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Biomedical subjects

T Tange

Publications and source records attributed to T Tange.

48 records · Page 3Linked to original sources

Kaposi's sarcoma -- Case report and review of Japanese cases.

A case of Kaposi's sarcoma in a 60 year-old male was examined histologically and electron microscopically. Multiple hemorrhagic skin lesions were confined within the scalp. The major part of initial skin biopsies exhibited capillary hemangiomatous component, but examination of surgical materials confirmed its nature as hemorrhagic sarcoma. At autopsy, the skin lesions showed various histological pictures ranging from angiomatous or granulomatous to sarcomatous proliferation of spindle-shaped cells. Of intriguing findings were the bone marrow involvement and the pulmonary changes, the former consisting of typical sarcomatous lesion and the latter being characterized by purpuric appearance of the pleura responsible for the terminal pneumohemothorax. Electron microscopically, the tumor cells showed Weibel-Palade granules in the cytoplasm suggesting the endothelial nature. In this article, Japanese autopsy cases of Kaposi's sarcoma so far reported are summarized.

Hemangioma↗

Rough endoplasmic reticulum-associated tubular structures occurring in acute promyelocytic leukaemia.

Intracytoplasmic tubular structures (TS) which have not yet been described were found electron microscopically in a large percentage (26.5%) of leukaemic cells from a 25-year-old female with acute promyelocytic leukaemia. The TS were bundles of tubules measuring about 90 nm in diameter and continuous with rough endoplasmic reticulum, the maximum of the TS attaining 3.0 micron in length and 0.53 micron in width. The TS were mostly solitary, occasionally 2 or 3 within a cell in a plane of sectioning and were usually located around the Golgi region. By three-dimensional observation with a goniometer stage, it was confirmed that the TS showed latticework of rings in cross sections and fascicular tubular arrays in longitudinal sections. In the latter, some tubules exhibited meshworks of polygonal vesicles measuring about 20 nm and cross striations of filamentous bristles with the periodicity of about 22 nm. The origin and nature of the TS are discussed.

Adult↗

Glomerular lesions in multiple myeloma.

An autopsy case of multiple myeloma (IgG, lambda type), clinically characterized by decreased glomerular filtration rate, is reported with particular emphasis on changes in the glomeruli of kidneys. Histologically, the glomeruli revealed slight increase in mesangial matrix and focal thickening of tuft capillary wall. Electron-microscopically, deposits were observed in a subendothelial location in the glomerular capillary walls, and inclusions were noted in the cytoplasm of the visceral epithelial cells. Histoimmunofluorescent study of the kidney demonstrated intense focal and slight diffuse positivity against labelled antisera of anti-IgG and anti-lambda type of light chain on the capillary wall of the glomerular tufts. Other immunoglobulins were not demonstrable in capillary walls. These findings represent the intraglomerular deposition of paraprotein of multiple myeloma without amyloidosis.

Humans↗

Giant mesenteric lymphoid tumor (Castleman's lymphoma) - a case report.

An autopsy case of a giant mesenteric lymphoid tumor in a 57-year-old female was examined anatomo-biologically. A 17X15X6 cm3-sized pinkish gray-coloured medullary tumor occupying the mesenterium with no evident capsule, invaded the small intestine and pancrease head. Histologically, it was a lymphoid tissue consisting of hyalinized angiofollicular architecture having epithelioid cells and tingible body macrophages in the follicles. Some small-sized follicles showed typical Hassalloid architecture and other follicles consisted of monotonous growth of lymphocytes without a mantle zone, some of them fusing with each other. The histopathological appearance of the tumor was that of Castleman's lymphoma and of hyaline-vascular type of Keller's Classification. There was another 0.6X0.5X0.5 cm3-sized tumor having an angiofollicular architecture in the subserosa of the sigmoid colon. The present case was complicated with vertebral caries, hypogammaglobulinemia (1.2%), eosinophilia (50%) and panbronchobronchiolitis, the last one being responsible for her death.

Female↗