Metastatic gallbladder cancer to the ovary presenting as primary ovarian cancer: a case report.

BACKGROUND: Krukenberg tumors are uncommon and are indicative of an ovarian metastatic carcinoma that originates from another site of primary malignancy. The majority of metastases to ovaries are derived from the stomach and colon. We present a rare case of a metastatic ovarian malignant tumor that originated from gallbladder adenocarcinoma. CASE PRESENTATION: A 45-year-old premenopausal Korean woman presented with abdominal distension. Bilateral multiseptated ovarian tumors and a wall-thickened gallbladder were found on abdominal computed tomography. The patient was diagnosed with metastatic ovarian carcinoma arising from gallbladder adenocarcinoma and was treated with adjuvant chemotherapy. CONCLUSIONS: Metastases to the ovaries from other sites, including the gallbladder, are rare and usually resemble primary ovarian tumors. Therefore, potential metastatic ovarian tumors of newly diagnosed pelvic masses should be considered in differential diagnoses.

Spontaneous Rupture of Ovarian Artery Aneurysm in a Postmenopausal Woman: A Case Report and Literature Review.

Spontaneous rupture of an ovarian artery aneurysm is an extremely rare, life-threatening disease and has been reported to be most highly associated with pregnancy. The current study presents a case of intraperitoneal and retroperitoneal hematoma caused by spontaneous rupture of a right ovarian artery aneurysm in a 56-year-old woman. A 56-year-old woman visited the emergency room with right lower quadrant abdominal pain. Contrast-enhanced computed tomography showed a large retroperitoneal and intraperitoneal hematoma and active extravasation of contrast medium in the right retroperitoneum. Consequently, transcatheter arterial embolization was successfully performed. Spontaneous rupture of an ovarian artery aneurysm should be suspected in multiparous women with abdominal or flank pain even if it is unrelated to pregnancy. Suspicion of this entity is needed for earlier diagnosis and management.

NOD dendritic cells stimulated with Lactobacilli preferentially produce IL-10 versus IL-12 and decrease diabetes incidence.

Dendritic cells (DCs) from NOD mice produced high levels of IL-12 that induce IFNγ-producing T cells involved in diabetes development. We propose to utilize the microorganism ability to induce tolerogenic DCs to abrogate the proinflammatory process and prevent diabetes development. NOD DCs were stimulated with Lactobacilli (nonpathogenic bacteria targeting TLR2) or lipoteichoic acid (LTA) from Staphylococcus aureus (TLR2 agonist). LTA-treated DCs produced much more IL-12 than IL-10 and accelerated diabetes development when transferred into NOD mice. In contrast, stimulation of NOD DCs with L. casei favored the production of IL-10 over IL-12, and their transfer decreased disease incidence which anti-IL-10R antibodies restored. These data indicated that L. casei can induce NOD DCs to develop a more tolerogenic phenotype via production of the anti-inflammatory cytokine, IL-10. Evaluation of the relative production of IL-10 and IL-12 by DCs may be a very useful means of identifying agents that have therapeutic potential.

Growing hot pepper for cabbage looper, Trichopulsia ni (Hübner) and spider mite, Tetranychus urticae (Koch) control.

With the public perception that synthetic pesticides leave harmful residues in crop produce for human consumption, there has been increased interest in using natural products for pest control. The potential of using fruit extracts of hot pepper for controlling the cabbage looper, Trichopulsia ni (Hübner) and spider mite, Tetranychus urticae Koch is explored in this investigation. Crude extracts from fruits of Capsicum chinense, C. frutescens, C. baccatum, and C. annuum, were prepared and tested under laboratory conditions for their insecticidal and acaricidal performance. Mortality was greatest (94%) when fruit extract of accession PI-593566 (C. annuum) was sprayed on larvae of the cabbage looper, while crude extracts of accessions PI-241675 (C. frutescens) and PI-310488 (C. annuum) were repellent to the spider mite. We investigated differences in chemical composition of the crude fruit extracts that may explain the observed differences in mortality and repellency between accessions. Gas Chromatography-Mass Spectrometry spectrometric analysis revealed that capsaicin and dihydrocapsaicin, the pungent components of pepper fruit, were not correlated with toxicity or repellency, indicating that the two capsaicinoids are not likely related to the efficacy of pepper fruit extracts. Major compounds in hot pepper fruit extracts were detected and identified as pentadecanoic acid methyl ester, hexadecanoic acid methyl ester, and octadecanoic acid methyl ester. Spectrometric analysis and toxicity to cabbage looper larvae revealed that pentadecanoic acid methyl ester is likely related to cabbage looper mortality. However, the concentration of pentadecanoic acid methyl ester in some accessions was insufficient to explain the observed mortality of cabbage looper and repellency of spider mite. Fruit extracts of accessions PI-593566 (C. annuum) and PI-241675 (C. frutescens) could be useful for managing populations of cabbage loopers and spider mites, which could reduce reliance on synthetic pesticides. Further study is needed to investigate performance of hot pepper extracts under ultra-violet light and field conditions.