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Ensani F, Omranipour R, Jahanzad I, Jafari A, Nafarzadeh S, Aminishakib P. The Core Needle and Surgical Biopsy Concordance to Detect Estrogen, Progesterone, and Her-2 Receptors in Breast Cancer: A Comparative Study. Iran J Pathol 2017. [DOI: 10.30699/ijp.2017.25042] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
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Shahi F, Alishahi R, Pashaiefar H, Jahanzad I, Kamalian N, Ghavamzadeh A, Yaghmaie M. Differentiating and Categorizing of Liposarcoma and Synovial Sarcoma Neoplasms by Fluorescence in Situ Hybridization. Iran J Pathol 2017; 12. [PMID: 29531545 PMCID: PMC5835368] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 12/04/2022]
Abstract
BACKGROUND & OBJECTIVE Soft tissue sarcomas (STS) constitute an uncommon and heterogeneous group of tumors of mesenchymal origin and various cytogenetic abnormalities ranging from distinct genomic rearrangements, such as chromosomal translocations and amplifications, to more intricate rearrangements involving multiple chromosomes. Fluorescence in situ hybridization (FISH) can be used to identify these chromosomal translocations and amplifications, and sub classify STS precisely. The current study aimed at investigating the usefulness of FISH, as a diagnostic ancillary aid, to detect cytogenetic abnormalities such as MDM2 (murine double minute 2) amplification and CHOP(C/EBP homologous protein) rearrangement in liposarcoma, as well as SYT (synaptotagmin) rearrangement in synovial sarcoma. METHODS The FISH technique was used to analyze 17 specimens of liposarcoma for MDM2 amplification and CHOP rearrangement, and 10 specimens of synovial sarcoma for SYT rearrangement. The subtypes of liposarcoma and synovial sarcomas were reclassified according to the FISH results and compared with those of the respective histological findings. RESULTS According to the FISH results in 17 liposarcoma cases, well-differentiated liposarcoma(WDLPS), dedifferentiated liposarcoma (DDLPS), and myxoidliposarcoma (MLPS)subtypes were 41%, 53%, and 6%, respectively. In different subtypes of liposarcoma, a total of 30% mismatches were observed between pathologic and cytogenetic results. According to the histological findings from FISH analysis, SYT rearrangement was found only in three out of 10 (30%) synovial sarcomas. CONCLUSION The detection of cytogenetic abnormalities in patients with liposarcoma and synovial sarcoma by FISH technique provides an important objective tool to confirm sarcoma diagnosis and sub classification of specific sarcoma subtypes in such patients.
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Affiliation(s)
- Farhad Shahi
- Dept. of Hematology and Medical Oncology, Cancer Research Center, Cancer Institute, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran
| | - Razieh Alishahi
- Dept. of Biology, Faculty of Sciences, International Pardis, University of Guilan, Rasht, Iran
| | - Hossein Pashaiefar
- Dept. of Medical Genetics, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
| | - Isa Jahanzad
- Dept. of Pathology, Cancer Research Center, Cancer Institute, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran
| | - Naser Kamalian
- Dept. of Pathology, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
| | - Ardeshir Ghavamzadeh
- Hematology, Oncology and Stem Cell Transplantation Research center, Tehran University of Medical Sciences, Tehran, Iran
| | - Marjan Yaghmaie
- Hematology, Oncology and Stem Cell Transplantation Research center, Tehran University of Medical Sciences, Tehran, Iran,Corresponding Information: Dr. Marjan Yaghmaie, Hematology, Oncology and Stem Cell Transplantation Research center, Tehran University of Medical Sciences, Tehran, Iran, e-mail to: , tel: +98-2184902709
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Ensani F, Omranipour R, Jahanzad I, Jafari A, Nafarzadeh S, Aminishakib P. The Core Needle and Surgical Biopsy Concordance to Detect Estrogen, Progesterone, and Her-2 Receptors in Breast Cancer: A Comparative Study. Iran J Pathol 2017; 12. [PMID: 29531544 PMCID: PMC5835367] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
BACKGROUND &OBJECTIVES Evaluation of estrogen receptor (ER), progesterone receptor (PR), and (human epidermal growth factor receptor-2) Her-2 on core needle biopsies (CNBs) is increasingly in use to diagnosis early breast cancer, but its concordance with surgical excision (SE) is not well documented. METHODS The study included 100 formalin fixed, paraffin-embedded specimens of invasive breast carcinoma archived in Pathology Department of Cancer Institute, Tehran, Iran, from 2011 to 2014. Immunohistochemistry was applied to detect ER, PR, and Her-2. RESULTS The current study findings indicated a significant correlation of 90% between CNB and SE specimens for ER expression. The correlation between CNB and SE specimens was estimated as 81% and 97.3% for PR and Her-2, respectively. DISCUSSION CNB can be performed confidently to determine ER and Her-2. For PR, results obtained from CNB should be considered.
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Affiliation(s)
- Fereshteh Ensani
- Dept. of Pathology, Cancer Institute Hospital, Tehran University of Medical Sciences, Tehran, Iran
| | - Ramesh Omranipour
- Surgical Oncology Center Institute Hospital, Tehran University of Medical Science, Tehran, Iran
| | - Isa Jahanzad
- Dept. of Immunohistochemistry, Cancer Institute, Tehran University of Medical Science, Tehran, Iran
| | - Azadeh Jafari
- Dept. of Pathology, Cancer Institute Hospital, Tehran University of Medical Sciences, Tehran, Iran
| | - Shima Nafarzadeh
- Dept. of Oral and Maxillofacial Pathology, Babol University of Medical Sciences, Tehran, Iran,Corresponding Information: Shima Nafarzadeh, Assistant Professor, Department of Oral and Maxillofacial Pathology, Babol University of Medical Sciences, ,Tell: 0989111164609
| | - Pouyan Aminishakib
- Dept. of Oral and Maxillofacial Pathology, Tehran University of Medical Sciences, Tehran, Iran
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Sadighi S, Saberian M, Nagafi M, Jahanzad I, Omranipoor R, Behrouzi B. Metformin anti-proliferative effect on a cohort of non-diabetic breast cancer patients. Ann Oncol 2016. [DOI: 10.1093/annonc/mdw364.56] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Jalal Kiani S, Shatizadeh Malekshahi S, Yousefi Ghalejoogh Z, Ghavvami N, Shafiei Jandaghi NZ, Shahsiah R, Jahanzad I, Yavarian J. Detection and Typing of Human Papilloma Viruses by Nested Multiplex Polymerase Chain Reaction Assay in Cervical Cancer. Jundishapur J Microbiol 2015; 8:e26441. [PMID: 26865940 PMCID: PMC4745380 DOI: 10.5812/jjm.26441] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2015] [Accepted: 06/06/2015] [Indexed: 11/16/2022] Open
Abstract
Background: Cervical cancer is the leading cause of death from cancer in under-developed countries. Human papilloma virus (HPV) 16 and 18 are the most prevalent types associated with carcinogenesis in the cervix. Conventional Polymerase Chain Reaction (PCR), type-specific and consensus primer-based PCR followed by sequencing, Restriction Fragment Length Polymorphism (RFLP) or hybridization by specific probes are common methods for HPV detection and typing. In addition, some researchers have developed a multiplex PCR for simultaneous detection and typing of different HPVs. Objectives: The aim of the present study was to investigate the prevalence of HPV infection and its types in cervical Squamous Cell Carcinoma (SCC) using the Nested Multiplex PCR (NMPCR) assay. Patients and Methods: Sixty-six samples with histologically confirmed SCC were evaluated. Total DNA was isolated by phenol–chloroform extraction and ethanol precipitation. Nested multiplex PCR was performed with first-round PCR by GP-E6/E7 consensus primers for amplification of the genomic DNA of all known mucosal HPV genotypes and second-round PCR by type-specific multiplex PCR primer cocktails. Results: Human papilloma virus infection was detected in 78.8% of samples, with the highest prevalence of HPV 16 (60.6%) while concurrent infections with two types was detected in 10.6%. Conclusions: The NMPCR assay is more convenient and easy for analysis of results, which is important for fast diagnosis and patient management, in a type-specific manner.
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Affiliation(s)
- Seyed Jalal Kiani
- Virology Department, School of Public Health, Tehran University of Medical Sciences, Tehran, IR Iran
| | | | - Zohreh Yousefi Ghalejoogh
- Virology Department, School of Public Health, Tehran University of Medical Sciences, Tehran, IR Iran
| | - Nastaran Ghavvami
- Virology Department, School of Public Health, Tehran University of Medical Sciences, Tehran, IR Iran
| | | | - Reza Shahsiah
- Pathology Department, School of Medicine, Tehran University of Medical Sciences, Tehran, IR Iran
| | - Isa Jahanzad
- Pathology Department, School of Medicine, Tehran University of Medical Sciences, Tehran, IR Iran
| | - Jila Yavarian
- Virology Department, School of Public Health, Tehran University of Medical Sciences, Tehran, IR Iran
- Corresponding author: Jila Yavarian, Virology Department, School of Public Health, Tehran University of Medical Sciences, Tehran, IR Iran. Tel/Fax: +98-2188962343, E-mail:
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Saberian M, Sadighi S, Najafi M, Jahanzad I, Omranipoor R. 108P Metformin effect on a cohort of non-diabetic patients with early breast cancer in a window of opportunity study. Ann Oncol 2015. [DOI: 10.1093/annonc/mdv519.57] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Khoshnevisan A, Abdollahzade S, Jahanzad I, Niknezhad A, Naderi S, Khadivi M. Intramedullary spinal cord metastasis from endometrioid adenocarcinoma. Arch Iran Med 2014; 17:293-6. [PMID: 24724607 DOI: 014174/aim.0013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Intramedullary spinal cord metastases are rare .The majority of these metastases reportedly spread from lung cancer in the cervical region; however, they have been seen to arise from a variety of other primary sources. Here, we report what is, to the best of our knowledge, the first known case of an intramedullary spinal cord metastatic lesion in the conus region arising from primary endometrioid adenocarcinoma.
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Affiliation(s)
- Alireza Khoshnevisan
- Department of Neurosurgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran,
| | - Sina Abdollahzade
- Department of Neurosurgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
| | - Isa Jahanzad
- Department of Pathology, Tehran University of Medical Sciences, Tehran, Iran
| | - Anoshirwan Niknezhad
- Department of Neurosurgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
| | - Soheil Naderi
- Department of Neurosurgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
| | - Masoud Khadivi
- Department of Neurosurgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
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Mehdizadeh R, Najafi S, Jahanzad I. 352 Evaluation of EGFR, VEGFR2, IGF-1R and HIF-1a Expression and Their Prognostic Value in Iranian Triple-negative Breast Cancer Patients. Eur J Cancer 2012. [DOI: 10.1016/s0959-8049(12)70418-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
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Mahjoub F, Fereiduni R, Jahanzad I, Farahmand F, Monajemzadeh M, Najafi M. Atomic Absorption Spectrometry in Wilson's Disease and Its Comparison with Other Laboratory Tests and Paraclinical Findings. Iran J Pediatr 2012; 22:52-6. [PMID: 23056859 PMCID: PMC3448215] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Subscribe] [Scholar Register] [Received: 11/18/2010] [Revised: 05/18/2011] [Accepted: 08/28/2011] [Indexed: 12/04/2022]
Abstract
OBJECTIVE Wilson's disease (WD) is an autosomal recessive disease with genetic abnormality on chromosome 13 causing defect in copper metabolism and increased copper concentration in liver, central nervous system and other organs, which causes different clinical manifestations. The aim of this study was to determine the sensitivity of different clinical and paraclinical tests for diagnosis of Wilson's disease. METHODS Paraffin blocks of liver biopsy from 41 children suspicious of WD were collected. Hepatic copper concentrations were examined with atomic absorption spectrophotometry (Australian GBC, model: PAL 3000). Fifteen specimens had hepatic copper concentration (dry weight) more than 250μg/g. Clinical and laboratory data and histologic slides of liver biopsies of these 15 children were reviewed retrospectively. Liver tissue was examined for staging and grading of hepatic involvement and also stained with rubeonic acid method for copper. FINDINGS Patients were 5-15 years old (mean age=9.3 years, standard deviation=2.6) with slight male predominance (9/15=60%). Five (33%) patients were 10 years old. Three (20%) of them were referred for icterus, 8 (54%) because of positive family history, 2 (13%) due to abdominal pain and 2 (13%) because of hepatosplenomegaly and ascites. Serum AST and ALT levels were elevated at the time of presentation in all patients. In liver biopsy, histological grade and stage was 0-8 and 0-6 respectively, 2 (13%) had cirrhosis, 1 (7%) had normal biopsy and 12 (80%) showed chronic hepatitis. Hepatic copper concentrations were between 250 and 1595 μg/g dry weight. The sensitivity of various tests were 85% for serum copper, 83% for serum ceruloplasmin, 53% for urinary copper excretion, 44% for presence of KF ring and 40% for rubeonic acid staining on liver biopsies. CONCLUSION None of the tests stated in the article were highly sensitive for diagnosis of WD, so we suggest that diagnosis should be based on combination of family history, physical examination and different tests.
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Affiliation(s)
- Fatemeh Mahjoub
- Department of Pathology, Tehran University of Medical Sciences, Tehran, Iran
- Cancer Institute, Tehran University of Medical Sciences, Tehran, Iran
| | - Rana Fereiduni
- Department of Pathology, Tehran University of Medical Sciences, Tehran, Iran
- Cancer Institute, Tehran University of Medical Sciences, Tehran, Iran
| | - Isa Jahanzad
- Department of Pathology, Tehran University of Medical Sciences, Tehran, Iran
- Cancer Institute, Tehran University of Medical Sciences, Tehran, Iran
| | - Fatemeh Farahmand
- Department of Pediatrics, Tehran University of Medical Sciences, Tehran, Iran
- Children's Medical Center, Pediatrics Center of Excellence, Tehran, Iran
| | - Maryam Monajemzadeh
- Department of Pathology, Tehran University of Medical Sciences, Tehran, Iran
- Children's Medical Center, Pediatrics Center of Excellence, Tehran, Iran
| | - Mehri Najafi
- Department of Pediatrics, Tehran University of Medical Sciences, Tehran, Iran
- Children's Medical Center, Pediatrics Center of Excellence, Tehran, Iran
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Jahanzad I, Mehrazma M, Makhmalbaf AO. The role of electron microscopy for the diagnosis of childhood glomerular diseases. Iran J Pediatr 2011; 21:357-61. [PMID: 23056813 PMCID: PMC3446173] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/07/2010] [Revised: 07/24/2010] [Accepted: 10/03/2010] [Indexed: 11/19/2022]
Abstract
OBJECTIVE Optimum diagnosis of glomerulopathies requires light microscopy, immunofluorescence and electron microcopy. In fact electron microscopy has a confirmatory role in glomerular diseases. It provides more information for patient management and can rule out other diseases. The goal of the present study is analysis the necessity of electron microscopy for the diagnosis of childhood glomerulopathies. METHODS 134 cases of renal biopsy with some clinical data retrospectively were reviewed. The contribution of electron microscopy to the final diagnosis was graded as necessary - diagnosis could not be reached without it, supportive - it increased the level of confidence in the final diagnosis and noncontributory - the diagnosis don't need electron microscopy for confirmation. FINDINGS The contribution of electron microscopy to the final diagnosis was necessary in 51 cases (38%), supportive in 40 cases (≅ 30%) and noncontributory in 43 cases (32%). CONCLUSION In conclusion the results showed in about 68% of childhood glomerulopathies the ultrastructural study was necessary or supportive, so electron microscopy still remains an important tool in diagnosis of childhood glomerulopathies.
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Affiliation(s)
| | - Mitra Mehrazma
- Corresponding Author: Address: Oncopathology research Centre, Tehran University of Medical Sciences (TUMS), Hemmat Highway, Tehran, Iran. E-mail:
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Jahanzad I, Amoueian S, Attaranzadeh A. Familial lecithin-cholesterol acyltransferase deficiency. Arch Iran Med 2009; 12:179-181. [PMID: 19249891] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Abstract
Familial lecithin-cholesterol acyltransferase deficiency is an uncommon autosomal recessive disorder from a heritable defect in esterification of plasma cholesterol. In 1968, the disease was described by Gjone and Norum in Norway. Our case was a 38-year-old woman. Her disease was manifested by presence of lower extremities edema, proteinuria, corneal opacities, increased plasma cholesterol, and hemolytic anemia. Suspicion of the disease was based on renal biopsy, which revealed mesangial expansion and capillary wall widening with clusters of foamy cells in the mesangium. Immunofluorescence study was nonspecific, but specific findings of electron microscopy showed deposition of lipid in the glomerular basement membrane and mesangium. This is the first report of lecithin-cholesterol acyltransferase deficiency in Iran.The diagnosis was confirmed by a low high-density lipoprotein cholesterol concentration, decreased activity of lecithin-cholesterol acyltransferase in plasma, and positive familial history of the disease.
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Affiliation(s)
- Isa Jahanzad
- Department of Pathology, Tehran University of Medical Sciences, Tehran, Iran
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Abstract
Naturally occurring cryptosporidiosis is reported in turkey poults suffering from diarrhoea and unthriftness in Iran. Histological and ultrastructural studies revealed high number of Cryptosporidium developmental stages mainly located in the mid and terminal portions of small intestine of the poults. Other portions of the intestinal tract were less frequently infected. Oocyst shedding was detected only in 29% of the histologically positive birds. Based on host species, clinical signs, pathology and tissue location of the parasites, Cryptosporidium meleagridis was most likely responsible for these infections. This parasite was also reported recently in a child with diarrhoea in Iran.
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Affiliation(s)
- M J Gharagozlou
- Department of Pathobiology, Faculty of Veterinary Medicine, University of Tehran, Tehran, Iran.
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