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1.
PLoS One ; 15(8): e0237595, 2020.
Article in English | MEDLINE | ID: mdl-32760130

ABSTRACT

[This corrects the article DOI: 10.1371/journal.pone.0193055.].

2.
Proc Natl Acad Sci U S A ; 117(12): 6936-6941, 2020 03 24.
Article in English | MEDLINE | ID: mdl-32152105

ABSTRACT

The growth of the internet has spawned new "attention markets," in which people devote increasing amounts of time to consuming online content, but the neurobehavioral mechanisms that drive engagement in these markets have yet to be elucidated. We used functional MRI (FMRI) to examine whether individuals' neural responses to videos could predict their choices to start and stop watching videos as well as whether group brain activity could forecast aggregate video view frequency and duration out of sample on the internet (i.e., on youtube.com). Brain activity during video onset predicted individual choice in several regions (i.e., increased activity in the nucleus accumbens [NAcc] and medial prefrontal cortex [MPFC] as well as decreased activity in the anterior insula [AIns]). Group activity during video onset in only a subset of these regions, however, forecasted both aggregate view frequency and duration (i.e., increased NAcc and decreased AIns)-and did so above and beyond conventional measures. These findings extend neuroforecasting theory and tools by revealing that activity in brain regions implicated in anticipatory affect at the onset of video viewing (but not initial choice) can forecast time allocation out of sample in an internet attention market.


Subject(s)
Attention/physiology , Brain/physiology , Choice Behavior , Internet/statistics & numerical data , Nervous System Physiological Phenomena , Social Media , Video Recording , Adult , Cerebral Cortex/physiology , Female , Humans , Magnetic Resonance Imaging , Male , Nucleus Accumbens/physiology , Prefrontal Cortex/physiology
3.
Virchows Arch ; 476(2): 333, 2020 Feb.
Article in English | MEDLINE | ID: mdl-31897819

ABSTRACT

Regrettably the following abstract was omitted from the original publication; the abstract was submitted ahead of the submission deadline, and should have been included in the original set of abstracts.

4.
PLoS One ; 13(2): e0193055, 2018.
Article in English | MEDLINE | ID: mdl-29462189

ABSTRACT

Like humans, monkeys value information about sex and status, inviting the hypothesis that our susceptibility to these factors in advertising arises from shared, ancestral biological mechanisms that prioritize social information. To test this idea, we asked whether rhesus macaques (Macaca mulatta) show choice behavior that is similar to humans in response to sex and social status in advertising. Our results show that monkeys form preferences for brand logos repeatedly paired with images of macaque genitals and high status monkeys. Moreover, monkeys sustain preferences for these brand logos even though choosing them provided no tangible rewards, a finding that cannot be explained by a decision mechanism operating solely on material outcomes. Together, our results endorse the hypothesis that the power of sex and status in advertising emerges from the spontaneous engagement of shared, ancestral neural circuits that prioritize information useful for navigating the social environment. Finally, our results show that simple associative conditioning is sufficient to explain the formation of preferences for brand logos paired with sexual or status-based images.


Subject(s)
Advertising , Choice Behavior , Macaca mulatta/psychology , Animals , Conditioning, Psychological , Female , Humans , Male , Models, Animal , Models, Psychological , Photic Stimulation , Reward , Sexual Behavior, Animal , Social Behavior
6.
Front Neurosci ; 11: 1, 2017.
Article in English | MEDLINE | ID: mdl-28154520

ABSTRACT

Previous research has provided qualitative evidence for overlap in a number of brain regions across the subjective value network (SVN) and the default mode network (DMN). In order to quantitatively assess this overlap, we conducted a series of coordinate-based meta-analyses (CBMA) of results from 466 functional magnetic resonance imaging experiments on task-negative or subjective value-related activations in the human brain. In these analyses, we first identified significant overlaps and dissociations across activation foci related to SVN and DMN. Second, we investigated whether these overlapping subregions also showed similar patterns of functional connectivity, suggesting a shared functional subnetwork. We find considerable overlap between SVN and DMN in subregions of central ventromedial prefrontal cortex (cVMPFC) and dorsal posterior cingulate cortex (dPCC). Further, our findings show that similar patterns of bidirectional functional connectivity between cVMPFC and dPCC are present in both networks. We discuss ways in which our understanding of how subjective value (SV) is computed and represented in the brain can be synthesized with what we know about the DMN, mind-wandering, and self-referential processing in light of our findings.

7.
J Plast Reconstr Aesthet Surg ; 61(2): 150-7, 2008.
Article in English | MEDLINE | ID: mdl-17606422

ABSTRACT

This study aims to investigate the effects of a proximally-based turnover sheath flap obtained from the tendon sheath on the prevention of adhesion formation in the legs of the chickens whose tendons and sheaths have been injured. The chickens were categorised into 4 groups. Group 1 was chosen as the sham group. In Group 2, a defective area of 0.3 x0.5 cm was created across the sheath, without damaging the tendon. The healthy profundus tendons of the chickens in Group 3 were cut and repaired. Afterwards, a defective area of 0.3 x 0.5 cm was created across the tendon sheath. In Group 4, the healthy profundus tendons were cut and repaired. Then, a defective area of 0.3 x 0.5 cm was created over the reconstructed tendon. This defective area was finally covered with a proximally-based turnover sheath flap of the size 0.4 x 1 cm, which was raised from the distal part of the sheath. The toes were immobilised for 3 weeks before the chickens were sacrificed. Histopathological and biomechanical analyses showed adhesion in the repaired tendons in Group 3, in which movement restriction was shown by biomechanical analyses. The present study showed that covering the defective sheath that was created over the repaired tendon with a proximally-based turnover tendon sheath flap prevented peritendinous adhesion.


Subject(s)
Surgical Flaps , Tendon Injuries/surgery , Tendons/transplantation , Animals , Biomechanical Phenomena , Cell Proliferation , Chickens , Collagen/analysis , Fibroblasts/pathology , Foreign-Body Reaction/pathology , Tendon Injuries/pathology , Tendon Injuries/physiopathology , Tendons/pathology , Tendons/physiopathology , Tissue Adhesions/prevention & control , Wound Healing/physiology
8.
J Endocrinol Invest ; 30(10): 870-2, 2007 Nov.
Article in English | MEDLINE | ID: mdl-18075291

ABSTRACT

Aldosterone-producing adenoma, which is characterized by hypertension, hypokalemia, and elevated aldosterone levels with suppressed plasma renin activity, is a rare condition during childhood and is also potentially curable. To the best of our knowledge, nearly 25 cases of childhood aldosterone-secreting adenoma have been reported in the literature to date. Here we describe a 13-yr-old girl with primary hyperaldosteronism secondary to aldosterone-secreting adenoma. The patient was admitted to our hospital with the neuromuscular complaints of muscle weakness and inability to walk due to hypokalemia. She had been misdiagnosed as having hypokalemic periodic paralysis 2 months before admission and her symptoms had radically improved with potassium supplementation. However, her blood pressure levels had increased and her symptoms reappeared 2 days prior to being observed during hospitalization in our institution. Laboratory examinations revealed hypokalemia (2.1 mEq/l), and increased serum aldosterone levels with suppressed plasma renin activity. Abdominal ultrasonography and abdominal magnetic resonance imaging revealed left adrenal mass. Laparoscopic adrenalectomy was performed and histopathological examinations showed benign adrenal adenoma. Serum aldosterone levels and blood pressure levels returned to normal after surgical intervention. This case demonstrates the importance of a systemic evaluation including blood pressure monitorization of children with hypokalemia as intermittent hypertension episodes may be seen; cases without hypertension may be misdiagnosed as rheumatological or neurological disorders such as hypokalemic periodic paralysis, as in our case.


Subject(s)
Adenoma/complications , Adrenal Gland Neoplasms/complications , Hyperaldosteronism/etiology , Hypokalemia/etiology , Paralysis/etiology , Adenoma/metabolism , Adenoma/pathology , Adolescent , Adrenal Gland Neoplasms/metabolism , Adrenal Gland Neoplasms/pathology , Aldosterone/metabolism , Female , Humans , Hyperaldosteronism/metabolism , Hyperaldosteronism/pathology , Hypertension/etiology
9.
J Endocrinol Invest ; 30(3): 247-52, 2007 Mar.
Article in English | MEDLINE | ID: mdl-17505160

ABSTRACT

We report a case of pulmonary multinodular mucormycosis in a Type 1 diabetic patient with diabetic ketoacidosis. He had a history of 20-pack-year tobacco use. The initial chest roentgenogram and thorax tomography (after the treatment of diabetic ketoacidosis) revealed multiple nodular lesions with cavitation in the upper lobes of pulmonary parenchyma. Resection of three nodular lesion demonstrated cheesy necrotic mass in the cavitating lesions. The diagnosis of pulmonary multinodular mucormycosis was made depending on the histopathologic examination yielding nonseptated right angle branching-shaped hyphae typical of mucormycosis. The patient was started on liposomal amphotericin B and discharged at the sixth week of therapy with a scheduled therapy of amphotericin B. When he came back after 33 months, he was metabolically unregulated under the insulin therapy. He confessed that he had been smoking heroin besides tobacco for the last 5 years. A new thorax computerized tomography showed that pulmonary nodules were slightly regressed but not resolved.


Subject(s)
Diabetes Mellitus, Type 1/diagnostic imaging , Diabetic Ketoacidosis/diagnostic imaging , Mucormycosis/diagnostic imaging , Respiratory Tract Infections/diagnostic imaging , Adult , Antifungal Agents/therapeutic use , Diabetes Mellitus, Type 1/complications , Diabetes Mellitus, Type 1/drug therapy , Diabetic Ketoacidosis/complications , Diabetic Ketoacidosis/drug therapy , Heroin Dependence/complications , Heroin Dependence/diagnostic imaging , Humans , Male , Mucormycosis/complications , Mucormycosis/drug therapy , Radiography , Respiratory Tract Infections/complications , Respiratory Tract Infections/drug therapy
10.
Int J Gynecol Cancer ; 17(4): 917-21, 2007.
Article in English | MEDLINE | ID: mdl-17316363

ABSTRACT

The presence of mesothelial cell inclusions in lymph nodes is rare. Localization of these inclusions in abdominal and pelvic lymph nodes is an exceedingly rare event, with only eight cases reported. We report here a case of mesothelial cell inclusions in pelvic lymph node of a patient with ovarian microinvasive borderline mucinous tumor. This case differs from the previously reported cases for the following reasons. First, there was no evidence of serosal effusion. Second, it is the first reported case of nodal mesothelial inclusions in a patient with ovarian microinvasive mucinous borderline tumor. Last, histologically, mesothelial cell inclusions were accompanied by psammoma bodies. The potential problem of misdiagnosis as a metastatic tumor can be avoided by an awareness of these inclusions, supported by immunohistochemical results.


Subject(s)
Cystadenoma, Mucinous/pathology , Inclusion Bodies/pathology , Lymph Nodes/pathology , Ovarian Neoplasms/pathology , Adult , Epithelium/pathology , Female , Humans , Pelvis
11.
Gynecol Obstet Invest ; 64(1): 36-9, 2007.
Article in English | MEDLINE | ID: mdl-17202822

ABSTRACT

Most clear cell neoplasms of the ovaries are carcinomas; benign and borderline clear cell tumors are uncommon. To date, only 12 cases of benign clear cell adenofibroma have been reported in the literature. Here we report a case of benign clear cell adenofibroma of the left ovary in a 51-year-old postmenopausal woman. Histological examination revealed widely spaced simple glands embedded in a dense fibrous stroma. The glands were lined by one to two layers of cells with abundant clear cytoplasm. The nuclei were bland and uniform in size and shape. There was minimal cytologic atypia in some areas. In this article we discussed the criteria for the diagnosis of benign and borderline clear cell adenofibromas and reviewed the literature.


Subject(s)
Adenofibroma/pathology , Adenofibroma/surgery , Ovarian Neoplasms/pathology , Ovarian Neoplasms/surgery , Adenofibroma/diagnosis , Biopsy, Needle , Female , Follow-Up Studies , Humans , Hysterectomy/methods , Immunohistochemistry , Middle Aged , Neoplasm Staging , Ovarian Neoplasms/diagnosis , Ovariectomy/methods , Pelvic Pain/diagnosis , Pelvic Pain/etiology , Postmenopause , Risk Assessment , Treatment Outcome , Uterine Hemorrhage/diagnosis , Uterine Hemorrhage/etiology
12.
Eur Surg Res ; 37(4): 220-7, 2005.
Article in English | MEDLINE | ID: mdl-16260872

ABSTRACT

OBJECTIVE: The aim of this study was to assess the effect of immunoregulatory cytokine interleukin-10 (IL-10) gene therapy on pancreas tissue rejection in a heterotopic pancreas transplantation model. BACKGROUND: Modulation of inflammatory responses by anti-inflammatory cytokines (e.g., IL-10) has been suggested to minimize organ rejection. In this context, modulation of cytokines using gene therapy could be a new therapeutic modality in preventing organ rejection. METHODS: The study was performed using male inbred Wistar rats as recipients and Sprague-Dawley rats as donors. 24 h before transplantation, groups of rats, named IL-10 (n = 20) and green fluorescent protein (GFP, n = 20), were injected with viral vectors Ad5CMVhIL10 or Ad5CMVGFP. Sham-operated rats (n = 20) underwent saline injection only before transplantation. The pancreatic tissue from each of these donor rats was subsequently transplanted into the corresponding groups of streptozotocin-induced diabetic recipient rats. Recipients were thus transfected with either IL-10 (n = 20), GFP-only carrying viral vectors (n = 20) or no viral vectors (normal saline, n = 20). A selected number of animals from each recipient group (n = 5) was sacrificed at weekly intervals for 3 weeks and some were further followed up to 12 weeks before sacrifice. Histological assessment of the pancreatic tissue was made based on rejection and GFP expression. Blood glucose levels were checked daily in all groups until sacrifice. Upon sacrifice, serum cytokine and insulin levels were measured. Histopathological correlations between blood glucose levels, serum insulin levels and serum IL-10 levels were made. RESULTS: IL-10 gene therapy significantly attenuated pancreas rejection compared to controls, provided more normal blood glucose levels and elevated plasma insulin levels. Upon assumed natural deactivation of transferred viruses after 4 weeks, differences between groups in terms of rejection, blood glucose and insulin levels disappeared. CONCLUSION: These findings suggest that IL-10 gene therapy significantly reduced pancreas rejection.


Subject(s)
Genetic Therapy , Graft Rejection/immunology , Interleukin-10/genetics , Pancreas Transplantation/immunology , Transfection , Transplantation, Heterotopic/immunology , Animals , Blood Glucose/metabolism , Diabetes Mellitus, Experimental , Green Fluorescent Proteins/genetics , Green Fluorescent Proteins/metabolism , Humans , Insulin/metabolism , Interleukin-10/metabolism , Male , Pancreas/cytology , Pancreas/pathology , Pancreas/physiology , Random Allocation , Rats , Rats, Sprague-Dawley , Rats, Wistar
14.
Eur J Gynaecol Oncol ; 26(3): 342-4, 2005.
Article in English | MEDLINE | ID: mdl-15991543

ABSTRACT

Malignant neoplasms of the fallopian tube are the rarest of the gynecologic cancers. The frequency of histologic subtypes has been difficult to ascertain from the literature because most authors have not classified these tumors according to their cell types. Papillary serous adenocarcinoma appears to be the most common histologic type. On the contrary, mixed cell types of fallopian tube carcinoma have rarely been reported in the literature. A case of mixed serous and endometrioid carcinoma of the fallopian tube is presented and the related literature is reviewed.


Subject(s)
Antineoplastic Combined Chemotherapy Protocols/therapeutic use , Carcinoma, Endometrioid/pathology , Cystadenocarcinoma, Serous/pathology , Fallopian Tube Neoplasms/pathology , Mixed Tumor, Malignant/pathology , Adult , Carboplatin/administration & dosage , Carcinoma, Endometrioid/therapy , Cyclophosphamide/administration & dosage , Cystadenocarcinoma, Serous/therapy , Fallopian Tube Neoplasms/therapy , Female , Gynecologic Surgical Procedures , Humans , Mixed Tumor, Malignant/therapy , Neoplasm Staging , Paclitaxel/administration & dosage , Treatment Outcome
15.
Dig Liver Dis ; 37(3): 162-9, 2005 Mar.
Article in English | MEDLINE | ID: mdl-15888280

ABSTRACT

BACKGROUND: Tumour angiogenesis is essential for the growth, invasion and metastasis of solid tumours. There are several lines of evidence that the mast cells play an important role in tumour angiogenesis. AIMS: The study focused to determine the correlation between the microvessel and mast cell densities, and to evaluate whether tumour angiogenesis and mast cell density could predict recurrence following curative surgery in patients with colorectal carcinomas. PATIENTS: Microvessel and mast cell densities were investigated in tumour specimens from 60 patients with colorectal carcinoma. METHODS: Microvessels were stained by immunohistochemical method using a monoclonal antibody anti-CD34. The routine Giemsa blue staining method was used to assess the mast cells. Microvessels and mast cells were counted in a x400 field. RESULTS: The mean microvessel and mast cell counts were higher in patients with recurrence compared with those patients who were disease-free for at least 24 months (p<0.001). The Spearman's correlation coefficient revealed a significant correlation between mast cell and microvessel counts in colorectal carcinomas (r=0.684; p<0.001). Kaplan-Meier plots of survival showed that the high microvessel (>28) and mast cell (>6) counts correlated with a shorter disease-free survival (p=0.0003 and p=0.0013, respectively). Multivariate analysis showed that the depth of penetration (T4 versus T2) (p=0.004), liver metastasis (p=0.04) and microvessel density (p=0.003) were independent predictors of recurrence. In multivariate analysis, mast cell density did not reach significance. CONCLUSIONS: Our results suggest that the microvessel density of the primary tumour may be an important independent predictor of tumour recurrence and time to recurrence in colorectal carcinomas. The significant correlation between mast cell and microvessel counts suggest that the mast cells may have a role in tumour progression via promoting angiogenesis.


Subject(s)
Colorectal Neoplasms/blood supply , Colorectal Neoplasms/pathology , Mast Cells , Neovascularization, Pathologic , Adult , Aged , Aged, 80 and over , Antigens, CD34/metabolism , Cell Count , Female , Humans , Immunohistochemistry , Lymphatic Metastasis , Multivariate Analysis , Neoplasm Invasiveness , Neoplasm Recurrence, Local/pathology , Prognosis
16.
Clin Nephrol ; 63(5): 402-4, 2005 May.
Article in English | MEDLINE | ID: mdl-15909602

ABSTRACT

Anemia is an important cause of morbidity in patients suffering from chronic renal failure, and erythropoietin is a milestone of anemia treatment. Various factors may cause erythropoietin resistance. Herein, we describe the case of 32-year-old man who presented with anemia and weakness. He developed progressive renal failure secondary to recurrent kidney stones. One year before admission, he developed anemia for which he had been treated with erythropoietin. However, the anemia persisted. Examination of bone marrow biopsy specimen showed that the marrow was extensively replaced with oxalate crystals and fibrous connective tissue with severe decrease of hematopoietic cells. To the best of our knowledge, our patient represents the first case in the literature describing the association between the oxalate deposition and EPO resistance.


Subject(s)
Anemia/drug therapy , Anemia/etiology , Bone Marrow Diseases/pathology , Erythropoietin/therapeutic use , Hyperoxaluria/diagnosis , Kidney Failure, Chronic/diagnosis , Adult , Anemia/physiopathology , Biopsy, Needle , Chronic Disease , Drug Resistance , Follow-Up Studies , Humans , Hyperoxaluria/complications , Immunohistochemistry , Kidney Calculi/complications , Kidney Calculi/diagnosis , Kidney Calculi/surgery , Kidney Failure, Chronic/complications , Kidney Failure, Chronic/therapy , Male , Oxalates/metabolism , Renal Dialysis/methods , Risk Assessment , Severity of Illness Index , Treatment Failure
17.
Eur J Obstet Gynecol Reprod Biol ; 120(1): 107-14, 2005 May 01.
Article in English | MEDLINE | ID: mdl-15866096

ABSTRACT

OBJECTIVE: To evaluate the sequential genomic copy alterations related to the development of precursor lesions and endometrioid-type endometrial carcinomas, and its association with cellular atypia. STUDY DESIGN: Paraffin-embedded tissue specimens from 32 cases of endometrial hyperplasia, 15 of endometrial carcinoma, and 20 of normal endometrial tissue were retrospectively evaluated by the comparative genomic hybridization (CGH) technique. The average number of copy alterations (ANCA) index was used to define the incidence of genomic imbalances in each tissue group. Identified sequential genetic abnormalities were compared with the final histopathological diagnosis and the cellular atypia. RESULTS: Detectable and consistent chromosomal imbalances were found in 13 hyperplasia and 9 carcinoma specimens. There was a significant correlation between ANCA value and degree of cellular atypia and tumor grade. While 1p36-pter, 20q deletions, and 4q overrepresentation were the most prevalent imbalances detected in both complex hyperplasia and complex atypical hyperplasia, 17q22-qter deletion and amplification of 2p34 were only seen in hyperplasia with atypical cells. Overrepresentations of chromosomes 8q, 1q, and 3q are the most frequent aberrations in endometrial carcinomas, but were absent from all the precursor lesions except one. Underrepresentations of chromosomes 1p36-pter and 10q are the other commonly seen aberrations in carcinomas, the latter being more frequent in moderately differentiated than in poorly differentiated lesions. CONCLUSIONS: Different patterns of chromosomal aberrations are seen in precursor lesions than in endometrial carcinomas, except for the loss of 1p36-pter. The presence of 1p deletion in both endometrial hyperplasia and cancer specimens suggests that this is an early event in the development of carcinoma. These results support a stepwise mode of tumorigenesis with accumulation of a series of genomic copy alterations in endometrial carcinogenesis.


Subject(s)
Chromosome Aberrations , Endometrial Hyperplasia/genetics , Endometrial Neoplasms/genetics , Nucleic Acid Hybridization , Chromosomes, Human, Pair 1/genetics , Chromosomes, Human, Pair 17/genetics , Chromosomes, Human, Pair 2/genetics , Chromosomes, Human, Pair 20/genetics , Chromosomes, Human, Pair 3/genetics , Chromosomes, Human, Pair 4/genetics , Chromosomes, Human, Pair 8/genetics , Endometrial Hyperplasia/pathology , Endometrial Neoplasms/pathology , Female , Gene Deletion , Humans , Middle Aged
18.
Eur J Gynaecol Oncol ; 26(6): 636-41, 2005.
Article in English | MEDLINE | ID: mdl-16398226

ABSTRACT

PURPOSE OF INVESTIGATION: Our objectives were (1) to examine expression of fascin in cervical tissues with chronic inflammation, intraepithelial neoplasms and invasive carcinomas, and (2) to investigate the role of fascin on endothelial migration and angiogenesis in cervical neoplasms. METHODS: In this study we investigated by means of immunohistochemistry fascin expression in 92 cervical biopsy samples representative of chronic inflammation (n=13), squamous intraepithelial lesions (SILs, n = 33) and invasive carcinomas (n = 46). RESULTS: Various degrees of fascin expression were observed in 94% of the samples of SILs, in 67% of the samples of invasive cervical carcinoma and in 69% of the samples of chronic inflammation. Total epithelial fascin scores of samples were significantly higher in high-grade (H)SILs compared to low-grade (L)SILs, invasive carcinoma and chronic inflammation of the cervix (p < 0.05). Mean microvessel count was 55.00 +/- 5.17 in HSILs, 40.76 +/- 3.57 in LSILs, 37.11 +/- 2.91 in carcinoma and 25.69 +/- 3.98 in chronic inflammation. We found a significantly higher microvessel count in HSILs compared to invasive carcinoma and chronic inflammation (respectively, p = .004, p = .000). CONCLUSION: Epithelial fascin expression up-regulated when the malignant tumor cell phenotype had occurred in the cervix. Similarly, microvessel count increased with the beginning of cervical tumorigenesis.


Subject(s)
Carcinoma/metabolism , Carrier Proteins/metabolism , Microfilament Proteins/metabolism , Uterine Cervical Dysplasia/metabolism , Uterine Cervical Neoplasms/metabolism , Uterine Cervicitis/metabolism , Adult , Carcinoma/blood supply , Carcinoma/pathology , Female , Humans , Immunohistochemistry , Neovascularization, Pathologic , Uterine Cervicitis/pathology , Uterine Cervical Dysplasia/blood supply , Uterine Cervical Dysplasia/pathology
19.
Dig Liver Dis ; 36(3): 199-204, 2004 Mar.
Article in English | MEDLINE | ID: mdl-15046190

ABSTRACT

BACKGROUND: Abdominal tuberculosis is still a medical problem in developing countries. AIMS: To analyse the clinical, laboratory, ultrasonography and computed tomography findings and to discuss the diagnostic approach of 19 patients with peritoneal tuberculosis. PATIENTS: Nineteen patients diagnosed in our department, with peritoneal tuberculosis (8 female, 11 male; mean age: 47.89 +/- 4.3 years) between 1996 and 2002, were studied retrospectively. METHODS: All clinical, laboratory, radiological findings, and diagnostic methods were reviewed. RESULTS: The most common symptoms and signs of the disease in these patients were abdominal pain, ascites, weight loss and night sweats. On conducting skin test, eight patients (42%) were found to be positive, while all the patients had elevated serum cancer antigen 125 levels, but acid-resistant bacilli could not be demonstrated on the direct preparation. In three patients (15.78%), the ascitic fluid culture was positive. The most common ultrasonographic and computed tomographic findings were ascites, septation in the ascites, peritoneal thickening, mesenteric and omental involvement. An abnormal chest X-ray, suggestive of previous tuberculosis was present in three patients. Diagnosis was made by image-guided percutaneous peritoneal biopsy in 18/19, and by histological examination of biopsy specimens obtained via laparoscopy in 1/19. Laparoscopy was only performed in 1 of the 19 patients due to lack of sufficient material for histological diagnosis by percutaneous biopsy. Of the biopsy specimens, 84% revealed caseating granulomas, while 16% were non-caseating. Acid-fast bacilli were seen on the Ziehl-Neelsen stain in 18 patients. CONCLUSIONS: Peritoneal tuberculosis should be considered in the differential diagnosis of exudative ascites. Image-guided percutaneous peritoneal biopsy seems to be a sufficient, safe and inexpensive method for diagnosis of peritoneal tuberculosis.


Subject(s)
Peritonitis, Tuberculous/diagnosis , Abdominal Pain/diagnosis , Adenosine Deaminase/metabolism , Adolescent , Adult , Aged , Aged, 80 and over , Ascitic Fluid/enzymology , Biomarkers/analysis , Biopsy , Female , Fever/diagnosis , Humans , Laparoscopy , Male , Middle Aged , Retrospective Studies , Sensitivity and Specificity , Tomography, X-Ray Computed
20.
Eur J Gynaecol Oncol ; 24(5): 425-8, 2003.
Article in English | MEDLINE | ID: mdl-14584662

ABSTRACT

OBJECTIVE: To assess angiogenesis in preinvasive and invasive cervical lesions and its prognostic value in squamous cell carcinoma (SCC). METHODS: Twenty-seven cervical intraepithelial lesions (CIN I, II and III), 27 Stage Ib-IIa SCC and 12 normal cervical epithelium were included in the study. Clinico-pathological prognostic factors were re-evaluated from the patients' files and previous tissue sections. Microvessel density (MVD), a marker for angiogenesis, was assessed from new tissue blocks by an immunohistochemical staining method. Statistical tests included Kruskall-Wallis analysis, the Mann-Whitney U-test, Fisher's exact t-test to analyse the categorical data and Cox regression and Kaplan-Meier survival analyses to define the effect of prognosticators on survival. RESULTS: CIN II and III lesions had significantly higher MVD counts than normal epithelium and CIN I lesions, both of which had similar MVD count. Compared to preinvasive lesions invasive SCC had significantly higher MVD counts. Among SCC cases, only pelvic lymph node involvement appeared to be independent risk factor on unvariate analysis. However, MVD, as a cut-off value of 21 determined by ROC analysis, was found to be an independent prognosticator in early stage SCC cases by multivariate analysis. CONCLUSION: Despite the small number of enrolled cases, the results of this study suggest that angiogenesis involved in the development and progression of cervical neoplasms and MVD might be used as a prognostic factor.


Subject(s)
Carcinoma, Squamous Cell/blood supply , Uterine Cervical Dysplasia/blood supply , Uterine Cervical Neoplasms/blood supply , Adult , Aged , Carcinoma, Squamous Cell/mortality , Carcinoma, Squamous Cell/pathology , Female , Humans , Lymphatic Metastasis , Middle Aged , Neovascularization, Pathologic , Prognosis , ROC Curve , Survival Rate , Uterine Cervical Neoplasms/mortality , Uterine Cervical Neoplasms/pathology , Uterine Cervical Dysplasia/mortality , Uterine Cervical Dysplasia/pathology
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