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Biomedical subjects

L Weatherbee

Publications and source records attributed to L Weatherbee.

At least 37 records · Page 2Linked to original sources

Periosteal bone apposition in chondroblastoma.

Periosteal bone apposition in chondroblastoma of long bones is more frequent than generally recognized. This should not cause confusion in differential diagnosis. The findings does not seem to have prognostic significance.

Adolescent↗

Ultrastructure of red cells frozen with hydroxyethyl starch.

The freeze fracture appearance of red cells frozen in the presence of varying concentrations of hydroxyethyl starch (HES) is described. A technique is used which allows examination of a small portion of cells from a larger unit. The frozen cells appear distorted probably as a result of osmotic dehydration but indicate no evidence of intracellular ice. The frozen mixture with HES has three phases--a particulate phase consisting of the concentrated HES (and other salts), a sculptured ice phase and the red cells. When the concentration of HES is increased, the particulate phase becomes more prominent and at 14% HES appears to surround nearly all cells. In cells frozen in saline alone and 4% HES, the cytoplasm in a majority of cells has numerous cavities and depressions. Since such units haemolyse badly when thawed, it is possible that these regions indicate structural damage. In contrast, those units frozen with 14% HES (in which nearly 85% of the cells survive freeze-thaw) possess cells which only infrequently have such regions in the cytoplasm.

Blood Preservation↗

Fine structure of cell types in an ameloblastoma.

An unusually large and old ameloblastoma, which revealed a diverse histological appearance, was studied by light and electron microscopy. In the tumor, the epithelial component formed several patterns in the collagenous stroma. The epithelial islands, consisting of tall columnar cells surrounding the inner core of stellate cells, mimicked the cells of the inner enamel epithelium and stellate reticulum, respectively, of the normal enamel organ. The ultrastructural appearances of the columnar cells, however, were only similar to those which are seen in undifferentiated preameloblasts. Areas of squamous metaplasia were present, and these squamous cells were structurally similar to the cells at the base of the oral epithelium. Some epithelial cells containing numerous lipid granules and mitochondria formed a network of cords. The connective tissue stroma was made up of fibroblast-like cells which appear to be metabolically active. In addition, multinucleated giant cells were present in the connective tissue stroma near the epithelial component.

Ameloblastoma↗

Intracranial histiocytic lymphoma with rheumatoid arthritis.

A patient with classical rheumatoid arthritis presented with a primary intracranial histiocytic lymphoma. He had not received cytotoxic drugs and had no evidence for Sjögren's syndrome or immunodeficiency. Previous radiation therapy to the shoulders is regarded as a possible, though unlikely, risk factor.

Arthritis, Rheumatoid↗

Pseudogout associated with meniscal cysts - report of two patients.

Two patients with pseudogout developed large meniscal cysts at the knee. In the first case the diagnosis of meniscal cyst was confirmed surically. In the second case, the cyst resolved following thorough aspiration. Polarized microscopy of repeated aspirated from cyst in this case as well as of fluids from the knees of both patients consistently showed positively birefringent rhomboid crystals. X-ray diffraction of fluids from the knee of the second patient identified the crystals as calcium pyrophosphate dihydrate.

Aged↗

Long-term patency of vein grafts preserved in liquid nitrogen in dimethyl sulfoxide.

Autogenous canine jugular veins were stored in 15% dimethyl sulfoxide (DMSO) in liquid nitrogen vapor for one to 28 days and then implanted in the carotid artery as autografts. The patency rate at one year was 62.5-87.5%. The patency rate of fresh jugular vein autografts placed in the carotid artery for one year was 75%. Similar autografts stored in liquid nitrogen vapor for one to 28 days without the cryopreservative DMSO exhibited a zero to 12.5% patency rate at one year. Scanning electron microscope studies revealed preservation of theendothelium in DMSO protected veins and a damaged or sloughed endothelium in veins frozen without DMSO cryopreservation.

Animals↗

Meningioma with sarcomatous change and hepatic metastasis.

A 72-year-old patient had a meningotheliomatous meningioma that invaded through the skull and into temporalis muscle. One year following craniotomy for removal of the neoplasm, he developed headaches, diplopia, and proptosis of the left eye. Biopsy of the orbital contents revealed a malignant supporting tissue neoplasm having a resemblance to the previous meningioma. No curative therapy was possible and the patient died 33 months after diagnosis. Autopsy examination showed extensive residual intracranial neoplasm and a 3-cm metastasis in the liver. The metastatic tumor appeared similar to the meningioma and did not appear malignant histologically. The case illustrates the distinct histologic variations in meningiomas and the difficulties in predicting their biologic activity. Aggressive local behavior may indicate possible malignant areas in the neoplasm. Therefore, examination of the neoplasm should be thorough. Such a correlation may suggest malignant biologic potential.

Aged↗

Hypertrophic granulomatous cranial pachymeningitis causing progressive blindness in a chronic dialysis patient.

A patient on chronic haemodialysis because of renal failure developed progressive visual field loss and eventual blindness. A postmortem examination indicated that the blindness was caused by granulomatous thickening of the pachymeninges which constricted the optic nerves as they passed through the optic foramina. Exhaustive bacteriological and histopathological studies failed to identify a specific cause for this hypertrophic cranial pachymeningitis.

Adult↗