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Biomedical subjects

S C Ming

Publications and source records attributed to S C Ming.

At least 19 recordsLinked to original sources

Pathology and ploidy in the prognosis of gastric cancer with no extranodal metastasis.

BACKGROUND: The prognostic relevance of morphology in advanced gastric cancer is well known. Data on tumor cell DNA content are still inadequate and contradictory. METHODS: Morphologic parameters and DNA ploidy were evaluated in 76 gastric cancer patients with no extranodal metastases (Stage I, 10 cases; Stage II, 20 cases; and Stage III, 46 cases), using formalin-fixed paraffin-embedded tissue. All cases were followed for at least 6 years after surgery or until death. RESULTS: Among the potential prognostic factors analyzed by Mantel-Cox and generalized Wilcoxon statistics, male sex (P = 0.02), cardiac location of neoplasia (P = 0.02), deeper infiltration of the gastric wall (P = 0.001), vascular neoplastic invasion (P = 0.006), metastatic lymph nodes (P = 0.001), pathologic stage (P = 0.0001), and aneuploidy (P = 0.01) were significantly associated with lower survival rate. Testing of all of the above-mentioned variables by the Cox stepwise multiple regression model disclosed that factors independently associated with survival were stage (P = 0.0001), ploidy (P = 0.0006), and vascular carcinomatous invasion (P = 0.01). CONCLUSIONS: In gastric cancer with no extranodal metastases, DNA ploidy was found to be the most significant prognostic parameter after pathologic stage.

Aged↗

Growth-dependent expression of human Mr 53,000 tumor antigen messenger RNA in normal and neoplastic cells.

We have investigated the expression of Mr 53,000 protein (p53) in total RNA isolated from human peripheral blood mononuclear cells stimulated by phytohemagglutinin, in serum-stimulated human diploid fibroblasts, and in normal and tumor cells of human epithelial colon tissue. We have found that the expression of p53 messenger RNA is growth regulated in human cells following kinetics similar to that previously shown in mouse 3T3 cells, and is increased in the large majority of colon adenocarcinomas in comparison to adjacent normal mucosa and adenoma. This increased expression of p53 is accompanied by a nearly proportional increase in the expression of histone H3. As the expression of histone H3 is restricted to the S phase of the cell cycle and therefore measures the growth fraction of a given population, we suggest that the increased expression of p53 observed in the large majority of colon tumors simply reflects the increased number of cycling cells frequently found in a neoplastic tissue. At variance with these findings a true overexpression of p53 was detected in one SV40-transformed human fibroblasts cell line.

Adenocarcinoma↗

Mixed hyperplastic and adenomatous polyp arising from ectopic gastric mucosa of the duodenum.

We report an unusual case of a polyp arising from ectopic gastric mucosa in the duodenum. The polyp demonstrated both hyperplastic and adenomatous proliferation. Adenomatous proliferation in a duodenal polyp arising from ectopic gastric mucosa is, to our knowledge, unique. The areas of adenomatous change were morphologically indistinguishable from those of adenomatous polyps arising in the stomach; hence, the adenomatous change observed in this polyp was regarded as a neoplastic process.

Aged↗

Expression of c-myc and other cell cycle-dependent genes in human colon neoplasia.

We have investigated the expression of certain cell cycle-dependent genes in total RNA isolated from normal and neoplastic cells of human epithelial colon tissue. The genes studied had been previously identified as cell cycle dependent in rodent and human fibroblasts. Levels of expression of G1 genes were compared to the level of expression of the S-phase-specific gene H3 in normal and adjacent neoplastic epithelial cells of six different individuals. We have found that the increase in the expression of c-myc gene detected in colon tumor cells is accompanied by a parallel increase in the expression of two G1-specific genes (p2A9 and ornithine decarboxylase) and the S-phase-specific gene histone H3. An important conclusion that can be drawn from these findings is that the increased level of a cell cycle-specific RNA in a tumor may not indicate overexpression of that gene but simply reflect the increased fraction of cycling cells, unless the ratio of expression between G1 genes and G1-S-phase genes is altered.

Adenocarcinoma↗

Gastric dysplasia. Significance and pathologic criteria.

In view of uncertainty regarding the criteria and significance of gastric dysplasia as a precancerous lesion, members of the Pathology Panel of the International Study Group on Gastric Cancer (ISGGC) reviewed microslides of 93 gastric lesions showing varying degrees of mucosal abnormality, and reached the following consensus: (1) immature and proliferating gastric epithelium can be divided into two categories: hyperplastic and dysplastic; (2) the term dysplasia, especially of high-grade type, should be restricted to precancerous lesions, and hyperplasia is applied to regenerative changes; (3) regenerative hyperplasia may be simple or atypical, but dysplasia includes both moderate and severe abnormalities, since they often coexist and can not be sharply separated; and (4) occasionally the possibility of malignancy can not be excluded in a severely dysplastic epithelium; in such a case rebiopsy and diligent follow-up are necessary to establish the diagnosis. Criteria for diagnosing dysplasia and hyperplasia are presented and discussed. The opinions are offered as guidelines for establishing the diagnosis of gastric dysplasia and for prospective studies.

Gastric Mucosa↗

The role of cytology in the diagnosis of carcinoma of the stomach.

Cytology is an invaluable adjunct in the diagnosis of carcinoma of the stomach. It should be included in the initial diagnostic studies of every patient suspected of having a malignant lesion of the stomach. The yield and accuracy rates of brush cytology are superior to those of endoscopic biopsy. Early or superficial carcinoma can be detected by cytology. Common use of cytology should improve the resectability and the survival rates of the patients.

Adenocarcinoma↗

Gastric carcinoma. A pathobiological classification.

Gastric carcinomas had various pathological features. Based on patterns of growth and invasiveness, however, they fell into two types; expanding type and infiltrative type. These types were readily recognizable histologically: expanding carcinomas grew en masse and by expansion, resulting in the formation of discrete tumor nodules, whereas in infiltrative carcinoma tumor cells invaded individuality. Both types showed varying degrees of cell maturation, but glands were much more common in expanding carcinoma. The difference in growth pattern was reflected partly by gross appearance of the tumors. These two types of carcinoma appeared to be different in their histogenetic origins. Intestinal metaplasia probably played a role in the development of expanding, but not infiltrative, carcinoma. There were differences also in the sex and age of the patients, survival rate, and epidemiological distribution. Thus, this classification provided a simple basis for evaluation of various aspects of gastric cancer.

Adult↗

Evolution of lesions in intestinal ischemia.

Intestinal ischemia was produced in dogs by ligation and division of a branch of the superior mesenteric artery that supplied a selected segment of bowel. The bowel lesions included patchy mucosal necrosis, ulceration, and stenosis. The development of these changes was studied, and it appeared that ulceration was accompanied by severe submucosal inflammation in uniform appearance. Healing was accomplished by regeneration of mucosa and widespread submucosal fibrosis. Villi developed in the regenerated mucosa about 30 days after the onset of ischemia. Focal disruption of muscularis mucosa and loss of ganglion cells were common, although muscularis propria remained largely intact.

Animals↗

II. Malignant potential of gastric polyps.

The malignant potential of gastric polyps is correlated to their features. The vast majority can be divided into two types: hyperplastic polyp and ademona. Hyperplastic polyp is composed of well-differentiated glands and rarely becomes malignant. It is small, smooth-surfaced, often multiple, and randomly distributed. Adenoma is composed of dysplastic glands and often becomes malignant. The small adenoma is flat-surfaced and slightly raised. The large adenoma is papillary and broad-based. Adenoma is usually single and located in the antrum. In either case, a separate independent carcinoma may be present in the same stomach.

Adenoma↗

Acute ischemic changes in intestinal muscularis.

A chronologic study of ischemic changes in the mouse intestinal muscularis was done to delineate the morphologic alterations occurring within 24 hours of ischemia. The muscle cells initially contracted with segmental condensation of myofilaments. Subsequently, increasing degeneration and lysis of myofilaments resulted in the formation of dense degenerative bands and nodules alternating with clear segments in the muscle cells. Eventually, the myofilaments disintegrated. Mitochondria were initially swollen and subsequently condensed, shrunken, and fragmented. The plasma membrane showed progressive dissolution and eventually disappeared. These ultrastructural changes were represented by discernible changes in the histologic sections.

Animals↗