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Biomedical subjects

S Terahata

Publications and source records attributed to S Terahata.

45 records · Page 3Linked to original sources

Primary T-cell lymphoma of the thyroid.

A rare case of non-Hodgkin's malignant T-cell lymphoma of the thyroid in a 79-year-old woman is reported. Light microscopically, the tumor showed diffuse proliferation of lymphoid cells, revealing prominent nuclear irregularity and occasional multilobulated nuclei, and was diagnosed as a diffuse lymphoma of medium-sized cell type. Electron microscopically, the tumor cells were seen to possess irregularly indented nuclei. Immunologic surface marker studies showed that the lymphoma cells were positive for T-lymphocyte-lineage antigens, OKT4 and OKT11, and did not react with B-lymphocyte-associated antigens. These findings indicated that the lymphoma had a T-cell phenotype.

Aged↗

Papillary carcinoma of the thyroid gland with anaplastic transformation in the metastatic foci. An immunohistochemical study.

An immunohistochemical study was made on an autopsy case of papillary carcinoma of the thyroid with anaplastic transformation in the metastatic foci occurring in a 72-year-old woman. The anaplastic carcinoma cells were sarcomatous in appearance, and they were vimentin-positive and cytokeratin-negative. Whereas, papillary tumor cells which were intermingled in the anaplastic carcinoma contained both cytokeratin and vimentin. The close correlation between tumor cell anaplasia and the expression of the different intermediate filament proteins in thyroid carcinoma was briefly discussed.

Aged↗

[Extrarenal nephroblastoma: report of a case and review of the literature].

A 3-year-old girl with an extrarenal nephroblastoma arising from the right retroperitoneal space is described. She was admitted to our hospital with the chief complaint of abdominal pain. On physical examination, she was found to have a large (12 X 10 cm in size), firm and nontender mass in the right upper quadrant of the abdomen. The mass did not extend beyond the midsagital line. The physical examination did not reveal any particular findings or any congenital anomalies. Urinalysis and hematological data were within the normal limit. Radiological examinations including CT scan showed that the solid tumor was related to the right kidney. Under the diagnosis of right nephroblastoma, 15 micrograms/kg/day of actinomycin D was given intravenously for 5 days from October 18, 1982. The regression rate of the tumor was 78 percent on CT scan after chemotherapy. On November 22, 1982, transperitoneal nephrectomy was performed through a right paramedian incision. The tumor was found to adhere tightly to the upper pole of the kidney. The surgical specimen was 76 g in weight. A section of the surgical specimen showed an extrarenal tumor located completely outside the kidney and separated from the renal cortex by a thickened renal capsule. Histological diagnosis was extrarenal nephroblastoma showing renal capsular invasion by epithelial tumor cells. No teratomatous components were encountered in the tumor.(ABSTRACT TRUNCATED AT 250 WORDS)

Child, Preschool↗

Primary mucoepidermoid carcinoma in the thyroid gland. A case report including an ultrastructural and biochemical study.

An extremely rare mucoepidermoid carcinoma of the thyroid gland was found in a 44-year-old woman. By light microscopic examination, the tumor consisted of mucous cells and squamoid cells, and was similar to that occurring in any other organs. By electron microscopic examination, the mucous cells displayed prominent mucous droplets, and showed no evidence of colloid production in their cytoplasms. Abundant tonofilaments in aggregates were observed in the squamoid cells. Biochemically, thyroxine (T4) and triiodothyronine (T3) were not detectable in the tissue of this tumor. These findings indicate that this mucoepidermoid carcinoma does not retain the functional properties of thyroid follicular cells; namely, no evidence was found to substantiate a follicular epithelial origin of this tumor.

Adenocarcinoma↗

Clinicopathological studies of minimal thyroid and ordinary thyroid cancers.

Clinicopathological studies were carried out on 27 patients with minimal thyroid cancer and 56 with ordinary thyroid cancer at Kanazawa University, from April, 1979 to December, 1982. There was a significant difference in the rate of preoperative diagnosis between the minimal and the ordinary cancer groups. Subtotal thyroidectomy with modified neck dissection was usually performed in both groups. The histological types in minimal cancer group included 16 papillary carcinomas, 7 nonencapsulated sclerosing carcinomas, one follicular carcinoma, one anaplastic carcinoma with squamous cell metaplasia and two multiple mixed carcinomas. There was no significant difference in the rates of intrathyroidal and lymph node metastases between the two groups. While the metastatic lesions of sclerosing carcinoma were localized to the central cervical lymph nodes, the ordinary cancer in general and the papillary variant of minimal cancer metastasized not only to the central cervical lymph nodes but also to the ipsilateral and even to the contralateral jugular lymph nodes.

Adenocarcinoma↗

Hyaline globules in yolk sac tumor. Histochemical, immunohistochemical and electron microscopic studies.

Four cases of yolk sac tumor of the testis and ovary were examined by histochemistry, immunohistochemistry, and electron microscopy, and particular attention was directed toward the close relationship between hyaline globules and alpha fetoprotein (AFP). The hyaline globules were easily identified as eosinophilic globular structures located in the cytoplasm of the tumor cell as well as in the extracellular space. They were considered to be of glycoprotein in nature by their histochemical staining property. By an indirect immunoperoxidase method, the majority of intracytoplasmic hyaline globules were positive for AFP. Electronmicroscopically, the hyaline globules appeared as electron dense bodies with no limiting membranes. They were divided into two types by their electron density and inner structure: one is an electron high dense body consisting of homogeneous or fine granular materials and the other is a moderately electron dense body composed of fine filamentous structures similar to the basement membrane materials. It is suggested that the former corresponds with the AFP positive hyaline globules produces by the tumor cells of visceral type, while the latter represents the AFP negative globules formed by the cells of parietal type in non-neoplastic counterparts.

Adult↗

Influence of liver cirrhosis on pseudolesions in liver at CT during arterial portography.

PURPOSE: Pseudolesions are sometimes seen around the falciform ligament, around the gallbladder, or at the posterior edge of the medical segment on CT during arterial portography. The purpose of this study was to investigate the influence of liver cirrhosis on these pseudolesions. METHOD: The basis of this study was 33 patients with liver cirrhosis or hepatitis (group A) and 43 with neither (group B). The standard for diagnosis was surgical findings. We investigated whether there was a difference in the frequency of each pseudolesion between groups A and B. When tumors were seen in each location, they were excluded from statistical analysis. RESULTS: Pseudolesion around the falciform ligament was seen in none of 32 patients in group A and in 18 of 40 in group B (4 cases were excluded), around the gallbladder in 14 of 30 in group A and 16 of 42 in group B (4 cases were excluded), and at the posterior edge of the medial segment in 13 of 33 in group A and 16 of 42 in group B (1 case was excluded). There was a statistically significant difference in the frequency of pseudolesion around the falciform ligament (p < 0.001, Fisher test), but not around the gallbladder or posterior edge of the medial segment. CONCLUSION: Liver cirrhosis decreases the frequency of pseudolesions around the falciform ligament, but not around the gallbladder or posterior edge of the medial segment.

Adult↗

Postsurgical intrahepatic portal thromboembolism: a possible cause of perfusion defects on CT during arterial portography.

OBJECTIVE: Our goal was to investigate unexplained nontumorous perfusion defects on CT arterial portography (CTAP). MATERIALS AND METHODS: The CTAP images of 35 patients who underwent partial hepatectomy or open biopsy were analyzed. Hepatic tumors consisted of hepatocellular carcinoma (n = 18) and colorectal carcinoma metastases (n = 17). Nontumorous perfusion defects were categorized into those previously explained and those unexplained. We investigated unexplained ones and their relationship with the underlying conditions. RESULTS: Eight unexplained nontumorous perfusion defects were found in four patients with colorectal metastases. Statistical analysis showed that the defects occurred with significantly higher incidence in patients with colorectal metastases than in those with hepatocellular carcinoma (p = 0.046, Fisher test). All four patients with defects underwent CTAP within 1 month after colorectal surgery. A significant difference was seen in the distribution of surgery-CTAP time intervals between those patients with and those without defects (p < 0.05, Wilcoxon-Mann-Whitney test). Intrahepatic portal thrombi were pathologically proven in one of the four patients. CONCLUSION: Unexplained nontumorous hepatic perfusion defects may represent postsurgical portal thromboemboli.

Adult↗