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1.
Dalton Trans ; 53(21): 8926-8933, 2024 May 28.
Artigo em Inglês | MEDLINE | ID: mdl-38687172

RESUMO

A pair of novel chiral Zn(II) complexes coordinated by Schiff-base type ligands derived from BINOL (1,1'-bi-2-naphthol), R-/S-Zn, were synthesized. X-ray crystallography revealed the presence of two crystallographically independent complexes; one has a distorted trigonal-bipyramidal structure coordinated by two binaphthyl ligands and one disordered methanol molecule (molecule A), while the other has a distorted tetrahedral structure coordinated by two binaphthyl ligands (molecule B). Numerous CH⋯π and CH⋯O interactions were identified, contributing to the formation of a 3-dimensional rigid network structure. Both R-/S-Zn exhibited fluorescence in both CH2Cl2 solutions and powder samples, with the photoluminescence quantum yields (PLQYs) of powder samples being twice as large as those in solutions, indicating aggregation-induced enhanced emission (AIEE). The AIEE properties were attributed to the restraint of the molecular motion arising from the 3-dimensional intermolecular interactions. CD and CPL spectra were observed for R-/S-Zn in both solutions and powders. The dissymmetry factors, gabs and gCPL values, were within the order of 10-3 to 10-4 magnitudes, comparable to those reported for chiral Zn(II) complexes in previous studies.

2.
Chemistry ; 29(66): e202302637, 2023 Nov 24.
Artigo em Inglês | MEDLINE | ID: mdl-37691422

RESUMO

Porphyrins are attracting increasing attention in materials science and photochemistry owing to their unique properties and diverse applications. This study focuses on modifying and tuning the absorption properties of porphyrins, specifically those of quinoidal porphyrins, to extend their spectral range into the near-infrared (NIR) region. We report the synthesis and structural and physical properties of quinone compounds derived from doubly and triply linked diporphyrins and their metal complexes. Doubly linked diporphyrinquinone exhibits broad panchromatic absorption properties in solution owing to its low symmetry. Metal complexation markedly extends its absorption range into the near-infrared region. In contrast, the metal complexes of the triply linked diporphyrinquinones exhibit sharp and strong absorption bands in the visible to near-infrared region owing to their higher symmetry. The longest absorption wavelength of the triply linked diporphyrinquinones was approximately 1500 nm, which was significantly more red-shifted than that of the doubly linked ones.

3.
Chem Sci ; 14(10): 2735-2744, 2023 Mar 08.
Artigo em Inglês | MEDLINE | ID: mdl-36908945

RESUMO

Polyaniline, which is formed by the oxidative polymerization of aniline, is a widely explored conducting polymer with several stable oxidation states, and can be applied in advanced materials, including sensing devices and electrochemical catalysts. The marriage of polyanilines with the diverse chemistry of porphyrins is expected to confer new properties, including a combination of electrical, optical, magnetic and chemical properties. Herein, we demonstrate that meso-aminodiarylporphyrin, a porphyrin analogue of aniline, undergoes oxidative oligomerization in an acidic solution under an oxygen atmosphere to yield stable oligomeric products that are analogous to fully oxidized polyanilines. The so-formed oligomers are composed of the same number of electron-rich porphyrinoid and electron-deficient quinoid moieties, and they exhibit a broad electronic absorption band in the near infrared (NIR) region, which is attributable to intramolecular charge transfer (ICT) transition from electron-rich porphyrinoid moieties to electron-deficient quinoid ones. The quinoid moieties in the oligomers could be reversibly reduced using sodium ascorbate to obtain all-porphyrinoid oligomers that resemble fully reduced polyanilines. The fully reduced oligomers do not exhibit the NIR ICT band. Furthermore, three types of partially reduced tetramers consisting of a single quinoid moiety were also obtained, among which two interconverted in solution. Their interconversion was significantly accelerated in the presence of a protic solvent. This result is consistent with the high electron conductivity of partially oxidized polyanilines following their protonation.

4.
Chem Commun (Camb) ; 59(27): 4004-4007, 2023 Mar 30.
Artigo em Inglês | MEDLINE | ID: mdl-36917013

RESUMO

A pair of chiral Pt(II) complexes coordinated by simple BINOL and bipyridine ligands displaying aggregation-induced phosphorescence and circularly polarized luminescence were characterized by X-ray crystallography and absorption and emission spectroscopies. The emission of the powder sample was reddish whereas the thin film dispersed in PMMA (fPf = 1 wt%) exhibited a white emission.

5.
Front Chem ; 8: 700, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33195008

RESUMO

Quality of CPL fluorophore is defined by the vectors of electric dipole transition moment and imaginary magnetic dipole transition moment. The aim of this review is to introduce readers to a chiral moiety applicable to CPL studies focusing on chiral cyclophanes because the rigid cyclophanes are able to hold the vector directions of electric dipole transition moment and imaginary magnetic dipole transition moment.

6.
Chem Asian J ; 15(19): 3037-3043, 2020 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-32749058

RESUMO

Treatment of a meso-diarylporphyrin with PhI(OAc)2 in the presence of BF3 ⋅ OEt2 and propionic acid affords the corresponding porphyrinquinone in a high yield (91%). A novel quinone derived from meso-meso ß-ß doubly-fused diporphyrin was obtained as the sole byproduct (16% yield), which exhibits strong panchromatic absorption between 300 and 1000 nm. It has a low HOMO-LUMO gap owing to expanded and low-symmetry π-planes.

7.
Int J Clin Oncol ; 24(9): 1129-1136, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31069549

RESUMO

OBJECTIVE: To examine the necessity and sufficiency of different types of hysterectomy for the surgical treatment of endometrial cancer. METHODS: This was a multicenter collaborative study conducted by 11 institutions. Among patients with stage I-III endometrial cancer who underwent surgery as the initial treatment (only chemotherapy was provided if adjuvant therapy was needed) from 2001 to 2012, we retrospectively examined the type of hysterectomy, clinicopathological factors, recurrence rate over a maximum period of 5 years, and the site of recurrence. The local recurrence rate was examined by univariate and multivariate analyses. RESULTS: Among 1335 patients, 982 (73.6%) underwent simple hysterectomy (SH) and 353 (26.4%) underwent modified radical hysterectomy (mRH) and were observed for a mean duration of 51.8 months. No significant difference was observed in the rate of local recurrence between the SH and mRH groups (p = 0.928). In multivariate analysis, clinicopathological factors independently associated with localized recurrence included postmenopausal status [hazard ratio (HR) 5.036, 95% confidence interval (CI) 1.506-16.841, p = 0.009], with stages II (HR 3.337, 95% CI 1.701-6.547, p < 0.001) and III (HR 2.445, 95% CI 1.280-4.668, p = 0.007), vs stage I and histological type 2 (HR 1.610, 95% CI 0.938-2.762, p = 0.001). CONCLUSIONS: For endometrial cancer patients requiring surgery, the selection of a more extensive type of hysterectomy did not reduce the rate of local recurrence. Therefore, there is little significance in performing mRH in such cases.


Assuntos
Neoplasias do Endométrio/patologia , Neoplasias do Endométrio/cirurgia , Histerectomia/métodos , Adulto , Idoso , Idoso de 80 Anos ou mais , Quimioterapia Adjuvante , Neoplasias do Endométrio/tratamento farmacológico , Neoplasias do Endométrio/mortalidade , Feminino , Humanos , Estimativa de Kaplan-Meier , Pessoa de Meia-Idade , Recidiva Local de Neoplasia/mortalidade , Recidiva Local de Neoplasia/patologia , Estudos Retrospectivos , Resultado do Tratamento
8.
J Org Chem ; 81(22): 11176-11184, 2016 11 18.
Artigo em Inglês | MEDLINE | ID: mdl-27766875

RESUMO

A facile and metal-free method for the preparation of free base meso-aminodiarylporphyrins from readily available meso-bromodiarylporphyrins is described. Simple treatment of meso-bromoporphyrins with sodium azide and sodium ascorbate in DMF affords the corresponding meso-aminoporphyrins in very good yields. This method involves the aromatic nucleophilic substitution (SNAr) of a bromo group with an azido group and the subsequent in situ reduction of the introduced azido group by sodium ascorbate. This amination reaction can be scaled up to gram scale without any decrease of the product yield. The amination reaction of free base meso-dibromoporphyrin affords a monoaminated product selectively, whereas that of the Ni(II) complex furnishes a diaminated product that is oxidized by air under ambient conditions but isolable as a trifluoroacetyl ester. Metal-insertion reactions of the obtained free base aminoporphyrins afford the corresponding metal complexes (Ni(II), Cu(II), Zn(II), and Pd(II)) all in good yields except the Pd(II) complex. Synthetic methods for the preparation of N-mono- or dialkylaminoporphyrins from the free base meso-aminoporphyrins have been also established.

9.
Chem Asian J ; 11(7): 1004-7, 2016 Apr 05.
Artigo em Inglês | MEDLINE | ID: mdl-26879602

RESUMO

An isomer of tetracyanoporphyrinquinodimethane (TCPQ), 5,10-TCPQ, was designed, synthesized, and structurally characterized, and its basic properties were discussed with emphasis on comparison with those of reported 5,15-TCPQ. The title compound was synthesized by a convenient cascade reaction involving a catalyst-free aromatic nucleophilic substitution reaction and the Uno-Takahashi reaction. The obtained π-expanded redox molecule acted as a Wurster-type redox molecule that underwent not only reduction but also oxidation processes. Furthermore, its absorption spectrum showed a large bathochromic shift that extended to the near-IR region, approximately 1150 nm.

10.
Endocr J ; 63(3): 231-7, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-26606946

RESUMO

This study assessed indicators of the need for insulin therapy and the effect of treatment on pregnancy outcomes in Japanese patients with gestational diabetes mellitus (GDM). All patients diagnosed with GDM were hospitalized for three days. Plasma glucose profiles in patients under strict dietary management and the characteristics of GDM patients with high daily glucose levels were investigated. Patients who failed to achieve glycemic targets were treated with insulin. Indicators of the need for insulin treatment were investigated. Pregnancy outcomes in patients prescribed dietary management and patients prescribed insulin treatment were compared. The study included 112 patients with GDM. GDM patients with high daily glucose levels in the hospital exhibited significantly higher 1-h and 2-h plasma glucose levels in oral glucose tolerance tests (OGTTs) at diagnosis. In our hospital, 102 GDM patients with singleton pregnancies were followed until delivery; 32 (31.3%) were treated with insulin. Univariate analysis identified significant associations of insulin requirement with family history of diabetes and with 1-h and 2-h OGTT values at diagnosis. Multivariate analysis showed that the 1-h OGTT plasma glucose level at diagnosis was an independent predictor of the need for insulin. In perinatal outcomes, insulin treatment was associated with low birth weight.


Assuntos
Diabetes Gestacional/tratamento farmacológico , Retardo do Crescimento Fetal/etiologia , Hiperglicemia/prevenção & controle , Hipoglicemiantes/efeitos adversos , Insulina/efeitos adversos , Adulto , Glicemia/análise , Diabetes Gestacional/sangue , Diabetes Gestacional/dietoterapia , Diabetes Gestacional/fisiopatologia , Dieta para Diabéticos , Saúde da Família , Feminino , Retardo do Crescimento Fetal/induzido quimicamente , Retardo do Crescimento Fetal/prevenção & controle , Teste de Tolerância a Glucose , Hospitais Urbanos , Humanos , Hipoglicemiantes/uso terapêutico , Insulina/uso terapêutico , Japão , Análise Multivariada , Gravidez , Resultado da Gravidez , Estudos Retrospectivos
11.
J Biochem ; 154(5): 455-64, 2013 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-23935187

RESUMO

LEC-1 is a major galectin in Caenorhabditis elegans and contains two carbohydrate recognition domains (CRDs), N-CRD and C-CRD. To determine the role of LEC-1, we examined the phenotypes of a mutant C. elegans strain lacking lec-1. We observed negligible differences in embryogenesis, morphogenesis and egg laying at 20 °C between the mutant and the wild-type. Furthermore, the life spans of the mutant and the wild-type were equivalent at either 20 °C or 25 °C. However, the lec-1 mutant showed a greater susceptibility to H2O2 and paraquat than the wild-type. This result suggests an increased susceptibility to oxidative stress, with the phenotypes being similar to those of lec-10 deletion mutants as previously described. To understand the molecular mechanism underlying this phenotype, C. elegans proteins bound by either the LEC-1 N-CRD or C-CRD were isolated and identified using a nano liquid chromatography-tandem mass spectrometry technique. MIG-6 was identified as a major binding partner of LEC-1 with both N- and C-CRD. From these results and previous reports, we speculate that interaction of LEC-1 and MIG-6 in the pharynx may affect susceptibility to paraquat and that LEC-10 has different functions from LEC-1 in regulating H2O2 and paraquat resistance in the intestine.


Assuntos
Proteínas de Caenorhabditis elegans/metabolismo , Caenorhabditis elegans/metabolismo , Galectinas/metabolismo , Estresse Oxidativo , Animais , Proteínas de Caenorhabditis elegans/química , Proteínas de Caenorhabditis elegans/genética , Cromatografia Líquida , Galectinas/química , Galectinas/genética , Peróxido de Hidrogênio/química , Mutação , Nanotecnologia , Fenótipo , Espectrometria de Massas em Tandem
12.
Org Lett ; 14(1): 190-3, 2012 Jan 06.
Artigo em Inglês | MEDLINE | ID: mdl-22166089

RESUMO

meso-Mono- or diazidoporphyrins were readily obtained in high yields by the catalyst-free aromatic nucleophilic reaction of the corresponding bromoporphyrins with azide anions under mild conditions. The molecular structures of the obtained azides were unambiguously determined by X-ray crystallographic analysis.


Assuntos
Azidas/química , Bromo/química , Porfirinas/síntese química , Ânions/química , Catálise , Modelos Moleculares , Estrutura Molecular
13.
Biol Pharm Bull ; 34(7): 1134-8, 2011.
Artigo em Inglês | MEDLINE | ID: mdl-21720027

RESUMO

Galß1-4Fuc disaccharide unit was recently reported to be the endogenous structure recognized by the galectin LEC-6 isolated from the nematode Caenorhabditis elegans. LEC-1, which is another major galectin from this organism, is a tandem repeat-type galectin that contains two carbohydrate recognition domains, the N-terminal lectin domain (LEC-1Nh) and the C-terminal lectin domain (LEC-1Ch), and was also found to have an affinity for the Galß1-4Fuc disaccharide unit. In the present study, we compared the binding strengths of LEC-1, LEC-1Nh, and LEC-1Ch to Galß1-4Fuc, Galß1-3Fuc, and Galß1-4GlcNAc units as well as to LEC-6-ligand N-glycans by using frontal affinity chromatography (FAC) analysis. The two lectin domains of LEC-1 exhibited the highest affinity for Galß1-4Fuc, though sugar-binding properties differed somewhat between LEC-1Nh and LEC-1Ch. Furthermore, these two domains had significantly lower affinities for the LEC-6-binding glycans. These results suggest that the endogenous recognition unit of LEC-1 is likely to be Galß1-4Fuc, and that the endogenous ligands for LEC-1 are different from those for LEC-6.


Assuntos
Metabolismo dos Carboidratos , Dissacarídeos/metabolismo , Glicoconjugados/metabolismo , Lectinas/metabolismo , Sítios de Ligação , Sequência de Carboidratos , Cromatografia de Afinidade , Dissacarídeos/química
14.
Phys Chem Chem Phys ; 13(28): 12712-5, 2011 Jul 28.
Artigo em Inglês | MEDLINE | ID: mdl-21687879

RESUMO

The singlet-singlet energy transfer rate in a new zinc(II) porphyrin-free base porphyrin dimer, having a m-bis(phenylethynyl)phenylene bridge, was found to be slower than that in the corresponding p-bis(phenylethynyl)phenylene-bridged dimer, despite the shorter donor-acceptor distance and pathway. The slower rate is interpreted as evidence for a major contribution of the superexchange mechanism.

15.
Biol Pharm Bull ; 34(4): 567-9, 2011.
Artigo em Inglês | MEDLINE | ID: mdl-21467647

RESUMO

We examined the sugar-cleaving abilities of ß-galactosidases from jack bean and Streptococcus towards sugars containing fucose residues, and found that jack bean ß-galactosidase has an ability to cleave the ß1-3 linkage between galactose (Gal) and fucose (Fuc) residues, but not ß1-4 linkage. On the other hand, streptococcal ß-galactosidase was found to cleave the linkage in both Galß1-4Fuc and Galß1-3Fuc disaccharide units. Such a difference in sugar-cleaving abilities between these 2 ß-galactosidases will be useful for structural analysis of glycans, especially those from species belonging to Protostomia, such as Caenorhabditis elegans.


Assuntos
Dissacarídeos/metabolismo , Fabaceae/enzimologia , Fucose/química , Galactose/química , Polissacarídeos/metabolismo , Streptococcus/enzimologia , beta-Galactosidase/metabolismo , Animais , Caenorhabditis elegans , Polissacarídeos/química , Especificidade por Substrato , beta-Galactosidase/isolamento & purificação
16.
J Am Chem Soc ; 132(46): 16460-6, 2010 Nov 24.
Artigo em Inglês | MEDLINE | ID: mdl-21033714

RESUMO

We have used a scanning tunneling microscope (STM) to manipulate heteroleptic phthalocyaninato, naphthalocyaninato, and porphyrinato double-decker (DD) molecules at the liquid-solid interface between 1-phenyloctane solvent and graphite. We employed nanografting of phthalocyanines with eight octyl chains to place these molecules into a matrix of heteroleptic DD molecules; the overlayer structure is epitaxial on graphite. We have also used nanografting to place DD molecules in matrices of single-layer phthalocyanines with octyl chains. Rectangular scans with a STM at low bias voltage resulted in the removal of the adsorbed DD molecular layer and substituted the DD molecules with bilayer-stacked phthalocyanines from phenyloctane solution. Single heteroleptic DD molecules with lutetium sandwiched between naphthalocyanine and octaethylporphyrin were decomposed with voltage pulses from the probe tip; the top octaethylporphyrin ligand was removed, and the bottom naphthalocyanine ligand remained on the surface. A domain of decomposed molecules was formed within the DD molecular domain, and the boundary of the decomposed molecular domain self-cured to become rectangular. We demonstrated a molecular "sliding block puzzle" with cascades of DD molecules on the graphite surface.

17.
Glycobiology ; 19(12): 1503-10, 2009 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-19690090

RESUMO

Galbeta1-4GlcNAc is thought to be a common disaccharide unit preferentially recognized by vertebrate galectins. Eight-amino-acid residues conserved in proteins belonging to the galectin family have been suggested to be responsible for recognition. Meanwhile, we isolated and analyzed endogenous N-glycans of Caenorhabditis elegans that were captured by a C. elegans galectin LEC-6 and demonstrated that the unit of recognition for LEC-6 is a Gal-Fuc disaccharide, though the linkage between these residues was not confirmed. In the present study, we chemically synthesized Galbeta1-4Fuc and Galbeta1-3Fuc labeled with 2-aminopyridine (PA) and demonstrated that LEC-6 interacts with PA-Galbeta1-4Fuc more strongly than PA-Galbeta1-3Fuc by frontal affinity chromatography (FAC). Galbeta1-4Fuc also inhibited hemagglutination caused by LEC-6 more strongly than Galbeta1-3Fuc. FAC analysis using LEC-6 point mutants revealed that some of the conserved amino acid residues which have proven to be important for the recognition of Galbeta1-4GlcNAc are not necessary for the binding to Galbeta1-4Fuc. Another major C. elegans galectin, LEC-1, also showed preferential binding to Galbeta1-4Fuc. These results suggest that Galbeta1-4Fuc is the endogenous unit structure recognized by C. elegans galectins, which implies that C. elegans glycans and galectins may have co-evolved through an alteration in the structures of C. elegans glycans and a subsequent conversion in the sugar-binding mechanism of galectins. Furthermore, since glycans containing the Galbeta1-4Fuc disaccharide unit have been found in organisms belonging to Protostomia, this unit might be a common glyco-epitope recognized by galectins in these organisms.


Assuntos
Proteínas de Caenorhabditis elegans/metabolismo , Caenorhabditis elegans , Dissacarídeos/metabolismo , Galectinas/metabolismo , Glicoconjugados/química , Sequência de Aminoácidos , Animais , Antígenos de Helmintos/química , Antígenos de Helmintos/metabolismo , Caenorhabditis elegans/química , Caenorhabditis elegans/metabolismo , Proteínas de Caenorhabditis elegans/química , Sequência de Carboidratos , Dissacarídeos/síntese química , Dissacarídeos/química , Galectinas/química , Glicoconjugados/metabolismo , Modelos Biológicos , Dados de Sequência Molecular , Ligação Proteica , Domínios e Motivos de Interação entre Proteínas , Especificidade por Substrato
18.
J Obstet Gynaecol Res ; 34(4): 543-51, 2008 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-18937707

RESUMO

AIM: The goal of the current study was to determine the anxiety level and prevalence of psychiatric disorders among patients awaiting surgery for ovarian tumors. Also analyzed were the predictive factors for psychiatric disorders and changes after surgical diagnosis. METHODS: Patients who underwent surgery for ovarian tumors were examined before and after surgery with the MINI International Neuropsychiatric Interview, the Spielberger State-Trait Anxiety Inventory (STAI) and the Mausley Personality Inventory (MPI). Participants diagnosed with cancer were examined a third time after being given an explanation about whether or not adjuvant chemotherapy was required. RESULTS: Twenty-seven participants completed the study and were analyzed. Nine (33.3%) of these 27 participants were diagnosed as having adjustment disorder. There were no differences in the demographic data, STAI trait anxiety score and MPI score between the participants with or without adjustment disorder. At the pre-surgical interview, the STAI state anxiety score of the participants was high (49.5 +/- 10.30). After pathological examination of the tumors, it was found that 12 patients had cancer (malignant group) and 15 patients had a benign tumor (benign group). At pre-surgery, the prevalence of adjustment disorder and the level of anxiety in the benign group were similar to those in the malignant group. There was a second surge of anxiety in patients who needed chemotherapy. CONCLUSION: The above findings demonstrate that patients with suspected ovarian cancer experience a high level of anxiety. Physicians should be aware of the risk of adjustment disorder in these patients. Additionally, ovarian cancer patients need psychological assessment during the course of treatment.


Assuntos
Ansiedade/epidemiologia , Transtornos Mentais/epidemiologia , Neoplasias Ovarianas/psicologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Ansiedade/psicologia , Feminino , Humanos , Japão/epidemiologia , Pessoa de Meia-Idade , Neoplasias Ovarianas/diagnóstico , Neoplasias Ovarianas/cirurgia , Prevalência , Estudos Prospectivos
19.
Biochem Biophys Res Commun ; 377(1): 303-6, 2008 Dec 05.
Artigo em Inglês | MEDLINE | ID: mdl-18848522

RESUMO

C-type lectins are a family of proteins with an affinity to carbohydrates in the presence of Ca(2+). In the genome of Caenorhabditis elegans, almost 300 genes encoding proteins containing C-type lectin-like domains (CTLDs) have been assigned. However, none of their products has ever been shown to have carbohydrate-binding activity. In the present study, we selected 6 potential C-type lectin genes and prepared corresponding recombinant proteins. One of them encoded by clec-79 was found to have sugar-binding activity by using a newly developed glycoconjugate microarray based on evanescent-field excited fluorescence. CLEC-79 exhibited affinity to sugars containing galactose at the non-reducing terminal, especially to the Galbeta1-3GalNAc structure, in the presence of Ca(2+). Combined with structural information of the glycans of C. elegans, these results suggest that CLEC-79 preferentially binds to O-glycans in vivo.


Assuntos
Proteínas de Caenorhabditis elegans/metabolismo , Caenorhabditis elegans/metabolismo , Galactose/metabolismo , Lectinas Tipo C/metabolismo , Polissacarídeos/metabolismo , Animais , Caenorhabditis elegans/genética , Proteínas de Caenorhabditis elegans/genética , Glicoconjugados/química , Lectinas Tipo C/genética , Análise Serial de Proteínas , Estrutura Terciária de Proteína , Proteínas Recombinantes/genética , Proteínas Recombinantes/metabolismo
20.
Acta Cytol ; 51(4): 533-40, 2007.
Artigo em Inglês | MEDLINE | ID: mdl-17718117

RESUMO

OBJECTIVE: To evaluate the usefulness of endometrial aspiration cytology for assessing malignant cells of extrauterine origin. STUDY DESIGN: Endometrial cytology was performed on 224 patients with primary ovarian cancer, 10 with fallopian tube cancer and 45 with peritoneal tumors. RESULTS: Of 224 patients with ovarian cancer, 53 (23.7%) had positive endometrial cytology. Positive rates were: stage I, 4.3%; stage II, 25.0%; stage III, 39.7%; stage IV, 34.5%. Histologic positive rates were: serous, 28.7%; mucinous, 11.4%; clear cell, 23.1%; endometrioid and unclassifiable adenocarcinomas, 28.0%. Of 5 patients with ovarian cancer, 2 were asymptomatic, but aspiration cytology was positive. Of 10 patients with fallopian tube cancer, 9 (90.0%) had positive endometrial cytology. The positive rate on endometrial cytology was 56.7% in stomach cancer, 60.0% in breast cancer and 20.0% in colon cancer. Of 1,209 women with stomach cancer, 30 (2.4%) displayed ovarian metastasis. Of these, 7 (23.3%) had Krukenberg's tumor; endometrial cytology was positive in 1 (14.3%). In 7 of 17 patients with positive endometrial cytology, clinical diagnosis was made before stomach cancer therapy. CONCLUSION: Endometrial aspiration cytology is useful for identifying nongynecologic malignant cells, diagnosing ovarian and fallopian tube cancers, and determining peritoneal dissemination and metastasis originating from gastrointestinal and breast cancers.


Assuntos
Endométrio/patologia , Neoplasias/diagnóstico , Peritônio/patologia , Adulto , Idoso , Biópsia por Agulha , Feminino , Humanos , Pessoa de Meia-Idade , Neoplasias/patologia , Esfregaço Vaginal
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