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Weydandt L, Horn LC, Aktas B. Vergleich von HER2, Östrogen und Progesteron Rezeptor-Profilen bei Primärtumoren mit synchroner axillärer Lymphknotenmetastase bei 159 Mammakarzinom Patientinnen – ein Beispiel für Tumorheterogenität. Geburtshilfe Frauenheilkd 2019. [DOI: 10.1055/s-0039-1692094] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
Affiliation(s)
- L Weydandt
- Klinik und Poliklinik für Frauenheilkunde, Universitätsklinikum Leipzig
| | - LC Horn
- Institut für Pathologie, Universitätsklinikum Leipzig
| | - B Aktas
- Klinik und Poliklinik für Frauenheilkunde, Universitätsklinikum Leipzig
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Lia M, Wolf B, Horn LC, Höckel M, Aktas B. Die Aussagekraft der core-needle-Biopsie beim Zervixkarzinom. Eine retrospektive Analyse. Geburtshilfe Frauenheilkd 2019. [DOI: 10.1055/s-0039-1692075] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
Affiliation(s)
- M Lia
- Klinik und Poliklinik für Frauenheilkunde, Universitätsklinikum Leipzig
| | - B Wolf
- Klinik und Poliklinik für Frauenheilkunde, Universitätsklinikum Leipzig
| | - LC Horn
- Klinik und Poliklinik für Frauenheilkunde, Universitätsklinikum Leipzig
| | - M Höckel
- Klinik und Poliklinik für Frauenheilkunde, Universitätsklinikum Leipzig
| | - B Aktas
- Klinik und Poliklinik für Frauenheilkunde, Universitätsklinikum Leipzig
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Wolf B, Sodeikat P, Borte G, Horn LC, Höckel M, Aktas B. Präoperative Evaluation des Parametriums beim Zervixkarzinom. Geburtshilfe Frauenheilkd 2019. [DOI: 10.1055/s-0039-1692078] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
Affiliation(s)
- B Wolf
- Klinik und Poliklinik für Gynäkologie, Universitätsklinikum Leipzig
| | - P Sodeikat
- Klinik und Poliklinik für Gynäkologie, Universitätsklinikum Leipzig
| | - G Borte
- Klinik für Diagnostische und Interventionelle Radiologie, Universitätsklinikum Leipzig
| | - LC Horn
- Institut für Pathologie, Universitätsklinikum Leipzig
| | - M Höckel
- Klinik und Poliklinik für Gynäkologie, Universitätsklinikum Leipzig
| | - B Aktas
- Klinik und Poliklinik für Gynäkologie, Universitätsklinikum Leipzig
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Horn LC, Höhn AK, Opitz S, Teichmann G. Peritoneale Keratingranulome als Differenzialdiagnose einer peritonealen Metastasierung beim endometrioiden Endometriumkarzinom. Geburtshilfe Frauenheilkd 2019. [DOI: 10.1055/s-0039-1692082] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
Affiliation(s)
- LC Horn
- Arbeitsgruppe Gynäko-, Mamma- & Perinatalpathologie, Institut für Pathologie, Universitätsklinikum Leipzig AöR
| | - AK Höhn
- Arbeitsgruppe Gynäko-, Mamma- & Perinatalpathologie, Institut für Pathologie, Universitätsklinikum Leipzig AöR
| | - S Opitz
- Arbeitsgruppe Gynäko-, Mamma- & Perinatalpathologie, Institut für Pathologie, Universitätsklinikum Leipzig AöR
| | - G Teichmann
- Klinik für Frauenheilkunde und Geburtshilfe, Heinrich-Braun-Krankenhaus, Zwickau
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Horn LC, Billing C, Herrmann K, Unger T. Mesonephric-like Adenocarcinoma of the Endometrium with KRAS-Mutation – Report of a Case and Literature Review. Geburtshilfe Frauenheilkd 2019. [DOI: 10.1055/s-0039-1692084] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
Affiliation(s)
- LC Horn
- Institute of Pathology, Division of Breast Gynecologic & Perinatal Pathology, University Hospital of Leipzig
| | - C Billing
- Institute of Pathology, Division of Breast Gynecologic & Perinatal Pathology, University Hospital of Leipzig
- Institute of Pathology, Division Molecular Pathology, University Hospital of Leipzig
| | - K Herrmann
- Institute of Pathology, City Hospital Bremen
| | - T Unger
- Institute of Pathology, Division Molecular Pathology, University Hospital of Leipzig
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Horn LC, Höhn AK, Hentschel B, Brambs CE. Prognoserelevanz des Gradings beim Plattenepithelkarzinom der Cervix uteri Stadium pT1b1 bei radikal hysterektomierten Patientinnen. Geburtshilfe Frauenheilkd 2019. [DOI: 10.1055/s-0039-1692085] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
Affiliation(s)
- LC Horn
- Division of Gynecologic, Breast and Perinatal Pathology, Institute of Pathology, University Hospital Leipzig
| | - AK Höhn
- Division of Gynecologic, Breast and Perinatal Pathology, Institute of Pathology, University Hospital Leipzig
| | - B Hentschel
- Institute for Medical Informatics, Statistics and Epidemiology, University Leipzig
| | - CE Brambs
- Department of Obstetrics and Gynecology, Technical University Munich, Munich, Germany
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Horn LC, Brambs CE, Opitz S, Höhn AK. FIGO-Klassifikation für das Zervixkarzinom 2019 – was ist neu? Geburtshilfe Frauenheilkd 2019. [DOI: 10.1055/s-0039-1692083] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
Affiliation(s)
- LC Horn
- Institut für Pathologie, Universitätsklinikum Leipzig AöR
| | - CE Brambs
- Frauenklinik des Klinikums rechts der Isar der Technischen Universität München
| | - S Opitz
- Institut für Pathologie, Universitätsklinikum Leipzig AöR
| | - AK Höhn
- Institut für Pathologie, Universitätsklinikum Leipzig AöR
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Weydandt L, Horn LC, Borte G, Höckel M, Aktas B. Fulminantes Zervix Karzinom Rezidiv 6 Wochen nach TMMR mit klinischer Komplettremission auf Cisplatin, Paclitaxel und Bevacizumab. Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1671574] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
Affiliation(s)
- L Weydandt
- Universitätsklinikum Leipzig, Frauenheilkunde, Leipzig, Deutschland
| | - LC Horn
- Universitätsklinikum Leipzig, Institut für Pathologie, Leipzig, Deutschland
| | - G Borte
- Universitätsklinikum Leipzig, Diagnostische Radiologie, Leipzig, Deutschland
| | - M Höckel
- Universitätsklinikum Leipzig, Frauenheilkunde, Leipzig, Deutschland
| | - B Aktas
- Universitätsklinikum Leipzig, Frauenheilkunde, Leipzig, Deutschland
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Horn LC, Handzel R, Borte G, Haak A, Siebolts U, Häckel M, Aktas B. Das invasive stratifizierte muzinöse Karzinom (ISMC) auf dem Boden einer SMILE (stratifizierte, muzinbildende, intraepitheliale Läsion) – Charakterisierung eines seltenen Adenokarzinoms der Cervix uteri. Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1645894] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
Affiliation(s)
- LC Horn
- Institut für Pathologie, Arbeitsgruppe Mamma-, Gynäko- & Perinatalpathologie, Universitätsklinikum Leipzig AöR
| | - R Handzel
- Universitätsfrauenklinik Leipzig (Triersches Institut), Abteilung Gynäkologische Onkologie, Universitätsklinikum Leipzig AöR
| | - G Borte
- Abteilung Diagnostische Radiologie, Universitätsklinikum Leipzig AöR
| | - A Haak
- Institut für Pathologie, Abteilung Molekularpathologie, Universitätsklinikum Halle/Saale
| | - U Siebolts
- Institut für Pathologie, Abteilung Molekularpathologie, Universitätsklinikum Halle/Saale
| | - M Häckel
- Universitätsfrauenklinik Leipzig (Triersches Institut), Abteilung Gynäkologische Onkologie, Universitätsklinikum Leipzig AöR
| | - B Aktas
- Universitätsfrauenklinik Leipzig (Triersches Institut), Abteilung Gynäkologische Onkologie, Universitätsklinikum Leipzig AöR
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Kant J, Einenkel J, Horn LC. Transzervikale stanzbioptische Abklärung suspekter uteriner Tumoren. Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1645898] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
Affiliation(s)
- J Kant
- Universitätsfrauenklinik Leipzig
| | | | - LC Horn
- Institut für Pathologie, Universitätsklinikum Leipzig
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Huebner H, Strick R, Wachter DL, Kehl S, Strissel PL, Schneider-Stock R, Hartner A, Rascher W, Horn LC, Beckmann MW, Ruebner M, Fahlbusch FB. Hypermethylation and loss of retinoic acid receptor responder 1 expression in human choriocarcinoma. J Exp Clin Cancer Res 2017; 36:165. [PMID: 29169400 PMCID: PMC5701501 DOI: 10.1186/s13046-017-0634-x] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/14/2017] [Accepted: 11/13/2017] [Indexed: 01/06/2023]
Abstract
Background Human placental development resembles tumorigenesis, due to the invasive and fusogenic potential of trophoblasts. However, these features are tightly controlled in trophoblasts. Disturbance of this spatial and temporal regulation is thought to contribute to the rare formation of choriocarcinomas. Promoter hypermethylation and loss of the tumor suppressor Retinoic acid receptor responder 1 (RARRES1) were shown to contribute to cancer progression. Our study investigated the epigenetic and transcriptional regulation of RARRES1 in healthy human placenta in comparison to choriocarcinoma cell lines and cases. Methods Three choriocarcinoma cell lines (Jeg-3, JAR and BeWo) were treated with three different retinoic acid derivates (Am580, Tazarotene and all-trans retinoic acid) and 5-aza-2′-deoxycytidine. We analyzed RARRES1 promoter methylation by pyrosequencing and performed realtime-PCR quantification to determine RARRES1 expression in placental tissue and trophoblastic cell lines. Additionally, RARRES1 was stained in healthy placentas and in biopsies of choriocarcinoma cases (n = 10) as well as the first trimester trophoblast cell line Swan71 by immunofluorescence and immunohistochemistry. Results In the choriocarcinoma cell lines, RARRES1 expression could not be induced by sole retinoic acid treatment. Stimulation with 5-aza-2′-deoxycytidine significantly induced RARRES1 expression, which then could be further increased with Am580, Tazarotene and all-trans retinoic acid. In comparison to healthy placenta, choriocarcinoma cell lines showed a hypermethylation of the RARRES1 promoter, which correlated with a reduced RARRES1 expression. In concordance, RARRES1 protein expression was lost in choriocarcinoma tissue. Additionally, in the trophoblastic cell line Swan71, we found a significant induction of RARRES1 expression with increased cell density, during mitosis and in syncytial knots. Conclusions Our findings showed that RARRES1 expression is absent in choriocarcinoma due to promoter methylation. Based on our analysis, we hypothesize that RARRES1 might exert tumor suppressive functions in multiple cellular processes (e.g. cell cycle regulation, adhesion, invasion and apoptosis). Electronic supplementary material The online version of this article (10.1186/s13046-017-0634-x) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- H Huebner
- Department of Gynaecology and Obstetrics, University Hospital Erlangen, Friedrich-Alexander University Erlangen-Nuremberg, Comprehensive Cancer Center Erlangen-EMN, Erlangen, Germany
| | - R Strick
- Department of Gynaecology and Obstetrics, University Hospital Erlangen, Friedrich-Alexander University Erlangen-Nuremberg, Comprehensive Cancer Center Erlangen-EMN, Erlangen, Germany
| | - D L Wachter
- Institute of Pathology, University Hospital Erlangen, Friedrich-Alexander University Erlangen-Nuremberg, Comprehensive Cancer Center Erlangen-EMN, Erlangen, Germany
| | - S Kehl
- Department of Gynaecology and Obstetrics, University Hospital Erlangen, Friedrich-Alexander University Erlangen-Nuremberg, Comprehensive Cancer Center Erlangen-EMN, Erlangen, Germany
| | - P L Strissel
- Department of Gynaecology and Obstetrics, University Hospital Erlangen, Friedrich-Alexander University Erlangen-Nuremberg, Comprehensive Cancer Center Erlangen-EMN, Erlangen, Germany
| | - R Schneider-Stock
- Institute of Pathology, University Hospital Erlangen, Friedrich-Alexander University Erlangen-Nuremberg, Comprehensive Cancer Center Erlangen-EMN, Erlangen, Germany
| | - A Hartner
- Department of Pediatrics and Adolescent Medicine, University Hospital Erlangen, Friedrich-Alexander University Erlangen-Nuremberg, Loschgestraße 15, 91054 Erlangen, Erlangen, Germany
| | - W Rascher
- Department of Pediatrics and Adolescent Medicine, University Hospital Erlangen, Friedrich-Alexander University Erlangen-Nuremberg, Loschgestraße 15, 91054 Erlangen, Erlangen, Germany
| | - L C Horn
- Division Molecular Pathology, Institute of Pathology, University of Leipzig, Leipzig, Germany
| | - M W Beckmann
- Department of Gynaecology and Obstetrics, University Hospital Erlangen, Friedrich-Alexander University Erlangen-Nuremberg, Comprehensive Cancer Center Erlangen-EMN, Erlangen, Germany
| | - M Ruebner
- Department of Gynaecology and Obstetrics, University Hospital Erlangen, Friedrich-Alexander University Erlangen-Nuremberg, Comprehensive Cancer Center Erlangen-EMN, Erlangen, Germany
| | - F B Fahlbusch
- Department of Pediatrics and Adolescent Medicine, University Hospital Erlangen, Friedrich-Alexander University Erlangen-Nuremberg, Loschgestraße 15, 91054 Erlangen, Erlangen, Germany.
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Wolf B, Handzel R, Horn LC, Einenkel J. Angiomyofibroblastom des hinteren Vaginalfornix – ein seltener Fall. Geburtshilfe Frauenheilkd 2017. [DOI: 10.1055/s-0037-1601502] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
Affiliation(s)
- B Wolf
- Universitätsfrauenklinik Leipzig
| | | | - LC Horn
- Institut für Pathologie, Universität Leipzig
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Aichner A, Link T, Horn LC, Wimberger P. Kleinzelliges Ovarialkarzinom vom Hyperkalzämie-Typ. Eine seltene Entität mit. Geburtshilfe Frauenheilkd 2017. [DOI: 10.1055/s-0037-1601490] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
Affiliation(s)
- A Aichner
- Klinik für Gynäkologie und Geburtshilfe, Technische Universität Dresden
| | - T Link
- Klinik für Gynäkologie und Geburtshilfe, Technische Universität Dresden
| | - LC Horn
- Institut für Pathologie, Universitätsklinikum Leipzig AöR
| | - P Wimberger
- Klinik für Gynäkologie und Geburtshilfe, Technische Universität Dresden
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Wolf B, Horn LC, Höckel M. Risikostratifizierung von FIGO II B Zervixkarzinomen mittels ontogenetischem Tumorstaging. Geburtshilfe Frauenheilkd 2017. [DOI: 10.1055/s-0037-1601503] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
Affiliation(s)
- B Wolf
- Universitätsklinikum Leipzig, Klinik und Poliklinik für Gynäkologie
| | - LC Horn
- Institut für Pathologie, Universität Leipzig
| | - M Höckel
- Universitätsklinikum Leipzig, Klinik und Poliklinik für Gynäkologie
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Wolf B, Ganzer R, Stolzenburg JU, Hentschel B, Horn LC, Höckel M. Die erweiterte mesometriale Resektion (EMMR): ein operatives Verfahren zur Behandlung des lokal fortgeschrittenen Zervixkarzinoms. Geburtshilfe Frauenheilkd 2017. [DOI: 10.1055/s-0037-1601501] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
Affiliation(s)
- B Wolf
- Universitätsklinikum Leipzig, Klinik und Poliklinik für Gynäkologie
| | - R Ganzer
- Universitätsklinikum Leipzig, Klinik und Poliklinik für Urologie
| | - JU Stolzenburg
- Universitätsklinikum Leipzig, Klinik und Poliklinik für Urologie
| | - B Hentschel
- Institut für Statistik und medizinische Epidemiologie (IMISE), Universität Leipzig
| | - LC Horn
- Institut für Pathologie, Universität Leipzig
| | - M Höckel
- Universitätsklinikum Leipzig, Klinik und Poliklinik für Gynäkologie
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Ossada V, Horn LC, Dornhöfer N, Stepan H. Uterusruptur in der 25. SSW bei Plazenta praevia et increta und Z.n. Adenokarzinom der Cervix uteri. Geburtshilfe Frauenheilkd 2017. [DOI: 10.1055/s-0037-1601520] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
Affiliation(s)
- V Ossada
- Abteilung für Geburtsmedizin, Universitätsklinikum Leipzig, Leipzig
| | - LC Horn
- Institut für Pathologie, Universitätsklinikum Leipzig AöR, Leipzig
| | - N Dornhöfer
- Abteilung Klinik für Gynäkologie, Universitätsfrauenklinik Leipzig, Leipzig
| | - H Stepan
- Abteilung für Geburtsmedizin, Universitätsklinikum Leipzig, Leipzig
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Schnürch HG, Ackermann S, Alt CD, Barinoff J, Böing C, Dannecker C, Gieseking F, Günthert A, Hantschmann P, Horn LC, Kürzl R, Mallmann P, Marnitz S, Mehlhorn G, Hack CC, Koch MC, Torsten U, Weikel W, Wölber L, Hampl M. Diagnosis, Therapy and Follow-up Care of Vulvar Cancer and its Precursors. Guideline of the DGGG and DKG (S2k-Level, AWMF Registry Number 015/059, November 2015. Geburtshilfe Frauenheilkd 2016; 76:1035-1049. [PMID: 27765958 DOI: 10.1055/s-0042-103728] [Citation(s) in RCA: 35] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022] Open
Abstract
Purpose: This is an official guideline, published and coordinated by the Arbeitsgemeinschaft Gynäkologische Onkologie (AGO, Study Group for Gynecologic Oncology) of the Deutsche Krebsgesellschaft (DKG, German Cancer Society) and the Deutsche Gesellschaft für Gynäkologie und Geburtshilfe (DGGG, German Society for Gynecology and Obstetrics). The number of cases with vulvar cancer is on the rise, but because of the former rarity of this condition and the resulting lack of literature with a high level of evidence, in many areas knowledge of the optimal clinical management still lags behind what would be required. This updated guideline aims to disseminate the most recent recommendations, which are much clearer and more individualized, and is intended to create a basis for the assessment and improvement of quality care in hospitals. Methods: This S2k guideline was drafted by members of the AGO Committee on Vulvar and Vaginal Tumors; it was developed and formally completed in accordance with the structured consensus process of the Association of Scientific Medical Societies in Germany (Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften, AWMF). Recommendations: 1. The incidence of disease must be taken into consideration. 2. The diagnostic pathway, which is determined by the initial findings, must be followed. 3. The clinical and therapeutic management of vulvar cancer must be done on an individual basis and depends on the stage of disease. 4. The indications for sentinel lymph node biopsy must be evaluated very carefully. 5. Follow-up and treatment for recurrence must be adapted to the individual case.
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Affiliation(s)
| | | | - C D Alt
- Institut für Diagnostische und Interventionelle Radiologie, Universität Düsseldorf, Düsseldorf
| | - J Barinoff
- Klinik für Gynäkologie und Geburtshilfe, Markus Krankenhaus, Frankfurt am Main
| | - C Böing
- Katholisches Klinikum Oberhausen, Frauenklinik St. Clemens-Hospital, Oberhausen
| | - C Dannecker
- Klinik und Poliklinik für Frauenheilkunde und Geburtshilfe der Universität München, Campus Großhadern, München, Munich
| | - F Gieseking
- Dysplasiezentrum in der Frauenarztpraxis Heussweg, Hamburg
| | - A Günthert
- Frauenklinik Luzerner Kantonsspital, Lucerne, Switzerland
| | - P Hantschmann
- Abteilung Gynäkologie und Geburtshilfe, Kreiskliniken Altötting - Burghausen, Altötting
| | - L C Horn
- Institut für Pathologie des Universitätsklinikums Leipzig, Leipzig
| | - R Kürzl
- ehem. Universitätsfrauenklinik Maistraße, Munich
| | - P Mallmann
- Klinik und Poliklinik für Frauenheilkunde und Geburtshilfe der Universität Köln, Cologne
| | - S Marnitz
- Klinik und Poliklinik für Radioonkologie und Strahlentherapie der Universität Köln, Cologne
| | - G Mehlhorn
- Universitätsfrauenklinik Erlangen, Erlangen
| | - C C Hack
- Universitätsfrauenklinik Erlangen, Erlangen
| | - M C Koch
- Universitätsfrauenklinik Erlangen, Erlangen
| | - U Torsten
- Klinik für Gynäkologie und Zentrum für Beckenbodenerkrankungen, Vivantes Klinikum Neukölln, Berlin
| | - W Weikel
- Klinik für Gynäkologie und gynäkologische Onkologie, Universitätsfrauenklinik Mainz, Mainz
| | - L Wölber
- Klinik und Poliklinik für Gynäkologie, Universitätsklinikum Hamburg-Eppendorf, Hamburg
| | - M Hampl
- Klinik für Frauenheilkunde und Geburtshilfe des Universitätsklinikums Düsseldorf, Düsseldorf
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Horn LC, Taubenheim S, Sändig I, Ossada V, Kant J, Briest S. Metastasen extramammärer Karzinome in der Brust – eine Fallserie. Geburtshilfe Frauenheilkd 2016. [DOI: 10.1055/s-0036-1583579] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
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Kant J, Briest S, Hagert-Winkler A, Monecke A, Horn LC. Postradiogenes Angiosarkom nach brusterhaltender Therapie – ein Fallbericht. Geburtshilfe Frauenheilkd 2016. [DOI: 10.1055/s-0036-1583580] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
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Neis KJ, Zubke W, Römer T, Schwerdtfeger K, Schollmeyer T, Rimbach S, Holthaus B, Solomayer E, Bojahr B, Neis F, Reisenauer C, Gabriel B, Dieterich H, Runnenbaum IB, Kleine W, Strauss A, Menton M, Mylonas I, David M, Horn LC, Schmidt D, Gaß P, Teichmann AT, Brandner P, Stummvoll W, Kuhn A, Müller M, Fehr M, Tamussino K. Indications and Route of Hysterectomy for Benign Diseases. Guideline of the DGGG, OEGGG and SGGG (S3 Level, AWMF Registry No. 015/070, April 2015). Geburtshilfe Frauenheilkd 2016; 76:350-364. [PMID: 27667852 PMCID: PMC5031283 DOI: 10.1055/s-0042-104288] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023] Open
Abstract
Background: Official guideline "indications and methods of hysterectomy" to assign indications for the different methods published and coordinated by the German Society of Gynecology and Obstetrics (DGGG), the Austrian Society of Gynecology and Obstetrics (OEGGG) and the Swiss Society of Gynecology and Obstetrics (SGGG). Besides vaginal and abdominal hysterectomy, three additional techniques have been implemented due to the introduction of laparoscopy. Organ-sparing alternatives were also integrated. Methods: The guideline group consisted of 26 experts from Germany, Austria and Switzerland. Recommendations were developed using a structured consensus process and independent moderation. A systematic literature search and quality appraisal of benefits and harms of the therapeutic alternatives for symptomatic fibroids, dysfunctional bleeding and adenomyosis was done through MEDLINE up to 6/2014 focusing on systematic reviews and meta-analysis. Results: All types of hysterectomy led in studies to high rates of patient satisfaction. If possible, vaginal instead of abdominal hysterectomy should preferably be done. If a vaginal hysterectomy is not feasible, the possibility of a laparoscopic hysterectomy should be considered. An abdominal hysterectomy should only be done with a special indication. Organ-sparing interventions also led to high patient satisfaction rates, but contain the risk of symptom recurrence. Conclusion: As an aim, patients should be enabled to choose that therapeutic intervention for their benign disease of the uterus that convenes best to them and their personal life situation.
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Affiliation(s)
- K. J. Neis
- Klinik für Frauenheilkunde, Geburtshilfe und Reproduktionsmedizin der Universitätsklinik des Saarlandes
| | - W. Zubke
- Frauenklinik des Universitätsklinikum Tübingen
| | - T. Römer
- Evangelisches Krankenhaus Köln-Weyertal
| | | | - T. Schollmeyer
- Klinik für Gynäkologie und Geburtshilfe Universitätsklinikum Schleswig-Holstein
| | - S. Rimbach
- Klinik für Gynäkologie und Geburtshilfe Krankenhaus Agatharied GmbH
| | - B. Holthaus
- Klinik für Frauenheilkunde und Geburtshilfe St. Elisabeth Krankenhaus Damme
| | - E. Solomayer
- Klinik für Frauenheilkunde, Geburtshilfe und Reproduktionsmedizin der Universitätsklinik des Saarlandes
| | - B. Bojahr
- Klinik für MIC Minimal Invasive Chirurgie am Ev. Krankenhaus Hubertus in Berlin
| | - F. Neis
- Frauenklinik des Universitätsklinikum Tübingen
| | | | - B. Gabriel
- Klinik für Gynäkologie und Geburtshilfe St. Josefs-Hospital Wiesbaden
| | | | - I. B. Runnenbaum
- Universitätsklinikum Jena Klinik für Frauenheilkunde und Geburtshilfe
| | - W. Kleine
- Universitätsklinikum Mannheim Klink für Frauenheilkunde und Geburtshilfe
| | - A. Strauss
- Klinik für Gynäkologie und Geburtshilfe Christian-Albrechts-Universität zu Kiel
| | | | - I. Mylonas
- Klinik und Poliklinik für Frauenheilkunde und Geburtshilfe Klinikum der Universität München
| | - M. David
- Campus Virchow-Klinikum Charité Klinik für Gynäkologie
| | - L-C. Horn
- Institut für Pathologie Universitätsklinikum Leipzig
| | | | - P. Gaß
- Universitätsklinikum Erlangen Frauenklinik
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Meißner J, Scherlinh R, Einenkel J, Höhn AK, Horn LC. Intratumoral Heterogeneity in high grade serous pelvic cancer: Comparing pelvic and omental tumor and lymph node metastases. Geburtshilfe Frauenheilkd 2015. [DOI: 10.1055/s-0035-1551620] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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Haag EM, Taubnheim S, Gläser A, Höhn AK, Horn LC. Vaginal carcinoma – an epidemiological analysis of the cases diagnosed at Leipzig City and North Saxony. Geburtshilfe Frauenheilkd 2015. [DOI: 10.1055/s-0035-1551640] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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Wünsch G, Horn LC, Teichmann G. Peritoneale Leiomyomatose – ein Fallbericht. Geburtshilfe Frauenheilkd 2015. [DOI: 10.1055/s-0035-1551627] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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Horn LC, Angermann K, Hentschel B, Einenkel J, Höhn AK. Frequency of adenoma-to-carcinoma-sequence in borderline ovarian tumors (BOT): A systematic analysis of BOT with different histologic subtypes. Geburtshilfe Frauenheilkd 2015. [DOI: 10.1055/s-0035-1551616] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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Haag EM, Höckel M, Höhn AK, Horn LC. Clinicopathologic analysis and p16 expression in surgically treated primary vaginal carcinoma. Geburtshilfe Frauenheilkd 2015. [DOI: 10.1055/s-0035-1551638] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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Horn LC, Ried K, Dornhöfer N, Siebolts U, Höhn AK. Ichthyosis uteri associated with high grade cervical intraepithelial neoplasia (CIN 3) and intrauterine device (IUD) – a rare cause of recurrent abnormal PAP smear. Geburtshilfe Frauenheilkd 2015. [DOI: 10.1055/s-0035-1551617] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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Höhn AK, Teichmann G, Robel R, Karbe I, Horn LC. Metastases to the Fallopian Tube Mucosal Involvement by Uterine Carcinomas – a rare metastatic pattern of Adnexal Involvement. Geburtshilfe Frauenheilkd 2015. [DOI: 10.1055/s-0035-1551615] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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Schaarschmidt W, Handzel R, Horn LC, Einenkel J. Maligne Keimzelltumoren als diagnostische Herausforderung. Geburtshilfe Frauenheilkd 2014. [DOI: 10.1055/s-0034-1388506] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
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Eckey C, Höhn AK, Höckel M, Scherling R, Hentschel B, Horn LC. Epithelial-mesenchymal transition (EMT) in vulvar cancer with and without inguinal lymph node metastases. Geburtshilfe Frauenheilkd 2014. [DOI: 10.1055/s-0034-1376494] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
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Hübner J, Horn LC, Teichmann G. Das Angiomyolipom des Uterus als seltene Differentialdiagnose eines Uterus myomatosus. Geburtshilfe Frauenheilkd 2014. [DOI: 10.1055/s-0034-1376496] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
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Horn LC, Bauerfeind UK, Handzel R, Einenkel J, Karbe I. Vulvo-vaginal intestinal/enteric heterotopia – report of two cases. Geburtshilfe Frauenheilkd 2014. [DOI: 10.1055/s-0034-1376470] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
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Horn LC, Göpel C, Handzel R, Einenkel J. Ovarian hemangiomas with associated hilus cell hyperplasia. Geburtshilfe Frauenheilkd 2014. [DOI: 10.1055/s-0034-1376471] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
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Hahnová P, Zahradníková L, Horn LC, Teichmann G. Tumorförmige abdominale Aktinomykose – Wichtige Differenzialdiagnose eines malignen Tumors. Geburtshilfe Frauenheilkd 2014. [DOI: 10.1055/s-0034-1376461] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
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Stephan A, Spitzer C, Horn LC, Teichmann G. Fournier-Gangrän der Frau - Kasuistik, Differentialdiagnostik und Therapie. Geburtshilfe Frauenheilkd 2013. [DOI: 10.1055/s-0033-1343523] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
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Thörmer G, Otto J, Schröder C, Garnov N, Reiss-Zimmermann M, Horn LC, Do M, Stolzenburg JU, Moche M, Kahn T, Busse H. Wertigkeit der diffusionsgewichteten und spektroskopischen MR-Bildgebung für eine Vorhersage der Tumoraggressivität beim Prostatakarzinom. ROFO-FORTSCHR RONTG 2012. [DOI: 10.1055/s-0032-1311251] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Gawlitza M, Horn LC, Einenkel J, Bornmann K, Kahn T, Borte G. MRT-Diagnostik gynäkologischer Tumoren in Korrelation zu Makropathologie und Histologie. ROFO-FORTSCHR RONTG 2012. [DOI: 10.1055/s-0032-1311500] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Meinel A, Fischer U, Bilek K, Hentschel B, Horn LC. Perineuralscheideninfiltration beim Zervixkarzinom – prognostische Bedeutung. Geburtshilfe Frauenheilkd 2011. [DOI: 10.1055/s-0031-1286474] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022] Open
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Leonhardt K, Einenkel J, Engeland K, Soor C, Horn LC. Seröses carcinoma in situ und p53-Signatur beim primären Tubenkarzinom und primären Peritonealkarzinom. Geburtshilfe Frauenheilkd 2011. [DOI: 10.1055/s-0031-1286472] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022] Open
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Horn LC. Trophoblasttumorregister der Arbeitsgemeinschaft für Gynäkologische Onkologie (AGO) – erste Ergebnisse:. Geburtshilfe Frauenheilkd 2011. [DOI: 10.1055/s-0031-1286470] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022] Open
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Schreiter C, Canzler A, Leonhardt K, Einenkel J, Hentschel B, Horn LC. Expressionsmuster von CD 34 und glattmuskulärem Aktin (SMA) als Indikatoren für das peritumorale Stromaremodelling beim Zervixkarzinom. Geburtshilfe Frauenheilkd 2011. [DOI: 10.1055/s-0031-1286465] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022] Open
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Leo C, Kohl A, Sohr S, Fink D, Horn LC. CSRP2– ein „hypoxie-fixiertes“ Gen – ist im Zervixkarzinom exprimiert. Geburtshilfe Frauenheilkd 2011. [DOI: 10.1055/s-0031-1286473] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022] Open
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Tchernev G, Nenoff P, Patterson JW, Horn LC. Sarcoidosis and sarcoid-like pathologies of the skin: result of a common pathological (immunodeficiency) process? - Authors’ reply to the comment of Dr Luis Ignacio Gonzalez-Granado. J Eur Acad Dermatol Venereol 2010. [DOI: 10.1111/j.1468-3083.2009.03502.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Tchernev G, Patterson JW, Nenoff P, Horn LC. Sarcoidosis of the skin â A dermatological puzzle: important differential diagnostic aspects and guidelines for clinical and histopathological recognition. J Eur Acad Dermatol Venereol 2010; 24:125-37. [DOI: 10.1111/j.1468-3083.2009.03396.x] [Citation(s) in RCA: 37] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Horn LC, Meinel A, Hentschel B, Leo C, Höckel M. sFTL-1 (soluble fms-like tyrosine kinase 1), intratumoral microvessel density and oxygenation in carcinoma of the uterine cervix. Geburtshilfe Frauenheilkd 2009. [DOI: 10.1055/s-0029-1238968] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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Horn LC, Unversucht A, Hentschel B, Einenkel J. Ovarialkarzinome mit Darminfiltration und Ausbreitung wie Kolonkarzinome – Konsequenzen für die chirurgische Therapie. Geburtshilfe Frauenheilkd 2009. [DOI: 10.1055/s-0029-1238969] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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Horn LC, Purz S, Einenkel J. Primary papillary carcinoma of the peritoneum: analysis of putative target molecules (COX-2, HER-2/neu Steroid -hormone receptors). Geburtshilfe Frauenheilkd 2009. [DOI: 10.1055/s-0029-1238970] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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Leo C, Horn LC, Koschke C, Böhlig L, Engeland K, Fink D, Höckel M. Der Einfluss wiederholter Hypoxie/Reoxygenierungs-Zyklen auf die Genexpression in Zervixkarzinomzellen. Geburtshilfe Frauenheilkd 2009. [DOI: 10.1055/s-0029-1238986] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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Klostermann K, Fahr K, Kühndel K, Horn LC. Befunde der Zervixzytologie bei jungen Patientinnen (≤21 Jahre) in einer Dysplasiesprechstunde – Konsequenzen für das Screening? Geburtshilfe Frauenheilkd 2009. [DOI: 10.1055/s-0029-1238979] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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Neuhaus J, Scholler U, Freick K, Schwalenberg T, Heinrich M, Horn LC, Stolzenburg JU. [Myofibroblasts and afferent signalling in the urinary bladder. A concept]. Urologe A 2008; 47:1085-6, 1088-90. [PMID: 18679652 DOI: 10.1007/s00120-008-1817-z] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Afferent signal transduction in the urinary bladder is still not clearly understood. An increasing body of evidence supports the view of complex interactions between urothelium, suburothelial myofibroblasts, and sensory nerves. Bladder tissue from tumour patients was used in this study. Methods included confocal immunofluorescence, polymerase chain reaction, calcium imaging, and fluorescence recovery after photobleaching (FRAP).Myofibroblasts express muscarinic and purinergic receptors. They show constitutive spontaneous activity in calcium imaging, which completely depends on extracellular calcium. Stimulation with carbachol and ATP-evoked intracellular calcium transients also depend on extracellular calcium. The intensive coupling between the cells is significantly diminished by incubation with TGF-beta 1. Myofibroblasts form an important cellular element within the afferent signalling of the urinary bladder. They possess all features required to take part in the complex interactions with urothelial cells and sensory nerves. Modulation of their function by cytokines may provide a pathomechanism for bladder dysfunction.
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Affiliation(s)
- J Neuhaus
- Klinik und Poliklinik für Urologie, Universitätsklinikum Leipzig AöR, Leipzig, Deutschland.
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Einenkel J, Braumann UD, Pannicke N, Höckel M, Horn LC. Expression of HGF-a, c-met and E-cadherin in carcinoma of the cervix uteri and correlation to different patterns of invasion. Geburtshilfe Frauenheilkd 2008. [DOI: 10.1055/s-0028-1089011] [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: 10/18/2022] Open
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