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On The Use of Human Tissues in Research and Practice 人体组织在研究和实践中的应用
Pub Date : 2016-01-01 DOI: 10.5455/JIHP.20160607021524
Sergei V. Jargin
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引用次数: 2
Primary mesenteric carcinoid tumor 原发性肠系膜类癌
Pub Date : 2016-01-01 DOI: 10.5455/JIHP.20160116101011
Swati Aggarwal, Shubham Agarwal, D. Ramrakhiani
Mesenteric tumors are uncommon lesions. Primary mesenteric carcinoid is a rare entity with only a few reported cases. Therefore, a thorough examination of the resected bowel is necessary to rule out the presence of possible primary tumor in the adjacent bowel loop. We present a case of primary mesenteric carcinoid.
肠系膜肿瘤是罕见的病变。摘要原发性肠系膜类癌是一种罕见的肿瘤,仅有少数病例报道。因此,有必要对切除的肠进行彻底检查,以排除邻近肠袢中可能存在的原发肿瘤。我们报告一例原发性肠系膜类癌。
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引用次数: 0
Radiotherapy-Induced Ovarian Sarcoma Following the Treatment of Cervical Cancer: Exceptional Case Report and Review of the Literature - 宫颈癌治疗后放射诱导的卵巢肉瘤:例外病例报告及文献复习
Pub Date : 2016-01-01 DOI: 10.5455/JIHP.20160603121249
M. Ayadi, O. E. A. Hadj, I. Zemni, H. Bouzaiene, J. B. Hassouna, A. Gamoudi, K. Rahal
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引用次数: 0
Plasmablastic Lymphoma: A Report of 2 Cases with Review of Literature. - 浆母细胞淋巴瘤2例报告并文献复习。-
Pub Date : 2016-01-01 DOI: 10.5455/jihp.20160629113215
G. Vasudevan, B. Singh, Arijit Bishnu, A. Kulshreshta
Plasmablastic lymphoma (PBL) is an aggressive subtype of Non-Hodgkin Lymphoma (NHL) initially described in extra-nodal sites in an immunocompromised and later in immune-competent patients. PBL remains a diagnostic challenge due to morphological overlap with various other entities and also due to similarities on immunohistochemistry with plasma cell myeloma. In-spite of therapeutic advances, PBL remains an aggressive disease with high fatality rate. We describe 2 cases of this uncommon neoplasm; both in immunocompromised patients.
浆母细胞淋巴瘤(PBL)是一种侵袭性的非霍奇金淋巴瘤(NHL)亚型,最初在免疫功能低下患者的淋巴结外部位发现,后来在免疫功能正常的患者中发现。由于PBL与各种其他实体的形态学重叠以及与浆细胞骨髓瘤的免疫组织化学相似,PBL仍然是一个诊断挑战。尽管治疗取得了进步,但PBL仍然是一种具有高致死率的侵袭性疾病。我们描述了2例这种罕见的肿瘤;在免疫功能低下的患者中。
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引用次数: 1
Immunohistochemical Expression of COX-2 in Uterine Serous Carcinoma Tissue - COX-2在子宫浆液癌组织中的免疫组织化学表达
Pub Date : 2016-01-01 DOI: 10.5455/JIHP.20150923115314
J. Menczer, L. Schreiber, E. Berger, T. Levy
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引用次数: 0
Primary Epithelioid Angiosarcoma of the Adrenal Gland: Report of a Case and Review of the Literature - 原发性肾上腺上皮样血管肉瘤1例报告及文献复习
Pub Date : 2016-01-01 DOI: 10.5455/JIHP.20160607021215
M. Ayadi, Nadia Boujelben, R. Doghri, Mouna Rezgani, I. Abbès, M. Driss, R. Chargui, K. Mrad, K. Rahal
Primary mesenchymal neoplasms of the adrenal gland are extremely rare. The most common primary sarcoma is adrenal angiosarcoma. We report the case of a 51-year-old patient who presented with left flank pain. After ultrasound investigations, the patient underwent surgical removal of an adrenal tumor. The gross adrenal specimen showed extensive cystic changes with old hemorrhage and necrosis. Histologically, irregular branching vascular channels were seen intermixed with solid areas of epithelioid cells. Immunohistochemical staining of tumor cells was positive with antibodies to cytokeratin and CD31. After a 12 months follow-up, the patient is still well with no sign of a relapse. Because of the epithelioid appearance and frequent expression of epithelial immunohistochemical markers, primary epithelioid angiosarcoma of the adrenal gland can be confounded with adrenal carcinomatous metastases. We report our findings with a brief literature review and discussion of differential diagnosis.
原发性肾上腺间充质肿瘤极为罕见。最常见的原发性肉瘤是肾上腺血管肉瘤。我们报告的情况下,51岁的病人谁提出了左侧疼痛。经超声检查,患者接受手术切除肾上腺肿瘤。肾上腺大体标本表现为广泛的囊性改变,伴老年性出血和坏死。组织学上可见不规则分支的血管通道与实性上皮样细胞区混在一起。肿瘤细胞免疫组化染色呈细胞角蛋白抗体和CD31抗体阳性。经过12个月的随访,患者仍然很好,没有复发的迹象。由于上皮样外观和上皮免疫组织化学标志物的频繁表达,原发性肾上腺上皮样血管肉瘤可与肾上腺癌转移相混淆。我们报告我们的发现与简要的文献回顾和鉴别诊断的讨论。
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引用次数: 0
The Significance of BerEp4 and Cytokeratin 19 Expressions in Epithelial Tumors of Kidney and Renal Pelvis 肾和肾盂上皮肿瘤中BerEp4和细胞角蛋白19表达的意义
Pub Date : 2016-01-01 DOI: 10.5455/JIHP.20160926120648
A. Ozcan, I. Yavan, Melih Kılınç, S. Uğuz, Ş. Ozaydin
Objective: The differential diagnosis in the epithelial tumors of kidney and renal pelvis can be problematic due to their overlapping morphologic features. This is much more complicated in some conditions, such as renal oncocytoma (RO) vs chromophobe renal cell carcinoma (ChRCC) and renal cell carcinoma (RCC) vs urothelial carcinoma of renal pelvis (UC-RP). The purpose of this study was to assess potential contributions of BerEP4 and cytokeratin 19 (CK19) expressions in the differential diagnosis of these challenging cases. Methods: A total 57 cases consisted of 11 chromophobe (ChRCC), 18 clear cell (CCRCC), 12 papillary (PRCC), and 2 unclassified RCCs, 1 multilocular cystic renal cell neoplasm (MCRCN) with low malignant potential, 7 UC-RP, and 6 renal oncocytomas (RO) were stained against BerEp4 and CK19 antibodies using automated immunostainer. Results: All ROs demonstrated membranous BerEP4 expression, but no CK19 expression. Unlike ROs, most ChRCCs exhibited diffuse and strong CK19 expression, but no or focal and weak BerEP4 expression. This distinctive opposite expression pattern was highlighted in hybrid oncocytic chromophobe tumor (HOCT). CCRCCs showed highly variable expression patterns for both markers. PRCC type 1 tumors demonstrated diffuse and strong BerEp4 and CK19 expressions. PRCC type 2 exhibited BerEP4 and CK19 expressions, but their expressions were focal and weaker than for PRCC type 1. MCRCN demonstrated diffuse and strong BerEP4 expression, but no expression for CK19 unlike cystic CCRCC, which is strongly positive for both markers. Epithelioid cells in unclassified RCC showed strong CK19 and weak BerEP4 expression, whereas spindle cells in the tumor did not express CK19 and BerEp4 or exhibited scattered and weak expressions. UC-RP showed diffuse and strong CK19 expression, but no or scattered BerEP4expression was seen in the tumor. We also evaluated CK19 and BerEP4 expression in non-neoplastic adjacent kidney and renal pelvis. Conclusion: This study revealed that 1) BerEP4 and CK19 exhibit variable and distinctive immunoprofiles in epithelial tumors of kidney and renal pelvis, 2) an immunoprofile of BerEP4 (+)/CK19 (-) favors RO in contrast to an opposite profile for ChRCC, 3) The heterogeneous expressions of BerEP4 and CK19 in low grade RCC with eosinophilic cytoplasm favors HOCT, 4) PRCC type 1 strongly express both biomarkers, and 5) although RCC subtypes express CK19 in a variable proportion and intensity, diffuse and strong CK19 expression favors UC-RP.
目的:肾脏和肾盂上皮性肿瘤由于其形态特征重叠而难以鉴别诊断。在某些情况下,这要复杂得多,例如肾嗜铬细胞瘤(RO)与憎色性肾细胞癌(ChRCC)和肾细胞癌(RCC)与肾盂尿路上皮癌(UC-RP)。本研究的目的是评估BerEP4和细胞角蛋白19 (CK19)表达在这些挑战性病例鉴别诊断中的潜在贡献。方法:采用自动免疫染色法对57例患者进行BerEp4和CK19抗体染色,其中11例为疏色细胞瘤(ChRCC), 18例为透明细胞瘤(CCRCC), 12例为乳头状细胞瘤(PRCC), 2例为未分类的rcc, 1例为低恶性潜能的多室囊性肾细胞瘤(MCRCN), 7例为UC-RP, 6例为肾癌细胞瘤(RO)。结果:所有ROs均膜性表达BerEP4,未表达CK19。与ROs不同,大多数chrcc表现出弥漫性和强表达CK19,但不表达或局灶性和弱表达BerEP4。这种独特的相反表达模式在混合型嗜癌细胞憎色肿瘤(HOCT)中得到了突出表现。ccrcc在两种标记物的表达模式上都表现出高度可变。PRCC 1型肿瘤表现为弥漫性、强表达BerEp4和CK19。PRCC 2型表现出BerEP4和CK19的表达,但与PRCC 1型相比,BerEP4和CK19的表达是局灶性的、弱的。mccrcn表现出弥漫性和强烈的BerEP4表达,但CK19不表达,不像囊性CCRCC,这两种标志物都强烈阳性。未分类的RCC上皮样细胞CK19和BerEP4表达较强,而肿瘤梭形细胞不表达CK19和BerEP4或表现为分散和弱表达。UC-RP中CK19呈弥漫性强表达,而berep4未见或分散表达。我们还评估了CK19和BerEP4在非肿瘤邻近肾和肾盂中的表达。结论:本研究表明:1)BerEP4和CK19在肾脏和肾盂上皮肿瘤中表现出不同的、独特的免疫谱;2)BerEP4 (+)/CK19(-)的免疫谱有利于RO,而在ChRCC中则相反;3)BerEP4和CK19在具有嗜酸性细胞质的低级别RCC中异质表达有利于HOCT; 4) PRCC 1型强烈表达这两种生物标志物;弥漫和强表达的CK19有利于UC-RP。
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引用次数: 0
Sirenomelia – Mermaid Syndrome with Oesophageal Atresia: A Rare Case Report - 美人鱼综合征伴食道闭锁1例报道
Pub Date : 2015-09-01 DOI: 10.5455/JIHP.20150711023253
V. Raja, Vidyavathi Kannar, C. S. B. R. Prasad
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引用次数: 1
Immunoprofiles of Adult Renal Epithelial Tumors: Immunohistochemistry Is Still Essential for Diagnosis of Renal Tumors (A Comprehensive Update) - 成人肾上皮肿瘤的免疫谱:免疫组织化学对肾肿瘤的诊断仍是必要的(一项全面更新)
Pub Date : 2015-09-01 DOI: 10.5455/jihp.20150930030440
A. Ozcan
Renal cell carcinoma (RCC) is the third most common cancer of the genitourinary tract and accounts for approximately 2-3% of all cancer deaths. The recent classification of renal tumors, The International Society of Urological Pathology (ISUP) Vancouver Classification of Renal Neoplasia, has been proposed new distinct epithelial tumors and provisional new entities. Although most renal tumors are morphologically diagnosed, they need to use a panel of immunomarkers due to their overlapping morphologic features in some cases such as benign mimickers and newly emerged tumor types. Overlapping morphologic features are especially complicated in small biopsies and in distinguishing metastatic RCCs from other tumors. Immunohistochemistry is still more useful in renal tumors than non-renal tumors. A wide panel has been performed in the differential diagnosis of renal tumors. If immunohistochemical results are conflict or unconvincing, a diagnosis of unclassified RCC is appropriate. For accurate diagnosis of RCC, it should be careful in performing immunohistochemistry on needle biopsy due to variable expressions of immunomarkers originated from heterogeneity in RCCs. Morphology is still gold standard, but immunohistochemistry should be kept in mind as a useful and supportive diagnostic tool upon morphological features of renal tumors as always.
肾细胞癌(RCC)是泌尿生殖道的第三大常见癌症,约占所有癌症死亡人数的2-3%。最近的肾肿瘤分类,国际泌尿病理学会(ISUP)温哥华肾肿瘤分类,已经提出了新的独特的上皮肿瘤和临时的新实体。尽管大多数肾肿瘤是形态学诊断的,但由于在某些情况下,如良性模拟物和新出现的肿瘤类型,它们的形态学特征重叠,需要使用一组免疫标记物。在小活检和鉴别转移性rcc与其他肿瘤时,重叠的形态学特征尤其复杂。免疫组织化学在肾脏肿瘤中仍比在非肾脏肿瘤中更有用。在肾脏肿瘤的鉴别诊断中进行了广泛的检查。如果免疫组织化学结果冲突或不令人信服,则诊断为未分类的RCC是合适的。为了准确诊断RCC,由于RCC的异质性导致免疫标志物的表达变化,因此在针活检中进行免疫组织化学检查时应谨慎。形态学仍然是金标准,但免疫组织化学作为诊断肾肿瘤形态学特征的有用和支持性工具应一如既往地铭记在心。
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引用次数: 2
Protective Effect of Rosemary (Rosmarinus Officinalis) Extract on Naphthalene Induced Nephrotoxicity in Adult Male Albino Rat 迷迭香提取物对萘致成年雄性白化大鼠肾毒性的保护作用
Pub Date : 2015-02-01 DOI: 10.5455/JIHP.20150213020636
N. El-sherif, N. Issa
Background: Naphthalene (NA) is a common environmental contaminant and is abundant in tobacco smoke. Rosemary (Rosmarinus officinalis) is a herb commonly used as a spice and flavoring agents in food processing and is useful in the treatment of many diseases. Aim of the work: To study the nephrotoxicity of NA and to evaluate the possible protective role of rosemary extract in adult male albino rat. Materials and Methods: 25 animals were divided into three groups: Group I (Control group), Group II (NA treated group) received NA at a dose of 200 mg/kg/day dissolved in 5 ml/kg corn oil orally by gastric tube, Group III (protected group) received rosemary extract (10 ml/kg/day) followed after 60 min by NA at the same previous dose orally by gastric tube. The experiment lasted 30 days. The following parameters were studied: Biochemical assessment of renal function, histological, immunohistochemical, morphometric studies and statistical analysis of the results. Results: NA treatment resulted in a highly significant increase in the mean values of serum urea and creatinine. NA induced histological changes in the form of glomerular congestion. Some glomeruli demonstrated marked mesangial expansion and hence that Bowman’s spaces were almost completely obliterated. Shrinkage of renal glomeruli with widening of Bowman’s spaces could also be seen. Focal tubular dilatation with appearance of casts inside the tubules was observed. Congested peritubular blood vessels and interstitial hemorrhage were also seen. The medullary region demonstrated vascular congestion and fibrosis. Focal cellular infiltration was presented in the interstitium. The renal cortex of NA treated rats showed a noticeable down regulation in alkaline phosphatase positive immunoreactive cells in some proximal convoluted tubules. NA induced up regulation of positive immunoreaction for inducible nitric oxide synthase in the proximal and distal convoluted tubules as well as in the collecting tubules. All previous results were significantly reversed in the protected group compared with NA treated group. Conclusions: It is concluded that NA has a harmful effect on rat kidney. Rosemary extract had a protective role against renal injury induced by NA and this effect may be attributed to its antioxidant and anti-inflammatory activity.
背景:萘(NA)是一种常见的环境污染物,在烟草烟雾中含量丰富。迷迭香(Rosmarinus officinalis)是一种在食品加工中常用作香料和调味剂的草药,对治疗许多疾病都很有用。目的:研究NA对成年雄性白化大鼠的肾毒性,探讨迷迭香提取物可能的保护作用。材料与方法:将25只动物分为3组:ⅰ组(对照组),ⅱ组(NA处理组)给予200 mg/kg/d的NA,溶于5 ml/kg玉米油中,经胃管灌胃;ⅲ组(保护组)给予迷迭香提取物(10 ml/kg/d), 60 min后再按原剂量经胃管灌胃。试验期30 d。研究如下参数:肾功能生化评价、组织学、免疫组织化学、形态计量学研究及结果统计分析。结果:NA治疗导致血清尿素和肌酐平均值显著升高。NA以肾小球充血的形式诱导组织学改变。一些肾小球显示明显的系膜扩张,因此鲍曼间隙几乎完全消失。肾小球缩小,鲍曼间隙变宽。可见局灶性小管扩张,小管内可见铸型。小管周围血管充血,间质性出血。髓质区血管充血和纤维化。间质呈局灶性细胞浸润。NA处理大鼠肾皮质部分近曲小管碱性磷酸酶阳性免疫反应细胞明显下调。NA可诱导一氧化氮合酶在近端、远端曲小管及集合小管中的阳性免疫反应上调。与NA治疗组相比,保护组的所有先前结果均显着逆转。结论:NA对大鼠肾脏有一定的损害作用。迷迭香提取物对NA所致肾损伤具有保护作用,其作用机制可能与其抗氧化和抗炎活性有关。
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引用次数: 9
期刊
Journal of interdisciplinary histopathology
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