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Effects of Ellagic Acid on Hemoglobin Ingestion, Transport, and Digestion in the Digestive Vacuole of Plasmodium falciparum. 鞣花酸对恶性疟原虫消化液泡中血红蛋白摄取、运输和消化的影响。
Q3 Medicine Pub Date : 2024-11-28 eCollection Date: 2025-10-01 DOI: 10.4103/jmau.jmau_96_24
Anjana Chamilka Thuduhena, Nurhidanatasha Abu-Bakar, Siti Nasuha Hamzah

Context: Malaria, caused by Plasmodium parasites, has been a persistent threat to human health for centuries, causing significant illnesses and fatalities. The rise of drug-resistant strains has diminished the efficacy of conventional antimalarial medications, necessitating the exploration of alternative treatments. Ellagic acid has emerged as a promising candidate, demonstrating effectiveness in laboratory experiments by impeding beta-hematin (hemozoin) formation in mature Plasmodium falciparum stages. This research endeavors to elucidate the ellagic acid's mechanism of action against malaria parasites by examining its impact on hemoglobin ingestion, transport, and digestion in both chloroquine-sensitive (3D7) and chloroquine-resistant (W2) P. falciparum strains in vitro.

Aim: This study aimed to elucidate the mechanism of ellagic acid antimalarial action against 3D7 and W2 strains of P. falciparum in vitro by using a transmission electron microscope.

Materials and methods: 3D7 and W2 strains of P. falciparum were cultured in flasks with a complete culture medium and washed red blood cells (type O+) at a hematocrit of 2%. Synchronized ring-stage parasite-infected erythrocytes, approximately 2 h post-synchronization, were utilized for the antimalarial activity assay. Based on the half-maximal inhibitory concentration (IC50) value of ellagic acid, three different sub-lethal concentrations of the compound against the 3D7 and W2 strains. Samples were prepared for real-time microscopic analysis. Samples were immediately fixed in 2.5% glutaraldehyde in 0.2 M phosphate buffer (pH 7.4) for 2 h. Then, the samples were washed, postfixed with 2% osmium tetroxide in 0.1 M phosphate buffer for 1 h, washed with distilled water, dehydrated, infiltrated, and embedded. The sample blocks were cut by using an ultramicrotome. These thin sections were stained with 1% lead citrate and 1% uranyl acetate.

Statistical analysis used: The IC50 of ellagic acid against the 3D7 and W2 parasites was analyzed using computerized GraphPad Prism 8.0 software.

Results: Findings show significant inhibition by ellagic acid (P < 0.001) against 3D7 and W2 parasites. The IC50 values were 1.0 ± 0.7 and 1.3 ± 0.1 nM, respectively, surpassing the artemisinin's effectiveness (IC50-3D7 parasite = 2.2 ± 0.2 nM; IC50-W2 parasite = 4.3 ± 0.3 nM). Transmission electron microscopy elucidated the ellagic acid's impact on the early trophozoite stage of 3D7 and W2 parasites, highlighting the disruption of hemoglobin metabolism within the parasites.

Conclusion: These findings underscore the ellagic acid's potential as a promising antimalarial agent, targeting hemoglobin processes in both 3D7 and W2 P. falciparum strains.

背景:由疟原虫引起的疟疾几个世纪以来一直是对人类健康的持续威胁,造成重大疾病和死亡。耐药菌株的增加削弱了传统抗疟药物的疗效,因此有必要探索替代治疗方法。鞣花酸已成为一种有希望的候选药物,在实验室实验中通过阻碍成熟恶性疟原虫阶段β -血红素(血色素)的形成证明了其有效性。本研究旨在通过对氯喹敏感(3D7)和耐氯喹(W2)恶性疟原虫血红蛋白摄取、运输和消化的影响,阐明花酸对疟原虫的作用机制。目的:通过透射电镜研究鞣花酸体外抗恶性疟原虫3D7和W2株的作用机制。材料和方法:将3D7和W2株恶性疟原虫培养于装有完整培养基的烧瓶中,以2%的红细胞比容水洗红血细胞(O+型)。同步环期寄生虫感染红细胞,大约2小时后,用于抗疟活性测定。根据鞣花酸的半最大抑制浓度(IC50)值,确定了三种不同亚致死浓度化合物对3D7和W2菌株的抑制作用。制备样品进行实时显微分析。样品立即在0.2 M磷酸盐缓冲液(pH 7.4)中2.5%戊二醛固定2小时,然后洗涤,用2%四氧化锇在0.1 M磷酸盐缓冲液中固定1小时,用蒸馏水洗涤,脱水,浸润,包埋。用超微切割机切割样品块。这些薄片用1%柠檬酸铅和1%醋酸铀酰染色。统计学分析方法:采用GraphPad Prism 8.0计算机化软件分析鞣花酸对3D7和W2寄生虫的IC50。结果:鞣花酸对寄生虫3D7和W2的抑制作用显著(P < 0.001)。IC50值分别为1.0±0.7 nM和1.3±0.1 nM,超过了青蒿素的药效(IC50- 3d7寄生虫= 2.2±0.2 nM; IC50- w2寄生虫= 4.3±0.3 nM)。透射电镜分析了鞣花酸对3D7和W2寄生虫早期滋养体阶段的影响,突出显示了寄生虫体内血红蛋白代谢的破坏。结论:这些发现强调了鞣花酸作为一种有前景的抗疟药物的潜力,它可以靶向3D7和W2恶性疟原虫的血红蛋白过程。
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引用次数: 0
Erratum: Stereological and Histological Assessment of the Umbilical Cord in New-Born Rat. 勘误:新生大鼠脐带的立体学和组织学评估
Q3 Medicine Pub Date : 2024-09-17 eCollection Date: 2024-07-01 DOI: 10.4103/JMAU.JMAU_98_24

[This corrects the article on p. 108 in vol. 9, PMID: 34729350.].

[此处更正了第 9 卷第 108 页的文章,PMID:34729350]。
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引用次数: 0
Impaired Glucose Homeostasis Accompanies Cellular Changes in Endocrine Pancreas after Atorvastatin Administration. 服用阿托伐他汀后内分泌胰腺细胞变化伴随着葡萄糖稳态受损
Q3 Medicine Pub Date : 2024-06-20 eCollection Date: 2024-07-01 DOI: 10.4103/jmau.jmau_41_21
Ahmed A M Abdel-Hamid, Alaa El-Din L Firgany

Atorvastatin (ATOR) has been reported to increase the risk for diabetes mellitus. Therefore, in the current study, we focused on studying the effect of ATOR on the structure of islets of Langerhans including their various cellular components as well as on glucose homeostasis. We detected a statistically significant increase (P < 0.05) in β-cell mass and percentage with a significant decrease in α-cell area and percentage in animals that received ATOR compared to control ones. In addition, a statistically significant increase (P < 0.05) in the β-cell proliferation was observed in the ATOR group with negligible change in expression of inflammatory cytokines of the islets. A significant downregulation in apoptosis alongside a significant upregulation in anti-apoptosis were detected in islets of animals treated with ATOR. Moreover, there was a significant impairment in various parameters of glucose homeostasis in the ATOR-treated group. Therefore, ATOR may induce insulin resistance-like state that was demarcated at cellular as well as at biochemical levels with little or no inflammatory response.

据报道,阿托伐他汀(ATOR)会增加罹患糖尿病的风险。因此,在本研究中,我们重点研究了 ATOR 对朗格汉斯胰岛结构(包括其各种细胞成分)以及葡萄糖稳态的影响。我们发现,与对照组相比,接受 ATOR 治疗的动物的 β 细胞质量和百分比显著增加(P < 0.05),而 α 细胞面积和百分比显著减少。此外,在 ATOR 组中观察到 β 细胞增殖有统计学意义的显著增加(P < 0.05),而胰岛炎症细胞因子的表达几乎没有变化。接受 ATOR 治疗的动物的胰岛细胞凋亡明显减少,而抗凋亡明显增加。此外,ATOR 治疗组的各种糖稳态参数也明显受损。因此,ATOR 可能会诱发胰岛素抵抗样状态,这种状态在细胞和生化水平上都有明显的特征,但几乎没有炎症反应。
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引用次数: 0
Red Blood Cells in Health and Disease. 红细胞在健康和疾病。
Q3 Medicine Pub Date : 2024-05-07 eCollection Date: 2025-07-01 DOI: 10.4103/jmau.jmau_70_23
Aradhya Giri, Sandhya Tamgadge

Red blood cells (RBCs) play a crucial role in the normal functioning of the human body, primarily through their ability to transport oxygen and carbon dioxide. Various diseases, including anemia and other hemolytic disorders, can arise when there is an abnormality in RBC structure or function. The pathophysiology of other conditions, such as cancer and cardiovascular disease can also involve changes in RBCs. Advances in RBC research have led to a better understanding of their structure, function, and pathophysiology. The COVID-19 pandemic has also highlighted the critical role of RBCs in disease pathology, with research suggesting that RBCs may be directly affected by the virus. This review provides a comprehensive overview of the current state of RBCs in health and disease, including recent advances in diagnosis, treatment, and the role of RBCs in disease pathology.

红细胞(rbc)在人体的正常功能中起着至关重要的作用,主要是通过它们运输氧气和二氧化碳的能力。红细胞结构或功能异常可引起多种疾病,包括贫血和其他溶血性疾病。其他疾病的病理生理,如癌症和心血管疾病也可能涉及红细胞的变化。红细胞研究的进展使我们对其结构、功能和病理生理有了更好的了解。新冠肺炎大流行也凸显了红细胞在疾病病理中的关键作用,研究表明红细胞可能直接受到病毒的影响。本文综述了红细胞在健康和疾病中的现状,包括在诊断、治疗方面的最新进展以及红细胞在疾病病理中的作用。
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引用次数: 0
Efficacy of Isoamyl 2-Cyanoacrylate Over Facial Lacerations and Surgical Incisions: A Prospective Clinical Study. 2-氰基丙烯酸酯异戊酯治疗面部撕裂伤和外科切口的疗效:一项前瞻性临床研究。
Q3 Medicine Pub Date : 2024-04-10 eCollection Date: 2025-10-01 DOI: 10.4103/jmau.jmau_182_23
Santhosh Panuganti, Ajay Chandran, Kurian Punnoose, Faleh Alshahrani, Abishek R Balaji, Abdulsalam S Alshammari, Suresh Babu Jandrajupalli, Swarnalatha Chandolu, Abhishek Singh Nayyar

Objective: Technological advancements in the new era have introduced a plethora of new methods, as well as synthetic, semi-synthetic, and natural (bio) materials with improved properties for wound closure. The aim of the present study was to evaluate the efficacy of isoamyl 2-cyanoacrylate for wound closure over facial lacerations and surgical incisions compared to conventional methods.

Materials and methods: The present prospective clinical study comprised two groups, including group I (incision) and group II (laceration), with 20 patients in each group in whom isoamyl 2-cyanoacrylate was used in the management of facial lacerations and surgical incisions. Various parameters related to wound healing, including the time taken to perform the procedure, step-off borders, contour irregularity, edge inversion, wound margins, fibrous tissue growth and scarring, and the total duration of healing, were assessed and compared over a period of time. The data obtained were subjected to statistical analysis.

Results: The present study revealed excellent overall cosmetic results with the use of isoamyl 2-cyanoacrylate. However, the results achieved were more surprising in group I (incision) than in group II (laceration), with a kind of complete satisfaction experienced by the patients as well as the operating surgeon.

Conclusions: Based on the results obtained in the present study, it can be concluded that isoamyl 2-cyanoacrylate can serve as a better wound closure material compared to the standard method of incision closure with the help of sutures over the facial tissues.

目的:新时代的技术进步引入了大量的新方法,以及具有改进性能的合成,半合成和天然(生物)材料用于伤口闭合。本研究的目的是评估与传统方法相比,2-氰基丙烯酸酯异戊酯对面部撕裂伤和外科切口伤口闭合的疗效。材料与方法:本前瞻性临床研究分为两组,ⅰ组(切口)和ⅱ组(撕裂),每组20例患者使用2-氰基丙烯酸酯异戊酯治疗面部撕裂伤及手术切口。在一段时间内评估和比较与伤口愈合相关的各种参数,包括执行手术所需的时间、台阶边界、轮廓不规则、边缘反转、伤口边缘、纤维组织生长和瘢痕形成以及总愈合时间。对获得的数据进行了统计分析。结果:目前的研究显示优异的整体美容效果与使用异戊酯-氰基丙烯酸酯。然而,I组(切口)的效果比II组(撕裂)更令人惊讶,患者和手术医生都有一种完全的满意度。结论:根据本研究结果,2-氰基丙烯酸酯异戊酯可以作为一种更好的伤口闭合材料,与标准的面部组织缝合方法相比。
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引用次数: 0
Fully Automated GeneXpert BCR-ABL1 Assay versus Standard Nonautomated BCR-ABL1 Real-Time Reverse Transcription-Polymerase Chain Reaction Quantitation: A Study from Tertiary Care Institute in India. 全自动GeneXpert BCR-ABL1测定与标准非自动化BCR-ABL1实时逆转录聚合酶链反应定量:印度三级保健研究所的一项研究。
Q3 Medicine Pub Date : 2024-04-10 eCollection Date: 2025-07-01 DOI: 10.4103/jmau.jmau_88_23
Shilpi More, Tathagata Chatterjee, Charu Agarwal, Mukta Pujani, Raj K Chandoke

Background: Molecular monitoring of chronic myeloid leukemia (CML) patients receiving tyrosine kinase inhibitors at various time points after diagnosis is indispensable for therapeutic stratification. Thus, standardization and reproducibility of these tests to an international scale are of paramount importance. Standard TRUPCR BCR-ABL1 by quantitative real-time reverse transcription-polymerase chain reaction and Xpert BCR-ABL Ultra performed on the Cepheid GeneXpert® Instrument Systems (GeneXpert) were used to perform molecular monitoring in CML patients.

Materials and methods: Twenty-six samples (6 diagnostic and 20 monitoring samples) were tested on both platforms, and the BCR-ABL1 transcript ratio was compared. Kappa statistic was applied to calculate the agreement between the two tests, and Chi-square test was used to evaluate the difference in proportions in the two groups. The costs between the two tests were also compared, however, no statistical analysis was done for the same.

Results: All six diagnostic samples were detected by TRUPCR, but only four could be detected by GeneXpert. One of these was a minor BCR-ABL1 transcript (p190) which cannot be detected by GeneXpert. Among the 20 monitoring samples, there was moderate agreement between the two tests, with a P = 0.01. The cost of TRUPCR was significantly less compared to GeneXpert.

Conclusion: Standard BCR-ABL1 estimation by TRUPCR is superior and much more cost-effective than GeneXpert. GeneXpert inspite being an easy-to-use, fully automated platform lacks the benefit of customization with a high cost making the standard reverse transcription-polymerase chain reaction techniques more feasible and usable for molecular monitoring in CML patients.

背景:慢性髓性白血病(CML)患者在诊断后不同时间点接受酪氨酸激酶抑制剂的分子监测是治疗分层不可缺少的。因此,这些测试在国际范围内的标准化和可重复性是至关重要的。采用实时定量逆转录聚合酶链反应的标准TRUPCR BCR-ABL1和在造父变星GeneXpert®仪器系统(GeneXpert)上进行的Xpert BCR-ABL Ultra对CML患者进行分子监测。材料与方法:在两个平台上检测26份样本(诊断样本6份,监测样本20份),比较BCR-ABL1转录率。用Kappa统计量计算两组检验的一致性,用卡方检验评价两组比例差异。两种测试之间的成本也进行了比较,但是,没有对相同的成本进行统计分析。结果:6个诊断样本均可通过TRUPCR检测到,但只有4个可通过GeneXpert检测到。其中一个是次要的BCR-ABL1转录本(p190), GeneXpert无法检测到。在20个监测样本中,两种检验结果有中等程度的一致性,P = 0.01。与GeneXpert相比,TRUPCR的成本显著降低。结论:TRUPCR法对标准BCR-ABL1的估计优于GeneXpert法。尽管GeneXpert是一个易于使用的全自动平台,但它缺乏定制的好处,而且成本高,这使得标准的逆转录聚合酶链反应技术更可行,更适用于CML患者的分子监测。
{"title":"Fully Automated GeneXpert BCR-ABL1 Assay versus Standard Nonautomated BCR-ABL1 Real-Time Reverse Transcription-Polymerase Chain Reaction Quantitation: A Study from Tertiary Care Institute in India.","authors":"Shilpi More, Tathagata Chatterjee, Charu Agarwal, Mukta Pujani, Raj K Chandoke","doi":"10.4103/jmau.jmau_88_23","DOIUrl":"10.4103/jmau.jmau_88_23","url":null,"abstract":"<p><strong>Background: </strong>Molecular monitoring of chronic myeloid leukemia (CML) patients receiving tyrosine kinase inhibitors at various time points after diagnosis is indispensable for therapeutic stratification. Thus, standardization and reproducibility of these tests to an international scale are of paramount importance. Standard TRUPCR BCR-ABL1 by quantitative real-time reverse transcription-polymerase chain reaction and Xpert BCR-ABL Ultra performed on the Cepheid GeneXpert<sup>®</sup> Instrument Systems (GeneXpert) were used to perform molecular monitoring in CML patients.</p><p><strong>Materials and methods: </strong>Twenty-six samples (6 diagnostic and 20 monitoring samples) were tested on both platforms, and the BCR-ABL1 transcript ratio was compared. Kappa statistic was applied to calculate the agreement between the two tests, and Chi-square test was used to evaluate the difference in proportions in the two groups. The costs between the two tests were also compared, however, no statistical analysis was done for the same.</p><p><strong>Results: </strong>All six diagnostic samples were detected by TRUPCR, but only four could be detected by GeneXpert. One of these was a minor BCR-ABL1 transcript (p190) which cannot be detected by GeneXpert. Among the 20 monitoring samples, there was moderate agreement between the two tests, with a <i>P</i> = 0.01. The cost of TRUPCR was significantly less compared to GeneXpert.</p><p><strong>Conclusion: </strong>Standard BCR-ABL1 estimation by TRUPCR is superior and much more cost-effective than GeneXpert. GeneXpert inspite being an easy-to-use, fully automated platform lacks the benefit of customization with a high cost making the standard <i>reverse transcription</i>-<i>polymerase chain reaction</i> techniques more feasible and usable for molecular monitoring in CML patients.</p>","PeriodicalId":16340,"journal":{"name":"Journal of Microscopy and Ultrastructure","volume":"13 3","pages":"137-141"},"PeriodicalIF":0.0,"publicationDate":"2024-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12499937/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145244518","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effect of Electromagnetic Radiation of Wi-Fi Router on Thyroid Gland and the Possible Protective Role of Combined Vitamin C and Zinc Administration in Adult Male Albino Rats. Wi-Fi 路由器的电磁辐射对成年雄性白化大鼠甲状腺的影响以及联合服用维生素 C 和锌可能起到的保护作用
Q3 Medicine Pub Date : 2024-04-10 eCollection Date: 2024-04-01 DOI: 10.4103/jmau.jmau_121_23
Nancy Nagy Abd El-Hady Ibrahim, Remon S Estfanous, Aml M Abo-Alala, Amal K Elkattan, Rabab Mohamed Amer

Introduction: Electromagnetic radiation (EMR) is widely used nowadays in various fields due to rapid expansion of technology and affects different organs such as endocrine glands. Antioxidants protect the cells and act as a free radical scavenger.

Aim of work: The aim of the study was to clarify the effect of EMR emitted from Wi-Fi router on the thyroid gland of adult male albino rats and the possible protective role of combined Vitamin C and zinc.

Materials and methods: Thirty adult male albino rats were divided into three groups: Group I (control group), Group II (received combined Vitamin C and Zinc in one tablet called IMMUNO-MASH), and Group III (experimental groups). Group III was divided into two subgroups (A and B) according to the duration of exposure: 6 h and 24 h/day. Each of these groups was divided into two equal subgroups. One was exposed only to EMR while the other was exposed to EMR and received combined Vitamin C and zinc. All rats were weighed at the beginning and at the end of the experiment. The thyroid gland was prepared for general histological, anti-calcitonin immunostaining, and ultrastructural study. Furthermore, measurement of total serum T3, T4, and thyroid-stimulating hormone (TSH) hormone levels and quantitative analysis of immunoreactive C-cells were done. Then, statistical analysis was done on the number of immunoreactive C-cells, data of the body weight, and the hormonal levels.

Results: A highly significant increase in the body weight in subgroups exposed to EMR for 24 h/day was observed. Furthermore, they showed a highly significant decline in T3 and T4 levels together with a highly significant increase in TSH level. With increasing period of exposure, there was a variable degree of deterioration in the form of congestion and dilatation of blood vessels, cellular infiltration, follicular disintegration, vacuolar degeneration, and desquamated follicular cells in the colloid. The C-cells showed a significant increase in the mean number compared with the control group. Ultrastructural analysis of follicular cells revealed colloid droplets, deteriorations in rough endoplasmic reticulum, degenerating nuclei, and swollen mitochondria according to the dose of exposure. There was apparent improvement with the use of combined Vitamin C and zinc.

Conclusion: Wi-Fi radiation has a very serious effect on thyroid gland morphology and activity. Moreover, experimentally induced hypothyroidism by radiation resulted in increased C-cell number. Combined Vitamin C and zinc could have a protective role against this tissue damage.

导言:随着科技的飞速发展,电磁辐射(EMR)被广泛应用于各个领域,并对内分泌腺等不同器官产生影响。抗氧化剂可以保护细胞,起到清除自由基的作用:本研究旨在阐明 Wi-Fi 路由器发出的电磁辐射对成年雄性白化大鼠甲状腺的影响,以及维生素 C 和锌可能起到的保护作用:将 30 只成年雄性白化大鼠分为三组:I组(对照组)、II组(服用一种名为IMMUNO-MASH的维生素C和锌复合片剂)和III组(实验组)。第三组根据接触时间的长短分为两个分组(A 组和 B 组):每天 6 小时和 24 小时。每组又分为两个相等的分组。其中一组只暴露于电磁辐射,另一组则暴露于电磁辐射并同时接受维生素 C 和锌的治疗。所有大鼠均在实验开始和结束时称重。对甲状腺进行组织学、抗降钙素免疫染色和超微结构研究。此外,还测定了血清总T3、T4和促甲状腺激素(TSH)水平,并对免疫反应性C细胞进行了定量分析。然后,对免疫反应性 C 细胞的数量、体重数据和激素水平进行了统计分析:结果:在每天暴露于 24 小时电磁辐射的亚组中,观察到体重有非常明显的增加。此外,他们的 T3 和 T4 水平出现了非常明显的下降,促甲状腺激素水平也出现了非常明显的上升。随着暴露时间的延长,卵泡出现不同程度的恶化,表现为血管充血和扩张、细胞浸润、卵泡解体、空泡变性以及卵泡胶质细胞脱落。与对照组相比,C 细胞的平均数量明显增加。卵泡细胞的超微结构分析显示,胶体液滴、粗糙内质网退化、细胞核变性和线粒体肿胀与暴露剂量有关。联合使用维生素 C 和锌后,情况明显好转:结论:Wi-Fi辐射对甲状腺的形态和活动有非常严重的影响。结论:Wi-Fi辐射对甲状腺的形态和活性有非常严重的影响。此外,通过辐射实验诱发的甲状腺功能减退会导致C细胞数量增加。维生素C和锌联合使用可以对这种组织损伤起到保护作用。
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引用次数: 0
A Cauliflower-like Growth on the Anterior Mandibular Gingivae 下颌前牙龈上长出菜花状赘生物
Q3 Medicine Pub Date : 2024-02-21 DOI: 10.4103/jmau.jmau_54_23
Subraj J. Shetty, T. Pereira, R. Desai
Verruciform xanthoma (VX) is a rare, benign, soft-tissue growth, mostly affecting the oral cavity. The distinguishing feature in its diagnosis is the occurrence of foam cells in the papillary connective tissue. The growth typically resembles a malignant tumor; therefore, the clinical presentation may be deceiving. The histopathological confirmation of the diagnosis is, therefore, crucial. Once entirely removed, there is a low likelihood of recurrence. Here, we describe a 60-year-old woman’s case with VX on the mandibular gingiva.
疣状黄瘤(VX)是一种罕见的良性软组织增生,多发于口腔。其诊断的显著特征是乳头结缔组织中出现泡沫细胞。这种增生通常与恶性肿瘤相似,因此临床表现可能具有欺骗性。因此,组织病理学确诊至关重要。一旦完全切除,复发的可能性很低。在此,我们描述了一名 60 岁女性的下颌龈上 VX 病例。
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引用次数: 0
Cytodiagnosis of an Ectopic Primary Meningioma of the Parapharyngeal Region 咽旁区异位原发性脑膜瘤的细胞诊断
Q3 Medicine Pub Date : 2024-02-21 DOI: 10.4103/jmau.jmau_129_23
K. Amita, Prescilla Christopher, Nitha Thomas, M. Abhishek
Cytological findings in meningiomas are not well characterized since cranial meningiomas are unapproachable and rarely aspirated. Extracranial meningiomas are rare with an incidence of 1%–2%. These lesions can pose diagnostic challenges to clinicians as well as cytopathologists. This rare case is reported for its novel presentation in the parapharyngeal space which was diagnosed on fine-needle aspiration and confirmed by histopathology and immunohistochemistry. Awareness of the cytological findings and the possibility of occurrence of meningiomas at an extracranial location is important to arrive at an accurate preoperative diagnosis. This case report highlights the usefulness of fine-needle aspiration cytology not only in the diagnosis of meningiomas at an unusual location but also in predicting biological behavior.
由于颅内脑膜瘤无法触及,也很少被抽吸,因此脑膜瘤的细胞学检查结果并不明确。颅外脑膜瘤很少见,发病率为1%-2%。这些病变会给临床医生和细胞病理学家带来诊断上的挑战。这例罕见病例因其在咽旁间隙的新颖表现而被报道,该病例经细针穿刺确诊,并经组织病理学和免疫组化证实。了解细胞学检查结果以及颅外脑膜瘤发生的可能性对于术前做出准确诊断非常重要。本病例报告强调了细针穿刺细胞学不仅在异常部位脑膜瘤的诊断中非常有用,而且在预测生物学行为方面也非常有用。
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引用次数: 0
Orthokeratinized Odontogenic Keratocyst: Report of Nine Cases with Review of Literature 角化性角化囊肿:九例病例报告及文献综述
Q3 Medicine Pub Date : 2024-02-21 DOI: 10.4103/jmau.jmau_100_23
T. Dineshkumar, A. Rameshkumar, K. Rajkumar, Swaathi Ravindran
Formerly believed to be a subtype of odontogenic keratocyst (OKC), orthokeratinized odontogenic cyst (OOC), a rare developing odontogenic cyst, is now believed to be distinct. The clinical, radiographic, histological data are included in this report, along with a review of the literature to aid in comprehending the cyst. A retrospective search in the oral pathology department between 2018 and 2022 was conducted to recover all cases reported as OOC in SRM Dental College, Ramapuram. Radiographs and Haematoxylin and Eosin stained histological slides were re-examined. Overall, there were nine cases in which men were engaged in 80% of the instances and the group’s ages varied from 20 to 35. The primary symptoms of all of the patients were pain and edema. The vast majority of cases had an impacted tooth in the jaw. All of the lesions showed clearly visible radiolucency on orthopantomographs [OPG], with the exception of one specific case. Additionally, histological examination of each patient revealed the characteristic microscopic traits and enucleation was done to treat all the cases. OOC has a more favourable outcome than OKC due to variations in prognosis, management and must be considered distinct from OKC. Most of our cases—a large majority—involved adolescent males’ mandibles and involved pain and edema. Most were unilocular and all were radiolucent. The literature-recommended histopathological findings were present and all cases were enucleated.
正角化性牙源性囊肿(OOC)以前被认为是牙源性角化囊肿(OKC)的一种亚型,是一种罕见的发育中牙源性囊肿,现在被认为是一种独特的囊肿。本报告包括临床、放射学和组织学数据,以及有助于理解该囊肿的文献综述。我们对 2018 年至 2022 年期间口腔病理科的病例进行了回顾性检索,以恢复拉玛普拉姆 SRM 牙科学院报告为 OOC 的所有病例。重新检查了 X 光片以及经血涂片和伊红染色的组织学切片。总共有九个病例,其中 80% 为男性,年龄在 20 至 35 岁之间。所有患者的主要症状都是疼痛和水肿。绝大多数病例的下颌都有一颗被撞击的牙齿。除一例特殊病例外,所有病变均在正位片(OPG)上显示出清晰可见的放射线。此外,每名患者的组织学检查都显示出特征性的显微特征,所有病例都进行了去核治疗。由于预后和治疗方法的不同,OOC 的预后比 OKC 更好,因此必须将其与 OKC 区分开来。我们的大多数病例--绝大多数--涉及青少年男性的下颌骨,并伴有疼痛和水肿。大多数病例为单发,所有病例均无放射线。文献推荐的组织病理结果均已出现,所有病例均已去核。
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引用次数: 0
期刊
Journal of Microscopy and Ultrastructure
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