="2"><inist:fA14 i1="09"><s1>Department of Cancer Genetics, Roswell Park Cancer Institute</s1><s2>Buffalo, New York</s2><s3>USA</s3><sZ>5 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Reid, Mary E" sort="Reid, Mary E" uniqKey="Reid M" first="Mary E." last="Reid">Mary E. Reid</name><affiliation wicri:level="2"><inist:fA14 i1="08"><s1>Department ofCancer Prevention and Population Sciences, Roswell Park Cancer Institute</s1><s2>Buffalo, New York</s2><s3>USA</s3><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Loree, Thom R" sort="Loree, Thom R" uniqKey="Loree T" first="Thom R." last="Loree">Thom R. Loree</name><affiliation wicri:level="2"><inist:fA14 i1="06"><s1>Department ofHead and Neck Surgery, Roswell Park Cancer Institute</s1><s2>Buffalo, New York</s2><s3>USA</s3><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Rigual, Nestor R" sort="Rigual, Nestor R" uniqKey="Rigual N" first="Nestor R." last="Rigual">Nestor R. Rigual</name><affiliation wicri:level="1"><inist:fA14 i1="04"><s1>Department of Otolaryngology, The State University of New York</s1><s3>USA</s3><sZ>8 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Department of Otolaryngology, The State University of New York</wicri:noRegion></affiliation><affiliation wicri:level="2"><inist:fA14 i1="06"><s1>Department ofHead and Neck Surgery, Roswell Park Cancer Institute</s1><s2>Buffalo, New York</s2><s3>USA</s3><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Merzianu, Mihai" sort="Merzianu, Mihai" uniqKey="Merzianu M" first="Mihai" last="Merzianu">Mihai Merzianu</name><affiliation wicri:level="2"><inist:fA14 i1="07"><s1>Department ofpathology and Anatomical Sciences, Roswell Park Cancer Institute</s1><s2>Buffalo, New York</s2><s3>USA</s3><sZ>9 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Hauck, Linda" sort="Hauck, Linda" uniqKey="Hauck L" first="Linda" last="Hauck">Linda Hauck</name><affiliation wicri:level="2"><inist:fA14 i1="10"><s1>Department ofHealth Information Management, Roswell Park Cancer Institute</s1><s2>Buffalo, New York</s2><s3>USA</s3><sZ>10 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Lillis, Cheryl" sort="Lillis, Cheryl" uniqKey="Lillis C" first="Cheryl" last="Lillis">Cheryl Lillis</name><affiliation wicri:level="2"><inist:fA14 i1="11"><s1>Information Technology, Roswell Park Cancer Institute</s1><s2>Buffalo, New York</s2><s3>USA</s3><sZ>11 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Wactawski Wende, Jean" sort="Wactawski Wende, Jean" uniqKey="Wactawski Wende J" first="Jean" last="Wactawski-Wende">Jean Wactawski-Wende</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Department of Social and Preventive Medicine, The State University of New York</s1><s3>USA</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>12 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Department of Social and Preventive Medicine, The State University of New York</wicri:noRegion></affiliation></author><author><name sortKey="Scannapieco, Frank A" sort="Scannapieco, Frank A" uniqKey="Scannapieco F" first="Frank A." last="Scannapieco">Frank A. Scannapieco</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Department of Oral Biology, The State University of New York</s1><s3>USA</s3><sZ>1 aut.</sZ><sZ>13 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Department of Oral Biology, The State University of New York</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">INIST</idno><idno type="inist">09-0435861</idno><date when="2009">2009</date><idno type="stanalyst">PASCAL 09-0435861 INIST</idno><idno type="RBID">Pascal:09-0435861</idno><idno type="wicri:Area/PascalFrancis/Corpus">000260</idno><idno type="wicri:Area/PascalFrancis/Curation">000443</idno><idno type="wicri:Area/PascalFrancis/Checkpoint">000288</idno><idno type="wicri:explorRef" wicri:stream="PascalFrancis" wicri:step="Checkpoint">000288</idno><idno type="wicri:doubleKey">1055-9965:2009:Tezal M:chronic:periodontitis:and</idno><idno type="wicri:Area/Main/Merge">005E42</idno><idno type="wicri:Area/Main/Curation">005D76</idno><idno type="wicri:Area/Main/Exploration">005D76</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Chronic Periodontitis and the Incidence of Head and Neck Squamous Cell Carcinoma</title><author><name sortKey="Tezal, Mine" sort="Tezal, Mine" uniqKey="Tezal M" first="Mine" last="Tezal">Mine Tezal</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Oral Diagnostic Sciences, The State University of New York</s1><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Department of Oral Diagnostic Sciences, The State University of New York</wicri:noRegion></affiliation><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Department of Oral Biology, The State University of New York</s1><s3>USA</s3><sZ>1 aut.</sZ><sZ>13 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Department of Oral Biology, The State University of New York</wicri:noRegion></affiliation><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Department of Social and Preventive Medicine, The State University of New York</s1><s3>USA</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>12 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Department of Social and Preventive Medicine, The State University of New York</wicri:noRegion></affiliation><affiliation wicri:level="2"><inist:fA14 i1="05"><s1>Department of Dentistry and Maxillofacial Prosthetics, Roswell Park Cancer Institute</s1><s2>Buffalo, New York</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Sullivan, Maureen A" sort="Sullivan, Maureen A" uniqKey="Sullivan M" first="Maureen A." last="Sullivan">Maureen A. Sullivan</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Oral Diagnostic Sciences, The State University of New York</s1><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Department of Oral Diagnostic Sciences, The State University of New York</wicri:noRegion></affiliation><affiliation wicri:level="2"><inist:fA14 i1="05"><s1>Department of Dentistry and Maxillofacial Prosthetics, Roswell Park Cancer Institute</s1><s2>Buffalo, New York</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Hyland, Andrew" sort="Hyland, Andrew" uniqKey="Hyland A" first="Andrew" last="Hyland">Andrew Hyland</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Department of Social and Preventive Medicine, The State University of New York</s1><s3>USA</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>12 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Department of Social and Preventive Medicine, The State University of New York</wicri:noRegion></affiliation><affiliation wicri:level="2"><inist:fA14 i1="08"><s1>Department ofCancer Prevention and Population Sciences, Roswell Park Cancer Institute</s1><s2>Buffalo, New York</s2><s3>USA</s3><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Marshaii, James R" sort="Marshaii, James R" uniqKey="Marshaii J" first="James R." last="Marshaii">James R. Marshaii</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Department of Social and Preventive Medicine, The State University of New York</s1><s3>USA</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>12 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Department of Social and Preventive Medicine, The State University of New York</wicri:noRegion></affiliation><affiliation wicri:level="2"><inist:fA14 i1="08"><s1>Department ofCancer Prevention and Population Sciences, Roswell Park Cancer Institute</s1><s2>Buffalo, New York</s2><s3>USA</s3><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Stoler, Daniel" sort="Stoler, Daniel" uniqKey="Stoler D" first="Daniel" last="Stoler">Daniel Stoler</name><affiliation wicri:level="2"><inist:fA14 i1="09"><s1>Department of Cancer Genetics, Roswell Park Cancer Institute</s1><s2>Buffalo, New York</s2><s3>USA</s3><sZ>5 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Reid, Mary E" sort="Reid, Mary E" uniqKey="Reid M" first="Mary E." last="Reid">Mary E. Reid</name><affiliation wicri:level="2"><inist:fA14 i1="08"><s1>Department ofCancer Prevention and Population Sciences, Roswell Park Cancer Institute</s1><s2>Buffalo, New York</s2><s3>USA</s3><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Loree, Thom R" sort="Loree, Thom R" uniqKey="Loree T" first="Thom R." last="Loree">Thom R. Loree</name><affiliation wicri:level="2"><inist:fA14 i1="06"><s1>Department ofHead and Neck Surgery, Roswell Park Cancer Institute</s1><s2>Buffalo, New York</s2><s3>USA</s3><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Rigual, Nestor R" sort="Rigual, Nestor R" uniqKey="Rigual N" first="Nestor R." last="Rigual">Nestor R. Rigual</name><affiliation wicri:level="1"><inist:fA14 i1="04"><s1>Department of Otolaryngology, The State University of New York</s1><s3>USA</s3><sZ>8 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Department of Otolaryngology, The State University of New York</wicri:noRegion></affiliation><affiliation wicri:level="2"><inist:fA14 i1="06"><s1>Department ofHead and Neck Surgery, Roswell Park Cancer Institute</s1><s2>Buffalo, New York</s2><s3>USA</s3><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Merzianu, Mihai" sort="Merzianu, Mihai" uniqKey="Merzianu M" first="Mihai" last="Merzianu">Mihai Merzianu</name><affiliation wicri:level="2"><inist:fA14 i1="07"><s1>Department ofpathology and Anatomical Sciences, Roswell Park Cancer Institute</s1><s2>Buffalo, New York</s2><s3>USA</s3><sZ>9 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Hauck, Linda" sort="Hauck, Linda" uniqKey="Hauck L" first="Linda" last="Hauck">Linda Hauck</name><affiliation wicri:level="2"><inist:fA14 i1="10"><s1>Department ofHealth Information Management, Roswell Park Cancer Institute</s1><s2>Buffalo, New York</s2><s3>USA</s3><sZ>10 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Lillis, Cheryl" sort="Lillis, Cheryl" uniqKey="Lillis C" first="Cheryl" last="Lillis">Cheryl Lillis</name><affiliation wicri:level="2"><inist:fA14 i1="11"><s1>Information Technology, Roswell Park Cancer Institute</s1><s2>Buffalo, New York</s2><s3>USA</s3><sZ>11 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Wactawski Wende, Jean" sort="Wactawski Wende, Jean" uniqKey="Wactawski Wende J" first="Jean" last="Wactawski-Wende">Jean Wactawski-Wende</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Department of Social and Preventive Medicine, The State University of New York</s1><s3>USA</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>12 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Department of Social and Preventive Medicine, The State University of New York</wicri:noRegion></affiliation></author><author><name sortKey="Scannapieco, Frank A" sort="Scannapieco, Frank A" uniqKey="Scannapieco F" first="Frank A." last="Scannapieco">Frank A. Scannapieco</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Department of Oral Biology, The State University of New York</s1><s3>USA</s3><sZ>1 aut.</sZ><sZ>13 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Department of Oral Biology, The State University of New York</wicri:noRegion></affiliation></author></analytic><series><title level="j" type="main">Cancer epidemiology, biomarkers & prevention</title><title level="j" type="abbreviated">Cancer epidemiol. biomark. prev.</title><idno type="ISSN">1055-9965</idno><imprint><date when="2009">2009</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Cancer epidemiology, biomarkers & prevention</title><title level="j" type="abbreviated">Cancer epidemiol. biomark. prev.</title><idno type="ISSN">1055-9965</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Cancerology</term><term>Chronic</term><term>Epidemiology</term><term>Head and neck cancer</term><term>Head and neck squamous cell carcinoma</term><term>Incidence</term><term>Periodontitis</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Parodontite</term><term>Chronique</term><term>Incidence</term><term>Carcinome épidermoïde de la tête et du cou</term><term>Epidémiologie</term><term>Cancérologie</term><term>Cancer de la tête et du cou</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Substantial evidence supports an association between chronic infections/inflammation, and cancer. The aim of this study was to assess the effect of chronic periodontitis on head and neck squamous cell carcinoma (HNSCC). The study population consisted of new patients at the Department of Dentistry and Maxillofacial Prosthetics, Roswell Park Cancer Institute between 1999 and 2005. Cases were patients diagnosed with primary HNSCC. Controls were all patients seen during the same time period but negative for malignancy. Patients age <21 years, edentulous, immunocompromised, and those with history of cancer were excluded. Periodontitis was measured by alveolar bone loss (ABL) from panoramic radiographs by one examiner blind to cancer status. A total of 473 patients (266 cases and 207 controls) were included in the study. Each millimeter of ABL was associated with >4-fold increased risk of HNSCC (odds ratio, 4.36; 95% confidence interval, 3.16-6.01) after adjustment for age, gender, race/ethnicity, marital status, smoking status, alcohol use, and missing teeth. The strength of the association was greatest in the oral cavity, followed by oropharynx and larynx. The association persisted in subjects who never used tobacco and alcohol. There was a significant interaction between smoking and ABL (P = 0.03). Patients with periodontitis were more likely to have poorly differentiated oral cavity SCC than those without periodontitis (32.8% versus 11.5%; P = 0.038). This study suggests that chronic periodontitis is an independent risk factor for HNSCC and smoking modifies this association. These results have implications for practical and safe strategies for prevention, diagnosis, and treatment of HNSCC.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>État de New York</li></region></list><tree><country name="États-Unis"><noRegion><name sortKey="Tezal, Mine" sort="Tezal, Mine" uniqKey="Tezal M" first="Mine" last="Tezal">Mine Tezal</name></noRegion><name sortKey="Hauck, Linda" sort="Hauck, Linda" uniqKey="Hauck L" first="Linda" last="Hauck">Linda Hauck</name><name sortKey="Hyland, Andrew" sort="Hyland, Andrew" uniqKey="Hyland A" first="Andrew" last="Hyland">Andrew Hyland</name><name sortKey="Hyland, Andrew" sort="Hyland, Andrew" uniqKey="Hyland A" first="Andrew" last="Hyland">Andrew Hyland</name><name sortKey="Lillis, Cheryl" sort="Lillis, Cheryl" uniqKey="Lillis C" first="Cheryl" last="Lillis">Cheryl Lillis</name><name sortKey="Loree, Thom R" sort="Loree, Thom R" uniqKey="Loree T" first="Thom R." last="Loree">Thom R. Loree</name><name sortKey="Marshaii, James R" sort="Marshaii, James R" uniqKey="Marshaii J" first="James R." last="Marshaii">James R. Marshaii</name><name sortKey="Marshaii, James R" sort="Marshaii, James R" uniqKey="Marshaii J" first="James R." last="Marshaii">James R. Marshaii</name><name sortKey="Merzianu, Mihai" sort="Merzianu, Mihai" uniqKey="Merzianu M" first="Mihai" last="Merzianu">Mihai Merzianu</name><name sortKey="Reid, Mary E" sort="Reid, Mary E" uniqKey="Reid M" first="Mary E." last="Reid">Mary E. Reid</name><name sortKey="Rigual, Nestor R" sort="Rigual, Nestor R" uniqKey="Rigual N" first="Nestor R." last="Rigual">Nestor R. Rigual</name><name sortKey="Rigual, Nestor R" sort="Rigual, Nestor R" uniqKey="Rigual N" first="Nestor R." last="Rigual">Nestor R. Rigual</name><name sortKey="Scannapieco, Frank A" sort="Scannapieco, Frank A" uniqKey="Scannapieco F" first="Frank A." last="Scannapieco">Frank A. Scannapieco</name><name sortKey="Stoler, Daniel" sort="Stoler, Daniel" uniqKey="Stoler D" first="Daniel" last="Stoler">Daniel Stoler</name><name sortKey="Sullivan, Maureen A" sort="Sullivan, Maureen A" uniqKey="Sullivan M" first="Maureen A." last="Sullivan">Maureen A. Sullivan</name><name sortKey="Sullivan, Maureen A" sort="Sullivan, Maureen A" uniqKey="Sullivan M" first="Maureen A." last="Sullivan">Maureen A. Sullivan</name><name sortKey="Tezal, Mine" sort="Tezal, Mine" uniqKey="Tezal M" first="Mine" last="Tezal">Mine Tezal</name><name sortKey="Tezal, Mine" sort="Tezal, Mine" uniqKey="Tezal M" first="Mine" last="Tezal">Mine Tezal</name><name sortKey="Tezal, Mine" sort="Tezal, Mine" uniqKey="Tezal M" first="Mine" last="Tezal">Mine Tezal</name><name sortKey="Wactawski Wende, Jean" sort="Wactawski Wende, Jean" uniqKey="Wactawski Wende J" first="Jean" last="Wactawski-Wende">Jean Wactawski-Wende</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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