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Biomedical subjects

E Condom

Publications and source records attributed to E Condom.

At least 55 records · Page 3Linked to original sources

[Superficial gastric cancer in Barcelona. Importance of the detection of severe epithelial dysplasia in biopsies obtained under endoscopic control in the diagnosis of early gastric cancer].

BACKGROUND: Severe mucosal dysplasia (SMD) in endoscopic gastric biopsies is a controversial lesion because some authors consider it as an histologic lesion associated to superficial gastric cancer (SCG). This study is aimed to asses the prevalence of SCG in Barcelona; if the presence of SMD is associated to SCG and, the clinical and endoscopic manifestations which induced the diagnosis. METHODS: We studied a total of 4,800 patients who had been submitted to gastroscopy during 1.5 years. A total of 79 patients suffered gastric cancer, 56 of them were submitted to resection. Ten of these 56 patients (17%) had SCG. The most frequent first clinical manifestation of SCG was gastrointestinal haemorrhage. RESULTS: Endoscopic aspect suggested malignancy in five cases. Biopsies during endoscopy allow diagnosis of gastric cancer in five. In four histologic studies showed SMD. In the tenth patient, the first endoscopy with biopsies showed a gastric peptic ulcer. A later endoscopic control showed the persistence of the macroscopically benign lesion but one among seven biopsies showed adenocarcinoma. The four patients with SMD had gastric cancer in further endoscopic procedures, except in one which was operated after two endoscopies demonstrating SMD. CONCLUSIONS: This study suggests: 1) prevalence of SGC in Barcelona is similar than the other European countries. 2) haemorrhage is a frequent first manifestation of SCG, and 3) the finding of SMD in endoscopic biopsy strongly suggests the presence of SCG in the stomach.

Adenocarcinoma↗

Cardiac hemangioma with papillary endothelial hyperplasia: report of a resected case and review of the literature.

A case of left atrial hemangioma with papillary endothelial hyperplasia in a 42-year-old man is reported. With the aid of cardiopulmonary bypass, the tumor was resected, and the patient is well 22 months after operation. The clinical symptoms at initial examination, operative procedure, and pathological findings are reported, and the diagnostic and therapeutic approaches to cardiac tumors are described briefly. A review of surgically treated hemangiomas is also given.

Adult↗

Hepatic Kaposi sarcoma in AIDS: US and CT findings.

Abdominal ultrasonography (US) and computed tomography (CT) were performed in two patients with acquired immunodeficiency syndrome (AIDS) and necropsy-proved hepatic Kaposi sarcoma. At US, small (5-12-mm) hyperechoic nodules and dense periportal bands were seen in the liver. These lesions appeared hypoattenuated on baseline and dynamic CT scans and enhanced on delayed scans after a bolus injection of contrast material. Although nonspecific, these features strongly suggest tumor involvement in the liver in patients with AIDS and Kaposi sarcoma.

Acquired Immunodeficiency Syndrome↗

Lectin binding patterns in normal and neoplastic colonic mucosa. A study of Dolichos biflorus agglutinin, peanut agglutinin, and wheat germ agglutinin.

The cellular distribution of the carbohydrates labeled by Dolichos bifluorus agglutinin (DBA), peanut agglutinin (PNA), and wheat germ agglutinin (WGA) were studied in 21 normal colonic mucosae, 17 transitional mucosae, 9 nonneoplastic polyps (NNP), 27 adenomas, and 25 colorectal carcinomas. In normal mucosa DBA bound selectively to mucin of the goblet cells in the upper colonic crypt and to apical cytoplasm of the superficial columnar cells with a strong linear pattern. PNA binding was present only in the supranuclear portion (Golgi area) of the cells. WGA showed a strong reactivity in the goblet-cell mucin and in the supranuclear portion and apical cytoplasm of columnar cells. Transitional mucosa (TM) showed a decrease in DBA binding to goblet-cell mucin, which was replaced by an increase in PNA reactivity. The DBA linear pattern in the apical cytoplasm of columnar cells was unmodified, however. Changes similar to those of TM were observed in juvenile and Peutz-Jeghers polyps. Adenomas showed a progressive loss of DBA reactivity and an increase in PNA positivity related to the degree of dysplasia. This change was more evident in the linear pattern of apical cytoplasm. Only 32% of the carcinomas reacted with DBA and those were mucinous and well-differentiated adenocarcinomas. WGA was positive in all carcinomas with a different pattern than in normal mucosa. These findings suggest that the different lectin-binding patterns in normal and neoplastic colonic mucosa are related to the degree of cellular differentiation. In the process of malignant transformation the carbohydrate distribution undergoes progressive changes through the adenoma-carcinoma sequence. These changes are related to the degree of dysplasia in adenomas and to the degree of differentiation in carcinomas.

Adenoma↗

Spinal cord compression by a unifocal eosinophilic granuloma: a case report of an adult with unusual roentgenological features.

We describe an unusual case of unifocal eosinophilic granuloma of the spine in a 38-year-old woman who presented with spinal cord compression. After 2 years of back pain, x-ray films of the spine were normal, but computed tomography and magnetic resonance imaging demonstrated a lytic lesion of the 1st lumbar vertebral body with cephalic extension in the epidural space. The lesion was later confirmed at operation to be an eosinophilic granuloma spreading into the surrounding tissues.

Adult↗

A Golgi study of the sixth layer of the cerebral cortex. III. Neuronal changes during normal and abnormal cortical folding.

During normal development in the cat Layer VI cortical neurons, including pyramidal cells, fusiform neurons, inverted pyramidal cells and bipolar neurons located in the gyral regions retain the vertical orientation characteristic of earlier developmental stages. However, Layer VI pyramidal neurons and the subtypes in the sulcal zones develop long horizontal basilar dendrites which seem to form dendritic bundles with those of neighbouring pyramidal cells; in addition, fusiform neurons and bipolar cells are tangentially orientated and horizontal pyramidal neurons appear in place of inverted pyramidal cells in the gyral and intermediate regions. In human cortical malformations, neurons of the external cellular layer (Layers V and VI) in lissencephaly are vertically arranged, but Layer VI neurons in polymicrogyria are tangentially orientated when located in microsulci. These features suggest that neuronal changes occur in Layer VI neurons as a consequence of cortical folding and that cortical folding determines the cellular shape of Layer VI neurons in normal as well as in abnormal development of the cerebral cortex.

Animals↗

Tuberculosis-associated hemophagocytic syndrome. A systemic process.

Virus-associated hemophagocytic syndrome has been recently identified as a benign, reactive histiocytic proliferation distinct from Rappaport's malignant hystiocytosis. Other etiologic agents, including different bacteria, have also been identified. Three autopsy cases of hemophagocytic syndrome associated to acute tuberculous sepsis are presented. Benign histiocytic proliferation with striking hemophagocytosis was present in a disseminated, multisystemic pattern in all three cases. A relationship between systemic histiocytic proliferation and an anergic status in these patients is suggested.

Aged↗

A Golgi study of the sixth layer of the cerebral cortex. I. The lissencephalic brain of Rodentia, Lagomorpha, Insectivora and Chiroptera.

A study of the morphological characteristics of the neurons in layer VI of the cerebral cortex was carried out using the rapid Golgi method in several lissencephalic species including Rodentia (rat, mouse, vole (Microtus agrestis) and hamster), Lagomorpha (rabbit), Insectivora (hedgehog) and in the Chiroptera the dwarf bat (Pipistrellus pipistrellus). There was a basic uniformity in the structure of the sixth layer. Main neuronal types in lamina VIa were large pyramidal neurons, triangular or atypical pyramidal cells, multiapical pyramidal neurons, inverted pyramids, fusiform neurons, Martinotti cells and bi-tufted cells. Main neuronal types in lamina VIb were medium sized, flattened pyramids, large and small horizontal neurons, horizontal pyramidal cells, fan shaped neurons and multipolar spinous neurons with long descending axons. Sparsely spinous and spine-free multipolar neurons with short axons were present in the two laminae of layer VI, but sparsely spinous neurons with axons similar to those found in basket cells of other layers of the cortex were observed mainly in lamina VIa. Neuronal subsystems were tentatively classified on the basis of the course of the axons. Pyramidal neurons, fusiform neurons, multiapical pyramidal cells, inverted pyramidal cells, fan shaped neurons and multipolar neurons with large descending axons were interpreted as being the main source of long projection and association connections. Large horizontal neurons were interpreted as possible ipsilateral association neurons because the horizontal course of the axons over long distances followed the boundary of the deeper region of the sixth layer. Three intracortical (association) subsystems were included. Axons of Martinotti cells and collateral ascending axons of pyramidal neurons (including multiapical pyramidal neurons) formed the ascending interlaminar fibrillary subsystem. Axons of small horizontal cells and horizontal collaterals of pyramidal neurons formed the horizontal intracortical subsystem. Sparsely spinous and spine-free multipolar neurons and bi-tufted cells were the main source of the local, non-horizontal fibrillary subsystem.

Anatomy, Comparative↗

A Golgi study of the sixth layer of the cerebral cortex. II. The gyrencephalic brain of Carnivora, Artiodactyla and Primates.

The sixth layer of the cerebral cortex has been studied by means of the Golgi method in Carnivora (dog and cat), Artiodactyla (cow and sheep), and Primates (human) brains; a basic structural uniformity being observed in all these species. Projection neurons of lamina VIa were large and medium sized pyramidal neurons (including atypical and multiapical), small pyramidal cells, and spinous multipolar neurons with long descending axons. Projection neurons of lamina VIb were medium sized pyramidal neurons and small pyramids, horizontal pyramids, inverted pyramidal cells, spinous multipolar neurons with long descending axons and large fusiform cells. Local circuit neurons of lamina VIa were Martinotti cells, basket neurons, neurogliaform cells, sparsely spinous neurons with whirled axons, spine-free multipolar cells and bipolar neurons. Local circuit neurons of lamina VIb were sparsely spinous and spine-free multipolar cells with short axons and bipolar neurons. Marked differences were observed between gyral, intermediate and fissural regions. Fusiform and bipolar neurons were vertically arranged in the former, but were tangentially orientated in intermediate and fissural regions; inverted pyramidal cells were present in the gyrus but horizontal pyramids were the respective cells in the intermediate and fissural zones. When compared with lissencephalic species, a great horizontal fibrillary system (which is vertically arranged in gyral regions) was observed in convoluted brains. Cells of origin were fusiform neurons, bipolar cells, horizontal and inverted pyramids and pyramidal neurons (the latter by means of horizontal axonal collaterals). The great development of this cortico-cortical association system in gyrencephalic species is considered to be a major step in neocortical evolution.

Animals↗

Adrenal myelolipoma in a woman with congenital 17-hydroxylase deficiency.

A case of adrenal myelolipoma, which to our knowledge is the first case to be associated with 17-hydroxylase deficiency, is reported. This rare, benign lesion is known to occur in association with other endocrinopathies. Discussion focuses on the possible role of continued stimulation by corticotropin and/or steroids as pathogenic factors. The present case adds evidence supporting this view.

Adrenal Gland Neoplasms↗

Effect of human natural xenoantibody depletion and complement inactivation on early pig kidney function.

Preformed xenoreactive natural antibodies (XNA) and complement mediate hyperacute xenograft rejection (HXR) in pig-to-human discordant xenotransplantation. In a pig kidney-human blood xenoperfusion model, we investigated whether XNA depletion and/or human complement inactivation preserved early pig kidney function. Pig kidneys were perfused for 180 min with pig blood (AUTO group, n = 8), human blood (HETER group, n = 6), complement-inactivated human blood (COMi group, n = 5), XNA-depleted human blood (ABd group, n = 5) or complement-inactivated and XNA-depleted human blood (ABd&COMi group, n = 5). HETER kidneys were rejected after 15-30 min and showed vascular microthrombi and interstitial hemorrhages. XNA depletion and/or complement inactivation prevented HXR. The glomerular filtration rate in ABd, COMi and ABd&COMi groups was significantly lower than in the AUTO group. Also, beyond 60 min, the COMi group showed a significantly lower glomerular filtration rate than that observed in ABd and ABd&COMi groups. Kidneys from ABd, COMi and ABd&COMi groups displayed endothelial cell edema, as well as higher soluble P-selectin levels and a higher renal myeloperoxidase content than the AUTO group kidneys. COMi and ABd&COMi groups had a significantly lower renal myeloperoxidase level than the HETER group. Also, in contrast to HETER and ABd groups, these complement-inactivated groups failed to show a positive correlation between P-selectin and renal myeloperoxidase. We also investigated platelet-activating factor (PAF) as possible mediator for these functional and pathologic changes. We found that blood PAF levels were similar in HETER, ABd, COMi and ABd&COMi groups and significantly higher than in the AUTO group. Also, when PAF was added to porcine endothelial cell monolayers, morphological changes due to cytoskeleton contraction were observed, and these changes were prevented by preincubation with a PAF receptor antagonist. In conclusion, although depletion of XNA and/or complement inactivation prevent HXR, the pig kidney function is not preserved at the level of the autologous combination. The PAF overproduction observed in the xenogenic combination, which is independent of the presence of XNA and complement, may be, at least in part, responsible for early endothelial cell morphological changes still present when HXR is prevented.

Animals↗