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I Crepinko

Publications and source records attributed to I Crepinko.

24 records · Page 2Linked to original sources
PubMedDate not supplied

Comparison between cytochemical changes, concentration of PAS-positive substances in peripheral blood lymphocytes and changes of blood glucose values during the oral glucose tolerance test.

The purpose of the study was to analyse the correlation between the blood glucose values and the quantity of PAS-positive substances in lymphocytes observed in different groups of subjects during oral glucose loading. In 300 subjects--100 persons with a normal OGTT, 100 pregnant women (with normal, borderline and diabetic OGTT), 50 diabetic patients, 20 borderline cases of diabetes, and 30 persons with a 'lag form' OGIT--the PAS-index was measured at each point of the OGTT. The values of the PAS-index curve followed the values of the blood glucose level, and the results obtained in different groups of persons were compared. It has been shown that an increased value of the PAS-index is an early sign of disturbed carbohydrate metabolism and that differences between borderline and manifest diabetics, as well as between these groups and normal control persons, are significant.

Blood Glucose↗
PubMedDate not supplied

Aspiration cytology of renal-cell carcinoma metastatic to the thyroid.

Fine needle aspiration (FNA) of a thyroid mass clinically suspected of being acute thyroiditis led to a cytologic diagnosis of hypernephroma metastatic to the thyroid and to the subsequent detection of the occult primary tumor. The FNA cytomorphologic findings were substantiated by cytochemical staining of FNA samples and confirmed by subsequent histopathologic examination of the resected thyroid. Postoperative studies revealed an expansive growth in the left kidney; analysis of the nephrectomy specimen showed an invasive renal-cell carcinoma. This case emphasizes the considerable value of FNA biopsy in making the frequently difficult preoperative differential diagnosis of primary and metastatic thyroid tumor and the importance of cytochemical analyses in making that distinction and in suggesting the site of the primary tumor.

Biopsy, Needle↗
PubMedDate not supplied

Fine needle aspiration cytology in the preoperative diagnosis of ultrasonically enlarged parathyroid glands.

The value of fine needle aspiration (FNA) cytology in the diagnosis of ultrasonically suspected parathyroid gland enlargements was reviewed for a six-year series of cases. In 146 patients, 277 FNA biopsies under ultrasound guidance were performed on suspected enlarged parathyroid glands. Smears were routinely stained by the Pappenheim (May-Grünwald-Giemsa) method, and the Grimelius silver stain was used to demonstrate argyrophilic granules in the cytoplasm of parathyroid cells. Diagnostic material was obtained by FNA from 121 (83%) patients, whereas the aspirates were considered inadequate for cytologic diagnosis in 25 (17%) patients. For the 121 cases with adequate FNA samples, cytology diagnosed a parathyroid origin in 80 (55%) of the 146 total patients) and a thyroid origin in 41 (28%). The cytologic-histologic correlation available for 36 patients showed a cytologic sensitivity of 86%. Parathyroid lesions are frequently treated preoperatively as a disease of the thyroid; the results of this study suggest that cytomorphologic analysis of FNA samples can demonstrate the parathyroid origin of such samples, especially when a silver stain is used in addition to the routine stain.

Adolescent↗
PubMedDate not supplied

Morphologic diagnosis of Hürthle cell tumors of the thyroid gland.

Despite difficulties in differential diagnosis, aspiration cytology offers unique advantages in the preoperative diagnosis of Hürthle cell (HC) tumors of the thyroid gland over immunocytochemistry and micromorphometry, which have not achieved the anticipated success in the diagnosis of HC tumors. Aspiration cytology is comparable, in terms of speed and accuracy, to microspectrometry of DNA content in HC tumors, a technique that is not convenient for routine use. Detailed morphologic analysis of 19 characteristics of the smears and of the cells revealed five parameters adding to the sensitivity, specificity and reliability of routine diagnosis: HC collection in the form of nests, marked or at least moderate anisocytosis and anisokaryosis, multinucleation and emphasized nucleoli. All five criteria are found in > 70% of HC tumors, and the rate of false positives is < 50%. The simultaneous presence of three or four of these five parameters occurred in 70-90% of HC tumors and would lead to a false-positive diagnosis of HC tumors in only 30% of cases. Routine cytologic diagnosis of HC tumors of the thyroid gland may be improved by adoption of these criteria.

Adenoma↗