Sudden death from primary B-cell non-Hodgkin's lymphoma of the larynx.
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Biomedical subjects
Publications and source records attributed to J M Hogan.
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The significance of chronic sun exposure in the pathogenesis of skin cancers squamous cell carcinoma (SCC). basal cell carcinoma (BCC) and melanoma was morphologically assessed. Histological sections of 223 consecutive skin cancers were reviewed, these were stained with aldehyde fuchsin and the degree of associated solar elastosis estimated. The anatomic distribution of SCC and BCC and the SCC:BCC ratio were significantly different in the Irish population studied when compared to other major series. It was found that a significant proportion of SCCs and BCCs were not related to chronic sun exposure. As expected, only melanomas arising in lentigo maligna were associated with long-term irradiation. It is proposed that other environmental agents and genetic factors may also contribute to the high incidence of skin cancer in Ireland.
A case of primary hyperoxaluria which presented with progressive renal failure in a 34 year old woman is reported. The patient died six years following the initial diagnosis and post mortem examination revealed widespread deposition of oxalate crystals in her tissues.
1. Mean selected body temperatures (MSBTs), measured by radiotelemetry, are presented for 15 chuckwallas on 26 animal days. 2. MSBT, during the period of activity, ranged from 37.3 to 39.8 degrees C (means = 38.8 +/- 0.2 SE degrees C) while MSBTs, from the time lizards attained their first high set point to the time that solar radiation ceased, ranged from 36.1 to 39.6 degrees C (means = 38.3 +/- 0.2 SE degrees C). 3. On cloudy, cool days, animals could not maintain high Tbs because of the absence of solar radiation. 4. On sunny March and April days, animals were active for 5-6 hr but Tb then fell rapidly to low levels. 5. From late April to mid May, animals were active for 7-8 hr and Tbs did not fall as drastically because of higher Tas after sunset. 6. August was the time of year (for this study) when chuckwallas had the highest effective 24 hr Tb but it was also the time when they had the shortest activity interval.
The observation of koilocyte-like features in the squamous epithelium of some endometrial adenoacanthomas prompted an investigation into a possible viral aetiology. These changes closely resemble those that occur in the ectocervical mucosa which are accepted as morphological evidence of human papillomavirus (HPV) infection. Sections of 87 hysterectomy specimens removed for endometrial carcinoma over 12 years, together with preoperative curettings, were reviewed for the presence of acanthomatous change and for appearances suggestive of HPV infection. The ages of the women ranged from 36 to 84 years, average age 62.6. Light microscopical examination showed koilocytosis, papillary formations, and intranuclear eosinophilic inclusions of both squamous and glandular epithelium in some tumours. Immunocytochemistry and DNA in situ hybridisation indicated the presence of HPV antigen in squamous and glandular cells, and perinuclear virus particles characteristic of HPV were seen on electron microscopical examination in those cells with nuclear inclusions. HPV probably infects endometrial adenocarcinomas directly from the cervix but it is unlikely that it has an aetiological role. It is possible, however, that in addition to being a "passenger," the virus may stimulate squamous metaplasia in some adenocarcinomas of the endometrium and may also exert some influence on their behaviour.
All the biopsies of pulmonary mass lesions obtained by percutaneous needle aspiration over a seven year period were reviewed. Emphasis is laid upon the differences in cell typing of malignant tumours when two types of preparation of the same tissue, cytological smears and tissue sections are examined. Some problems in cell typing are discussed and suggestions for improved proficiency are made.
The fever response was studied in laboratory-maintained and free-ranging chuckwallas. Five animals were used in a self-pairing laboratory experiment in which each animal was first injected with a sterile, pyrogen-free saline solution. Approximately 7 days later, each individual was injected with a solution of 4.75 x 10(9) Aeromonas sobria (formerly A. hydrophila). Saline-injected individuals had a mean preferred body temperature (MPBT) of 36.8 +/- 0.4 (SE) degrees C, whereas bacteria-injected animals had a MPBT of 39.1 +/- 0.6 (SE) degrees C (an increase of 2.3 degrees C). The within-animal variance associated with MPBT was significantly decreased in bacteria-injected animals. In the natural environment, 10 chuckwallas were divided into five pairs, so that both animals of a pair could be monitored simultaneously. One animal in a pair was given an injection of sterile, pyrogen-free saline, whereas the other animal received an injection of 4.75 x 10(9) A. sobria. On day 2, both the MPBT and the rate of heating were greater in bacteria-injected animals. The between-animal variation in fever MPBT was greater than the mean increase in MPBT of fever animals. Also, the absolute level of the MPBT during the fever response was related to time of the year, with spring-active animals having the highest fever MPBTs.
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Preoperative biochemical liver function tests and computerized axial tomographic (CAT) scans were performed on 100 patients as part of a prospective randomized study of treatments for liver metastases from colorectal cancer. The CAT scans reliably reflected the presence of disease in most patients but only accurately demonstrated the number and location of metastases in 43% of the patients. Extrahepatic metastases were present in 35 patients but were only seen on the CAT scans in three of these patients. The biochemical tests, which were useful for detecting hepatic metastases, were alkaline phosphatase (AP), lactic dehydrogenase (LDH), and carcinoembryonic antigen (CEA). When hepatic disease was minimal, these tests were less likely to be elevated than when there was extensive disease. Even with the combination of late generation CAT scans and biochemical tests, the accurate quantification and location of hepatic metastases and extrahepatic disease require a surgical assessment.
The implantable pump for continuous hepatic artery chemotherapy requires even distribution of the chemotherapy to the whole liver for maximum efficacy. The hepatic arterial supply and its anomalies must be understood to achieve this. We reviewed the arteriograms of 100 patients who were potentially arterial perfusion candidates. Fifty percent had normal hepatic arterial anatomy. Twenty percent had a replaced or accessory right hepatic artery and 17% had an accessory or replaced left hepatic artery. The methods used to implant the pump catheters in these anomalous situations were reviewed. The use of dual catheter pumps for arterial anomalies has necessitated extended operative time and increased the risk of uneven hepatic perfusion. Catheterization of the portal vein, which is technically simpler, deserves consideration as an alternative in the presence of an aberrant arterial system.
Solanine or a preparation of mixed glycoalkaloids from potatoes naturally infected with the late-blight fungus, Phytophthora infestans, was injected into fertile chicken eggs between 0 and 26 h of incubation, before formation of the neural tube. The embryos were examined after a total of 72 h of incubation. Various abnormalities were found, the most conspicuous being absence of the tail or trunk below the wing bud (rumplessness). A statistically significant proportion of the abnormal embryos showed malformations that seemed to be related to this condition; these included fluid- or blood-filled vesicles in the lower trunk or tail region on one or both sides of the neural tube. Such abnormalities were not observed in control embryos.
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