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B D Ragsdale

Publications and source records attributed to B D Ragsdale.

At least 19 recordsLinked to original sources
PubMed2000

From a dry bone to a genetic portrait: a case study of sickle cell anemia.

The potential and reliability of DNA analysis for the identification of human remains are demonstrated by the study of a recent bone sample, which represented a documented case of sickle cell anemia. beta-globin gene sequences obtained from the specimen revealed homozygosity for the sickle cell mutation, proving the authenticity of the retrieved residual DNA. Further investigation of mitochondrial and Y chromosome DNA polymorphic markers indicated that this sample came from a male of maternal West African (possibly Yoruban) and paternal Bantu lineages. The medical record, which became available after the DNA analyses had been completed, revealed that it belonged to a Jamaican black male. These findings are consistent with this individual being a descendent of Africans brought to Jamaica during the trans-Atlantic slave trade. This study exemplifies how a "reverse population genetics" approach can be applied to reconstruct a genetic profile from a bone specimen of an unknown individual.

Africa↗
PubMed1999

Occupational risk factors for sarcoma subtypes.

Herbicides, chlorophenols, and other occupational exposures are suspected risk factors for soft-tissue sarcoma, but the epidemiologic evidence is inconsistent. Given that soft-tissue sarcomas represent a heterogeneous mix of cancer subtypes and that these subtypes have different disease patterns by race, sex, and age at diagnosis, studying all soft-tissue sarcomas combined may mask subtype-specific associations. Using the Selected Cancers Study, a large population-based case-control study of sarcoma conducted among U.S. men aged 30 to 60 in 1984 to 1988, we explored the occupational risk factors for soft-tissue sarcoma subtypes and skeletal sarcoma. The analysis included 251 living sarcoma cases (48 dermatofibrosarcoma protuberans, 32 malignant fibrohistiocytic sarcoma, 67 leiomyosarcoma, 53 liposarcoma, and 51 skeletal sarcoma) and 1908 living controls. Exact conditional logistic regression models suggested patterns of subtype specificity for occupational exposures. Self-reported herbicide use was associated with malignant fibrohistiocytic sarcoma (OR = 2.9, 95% CI = 1.1-7.3). We found elevated risks for chlorophenol exposure and cutting oil exposure and malignant fibrohistiocytic sarcoma and leiomyosarcoma. We found no occupational risk factor for liposarcoma. Polytomous regression models identified different odds ratios across subtypes for plywood exposure and exposure to wood and saw dust. Although exploratory, this analysis suggests that occupational risk factors for sarcoma are not uniform across subtypes.

Adult↗
PubMed1998

Occupational chlorophenol exposure and soft tissue sarcoma risk among men aged 30-60 years.

To evaluate the association of chlorophenol exposure with soft tissue sarcoma risk independent of phenoxyherbicide exposure, the authors analyzed data from the Selected Cancers Study, a population-based case-control study that included 295 male soft tissue sarcoma cases, aged 32-60 years, from eight population-based cancer registries and 1,908 male controls. Chlorophenol exposure was assigned using both an intensity and a confidence estimate by an industrial hygienist based on verbatim job descriptions. Seventeen percent of the jobs rated as high intensity involved wood preservation, while 82% involved cutting oils. Soft tissue sarcoma risk, modeled using conditional logistic regression, was significantly associated with ever having high-intensity chlorophenol exposure (odds ratio = 1.79, 95% confidence interval 1.10-2.88). A duration-response trend was evident among more highly exposed subjects (p for trend < 0.0001). For subjects with 10 or more years of substantial exposure, the odds ratio was 7.78 (95% confidence interval 2.46-24.65). These results suggest that chlorophenol exposure independent of phenoxyherbicides may increase the risk of soft tissue sarcoma. Because of the large number of machinists in the exposed group and the complex composition of cutting fluids, it is possible that another exposure involved in machining is responsible for the observed excess risk.

Adult↗
PubMed1997

Juvenile active ossifying fibroma. Report of four cases.

Juvenile active ossifying fibroma is a rare lesion seldom seen by neurosurgeons. It originates in the paranasal sinuses during childhood, grows slowly, and encroaches on adjacent orbital and cranial compartments. In the past 3 years, four patients with this lesion were seen (three men and one woman; mean age 28 years). The clinical presentations were different with each patient: sinusitis, meningitis, periorbital pain, and a unique case of a juvenile active ossifying fibroma presenting with high-grade internal carotid artery stenosis and ischemic symptoms. Three patients were treated by transfacial approaches: two with a transfrontal-nasal approach and one with a transfrontal-nasoorbital approach. Two open resections resulted in gross-total excision and no recurrence as of the 2-year follow-up review. In the third patient, the tumor-encased carotid artery was preserved at the expense of a complete resection; that patient underwent superficial temporal artery-middle cerebral artery bypass and remains without ischemic symptoms or tumor recurrence at 2 years. The fourth patient underwent three subtotal endoscopic resections and is also without symptomatic recurrence at 2 years. Three points must be made concerning these lesions. First, the clinical and radiographic characteristics of juvenile active ossifying fibroma may not be easily recognized by neurosurgeons, which could lead to misdiagnosis and mismanagement of these lesions. Second, this tumor can encase the carotid artery and cause severe stenosis or occlusion. Third, complete resection of the tumor is required to effect a cure, and transfacial approaches, which give wide exposure of the sinuses, appear to yield better, more radical resections than endoscopic procedures.

Adult↗
PubMed1993

Polymorphic fibro-osseous lesions of bone: an almost site-specific diagnostic problem of the proximal femur.

Atypical fibro-osseous lesions, usually in the proximal femur, are a common consultative diagnostic problem. This is due to the fact that they contain a variety of patterns individually reminiscent of fibrous dysplasia, fibroxanthoma (non-ossifying fibroma), myxofibroma, lipoma, cyst, bone infarct, Paget's disease, and, occasionally, chondroma. The variety of patterns in a single lesion precludes a simple designation. A diagnosis based on the predominant pattern would ignore this histologic complexity, which can be predicted by location in the proximal femur and a distinctive radiographic configuration. Personal experience with 95 heterogeneous lesions indicates they are usually incidental findings. They have a broad adult age range, but quite likely have their inception in childhood and slowly alter their appearance over a lifetime. In the majority of instances asymptomatic discovery, lack of distortion of bone outline, and sclerotic borders are indications of stability over many years. Other lesions gradually enlarge, predisposing to pathologic fracture. In parallel with some enchondromas and bone infarcts, a minority of lesions undergo malignant transformation.

Adult↗
PubMed1992

Parosteal lipomas: a new perspective.

Parosteal lipomas, benign adipose tissue tumors situated directly on bone cortex, are unusual neoplasms that appear to emerge from multidirectional mesenchymal "modulation" within the periosteum. These tumors have been described as "periosteal lipomas", "chondrolipomas of soft tissue" and "lipomas of nerves" but they are most commonly believed to originate from the periosteum. Although over 100 of such tumors have been described in the literature, they have not been the subject of a comprehensive review, nor their potential for chondroid modulation and enchondral ossification emphasized. A review of 14 parosteal lipomas from the Bone Tumor Registry, Armed Forces Institute of Pathology, indicates these tumors are frequently associated with chondroid and/or osseous modulation, which permits subclassification into 4 distinct variants. Each of the 4 subtypes (I: No Ossification; II: Pedunculated Exostosis; III: Sessile Exostosis; IV: Patchy Chondro-Osseous Modulation) is illustrated to demonstrate the morphologic basis for radiologic/pathologic correlation and subclassification. A brief overview of the literature and pathogenesis of this unusual lesion is presented and discussed.

Aged↗
PubMed1989

Retinyl acetate-induced arthritis in C3H-A(vy) mice.

Severely impaired musculoskeletal mobility in C3H-A(vy) mice was noted during a pharmacologic trial evaluating the antitumorigenic properties of retinyl acetate (RAc). To determine the etiology of this impairment, we studied 103 female C3H-A(vy) mice that were fed RAc in daily doses of 75-300 micrograms or placebo and were killed after 3-16 months. Whole-body radiographs and histologic sections of the hindlimbs were scored for presence and severity of arthritis. C3H-A(vy) mice treated with RAc in any dose had a significantly higher incidence of arthritis than placebo-treated mice. Histologic evidence of enthesopathic disease closely paralleled the radiographic changes and ranged from small enthesophytes at tendinous and capsular insertions to complete periarticular bony bridging. Articular cartilage was not grossly affected. The incidence and severity of arthritis were significantly correlated with the total dose of RAc administered. The bony metaplasia induced by RAc was similar to the pathologic changes caused by other retinoids. This model may be useful for studying the pathogenesis of periarticular bone formation in diffuse idiopathic skeletal hyperostosis and related syndromes.

Animals↗
PubMed1989

Radiology as gross pathology in evaluating chondroid lesions.

The study of large ("whole mount") histologic sections underscores the complexity of bone lesions and explains the great potential for misdiagnosis when a limited biopsy sample is assumed to be totally representative. Diagnostic pitfalls can generally be avoided by insisting on the opportunity for clinical-radiologic-pathologic correlation ("triangulation") before a final diagnosis is made. Essential to the method of triangulation is equal attention to the three lines of evidence. The ability to render reliable, clinically relevant, and individually pertinent consultations (as opposed to purely histologic opinions) derives from pursuing questions until all lines of evidence point ("triangulate") to the same answer. This is especially true in the realm of cartilage tumors where the limitations of histopathology are widely acknowledged. In this review, the use of radiographic data will be explored in general terms and in the special context of chondroid lesions.

Humans↗
PubMed1988

Comparison of the terminal ballistics of full metal jacket 7.62-mm M80 (NATO) and 5.56-mm M193 military bullets: a study in ordnance gelatin.

Great controversy has surrounded the replacement of the 7.62-mm caliber by the reduced 5.56-mm caliber as the standard U.S. military rifle. Although its relevance to human wounding can be debated, the terminal ballistics of military small arms in ordnance gelatin remains a convenient medium for comparative testing. In the present study, 7- by 10- by 24-in. (18 by 25 by 61 cm) blocks of 20% ordnance gelatin were fired upon from a range of 19 ft (6 m) under high-speed cinemagraphic surveillance. The tendency of the M193 5.56-mm full metal jacket projectile to break up in soft tissue simulant was confirmed as a fundamental difference from the 7.62-mm M80 NATO ball.

Bone and Bones↗
PubMed1987

Trabecular (Merkel cell) carcinoma arising in the wall of an epidermal cyst.

A trabecular (Merkel cell) carcinoma arising in the wall of an epidermal cyst in a 58-year-old white male metastasized, 17 months after local excision, to an inguinal lymph node. Ultrastructural studies showed polygonal tumor cells with typical dense-core granules. Although squamous-cell carcinoma and other malignant neoplasms have been reported rarely to have arisen in epidermal cysts, a literature search failed to find a precedent for the present case.

Adenocarcinoma↗