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1.
Braz J Biol ; 84: e280312, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38922192

RESUMEN

Peas are an important agricultural crop of great importance in human and animal nutrition. Peas, being a legume crop, help replenish nitrogen reserves in the soil. In field studies of the Federal State Budgetary Scientific Institution of the Federal Scientific Center of Legumes and Goat Crops (Oryol region), the influence of various growth regulators and biological products on the yield and quality indicators of pea seeds of the Nord and Multik varieties was studied. Pea plants are grown on dark gray forest, medium loamy soil of average cultivation. Before sowing, pea seeds were treated with solutions of Kornevin, Albit and Epin-extra by soaking for 5 hours. Solutions of the drugs were used at a concentration of 10-6 M, then dried and treated with Rizotorfin before sowing. Growth rates during the growing season and the yield of pea plants were determined. The content of protein, starch and amylose in starch was determined in the seeds. Research results have shown that the yield of pea plants depends on weather conditions. Under favorable weather conditions, the highest yield was obtained from the pea variety Nord (42.2 c/ha) in the variant with seed treatment with Kornevin, and in the Multik variety (43.0 c/ha) when treated with Rizotorfin. In arid conditions, the highest yield of peas of the Nord variety was obtained using the preparations Epin-extra and Kornevin. The highest yield of peas of the Multik variety was obtained using the preparations Rizotorfin, Kornevin and Epin-Extra. The research results, confirmed by statistical evaluation, showed that bioregulators and growth regulators help stimulate the amount of nitrogen supplied to plants, as well as the synthetic processes of protein synthesis. This contributed to improving the quality of seeds and green mass.


Asunto(s)
Pisum sativum , Reguladores del Crecimiento de las Plantas , Semillas , Pisum sativum/crecimiento & desarrollo , Pisum sativum/efectos de los fármacos , Semillas/crecimiento & desarrollo , Semillas/química , Semillas/efectos de los fármacos , Reguladores del Crecimiento de las Plantas/farmacología , Reguladores del Crecimiento de las Plantas/análisis , Estaciones del Año , Productos Biológicos/análisis
3.
Acta Naturae ; 14(4): 75-83, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-36694901

RESUMEN

A comprehensive analysis of the cell phenotype of the inflammatory infiltrate of the tumor stroma represents a promising area of molecular oncology. The study of not only soluble forms of various immunoregulatory molecules, but also their membrane-bound forms is also considered highly relevant. We performed a comprehensive analysis of tissue and circulating forms of the PD-1 and PD-L1 proteins, as well as macrophage and B-cell markers in the tumor stroma of gastric cancer, to assess their clinical and prognostic significance. The tumor and blood plasma samples from 63 gastric cancer patients were studied using ELISA and immunohistochemistry. Malignant gastric tumors were shown to be strongly infiltrated by B-cells, and their number was comparable to that of macrophages. For PU.1 expression, an association with tumor size was observed; i.e., larger tumors were characterized by fewer PU.1+ infiltrating cells (p = 0.005). No clinical significance was found for CD20 and CD163, but their numbers were higher at earlier stages of the disease and in the absence of metastases. It was also demonstrated that the PD-L1 content in tumor cells was not associated with the clinical and morphological characteristics of GC. At the same time, PD-L1 expression in tumor stromal cells was associated with the presence of distant metastases. The analysis of the prognostic significance of all the markers studied demonstrated that CD163 was statistically significantly associated with a poor prognosis for the disease (p = 0.019). In addition, PD-L1 expression in tumor cells tended to indicate a favorable prognosis (p = 0.122). The results obtained in this work indicate that the study of soluble and tissue markers of tumor stroma is promising in prognosticating the course of GC. The search for combinations of markers seems to be highly promising, with their comprehensive analysis capable of helping personalize advanced antitumor therapy.

4.
Khirurgiia (Mosk) ; (11): 5-11, 2021.
Artículo en Ruso | MEDLINE | ID: mdl-34786910

RESUMEN

OBJECTIVE: To assess the influence of active surgical approach on the long-term postoperative outcomes in patients with retroperitoneal liposarcoma. MATERIAL AND METHODS: A retrospective study included 190 patients with retroperitoneal liposarcoma. The effect of malignancy grade, adjuvant chemotherapy, number of separate tumor nodes in primary neoplasm and the first relapse, as well as the number of previous total resections on survival rate was analyzed. RESULTS: Overall and relapse-free survival is significantly worse in patients with high-grade retroperitoneal liposarcoma (G2-3) compared to low-grade (G1) tumor (plog-rank=0.000). Multifocal growth of primary tumor (p=0.869; plog-rank=0.607) and multiple (>1) separately located nodes in abdominal cavity and retroperitoneal space at the first relapse (plog-rank=0.158 to 0.985) did not significantly impair prognosis after total resection of all types of retroperitoneal liposarcoma regardless malignancy grade. Adjuvant chemotherapy does not significantly improve relapse-free survival. Overall survival was significantly higher in patients who underwent ≥4 previous total resections compared to 1 surgical treatment for all types of retroperitoneal liposarcoma regardless malignancy grade (p=0.000; plog-rank=0.001). CONCLUSION: The only potentially radical treatment for patients with retroperitoneal liposarcoma is surgery. We reported the advantages of active surgical approach for improvement of long-term outcomes in patients with retroperitoneal liposarcoma.


Asunto(s)
Liposarcoma , Neoplasias Retroperitoneales , Humanos , Liposarcoma/diagnóstico , Liposarcoma/cirugía , Recurrencia Local de Neoplasia/cirugía , Pronóstico , Neoplasias Retroperitoneales/diagnóstico , Neoplasias Retroperitoneales/cirugía , Estudios Retrospectivos
5.
Khirurgiia (Mosk) ; (7): 36-44, 2021.
Artículo en Ruso | MEDLINE | ID: mdl-34270192

RESUMEN

OBJECTIVE: To determine the indications for combined and organ-sparing surgery depending on malignancy grade of retroperitoneal liposarcoma. MATERIAL AND METHODS: A retrospective study included 190 patients with retroperitoneal liposarcoma. Influence of malignancy grade, lesion of adjacent organs and resection/excision of adjacent organs on the overall and recurrence-free survival was studied. Moreover, we analyzed the issue of kidney-sparing surgery and nephrectomy. RESULTS: Overall and recurrence-free survival were significantly worse in high grade (G2-3) compared to low-grade tumors (G1) (p=0.0001; log-rank test). Visceral invasion was revealed in 23% of patients with low-grade (G1) tumors and 53% of patients with high-grade (G2-3) neoplasms. Visceral invasion significantly impairs overall and recurrence-free survival in both low grade (G1) and high-grade (G2-3) tumors (p=0.0001; log-rank test). In case of low grade (G1) retroperitoneal liposarcoma, overall and recurrence-free survival was similar after combined surgery without histologically confirmed visceral invasion of liposarcoma and organ-sparing surgery (p=0.006; p=0.053; log-rank test). On the contrary, high grade (G2-3) tumor was followed by significantly better overall and recurrence-free survival after combined surgery without histologically confirmed visceral invasion compared to organ-sparing surgery (p=0.006; p=0.053; log-rank test). Recurrence-free survival was similar after kidney-sparing surgery and nephrectomy among patients with low-grade (G1) tumor (p=0.456; log-rank test). In case of high-grade retroperitoneal liposarcoma (G2-3), recurrence-free survival was significantly worse after kidney-sparing surgery compared to nephrectomy (p=0.039; log-rank test). CONCLUSION: Surgery is the only potentially radical treatment of patients with retroperitoneal liposarcoma. Organ-sparing including kidney-sparing surgery is advisable for low-grade liposarcoma (G1). On the contrary, organ-sparing surgery impairs long-term results and prognosis in patients with high-grade tumors (G2-3). Combined operations including nephrectomy are justified for high-grade retroperitoneal liposarcoma (G2-3).


Asunto(s)
Liposarcoma , Neoplasias Retroperitoneales , Humanos , Liposarcoma/diagnóstico , Liposarcoma/cirugía , Recurrencia Local de Neoplasia/cirugía , Neoplasias Retroperitoneales/diagnóstico , Neoplasias Retroperitoneales/cirugía , Estudios Retrospectivos
6.
Arkh Patol ; 82(5): 25-32, 2020.
Artículo en Ruso | MEDLINE | ID: mdl-33054029

RESUMEN

OBJECTIVE: To evaluate the impact of malignancy grade and the proportion of the dedifferentiated component (DC) in retroperitoneal dedifferentiated liposarcomas (DDLS) on the course and prognosis of the disease. MATERIAL AND METHODS: The retrospective study enrolled 74 patients with primary retroperitoneal DDLS who underwent radical surgical treatment in the N.N. Blokhin National Medical Research Center of Oncology, Ministry of Health of Russia. Histological surgery specimens from all cases of DDLS were reexamined and reclassified. According to malignancy grades and the proportion of the dedifferentiated component in the tumor, the patients were divided into the comparison groups included in the intergroup analysis of overall and relapse-free survival (OS and RFS) rates. The authors also analyzed the relationship between the proportion of the dedifferentiated component in DDLS and the frequency of adjacent organ invasion. RESULTS: Patients with a more than 15% dedifferentiated component had significantly lower OS rates than those with a less than 15% one (p=0.0001; log-rank test). The median OS in the DDLS group with a less than 15% dedifferentiated component was 91 months (95% CI, 82-100); that in the DDLS group with a more than 15% dedifferentiated component was 29 months (95% CI 17-41). The 5-year overall survival rates in the groups with less than 15% and more than 15% dedifferentiated components were 69% and 2%, respectively. The group with a more than 15% dedifferentiated component had significantly lower RFS rates than that with a less than 15% one (p=0.0001; log-rank test). In the DDLS groups with less than 15% and more than 15% dedifferentiated components, the median RFS rates were 25 months (95% CI 23-27) and 13 months (95% CI 8-18), respectively. In these groups, the 2-year RFS rates were equal to 50% and 9%, respectively. In the DDLS groups with less than 15% and more than 15% dedifferentiated components, pathologically confirmed invasion into the adjacent organs was observed in 32% and 63% of cases, respectively. There were no statistically significant differences in the OS and RFS of patients with DDLS according to tumor grade (p=0.069; p=0.102). CONCLUSION: This investigation suggests that DDLS have a more aggressive course with an increasing proportion of the dedifferentiated component in the tumor. Considering the histological variability in the dedifferentiated component, which is demonstrated in the research and scientific literature, as well as lack of a prognostic impact of histological grade, the authors believe that semi-quantitative assessment of the proportion of the dedifferentiated component in DDLS is able to serve as a simple and efficient morphological marker for the course of the disease and prognosis in retroperitoneal DDLS.


Asunto(s)
Liposarcoma , Humanos , Pronóstico , Estudios Retrospectivos , Federación de Rusia/epidemiología , Tasa de Supervivencia
8.
Khirurgiia (Mosk) ; (6): 4-21, 2018.
Artículo en Ruso | MEDLINE | ID: mdl-29953095

RESUMEN

AIM: To compare short-term outcomes after transanal total mesorectumectomy (Ta-TME) and laparoscopic (Lap-TME) procedure in 'difficult' patients. MATERIAL AND METHODS: Prospective nonrandomized trial included patients with confirmed middle-/low rectum adenocarcinoma T1-4aN0-2M0 for the period November 2013 - September 2016. We identified 20 out of 55 in TA-TME and 14 out of 54 patients in Lap-TME group as those of 'difficult' subgroup: male, BMI ≥25 кг/м2, previous chemoradiotherapy (CRT). RESULTS: Time of surgery, blood loss, conversions rate, postoperative morbidity and length of hospital-stay were similar in both groups. Hardware anastomoses were more frequent in TA-TME compared with LAP-TME group (78.9% vs. 50%, p=0.086). Specimen quality was more favorable in TA-TME group: Grade I 10% in Ta-TME group vs. 28.6% in Lap-TME group; 'positive' CRM 5% vs. 14.3%, р=0.365. Within-group analysis did not reveal any differences between 'difficult' and 'typical' patients by surgical and pathomorphological characteristics in TA-TME group in contrast to Lap-TME group. Median of follow-up was 24.6 (IR 10.6-40.2) and 23.8 (IR 12.1-39.9) months for TA-TME and Lap-TME groups, respectively. Local recurrence occurred in 1 (1.8%) 'difficult' patient after Ta-TME. Distant metastases were observed in 1 (1.8%) patient of Ta-TME and 2 (3.7%) patients of Lap-TME group. Actuarial 3-years reccurence-free survival was 95.7% for Ta-TME and 93.9% for Lap-TME group, respectively (p=0.923). CONCLUSION: TA-TME is advisable for 'difficult' patients. Further multicenter randomized trials are necessary to specify the effectiveness of TA-TME in these patients.


Asunto(s)
Adenocarcinoma , Canal Anal , Colectomía , Laparoscopía , Complicaciones Posoperatorias , Neoplasias del Recto , Cirugía Endoscópica Transanal , Adenocarcinoma/cirugía , Canal Anal/patología , Canal Anal/cirugía , Colectomía/efectos adversos , Colectomía/métodos , Femenino , Estudios de Seguimiento , Humanos , Laparoscopía/efectos adversos , Laparoscopía/métodos , Tiempo de Internación , Masculino , Persona de Mediana Edad , Clasificación del Tumor , Estadificación de Neoplasias , Tempo Operativo , Evaluación de Procesos y Resultados en Atención de Salud , Complicaciones Posoperatorias/diagnóstico , Complicaciones Posoperatorias/etiología , Estudios Prospectivos , Neoplasias del Recto/patología , Neoplasias del Recto/cirugía , Federación de Rusia , Cirugía Endoscópica Transanal/efectos adversos , Cirugía Endoscópica Transanal/métodos
10.
Khirurgiia (Mosk) ; (8): 79-86, 2017.
Artículo en Ruso | MEDLINE | ID: mdl-28805784

RESUMEN

PURPOSE: Complete mesocolic excision (CME) appears to be a relatively new concept for colon cancer. The purpose is to evaluate the results of CME with high vascular ligation (D3 lymph node dissection) for right colon cancer. The presented study identifies possible risks and advantages of the proposed method, as well as the role of the laparoscopic approach. MATERIAL AND METHODS: The article included data from 39 patients with right colon cancer, TNM stage I-III, operated on between November 2015 and December 2016 in the oncoproctology Department of the Blokhin Cancer Research Center. The analysis of main intraoperative parameters, morbidity and mortality was carried out. RESULTS: There was no postoperative mortality. 17 (43.6%) of operations were performed by open and 22 - by laparoscopic approach. The conversion for laparoscopic approach was 1 (4.5%) in 22. The median duration of the operation was 180 (130-260) minutes for laparoscopic approach and 120 (90-280) minutes for open approach, р=0.0056. Median intraoperative blood loss was 30 (30-300) ml for laparoscopic approach, and 300 (30-500) ml for open approach (р=0.0001). The duration of lymphorrhoea, time to first bowel movement, time to start liquid and solid food intake were 5.1±2.4, 1.3±0.5, 1.26±0.4 and 3.2±0.7 days, respectively. The median number of removed lymph nodes was 35.7 (6-68), the median number of metastatic lymph nodes was 1.9 (0-16). The median number of removed apical lymph nodes was 10.3 (0-24). Metastases did not affect any of the lymph nodes of the apical group. CONCLUSION: Right mesocolic excision with D3 lymphadenectomy for right colon cancer is technically safe, and the laparoscopic approach provides all the benefits of minimally invasive surgery and excellent early treatment outcomes. Preliminary data shows no metastasis in apical lymphnodes for right colon cancer. Nonetheless, it is necessary to study the long-term results for the evaluation of oncological outcomes.


Asunto(s)
Colectomía , Neoplasias del Colon , Laparoscopía , Escisión del Ganglio Linfático , Ganglios Linfáticos , Mesocolon , Adulto , Colectomía/efectos adversos , Colectomía/métodos , Neoplasias del Colon/patología , Neoplasias del Colon/cirugía , Femenino , Humanos , Laparoscopía/efectos adversos , Laparoscopía/métodos , Escisión del Ganglio Linfático/efectos adversos , Escisión del Ganglio Linfático/métodos , Ganglios Linfáticos/patología , Ganglios Linfáticos/cirugía , Metástasis Linfática , Masculino , Mesocolon/patología , Mesocolon/cirugía , Procedimientos Quirúrgicos Mínimamente Invasivos/efectos adversos , Procedimientos Quirúrgicos Mínimamente Invasivos/métodos , Estadificación de Neoplasias , Resultado del Tratamiento
11.
Khirurgiia (Mosk) ; (5): 37-44, 2016.
Artículo en Ruso | MEDLINE | ID: mdl-27271718

RESUMEN

AIM: To evaluate and compare intraoperative features, early surgical outcomes, quality of excised specimen after laparoscopic and transanal total mesorectal excision (LA-TME and TA-TME). MATERIAL AND METHODS: Prospective randomized study included 45 patients with confirmed rectal adenocarcinoma (cT2-4N0-2M0) since October 2013. LA-TME and TA-TME groups consisted of 23 and 22 patients respectively. Inclusion criteria were patients with primary-operable rectal cancer and satisfactory response after neoadjuvant chemo- and radiotherapy. Both groups were comparable in stages of cancer, age and body mass index (BMI). Median length from anal edge was 6.5 cm and 7 cm in TA-TME and LA-TME groups respectively. There was significantly greater number of patients after chemo- and radiotherapy in TA-TME group (86% vs. 48%, p=0.006). RESULTS: Surgery time was 305 and 320 minutes in LA-TME and TA-TME groups recpectively, median blood loss -- less than 100 ml. Mean hospital-stay was 8.0 days in both groups. Each group had 1 conversion including laparoscopic procedure in TA-TME group. Transanal extraction of specimen was performed in 86% vs. 48% in TA-TME and LA-TME groups respectively (p=0.021). Complications (Clavien-Dindo sclale) were observed in 27% and 26% in TA-TME and LA-TME groups respectively without statistically significance. Complications IIIb, IVb and V degrees were not diagnosed in TA-TME group. Also in this group «good¼, «satisfactory¼ and «unsatisfactory¼ quality of TME was obtained in 68%, 14% and 18% of cases. At the same time in LA-TME group these values were 74%, 9% and 17% respectively (p=0.859). One of operated patients had «positive¼ lateral edge (TA-TME). Median distal edge of resection was 21 mm and 23 mm in TA-TME and LA-TME groups respectively. CONCLUSION: Preliminary data show comparable early outcomes after transanal and laparoscopic techniques. Laparotomy and associated compications are avoided in case of transanal extraction of specimen. Further researches are necessary to study functional and long-term results.


Asunto(s)
Adenocarcinoma , Canal Anal/cirugía , Colectomía/métodos , Laparoscopía , Complicaciones Posoperatorias , Neoplasias del Recto , Adenocarcinoma/patología , Adenocarcinoma/cirugía , Adulto , Anciano , Femenino , Humanos , Periodo Intraoperatorio , Laparoscopía/efectos adversos , Laparoscopía/métodos , Tiempo de Internación , Masculino , Persona de Mediana Edad , Cirugía Endoscópica por Orificios Naturales/efectos adversos , Cirugía Endoscópica por Orificios Naturales/métodos , Terapia Neoadyuvante/métodos , Estadificación de Neoplasias , Tempo Operativo , Complicaciones Posoperatorias/epidemiología , Complicaciones Posoperatorias/etiología , Complicaciones Posoperatorias/prevención & control , Neoplasias del Recto/patología , Neoplasias del Recto/cirugía , Resultado del Tratamiento
12.
Tech Coloproctol ; 20(4): 227-34, 2016 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-26794213

RESUMEN

BACKGROUND: Transanal total mesorectal excision (taTME) has potential benefits of better visual control, especially in male patients with a high body mass index and low rectal cancer. However, this method has not yet been validated in clinical trials. The aim of this study was to compare the short-term outcomes of transanal and laparoscopic (lap) TME. METHODS: From October 2013 to January 2015, consecutive patients undergoing transanal or laparoscopic TME for biopsy-proven mrT1-4aN0-2M0 rectal cancer were included in a prospective database. Patients with Eastern Cooperative Oncology Group performance status 2 and higher and patients undergoing partial mesorectal excision were excluded. This analysis focused on short-term surgical outcomes. RESULTS: From October 2013 to January 2015, 22 taTME procedures and 23 laparoscopic TME procedures were performed. Patient characteristics were comparable between groups, but more patients in the taTME group underwent neoadjuvant (chemo) radiotherapy (87 vs. 48 %, p = 0.006). Median operative time was 320 min in the taTME group and 305 min in the lapTME group. There was one conversion in each group, but the transanal procedure was converted to laparoscopic resection. Transanal specimen extraction was performed in 86 versus 48 % patients in taTME and lapTME groups accordingly (p = 0.021). There was no post-operative mortality and post-operative morbidity in the taTME and lapTME groups was similar (27 vs. 26 %). One patient in the taTME group had positive circumferential resection margins. Oncologic results from resected specimens were comparable. CONCLUSIONS: Our initial experience demonstrates comparable short-term results for taTME and lap TME. Further investigation is necessary to assess long-term functional and oncologic outcomes.


Asunto(s)
Laparoscopía/métodos , Neoplasias del Recto/cirugía , Cirugía Endoscópica Transanal/métodos , Adolescente , Adulto , Anciano , Femenino , Humanos , Masculino , Persona de Mediana Edad , Tempo Operativo , Complicaciones Posoperatorias , Estudios Prospectivos , Recto/cirugía , Resultado del Tratamiento , Adulto Joven
13.
Minerva Anestesiol ; 81(8): 901-9, 2015 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-25311951

RESUMEN

The best evidence for epidural injection appears to be in the setting of radicular pain with epidural steroid and non-steroid injections more efficacious than non-epidural injections. Studies showed the efficacy of non-particulate steroid to approach the efficacy of particulate steroid and very limited comparisons demonstrated no significant difference between epidural steroid and epidural non-steroid (local anesthetic) injection. Preliminary studies evaluating epidural injection of disease modifying anti-rheumatic drugs such etanercept and tocilizumab showed conflicting results and had significant limitations. Randomized studies support better efficacy of transforaminal injection due to greater incidence of ventral epidural spread of injectate when compared to interlaminar injection. Thus, the transforaminal approach is recommended when unilateral radicular pain is limited to one nerve root. However, the transforaminal approach is associated with greater incidence of central nervous system injury, including paraplegia, attributed to embolization of the particulate steroid. Recent studies showed that non-particulate steroids potentially last as long as particulate steroids. Therefore non-particulate steroid should be used in initial transforaminal epidural injection. Future studies should look into the role of adjunct diagnostic aids, including digital subtraction angiography, in detecting intravascular injection and the ideal site of needle placement, whether it is the safe triangle or the triangle of Kambin. Finally, the role of epidural disease -modifying antirheumatic drugs in the management of back pain needs to be better elucidated.


Asunto(s)
Inyecciones Epidurales/métodos , Dolor/tratamiento farmacológico , Esteroides/uso terapéutico , Análisis Costo-Beneficio , Humanos , Inyecciones Epidurales/economía , Dolor de la Región Lumbar/tratamiento farmacológico , Dolor/economía , Esteroides/administración & dosificación , Esteroides/efectos adversos
14.
Artículo en Inglés | MEDLINE | ID: mdl-25122391

RESUMEN

The object of experimental study is a fluid flow generated by differential rotation of a free light spherical body in a rotating cylindrical cavity. The body stays near the axis under the action of centrifugal force. The body rotation is generated by a force field oscillating in the cavity reference system (vibrational hydrodynamic top). It was found that the Taylor-Proudman column that forms undergoes instability, which manifests itself in the formation of a two-dimensional azimuthal wave at the column boundary, in a Stewartson layer. The experimental results are summarized on a plane of dimensionless parameters, i.e., the dimensionless velocity of the cavity rotation and Rossby number. The bounds of the Stewartson layer stability were found and the supercritical structures and transition sequences were studied. Systematic research into that problem in its classical formulation--when a sphere is fixed on the axis and its differential rotation is imposed--was done for comparison. It was demonstrated that in conditions of vibratory differential rotation of a free sphere the stability threshold of the Stewartson layer was reduced by more than one order of magnitude, in comparison with the classical case. A qualitative change was also found in the wave phase velocity which for a free sphere exceeds the lagging differential rotation velocity of the body. It was concluded that the uncovered specifics are related to the difference in the mechanism of the Taylor-Proudman column formation and of the flow generation in it. For a vibrational hydrodynamic top, streams in the column will not be defined by Ekman pumping but by steady streaming, which is also responsible for the free-sphere differential rotation.


Asunto(s)
Hidrodinámica , Modelos Teóricos , Vibración , Rotación
15.
Klin Lab Diagn ; (10): 48-50, 10-3, 2013 Oct.
Artículo en Inglés, Ruso | MEDLINE | ID: mdl-24640093

RESUMEN

Gastroenteropancreatic neuroendocrine neoplasms (GEP-NENs) are unusual and rare epithelial tumors for which the diagnosis of the grade of malignancy and prognostic assessment on the basis ofhistology represent considerable challenges for the pathologist. In this study we conducted a retrospective analysis of the cell proliferation (Ki-67 nuclear antigen) in primary and metastatic GEP NENs of 137 patients as well as the assessment of keratin 19 (CKI9) and progesterone receptors (PR) expression in pancreatic NENs of 57 patients. In 19 (27,1%) GEP NEN metastases was found I,5-4,5-fold increase of Ki-67 index compared with their primaries. Consequently, 6 (21,4%) cases of NETGI and 4 (7,0%) cases of NET G2 were up-graded Pancreatic NETs G2 with Ki-67 index >5% were significantly associated with presence of distant metastases (p =0,007) and decreased survival (p=0,03). Decreased survival also was found in the group of gastrointestinal NET G2 with Ki-67 index > 15% (p=0,005). Further analysis of immunomorphological features and proliferative activity allowed to separate a rare group of tumors - ("NET G3", characterized by decreased survival comparing to NET G2. Expression of CKI9 in pancreatic NETs was significantly associated with higher proliferative activity of primary tumor (p =0,04) and adverse outcome (p=0,003). On other hand, PR expression correlated with lower Ki-67 index (p=0,006), absence of metastases (p=0,004) and favorable outcome (p=0,000). Our results show that Ki67 index is a key parameter of morphological diagnosis of GEP NENs. Thus, the studied markers are important parameters of the morphological diagnostic of GEP NENs, which allow more accurately assess the degree of malignancy, prognosis and treatment of the disease.


Asunto(s)
Neoplasias Gastrointestinales/diagnóstico , Antígeno Ki-67/metabolismo , Tumores Neuroendocrinos/diagnóstico , Neoplasias Pancreáticas/diagnóstico , Adolescente , Adulto , Anciano , Proliferación Celular , Femenino , Neoplasias Gastrointestinales/metabolismo , Neoplasias Gastrointestinales/patología , Humanos , Queratina-19/genética , Queratina-19/metabolismo , Antígeno Ki-67/genética , Masculino , Persona de Mediana Edad , Metástasis de la Neoplasia , Tumores Neuroendocrinos/metabolismo , Tumores Neuroendocrinos/patología , Neoplasias Pancreáticas/metabolismo , Neoplasias Pancreáticas/patología , Receptores de Progesterona/genética , Receptores de Progesterona/metabolismo
16.
Vopr Onkol ; 57(4): 474-80, 2011.
Artículo en Ruso | MEDLINE | ID: mdl-22191237

RESUMEN

The report describes the clinical and morphological characteristics of inflammatory fibrosarcoma (6). Tumor occurred in the mediastinum, small pelvis and liver in patients aged 12-64 yrs. It featured infiltrative growth. Primary tumor relapsed in 2 cases, distant metastases - 4. Four patients died from tumor progression within 7-14 months after diagnosis. Tumors consisted of neoplastic fibroblasts and lymphofibroblasts with polymorphous nuclei and high mitotic activity.


Asunto(s)
Biomarcadores de Tumor/análisis , Fibrosarcoma/patología , Neoplasias Hepáticas/patología , Neoplasias Pélvicas/patología , Neoplasias Torácicas/patología , Adolescente , Adulto , Biomarcadores de Tumor/inmunología , Niño , Progresión de la Enfermedad , Femenino , Fibrosarcoma/química , Fibrosarcoma/diagnóstico , Humanos , Inmunohistoquímica , Inflamación/patología , Neoplasias Hepáticas/química , Neoplasias Hepáticas/diagnóstico , Masculino , Persona de Mediana Edad , Mitosis , Recurrencia Local de Neoplasia , Neoplasias Pélvicas/química , Neoplasias Pélvicas/diagnóstico , Neoplasias Torácicas/química , Neoplasias Torácicas/diagnóstico
17.
Vopr Onkol ; 56(4): 435-42, 2010.
Artículo en Ruso | MEDLINE | ID: mdl-20968023

RESUMEN

Infantile myofibroma (myofibromatosis) (IM) is a mesenchymal tumor of soft tissues of the head, extremities and trunk. It is characterized by relapse-free infiltrative growth. It consists of neoplastic myofibroblasts at varying stage of cell differentiation which form multi-structured tumor zones. IM's morphological differentiated diagnosis is established vis-a-vis other varieties of tumor and reactive nodular structures of fibroblasts, primarily, infantile hemangiopericytomas and desmoid fibromatosis. Immunohistological and ultrastructural examination of tumor is required for making correct diagnosis of IM.


Asunto(s)
Biomarcadores de Tumor/análisis , Miofibroma/diagnóstico , Miofibromatosis/diagnóstico , Niño , Preescolar , Diagnóstico Diferencial , Femenino , Fibromatosis Agresiva/diagnóstico , Humanos , Inmunohistoquímica , Lactante , Masculino , Miofibroma/metabolismo , Miofibroma/patología , Miofibromatosis/metabolismo , Miofibromatosis/patología
18.
Arkh Patol ; 72(5): 36-9, 2010.
Artículo en Ruso | MEDLINE | ID: mdl-21313767

RESUMEN

The ectopic hormone production by tumor cells that have a light optical structure of typical non-endocrine cancers has long attracted the attention of investigation all over the world. Specifically, this concerns the phenomenon of the ectopic production of the beta-subunit of human chorionic gonadotropin (beta-hCG) by non-germinogenic tumors, which is, according to R.K. Iles's data, encountered in 20-40% of malignant epithelial tumors. Despite the fact that beta-hCG synthesis is traditionally regarded as the prerogative of germinogenic tumors, the world's literature contains strong evidence for latent beta-hCG gene expression and many cases of clinically evident manifestation of the effects of chorionic gonadotropin. The latter fact, if a clinician and a pathologist are unaware of the behavior of a tumor, may give rise to a diagnostic error and incorrect treatment policy.


Asunto(s)
Carcinoma de Células en Anillo de Sello/metabolismo , Gonadotropina Coriónica Humana de Subunidad beta/biosíntesis , Neoplasias Gástricas/metabolismo , Adulto , Humanos , Masculino
19.
Probl Tuberk Bolezn Legk ; (1): 51-5, 2009.
Artículo en Ruso | MEDLINE | ID: mdl-19253683

RESUMEN

In modern society, there is a rise in the incidence of tuberculosis in all age groups, including children and adolescents. In old age group, a specific inflammation is detectable from Mantoux test results only in every four children. Tuberculous infection is diagnosed in half of cases when they turn to physicians for complains. Disseminated and complicated forms of tuberculosis are more frequently identified in these situations. The immune system has a particular emphasis on the course and outcome of the disease. The authors have established that caseous masses actively form, followed by the stimulation of the adequate cell pathway promoting the limitation of specific inflammation in old-age group children with primary tuberculosis. In secondary forms of tuberculous infection, there is an increase in the level of monocytes where the persistence and multiplication of the causative microorganism, as well as the activation of the humoral pathway inadequate for tuberculous infection are likely to occur, i.e. the infectious agent may be inhibited until activation of the Th-2 pathway of an immune response takes place.


Asunto(s)
Tuberculosis/inmunología , Adolescente , Formación de Anticuerpos , Antígenos CD/análisis , Niño , Humanos , Inmunidad Celular , Pruebas Inmunológicas , Activación de Linfocitos , Linfocitos/inmunología , Fagocitosis , Prueba de Tuberculina , Tuberculosis/diagnóstico , Tuberculosis Ganglionar/clasificación , Tuberculosis Ganglionar/diagnóstico , Tuberculosis Ganglionar/inmunología
20.
Theor Appl Genet ; 108(1): 105-12, 2003 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-13679984

RESUMEN

We constructed a genetic linkage map of red clover ( Trifolium pratense L., 2n=2 x=14) using RFLP markers from cDNA probes of a backcrossed mapping population, and investigated the transferability of the markers to other red clover germplasm. The map contains 157 RFLP markers and one morphological marker on seven linkage groups. The total map distance was 535.7 cM and the average distance between two markers was 3.4 cM. All of the cDNA probes of the map were hybridized to the fragments of genomic DNA from 12 plants derived from three varieties, and 87% of the cDNA probes detected polymorphic bands that corresponded to those of mapping parents. This result indicated that RFLP markers on the present map were transferable to the genome analysis of other red clover germplasm. This is the first report to construct a linkage map of Trifolium species; it should provide fundamental and useful genetic information relevant to the breeding of red clover and genus Trifolium.


Asunto(s)
Mapeo Cromosómico , Genes de Plantas , Ligamiento Genético , Polimorfismo Genético , Trifolium/genética , Segregación Cromosómica , Cruzamientos Genéticos , ADN Complementario , ADN de Plantas/genética , Marcadores Genéticos , Endogamia , Polimorfismo de Longitud del Fragmento de Restricción , Sitios de Carácter Cuantitativo
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