RESUMEN
<p><b>OBJECTIVE</b>To study the expression of signal transducer and activator of transcription 3 (Stat3), hypoxia-inducible factor-1alpha (HIF-1alpha) and vascular endothelial growth factor (VEGF) in Wilms' tumor and their roles in the development of Wilms' tumor.</p><p><b>METHODS</b>The expression of Stat3, HIF-1alpha and VEGF were detected by the immunohistochemical staining in 52 specimens from Wilms' tumor tissues, 47 from adjacent kidney tissues and 8 from normal kidney tissues. The expression intensity was analyzed by computer image processing.</p><p><b>RESULTS</b>The expression of Stat3, HIF-1 and VEGF were significantly up-regulated in Wilms' tumor tissues compared to those in adjacent tissues and normal kidney tissues (P < 0.05). Stat3 and VEGF proteins in Wilms' tumor tissues of stage III-IV and high risk histopathology were significantly higher than those of stage I-II and low risk histopathology. The higher expression of HIF-1 in Wilms' tumor tissues was shown in tumors with high risk histopathology and tumor size > or = 6 cm.</p><p><b>CONCLUSIONS</b>Increased expression of Stat3, HIF-1 and VEGF were found in Wilms' tumor tissues, and may be related to the development and angiogenesis of Wilms' tumor. Stat3 may regulate the expression of HIF-1 and VEGF, so it could be an effective target for inhibiting VEGF expression and angiogenesis of Wilms' tumor.</p>
Asunto(s)
Niño , Preescolar , Femenino , Humanos , Lactante , Masculino , Subunidad alfa del Factor 1 Inducible por Hipoxia , Inmunohistoquímica , Neoplasias Renales , Química , Patología , Estadificación de Neoplasias , Neovascularización Patológica , Factor de Transcripción STAT3 , Factor A de Crecimiento Endotelial Vascular , Tumor de Wilms , Química , PatologíaRESUMEN
<p><b>OBJECTIVE</b>To search the etiologic factor, clinical diagnosis points and treatment of postoperative intussusception (PI).</p><p><b>METHODS</b>To retrospectively review the clinical materials of 14 cases with PI including the cause of disease and treatment.</p><p><b>RESULTS</b>PI occurred within 10 days (average 4 days) after the primary operation. Bowel obstructive symptoms gradually emerged. One case was diagnosed with intussusception by sonography and received enema reduction of intussusception by hydrostatic pressure. Thirteen cases were performed secondary operation. Small intestine was main site of intussusception. Manual reduction of the lesion was performed in 12 cases and bowel resection and anastomosis was done in 1 case with bowel necrosis.</p><p><b>CONCLUSION</b>PI should be suspected if child presents with the symptoms of ileus in early postoperative period. Abdominal sonography may have some value on diagnosis of PI. Operation is the first choice for the treatment of PI.</p>
Asunto(s)
Niño , Preescolar , Femenino , Humanos , Lactante , Masculino , Enfermedades del Íleon , Diagnóstico , Cirugía General , Intestino Delgado , Cirugía General , Intususcepción , Diagnóstico , Cirugía General , Complicaciones Posoperatorias , Neoplasias Retroperitoneales , Cirugía General , Estudios Retrospectivos , Teratoma , Cirugía GeneralRESUMEN
Objective To analyze the clinical and radiographic characterstics of ureteral polyps with hydronephrosis in children.Methods Thirteen patients with ureteral polyps and hydronephrosis were studied retrospectively.All patients underwent abdominal plain film,intravenous pyelogram(IVP)and ultrasound(US)examinations,contrast-enhanced CT scan was performed in 10 cases.Results Intermittent or recurrent abdominal pain with painless hematuria was presented in most cases.Hydronephrosis was demonstrated in radiographic images.IVP delineated the dilatation of the ureter and filling defects within the ureteral lumen in 5 cases.Computed tomography(CT)showed all abnormal changes of ureter and irregular intraluminal soft tissue masses in 6 cases.Moderate and low echoic structures were showed in ureters by US in 2 cases.Conclusion US and CT,as an important imaging modalities,can improve the diagnostic accuracy for ureteral polyps.