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Biomedical subjects

T Stitnimankarn

Publications and source records attributed to T Stitnimankarn.

At least 19 recordsLinked to original sources
PubMed1996

Liver injury due to iron overload in thalassemia: histopathologic and ultrastructural studies.

The livers of 30 cases of thalassemia (19/beta-thal/HbE, seven thal/HbH and four beta-thal major) were studied histopathologically and electron microscopically, in an effort to define the morphologic alterations due to iron overload. The results of light and electron microscopy were similar in most cases. Iron accumulation and fibrosis were the common features found in these patients, except that thal/HbH exhibited lesser hepatic damage. The degrees of iron deposition and fibrosis were found to be higher in splenectomized and cirrhotic than non-splenectomized and non-cirrhotic patients. The subcellular changes were swollen mitochondria, with the presence of an electron dense matrix and ruptured mitochondrial membrane. Proliferation of smooth endoplasmic reticulum (ER) and dilated rough ER was observed. Increases in lysosomal hemosiderin in hepatocytes and in Kupffer cells were demonstrated. The possible ways by which the iron compounds or free radicals mediated membrane damage are mentioned. The pattern of liver cell damage is similar to that of viral hepatitis.

Adolescent↗
PubMed1992

Liver tissue injury secondary to iron overload in beta-thalassemia/hemoglobin E disease.

Liver tissues from 17 patients with advanced stages of beta-thal/Hb E disease were examined by light and electron microscopy, with emphasis on cellular damage due to excess iron overload. Various histochemical stains were performed to grade degrees of iron deposition and fibrosis, and to demonstrate hepatitis B surface antigen, in Kupffer cells as well as macrophages. The results of light and electron microscopic studies were correlated. There was a variation in the distribution of hepatic iron and the severity of fibrosis. In most of the cases ballooning degeneration of the hepatocytes, increase in number of lysosomes, hemosiderin and ferritin in hepatocytes as well as in the sinusoidal lining cells were found. The ferro-acidophilic body, representing another important form of hepatocellular necrosis also occurred. So far no precise mechanisms can be concluded.

Adolescent↗
PubMed1989

Type IV glycogen storage disease: first reported case in Thailand.

Glycogen storage disease type IV is rare. The disease is characterized by widespread storage of a polysaccharide similar to amylopectin. An autopsy case of a 6-year-old Thai boy with cirrhosis and deposits in the liver, heart, muscle and central nervous system was described along with histochemical and electron microscopic findings.

Child↗
PubMed1988

Histochemical study of liver tissue from thalassemic patients.

The livers of 30 cases of advanced thalassemia were studied pathologically. Severe degrees of hemosiderosis and fibrosis were found in liver cells and Kupffer cells in most cases. Various histochemical stains have been used to determine the characteristics of FAB and to grade degrees of iron deposit and fibrosis. The correlation between hemosiderosis and fibrosis as well as the presence of FAB are described.

Adult↗
PubMed1988

Electron microscopic study of liver tissue from 30 thalassemic patients.

Electron microscopic study of liver tissue from 30 thal patients in advanced stages has been described. In all cases, regardless of the type of hemoglobin, electron microscopic observations gave identical results. Significant findings are ferroacidophilic bodies, ferroacidophilic degeneration of hepatocytes, interhepatocyte collagen, hemosiderin and ferritin, paracrystalline accumulations of ferritin molecules, and liver cell ballooning. The ultrastructures of FAB, FAD, and balloon cells were similar to those seen in viral hepatitis, but no viral particles were found.

Humans↗
PubMed1983

Adenosquamous carcinoma and carcinoidal differentiation of the colon. Report of a case.

A case of colonic tumor demonstrating both adenosquamous carcinomatous and carcinoidal features is reported. Previous record of such an occurrence has not been encountered. The relationship between the three elements appears to be an intimate one. It is not regarded as purely coincidental, but supports the possibility of a close histogenetic relationship between the three components.

Adenocarcinoma↗
PubMed1978

Ultrastructure of cholangiocarcinoma associated with opisthorchiasis.

An electron microscopic study was carried out on eleven surgical liver biopsy specimens obtained from patients with cholangiocarcinoma associated with opisthorchiasis. The tumor cells of histologically well differentiated cholangiocarcinoma had few cytoplasmic organelles. They contained relatively large nuclei, abundant free ribosomes and numerous groups of fine fibrils. Each cell was surrounded by a basement membrane. Numerous long microvilli were seen projecting into the glandular lumen. The moderately differentiated cholangiocarcinomatous cells exhibited increased organelle content, marked variation in the shape of the nuclei with deep cytoplasmic invagination into the nuclear membrane; there were small intranuclear pseudoinclusions, and shorter microvilli. The tumor cells showed intracellular microvillus-lined spaces, abundant free ribosomes, many fine fibrils and their surrounding basement membranes were incomplete. The ultrastructure of the poorly differentiated cholangiocarcinoma was similar to that of the moderately differentiated tumor, except for fewer microvilli, abundant cytoplasmic organelles, and ill-defined or absent basement membrane.

Adenoma, Bile Duct↗