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Pleomorphic Lobular Carcinoma of the Breast: Clinicopathological Analysis of a Distinctive and Rare Variant of Lobular Carcinoma 乳腺多形性小叶癌:一种独特而罕见的小叶癌的临床病理分析
Pub Date : 2016-01-01 DOI: 10.5455/jihp.20160531122129
O. E. Amine, Leila Bouhaja, I. Chaar, A. Goucha, A. May, A. Gammoudi
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引用次数: 0
The Administration of Hydroethanolic Extract of Cordia Ecalyculata Vell., At Different Doses, Promotes Reproductive Toxicity in Adult Male Rats - 山茱萸水乙醇提取物的应用研究。不同剂量可促进成年雄性大鼠的生殖毒性
Pub Date : 2016-01-01 DOI: 10.5455/JIHP.20160706103059
Lucas Giglio Colli, M. C. Santos, Jéssica Tambor, I. C. C. Camargo
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引用次数: 1
Immunohistochemical Study of Prognostic Relevance of Nestin and Survivin Expression in Astrocytic glioma 星形细胞胶质瘤中Nestin和Survivin表达与预后相关性的免疫组化研究
Pub Date : 2016-01-01 DOI: 10.5455/JIHP.20160420021353
Aziza E. Abdelrahman, H. Abdel-aziz, Abdelmonem Awad Hegazy, A. Mohamed
Background: Identification of the cellular origin of astrocytic gliomas is a step for improving the treatment strategies. Tumor stem cells have been detected in different neoplasms and have a major role in tumor initiation, progression and therapy resistance. Objective: The study aimed to investigate the expression of nestin and survivin in different grades of astrocytic glioma as well as evaluation of their prognostic role in relation to other prognostic parameters. Methods: Immunohistochemical expressions of nestin and survivin were evaluated in 40 paraffin blocks of different grades of astrocytic glioma and correlated with other prognostic parameters. The obtained data were statistically analyzed. Results: The cases included 10 low grade, 12 anaplastic and 18 glioblastoma multiforme. There was a significant correlation between each of nestin and survivin with the histological grade of astrocytoma and tumor size (p < 0.001). Nestin was strongly correlated to survivin index (p < 0.001). The univariate analysis showed that high histological grade, high nestin score and high survivin index were significantly correlated with overall survival. Multivariate analysis for all investigated cases proved the independent prognostic significance of the nestin expression (p = 0.011). Conclusion: Nestin and survivin are adverse prognostic markers for astrocytic glioma that increase significantly with tumor progression and associated with poor overall survival. Therefore, nestin and survivin could be used to predict high risk group of astrocytoma with unfavorable outcome.
背景:确定星形细胞胶质瘤的细胞起源是改善治疗策略的一步。肿瘤干细胞已经在不同的肿瘤中被发现,在肿瘤的发生、发展和治疗抵抗中起着重要作用。目的:探讨nestin和survivin在不同级别星形细胞胶质瘤中的表达,并评价其与其他预后参数的关系。方法:采用免疫组化方法检测40块不同分级星形胶质细胞胶质瘤组织中nestin和survivin的表达,并与其他预后指标进行比较。对所得数据进行统计学分析。结果:低分级10例,间变性12例,多形性胶质母细胞瘤18例。nestin和survivin与星形细胞瘤的组织学分级和肿瘤大小有显著相关性(p < 0.001)。Nestin与survivin指数密切相关(p < 0.001)。单因素分析显示,高组织学分级、高巢蛋白评分和高生存指数与总生存率显著相关。所有病例的多因素分析均证实了nestin表达的独立预后意义(p = 0.011)。结论:Nestin和survivin是星形细胞胶质瘤的不良预后标志物,随着肿瘤进展而显著增加,并与较差的总生存期相关。因此,nestin和survivin可作为预测星形细胞瘤高危人群预后不良的指标。
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引用次数: 1
Immunohistochemical Expression of P53 Protein in Cutaneous Basal Cell Carcinoma: A Clinicopathological Study of 66 Cases - 66例皮肤基底细胞癌中P53蛋白免疫组化表达的临床病理研究
Pub Date : 2016-01-01 DOI: 10.5455/jihp.20160823075838
V. Bartoš, Milada Kullová
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引用次数: 0
Testicular Toxicity and Sperm Quality Following Exposure to Solignum®: A Permethrin-Containing Wood Preservative in Adult Male Wistar Rats - 成年雄性Wistar大鼠暴露于含有氯菊酯的木材防腐剂Solignum®后的睾丸毒性和精子质量
Pub Date : 2016-01-01 DOI: 10.5455/JIHP.20151125081952
K. Patrick-Iwuanyanwu, N. A. Udowelle, C. Okereke
Background: Permethrin is widely used as a pesticide in agriculture, homes, gardens, and for treatment of ectoparasites such as fleas, lice, and scabies on human and animals. The aim of the present study was to evaluate the testicular toxicity and sperm quality of adult male Wistar albino rats exposed to Solignum® (SOL), a commercial permethrin-containing wood preservative. Materials and Methods: A total number of 32 adult male Wistar albino rats were divided into four groups of eight rats per group. SOL mixed with olive oil (1:1) was orally administered to rats daily at concentrations of 100, 200, and 400 mg/kg for 28 days while the control received 1 ml of olive oil only. At the end of this study, animals were sacrificed and testes excised, weighed, and processed for histological examination. Results: Rats treated with SOL showed a significant (P ≤ 0.05) decrease in body weight ranging from 127.30 ± 5.95 to 84.50 ± 15.37 g as compared with control group (138.50 ± 6.7 g). Absolute testicular weight, relative testicular weight, and epididymis together with testes decreased significantly (P ≤ 0.05) in treated rats ranging from 0.63 ± 0.44 to 0.22 ± 0.18; 0.49 ± 7.39 to 0.26 ± 1.17, and 1.07 ± 0.75 to 0.37 ± 0.19, respectively, when compared with control groups (0.89 ± 0.27; 0.64 ± 4.00; and 1.40 ± 0.35) for absolute testicular weight, relative testicular weight, and epididymis together with testes, respectively after 28 days. However, there was a significant (P ≤ 0.05) decrease in sperm count, sperm motility, sperm morphology, and sperm viability, whereas sperm debris increased significantly (P ≤ 0.05) in a dose-dependent manner when compared with control group. Furthermore, histological examination of the testes indicated that rats exposed to SOL were characterized by significant degenerative changes when compared with control group. Conclusion: Therefore, exposure to SOL may inhibit spermatogenesis, impair fertility, and generally, have toxicological concerns in the male reproductive system.
背景:氯菊酯作为一种农药被广泛应用于农业、家庭、园林,以及人类和动物身上的蚤、虱、疥疮等体外寄生虫的治疗。本研究的目的是评估成年雄性Wistar白化大鼠暴露于含氯菊酯的商品化木材防腐剂Solignum®(SOL)后的睾丸毒性和精子质量。材料与方法:取成年雄性Wistar白化大鼠32只,随机分为4组,每组8只。将SOL与橄榄油(1:1)混合,按100、200和400 mg/kg的浓度每天口服给鼠28天,对照组只给予橄榄油1 ml。在研究结束时,动物被处死,睾丸被切除,称重,并进行组织学检查。结果:与对照组(138.50±6.7 g)相比,SOL组大鼠体重(127.30±5.95 ~ 84.50±15.37 g)显著降低(P≤0.05),睾丸绝对重量、相对重量、附睾及睾丸重量(0.63±0.44 ~ 0.22±0.18)显著降低(P≤0.05);对照组分别为0.49±7.39 ~ 0.26±1.17,1.07±0.75 ~ 0.37±0.19(0.89±0.27;0.64±4.00;28 d后,睾丸绝对重量、相对重量、附睾随睾丸重量分别为1.40±0.35)。但与对照组相比,各组精子数量、精子活力、精子形态和精子活力显著(P≤0.05)降低,精子碎片显著增加(P≤0.05),且呈剂量依赖性。此外,睾丸组织学检查显示,与对照组相比,暴露于SOL的大鼠具有明显的退行性改变。结论:因此,暴露于SOL可能会抑制精子发生,损害生育能力,并且通常会对男性生殖系统产生毒理学影响。
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引用次数: 5
Heterotopic respiratory mucosa of the uterine corpus 子宫体异位呼吸黏膜
Pub Date : 2016-01-01 DOI: 10.5455/JIHP.20151220033246
S. Ravindran, J. Pailoor, Poh Bee Hoon
A 47-year-old, single, Chinese woman presented with pain on the 1st day of menses for more than 30 years. Her dysmenorrhea worsened over years and underwent a total abdominal hysterectomy and bilateral salpingooophorectomy. The myometrium showed trabeculated appearance, and there were adhesions between ovaries and fallopian tubes. A pale solid brownish mass measuring 1.5 cm × 1 cm × 0.6 cm with fibrous whitish cut surfaces was present on the lateral wall of the uterus in the lower uterine segment. Histologically, adenomyosis and left ovarian endometriosis were confirmed. The lateral uterine wall nodule showed a tubular structure lined by ciliated pseudostratified columnar epithelium. Smooth muscle bundles were found around the entire tubular structure. Lobules of salivary type glands containing both serous and mucous cells are present. The pathological diagnosis of heterotopic respiratory mucosa (HRM) was made. To our knowledge, this is the first reported case of HRM of the uterine corpus.
47岁,单身,中国女性,月经第一天疼痛30多年。她的痛经多年来恶化,并接受了全腹子宫切除术和双侧输卵管卵巢切除术。子宫肌层呈小梁状,卵巢与输卵管间有粘连。子宫下段子宫侧壁可见一淡色实心褐色肿块,大小为1.5 cm × 1 cm × 0.6 cm,呈纤维状白色切面。组织学上证实为子宫腺肌症和左卵巢子宫内膜异位症。子宫侧壁结节呈管状结构,衬有纤毛假层状柱状上皮。整个管状结构周围可见平滑肌束。唾液腺的小叶包含浆液细胞和黏液细胞。对异位呼吸道黏膜(HRM)进行病理诊断。据我们所知,这是第一例报告的子宫体HRM。
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引用次数: 1
Invasive Carcinoma of Breast with Adnexal Differentiation of Trichoblastic Type 乳腺浸润性癌伴附件毛胚型分化
Pub Date : 2016-01-01 DOI: 10.5455/jihp.20160412114319
S. Ravindran, P. Rajadurai, J. Daniel, Y. C. Har
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引用次数: 1
Cadmium-Induced Testicular Toxicity, Oxidative Stress and Histopathology in Wistar Rats: Sustained Effects of Polyphenol-Rich Extract of Vernonia Amygdalina (Del.) Leaf - 镉对Wistar大鼠睾丸毒性、氧化应激和组织病理学的影响:富多酚苦杏仁提取物的持续作用叶- - - - - -
Pub Date : 2016-01-01 DOI: 10.5455/JIHP.20160618041629
C. Imafidon, Olatoye Taiwo Risikat, B. F. Samuel, Ojo Opeyemi Esther, Ademoye Kehinde Aderonke
Background: Cadmium (Cd) is a toxic heavy metal of both environmental and occupational concerns. The health impact of ethno-botanical approaches in attempts to ameliorate its deleterious effects in biological systems should be an area of scientific interest since established therapies are often burdened with undesirable side effects. Aim: To determine the effects of polyphenol-rich extract of the leaf of Vernonia amygdalina (PEVA) on Cd-induced testicular toxicity, oxidative stress, and histopathology in Wistar rats. Materials and Methods: A total of twenty five (25) male Wistar rats were divided into five groups as follows: Group 1 (Control) received distilled water (0.2 ml/100 g i.p.) for 5 consecutive days and thereafter left untreated for 28 days. Group 2 received Cd alone at 5 mg/kg (i.p.) for 5 consecutive days. Group 3 was pre-treated with Cd as Group 2 and thereafter left untreated for a period of 28 days, whereas Groups 4 and 5 were pre-treated with Cd as Group 2 and thereafter received PEVA (orally) at two dose levels (200 and 400 mg/kg, respectively) for 28 days. Results: Cd administration induced reproductive toxicity as evidenced by lowered level of follicle stimulating hormone, luteinizing hormone, and testosterone (P < 0.05); perturbation of sperm characterization (P < 0.05); deleterious disruptions of the antioxidant system as evidenced by lowered levels of reduced glutathione and superoxide dismutase as well as elevation in thiobarbituric acid reactive substances level (P < 0.05); decrease in relative testicular weight (P < 0.05); and severe disseminated necrosis of the seminiferous tubules with terminally undifferentiated/necrotic cells as revealed by the histopathological examination. These conditions were sustained following administration of the two dose levels of PEVA. Conclusion: PEVA administration is not a suitable therapeutic choice for fertility enhancement in male Wistar rat model of Cd-induced decline in reproductive function.
背景:镉(Cd)是一种有毒的重金属,对环境和职业都有影响。民族植物学方法在试图改善其在生物系统中的有害作用时对健康的影响应该是一个科学感兴趣的领域,因为现有的治疗方法往往带有不良的副作用。目的:探讨苦杏仁叶多酚提取物(PEVA)对cd致Wistar大鼠睾丸毒性、氧化应激及组织病理学的影响。材料与方法:雄性Wistar大鼠25只,随机分为5组:1组(对照组)连续5 d灌胃蒸馏水(0.2 ml/100 g i.p),连续28 d;2组单独给予Cd 5 mg/kg (i.p),连续5 d。第3组以Cd作为第2组进行预处理,然后不处理28 d;第4组和第5组以Cd作为第2组进行预处理,然后分别口服200和400 mg/kg两个剂量水平的PEVA,持续28 d。结果:Cd给药引起生殖毒性,促卵泡激素、黄体生成素、睾酮水平降低(P < 0.05);精子特征扰动(P < 0.05);抗氧化系统的有害破坏表现为还原性谷胱甘肽和超氧化物歧化酶水平降低以及硫代巴比妥酸活性物质水平升高(P < 0.05);睾丸相对重量降低(P < 0.05);组织病理学检查显示精小管严重弥散性坏死伴终末未分化/坏死细胞。这些情况在给予两种剂量的PEVA后持续存在。结论:在cd诱导的雄性Wistar大鼠生殖功能下降模型中,PEVA并不是提高生育能力的合适治疗方法。
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引用次数: 16
CMV endometritis in a non- immunosuppressed patient presenting as recurrent pyometra- A case report - 非免疫抑制患者的巨细胞病毒子宫内膜炎表现为复发性子宫脓膜1例报告
Pub Date : 2016-01-01 DOI: 10.5455/jihp.20160517083824
G. Vasudevan, P. Prabhakar, Shephali Sharma
Cytomegalovirus infection of the female genital tract is a rare entity. We present a case of 70 year old woman who came with recurrent pyometra, but was otherwise in good health. Hysterectomy was done and the endometrium showed occasional stromal cells with karyomegaly and intranuclear eosinophilic inclusions consistent with cytomegaloviral infection and dense lymphoplasmacytic infiltrate. This was an incidental finding in an otherwise immunocompetent nonpregnant woman, hence being reported for its rarity and uncommon presentation. Keywords: cytomegalovirus, inclusions, endometrium.
巨细胞病毒感染的女性生殖道是一个罕见的实体。我们提出一个70岁的妇女谁来与复发性子宫积脓,但在其他方面良好的健康。子宫切除术后,子宫内膜偶见间质细胞伴核肿大和核内嗜酸性包涵体,与巨细胞病毒感染和密集淋巴浆细胞浸润一致。这是一个偶然发现,在其他免疫功能正常的非孕妇,因此被报道为罕见和不寻常的表现。关键词:巨细胞病毒,包涵体,子宫内膜
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引用次数: 0
C-kit (CD117) Expression Is Not Valuable to Predict Prognosis in Invasive Ductal Carcinoma of Breast - C-kit (CD117)表达对预测乳腺浸润性导管癌预后无价值
Pub Date : 2016-01-01 DOI: 10.5455/JIHP.20160328113716
M. Shomaf, A. Yousef, J. Masad, Murad Sahawneh, A. Halawa
Objective: C-kit functions as a tyrosine kinase receptor and represents a target for small molecule kinase inhibitors. The expression pattern for c-kit was studied in different human tumor types as gastrointestinal stromal tumor, malignant melanoma, breast and lung cancer, sarcoma and mastocytosis. C-kit expression in malignant tumors can be a factor that might affect the prognosis and its expression in different tumors was studied in respect of its correlation with the outcome. Imatinib or sunitinib therapy of KIT-positive tumors is an example of a targeted cancer therapy requiring immunohistochemical tumor analysis to identify patients that would benefit from this kind of therapy. This study is done on patients with breast cancer to find out the frequency of c-kit expression and to find out if it has any effect on the outcome of the patients and to compare the results with that of other ethnicities. Materials and Methods: Paraffin-embedded tumor tissues from 81 patients with breast invasive ductal carcinoma were analyzed immunohistochemically for c-kit expression and correlated to the survival of the patients after initial diagnosis using the follow-up data. Results: The mean age of the patients was 52.8 years. The median follow-up period was 22 months (range 1-37 months). C-kit immunopositivity was found in 37 cases (46%). Expression of c-kit was found in tumor samples with varying intensities and infrequently. Conclusion: There was no significant correlation between c-kit expression and prognosis.
目的:C-kit作为酪氨酸激酶受体,是小分子激酶抑制剂的靶标。研究了c-kit在胃肠道间质瘤、恶性黑色素瘤、乳腺癌和肺癌、肉瘤和肥大细胞增生症等不同人类肿瘤类型中的表达谱。C-kit在恶性肿瘤中的表达可能是影响预后的一个因素,我们研究了C-kit在不同肿瘤中的表达与预后的相关性。kit阳性肿瘤的伊马替尼或舒尼替治疗是一种靶向癌症治疗的例子,需要免疫组织化学肿瘤分析来确定将从这种治疗中受益的患者。这项研究是在乳腺癌患者身上进行的,目的是找出c-kit表达的频率,并找出它是否对患者的预后有任何影响,并将结果与其他种族的结果进行比较。材料与方法:采用免疫组织化学方法分析81例乳腺浸润性导管癌石蜡包埋肿瘤组织中c-kit的表达,并利用随访资料与患者初诊后的生存率进行相关性分析。结果:患者平均年龄52.8岁。中位随访时间为22个月(范围1-37个月)。C-kit免疫阳性37例(46%)。c-kit的表达在不同强度和罕见的肿瘤样本中发现。结论:c-kit表达与预后无显著相关性。
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引用次数: 0
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Journal of interdisciplinary histopathology
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