[Influence of immunologic mechanisms on atherosclerosis].
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Biomedical subjects
Publications and source records attributed to G W Locher.
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A case of mediastinal germinoma in a 21-yr-old male is reported. The neoplasm exhibited a morphology similar to that of a testicular seminoma and was heavily infiltrated by lymphocytes and plasma cells. Germinal centres were also present in lymph follicles. Humoral antibodies (IgG), specific for spermatopoietic tissue, were present in the patient's serum. Antibody titres declined after surgical removal of the germinoma over a period of 2 yr, and antibody is no longer detectable at the present time. The implications of this observation are discussed with regard to defence mechanisms of the tumour host, and to the histogenesis of these rare neoplasms.
Smears from the uterine cervix have been evaluated for neoplastic changes on the basis of descriptive terms. The material was obtained by a single gynecologist using a standardized sampling technique and the results were compared with the respective histological diagnoses. Material which was found to be unsuitable for technical reasons was excluded from this study. A 98.7% agreement between cytological and histological findings was noted. Discrepancies between cytological and histological findings were essentially due to differing dysplastic changes in the deeper layers of the surface epithelium and the cervical glands, which were not sampled by the smears on the surface layer. In a few cases the discrepancies could not be explained but they disappeared after several years of observation. The practitioner should be acquainted with the nomenclature used by cytologists. In his turn, the cytologist should be familiar with the pathological anatomy of the organ in question.
The evaluation of smears of the uterine cervix on the basis of descriptive terms requires the practitioner to be acquainted with the nomenclature used by cytologists. A theoretical scheme is provided which correlates the diagnostic features encountered with their respective clinical implications.
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The case of a 28-year-old female patient is presented. Heavy infiltration with plasma cells of uterine tissue removed by surgical currettage following an aborted pregnancy was detected by cytological and histological examination. Subsequent immunohistochemical studies revealed the monoclonal nature of these cells: intracellular immunoglobulin contained gamma- and lambda-chains exclusively. Since careful clinical examination produced no evidence in favor of multiple myeloma, these findings were tentatively interpreted to be compatible with the diagnosis of solitary plasmocytoma of the uterus.
Cystic or solid lesions of ribs containing giant cells are rarely seen in children. Three cases are presented which are uncommon with regard to the age of the patients (5-14 yr old) as well as the site. These lesions were diagnosed late and exclusively by X-ray. Radiographically it was impossible to distinguish between a giant cell tumor and an aneurysmal bone cyst. Although the distinction of aneurysmal bone cysts and giant cell tumors sensu strictiori is justified from a clinical point of view, the two may be variants of the same pathologic growth process, i.e. growth of angiogribous tissue with giant cells in excess of that generally observed in the course of a "reactive" process.
Pigs were used as experimental animals to study the relationship between the duration of renal ischaemia and the extent of biochemical, serological and pathological changes. In pigs subjected to unilateral nephrectomy, the maximum duration of ischaemia tolerated without adverse effects on vital functions was 3.5 to 4 hours.
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