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Molecular Subtypes and Conventional Prognosticators for Prediction of Recurrence in a Cohort of Primary Breast Carcinoma. A Classification and Regression Trees-guided (CART-guided) Algorithm. 原发性乳腺癌复发的分子亚型和常规预测指标。分类与回归树导向(CART-guided)演算法。
Pub Date : 2017-01-01 DOI: 10.5455/jihp.20170608045131
S. El-Gendi, I. Talaat, G. Abu-Sheasha
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引用次数: 0
Desmoplastic Fibroma of the Bone: Report of an Unusual Location with Literature Review 骨结缔组织增生纤维瘤:一个不寻常的位置报告并文献复习
Pub Date : 2017-01-01 DOI: 10.5455/JIHP.20161231122658
N. Abdessayed, Ahlem Bdioui, Nozha Mhamdi, Marwa Guerfela, M. Mokni
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引用次数: 0
Spindled Signet Ring Cell-Like Gastrointestinal Stromal Tumor: A Case Report 梭形印戒细胞样胃肠道间质瘤1例报告
Pub Date : 2017-01-01 DOI: 10.5455/JIHP.20170117112901
A. Moyer, J. Ro, L. Truong, D. Liang, Wade R. Rosenberg, M. Amrikachi
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引用次数: 2
Primary Intracranial Myxoid Chondrosarcoma: A case report 原发性颅内黏液样软骨肉瘤1例
Pub Date : 2017-01-01 DOI: 10.5455/JIHP.20170726091652
Hayam E. Rashed, Aziza E. Abdelrahman, Wael Elmesallamy, A. Obaya
Objective: Intracranial extraskeletal myxoid chondrosarcoma is a rare tumor; up to date, only ten cases have been reported. Case report: We present a case report of a 65-year-old female admitted for right side hemiplegia of gradual onset and progressive course over three weeks. Magnetic resonance imaging (MRI) revealed left intra-axial parieto-occipital space occupying lesion, hypodense with ring enhancement surrounded by diffuse edema. The patient underwent subtotal resection of the mass using sonar guided craniotomy. The histopathological and immunohistochemical evaluation confirmed a diagnosis of extraskeletal myxoid chondrosarcoma. One month after initial discharge, the patient underwent radiotherapy. A follow-up examination 6 months after surgery revealed that the patient was deteriorated and died. Conclusion: intracranial extraskeletal myxoid chondrosarcoma is a rare malignant cartilaginous tumor. Pathological diagnosis is the gold standard and radical excision is the standard treatment
目的:颅内骨外黏液样软骨肉瘤是一种罕见的肿瘤;到目前为止,只报告了10例病例。病例报告:我们报告了一例65岁的女性,因右侧偏瘫入院,逐渐发作,病程进展超过三周。磁共振成像(MRI)显示左侧轴内顶枕占位性病变,低密度伴环形强化,周围弥漫性水肿。患者采用声纳引导开颅术进行肿块次全切除。组织病理学和免疫组织化学评估证实了骨骼外粘液样软骨肉瘤的诊断。初次出院一个月后,患者接受放疗。术后6个月的随访检查显示患者病情恶化并死亡。结论:颅内骨外黏液样软骨肉瘤是一种罕见的恶性软骨肿瘤。病理诊断是金标准,根治是标准治疗
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引用次数: 2
Mammary Leiomyomatous-Type Myofibroblastoma with Symplastic Atypia 乳房平滑肌瘤型肌纤维母细胞瘤伴异型增生
Pub Date : 2017-01-01 DOI: 10.5455/JIHP.20170326021845
M. Zamecnik, Karol Macuch
An unusual case of leiomyomatous-type mammary myofibroblastoma (MFB) with symplastic nuclear atypia is described in this report. The tumor occurred in a 67-year-old woman as a palpable 1 cm nodule. Histologically, the lesion was composed of myoid-appearing spindle cell fascicles with immunohistochemical positivity for CD34, Bcl-2, smooth muscle actin, desmin, h-caldesmon, calponin, estrogen receptor, p16, and cyclin-D1. Many tumor cells exhibited nuclear atypia resembling closely that of atypical (bizarre, symplastic) leiomyoma of the uterus. Mitotic activity was very low and MIB-1 index was 3%. Leiomyomatous MFB with atypia mimics malignant lesions which has to be considered in differential diagnosis.
本文报告一例少见的平滑肌瘤型乳腺肌纤维母细胞瘤伴核异型增生。肿瘤发生于67岁女性,可触及1厘米结节。组织学上,病变由出现肌样的梭形细胞束组成,CD34、Bcl-2、平滑肌肌动蛋白、desmin、h-caldesmon、calponin、雌激素受体、p16、cyclin-D1免疫组化阳性。许多肿瘤细胞表现出核异型性,与子宫的非典型(奇异的、共塑的)平滑肌瘤非常相似。有丝分裂活性极低,MIB-1指数为3%。异型性平滑肌瘤型MFB与恶性病变相似,必须在鉴别诊断中加以考虑。
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引用次数: 1
Comprehensive Analysis of the Association of Clinically Relevant Values of Ki-67 Labeling Index with Clinicopathologic and Immunohistochemical Criteria in Female Invasive Breast Carcinoma Ki-67标记指数临床相关值与女性浸润性乳腺癌临床病理及免疫组化标准相关性的综合分析
Pub Date : 2017-01-01 DOI: 10.5455/jihp.20170331011238
S. El-Gendi, I. Talaat, G. Abu-Sheasha
Objective: Breast cancer aggressiveness is related to tumor cell proliferation. Despite this, the Ki-67 index is not recommended for routine use in newly diagnosed breast carcinomas. Material and Methods: A total of 164 invasive breast carcinomas were stratified into the intrinsic molecular subtypes based on estrogen receptor, progesterone receptor (PR), HER2, and Ki-67 immunostaining. We studied the distribution of Ki-67 among the molecular subtypes and correlated it with clinicopathologic parameters. Furthermore, the change in the Ki-67 index with tumor size, grade and lymph node (LN) status among the molecular subtypes was examined. Results: As a continuous variable, the median Ki-67 did not show significant differences with the clinicopathological variables. At a cutoff ≥14%, it correlated significantly with the mitotic index. At a cutoff ≥20%, it additionally correlated with the PR status. The median Ki-67 level varied significantly between luminal A and all other molecular subtypes. The median Ki-67 level in T1/T2 tumors compared to T3/T4 tumors was slightly higher in luminal B HER2+, slightly lower in HER2 enriched, and nearly similar among luminal A, triple negative and luminal B HER2-subtypes, yet without statistical significance. The median Ki-67 was lower in G1/G2 compared to G3 tumors in all-except luminal B HER2-positive subtype but without statistical significance. The Ki-67 distribution change between N0/N1 and N2/N3 cases among the molecular subtypes was significant. Conclusions: The impact of Ki-67 as a proliferation marker on the biological behavior of breast carcinomas is context dependent, and its clinical utility increases when interpreted in combination with other prognostic markers in the context of the molecular subtypes. Further studies, on larger sample sizes are recommended to unravel how the molecular types can affect the relation between Ki-67 and clinicopathological characteristics, particularly the LN status.
目的:乳腺癌侵袭性与肿瘤细胞增殖有关。尽管如此,Ki-67指数不建议常规用于新诊断的乳腺癌。材料与方法:基于雌激素受体、孕激素受体(PR)、HER2和Ki-67免疫染色对164例浸润性乳腺癌进行分子分型。我们研究了Ki-67在分子亚型中的分布,并将其与临床病理参数联系起来。进一步观察Ki-67指数在分子亚型中随肿瘤大小、分级和淋巴结状态的变化。结果:作为一个连续变量,中位Ki-67与临床病理变量无显著差异。在临界值≥14%时,与有丝分裂指数显著相关。当临界值≥20%时,与PR状态相关。中位Ki-67水平在腔内A和所有其他分子亚型之间差异显著。与T3/T4肿瘤相比,T1/T2肿瘤中腔B HER2+的Ki-67中位水平略高,HER2富集的Ki-67中位水平略低,腔A、三阴性和腔B HER2亚型之间基本相似,但无统计学意义。除腔内B her2阳性亚型外,G1/G2肿瘤中位Ki-67低于G3肿瘤,但无统计学意义。分子亚型中N0/N1和N2/N3病例Ki-67分布变化显著。结论:Ki-67作为增殖标志物对乳腺癌生物学行为的影响是与环境相关的,当与其他分子亚型的预后标志物联合解释时,其临床效用会增加。建议在更大的样本量上进行进一步的研究,以揭示分子类型如何影响Ki-67与临床病理特征之间的关系,特别是LN状态。
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引用次数: 0
Characterization of the blood brain barrier in pediatric central nervous system neoplasms 儿童中枢神经系统肿瘤血脑屏障的特征
Pub Date : 2016-11-29 DOI: 10.5455/jihp.20160623053540
Christopher S. Hong, W. Ho, Martin G. Piazza, A. Ray‐Chaudhury, Z. Zhuang, John D Heiss
Objective The normal blood–brain barrier (BBB) is composed of tight junctions between endothelial cells and surrounding astrocyte foot processes. Breakdown of the physiological astrocyte-endothelial cell relationship occurs in adult metastatic and primary brain tumors. However, the astrocyte-endothelial cell relationship has not been studied in pediatric tumors. Materials and Methods Utilizing specimens from cases of pilocytic astrocytoma (n = 5), medulloblastoma (n = 5), and low-grade diffuse astrocytoma (n = 1), immunofluorescence were performed using primary antibodies against CD31, glial fibrillary acidic protein (GFAP), and aquaporin 4 (AQ4). Clinical, magnetic resonance imaging, operative, and histopathological findings were analyzed. Results Strongly-enhancing areas of medulloblastoma exhibited complete BBB breakdown with sparse GFAP and AQ4 staining around CD31-positive vessels. Moderately enhancing regions of pilocytic astrocytomas exhibited regions of intact BBB and vasculature surrounded by dense GFAP staining but reduced and disorganized AQ4 staining, suggesting tumor cells could not fulfill physiological BBB support. Non-enhancing low-grade diffuse astrocytoma demonstrated intact BBB with intense peri-microvasculature GFAP and AQ4 staining. AQ4 stained so strongly that AQ4 visualization alone delineated CD31-positive vessels. Conclusion Taken together, BBB breakdown in pediatric tumors corresponds to a loss of normal endothelial cell-astrocyte foot process relationships. Further development of pharmaceutical agents capitalizing on this disrupted BBB is warranted in medulloblastoma and pilocytic astrocytoma. However, BBB integrity remains a challenge in treating low-grade diffuse astrocytoma before progression toward secondary glioblastoma.
目的正常血脑屏障(BBB)由内皮细胞与周围星形胶质足突紧密连接组成。星形胶质细胞与内皮细胞之间的生理关系在成人转移性和原发性脑肿瘤中发生破坏。然而,星形胶质细胞与内皮细胞的关系尚未在儿童肿瘤中得到研究。材料与方法利用毛细胞性星形细胞瘤(n = 5)、成神经管细胞瘤(n = 5)和低级别弥漫性星形细胞瘤(n = 1)的标本,采用CD31、胶质纤维酸性蛋白(GFAP)和水通道蛋白4 (AQ4)的一抗进行免疫荧光检测。对临床、磁共振成像、手术和组织病理学结果进行分析。结果髓母细胞瘤强增强区显示血脑屏障完全破坏,cd31阳性血管周围有稀疏的GFAP和AQ4染色。毛细胞星形细胞瘤的中度增强区显示完整的血脑屏障和血管区域被密集的GFAP染色包围,但AQ4染色减少和混乱,表明肿瘤细胞不能实现生理血脑屏障支持。未增强的低级别弥漫性星形细胞瘤显示血脑屏障完整,微血管周围GFAP和AQ4染色强烈。AQ4染色如此强烈,以至于仅AQ4可视化就能描绘出cd31阳性血管。综上所述,儿童肿瘤血脑屏障的破坏对应于正常内皮细胞-星形胶质细胞足突关系的丧失。在髓母细胞瘤和毛细胞星形细胞瘤中,有必要进一步开发利用这种受损血脑屏障的药物。然而,在发展为继发性胶质母细胞瘤之前治疗低级别弥漫性星形细胞瘤时,血脑屏障完整性仍然是一个挑战。
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引用次数: 15
Epithelioid Haemangioendothelioma with Actin+/Cytokeratin+ Myoblast-Like Cells: Report of a Case - 上皮样血管内皮瘤伴肌动蛋白+/细胞角蛋白+成肌细胞样细胞1例报告
Pub Date : 2016-01-01 DOI: 10.5455/JIHP.20160823075851
M. Zamecnik
An unusual case of epithelioid hemangioendothelioma (EHE) with immunohistochemical positivity for cytokeratin (CK), alpha-smooth muscle actin, and calponin (CALP) is presented. The lesion occurred in a 43-year-old man in the right frontal region, with clinical suspicion for an epidermoid cyst. It was excised completely. Grossly, an 8 mm nodule was well circumscribed, soft, and it had gray cut surface. Histologically, typical features of EHE were seen, such angiocentric localization, epithelioid cytomorphology with mild atypia, myxohyaline stromal matrix, a few slit-like vascular channels, and isolated vacuolated cells. In addition, the stroma contained numerous spindle cells resembling myoblasts or myofibroblasts. They showed, besides scattered positivity for vascular markers, focal positivity for CALP and diffuse strong expression of alpha-smooth muscle actin and pancytokeratin AE1/AE3. This observation of numerous actin+/CK+cells is unusual. The lesion resembled other CK-positive vascular tumors and actin-positive myofibroblastic lesions, all of which has to be considered in differential diagnosis.
本文报告一例罕见的上皮样血管内皮瘤(EHE),细胞角蛋白(CK)、α -平滑肌肌动蛋白和钙钙蛋白(CALP)免疫组化阳性。该病变发生于一名43岁男性右额叶区,临床怀疑为表皮样囊肿。它被完全切除了。肉眼可见,8毫米结节边界清晰,柔软,切面呈灰色。组织学表现为血管中心定位,上皮样细胞形态轻度异型,粘液透明质基质,少量狭缝样血管通道,孤立的空泡细胞。此外,基质中含有大量类似成肌细胞或成肌细胞的梭形细胞。除了血管标志物的分散阳性外,CALP的局灶性阳性,α -平滑肌肌动蛋白和泛细胞角蛋白AE1/AE3的弥漫性强表达。大量肌动蛋白+/CK+细胞的观察是不寻常的。病变类似于其他ck阳性血管肿瘤和肌动蛋白阳性肌成纤维细胞病变,所有这些都必须在鉴别诊断中考虑。
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引用次数: 0
Idiopathic Inflammatory Myopathies: An update - 特发性炎性肌病:最新进展
Pub Date : 2016-01-01 DOI: 10.5455/JIHP.20160607014218
B. Kurt, S. Taşdemir, E. Çelik, K. Inan
Idiopathic inflammatory myopathies (IIM) are a heterogeneous group of disease with complex clinical features. It has been sub-classified as: (1) Dermatomyositis, (2) Polymyositis, and (3) Inclusion body myositis (IBM). Nowadays, there are some studies in literature suggest necrotizing autoimmune myopathy and immune-mediated necrotizing myopathy should also be added to this group of disease. There is a debate in the diagnosis of IIMs and up until now, about 12 criteria systems have been proposed. Some of the criteria systems have been used widely such as Griggs et al.’s proposal for IBM. Clinical findings, autoantibodies, enzymes, electrophysiological, and muscle biopsy findings are diagnostic tools. Because of diseases’ complexity, none of the findings are diagnostic alone. In this study, we discussed the diagnostic criteria of IMMs and described detailed morphological features.
特发性炎症性肌病(IIM)是一种具有复杂临床特征的异质性疾病。它已被细分为:(1)皮肌炎,(2)多肌炎和(3)包体体肌炎(IBM)。目前已有文献研究认为,坏死性自身免疫性肌病和免疫介导性坏死性肌病也应加入到这一类疾病中。关于IIMs的诊断存在争议,到目前为止,已经提出了大约12种标准体系。一些标准系统已被广泛使用,如Griggs等人为IBM提出的建议。临床表现、自身抗体、酶、电生理和肌肉活检结果是诊断工具。由于疾病的复杂性,这些发现都不能单独用于诊断。在本研究中,我们讨论了IMMs的诊断标准,并描述了详细的形态学特征。
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引用次数: 0
Unaltered Stroma and Parenchymain in Vital Organs of Rat Models Following Administration ofLow Dose of Carica Papaya Leaf 小剂量番木瓜叶对大鼠重要器官间质和实质组织的影响
Pub Date : 2016-01-01 DOI: 10.5455/JIHP.20160321010001
F. Onyije, V. C. Zenebo, J. K. Bankole, K. Digban, G. Avwioro
Background: The use of Carica papaya leaves for medicines and food in our rural areas is rampant, this is due to its availability and testimonies of its efficacy. Objective: This study was aimed at investigating the activities of C. papaya on the histo-architecture of some organs. Materials and Methods: About 20 Wistar rats were randomly divided into 4 groups of 5 each and received tap water, 2.5, 5, and 7.5 g/kg of ethanolic extract of C. papaya PO once a day for 14 days after which biochemical analyses was performed on the blood samples. The tissues were examined histologically. Results: Albumin was significantly increased (37.6 ± 2.70) in Group B (5 mg/kg) when compared with the control (32.4 ± 2.30). AST decreased significantly in all the treatment groups (68 ± 1.58, 87.4 ± 403, and 89 ± 1.58) when compared with the control (93.6 ± 1.14). ALT decreased in all groups but was significant in Group C (7.5 mg/kg) 22.8 ± 2.16 when compared with the control (30 ± 2.12). Urea decreased significantly in all the groups (3.34 ± 0.11, 3.78 ± 0.50, and 3.36 ± 0.28), creatinine decreased significantly in Group B (35.4 ± 2.79) when compared to their controls (4.52 ± 0.37 and 50.8 ± 6.37), respectively. Na+ and K+ significantly decreased in Groups C and B, respectively; there was no significant difference in other groups and electrolytes. There was increased level of both packed cell volume and hemoglobin significantly. Histologically, there were no tissue alterations in all the treatment groups. Conclusion: Complementary and alternative medicine is fast gaining popularity; this necessitates swift research on various dose ranges.
背景:在我国农村地区,番木瓜叶作为药物和食物的使用是猖獗的,这是由于它的可用性和功效的见证。目的:研究番木瓜对部分脏器组织结构的影响。材料与方法:将20只Wistar大鼠随机分为4组,每组5只,每天1次给予自来水、2.5、5、7.5 g/kg番木瓜PO乙醇提取物,连续14 d,并对血样进行生化分析。对组织进行组织学检查。结果:B组(5 mg/kg)白蛋白(37.6±2.70)明显高于对照组(32.4±2.30);各治疗组AST(68±1.58、87.4±403、89±1.58)均较对照组(93.6±1.14)显著降低。ALT在各组均有下降,但C组(7.5 mg/kg)显著高于对照组(30±2.12)(22.8±2.16)。尿素水平(3.34±0.11、3.78±0.50、3.36±0.28)显著低于对照组(4.52±0.37、50.8±6.37),肌酐水平(35.4±2.79)显著低于对照组(3.34±0.11、3.78±0.50、3.36±0.28)。C、B组Na+、K+分别显著降低;其他各组及电解质间无显著差异。堆积细胞体积和血红蛋白水平均显著升高。组织学上,所有治疗组均未见组织改变。结论:补充替代医学正在迅速普及;这就需要迅速研究各种剂量范围。
{"title":"Unaltered Stroma and Parenchymain in Vital Organs of Rat Models Following Administration ofLow Dose of Carica Papaya Leaf","authors":"F. Onyije, V. C. Zenebo, J. K. Bankole, K. Digban, G. Avwioro","doi":"10.5455/JIHP.20160321010001","DOIUrl":"https://doi.org/10.5455/JIHP.20160321010001","url":null,"abstract":"Background: The use of Carica papaya leaves for medicines and food in our rural areas is rampant, this is due to its availability and testimonies of its efficacy. Objective: This study was aimed at investigating the activities of C. papaya on the histo-architecture of some organs. Materials and Methods: About 20 Wistar rats were randomly divided into 4 groups of 5 each and received tap water, 2.5, 5, and 7.5 g/kg of ethanolic extract of C. papaya PO once a day for 14 days after which biochemical analyses was performed on the blood samples. The tissues were examined histologically. Results: Albumin was significantly increased (37.6 ± 2.70) in Group B (5 mg/kg) when compared with the control (32.4 ± 2.30). AST decreased significantly in all the treatment groups (68 ± 1.58, 87.4 ± 403, and 89 ± 1.58) when compared with the control (93.6 ± 1.14). ALT decreased in all groups but was significant in Group C (7.5 mg/kg) 22.8 ± 2.16 when compared with the control (30 ± 2.12). Urea decreased significantly in all the groups (3.34 ± 0.11, 3.78 ± 0.50, and 3.36 ± 0.28), creatinine decreased significantly in Group B (35.4 ± 2.79) when compared to their controls (4.52 ± 0.37 and 50.8 ± 6.37), respectively. Na+ and K+ significantly decreased in Groups C and B, respectively; there was no significant difference in other groups and electrolytes. There was increased level of both packed cell volume and hemoglobin significantly. Histologically, there were no tissue alterations in all the treatment groups. Conclusion: Complementary and alternative medicine is fast gaining popularity; this necessitates swift research on various dose ranges.","PeriodicalId":91320,"journal":{"name":"Journal of interdisciplinary histopathology","volume":"4 1","pages":"17-22"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70818711","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
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Journal of interdisciplinary histopathology
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