1
|
Enciu M, Baltatescu GI, Cojocaru O, Burlacu I, Cristurean VC, Mocanu L, Ghitoi SA, Dinu A, Nicolau AA. Umbilical Cord Teratoma - A Short Case Report. Fetal Pediatr Pathol 2022; 42:450-455. [PMID: 36218240 DOI: 10.1080/15513815.2022.2130734] [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] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Background: Teratomas can occur in the umbilical cord, and may or may not be associated with other congenital abnormalities. Case report: This 35-year-old primigravida gave birth 37-38 weeks to a 3290-g normal female. The umbilical cord, at 10 cm from the abdominal insertion, had an 8 cm mature teratoma. Work-up revealed no other abnormalities. Discussion: Mature teratomas may occur in the umbilical cord, and may or may not have additional clinical sequalae.
Collapse
Affiliation(s)
- Manuela Enciu
- Clinical Service of Pathology, Constanta "St. Andrew" Clinical Emergency County Hospital, Constanta, Romania.,Faculty of Medicine, "Ovidius" University, Constanta, Constanta, Romania.,Academy of Medical Sciences, Bucharest, Romania
| | - Gabriela Izabela Baltatescu
- Clinical Service of Pathology, Constanta "St. Andrew" Clinical Emergency County Hospital, Constanta, Romania.,Academy of Medical Sciences, Bucharest, Romania.,Center for Research and Development for Morphologic and Genetic Studies of Malignant Pathology - CEDMOG, "Ovidius" University Constanta, Constanta, Romania
| | - Oana Cojocaru
- Clinical Service of Pathology, Constanta "St. Andrew" Clinical Emergency County Hospital, Constanta, Romania.,Faculty of Medicine, "Ovidius" University, Constanta, Constanta, Romania.,Academy of Medical Sciences, Bucharest, Romania
| | - Ionut Burlacu
- Clinical Service of Pathology, Constanta "St. Andrew" Clinical Emergency County Hospital, Constanta, Romania.,Academy of Medical Sciences, Bucharest, Romania
| | - Viorel Constantin Cristurean
- Clinical Service of Pathology, Constanta "St. Andrew" Clinical Emergency County Hospital, Constanta, Romania.,Obstetrics - Gynecology Department, Constanta "St. Andrew" Clinical Emergency County Hospital, Constanta, Romania
| | - Liliana Mocanu
- Clinical Service of Pathology, Constanta "St. Andrew" Clinical Emergency County Hospital, Constanta, Romania
| | - Sinziana-Andra Ghitoi
- Clinical Service of Pathology, Constanta "St. Andrew" Clinical Emergency County Hospital, Constanta, Romania.,Academy of Medical Sciences, Bucharest, Romania
| | - Alexandra Dinu
- Clinical Service of Pathology, Constanta "St. Andrew" Clinical Emergency County Hospital, Constanta, Romania.,Academy of Medical Sciences, Bucharest, Romania
| | - Antonela-Anca Nicolau
- Clinical Service of Pathology, Constanta "St. Andrew" Clinical Emergency County Hospital, Constanta, Romania.,Academy of Medical Sciences, Bucharest, Romania.,Center for Research and Development for Morphologic and Genetic Studies of Malignant Pathology - CEDMOG, "Ovidius" University Constanta, Constanta, Romania
| |
Collapse
|
2
|
Nicola MG, Mocanu L, Morosanu AE, Berbece S, Stoica LE. The Immunohistochemical Expression of Bcl2, Ki 67and CD3 correlated with the Basal Cell Carcinoma Histological Features - a study on 10 cases. Rev Chim 2020. [DOI: 10.37358/rc.20.1.7841] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
The basal cell carcinoma represents a worldwide major health problem due to incidence, functional and aesthetical defects which accompanies the disease and its treatment and high recurrency risk.The various morphoclinical forms of the basal cell carcinoma may be explained due to at least three factors: genetical predisposal, the individual immunological status and the action of the risk factors. In the case in which the histological aspects do present some modifications which cannot be catalogued in the usual patterns, therefore inseriated sections of the hole tumor being imposed, in order to establish correctly the diagnosis and in the case in which microscopical criteria are partially overposable with those specific to another lesion, the immunohistochemical evaluation is imposed.The immunohistochemical studies are also used in research, thus revealing some biological aspects of the basal cell carcinoma. The study of the biological markers of the apoptosis, cellullarproliferation and the immunitary system reaction allows the understanding of the morphofunctional anomalies during the neoplastic transformation process and the early identification of the aggressive forms.
Collapse
|
3
|
Grădinaru S, Stoicea MC, Mocanu L, Antoniac I, Gheorghiță D, Grigore AGM. Rare Breast Carcinoma with Paradoxical Plasma Cell Immunoprofile: A Case Report. ACTA ACUST UNITED AC 2020; 56:medicina56020062. [PMID: 32033289 PMCID: PMC7074448 DOI: 10.3390/medicina56020062] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2019] [Revised: 01/17/2020] [Accepted: 01/29/2020] [Indexed: 11/17/2022]
Abstract
Plasma cell features are encountered in a variety of non-plasma cell neoplasias, especially carcinomas of a discohesive type, such as those occurring in the digestive tract and breast. Lobular carcinomas of the breast present themselves in a variety of architectural patterns and many cell morphologies, including plasmacytoid types. A matching plasma cell phenotype is sometimes an associated feature. We report a case of a moderate grade invasive lobular carcinoma with focal plasmacytoid morphology and aberrant expression of plasma cell markers in a patient previously diagnosed with multiple myeloma. Paradoxical plasma cell immunoprofiles can be encountered in many malignancies, causing serious diagnostic problems, even more so with those occurring in discohesive carcinomas in multiple myeloma patients.
Collapse
Affiliation(s)
- Sebastian Grădinaru
- IV Surgical Department, University Emergency Hospital, 050098 Bucharest, Romania;
- Department of Surgery, Faculty of Medicine, “Carol Davila” University of Medicine and Pharmacy, 050474 Bucharest, Romania
| | - Mihai-Ciprian Stoicea
- Department of Pathology, Regina Maria Central Laboratory, 060044 Bucharest, Romania; (M.-C.S.); (A.G.M.G.)
| | - Liliana Mocanu
- Department of Pathology, County Emergency Hospital, 900591 Constanța, Romania;
| | - Iulian Antoniac
- Faculty of Materials Science and Engineering, Politehnica University of Bucharest, 060042 Bucharest, Romania;
| | - Daniela Gheorghiță
- Faculty of Materials Science and Engineering, Politehnica University of Bucharest, 060042 Bucharest, Romania;
- Correspondence:
| | | |
Collapse
|
4
|
Tomescu A, Mocanu L, Brezeanu D, Stanciu G, Sirbu R, Tomescu C. Dysgerminoma - A Case Presentation. Rev Chim 2019. [DOI: 10.37358/rc.19.5.7203] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Dysgerminomas are a type of ovarian tumour which are developed from the germinal tissue and have a frequency of approximately 2% of all ovarian cancers. We report a case of a 40 years old female, which was admitted with abdominal pain and pollakiuria installed approximately 2 months ago. The particularity of the case lies in the late onset of the disease, compared to epidemiologic data, as well as in the immunohistochemical reactions, especially the negative PLAP reaction and positive CD30 reaction.
Collapse
|
5
|
Tica I, Niculescu C, Mocanu L, Iliescu MG, Tica VI, Niculescu Z. Nodular subcutaneous lesion - an alarming sign for an upcoming pancreatic disorder. Rom J Morphol Embryol 2019; 60:1343-1347. [PMID: 32239115] [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: 06/11/2023]
Abstract
Pancreatic panniculitis represents a rare dermatological manifestation mainly due to a pancreatic disorder, but other etiologies are possible. Even rarer, it can occur prior to the clinical signs of the underlying disease, and its presence must orientate the investigations especially towards pancreas, liver and neuroendocrine system. We report a rare case of a 47-year-old male patient who presented to the Emergency Unit complaining about a two weeks-long-persistent pain in the upper abdomen and biliary vomiting. The medical history included alcohol abuse. Several days prior to the onset of these symptoms, the patient has noticed the occurrence of a nodular inflammatory lesion of 5∕3 cm on the right calf (this makes the case even rarer). Based on clinical aspect and high levels of pancreatic enzymes, acute pancreatitis was diagnosed. Contrast-enhanced abdominal computed tomography (CT) revealed a cystic pancreatic mass and dilated intrahepatic biliary ducts. Abdominal magnetic resonance imaging (MRI) revealed a cystic tumor of the pancreatic head and thrombosis of the portal vein, which increased the suspicion of pancreatic adenocarcinoma. Biopsy was performed from the calf nodular lesion, with the diagnosis of panniculitis. This case, besides its rarity, supports the clinical important value of a pancreatic workup in case of histologically proved panniculitis, even without pancreatic related symptoms.
Collapse
Affiliation(s)
- Irina Tica
- Department of Surgery, Faculty of Medicine, "Ovidius" University of Constanţa; Ist Department of Obstetrics and Gynecology, Emergency County Hospital, Constanţa, Romania;
| | | | | | | | | | | |
Collapse
|
6
|
Balasa D, Carp O, Mocanu L, Butoi G, Taran V. Giant posterior fossa mature teratoma with adjacent subacute haematoma, compressive on the brainstem, with acute hydrocephalus. Case report. Romanian Neurosurgery 2016. [DOI: 10.1515/romneu-2016-0052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Abstract
Mature teratoma of the vermis is a rare entity in neurosurgical adulthood pathology. We present the case of a 65 years old patient, admited as an emergency for intense headache (VAS 8/10), nausea, vomiting, gait ataxia, orizontal nistagmus, dismetria, disdiadocokinezia, predominant on the left side, long tracts signs, predominant on the left side. Native and contrast CT and MRI scan of the head revealed a tumoral lesion, in the vermian, paravermian and in the fourth ventricle, with the aspect of a teratoma with intratumoral subacute haemorrhage including a giant lesion 5,5/5/4,5 cm, compressive on mesencephalon, and with suprajacent acute internal hidrocephalus. Emergency neurosurgery was performed (occipital infratentorial craniectomy, microneurosurgical total tumoral resection and haematoma evacuation). Postoperative, the patient recovered progressivelly , subtotal neo and arhicerebellar symptoms. The motor long tract signs recovered slower and persisted incomplete.
Collapse
|
7
|
Niculescu Z, Ulmeanu V, Ghinea MM, Mocanu L, Niculescu C, Grigorian M. Gallbladder carcinoma - a rare cause of pyloric-duodenal stenosis. Rom J Morphol Embryol 2016; 57:1165-1170. [PMID: 28002540] [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: 06/06/2023]
Abstract
Pyloric duodenal stenosis is usually caused by pyloric, juxtapyloric or duodenal ulcer, or by postbulbar ulcer. Gallbladder cancer (GBC), duodenal diverticula, annular pancreas and superior mesenteric artery syndrome (Wilkie's syndrome) are rare causes of pyloric duodenal stenosis. The case of a 66-year-old female patient is presented. The patient was admitted to hospital presenting anorexia, repeated alimentary vomiting, epigastric pain, and weight loss. Objective clinical examination upon admission: clapotage à jeun is present, triggered by tapping the epigastric region. Laboratory tests reveal moderate anemia, hypokalemic alkalosis, increased levels of cholestatic enzymes and of tumor markers. Gastroendoscopy: Stomach presenting stasis fluid in large quantity. Deformed antropyloric region caused by extrinsic compression. Abdominal native magnetic resonance imaging (MRI) and with contrast medium: cholecyst lumen entirely obstructed with calculi; thickened wall, with heterogeneous gadolinophilia; gadolinophilic mass erasing the bordering limit in relation to the cholecyst wall and the colon hepatic angle, and leaving a print on the pyloric region. During surgery, upon opening the peritoneal cavity, a tumoral pericholecystic block was observed, including the pyloric-duodenal region and the transverse mesocolon. Histopathology tests of tissue samples showed adipose conjunctive tissue with invasive adenocarcinoma. Immunohistochemical tests [cytokeratin (CK) 7, CK17, CK19, CK20, CDX2, mucin (MUC) 1, MUC2, MUC5AC, MUC6, epithelial membrane antigen (EMA) and carcinoembryonic antigen (CEA)] were consistent with infiltrating neoplastic carcinoma, originating in the gallbladder epithelium. Gastrointestinal obstruction cases caused by gallbladder carcinoma are rare. The pyloric-duodenal region is more frequently affected, as compared to the small intestine or the colon.
Collapse
Affiliation(s)
- Zizi Niculescu
- Department of Internal Medicine, Faculty of Dental Medicine, "Ovidius" University of Constanta, Romania;
| | | | | | | | | | | |
Collapse
|
8
|
Story KT, Hanson D, Ade PAR, Aird KA, Austermann JE, J. A. Beall, Bender AN, Benson BA, Bleem LE, Carlstrom JE, Chang CL, Chiang HC, Cho HM, Citron R, Crawford TM, Crites AT, Haan TD, Dobbs MA, Everett W, Gallicchio J, Gao J, George EM, Gilbert A, Halverson NW, Harrington N, Henning JW, Hilton GC, Holder GP, Holzapfel WL, Hoover S, Hou Z, Hrubes JD, Huang N, Hubmayr J, Irwin KD, Keisler R, Knox L, Lee AT, Leitch EM, Li D, Liang C, Luong-Van D, McMahon JJ, Mehl J, Meyer SS, Mocanu L, Montroy TE, Natoli T, Nibarger JP, Novosad V, Padin S, Pryke C, Reichardt CL, Ruhl JE, Saliwanchik BR, Sayre JT, Schaffer KK, Smecher G, Stark AA, Tucker C, Vanderlinde K, Vieira JD, Wang G, Whitehorn N, Yefremenko V, Zahn O. A MEASUREMENT OF THE COSMIC MICROWAVE BACKGROUND GRAVITATIONAL LENSING POTENTIAL FROM 100 SQUARE DEGREES OF SPTPOL DATA. ACTA ACUST UNITED AC 2015. [DOI: 10.1088/0004-637x/810/1/50] [Citation(s) in RCA: 82] [Impact Index Per Article: 9.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
|
9
|
Keisler R, Hoover S, Harrington N, Henning JW, Ade PAR, Aird KA, Austermann JE, Beall JA, Bender AN, Benson BA, Bleem LE, Carlstrom JE, Chang CL, Chiang HC, Cho HM, Citron R, Crawford TM, Crites AT, de Haan T, Dobbs MA, Everett W, Gallicchio J, Gao J, George EM, Gilbert A, Halverson NW, Hanson D, Hilton GC, Holder GP, Holzapfel WL, Hou Z, Hrubes JD, Huang N, Hubmayr J, Irwin KD, Knox L, Lee AT, Leitch EM, Li D, Luong-Van D, Marrone DP, McMahon JJ, Mehl J, Meyer SS, Mocanu L, Natoli T, Nibarger JP, Novosad V, Padin S, Pryke C, Reichardt CL, Ruhl JE, Saliwanchik BR, Sayre JT, Schaffer KK, Shirokoff E, Smecher G, Stark AA, Story KT, Tucker C, Vanderlinde K, Vieira JD, Wang G, Whitehorn N, Yefremenko V, Zahn O. MEASUREMENTS OF SUB-DEGREEB-MODE POLARIZATION IN THE COSMIC MICROWAVE BACKGROUND FROM 100 SQUARE DEGREES OF SPTPOL DATA. ACTA ACUST UNITED AC 2015. [DOI: 10.1088/0004-637x/807/2/151] [Citation(s) in RCA: 111] [Impact Index Per Article: 12.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
|
10
|
Crites AT, Henning JW, Ade PAR, Aird KA, Austermann JE, Beall JA, Bender AN, Benson BA, Bleem LE, Carlstrom JE, Chang CL, Chiang HC, Cho HM, Citron R, Crawford TM, Haan TD, Dobbs MA, Everett W, Gallicchio J, Gao J, George EM, Gilbert A, Halverson NW, Hanson D, Harrington N, Hilton GC, Holder GP, Holzapfel WL, Hoover S, Hou Z, Hrubes JD, Huang N, Hubmayr J, Irwin KD, Keisler R, Knox L, Lee AT, Leitch EM, Li D, Liang C, Luong-Van D, McMahon JJ, Mehl J, Meyer SS, Mocanu L, Montroy TE, Natoli T, Nibarger JP, Novosad V, Padin S, Pryke C, Reichardt CL, Ruhl JE, Saliwanchik BR, Sayre JT, Schaffer KK, Smecher G, Stark AA, Story KT, Tucker C, Vanderlinde K, Vieira JD, Wang G, Whitehorn N, Yefremenko V, Zahn O. MEASUREMENTS OF E-MODE POLARIZATION AND TEMPERATURE-E-MODE CORRELATION IN THE COSMIC MICROWAVE BACKGROUND FROM 100 SQUARE DEGREES OF SPTPOL DATA. ACTA ACUST UNITED AC 2015. [DOI: 10.1088/0004-637x/805/1/36] [Citation(s) in RCA: 46] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
|
11
|
Bocquet S, Saro A, Mohr JJ, Aird KA, Ashby MLN, Bautz M, Bayliss M, Bazin G, Benson BA, Bleem LE, Brodwin M, Carlstrom JE, Chang CL, Chiu I, Cho HM, Clocchiatti A, Crawford TM, Crites AT, Desai S, de Haan T, Dietrich JP, Dobbs MA, Foley RJ, Forman WR, Gangkofner D, George EM, Gladders MD, Gonzalez AH, Halverson NW, Hennig C, Hlavacek-Larrondo J, Holder GP, Holzapfel WL, Hrubes JD, Jones C, Keisler R, Knox L, Lee AT, Leitch EM, Liu J, Lueker M, Luong-Van D, Marrone DP, McDonald M, McMahon JJ, Meyer SS, Mocanu L, Murray SS, Padin S, Pryke C, Reichardt CL, Rest A, Ruel J, Ruhl JE, Saliwanchik BR, Sayre JT, Schaffer KK, Shirokoff E, Spieler HG, Stalder B, Stanford SA, Staniszewski Z, Stark AA, Story K, Stubbs CW, Vanderlinde K, Vieira JD, Vikhlinin A, Williamson R, Zahn O, Zenteno A. MASS CALIBRATION AND COSMOLOGICAL ANALYSIS OF THE SPT-SZ GALAXY CLUSTER SAMPLE USING VELOCITY DISPERSION σvAND X-RAYYXMEASUREMENTS. ACTA ACUST UNITED AC 2015. [DOI: 10.1088/0004-637x/799/2/214] [Citation(s) in RCA: 100] [Impact Index Per Article: 11.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
|
12
|
Bleem LE, Stalder B, de Haan T, Aird KA, Allen SW, Applegate DE, Ashby MLN, Bautz M, Bayliss M, Benson BA, Bocquet S, Brodwin M, Carlstrom JE, Chang CL, Chiu I, Cho HM, Clocchiatti A, Crawford TM, Crites AT, Desai S, Dietrich JP, Dobbs MA, Foley RJ, Forman WR, George EM, Gladders MD, Gonzalez AH, Halverson NW, Hennig C, Hoekstra H, Holder GP, Holzapfel WL, Hrubes JD, Jones C, Keisler R, Knox L, Lee AT, Leitch EM, Liu J, Lueker M, Luong-Van D, Mantz A, Marrone DP, McDonald M, McMahon JJ, Meyer SS, Mocanu L, Mohr JJ, Murray SS, Padin S, Pryke C, Reichardt CL, Rest A, Ruel J, Ruhl JE, Saliwanchik BR, Saro A, Sayre JT, Schaffer KK, Schrabback T, Shirokoff E, Song J, Spieler HG, Stanford SA, Staniszewski Z, Stark AA, Story KT, Stubbs CW, Vanderlinde K, Vieira JD, Vikhlinin A, Williamson R, Zahn O, Zenteno A. GALAXY CLUSTERS DISCOVERED VIA THE SUNYAEV-ZEL'DOVICH EFFECT IN THE 2500-SQUARE-DEGREE SPT-SZ SURVEY. ACTA ACUST UNITED AC 2015. [DOI: 10.1088/0067-0049/216/2/27] [Citation(s) in RCA: 410] [Impact Index Per Article: 45.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
|
13
|
Saliwanchik BR, Montroy TE, Aird KA, Bayliss M, Benson BA, Bleem LE, Bocquet S, Brodwin M, Carlstrom JE, Chang CL, Cho HM, Clocchiatti A, Crawford TM, Crites AT, de Haan T, Desai S, Dobbs MA, Dudley JP, Foley RJ, Forman WR, George EM, Gladders MD, Gonzalez AH, Halverson NW, Hlavacek-Larrondo J, Holder GP, Holzapfel WL, Hrubes JD, Jones C, Keisler R, Knox L, Lee AT, Leitch EM, Liu J, Lueker M, Luong-Van D, Mantz A, Marrone DP, McDonald M, McMahon JJ, Mehl J, Meyer SS, Mocanu L, Mohr JJ, Murray SS, Nurgaliev D, Padin S, Patej A, Pryke C, Reichardt CL, Rest A, Ruel J, Ruhl JE, Saro A, Sayre JT, Schaffer KK, Shirokoff E, Spieler HG, Stalder B, Stanford SA, Staniszewski Z, Stark AA, Story K, Stubbs CW, Vanderlinde K, Vieira JD, Vikhlinin A, Williamson R, Zahn O, Zenteno A. MEASUREMENT OF GALAXY CLUSTER INTEGRATED COMPTONIZATION AND MASS SCALING RELATIONS WITH THE SOUTH POLE TELESCOPE. ACTA ACUST UNITED AC 2015. [DOI: 10.1088/0004-637x/799/2/137] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
|
14
|
Tofolean DE, Mazilu L, Stăniceanu F, Mocanu L, Suceveanu AI, Baz RO, Parepa RI, Suceveanu AP, Bondari S, Bondari D, Voinea F. Clinical presentation of a patient with cutis laxa with systemic involvement: a case report. Rom J Morphol Embryol 2015; 56:1205-1210. [PMID: 26662161] [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: 06/05/2023]
Abstract
Cutis laxa (CL) or elastolysis is a rare inherited or acquired connective tissue disorder in which the skin becomes inelastic and hangs loosely in folds (Mitra et al., 2013). The clinical presentation and the type of inheritance show considerable heterogeneity (Shehzad et al., 2010). We aimed to present the atypical case of a young male patient diagnosed at 36-year-old with CL with systemic involvement. The complex medical history, with a suspected but unconfirmed progeria at nine months, repeated lung and urinary infections, complicated inguinoscrotal hernia, prostatic hypertrophy, bilateral entropion, colorectal diverticula and heart failure, suggested a systemic genetic disease, but the absence of family history made the diagnosis of CL difficult. The skin biopsy and the characteristic features discovered during anatomopathological exam made possible the positive and differential diagnosis, creating the link between the various organ involvement and CL diagnosis. Because of the age of our patient, of normal growth and mental development, and negative family history, we suspected an autosomal dominant form of CL with early onset and severe manifestation. Of course, we cannot exclude a recessive form, due to the heterogeneity of this disease.
Collapse
Affiliation(s)
- Doina Ecaterina Tofolean
- Department of Oncology, "St. Apostle Andrew" Clinical Emergency Hospital, "Ovidius" University, Constanta, Romania;
| | | | | | | | | | | | | | | | | | | | | |
Collapse
|
15
|
Cojocaru O, Aşchie M, Mocanu L, Bălţătescu GI. Laryngeal primary malignant melanoma: a case report. Rom J Morphol Embryol 2015; 56:1513-1516. [PMID: 26743302] [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: 06/05/2023]
Abstract
Malignant melanoma of the larynx is a rare cancer that can appear as a primary tumor or as a metastasis from a cutaneous head and neck primary lesion. We present a new case of primary laryngeal malignant melanoma diagnosed by histological examination of an excisional biopsy specimen. The patient was a 53-year-old man with a history of smoking and hoarseness but without any clinical evidence of other cutaneous malignant melanocytic lesions. Microscopically, the tumor consisted of polygonal-epithelioid cells admixed with more elongated, spindle-shaped cells. Some of the tumoral cells demonstrated dark brown cytoplasmic and nuclear melanin. Despite significant ulceration and disruption of the epithelium, in situ malignant melanocytes were recognized within the remaining epithelium. Immunohistochemical stains were strongly positive for S-100 protein, HMB-45 and Melan-A. On the other hand, cytokeratin stains were negative. Based on the clinical and histological findings, a diagnosis of primary malignant melanoma of the larynx was established.
Collapse
Affiliation(s)
- Oana Cojocaru
- Department of Pathology, Faculty of Medicine, "Ovidius" University, Clinical Service of Pathology, Emergency County Hospital, Constanta, Romania;
| | | | | | | |
Collapse
|
16
|
McDonald M, Benson BA, Vikhlinin A, Aird KA, Allen SW, Bautz M, Bayliss M, Bleem LE, Bocquet S, Brodwin M, Carlstrom JE, Chang CL, Cho HM, Clocchiatti A, Crawford TM, Crites AT, de Haan T, Dobbs MA, Foley RJ, Forman WR, George EM, Gladders MD, Gonzalez AH, Halverson NW, Hlavacek-Larrondo J, Holder GP, Holzapfel WL, Hrubes JD, Jones C, Keisler R, Knox L, Lee AT, Leitch EM, Liu J, Lueker M, Luong-Van D, Mantz A, Marrone DP, McMahon JJ, Meyer SS, Miller ED, Mocanu L, Mohr JJ, Murray SS, Padin S, Pryke C, Reichardt CL, Rest A, Ruhl JE, Saliwanchik BR, Saro A, Sayre JT, Schaffer KK, Shirokoff E, Spieler HG, Stalder B, Stanford SA, Staniszewski Z, Stark AA, Story KT, Stubbs CW, Vanderlinde K, Vieira JD, Williamson R, Zahn O, Zenteno A. THE REDSHIFT EVOLUTION OF THE MEAN TEMPERATURE, PRESSURE, AND ENTROPY PROFILES IN 80 SPT-SELECTED GALAXY CLUSTERS. ACTA ACUST UNITED AC 2014. [DOI: 10.1088/0004-637x/794/1/67] [Citation(s) in RCA: 73] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
|
17
|
Ruel J, Bazin G, Bayliss M, Brodwin M, Foley RJ, Stalder B, Aird KA, Armstrong R, Ashby MLN, Bautz M, Benson BA, Bleem LE, Bocquet S, Carlstrom JE, Chang CL, Chapman SC, Cho HM, Clocchiatti A, Crawford TM, Crites AT, de Haan T, Desai S, Dobbs MA, Dudley JP, Forman WR, George EM, Gladders MD, Gonzalez AH, Halverson NW, Harrington NL, High FW, Holder GP, Holzapfel WL, Hrubes JD, Jones C, Joy M, Keisler R, Knox L, Lee AT, Leitch EM, Liu J, Lueker M, Luong-Van D, Mantz A, Marrone DP, McDonald M, McMahon JJ, Mehl J, Meyer SS, Mocanu L, Mohr JJ, Montroy TE, Murray SS, Natoli T, Nurgaliev D, Padin S, Plagge T, Pryke C, Reichardt CL, Rest A, Ruhl JE, Saliwanchik BR, Saro A, Sayre JT, Schaffer KK, Shaw L, Shirokoff E, Song J, Šuhada R, Spieler HG, Stanford SA, Staniszewski Z, Starsk AA, Story K, Stubbs CW, van Engelen A, Vanderlinde K, Vieira JD, Vikhlinin A, Williamson R, Zahn O, Zenteno A. OPTICAL SPECTROSCOPY AND VELOCITY DISPERSIONS OF GALAXY CLUSTERS FROM THE SPT-SZ SURVEY. ACTA ACUST UNITED AC 2014. [DOI: 10.1088/0004-637x/792/1/45] [Citation(s) in RCA: 92] [Impact Index Per Article: 9.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
|
18
|
Hanson D, Hoover S, Crites A, Ade PAR, Aird KA, Austermann JE, Beall JA, Bender AN, Benson BA, Bleem LE, Bock JJ, Carlstrom JE, Chang CL, Chiang HC, Cho HM, Conley A, Crawford TM, de Haan T, Dobbs MA, Everett W, Gallicchio J, Gao J, George EM, Halverson NW, Harrington N, Henning JW, Hilton GC, Holder GP, Holzapfel WL, Hrubes JD, Huang N, Hubmayr J, Irwin KD, Keisler R, Knox L, Lee AT, Leitch E, Li D, Liang C, Luong-Van D, Marsden G, McMahon JJ, Mehl J, Meyer SS, Mocanu L, Montroy TE, Natoli T, Nibarger JP, Novosad V, Padin S, Pryke C, Reichardt CL, Ruhl JE, Saliwanchik BR, Sayre JT, Schaffer KK, Schulz B, Smecher G, Stark AA, Story KT, Tucker C, Vanderlinde K, Vieira JD, Viero MP, Wang G, Yefremenko V, Zahn O, Zemcov M. Detection of B-mode polarization in the cosmic microwave background with data from the South Pole Telescope. Phys Rev Lett 2013; 111:141301. [PMID: 24138230 DOI: 10.1103/physrevlett.111.141301] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/22/2013] [Indexed: 06/02/2023]
Abstract
Gravitational lensing of the cosmic microwave background generates a curl pattern in the observed polarization. This "B-mode" signal provides a measure of the projected mass distribution over the entire observable Universe and also acts as a contaminant for the measurement of primordial gravity-wave signals. In this Letter we present the first detection of gravitational lensing B modes, using first-season data from the polarization-sensitive receiver on the South Pole Telescope (SPTpol). We construct a template for the lensing B-mode signal by combining E-mode polarization measured by SPTpol with estimates of the lensing potential from a Herschel-SPIRE map of the cosmic infrared background. We compare this template to the B modes measured directly by SPTpol, finding a nonzero correlation at 7.7σ significance. The correlation has an amplitude and scale dependence consistent with theoretical expectations, is robust with respect to analysis choices, and constitutes the first measurement of a powerful cosmological observable.
Collapse
Affiliation(s)
- D Hanson
- Department of Physics, McGill University, Montreal, Quebec H3A 2T8, Canada
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
19
|
McDonald M, Bayliss M, Benson BA, Foley RJ, Ruel J, Sullivan P, Veilleux S, Aird KA, Ashby MLN, Bautz M, Bazin G, Bleem LE, Brodwin M, Carlstrom JE, Chang CL, Cho HM, Clocchiatti A, Crawford TM, Crites AT, de Haan T, Desai S, Dobbs MA, Dudley JP, Egami E, Forman WR, Garmire GP, George EM, Gladders MD, Gonzalez AH, Halverson NW, Harrington NL, High FW, Holder GP, Holzapfel WL, Hoover S, Hrubes JD, Jones C, Joy M, Keisler R, Knox L, Lee AT, Leitch EM, Liu J, Lueker M, Luong-Van D, Mantz A, Marrone DP, McMahon JJ, Mehl J, Meyer SS, Miller ED, Mocanu L, Mohr JJ, Montroy TE, Murray SS, Natoli T, Padin S, Plagge T, Pryke C, Rawle TD, Reichardt CL, Rest A, Rex M, Ruhl JE, Saliwanchik BR, Saro A, Sayre JT, Schaffer KK, Shaw L, Shirokoff E, Simcoe R, Song J, Spieler HG, Stalder B, Staniszewski Z, Stark AA, Story K, Stubbs CW, Šuhada R, van Engelen A, Vanderlinde K, Vieira JD, Vikhlinin A, Williamson R, Zahn O, Zenteno A. A massive, cooling-flow-induced starburst in the core of a luminous cluster of galaxies. Nature 2012; 488:349-52. [DOI: 10.1038/nature11379] [Citation(s) in RCA: 135] [Impact Index Per Article: 11.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2012] [Accepted: 07/12/2012] [Indexed: 11/09/2022]
|
20
|
Bartoş A, Bartoş D, Dunca F, Mocanu L, Zaharie F, Iancu M, Mironiuc A, Iancu C. Multi-organ resections for colorectal cancer: analysis of potential factors with role in the occurrence of postoperative complications and deaths. Chirurgia (Bucur) 2012; 107:476-482. [PMID: 23025114] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
AIM Multi-organ resection for colorectal malignancy is a topic of interest nowadays as it raises the issue of benefits versus increased morbidity. This study aims to identify factors that may influence the development of postoperative complications and death following multivisceral resection. METHODS The study included 107 patients hospitalized in the Surgical Clinic III of Cluj-Napoca, who underwent multivisceral resections for colorectal cancer pathology. This is a retrospective study covering the period between 2006 and 2010. This study compares the morbidity and mortality following multi-organ resections for locally advanced colorectal cancer, with results in patients with uncomplicated colorectal resections. The study also highlights the impact that certain factors have on the development of postoperative complications. RESULTS This study shows a higher incidence of death and postoperative complications in the case of multiorgan resections. The differences were found to be statistically significant as follows: postoperative complications: 26% after multiorgan resection and 14% after uncomplicated resection respectively (p = 0.001); postoperative death: 11% after multi-organ resection and 3% after uncomplicated resection respectively (p < 0.001). The factors that have influenced in a negative way the postoperative evolution of the patients were: diabetes, personal history of malignant disease, associated heart disease, major abdominal surgery prior enrolling, the number of resected organs and increased intraoperative blood loss (over 500 ml). CONCLUSION In cases of locally advanced colorectal neoplasm, multiorgan resection should become the standard indication, as it offers patients their only chance of survival, comparable to that obtained in less advanced stages of the disease. This indication is underlined by the high resecability rate (R0) accomplished in our service. Preoperative compensation of the associated pathologies, the surgery performed by experienced teams, as well as providing an adequate intensive care are required to reduce the postoperative risks.
Collapse
Affiliation(s)
- A Bartoş
- UMF Iuliu Haţieganu, Regional Institute of Gastroenterology and Hepatology, Department of Surgery, Cluj-Napoca, Romania
| | | | | | | | | | | | | | | |
Collapse
|
21
|
Necula A, Vlad L, Iancu C, Munteanu D, Puia C, Bălă O, AlHajaar N, Pop F, Radu H, Osian G, Graur F, Furcea L, Stanca M, Molnar G, Mocanu L. [Morbidity and mortality in gastric cancer surgery--analysis of 468 cases with gastric adenocarcinoma]. Chirurgia (Bucur) 2008; 103:529-537. [PMID: 19260628] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Abstract
The aim of this study is to evaluate the morbidity and mortality in the surgical treatment of gastric cancer and the factors that could influencing them. We made a retrospective analysis of a group of 468 patients with gastric adenocarcinoma which have been operated in the 3RD Surgical Clinic-Cluj Napoca--01.01.1998-31.12.2003. We analyzed parameters related to patient, pTNM stage and type of treatment. Morbidity was significantly higher in these circumstances: elder patients, cases with lower serum levels of hemoglobin and total proteins, after Billroth II procedures; we found no significant differences of morbidity depending on gender, pTNM stage, type of intervention: simple or multiorgan resection, subtotal or total gastrectomy, radical or palliative procedure or only exploratory laparotomy, presence or absence of splenectomy or caudal pancreatectomy, D1 or D2 lymphadenectomy (in radical procedures), palliative resection or gastrojejunal bypass. Elder patients and male patients have had a mortality significantly higher; we found no significant differences of mortality depending on serum levels of hemoglobin and total proteins, pTNM stage, type of intervention: simple or multiorgan resection, subtotal or total gastrectomy, radical or palliative procedure or only exploratory laparotomy, presence or absence of splenectomy or caudal pancreatectomy, D1 or D2 lymphadenectomy (in radical procedures), type of restoring of the digestive continuity after subtotal gastrectomy, palliative resection or gastrojejunal bypass.
Collapse
Affiliation(s)
- A Necula
- Clinica Chirurgie III, UMF Iuliu Haţieganu Cluj, Napoca.
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
22
|
Mocanu L, Cîmpean AM, Raica M. Expression of cytokeratin MNF116 and vimentin in pleural serous effusions. Rom J Morphol Embryol 2007; 48:291-4. [PMID: 17914498] [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: 05/17/2023]
Abstract
The purpose of this study is to evaluate the value of cytokeratin (CK) MNF116 and vimentin in the differential diagnosis of malignant pleural effusions. There were evaluated smears from 30 patients with pleural effusions stained with May-Grünwald Giemsa and Papanicolaou techniques for the routine cytological diagnosis. Additional smears were immunostained with CK MNF116 and vimentin using LSAB2 technique. Two independent observers evaluated all smears. Smears were classified first by cytological examination in seven cases (23.33%) as benign, and in 23 cases (76.67%) as malignant pleural effusions. Mesothelial cells expressed CK MNF116 in 96.67% (29/30) of cases and vimentin in 33.33% (10/30) of cases. Malignant cells expressed CK MNF116 in 52.17% (12/23) of cases and vimentin in 30.43% (7/23) of cases. The pattern of immunostaining was diffuse cytoplasmic. In conclusion, CK MNF116 and vimentin may be used as a part of the panel of antibodies for differential diagnosis of malignant pleural effusions with primary unknown.
Collapse
MESH Headings
- Adenocarcinoma/diagnosis
- Adenocarcinoma/metabolism
- Adenocarcinoma/pathology
- Antibodies/metabolism
- Carcinoma, Small Cell/diagnosis
- Carcinoma, Small Cell/metabolism
- Carcinoma, Small Cell/pathology
- Diagnosis, Differential
- Eosine Yellowish-(YS)
- Female
- Humans
- Keratins/immunology
- Keratins/metabolism
- Lung Neoplasms/diagnosis
- Lung Neoplasms/metabolism
- Lung Neoplasms/pathology
- Lymphoma, Large B-Cell, Diffuse/diagnosis
- Lymphoma, Large B-Cell, Diffuse/metabolism
- Lymphoma, Large B-Cell, Diffuse/pathology
- Melanoma/diagnosis
- Melanoma/metabolism
- Melanoma/pathology
- Methylene Blue
- Pleural Effusion, Malignant/diagnosis
- Pleural Effusion, Malignant/etiology
- Pleural Effusion, Malignant/metabolism
- Pleural Neoplasms/diagnosis
- Pleural Neoplasms/secondary
- Vimentin/metabolism
Collapse
Affiliation(s)
- Liliana Mocanu
- Department of Clinical Laboratory, County Hospital of Sibiu, Romania.
| | | | | |
Collapse
|
23
|
Mocanu L, Cîmpean AM, Raica M. Value of antimesothelioma HBME-1 in the diagnosis of inflammatory and malignant pleural effusions. Rom J Morphol Embryol 2006; 47:351-5. [PMID: 17392981] [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: 05/14/2023]
Abstract
Pleural effusions occur in many benign and malignant conditions. The differentiation of mesothelial hyperplasia, malignant epithelial mesothelioma and metastatic adenocarcinoma in cytologic specimens is often difficult. Because many immunohistochemical studies had suggested that HBME-1 has a high sensibility but a low specificity for mesothelial differentiation, the authors investigate its utility in cytological specimens. In this study, immunostaining was performed on 30 smears from seven patients with inflammatory pleural effusions, 21 patients with metastatic pleural effusions and two patients with malignant epithelial mesothelioma. The immunoreactivity was evaluated by two independent observers. Benign mesothelial cells expressed HBME-1 in 13 (46.43%) cases with thick and thin membrane pattern and with thin membrane and cytoplasmic pattern in 11 (39.29%) cases. One of the malignant mesothelioma was positive for HBME-1 with thick and thin membrane pattern. Metastatic tumor cells were positive for HBME-1 in seven (33.33%) cases; the staining pattern in metastatic adenocarcinoma cells was thin membrane and focal cytoplasmic. HBME-1 has a moderate sensibility and specificity for mesothelial cells and can be used as part of a panel for differentiation of malignant and reactive mesothelial cells from adenocarcinoma in pleural effusions.
Collapse
Affiliation(s)
- Liliana Mocanu
- Department of Clinical Laboratory, County Hospital of Sibiu, and Department of Histology, Victor Babeş University of Medicine and Pharmacy, Timişoara, Romania.
| | | | | |
Collapse
|
24
|
Kiss L, Nica C, Ilie S, Mocanu L, Kiss R, Sârbu N. [Long-term prognostic value of positive peritoneal washing in colon cancer]. Chirurgia (Bucur) 2005; 100:223-7. [PMID: 16106928] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/04/2023]
Abstract
UNLABELLED We examined the prognostic value of free malignant cells in the peritoneal cavity of patients with colon adenocarcinoma. In 1996-1999, 88 patients underwent peritoneal washing with cytologic analysis immediately before elective colon resection for adenocarcinoma with no evidence of peritoneal metastases. Peritoneal washing fluid was collected before abdominal exploration centrifuged immediately and stained with the May-Grünwald-Giemsa and Harris-Shorr methods. Malignancy was defined as recommended by Papanicolaou. Free malignant cells in peritoneal fluid were found in 25 of 88 (28%) patients (Dukes A 0, of 11, Dukes B 10 of 31, Dukes C 11 of 37, Dukes D 4 of 9). The positive rate was 24 of 75 (32%) among patients with tumors involving the serous layer and 1 of 13 (8%) among the others (p = 0.00989). Positive peritoneal washing was not significantly associated with survival in multivariate analysis. CONCLUSION The presence of free malignant cells in the peritoneal cavity of patients with colon cancer provided no further prognostic information relative to the Dukes classification in this study. The 5 years survival rates were 48% among patients with positive and negative peritoneal washing respectively (p = 0.09).
Collapse
Affiliation(s)
- L Kiss
- Clinica Chirurgie I, Spitalul Clinic Judeţean Sibiu
| | | | | | | | | | | |
Collapse
|