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Purpose To investigate the value of application of D2-40/CD34-CK cocktail antibodies by double immunohistochemical staining for assessment of lymphovascular invasion (LVI) and to determine its prognostic significance in colorectal cancer with insufficient lymph node harvest. Methods Specimens from 133 cases of colorectal cancer with less than 12 lymph nodes were selected. HE staining and double immunohistochemical staining of the cocktail antibodies were performed to compare the difference of the two methods in screening for LVI. The The relationship between LVI confirmed by cocktail antibody immunohistochemical staining and clinicopathological characteristics and overall survival (OS) of patients was analyzed. Results (1) The detection rates of cocktail antibody double immunohistochemical staining and HE staining for LVI were 42.9% (57/133) and 21.8% (29/133) with statistically significant difference (P < 0.001). (2) The presence of LVI confirmed by double staining was significantly associated with Dukes staging, depth of invasion, clinical stages, lymph node metastasis and tumor budding (P < 0.05). (3) The presence of LVI, the location and extent of LVI, and the number of tumor cells in thrombus ≥5.5 for cases with LVI ≤2 clusters, were significantly associated with OS (P < 0.05). Conclusion D2-40/CD34-CK cocktail antibodies double staining is superior to routine HE staining in assessing LVI. LVI is intimately associated with tumor stage, lymph nodes metastasis and tumor budding, and it is an independent prognostic factor for CRC patients. It should be a supplementary examination for these patients with insufficient lymph node harvest.
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Objective To explore the diagnosis and treatment strategies of Rathke's cleft cysts (RCC) in the sellar region through analyzing their imaging characteristics.Methods Thirty-two patients with RCC in the sellar region,including two also with concomitant pituitary adenoma,admitted to and performed surgery in our hospital from January 2005 to August 2011,were chosen in our study.The clinical features,especially MRI and histological appearances,were retrospectively reviewed.The experiences on their diagnosis and treatment were summarized.Results Preoperatively,only 3 patients were diagnosed or suspected as RCC.MR images revealed 10 intracystic nodules in 9 patients; their MR signal intensity was variable; not all nodules on T2-weighted images were visualized.Two nodules had bull' s eyelike changes.The hyper-intense content on T1-weighted images was not definitely associated with serious symptoms.Postoperative MRI revealed recurrence or residual lesion in 5 of 26 patients.Conclusion Intracystic nodules with homogenous intensity and non-enhancement under MRI are unique for sellar RCC; Bull's eyelike changes in the intracystic nodule under MRI might have value for confirming the diagnosis.Pituitary inflammation should not be neglected when the clinical symptoms and MRI findings of RCC are being explained.
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This study was aimed to investigate the inhibitory effects of sporoderm-broken ganoderma lucidum spores (GLS) on transplanted lymphoma in nude mice and its mechanism. The models of the subcutaneously transplanting tumor were established by N-methylnitrosourea-induced thymus T-cell lymphoma. The cellular apoptosis of tumor tissues in nude mice were observed by transmission electron microscopy (TEM), the mRNA expression of Bax, Bcl-2, Bcl-xl was determined by RT-PCR. The results indicated that the GLS had a certain anti-tumor effect, and the inhibitory rate was 45.8 with the dose of 4 g/kg (ig, once daily for 21 d). Apoptotic cells in lymphoma cells treated with GLS were observed by TEM. RT-PCR analysis showed that the expression of Bax was up-regulated, Bcl-2 and Bcl-xl were down-regulated in T-cell lymphoma cells. It is concluded that GLS can inhibit proliferation of lymphoma cells and induce the lymphoma cell apoptosis, the mechanism of which may be related with up-regulating the expression of Bax and down-regulating the expression of Bcl-2 and Bcl-xl.
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Animales , Masculino , Ratones , Apoptosis , Regulación Neoplásica de la Expresión Génica , Linfoma de Células T , Metabolismo , Patología , Ratones Endogámicos BALB C , Ratones Endogámicos C57BL , Ratones Desnudos , Proteínas Proto-Oncogénicas , Metabolismo , Proteínas Proto-Oncogénicas c-bcl-2 , Reishi , Esporas Fúngicas , Neoplasias del Timo , Metabolismo , Trasplante Heterólogo , Proteína X Asociada a bcl-2 , Metabolismo , Proteína bcl-X , MetabolismoRESUMEN
<p><b>OBJECTIVE</b>To study the feasibility of ectopic bone formation for engineered bone constructs with bone marrow stromal cells (BMSCs).</p><p><b>METHODS</b>BMSCs were obtained from 3-month female New-Zealand rabbits with weight of 3 kg, induced to osteogenitor cell, were expanded by culture and then seeded into the porous beta-tricalcium phosphate (beta-TCP) particles. Engineered bone constructs were implanted under the periostem of rabbit femur. Samples were retrieved and examed after 3 months. Blood vessels and osteoblast were examined through optical microscope.</p><p><b>RESULTS</b>Twelve implanted engineered bone particles of 16 samples were fixed well under periosteum and rounded by periosteum. There were a lot of vessels and new bone in engineered bone. The structure of bone was disorder; the vessels arranged equally. Four cases found implanted bone freed outside of periosteum,lots of implanted material were absorbed,the volume of residual was less than osteogenesis, and lack of blood vessel. 80% engineered bone constructs attached to the femur under the periostem very well,osteogenesis was fine and vessels were growed into new bone.</p><p><b>CONCLUSION</b>Engineered bone can obtained good ectopic bone under the periostem.</p>
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Animales , Femenino , Conejos , Osteogénesis , Periostio , Cirugía General , Ingeniería de Tejidos , MétodosRESUMEN
The objective of this study was to elevate the tumorigenic rate of animal model with thymic lymphoma induced by N-methyl-N-nitrosourea (MNU) and to reduce the mortality of this mouse model. The injection regimen and experimental cycle were improved on the basis of previous experiments. The male and female C57BL/6 mice were injected by the intraperitoneal route with MNU solution at different dosages in the first week and the 4th week respectively. Following injection of MNU, the general features of the mice were observed. All mice were sacrificed for autopsy before the 24th experimental week. Complete gross examination was performed for detection of tumor masses. The pathologic and immunohistochemical methods were used to identify the origin and subtype classification of the neoplasm. The results showed that at the 25th week the incidence of thymic lymphoma in mice injected with MNU was 83.3% (55/66), the mortality was 7.6%. In conclusion, improving the program and changing the experimental cycle can increase the tumorigenic rate in the mouse model induced by MNU from 67.5% to 83.3% and reduce the mortality from 10% to 7.6%.
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Animales , Femenino , Masculino , Ratones , Linfoma , Metilnitrosourea , Ratones Endogámicos C57BL , Neoplasias Experimentales , Neoplasias del TimoRESUMEN
The objective of study was to establish an animal model with thymic lymphoma in mice induced by intraperitoneal injection of DNA alkylating agent N-methyl-N-nitrosourea (MNU). Male and female mice of the C57BL/6 strain were injected by the intraperitoneal route with MNU solution in a dosage of 50 mg/kg body weight. The injection was repeated at week 8. Following injection of MNU, the general status of mice was observed. All mice were sacrificed for autopsy at the 22nd experimental week. Complete gross examination was performed for detection of tumor masses. The results showed that at the 22nd week, the incidence of thymic lymphoma in MNU-treated animals was 67.5% (27/40). No significant sex difference in the incidence of thymic lymphoma was observed. In conclusions, an animal model with thymic lymphoma in mice can be established by twice intraperitoneal administration of MNU. The biological behavior of the induced tumors resembles to those of human thymic lymphoma derived from thymic T-cells.
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Animales , Femenino , Masculino , Ratones , Linfoma , Metilnitrosourea , Ratones Endogámicos C57BL , Neoplasias Experimentales , Neoplasias del Timo , Compuestos de TrimetilsililoRESUMEN
The objective of study was to investigate the origin and to classify the subtype of N-methyl-N-nitrosourea (MNU)-induced thymic lymphomas in mice. Histopathologic, immunohistochemical and ultrastructural studies were performed to analyze the pathological features of the neoplasms. The results showed that the thymus in all cases became totally replaced by sheets of cells of the lymphoid series. All the tumors coexpressed CD3 and TdT. Transmission electron microscopic study showed the plasma membranes of malignant lymphoma cells were smooth. The nuclear profiles were usually regular, with varying percentage of convoluted nuclei. Few cell organoids were observed in cytoplasm. In conclusion, all the MNU-induced tumor classified by histopathologic, immunohistochemical and ultrastructural studies as precursor lymphoblastic lymphoma that were unquestionably related to the thymus origin and T-cell lineage.
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Animales , Femenino , Masculino , Ratones , Linfoma , Patología , Metilnitrosourea , Ratones Endogámicos C57BL , Timo , Patología , Neoplasias del Timo , PatologíaRESUMEN
The aim of this study was to investigate the expression of anaplastic lymphoma kinase (ALK) protein resulted from chromosome translocation in anaplastic large cell lymphoma (ALCL) and its relationship with the age and prognosis of patients with ALCL. The tissue microarray including 30 cases of ALCL and 2 normal control tissues were established, the expression of anaplastic lymphoma kinase (ALK) protein was detected by immunohistochemistry, the statistical analysis of detected results was carried out by SPSS software. The results showed that the ALK protein was expressed negatively in 2 cases of primary skin ALCL, but in 20 out of 28 cases of systematic ALCL the ALK protein was expressed positively and mainly located in cytoplasm and/or nucleus (71.4%). Clinically, the patients with ALK expression were younger than those without ALK expression (p < 0.05). The prognosis of patients with ALK expression was better than those without ALK expression (p < 0.05). It is concluded that there is a high incidence of ALK expression in ALCL, especially in younger group. ALK expression may be an useful and independent marker for the differential diagnosis and prognosis evaluation of ALCL.
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Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Niño , Femenino , Humanos , Masculino , Persona de Mediana Edad , Adulto Joven , Cromosomas Humanos Par 1 , Cromosomas Humanos Par 2 , Linfoma Anaplásico de Células Grandes , Genética , Pronóstico , Proteínas Tirosina Quinasas , Genética , Metabolismo , Proteínas Tirosina Quinasas Receptoras , Translocación GenéticaRESUMEN
<p><b>OBJECTIVE</b>To explore the significance of C4d deposition in follicular lymphoma (FL).</p><p><b>METHODS</b>The deposition of C4d was detected in samples from 133 cases of lymphoma by immunohistochemistry and FL was studied by the double stainings of CD35/C4d, CD21/C4d and Bcl-2/C4d,respectively.</p><p><b>RESULTS</b>Among the 26 FL tissues, irregular C4d deposition was seen in 19 tumor tissues. Double staining for CD35, CD21 or Bcl-2 showed the C4d deposition was around the follicular dendritic cells (FDC). There was no significant difference between the positive rate of C4d and the degree of lymphoma. No deposition was found in the diffuse areas of FL and other type lymphomas.</p><p><b>CONCLUSION</b>C4d deposition around the follicular dendritic cell in the neoplastic follicles is a specific indicator of follicular lymphoma.</p>