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Low Grade Fibromyxoid Sarcoma of the Mesentery, an Under Recognised Entity: A Case Report - 肠系膜低级别纤维黏液样肉瘤,一种未被确认的实体:1例报告
Pub Date : 2014-01-01 DOI: 10.5455/JIHP.20140612073245
G. Vasudevan, A. Shivamurthy
Low grade fibromyxoid sarcoma (LGFMS) is an indolent, rare soft tissue tumor having potential of late metastasis, but high local recurrence rate despite its low grade histologic findings. The morphologic diagnosis may be challenging, owing to its typically low cellularity, abundant collagen, and relatively bland cytology. We present here a rare case report of a mesenteric mass in an elderly male. The mass was excised. On microscopy, the tumor was composed of sweeping fascicles of spindle cells, which were positive for vimentin and negative for CD117, CD34, smooth muscle antigen and S-100. Herein we report a rare, under recognized case of LGFMS arising in the mesentery.
低级别纤维黏液样肉瘤(LGFMS)是一种惰性,罕见的软组织肿瘤,具有晚期转移的潜力,尽管其低级别组织学表现,但局部复发率高。形态学诊断可能具有挑战性,因为其典型的低细胞性,丰富的胶原蛋白和相对平淡的细胞学。我们在此报告一例罕见的老年男性肠系膜肿块。肿块被切除了。显微镜下,肿瘤由梭形细胞的横扫束组成,波形蛋白阳性,CD117、CD34、平滑肌抗原和S-100阴性。在此,我们报告一个罕见的,在公认的情况下,LGFMS出现在肠系膜。
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引用次数: 3
Papuloerythroderma of Ofuji in a young adult 年轻成人的大富士丘疹红皮病
Pub Date : 2014-01-01 DOI: 10.5455/JIHP.20130219073819
M. Mathew, B. Nayal, Raghunath Narayanan Unni, C. Balachandran
Papuloerythroderma of Ofuji (PEO) is an uncommon skin condition characterized by generalized itchy papular eruptions involving the entire body surface, sparing the major skin folds in the body along with peripheral eosinophilia often asssociated with an malignancy, infection or drug therapy. It usually affects the elderly and very few cases have been reported in young adults. We report a 31 year old male with PEO in the absence of an underlying inciting factor.
大富士丘疹红皮病(PEO)是一种罕见的皮肤病,其特征是全身发痒的丘疹疹,累及整个体表,保留了身体的主要皮肤褶皱,并伴有周围嗜酸性粒细胞增多,通常与恶性肿瘤、感染或药物治疗有关。它通常影响老年人,很少有年轻人的病例报告。我们报告一个31岁的男性PEO在没有潜在的煽动因素。
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引用次数: 2
Survivin Expression in Renal Epithelial Tumors: It’s Usage in the Differential Diagnosis of Eosinophilic Renal Epithelial Tumors - Survivin在肾上皮肿瘤中的表达:在嗜酸性肾上皮肿瘤鉴别诊断中的应用
Pub Date : 2014-01-01 DOI: 10.5455/JIHP.20140312060341
A. Ozcan, N. Yigit, O. Onguru, Bilal Fırat Alp, Ş. Ozaydin
Objective: The differential diagnosis of renal tumors can be problematic due to overlapping morphologic features. The purpose of this study was to assess the potential contribution of survivin expression in the differential diagnosis and determination of therapy modalities of these tumors. Methods: This study consisted of 15 chromophobe (ChRCC), 15 clear cell (CCRCC) and 9 papillary (PRCC) renal cell carcinomas, and 13 oncocytomas. Sections were stained against survivin antibody. Results: PRCCs and CCRCCs showed diffuse and strong survivin expression. Survivin expression was strikingly prominent in type1 PRCCs and cystic CCRCCs. In CCRCCs, survivin expression was more pronounced in low grade areas than high grade and sarcomatoid areas. In ChRCC, survivin expression was more limited and weaker than that of oncocytomas and other malignant renal tumors. In non-neoplastic renal tissue, survivin expression was more pronounced in podocytes and atrophic tubules than other nephron parts. Conclusions: Our results suggested that survivin may helpful in the differential diagnosis of renal tumors despite limited number of our cases. Experimental studies have revealed that inhibition of survivin induces apoptosis and enhance radiosensitivity of RCC cells. Taken together, to be known the proportion of survivin expression in subtypes of renal tumors may contribute to determine new therapeutic strategies for RCCs. This needs to be proven in more wide series.
目的:由于肾脏肿瘤的形态特征重叠,其鉴别诊断存在问题。本研究的目的是评估survivin表达在鉴别诊断和确定这些肿瘤的治疗方式中的潜在作用。方法:本研究包括15例憎色细胞癌(ChRCC)、15例透明细胞癌(CCRCC)、9例乳头状肾细胞癌(PRCC)和13例嗜瘤细胞癌。切片用survivin抗体染色。结果:prcc和ccrcc呈弥漫性强survivin表达。Survivin在1型prcc和囊性ccrcc中的表达显著突出。在ccrcc中,survivin在低分级区比高分级区和肉瘤样区表达更明显。在ChRCC中,survivin的表达比癌细胞瘤和其他肾恶性肿瘤更有限、更弱。在非肿瘤性肾组织中,survivin在足细胞和萎缩小管中的表达比其他肾细胞部位更为明显。结论:我们的研究结果表明,尽管病例数量有限,但survivin可能有助于肾脏肿瘤的鉴别诊断。实验研究表明,抑制survivin可诱导细胞凋亡,增强RCC细胞的放射敏感性。综上所述,了解survivin在肾肿瘤亚型中的表达比例可能有助于确定rcc的新治疗策略。这需要在更广泛的级数中得到证明。
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引用次数: 3
Giant Solid-Pseudopapillary Neoplasm of the Pancreas in a Child 儿童胰腺巨大实性假乳头状肿瘤
Pub Date : 2014-01-01 DOI: 10.5455/jihp.20140528113359
Nandeesh Bn, K. Das
Solid-pseudopapillary neoplasm of the pancreas (SPPNP) is a primary epithelial neoplasm of the exocrine pancreas with borderline malignant potential. The unusual features included the ‘giant’ size and the absence of metastases/ capsular or vascular invasion despite the large size and predominantly solid nature. At two years following complete excision, she is asymptomatic and the imaging shows no recurrence/metastases.
胰腺固体假乳头状肿瘤(SPPNP)是胰腺外分泌的原发性上皮肿瘤,具有交界性恶性潜能。不寻常的特征包括“巨大”的体积,尽管体积很大,主要是固体性的,但没有转移/包膜或血管侵犯。完全切除两年后,患者无症状,影像学显示无复发/转移。
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引用次数: 0
The Significance of Mast Cells and Eosinophils Counts in Surgically Resected Appendix 肥大细胞和嗜酸性粒细胞计数在阑尾切除术中的意义
Pub Date : 2014-01-01 DOI: 10.5455/JIHP.20140512102819
Ashwini Kolur, Ashok M. Patil, Vaibhav Agarwal, Saeed Yendigiri, Bb Sajjanar
Objectives: The mast cell remains an enigmatic cell, found resident in tissues throughout the body particularly in association with structures such as blood vessels and nerves. Various inflammatory disorders of the intestines, joints and lungs appear to be associated with an increase in mast cell numbers. The study was conducted on vermiform appendix. The present study was undertaken (1) to compare the mast cell and eosinophil counts in various layers of the appendix in various histopathological groups, and (2) to establish the relationship between the numbers of eosinophils and mast cells in the inflamed appendix. Materials and Methods: The material for study consisted of appendix specimens received for histopathological examination in the Department of pathology. A 5 year study was conducted, 3 years retrospective and 2 years prospective. Results: Out of 777 cases studied the incidence of appendicitis is high, in the first and second decades of life and slightly higher in females. Recurrent appendicitis was more common when compared to other inflamed appendices. Conclusions: Eosinophil counts in all the layers were very high in acute eosinophilic appendicitis compared to normal appendices. A higher mast cell count was seen in acute eosinophilic appendicitis and recurrent appendicitis. No correlation was found between mast cell and eosinophilic density. Our observations support the allergic theory of appendicitis rather than the obstructive theory.
目的:肥大细胞是一种神秘的细胞,存在于全身组织中,特别是与血管和神经等结构有关。肠、关节和肺的各种炎症性疾病似乎与肥大细胞数量的增加有关。以蚓状阑尾为研究对象。本研究的目的是(1)比较不同病理组阑尾各层的肥大细胞和嗜酸性粒细胞计数,(2)建立炎症阑尾中嗜酸性粒细胞和肥大细胞数量之间的关系。材料与方法:研究材料为病理科组织病理检查的阑尾标本。研究为期5年,其中3年为回顾性研究,2年为前瞻性研究。结果:777例阑尾炎患者中,阑尾炎发病率高,主要发生在1、2岁,女性发病率略高。复发性阑尾炎比其他炎症阑尾更常见。结论:急性嗜酸性阑尾炎各层嗜酸性粒细胞计数均高于正常阑尾。急性嗜酸性阑尾炎和复发性阑尾炎的肥大细胞计数较高。肥大细胞与嗜酸性粒细胞密度无相关性。我们的观察结果支持阑尾炎的过敏理论,而不是梗阻性理论。
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引用次数: 13
Metastasis of Follicular Variant of Papillary Thyroid Carcinoma to Scalp, Masquerading As Adnexal Tumor: A Rare Presentation 滤泡型甲状腺乳头状癌转移至头皮,伪装为附件肿瘤:罕见的表现
Pub Date : 2014-01-01 DOI: 10.5455/JIHP.20131202062446
B. Bommanahalli, S. P., L. Patil
ABSTRACT A 55-year-old female presented with ulcerated swelling over the scalp. Clinically, the case was diagnosed as adnexal tumor of skin. Fine needle aspiration cytology (FNAC) from the lesion showed characteristic micro-follicles with typical nuclear features of papillary thyroid carcinoma. Later, diligent clinical examination revealed a small thyroid nodule and FNAC from the same, showed similar cytomorphological features, indicating possibility of follicular variant of papillary thyroid carcinoma. Biopsy of the scalp swelling and thyroid nodule confirmed the same. Identification of typical nuclear features in cytology helps in differentiating follicular variant papillary carcinoma from follicular neoplasms and, predominant presence of microfollicles favour follicular variant of papillary thyroid carcinoma (FVPTC). Spread through lymphatic route is common in papillary thyroid carcinoma but haematogenous dissemination leading to cutaneous metastases is rare. A solitary cutaneous lesion may be the first evidence of disseminated malignancy in a patient with occult papillary thyroid carcinoma. KEY WORDS: Follicular variant; Papillary thyroid carcinoma; Fine Needle Aspiration Cytology; Adnexal tumor
摘要一名55岁女性患者出现头皮溃疡性肿胀。临床诊断为皮肤附件肿瘤。病灶的细针穿刺细胞学检查显示微滤泡具有典型的甲状腺乳头状癌的核特征。后来,勤奋的临床检查发现一个小甲状腺结节与来自FNAC相同,表现出相似的细胞形态学特征,提示可能是滤泡变异型甲状腺乳头状癌。头皮肿胀和甲状腺结节的活检也证实了这一点。细胞学中典型核特征的识别有助于区分滤泡变异型乳头状癌和滤泡肿瘤,微滤泡的主要存在有利于滤泡变异型甲状腺乳头状癌(FVPTC)。甲状腺乳头状癌经淋巴途径扩散是常见的,但血液播散导致皮肤转移是罕见的。孤立的皮肤病变可能是隐匿性甲状腺乳头状癌患者播散性恶性肿瘤的第一个证据。关键词:滤泡变异;甲状腺乳头状癌;细针抽吸细胞学;附件的肿瘤
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引用次数: 1
Anabolic Androgen-induced Intrahepatic Cholestasis Presented With Normal γ-Glutamyl-Transpeptidase 合成代谢雄激素诱导的肝内胆汁淤积症表现为γ-谷氨酰转肽酶正常
Pub Date : 2014-01-01 DOI: 10.5455/JIHP.20140305101625
S. Savvidou, A. Gagalis, I. Efstratiou, A. Kalambakas
The indisputable hepatotoxicity of anabolic androgen steroids has already been well substantiated in the literature, eventhough the exact pathophysiologic mechanisms are still being elucidated. Androgen-induced liver injury presents primarily with acute intrahepatic cholestasis accompanied by markedly elevated cholestatic enzymes and diverse levels of aminotransferases. A case report of a young male with remarkable jaundice due to acute anabolic androgeninduced cholestasis is presented. Interestingly, γ-glutamyl transpeptidase remained normal throughout the patient’s diagnostic workup. Histopathology was indicative of pure, “bland” intrahepatic cholestasis with minimal inflammation but significant fibrosis. The patient was successfully treated with ursodeoxycholic acid and glucocorticosteroids. The significance of normal γ-glutamyl transpeptidase along with the histopathological findings and the possible pathophysiological mechanisms are finally discussed.
合成代谢雄激素类固醇无可争议的肝毒性已经在文献中得到充分证实,尽管确切的病理生理机制仍在阐明中。雄激素诱导的肝损伤主要表现为急性肝内胆汁淤积,伴有胆汁淤积酶显著升高和不同水平的转氨酶。一个病例报告的年轻男性显着黄疸,由于急性合成代谢雄激素诱导的胆汁淤积提出。有趣的是,γ-谷氨酰转肽酶在整个诊断过程中保持正常。组织病理学显示为纯粹的“温和”肝内胆汁淤积,伴有轻微炎症,但明显纤维化。患者接受熊去氧胆酸和糖皮质激素治疗成功。最后讨论了γ-谷氨酰转肽酶正常的意义、组织病理结果及可能的病理生理机制。
{"title":"Anabolic Androgen-induced Intrahepatic Cholestasis Presented With Normal γ-Glutamyl-Transpeptidase","authors":"S. Savvidou, A. Gagalis, I. Efstratiou, A. Kalambakas","doi":"10.5455/JIHP.20140305101625","DOIUrl":"https://doi.org/10.5455/JIHP.20140305101625","url":null,"abstract":"The indisputable hepatotoxicity of anabolic androgen steroids has already been well substantiated in the literature, eventhough the exact pathophysiologic mechanisms are still being elucidated. Androgen-induced liver injury presents primarily with acute intrahepatic cholestasis accompanied by markedly elevated cholestatic enzymes and diverse levels of aminotransferases. A case report of a young male with remarkable jaundice due to acute anabolic androgeninduced cholestasis is presented. Interestingly, γ-glutamyl transpeptidase remained normal throughout the patient’s diagnostic workup. Histopathology was indicative of pure, “bland” intrahepatic cholestasis with minimal inflammation but significant fibrosis. The patient was successfully treated with ursodeoxycholic acid and glucocorticosteroids. The significance of normal γ-glutamyl transpeptidase along with the histopathological findings and the possible pathophysiological mechanisms are finally discussed.","PeriodicalId":91320,"journal":{"name":"Journal of interdisciplinary histopathology","volume":"53 1","pages":"98-103"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70818060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Histopathologic Effect of Prenatal Topiramate Exposure on Rat Cerebral Cortex and Hippocampus 产前托吡酯暴露对大鼠大脑皮质和海马的组织病理学影响
Pub Date : 2014-01-01 DOI: 10.5455/JIHP.20140130125547
H. Hashish
{"title":"Histopathologic Effect of Prenatal Topiramate Exposure on Rat Cerebral Cortex and Hippocampus","authors":"H. Hashish","doi":"10.5455/JIHP.20140130125547","DOIUrl":"https://doi.org/10.5455/JIHP.20140130125547","url":null,"abstract":"","PeriodicalId":91320,"journal":{"name":"Journal of interdisciplinary histopathology","volume":"2 1","pages":"61-68"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5455/JIHP.20140130125547","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70817432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 7
Giant Congenital Cerebriform Melanocytic Nevus of the Scalp in Adult 成人巨大先天性脑状黑色素细胞痣
Pub Date : 2014-01-01 DOI: 10.5455/JIHP.20140225013612
S. Krishnamurthy, Kavita Gu, S. Ali, Nagaraj Parvatappa
Congenital melanocytic nevi are defined as benign nevomelanocytic proliferation present at birth. They are rare lesions and occur in approximately 1% of new-borns and are usually classified according to their size. We report a case of 32 year old female who presented with a giant cerebriform lesion of the scalp which was present since birth. Diagnosis of Giant congenital melanocytic nevi was made on the basis of definite histological criteria. Wide excision of the lesion was done with split skin graft. This case is unique due to the fact that this young female lived with this disfiguring lesion for 3 decades and never consulted any physician for cosmetic purpose and fortunately the lesion never turned malignant.
先天性黑素细胞痣是指出生时出现的良性黑素细胞增生。它们是罕见的病变,大约1%的新生儿发生,通常根据它们的大小进行分类。我们报告一例32岁的女性谁提出了一个巨大的脑状病变的头皮,这是目前的出生。诊断巨大的先天性黑素细胞痣是根据明确的组织学标准。广泛切除病变是做了分裂皮移植。这个病例是独特的,因为这个年轻的女性与这个毁容的病变生活了30年,从未为了美容目的咨询过任何医生,幸运的是,病变从未变成恶性。
{"title":"Giant Congenital Cerebriform Melanocytic Nevus of the Scalp in Adult","authors":"S. Krishnamurthy, Kavita Gu, S. Ali, Nagaraj Parvatappa","doi":"10.5455/JIHP.20140225013612","DOIUrl":"https://doi.org/10.5455/JIHP.20140225013612","url":null,"abstract":"Congenital melanocytic nevi are defined as benign nevomelanocytic proliferation present at birth. They are rare lesions and occur in approximately 1% of new-borns and are usually classified according to their size. We report a case of 32 year old female who presented with a giant cerebriform lesion of the scalp which was present since birth. Diagnosis of Giant congenital melanocytic nevi was made on the basis of definite histological criteria. Wide excision of the lesion was done with split skin graft. This case is unique due to the fact that this young female lived with this disfiguring lesion for 3 decades and never consulted any physician for cosmetic purpose and fortunately the lesion never turned malignant.","PeriodicalId":91320,"journal":{"name":"Journal of interdisciplinary histopathology","volume":"2 1","pages":"108-111"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70817494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
A Rare Association of Multiple Hepatic Lesions: Case Report and Literature Review - 罕见的多发性肝脏病变:病例报告及文献复习
Pub Date : 2014-01-01 DOI: 10.5455/jihp.20130528053607
F. Limaiem, F. Gargouri, I. Haddad, S. Bouraoui, A. Lahmar, S. Mzabi-Regaya
Biliary hamartomas or von Meyenburg complexes are uncommon benign biliary malformations, which are considered as part of the spectrum of fibrocystic diseases of the liver due to ductal plate malformation. Development of intrahepatic cholangiocarcinoma is well described in these complexes. However, only 10 cases of hepatocellular carcinoma arising in association with von Meyenburg complexes have been described in the English-language literature to date. In this paper, the authors report a peculiar case of hepatocellular carcinoma occurring on a background of von-Meyenburg's complexes and solitary unilocular bile duct cyst. It is not clear whether development of hepatocellular carcinomas is an epiphenomenon unrelated to the precursor lesion or biliary hamartomas may progress to liver cancers. Further studies are mandatory so as to elucidate and consolidate this very rare association.
胆道错构瘤或von Meyenburg复合体是罕见的良性胆道畸形,被认为是由导管板畸形引起的肝脏纤维囊性疾病的一部分。肝内胆管癌的发展在这些复合物中得到了很好的描述。然而,迄今为止,英语文献中仅报道了10例与von Meyenburg复合物相关的肝细胞癌。本文报告一例以von-Meyenburg氏复合体和单眼胆管囊肿为背景的肝细胞癌。目前尚不清楚肝细胞癌的发展是一种与前体病变无关的附带现象,还是胆道错构瘤可能发展为肝癌。进一步的研究是必要的,以阐明和巩固这种非常罕见的联系。
{"title":"A Rare Association of Multiple Hepatic Lesions: Case Report and Literature Review -","authors":"F. Limaiem, F. Gargouri, I. Haddad, S. Bouraoui, A. Lahmar, S. Mzabi-Regaya","doi":"10.5455/jihp.20130528053607","DOIUrl":"https://doi.org/10.5455/jihp.20130528053607","url":null,"abstract":"Biliary hamartomas or von Meyenburg complexes are uncommon benign biliary malformations, which are considered as part of the spectrum of fibrocystic diseases of the liver due to ductal plate malformation. Development of intrahepatic cholangiocarcinoma is well described in these complexes. However, only 10 cases of hepatocellular carcinoma arising in association with von Meyenburg complexes have been described in the English-language literature to date. In this paper, the authors report a peculiar case of hepatocellular carcinoma occurring on a background of von-Meyenburg's complexes and solitary unilocular bile duct cyst. It is not clear whether development of hepatocellular carcinomas is an epiphenomenon unrelated to the precursor lesion or biliary hamartomas may progress to liver cancers. Further studies are mandatory so as to elucidate and consolidate this very rare association.","PeriodicalId":91320,"journal":{"name":"Journal of interdisciplinary histopathology","volume":"2 1","pages":"41-46"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70817568","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Journal of interdisciplinary histopathology
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